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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2021.711037</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Identification and Characterization of a Novel Chromosomal Aminoglycoside 2&#x2032;-<italic>N</italic>-Acetyltransferase, AAC(2&#x2032;)-If, From an Isolate of a Novel <italic>Providencia</italic> Species, <italic>Providencia wenzhouensis</italic> R33</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Zhou</surname> <given-names>Kexin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1324132/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Liang</surname> <given-names>Jialei</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1396019/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Dong</surname> <given-names>Xu</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1395978/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Peiyao</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1369456/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Feng</surname> <given-names>Chunlin</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Shi</surname> <given-names>Weina</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Gao</surname> <given-names>Mengdi</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1514255/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Qiaoling</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Xueya</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Lu</surname> <given-names>Junwan</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/419073/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Lin</surname> <given-names>Xi</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/451343/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Kewei</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/363526/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Hailin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1041994/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhu</surname> <given-names>Mei</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/225324/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Bao</surname> <given-names>Qiyu</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/425380/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>The Second Affiliated Hospital and Yuying Children&#x2019;s Hospital, Wenzhou Medical University</institution>, <addr-line>Wenzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Key Laboratory of Medical Genetics of Zhejiang Province, Key Laboratory of Laboratory Medicine, Ministry of Education, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University</institution>, <addr-line>Wenzhou</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Institute of Biomedical Informatics, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University</institution>, <addr-line>Wenzhou</addr-line>, <country>China</country></aff>
<aff id="aff4"><sup>4</sup><institution>Department of Clinical Laboratory, Zhejiang Hospital</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Xian-Zhi Li, Health Canada, Canada</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Michael Fruci, London Research and Development Centre, Agriculture and Agri-Food Canada, Canada; Zhiyong Zong, Sichuan University, China</p></fn>
<corresp id="c001">&#x002A;Correspondence: Mei Zhu, <email>zhumei_d@163.com</email></corresp>
<corresp id="c002">Qiyu Bao, <email>baoqy@genomics.cn</email></corresp>
<fn fn-type="equal" id="fn002"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
<fn fn-type="other" id="fn004"><p>This article was submitted to Antimicrobials, Resistance and Chemotherapy, a section of the journal Frontiers in Microbiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>19</day>
<month>11</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>711037</elocation-id>
<history>
<date date-type="received">
<day>17</day>
<month>05</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>10</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2021 Zhou, Liang, Dong, Zhang, Feng, Shi, Gao, Li, Zhang, Lu, Lin, Li, Zhang, Zhu and Bao.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Zhou, Liang, Dong, Zhang, Feng, Shi, Gao, Li, Zhang, Lu, Lin, Li, Zhang, Zhu and Bao</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Multidrug-resistant bacteria from different sources have been steadily emerging, and an increasing number of resistance mechanisms are being uncovered. In this work, we characterized a novel resistance gene named <italic>aac(2&#x2032;)-If</italic> from an isolate of a novel <italic>Providencia</italic> species, <italic>Providencia wenzhouensis</italic> R33 (CCTCC AB 2021339). Susceptibility testing and enzyme kinetic parameter analysis were conducted to determine the function of the aminoglycoside 2&#x2032;-<italic>N</italic>-acetyltransferase. Whole-genome sequencing and comparative genomic analysis were performed to elucidate the molecular characteristics of the genome and the genetic context of the resistance gene-related sequences. Among the functionally characterized resistance genes, AAC(2&#x2032;)-If shares the highest amino acid sequence identity of 70.79% with AAC(2&#x2032;)-Ia. AAC(2&#x2032;)-If confers resistance to several aminoglycoside antibiotics, showing the highest resistance activity against ribostamycin and neomycin. The recombinant strain harboring <italic>aac(2&#x2032;)-If</italic> (pUCP20-<italic>aac(2&#x2032;)-If</italic>/DH5&#x03B1;) showed 256- and 128-fold increases in the minimum inhibitory concentration (MIC) levels to ribostamycin and neomycin, respectively, compared with those of the control strains (DH5&#x03B1; and pUCP20/DH5&#x03B1;). The results of the kinetic analysis of AAC(2&#x2032;)-If were consistent with the MIC results of the cloned <italic>aac(2&#x2032;)-If</italic> with the highest catalytic efficiency for ribostamycin (<italic>k<sub><italic>cat</italic></sub>/K<sub><italic>m</italic></sub></italic> ratio = [3.72 &#x00B1; 0.52] &#x00D7; 10<sup>4</sup> M<sup>&#x2013;1</sup><sup>&#x22C5;</sup>s<sup>&#x2013;1</sup>). Whole-genome sequencing demonstrated that the <italic>aac(2&#x2032;)-If</italic> gene was located on the chromosome with a relatively unique genetic environment. Identification of a novel aminoglycoside resistance gene in a strain of a novel <italic>Providencia</italic> species will help us find ways to elucidate the complexity of resistance mechanisms in the microbial population.</p>
</abstract>
<kwd-group>
<kwd><italic>Providencia</italic></kwd>
<kwd>aminoglycoside</kwd>
<kwd>AAC(2cpsdummy&#x2032;)</kwd>
<kwd>resistance</kwd>
<kwd>kinetic analysis</kwd>
</kwd-group>
<counts>
<fig-count count="5"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="48"/>
<page-count count="12"/>
<word-count count="8106"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="S1">
<title>Introduction</title>
<p>Aminoglycoside antibiotics disturb translation and promote mistranslation of proteins, resulting in altering the integrity of bacterial cell membranes (<xref ref-type="bibr" rid="B2">Aguirre Rivera et al., 2021</xref>). They have a broad antimicrobial spectrum, and they often work in synergy with other antibiotics, making them valuable anti-infective agents (<xref ref-type="bibr" rid="B44">van Hoek et al., 2011</xref>). With the widely growing use of antibiotics in human clinical or agricultural practices, antibiotic resistance is a growing problem associated with the use of all classes of anti-infective agents. Aminoglycoside resistance has many different forms. The major aminoglycoside resistance mechanism encountered in clinical isolates of gram-negative and gram-positive bacteria is most frequently associated with the expression of modifying enzymes (<xref ref-type="bibr" rid="B47">Wright, 1999</xref>; <xref ref-type="bibr" rid="B43">Vakulenko and Mobashery, 2003</xref>). To date, more than 100 aminoglycoside-modifying enzymes (AMEs) have been described and are broadly categorized into three groups based on the type of modification (<xref ref-type="bibr" rid="B36">Ramirez and Tolmasky, 2010</xref>). These three families of AMEs include acetyltransferases (AACs), nucleotidyltransferases or adenyltransferases (ANTs), and phosphotransferases (APHs). These classes are further divided into subtypes based on different region specificities of the enzymes for aminoglycoside modifications (<xref ref-type="bibr" rid="B40">Shaw et al., 1993</xref>; <xref ref-type="bibr" rid="B36">Ramirez and Tolmasky, 2010</xref>). The subclasses include four AACs, namely, AAC(1), AAC(2&#x2032;), AAC(3), and AAC(6&#x2032;); five ANTs, namely, ANT(2&#x2032;&#x2032;), ANT(3&#x2032;&#x2032;), ANT(4&#x2032;), ANT(6), and ANT(9); and seven APHs, namely, APH(2&#x2032;&#x2032;), APH(3&#x2032;), APH(3&#x2032;&#x2032;), APH(4), APH(6), APH(7&#x2032;&#x2032;), and APH(9) (<xref ref-type="bibr" rid="B19">Haas and Dowding, 1975</xref>; <xref ref-type="bibr" rid="B40">Shaw et al., 1993</xref>).</p>
