Total genomic DNA of the tigecycline-resistant isolate was extracted by Puregene Yeast/Bact Kit B (Qiagen, Maryland, US), and was sequenced by using Hiseq 4000 system (Illumina, San Diego, US) and PromethION platform (Nanopore, Oxford, UK). Hybrid assembly was performed by using Unicycler version 0.4.8 [28 (link)]. Antibiotic resistance genes were identified by ResFinder 3.2 [29 (link)] and CARD (https://card.mcmaster.ca/) with identity >80% and coverage >60%. Plasmid replicon typing was performed using PlasmidFinder v2.1 (https://cge.cbs.dtu.dk/services/PlasmidFinder/) with at least 95% identity and 60% coverage. Synteny analysis was performed using Easyfig [30 (link)]. Fragments >5 kb that were absent in at least one genome were detected by BLAST and were defined as genomic islands (GEIs) in this study as previously described [31 ]. Phylogenetic analysis with amino-acid sequences of Tet(X)s was performed by using the maximum likelihood method with default parameters by using Mega X Version 10.0.5 [32 (link)]. The amino acid sequences of Tet(X)s were submitted to ESPript 3 server [33 (link)] to perform the alignment and predict the secondary structure elements.
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