A novel evidence of Providencia alcalifaciens possessing the genotoxin colibactin

  • I. R. Matter University of Mosul
  • A. M. Alrawi University of Mosul
  • A. H. Al-Mola University of Mosul
Keywords: Providencia alcalifaciens, colibactin toxin, colon cancer, clb genes.

Abstract

Cancer is one of the most threatening diseases to human health in the world. Consequently, this study was dedicated to shed light on an important part of this trend. Fifty five biopsies were collected from various sources, including stomach, colon, and rectal biopsies from the Gastrointestinal Endoscopy Department in Ibn Sina, Al-Jumhuri and Al-Bahth Hospitals, and surgical operations samples from patients with stomach and colon cancer from Al-Jumhuri Hospital and Al-Hayat Private Hospital in Mosul city ( Iraq ) . Among 61 bacterial isolates obtained in our study, they were all diagnosed as E. coli except one isolate diagnosed as Providencia alcalifecians as based on morphological examination and a Vitek II device. It was found that a high percentage of isolates carr ied the island genes ( clbA , clbB , clbN , and clbQ genes) for colibactin toxin (genotoxin) , which caus es host cell DNA damage and breaks, with 33 isolates possessing all the genes . P. alcalifaciens contained all genes studied depending on the PCR result. Our results show for the first time locally and globally the pre s en c e of genomic islands in P. alcalif a ciens responsible for the production of colibactin toxin . T he presence of these genes ha d not previously been diagnosed in such a potential pathogen.

References

Baker, J. L., Hendrickson, E. L., Tang, X., Lux, R., He, X., Edlund, A., McLean, J. S., & Shi, W. (2019). Klebsiella and Providencia emerge as lone survivors following long-term starvation of oral microbiota. Proceedings of the National Academy of Sciences, 116(17), 8499–8504.

Boattini, M., Bianco, G., Llorente, L. I., Acero, L. A., Nunes, D., Seruca, M., Mendes, V. S., Almeida, A., Bastos, P., Rodríguez-Villodres, Á., Gascón, A. G., Halperin, A. V., Cantón, R., Escartín, M. N. L., González-López, J. J., Floch, P., Massip, C., Chainier, D., Barraud, O., … Costa, C. (2024). Enterobacterales carrying chromosomal AmpC β-lactamases in Europe (EuESCPM): Epidemiology and antimicrobial resistance burden from a cohort of 27 hospitals, 2020–2022. International Journal of Antimicrobial Agents, 63(5), 107115.

Bonnet, M., Buc, E., Sauvanet, P., Darcha, C., Dubois, D., Pereira, B., Déchelotte, P., Bonnet, R., Pezet, D., & Darfeuille-Michaud, A. (2014). Colonization of the human gut by E. coli and colorectal cancer risk. Clinical Cancer Research, 20(4), 859–867.

Bulach, D., Carter, G. P., & Albert, M. J. (2024). Enteropathogenic Providencia alcalifaciens: A subgroup of P. alcalifaciens that causes diarrhea. Microorganisms, 12(7), 1479.

Burns, M. B., Lynch, J., Starr, T. K., Knights, D., & Blekhman, R. (2015). Virulence genes are a signature of the microbiome in the colorectal tumor microenvironment. Genome Medicine, 7(1), 55.

Ferraresso, J., Lawton, B., Bayliss, S., Sheppard, S., Cardazzo, B., Gaze, W., Buckling, A., & Vos, M. (2020). Determining the prevalence, identity and possible origin of bacterial pathogens in soil. Environmental Microbiology, 22(12), 5327–5340.

Gessew, G. T., Desta, A. F., & Adamu, E. (2022). High burden of multidrug resistant bacteria detected in Little Akaki River. Comparative Immunology, Microbiology and Infectious Diseases, 80, 101723.