<p>Acetyltransferases belong to the ubiquitous GCN5-related <italic>N</italic>-acetyltransferase (GNAT) superfamily of proteins, which includes approximately 10,000 proteins (<xref ref-type="bibr" rid="B45">Vetting et al., 2005</xref>). AACs are classified according to the sites of acetylation of the deoxystreptamine core of aminoglycoside antibiotics (<xref ref-type="bibr" rid="B40">Shaw et al., 1993</xref>). Most of the genes encoding these enzymes are plasmid borne, but an exception to this general rule is the 2&#x2032;-<italic>N</italic>-acetyltransferase [AAC(2&#x2032;)-Ia] from <italic>Providencia stuartii</italic>, which is chromosomally encoded (<xref ref-type="bibr" rid="B37">Rather et al., 1993</xref>; <xref ref-type="bibr" rid="B32">Payie et al., 1995</xref>). Additionally, AAC(2&#x2032;)-Ia has been identified as the most prevalent chromosomally encoded AME among <italic>P. stuartii</italic> strains (<xref ref-type="bibr" rid="B10">Clarke et al., 1996</xref>; <xref ref-type="bibr" rid="B16">Franklin and Clarke, 2001</xref>), while AAC(2&#x2032;) enzymes (AAC(2&#x2032;)-Ib, AAC(2&#x2032;)-Ic, AAC(2&#x2032;)-Id, and AAC(2&#x2032;)-Ie) have been found in different species of the genus <italic>Mycobacterium</italic> (<xref ref-type="bibr" rid="B37">Rather et al., 1993</xref>; <xref ref-type="bibr" rid="B3">Ainsa et al., 1996</xref>, <xref ref-type="bibr" rid="B4">1997</xref>; <xref ref-type="bibr" rid="B20">Hegde et al., 2001</xref>; <xref ref-type="bibr" rid="B1">Adams et al., 2008</xref>). In the wild-type <italic>P. stuartii</italic>, the <italic>aac(2&#x2032;)-Ia</italic> gene is normally expressed at low levels, and it is regulated in part by a small transcriptional activator and at least two other trans-acting negative regulators (<xref ref-type="bibr" rid="B29">Macinga et al., 1998</xref>; <xref ref-type="bibr" rid="B14">Ding et al., 2001</xref>).</p>
<p><italic>Providencia</italic> species belong to the order Enterobacterales and family Morganellaceae, which is a family of gram-negative opportunistic human pathogens. <italic>Providencia</italic> species closely resemble <italic>Proteus</italic> and <italic>Morganella</italic> species and are quite ubiquitous in the environment (<xref ref-type="bibr" rid="B38">Sagar et al., 2017</xref>). Currently, 13 <italic>Providencia</italic> species are recognized: <italic>P. stuartii</italic>, <italic>P. rettgeri</italic>, <italic>P. rustigianii</italic>, <italic>P. heimbachae</italic>, <italic>P. alcalifaciens</italic>, <italic>P. burhodogranariea</italic>, <italic>P. sneebia</italic>, <italic>P. vermicola</italic>, <italic>P. huaxiensis</italic>, <italic>P. thailandensis</italic>, <italic>P. entomophila</italic>, <italic>P. friedericiana</italic>, and <italic>Candidatus P. siddallii</italic><sup><xref ref-type="fn" rid="footnote1">1</xref></sup>. <italic>P. rettgeri</italic>, one of the most common pathogens of <italic>Providencia</italic> spp., has been isolated from samples collected from patients with various infectious diseases, such as nephrocutaneous fistula (<xref ref-type="bibr" rid="B27">Lee and Hong, 2011</xref>), urinary tract infections (<xref ref-type="bibr" rid="B6">Barrios et al., 2013</xref>), and soft tissue infections (<xref ref-type="bibr" rid="B8">Carvalho-Assef et al., 2013</xref>).</p>
<p>In this work, we report the identification and characterization of a novel aminoglycoside 2&#x2032;<italic>-N-</italic>acetyltransferase designated AAC(2&#x2032;)-If encoded in the chromosome of a <italic>Providencia wenzhouensis</italic> strain isolated from a rabbit. In addition, based on sequence analysis, the genetic environment of the <italic>aac(2&#x2032;)-If</italic> gene and its genetic relationship with other AACs were also analyzed.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>Bacterial Strains and Plasmids</title>
<p>To investigate the antimicrobial resistance of large intestinal bacteria in animals, we collected anal feces samples from different animals. <italic>P. wenzhouensis</italic> R33 was isolated from an anal swab of a New Zealand White rabbit in an animal farm in Wenzhou, southeastern China. The anal swab was collected as follows: a sterile cotton swab was inserted into the anus of rabbit for 3&#x2013;5 cm, gently rotated, and then immediately put it into a sterilized screw-capped specimen collection tube containing normal saline solution (0.9% sodium chloride). The isolate was randomly isolated by the streak plate method with a normal Luria-Bertani agar plate, initially identified using the Vitek-60 microorganism autoanalysis system (BioMerieux Corporate, Craponne, France) and verified by analysis of the 16S rRNA gene sequences. The result was finally confirmed by determining the average nucleotide identity (ANI) using FastANI and <italic>in silico</italic> DNA&#x2013;DNA hybridization (<italic>is</italic>DDH) (<xref ref-type="bibr" rid="B23">Jain et al., 2018</xref>). The strains and plasmids used in this work are listed in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>Bacteria and plasmids used in this work.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left"><bold>Strain or plasmid</bold></td>
<td valign="top" align="left"><bold>Relevant characteristic(s)</bold></td>
<td valign="top" align="left"><bold>Reference or source</bold></td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Strain</td>
<td valign="top" align="justify"/>
<td valign="top" align="justify"/>
</tr>
<tr>
<td valign="top" align="left">R33</td>
<td valign="top" align="left">The wild-type strain of <italic>Providencia wenzhouensis</italic> R33</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">DH5&#x03B1;</td>
<td valign="top" align="left"><italic>E. coli</italic> DH5&#x03B1; was used as a host for the cloning of the <italic>aac(2&#x2032;)-If</italic> gene</td>
<td valign="top" align="left">Our laboratory collection</td>
</tr>
<tr>
<td valign="top" align="left">RosettagamiB (DE3)</td>
<td valign="top" align="left"><italic>E. coli</italic> RosettagamiB was used as a host for expression of AAC(2&#x2032;)-If</td>
<td valign="top" align="left">Our laboratory collection</td>
</tr>
<tr>
<td valign="top" align="left">ATCC 25922</td>
<td valign="top" align="left"><italic>E. coli</italic> ATCC 25922 was used as a quality control for antimicrobial susceptibility testing</td>
<td valign="top" align="left">Our laboratory collection</td>
</tr>
<tr>
<td valign="top" align="left">pUCP20-<italic>aac(2&#x2032;)-If</italic>/DH5&#x03B1;</td>
<td valign="top" align="left">DH5&#x03B1; carrying the recombinant plasmid pUCP20-<italic>aac(2&#x2032;)-If</italic></td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">pCold I-<italic>aac(2&#x2032;)-I f/</italic>RosettagamiB</td>
<td valign="top" align="left">RosettagamiB carrying the recombinant plasmid pCold I-<italic>aac(2&#x2032;)-If</italic></td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">Plasmid</td>
<td valign="top" align="justify"/>
<td valign="top" align="justify"/>
</tr>
<tr>
<td valign="top" align="left">pUCP20/DH5&#x03B1;</td>
<td valign="top" align="left">Cloning vector for the PCR products of the <italic>aac(2&#x2032;)-If</italic> gene with its upstream promoter region, ampicillin resistance</td>
<td valign="top" align="left">Our laboratory collection</td>
</tr>
<tr>
<td valign="top" align="left">pCold I/RosettagamiB</td>
<td valign="top" align="left">Expression vector for the PCR products of the ORF of the <italic>aac(2&#x2032;)-If</italic> gene, ampicillin resistance</td>
<td valign="top" align="left">Our laboratory collection</td>
</tr>
</tbody>
</table></table-wrap>
</sec>
<sec id="S2.SS2">
<title>Antimicrobial Susceptibility Testing</title>
<p>The minimum inhibitory concentrations (MICs) were determined using the agar dilution method with Mueller-Hinton (MH) agar plates following the guidelines of the Clinical and Laboratory Standards Institute (CLSI). Susceptibility patterns were interpreted according to the CLSI breakpoint criteria (<xref ref-type="bibr" rid="B11">CLSI, 2019</xref>) and the guidelines of the European Committee on Antimicrobial Susceptibility Testing (<xref ref-type="bibr" rid="B42">The European Committee on Antimicrobial Susceptibility Testing, 2019</xref>) for Enterobacteriaceae. <italic>Escherichia coli</italic> ATCC 25922 was used as a reference strain for quality control. The MIC was determined in triplicate on Mueller-Hinton (MH) agar plates with two-fold serial dilutions of the antibiotics. The plates were incubated at 37&#x00B0;C for 16&#x2013;20 h before analyzing the results.</p>
</sec>
<sec id="S2.SS3">
<title>Whole-Genome Sequencing and Sequence Analysis</title>
