Clostridioides difficile 23S rRNA with mutation conferring resistance to erythromycin and clindamycin

Accession ARO:3004654
CARD Short NameCdif_23S_MULT
DefinitionSNP causing high-level ERY resistance and low-level CLI resistance.
AMR Gene Family23S rRNA with mutation conferring resistance to macrolide antibiotics
Drug Classlincosamide antibiotic, macrolide antibiotic
Resistance Mechanismantibiotic target alteration
Resistomes with Sequence VariantsChlamydia psittaciwgs, Clostridioides difficilegi, Clostridium perfringenswgs, Escherichia coliwgs, Streptococcus pneumoniaewgs
Classification11 ontology terms | Show
Parent Term(s)3 ontology terms | Show
+ confers_resistance_to_antibiotic erythromycin [Antibiotic]
+ confers_resistance_to_antibiotic clindamycin [Antibiotic]
+ 23S rRNA with mutation conferring resistance to macrolide antibiotics [AMR Gene Family]
Publications

Schmidt C, et al. 2007. Diagn. Microbiol. Infect. Dis. 59(1):1-5 Antimicrobial phenotypes and molecular basis in clinical strains of Clostridium difficile. (PMID 17509804)

Resistomes

Prevalence of Clostridioides difficile 23S rRNA with mutation conferring resistance to erythromycin and clindamycin among the sequenced genomes, plasmids, and whole-genome shotgun assemblies available at NCBI or IslandViewer for 413 important pathogens (see methodological details and complete list of analyzed pathogens). Values reflect percentage of genomes, plasmids, genome islands, or whole-genome shotgun assemblies that have at least one hit to the AMR detection model. Default view includes percentages calculated based on Perfect plus Strict RGI hits. Select the checkbox to view percentages based on only Perfect matches to AMR reference sequences curated in CARD (note: this excludes resistance via mutation as references in protein variant models are often wild-type, sensitive sequences).

Prevalence: rRNA gene variant model (view sequences)

SpeciesNCBI ChromosomeNCBI PlasmidNCBI WGSNCBI GI
Chlamydia psittaci0%0%4.17%0%
Clostridioides difficile0%0%0%8.33%
Clostridium perfringens0%0%0.24%0%
Escherichia coli0%0%0.02%0%
Streptococcus pneumoniae0%0%0.01%0%
Show Perfect Only


Detection Models

Model Type: rRNA gene variant model

Model Definition: Ribosomal RNA (rRNA) Gene Variant Models (RVM) are similar to Protein Variant Models (PVM), i.e. detect sequences based on their similarity to a curated reference sequence and secondarily screen query sequences for curated sets of mutations to differentiate them from antibiotic susceptible wild-type alleles, except RVMs are designed to detect AMR acquired via mutation of genes encoding ribosomal RNAs (rRNA). RVMs include a rRNA reference sequence (often from antibiotic susceptible wild-type alleles), a curated bit-score cut-off, and mapped resistance variants. Mapped resistance variants may include any or all of single point mutations, insertions, or deletions curated from the scientific literature. A Strict RGI match has a BLASTN bit-score above the curated BLASTN cutoff value and contains at least one curated mutation from amongst the mapped resistance variants, while a Loose RGI match has a bit-score less than the curated BLASTN bit-score cut-off but still contains at least one curated mutation from amongst the mapped resistance variants.

Bit-score Cut-off (blastN): 5000

Legend:

  • discovered in clinical, agricultural, or environmental isolates

  • discovered via laboratory selection experiments

  • ReSeqTB https://platform.reseqtb.org

Published Variants:



>gb|NR_076234.1|+|1-2900|Clostridioides difficile 23S rRNA with mutation conferring resistance to erythromycin and clindamycin [Clostridioides difficile]
TGGTCAAGTTATTAAGGGTGCAGGGCGGATGCCTTGGCACTAGGAGCCGATGAAGGACGTGATAAGCTGCGATAAGCTTCGGGGAGTTGC
ACGTAAACTTTGATCCGAAGATTTCCGAATGAGGAAACTCACTTAGAGTAATGTCTAAGTATCATTAAGTGAATACATAGCTTAATGAGG
GGAACTCAGGGAACTGAAACATCTAAGTACCTGAAGGAAGAGAAAGAAATTCGATTCCGTAAGTAGCGGCGAGCGAACGCGGATTAGCCC
AAACCAATAAAGTTTTCTTTATTGGGGTTGAGGACATACCACATATAAGAGGTCATTATAGACGAAGAAGTTTGGAAAAACTCATCATAG
AAGGTAATAATCCTGTAGTCAAAATAATAATTCTTTAGGTATGATCCAGAGTACCACGGGACACGTGAAACCCTGTGGGAAGCAGGAGGG
ACCACCCTCCAAGGCTAAATACTACCTAGTGACCGATAGCGTATAGTACCGTGAGGGAAAGGTGAAAAGAACCCCGGGAGGGGAGTGAAA
TAGAACCTGAAACCCTGCACTTACAAGCTGTGGAAGCACATTTCTTGTGTGACCGCGTACTTTTTGTAGAACGGGCCAACGAGTTACGTT
AAGTAGCAAGGTTAAGCACTTAAGGTGCGGAGCCGTAGCGAAAGCGAGTTTTAACTGAGCGTTCAGTTACTTGACGTAGACCCGAAACCG
GGCGACCTACCCATGAGCAGGATGAAGCGAAAGTAAAATTTCGTGGAGGTCCGAACCCACGAGCGTTGAAAAGCTCGGGGATGACTTGTG
GGTAGCGGTGAAATTCCAATCGAGCCCGGAGATAGCTGGTTCTCCCCGAAATAGCTTTAGGGCTAGCCTCAAGGTGAGAGATACGGAGGT
AGAGCACTGAATGTCCTAGGGGGTATTGCACCTACCGAAGACTATCAAACTCCGAATGCCGTCATCTTATACTTGGGAGTCAGACTGTGG
GTGATAAGATTCATAGTCGAAAGGGCAACAGCCCAGATCGTCAGCTAAGGTCCCTAAATGTAAGTTAAGTGGTAAAGGATGTGGGATTGC
ACAGACAACCAGGATGTTGGCTTAGAAGCAGCCACTCATTCAAAGAGTGCGTAATAGCTCACTGGTCGAGTGATCCTGCGCCGAAGATTT
CCGGGGCTAAAACTTACTACCGAAGCTACGGCATCAGTAATGATGGGTAGGGGAGCTTCCCATACGGGTTGAAGCATGACCGTAAGGACA
TGTGGACAGTATGGGAGTGAGAATGTTGGCATGAGTAGCGAGATGTGGGTGAGAATCCCACAGGCCGTAAACCCAAGGTTTCCAGGGGAA
GGTTCGTCCGCCCTGGGTTAGTCGGGACCTAAGCTGAGGCCGAAAGGCGTAGGTGATGGACAACAGGTTGATATTCCTGTACTACCGATA
ACCGTTTGAGAGAAGGGATGACACAGTAGGATAAGCTAAGCACACTGTTGGTTATGTGTGCCCAAGCATTGAGGCAGTCAAAGTAGGCAA
ATCCGCTTTGATAATGCTGGGATGTGATGGGGAGCGAAATTTAGTAGCGAAGTAGCTGATTTCACACTGTCAAGAAAAGTCTCTATCGAG
GTTAAAGGTACCCGTACCGCAAACCGACACAGGTGGGTGAGGAGAGTATCCTAAGGCCAGCGAGAGAACTGTTGTTAAGGAACTCGGCAA
AATGACCCCGTAACTTAGGGATAAGGGGTGCCACCATCAGGTGGCCGCAGAGAATAGGCCCAAGCGACTGTTTACCAAAAACATAGGTTT
CTGCTAAGTCGCAAGACGATGTATAGGAGCTGACGCCTGCCCGGTGCTGGAAGGTTAAGGGGATCTGTTAGAGCAATCGAAGCAGTGAAC
TTAAGCCCCAGTAAACGGCGGCCGTAACTATAACGGTCCTAAGGTAGCGAAATTCCTTGTCGGGTAAGTTCCGACCCGCACGAAAGGCGT
AACGATTTGGGCACTGTCTCAACAACAGACTCGGTGAAATTGTAATTCCGGTGAAGATGCCGGATACCTGCGACAGGACGGAAAGACCCC
ATGGAGCTTTACTGTAGCTTGACATTGGGTCTTGGTACTACATGTACAGGATAGGTGGGAGGCTTTGAAACCAGGACGCCAGTTTTGGCG
GAGCCATCCTTGGGATACCACCCTTGTAGTACTGGGACTCTAACCATAGGCCATGAATCTGGTCTTGGGACACTGTCAGGTGGGCAGTTT
GACTGGGGCGGTCGCCTCCCAAAAGGTAACGGAGGCGCTCAAAGGTTCTCTCAGTACGGTCGGAAATCGTACGTAGAGTGTAAAGGCAAA
AGAGAGCTTGATTGCAAGACATACAGGTCGAGCAAGGATGAAAATCGGACTTAGTGATCCGGTGGTTCTGCGTGGAAGGGCCATCGCTCA
ACGGATAAAAGCTACCCTGGGGATAACAGGCTTATCTCCCCCAAGAGTCCACATCGACGGGGAGGTTTGGCACCTCGATGTCGGCTCATC
ACATCCTGGGGCTGTAGTAGGTCCCAAGGGTTGGGCTGTTCGCCCATTAAAGTGGTACGCGAGCTGGGTTCAGAACGTCGTGAGACAGTT
CGGTCCCTATCCGTCGCAGGCGTAGGAAATTTGAGAAGACCTGTCCTTAGTACGAGAGGACCGGGATGGACGTACCTCTGGTGTACCAGT
TGTCCTGCCAAGGGCATGGCTGGGTAGCTATGTACGGAATGGATAAGCGCTGAAAGCATCTAAGCGCGAAGCCAACTTCAAGATAAGATT
TCCCACCGCAAGGGTAAGACCCCAGAAAGACTATCTGGTTGATAGGTCGAAGGTGTAAGTGCAGCAATGTATTTAGCTTATCGATACTAA
TAGGTCGAGGACTTGACCAA