Guan, J., Bao, C., Wang, P., Jing, Y., Wang, L., Li, X., Mu, X., Li, B., Zhou, D., Guo, X., & Yin, Z. (2022). Genetic characterization of four groups of chromosome-borne accessory genetic elements carrying drug resistance genes in Providencia. Infection and Drug Resistance, 15, 2253–2270.

Hussein, M. T., Al-Qaysi, S., Ahmed, S., Rathi, M. H., Hussein, Q. I., & Moussa, T. A. A. (2020). Prevalence and characterization of some colibactin genes in clinical Enterobacteriaceae isolates from Iraqi patients. Baghdad Science Journal, 17(3S), 50.

Khaleel, A. M., Faisal, R. M., & Altaii, H. A. (2023). Using recombinant DNA technology in bacterial identification from vaginal swabs. Revista Bionatura, 7(2), 2.

Klein, J. A., Predeus, A. V., Greissl, A. R., Clark-Herrera, M. M., Cruz, E., Cundiff, J. A., Haeberle, A. L., Howell, M., Lele, A., Robinson, D. J., Westerman, T. L., Wrande, M., Wright, S. J., Green, N. M., Vallance, B. A., McClelland, M., Mejia, A., Goodman, A. G., Elfenbein, J. R., & Knodler, L. A. (2024). Pathogenic diversification of the gut commensal Providencia alcalifaciens via acquisition of a second type III secretion system. Infection and Immunity, 92(10), e00314-24.

Putze, J., Hennequin, C., Nougayrède, J.-P., Zhang, W., Homburg, S., Karch, H., Bringer, M.-A., Fayolle, C., Carniel, E., Rabsch, W., Oelschlaeger, T. A., Oswald, E., Forestier, C., Hacker, J., & Dobrindt, U. (2009). Genetic structure and distribution of the colibactin genomic island among members of the family Enterobacteriaceae. Infection and Immunity, 77(11), 4696–4703.

Salas, B., Conway, H. E., Vacek, D. C., Vitek, C., & Schuenzel, E. L. (2023). Pathogenicity of multiple Providencia species (Enterobacteriales: Morganellaceae) to the mass-reared Mexican fruit fly (Diptera: Tephritidae). Journal of Insect Science, 23(3), 4.

Shah, M. M., Odoyo, E., & Ichinose, Y. (2019). Epidemiology and pathogenesis of Providencia alcalifaciens infections. The American Journal of Tropical Medicine and Hygiene, 101(2), 290–293.

Sheet, A. S., Al-Shiti, A. Y., Dawood, I. T., Rasol, A. H., Hasouni, A. M., & Faisal, R. M. (2024). Phylogeny, susceptibility and virulence determinants of Morganella morganii isolated from patients with urinary tract infections in Mosul, Iraq. Regulatory Mechanisms in Biosystems, 15(4), 957–961.

Tariq, H., Noreen, Z., Ahmad, A., Khan, L., Ali, M., Malik, M., Javed, A., Rasheed, F., Fatima, A., Kocagoz, T., Sezerman, U., & Bokhari, H. (2022). Colibactin possessing E. coli isolates in association with colorectal cancer and their genetic diversity among Pakistani population. PLoS One, 17(11), e0262662.

Zambruni, M., Ochoa, T. J., Somasunderam, A., Cabada, M. M., Morales, M. L., Mitreva, M., Rosa, B. A., Acosta, G. J., Vigo, N. I., Riveros, M., Arango, S., Durand, D., Berends, M. N., Melby, P., & Utay, N. S. (2019). Stunting is preceded by intestinal mucosal damage and microbiome changes and is associated with systemic inflammation in a cohort of Peruvian infants. The American Journal of Tropical Medicine and Hygiene, 101(5), 1009–1017.

Published
2025-07-25
How to Cite
Matter, I. R., Alrawi, A. M., & Al-Mola, A. H. (2025). A novel evidence of Providencia alcalifaciens possessing the genotoxin colibactin. Regulatory Mechanisms in Biosystems, 16(2), e25086. https://doi.org/10.15421/0225086