<p>Genomic DNA of <italic>P. wenzhouensis</italic> R33 was extracted from bacterial culture by an AxyPrep Bacterial Genomic DNA Miniprep Kit (Axygen Scientific, Union City, CA, United States). DNA sequencing was performed by using the Illumina HiSeq-2500 and PacBio RS II platforms by the Shanghai Personal Biotechnology Co., Ltd. (Shanghai, China). The Illumina short reads and PacBio long reads were initially assembled by Canu v2.1 (<xref ref-type="bibr" rid="B25">Koren et al., 2017</xref>) and SPAdes v3.14.1 (<xref ref-type="bibr" rid="B5">Bankevich et al., 2012</xref>), respectively. Pilon v1.23 (<xref ref-type="bibr" rid="B46">Walker et al., 2014</xref>) was employed for further correction to improve assembly quality by mapping short reads aligned to the draft of the whole-genome assembly. Potential open reading frames (ORFs) of the assembled genome were predicted using Prokka v1.14.6 (<xref ref-type="bibr" rid="B39">Seemann, 2014</xref>), and functional annotation of these proteins was performed by BLAST analysis with an e-value threshold of 1e-5 against the nonredundant protein sequence database of US National Center for Biotechnology Information (NCBI) and the UniProt/Swiss-Prot database. Antimicrobial resistance genes were annotated using ResFinder (<xref ref-type="bibr" rid="B48">Zankari et al., 2012</xref>) and Resistance Gene Identifier (RGI) v4.0.3 of the Comprehensive Antibiotic Resistance Database (CARD) (<xref ref-type="bibr" rid="B30">McArthur et al., 2013</xref>). Mobile genetic elements (MGEs) were detected using ISFinder (<xref ref-type="bibr" rid="B41">Siguier et al., 2006</xref>) and INTEGRALL (<xref ref-type="bibr" rid="B31">Moura et al., 2009</xref>). ANI was calculated using FastANI v1.31 (<xref ref-type="bibr" rid="B23">Jain et al., 2018</xref>). CGView Server (<xref ref-type="bibr" rid="B33">Petkau et al., 2010</xref>) was used to visualize the basic genomic features of chromosomes and perform comparative genomic analysis. The promoter region of <italic>aac(2&#x2032;)-If</italic> was predicted by <xref ref-type="bibr" rid="B7">BPROM (2016)</xref><sup><xref ref-type="fn" rid="footnote2">2</xref></sup>. The molecular weight and pI value of AAC(2&#x2032;)-If were predicted using <xref ref-type="bibr" rid="B15">Expasy ProtParam Tool (2021)</xref><sup><xref ref-type="fn" rid="footnote3">3</xref></sup>. Multiple alignment of the amino acid sequences of and neighbor-joining phylogenetic tree construction for AAC(2&#x2032;)-If and other AACs were performed using MAFFT v7.475 (<xref ref-type="bibr" rid="B24">Katoh and Standley, 2013</xref>) and MEGAX (<xref ref-type="bibr" rid="B26">Kumar et al., 2018</xref>), respectively. The sequence retrieval, statistical analysis, and other bioinformatics tools used in this study were written using <xref ref-type="bibr" rid="B34">Python (2021)</xref><sup><xref ref-type="fn" rid="footnote4">4</xref></sup> and Biopython (<xref ref-type="bibr" rid="B12">Cock et al., 2009</xref>).</p>
</sec>
<sec id="S2.SS4">
<title>Cloning of the <italic>aac(2&#x2032;)-If</italic> Gene</title>
<p>The coding sequence of <italic>aac(2&#x2032;)-If</italic>, along with its upstream promoter region, was amplified by PCR primers with a pair of flanking restriction endonuclease adaptors for <italic>Bam</italic>HI and <italic>Hin</italic>dIII (Takara Bio, Inc., Dalian, China) introduced at the 5&#x2032; and 3&#x2032; ends, respectively (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table S1</xref>). The PCR product was digested with <italic>Bam</italic>HI and <italic>Hin</italic>dIII, and then ligated into the pUCP20 vector with a T4 DNA ligase cloning kit (Takara Bio, Inc., Dalian, China). The recombinant plasmid pUCP20-pro-<italic>aac(2&#x2032;)-If</italic> was transformed into competent <italic>E. coli</italic> DH5&#x03B1; cells by the calcium chloride method (<xref ref-type="bibr" rid="B9">Chan et al., 2013</xref>), and the transformant was selected on Luria-Bertani agar plates supplemented with 100 &#x03BC;g/mL ampicillin. The cloned insert sequence (<italic>aac(2&#x2032;)-If</italic> with its upstream promoter region) in the recombinant plasmid of the transformant was further confirmed by both restriction enzyme digestion and Sanger sequencing (Shanghai Sunny Biotechnology Co., Ltd., Shanghai, China).</p>
</sec>
<sec id="S2.SS5">
<title>Expression and Purification of Recombinant AAC(2&#x2032;)-If</title>
<p>The ORF of the <italic>aac(2&#x2032;)-If</italic> gene was amplified with the orf-<italic>aac(2&#x2032;)-If</italic> primers listed in <xref ref-type="supplementary-material" rid="TS1">Supplementary Table S1</xref> and cloned into the pCold I cold shock expression vector (<xref ref-type="bibr" rid="B35">Qing et al., 2004</xref>). The resultant plasmid pCold I-<italic>aac(2&#x2032;)-If</italic> was introduced into <italic>E. coli</italic> RosettagamiB (DE3) competent cells, and transformants (pCold I-orf-<italic>aac(2&#x2032;)-If</italic>/RosettagamiB) were selected on LB agar plates containing 100 &#x03BC;g/mL ampicillin.</p>
<p>The overnight culture of the recombinant strain (pCold I-orf-<italic>aac(2&#x2032;)-If</italic>/RosettagamiB) was cultured in LB broth containing 100 &#x03BC;g/mL ampicillin at 37&#x00B0;C. When the OD at 600 nm reached 0.6, isopropyl <sc>D</sc>-thiogalactopyranoside (IPTG) was added at a concentration of 1 mM to induce the expression of AAC(2&#x2032;)-If, and cell cultivation was continued for 18 h at 16&#x00B0;C. The cells were collected, resuspended in phosphate buffered saline (pH = 7.4), and disrupted with a French pressure cell. The recombinant protein was purified using BeyoGold His-tag Purification Resin and subsequently eluted by the nondenatured eluent (50 mM NaH<sub>2</sub>PO<sub>4</sub>, 300 mM NaCl, 50 mM imidazole) of the His-tag Protein Purification Kit (Beyotime, Shanghai, China) according to the manufacturer&#x2019;s instructions. The purity of the protein was confirmed using sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and subsequent staining with Coomassie Brilliant Blue. The protein concentration was determined spectrophotometrically using a BCA protein assay kit (Thermo Fisher Scientific, Rockford, IL, United States).</p>
</sec>
<sec id="S2.SS6">
<title>RT Q-PCR Assays</title>
<p>To analyze the expression of <italic>aac(2&#x2032;)-If</italic>, total RNA was extracted from the bacteria cultured in LB broth grown to OD<sub>600</sub> = 0.5 and then treated with or without the addition of 1/4 MIC ribostamycin (32 &#x03BC;g/mL), neomycin (1 &#x03BC;g/mL), and gentamicin (0.25 &#x03BC;g/mL) for 0.5, 1, 2, 4, and 24 h, respectively. Then total RNA was isolated using TRIzol reagent (Sigma, Shanghai, China) according to the manufacturer&#x2019;s protocol and quantified by an Implen NanoPhotometer (Implen GmbH, Munich, Germany). DNA-free RNA was confirmed by PCR amplification of the <italic>Providencia</italic> 16S rRNA gene. cDNA was synthesized using the PrimeScript RT-PCR Kit (Takara Bio, Inc., Dalian, China). RT Q-PCR was performed using the corresponding cDNA from each sample. The primers used for RT Q-PCR are listed in <xref ref-type="supplementary-material" rid="TS2">Supplementary Table S2</xref>. RT Q-PCR was performed in a CFX96<sup>TM</sup> Touch Real-Time PCR Detection System (Bio-Rad Laboratories, Hercules, CA, United States) by monitoring the increase in fluorescence in real time using SYBR qPCR Master Mix (Vazyme Biotech, Nanjing, China). Relative quantification was performed using the CT method (<xref ref-type="bibr" rid="B28">Livak and Schmittgen, 2001</xref>) with the housekeeping genes 16S rRNA as references. Comparisons of expression levels with or without antibiotics treatment were analyzed using one-way ANOVA (LSD test). <italic>P</italic> &#x2264; 0.05 was considered significant.</p>
</sec>
<sec id="S2.SS7">
<title>Kinetic Studies of AAC(2&#x2032;)-If</title>
<p>The kinetic parameters for AAC(2&#x2032;)-If activity were measured spectrophotometrically by following the production of coenzyme A (CoASH), which was produced upon the transfer of the acetyl moiety to the aminoglycoside. The thiol group of CoASH reacts with 5,5&#x2032;-dithiobis(2-nitrobenzoic acid) (DTNB), which is replaced by 4,4&#x2032;-dithiodipyridine, and monitoring was performed at 412 nm to measure an increase in the absorbance of the formed product, pyridine-4-thiolate (TNB), as previously described (<xref ref-type="bibr" rid="B20">Hegde et al., 2001</xref>; <xref ref-type="bibr" rid="B17">Galimand et al., 2015</xref>). Kinetic assays were performed in a 200 &#x03BC;l reaction mixture containing 25 mM 2-(<italic>N</italic>-morpholino)ethanesulfonic acid (MES; pH 6.0), 1 mM EDTA, 80 &#x03BC;M acetyl-CoA, 2 mM DTNB, and variable concentrations of aminoglycosides (5&#x2013;150 &#x03BC;M) (<xref ref-type="bibr" rid="B16">Franklin and Clarke, 2001</xref>), and the reactions, initiated by the addition of 2 &#x03BC;g purified enzyme (final concentration), were monitored using a Synergy Neo2 Multi-Mode Microplate Reader (Biotek, VT, United States) at room temperature for 10 min. The steady-state kinetic parameters (<italic>k</italic><sub><italic>cat</italic></sub> and <italic>K</italic><sub><italic>m</italic></sub>) were determined by nonlinear regression of the initial reaction rates with the Michaelis&#x2013;Menten equation using GraphPad Prism 9 (GraphPad Software, San Jose, CA, United States).</p>
</sec>
<sec id="S2.SS8">
<title>Nucleotide Sequence Accession Numbers</title>
<p>The <italic>aac(2&#x2032;)-If</italic> sequence has been assigned GenBank accession number <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MW984427">MW984427</ext-link>. The complete genome sequence of <italic>P. wenzhouensis</italic> R33 presented in this study has been deposited in GenBank under accession numbers <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP072453">CP072453</ext-link> and <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP072454">CP072454</ext-link> for chromosome and plasmid pR33-1 of <italic>P. wenzhouensis</italic> R33, respectively.</p>
</sec>
</sec>
<sec sec-type="results" id="S3">
<title>Results</title>
<sec id="S3.SS1">
<title>Identification and Characteristics of the AAC(2&#x2032;)-If-Producing Isolate of <italic>Providencia wenzhouensis</italic> R33</title>
<p>A 16S ribosomal RNA gene homology analysis showed that the 16S rRNA gene of strain R33 shared the highest similarity with that of <italic>P. vermicola</italic> strain OP1 (NR_042415.1), with 98.01% identity and 99.00% coverage. However, the genome sequence of strain R33 shared 76.93&#x2013;81.47% ANI and had a 19.60&#x2013;52.40% <italic>in silico</italic> DNA&#x2013;DNA hybridization (<italic>is</italic>DDH) score with the species-classified <italic>Providencia</italic> strains (<xref ref-type="supplementary-material" rid="TS3">Supplementary Table S3</xref>). They were too low to reach the cutoff (&#x2265;95&#x2013;96% for ANI and 70% for <italic>is</italic>DDH) to define a classified bacterial species, which suggested that strain R33 is a new species of the genus <italic>Providencia</italic> (<xref ref-type="bibr" rid="B18">Goris et al., 2007</xref>; <xref ref-type="bibr" rid="B21">Hu et al., 2019</xref>). According to the criteria for species names (<xref ref-type="bibr" rid="B22">International Code of Nomenclature of Prokaryotes, 2019</xref>), we named it <italic>Providencia wenzhouensis</italic> R33. This isolate was deposited in China Center for Type Culture Collection, Wuhan, China (CCTCC AB 2021339).</p>
<p><italic>Providencia wenzhouensis</italic> (wen.zhou.en&#x2019;sis. N.L. fem. adj. <italic>wenzhouensis</italic> pertaining to Wenzhou, Zhejiang Province, China, where the type strain was isolated) cells are Gram-negative, non-motile, non-spore-forming, non-gas-producing, rod-shaped. Colonies are creamy white, circular, moist, convex, with entire edges on nutrient agar and translucent on MacConkey agar. The strain is catalase-positive and oxidase-negative, gives positive in methyl-red reaction, citrate utilization, and nitrate reduction. The strain is negative for Voges-Proskauer, indole, urease, and the production of H<sub>2</sub>S. Acid is produced from adonitol, salicin, galactose, arabinose, gluconate, glucose, mannitol, <sc>D</sc>-mannitol, phenylalanine deaminase, but not from arginine, glycerol, inulin, inositol, lactose, lysine, ornithine, trehalose, maltose, pyruvate, sorbitol, sorbose, sucrose, and urea. Differential biochemical characteristics from other members of the genus <italic>Providencia</italic> include acid production from citrate, mannitol, and salicin but not from urea.</p>
<p>The MICs of 26 antibiotics were tested for strain R33 as shown in <xref ref-type="table" rid="T2">Table 2</xref>. This strain showed resistance to five antibiotics, including fosfomycin, imipenem, nalidixic acid, and polymyxins B and E, and higher MIC values for ribostamycin (128 &#x03BC;g/ml) and ceftiofur sodium (512 &#x03BC;g/ml, an antibiotic for animals only), which have no established breakpoints (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
<table-wrap position="float" id="T2">
<label>TABLE 2</label>
<caption><p>MICs of various antibiotics for five bacterial strains (&#x03BC;g/mL).</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left"><bold>Class</bold></td>
<td valign="top" align="center"><bold>Antibiotic</bold></td>
<td valign="top" align="center"><bold><italic>P. wenzhouensis</italic> R33</bold></td>
<td valign="top" align="center" colspan="4"><bold><italic>E. coli</italic></bold><hr/></td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td valign="top" align="center"><bold>pUCP20-<italic>aac(2&#x2032;)-If</italic>/DH5&#x03B1;</bold></td>
<td valign="top" align="center"><bold>pUCP20/DH5&#x03B1;</bold></td>
<td valign="top" align="center"><bold>DH5&#x03B1;</bold></td>
<td valign="top" align="center"><bold>ATCC 25922</bold></td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Aminoglycosides</td>
<td valign="top" align="center">Amikacin</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Apramycin</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">8</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Kanamycin</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Gentamicin</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.25</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Micronomicin</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.5</td>
<td valign="top" align="center">0.5</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Netilmicin</td>
<td valign="top" align="center">0.5</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Neomycin</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">32</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Paromomycin</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">512</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">4</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Ribostamycin</td>
<td valign="top" align="center">128</td>
<td valign="top" align="center">512</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">4</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Sisomicin</td>
<td valign="top" align="center">0.5</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Streptomycin</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">4</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Tobramycin</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">0.5</td>
</tr>
<tr>
<td valign="top" align="left">Aminocyclitols</td>
<td valign="top" align="center">Spectinomycin</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">8</td>
</tr>
<tr>
<td valign="top" align="left">&#x03B2;-Lactams</td>
<td valign="top" align="center">Cefoxitin</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">8</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Ceftiofur sodium</td>
<td valign="top" align="center">512</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Imipenem</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">0.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Meropenem</td>
<td valign="top" align="center">0.5</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">0.06</td>
</tr>
<tr>
<td valign="top" align="left">Amphenicols</td>
<td valign="top" align="center">Chloramphenicol</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Florfenicol</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">Quinolones</td>
<td valign="top" align="center">Ciprofloxacin</td>
<td valign="top" align="center">0.25</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">0.0075</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Levofloxacin</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">0.06</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Nalidixic acid</td>
<td valign="top" align="center">256</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Norfloxacin</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">0.03</td>
</tr>
<tr>
<td valign="top" align="left">Polymyxins</td>
<td valign="top" align="center">Polymyxin B</td>
<td valign="top" align="center">&#x003E;256</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">0.25</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">Polymyxin E</td>
<td valign="top" align="center">&#x003E;256</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">0.25</td>
</tr>
<tr>
<td valign="top" align="left">Phosphonic acid derivatives</td>
<td valign="top" align="center">Fosfomycin</td>
<td valign="top" align="center">256</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">/</td>
<td valign="top" align="center">2</td>
</tr>
</tbody>
</table></table-wrap>
<p>The whole genome of <italic>P. wenzhouensis</italic> R33 was found to consist of a chromosome of approximately 4.75 Mb in length, encoding 4,335 ORFs with an average GC content of 41.57% (<xref ref-type="table" rid="T3">Table 3</xref> and <xref ref-type="fig" rid="F1">Figure 1</xref>), and a circular plasmid designated pR33-1, which is 124,159 bp in length and encodes 136 ORFs (<xref ref-type="table" rid="T3">Table 3</xref>). According to genome sequencing, only three chromosomal genes with a similarity of &#x2265;80% with housekeeping genes, namely, <italic>crp</italic> (encoding cAMP-receptor protein), <italic>rsmA</italic> (encoding translational regulator CsrA), and <italic>E. coli gyrA</italic> (encoding DNA gyrase subunit A) (with similarities of 97.6%, 86.89%, and 83.72%, respectively), were identified. No predicted aminoglycoside resistance genes with similarity &#x2265;80% were found. Among all 11 predicted aminoglycoside resistance-related genes (with similarity &#x003C;80%) annotated from the whole genome, only one predicted AAC gene [an <italic>aac(2&#x2032;)-I</italic> homologous gene designated <italic>aac(2&#x2032;)-If</italic> in this work] had an amino acid sequence similarity of 70.79% with the <italic>aac(2&#x2032;)-Ia</italic> gene of known function, while the remaining 10 genes (CpxA, KpnH, BaeR, KpnF, KdpE, KpnG, TolC, BaeS, CpxR, and ykkD) encoded for efflux-related proteins (<xref ref-type="supplementary-material" rid="TS4">Supplementary Table S4</xref>). We subsequently cloned the putative AAC(2&#x2032;)-I gene (<italic>aac(2&#x2032;)-If</italic>), and its function was further verified.</p>
<table-wrap position="float" id="T3">
<label>TABLE 3</label>
<caption><p>General features of the <italic>P. wenzhouensis</italic> R33 genome.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="center"><bold>Chromosome</bold></td>
<td valign="top" align="center"><bold>pR33-1</bold></td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Size</td>
<td valign="top" align="center">4748309</td>
<td valign="top" align="center">124159</td>
</tr>
<tr>
<td valign="top" align="left">GC content (%)</td>
<td valign="top" align="center">41.57</td>
<td valign="top" align="center">41.50</td>
</tr>
<tr>
<td valign="top" align="left">Predicted coding sequences (CDSs) of known proteins</td>
<td valign="top" align="center">4335</td>
<td valign="top" align="center">136</td>
</tr>
<tr>
<td valign="top" align="left">Known proteins</td>
<td valign="top" align="center">3738 (86.23%)</td>
<td valign="top" align="center">89 (65.44%)</td>
</tr>
<tr>
<td valign="top" align="left">Hypothetical proteins</td>
<td valign="top" align="center">597 (13.77%)</td>
<td valign="top" align="center">47 (34.56%)</td>
</tr>
<tr>
<td valign="top" align="left">Protein coding (%)</td>
<td valign="top" align="center">85.18</td>
<td valign="top" align="center">81.71</td>
</tr>
<tr>
<td valign="top" align="left">Average ORF length (bp)</td>
<td valign="top" align="center">923</td>
<td valign="top" align="center">479</td>
</tr>
<tr>
<td valign="top" align="left">Average protein length (aa)</td>
<td valign="top" align="center">311</td>
<td valign="top" align="center">248.7</td>
</tr>
<tr>
<td valign="top" align="left">tRNAs</td>
<td valign="top" align="center">79</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">rRNA operons</td>
<td valign="top" align="center">(16S-23S-5S) &#x002A;6</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="justify"/>
<td valign="top" align="center">(16S-23S-5S-5S) &#x002A;1</td>
<td/>
</tr>
</tbody>
</table></table-wrap>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Genome map and comparison of the chromosome sequence of <italic>P. wenzhouensis</italic> R33 with other similar genomes with high identities. From outside to inside: circles 1 and 2 are homologous regions of the chromosomes of <italic>Providencia</italic> sp. 1709051003 (NZ_CP042861.1) and <italic>P. rettgeri</italic> Pr-15-2-50 (NZ_CP039844.1) with <italic>P. wenzhouensis</italic> R33, while the unmatched regions are left blank; circles 3 and 4 display predicted ORFs encoded in the forward and reverse strands, and circles 5, 6, and 7 represent the GC content, GC skew, and scale in kb of the <italic>P. wenzhouensis</italic> R33 chromosome, respectively.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-711037-g001.tif"/>
</fig>
</sec>
<sec id="S3.SS2">
<title>Homologs of the New Aminoglycoside 2&#x2032;<italic>-N-</italic>Acetyltransferase</title>
<p>The novel 2&#x2032;<italic>-N-</italic>acetyltransferase gene <italic>aac(2&#x2032;)-If</italic> was revealed to be 537 bp in length and to encode a protein of 178 amino acids (ca. 20.33 kDa) with a pI value of 4.47. All 16 of the <italic>aac(2&#x2032;)-If</italic> homologs (&#x2265;65% nucleotide sequence similarity) retrieved from the NCBI nucleotide database were derived from <italic>Providencia</italic> species (mainly <italic>P. rettgeri</italic> and <italic>P. stuartii</italic>). As mentioned above, the predicted protein sequence (no nucleotide sequence available) shared the highest amino acid sequence identity of 95.51% with AAC(2&#x2032;)-If, which was a hypothetical GNAT family <italic>N</italic>-acetyltransferase (WP_206082813.1) from <italic>P. stuartii</italic>.</p>
<p>The results of multiple sequence alignment of AAC(2&#x2032;) enzymes showed that AAC(2&#x2032;)-If shared at most 70.79%, 35.03%, 35.26%, 30.10%, and 31.21% identity with the five AAC(2&#x2032;)-I subgroups AAC(2&#x2032;)-Ia (AAA03550.1), AAC(2&#x2032;)-Ib (AAC44793.1), AAC(2&#x2032;)-Ic (AAB17563.1), AAC(2&#x2032;)-Id (AAB41701.1), and AAC(2&#x2032;)-Ie (CAR72650.1), respectively. Except for the AAC(2&#x2032;)-Ia subgroup, which had the highest identity value of more than 70.0%, the other four subgroups showed less than 40.0% identity (<xref ref-type="fig" rid="F2">Figure 2</xref>). A phylogenetic tree showed that AAC(2&#x2032;)-If clustered closest to AAC(2&#x2032;)-Ia (<xref ref-type="fig" rid="F3">Figure 3</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Multiple sequence alignment of the amino acid sequences of the AAC(2&#x2032;)-I subgroup. The sequences and their accession numbers are as follows: AAC(2&#x2032;)-If (<ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MW984427">MW984427</ext-link>), AAC(2&#x2032;)-Ia (AAA03550.1), AAC(2&#x2032;)-Ib (AAC44793.1), AAC(2&#x2032;)-Ic (AAB17563.1), AAC(2&#x2032;)-Id (AAB41701.1), and AAC(2&#x2032;)-Ie (CAR72650.1). The numbers on the right correspond to the amino acid residues in each full-length protein, with the conserved motif sites boxed, fully conserved residues shown with asterisks, and highly similar residues shown with exclamation marks.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-711037-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Phylogenetic tree showing the relationship of AAC(2&#x2032;)-If with other chromosome-borne acetyltransferases. AAC(2&#x2032;)-If from this study is shown with a red dot.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-711037-g003.tif"/>
</fig>
</sec>
<sec id="S3.SS3">
<title>Functional Characteristics of the <italic>aac(2&#x2032;)-If</italic> Gene</title>
<p>To investigate the functional role of AAC(2&#x2032;)-If, the sequence encoding the ORF of AAC(2&#x2032;)-If with its promoter region was cloned into the pUCP20 vector, and the recombinant plasmid (pUCP20-<italic>aac(2&#x2032;)-If</italic>) was transformed into <italic>E. coli</italic> DH5&#x03B1;. The MICs of several aminoglycoside antibiotics against the transformant harboring <italic>aac(2&#x2032;)-If</italic> (pUCP20-<italic>aac(2&#x2032;)-If</italic>/DH5&#x03B1;) were determined. The presence of plasmid borne <italic>aac(2&#x2032;)-If</italic> in <italic>E. coli</italic> led to elevated MICs of ribostamycin, neomycin, paromomycin, tobramycin, micronomicin, netilmicin, gentamicin, and sisomicin (256-, 128-, 256-, 16-, 8-, 8-, 4-, and 4-fold increases, respectively) in comparison with those for the control strains (DH5&#x03B1; or DH5&#x03B1; carrying the vector pUCP20) (<xref ref-type="table" rid="T2">Table 2</xref>). However, as expected, no changes in MICs of streptomycin and spectinomycin were observed. Additionally, the susceptibility of the <italic>aac(2&#x2032;)-If</italic>-carrying R33 to aminoglycosides and other antibiotics are also shown in <xref ref-type="table" rid="T2">Table 2</xref>, with relatively high MIC values (&#x2265;4 &#x03BC;g/mL) observed for several aminoglycosides (i.e., apramycin, neomycin, paromomycin, ribostamycin, and streptomycin), spectinomycin, polymyxins B and E, nalidixic acid, norfloxacin, chloramphenicol, florfenicol, cefoxitin, ceftiofur, imipenem, and fosfomycin.</p>
</sec>
<sec id="S3.SS4">
<title>Kinetic Parameters of AAC(2&#x2032;)-If</title>
<p>Investigation of the acetyltransferase activity and kinetic parameters of AAC(2&#x2032;)-If showed that of the 10 aminoglycosides tested, the enzyme was able to acetylate ribostamycin, neomycin, tobramycin, micronomicin, sisomicin, and gentamicin, but worse acetyltransferase activity was detected for netilmicin and kanamycin (<xref ref-type="table" rid="T4">Table 4</xref>). The highest catalytic efficiency was observed with ribostamycin [<italic>k<sub><italic>cat</italic></sub>/K<sub><italic>m</italic></sub></italic> ratio was (3.72 &#x00B1; 0.52) &#x00D7; 10<sup>4</sup> M<sup>&#x2013;1</sup><sup>&#x22C5;</sup>s<sup>&#x2013;1</sup>], which was found to be the best aminoglycoside substrate, whereas kanamycin was the worst substrate [<italic>k<sub><italic>cat</italic></sub>/K<sub><italic>m</italic></sub></italic> ratio = (8.71 &#x00B1; 1.25) &#x00D7; 10<sup>3</sup> M<sup>&#x2013;1</sup><sup>&#x22C5;</sup>s<sup>&#x2013;1</sup>]. These differences appeared to result from large differences in the turnover rates (<italic>k</italic><sub><italic>cat</italic></sub>), which varied by almost six-fold compared to the affinity (<xref ref-type="table" rid="T4">Table 4</xref>).</p>
<table-wrap position="float" id="T4">
<label>TABLE 4</label>
<caption><p>Steady-state kinetic parameters for AAC(2&#x2032;)-If.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left"><bold>Substrate</bold></td>
<td valign="top" align="center"><bold><italic>K</italic><sub><italic>cat</italic></sub> (s<sup>&#x2013;1</sup>)</bold></td>
<td valign="top" align="center"><bold><italic>K</italic><sub><italic>m</italic></sub> (&#x03BC;M)<italic><sup><xref ref-type="table-fn" rid="tfn1">a</xref></sup></italic></bold></td>
<td valign="top" align="center"><bold><italic>K<sub><italic>cat</italic></sub>/K<sub><italic>m</italic></sub></italic> (M<sup>&#x2013;1</sup><sup>&#x22C5;</sup>s<sup>&#x2013;1</sup>)</bold></td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Gentamicin</td>
<td valign="top" align="center">0.273 &#x00B1; 0.006</td>
<td valign="top" align="center">19.92 &#x00B1; 2.9</td>
<td valign="top" align="center">(1.37 &#x00B1; 0.16) &#x00D7; 10<sup>4</sup></td>
</tr>
<tr>
<td valign="top" align="left">Kanamycin</td>
<td valign="top" align="center">0.021 &#x00B1; 0.018</td>
<td valign="top" align="center">2.37 &#x00B1; 0.29</td>
<td valign="top" align="center">(8.71 &#x00B1; 1.25) &#x00D7; 10<sup>3</sup></td>
</tr>
<tr>
<td valign="top" align="left">Micronomicin</td>
<td valign="top" align="center">0.323 &#x00B1; 0.033</td>
<td valign="top" align="center">21.42 &#x00B1; 3.9</td>
<td valign="top" align="center">(1.51 &#x00B1; 0.15) &#x00D7; 10<sup>4</sup></td>
</tr>
<tr>
<td valign="top" align="left">Neomycin</td>
<td valign="top" align="center">0.061 &#x00B1; 0.002</td>
<td valign="top" align="center">3.06 &#x00B1; 0.55</td>
<td valign="top" align="center">(2.01 &#x00B1; 0.39) &#x00D7; 10<sup>4</sup></td>
</tr>
<tr>
<td valign="top" align="left">Netilmicin</td>
<td valign="top" align="center">0.44 &#x00B1; 0.015</td>
<td valign="top" align="center">41.11 &#x00B1; 4.36</td>
<td valign="top" align="center">(1.07 &#x00B1; 0.07) &#x00D7; 10<sup>4</sup></td>
</tr>
<tr>
<td valign="top" align="left">Paromomycin</td>
<td valign="top" align="center">0.113 &#x00B1; 0.007</td>
<td valign="top" align="center">6.88 &#x00B1; 1.43</td>
<td valign="top" align="center">(1.65 &#x00D7; 0.29) &#x00D7; 10<sup>4</sup></td>
</tr>
<tr>
<td valign="top" align="left">Ribostamycin</td>
<td valign="top" align="center">0.164 &#x00B1; 0.01</td>
<td valign="top" align="center">4.41 &#x00B1; 0.86</td>
<td valign="top" align="center">(3.72 &#x00B1; 0.52) &#x00D7; 10<sup>4</sup></td>
</tr>
<tr>
<td valign="top" align="left">Sisomicin</td>
<td valign="top" align="center">0.203 &#x00B1; 0.007</td>
<td valign="top" align="center">7.03 &#x00B1; 0.94</td>
<td valign="top" align="center">(2.88 &#x00B1; 0.49) &#x00D7; 10<sup>4</sup></td>
</tr>
<tr>
<td valign="top" align="left">Tobramycin</td>
<td valign="top" align="center">0.124 &#x00B1; 0.021</td>
<td valign="top" align="center">15.24 &#x00B1; 4.6</td>
<td valign="top" align="center">(0.82 &#x00B1; 0.1) &#x00D7; 10<sup>4</sup></td>
</tr>
<tr>
<td valign="top" align="left">Streptomycin</td>
<td valign="top" align="center">NA</td>
<td valign="top" align="center">NA</td>
<td valign="top" align="center">NA</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1"><p><italic><sup><italic>a</italic></sup> Values are means &#x00B1; standard deviations.</italic></p></fn>
<fn><p><italic>A, no acyl transfer activity was detected.</italic></p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="S3.SS5">
<title><italic>aac(2&#x2032;)-If</italic> RNA Expression After Exposure to Antibiotics</title>
<p>To investigate the effect of aminoglycoside antibiotics on the <italic>aac(2&#x2032;)-If</italic> gene expression, we determined the change of the <italic>aac(2&#x2032;)-If</italic> gene expression levels with or without ribostamycin, neomycin, and gentamicin for different periods of time. Quantitative real-time PCR indicated that the expression of the <italic>aac(2&#x2032;)-If</italic> gene increased significantly when the cells were induced with the three aminoglycoside antibiotics for 2 h (<italic>P</italic> &#x003C; 0.001). The expression level increased approximately three-, five-, and two-fold when treated with ribostamycin, neomycin, and gentamicin, respectively. No significant difference was observed between any pair of the other groups (<xref ref-type="fig" rid="F4">Figure 4</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Expression levels of <italic>aac(2&#x2032;)-If</italic> treated or untreated with 32 &#x03BC;g/mL ribostamycin <bold>(a)</bold>, 1 &#x03BC;g/mL neomycin <bold>(b)</bold>, and 0.25 &#x03BC;g/mL gentamicin <bold>(c)</bold>. Bars represent means &#x00B1; standard errors and experiments were performed in triplicate. <sup>&#x2217;&#x2217;&#x2217;</sup>Presents significant difference, <italic>P</italic> &#x003C; 0.001.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-711037-g004.tif"/>
</fig>
</sec>
<sec id="S3.SS6">
<title>Genetic Context of the <italic>aac(2&#x2032;)-If</italic> Gene</title>
<p>A total of 39 sequences (including one from this work) that were approximately 21 kb in length, with <italic>aac(2&#x2032;)-If-like</italic> genes in the center, that shared nucleotide sequence similarities between 32.18 and 70.79% with <italic>aac(2&#x2032;)-If</italic> were retrieved from the database. These sequences were all from <italic>Providencia</italic> (68.42%, 26/38) and <italic>Proteus</italic> strains (31.58%, 12/38). The genes from <italic>Providencia</italic> all shared amino acid sequence similarities of &#x2265;54.61% with <italic>aac(2&#x2032;)-If</italic>, while the genes from <italic>Proteus</italic> showed amino acid similarities of below 40.0% (except one of 68.76% and two of 53.39%) with <italic>aac(2&#x2032;)-If</italic>.</p>
<p>The 39 sequences could be clustered into five groups according to the sequence similarities. The sequence of strain R33 was grouped alone, while the other four groups contained six or more sequences each (<xref ref-type="supplementary-material" rid="TS5">Supplementary Table S5</xref>). One sequence that shared the highest similarity with the other sequences in the same group was selected as a representative to perform the sequence structure comparison within the groups (<xref ref-type="fig" rid="F5">Figure 5</xref>). The sequence of <italic>aac(2&#x2032;)-If</italic> of R33 only showed similar sequence structures upstream of the <italic>aac(2&#x2032;)-If</italic> gene as that of group 3, and the other sequences or sequence regions from these groups were completely different from each other.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Comparative analysis of the genomic context of the <italic>aac(2&#x2032;)-If</italic> gene with similar sequences. Homologous genes are shown in the same colors, and the genes with no homologs are colored gray. The accession numbers of the sequences are as follows: <italic>P. stuartii</italic> MRSN 2154 (CP003488.1), <italic>P. rettgeri</italic> R39 chromosome (CP066315.1), <italic>P. huaxiensis</italic> WCHP000369 chromosome (CP031123.2), and <italic>P. terrae</italic> subsp. <italic>cibarius</italic> HNCF44W (CP053042.1).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-711037-g005.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="S4">
<title>Discussion</title>
<p>In this work, by correlation analysis of the aminoglycoside resistance phenotypes with the genotypes, we identified a novel resistance gene named as <italic>aac(2&#x2032;)-If</italic>. Homology analysis of AAC(2&#x2032;)-If with the sequences in the NCBI nonredundant protein database demonstrated that the sequence that shared the highest amino acid sequence identity with AAC(2&#x2032;)-If was that of AAC(2&#x2032;)-Ia, a protein of known function, sharing an amino acid sequence identity of only 70.79%. Moreover, only 35 predicted protein sequences with identities between 60.0% and 95.51% with AAC(2&#x2032;)-If were found, and most of the sequences were derived from the chromosomes of <italic>Providencia</italic> species (especially <italic>P. rettgeri</italic> and <italic>P. stuartii</italic>). Only one protein described as a GNAT family <italic>N</italic>-acetyltransferase was from <italic>Morganellaceae</italic>, and one was from an unclassified <italic>Shigella</italic> species. This result indicated that to clarify the evolution of the <italic>aac(2&#x2032;)-If</italic> gene, further studies for genotypes with AACs of higher identities are warranted.</p>
<p>The antibiotic resistance profile conferred by AAC(2&#x2032;)-If was basically the same as that of other AAC(2&#x2032;)-I enzymes. They conferred resistance to a variety of aminoglycosides, including 4,5-disubstituted aminoglycosides (ribostamycin, neomycin, paromomycin) and 4,6-disubstituted aminoglycosides (gentamicin, tobramycin, micronomicin, netilmicin, and sisomicin) (<xref ref-type="bibr" rid="B3">Ainsa et al., 1996</xref>; <xref ref-type="bibr" rid="B16">Franklin and Clarke, 2001</xref>). As expected, in this work, the recombinant strain carrying <italic>aac(2&#x2032;)-If</italic> remained susceptible to spectinomycin and streptomycin, which does not contain 2&#x2032; amino groups in their chemical structure. Although AAC(2&#x2032;)-If enzymes can modify both 4,6- and 4,5-disubstituted aminoglycosides, the extent of modification was different. 4,5-Disubstituted aminoglycosides were generally better substrates for AAC(2&#x2032;)-If. Ribostamycin was the most efficient substrate examined and exhibited a 7-fold higher <italic>k</italic><sub><italic>cat</italic></sub> value than kanamycin, with a 256-fold increase in the MIC value. Additionally, AAC(2&#x2032;)-If exhibited weak acetylation against kanamycin [<italic>k<sub><italic>cat</italic></sub>/K<sub><italic>m</italic></sub></italic> = (8.71 &#x00B1; 1.25) &#x00D7; 10<sup>3</sup> M<sup>&#x2013;1</sup><sup>&#x22C5;</sup>s<sup>&#x2013;1</sup>] in enzyme kinetic analysis, which may explain why this enzyme is unable to confer resistance to kanamycin <italic>in vivo</italic>. The MIC values of kanamycin for both the recombinant and the control strains remained the same (0.25 &#x03BC;g/mL). AAC(2&#x2032;)-If appeared to be less active against aminoglycoside substrates than His-AAC(2&#x2032;)-Ia and AAC(2&#x2032;)-Ic enzymes by one or two orders of magnitude (<xref ref-type="bibr" rid="B20">Hegde et al., 2001</xref>). The <italic>K</italic><sub><italic>m</italic></sub> value for these three enzymes did not vary greatly, but the turnover number <italic>k</italic><sub><italic>cat</italic></sub> values differed more than 10-fold between them (<xref ref-type="bibr" rid="B13">Cox et al., 2018</xref>).</p>
<p>According to the result of comparative analysis with homologous genes, except for sequences from one group, which was composed of sequences from <italic>Providencia</italic> that shared a similar upstream sequence with <italic>aac(2&#x2032;)-If</italic>, the sequences from the other groups showed completely different sequence structures compared to that of <italic>aac(2&#x2032;)-If.</italic> Considering that <italic>aac(2&#x2032;)-If</italic> belongs to a novel species of the genus <italic>Providencia</italic> and only one genome sequence from this work is available, and considering that this sequence shared only 70.79% sequence similarity with all of the sequences available in the NCBI nucleotide database, the evolutionary study of this novel aminoglycoside 2&#x2032;<italic>-N-</italic>acetyltransferase gene could be performed when a greater number of whole-genome sequences carrying phylogenetically close <italic>aac(2&#x2032;)-If</italic>-like genes become available in the future.</p>
</sec>
<sec sec-type="conclusion" id="S5">
<title>Conclusion</title>
<p>In the current study, we identified <italic>aac(2&#x2032;)-If</italic> encoded on the chromosome of an isolate of a new <italic>Providencia</italic> species, designated <italic>P. wenzhouensis</italic> R33, with the complete genome sequenced. The novel aminoglycoside 2&#x2032;<italic>-N-</italic>acetyltransferase AAC(2&#x2032;)-If shares the highest amino acid sequence identity of 70.79% with the functionally characterized AAC(2&#x2032;)-Ia and confers stronger resistance to ribostamycin and neomycin. Whole-genome sequencing revealed that this novel resistance gene was encoded in the chromosome and was not related to any MGEs. Identification of a novel resistance gene in a novel bacterial species will help us find ways to explore the increasing number of resistance mechanisms in the microbial population and to further elucidate the intrinsic resistance mechanisms of unusual microorganisms.</p>
</sec>
<sec sec-type="data-availability" id="S6">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/<xref ref-type="supplementary-material" rid="TS1">Supplementary Material</xref>.</p>
</sec>
<sec id="S7">
<title>Ethics Statement</title>
<p>This study uses strains obtained from an anal swab of a rabbit on an animal farm in Wenzhou, China. It did not require the study to be reviewed or approved by an ethics committee because the animal was not presented in this study. The animal legal guardian provided written informed consent to participate in this study.</p>
</sec>
<sec id="S8">
<title>Author Contributions</title>
<p>HZ, MZ, and QB contributed to the conception and design of study. JLL, XL, WS, and MG contributed to the acquisition of data. KZ, JLL, CF, and KL contributed to the data analysis and interpretation. KZ, JWL, XD, PZ, and QB contributed to the drafting of manuscript. KZ, JLL, WS, MG, QL, and XZ performed the experiments. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="S9">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<sec sec-type="funding-information" id="S10">
<title>Funding</title>
<p>This study was supported by Zhejiang Provincial Natural Science Foundation of China (LY19C060002 and LQ17H190001) and the National Natural Science Foundation of China (81973382).</p>
</sec>
<ack>
<p>The authors would like to acknowledge all study participants and individuals who contributed to this study.</p>
</ack>
<sec id="S11" sec-type="supplementary material"><title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2021.711037/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fmicb.2021.711037/full#supplementary-material</ext-link></p>
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<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Adams</surname> <given-names>M. D.</given-names></name> <name><surname>Goglin</surname> <given-names>K.</given-names></name> <name><surname>Molyneaux</surname> <given-names>N.</given-names></name> <name><surname>Hujer</surname> <given-names>K. M.</given-names></name> <name><surname>Lavender</surname> <given-names>H.</given-names></name> <name><surname>Jamison</surname> <given-names>J. J.</given-names></name><etal/></person-group> (<year>2008</year>). <article-title>Comparative genome sequence analysis of multidrug-resistant <italic>Acinetobacter baumannii</italic>.</article-title> <source><italic>J. Bacteriol.</italic></source> <volume>190</volume> <fpage>8053</fpage>&#x2013;<lpage>8064</lpage>.</citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Aguirre Rivera</surname> <given-names>J.</given-names></name> <name><surname>Larsson</surname> <given-names>J.</given-names></name> <name><surname>Volkov</surname> <given-names>I. L.</given-names></name> <name><surname>Seefeldt</surname> <given-names>A. C.</given-names></name> <name><surname>Sanyal</surname> <given-names>S.</given-names></name> <name><surname>Johansson</surname> <given-names>M.</given-names></name></person-group> (<year>2021</year>). <article-title>Real-time measurements of aminoglycoside effects on protein synthesis in live cells.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>118</volume>:<issue>e2013315118</issue>. <pub-id pub-id-type="doi">10.1073/pnas.2013315118</pub-id> <pub-id pub-id-type="pmid">33619089</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ainsa</surname> <given-names>J. A.</given-names></name> <name><surname>Martin</surname> <given-names>C.</given-names></name> <name><surname>Gicquel</surname> <given-names>B.</given-names></name> <name><surname>Gomez-Lus</surname> <given-names>R.</given-names></name></person-group> (<year>1996</year>). <article-title>Characterization of the chromosomal aminoglycoside 2&#x2032;-N-acetyltransferase gene from <italic>Mycobacterium fortuitum</italic>.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>40</volume> <fpage>2350</fpage>&#x2013;<lpage>2355</lpage>. <pub-id pub-id-type="doi">10.1128/AAC.40.10.2350</pub-id> <pub-id pub-id-type="pmid">8891143</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ainsa</surname> <given-names>J. A.</given-names></name> <name><surname>Perez</surname> <given-names>E.</given-names></name> <name><surname>Pelicic</surname> <given-names>V.</given-names></name> <name><surname>Berthet</surname> <given-names>F. X.</given-names></name> <name><surname>Gicquel</surname> <given-names>B.</given-names></name> <name><surname>Martin</surname> <given-names>C.</given-names></name></person-group> (<year>1997</year>). <article-title>Aminoglycoside 2&#x2032;-N-acetyltransferase genes are universally present in mycobacteria: characterization of the aac(2&#x2032;)-Ic gene from <italic>Mycobacterium tuberculosis</italic> and the aac(2&#x2032;)-Id gene from <italic>Mycobacterium smegmatis</italic>.</article-title> <source><italic>Mol. Microbiol.</italic></source> <volume>24</volume> <fpage>431</fpage>&#x2013;<lpage>441</lpage>. <pub-id pub-id-type="doi">10.1046/j.1365-2958.1997.3471717.x</pub-id> <pub-id pub-id-type="pmid">9159528</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bankevich</surname> <given-names>A.</given-names></name> <name><surname>Nurk</surname> <given-names>S.</given-names></name> <name><surname>Antipov</surname> <given-names>D.</given-names></name> <name><surname>Gurevich</surname> <given-names>A. A.</given-names></name> <name><surname>Dvorkin</surname> <given-names>M.</given-names></name> <name><surname>Kulikov</surname> <given-names>A. S.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>SPAdes: a new genome assembly algorithm and its applications to single-cell sequencing.</article-title> <source><italic>J. Comput. Biol.</italic></source> <volume>19</volume> <fpage>455</fpage>&#x2013;<lpage>477</lpage>. <pub-id pub-id-type="doi">10.1089/cmb.2012.0021</pub-id> <pub-id pub-id-type="pmid">22506599</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Barrios</surname> <given-names>H.</given-names></name> <name><surname>Garza-Ramos</surname> <given-names>U.</given-names></name> <name><surname>Reyna-Flores</surname> <given-names>F.</given-names></name> <name><surname>Sanchez-Perez</surname> <given-names>A.</given-names></name> <name><surname>Rojas-Moreno</surname> <given-names>T.</given-names></name> <name><surname>Garza-Gonzalez</surname> <given-names>E.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Isolation of carbapenem-resistant NDM-1-positive <italic>Providencia rettgeri</italic> in Mexico.</article-title> <source><italic>J. Antimicrob. Chemother.</italic></source> <volume>68</volume> <fpage>1934</fpage>&#x2013;<lpage>1936</lpage>. <pub-id pub-id-type="doi">10.1093/jac/dkt124</pub-id> <pub-id pub-id-type="pmid">23620464</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><collab>BPROM</collab> (<year>2016</year>). Available oline at: <ext-link ext-link-type="uri" xlink:href="http://www.softberry.com/berry.phtml?topic=bprom&#x0026;group=programs&#x0026;subgroup=gfindb">http://www.softberry.com/berry.phtml?topic =bprom&#x0026;group=programs&#x0026;subgroup=gfindb</ext-link> <comment>(accessed July 22, 2021)</comment>.</citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Carvalho-Assef</surname> <given-names>A. P. D.</given-names></name> <name><surname>Pereira</surname> <given-names>P. S.</given-names></name> <name><surname>Albano</surname> <given-names>R. M.</given-names></name> <name><surname>Beriao</surname> <given-names>G. C.</given-names></name> <name><surname>Chagas</surname> <given-names>T. P. G.</given-names></name> <name><surname>Timm</surname> <given-names>L. N.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Isolation of NDM-producing <italic>Providencia rettgeri</italic> in Brazil.</article-title> <source><italic>J. Antimicrob. Chemother.</italic></source> <volume>68</volume> <fpage>2956</fpage>&#x2013;<lpage>2957</lpage>. <pub-id pub-id-type="doi">10.1093/jac/dkt298</pub-id> <pub-id pub-id-type="pmid">23869051</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chan</surname> <given-names>W. T.</given-names></name> <name><surname>Verma</surname> <given-names>C. S.</given-names></name> <name><surname>Lane</surname> <given-names>D. P.</given-names></name> <name><surname>Gan</surname> <given-names>S. K.</given-names></name></person-group> (<year>2013</year>). <article-title>A comparison and optimization of methods and factors affecting the transformation of <italic>Escherichia coli</italic>.</article-title> <source><italic>Biosci. Rep.</italic></source> <volume>33</volume>:<issue>e00086</issue>. <pub-id pub-id-type="doi">10.1042/BSR20130098</pub-id> <pub-id pub-id-type="pmid">24229075</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Clarke</surname> <given-names>A. J.</given-names></name> <name><surname>Francis</surname> <given-names>D.</given-names></name> <name><surname>Keenleyside</surname> <given-names>W. J.</given-names></name></person-group> (<year>1996</year>). <article-title>The prevalence of gentamicin 2&#x2032;-N-acetyltransferase in the Proteeae and its role in the O-acetylation of peptidoglycan.</article-title> <source><italic>FEMS Microbiol. Lett.</italic></source> <volume>145</volume> <fpage>201</fpage>&#x2013;<lpage>207</lpage>. <pub-id pub-id-type="doi">10.1111/j.1574-6968.1996.tb08578.x</pub-id> <pub-id pub-id-type="pmid">8961557</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><collab>CLSI</collab> (<year>2019</year>). <source><italic>Performance Standards for Antimicrobial Susceptibility Testing: CLSI Supplement M100</italic></source>, <edition>29th Edn.</edition> <publisher-loc>Wayne, PA</publisher-loc>: <publisher-name>Clinical and Laboratory Standards Institute</publisher-name>.</citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cock</surname> <given-names>P. J.</given-names></name> <name><surname>Antao</surname> <given-names>T.</given-names></name> <name><surname>Chang</surname> <given-names>J. T.</given-names></name> <name><surname>Chapman</surname> <given-names>B. A.</given-names></name> <name><surname>Cox</surname> <given-names>C. J.</given-names></name> <name><surname>Dalke</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>Biopython: freely available Python tools for computational molecular biology and bioinformatics.</article-title> <source><italic>Bioinformatics</italic></source> <volume>25</volume> <fpage>1422</fpage>&#x2013;<lpage>1423</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btp163</pub-id> <pub-id pub-id-type="pmid">19304878</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cox</surname> <given-names>G.</given-names></name> <name><surname>Ejim</surname> <given-names>L.</given-names></name> <name><surname>Stogios</surname> <given-names>P. J.</given-names></name> <name><surname>Koteva</surname> <given-names>K.</given-names></name> <name><surname>Bordeleau</surname> <given-names>E.</given-names></name> <name><surname>Evdokimova</surname> <given-names>E.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Plazomicin retains antibiotic activity against most aminoglycoside modifying enzymes.</article-title> <source><italic>ACS Infect. Dis.</italic></source> <volume>4</volume> <fpage>980</fpage>&#x2013;<lpage>987</lpage>. <pub-id pub-id-type="doi">10.1021/acsinfecdis.8b00001</pub-id> <pub-id pub-id-type="pmid">29634241</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ding</surname> <given-names>X. D.</given-names></name> <name><surname>Baca-Delancey</surname> <given-names>R. R.</given-names></name> <name><surname>Rather</surname> <given-names>P. N.</given-names></name></person-group> (<year>2001</year>). <article-title>Role of SspA in the density-dependent expression of the transcriptional activator AarP in <italic>Providencia stuartii</italic>.</article-title> <source><italic>FEMS Microbiol. Lett.</italic></source> <volume>196</volume> <fpage>25</fpage>&#x2013;<lpage>29</lpage>. <pub-id pub-id-type="doi">10.1111/j.1574-6968.2001.tb10535.x</pub-id> <pub-id pub-id-type="pmid">11257543</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><collab>Expasy ProtParam Tool</collab> (<year>2021</year>). Available online at: <ext-link ext-link-type="uri" xlink:href="https://web.expasy.org/protparam/">https://web.expasy.org/protparam/</ext-link>. [Accessed August 01 2021].</citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Franklin</surname> <given-names>K.</given-names></name> <name><surname>Clarke</surname> <given-names>A. J.</given-names></name></person-group> (<year>2001</year>). <article-title>Overexpression and characterization of the chromosomal aminoglycoside 2&#x2032;-N-acetyltransferase of <italic>Providencia stuartii</italic>.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>45</volume> <fpage>2238</fpage>&#x2013;<lpage>2244</lpage>. <pub-id pub-id-type="doi">10.1128/AAC.45.8.2238-2244.2001</pub-id> <pub-id pub-id-type="pmid">11451680</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Galimand</surname> <given-names>M.</given-names></name> <name><surname>Fishovitz</surname> <given-names>J.</given-names></name> <name><surname>Lambert</surname> <given-names>T.</given-names></name> <name><surname>Barbe</surname> <given-names>V.</given-names></name> <name><surname>Zajicek</surname> <given-names>J.</given-names></name> <name><surname>Mobashery</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>AAC(3)-XI, a new aminoglycoside 3-N-acetyltransferase from <italic>Corynebacterium striatum</italic>.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>59</volume> <fpage>5647</fpage>&#x2013;<lpage>5653</lpage>. <pub-id pub-id-type="doi">10.1128/AAC.01203-15</pub-id> <pub-id pub-id-type="pmid">26149994</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Goris</surname> <given-names>J.</given-names></name> <name><surname>Konstantinidis</surname> <given-names>K. T.</given-names></name> <name><surname>Klappenbach</surname> <given-names>J. A.</given-names></name> <name><surname>Coenye</surname> <given-names>T.</given-names></name> <name><surname>Vandamme</surname> <given-names>P.</given-names></name> <name><surname>Tiedje</surname> <given-names>J. M.</given-names></name></person-group> (<year>2007</year>). <article-title>DNA-DNA hybridization values and their relationship to whole-genome sequence similarities.</article-title> <source><italic>Int. J. Syst. Evol. Microbiol.</italic></source> <volume>57</volume> <fpage>81</fpage>&#x2013;<lpage>91</lpage>.</citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haas</surname> <given-names>M. J.</given-names></name> <name><surname>Dowding</surname> <given-names>J. E.</given-names></name></person-group> (<year>1975</year>). <article-title>Aminoglycoside-modifying enzymes.</article-title> <source><italic>Methods Enzymol.</italic></source> <volume>43</volume> <fpage>611</fpage>&#x2013;<lpage>628</lpage>. <pub-id pub-id-type="doi">10.1016/0076-6879(75)43124-x</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hegde</surname> <given-names>S. S.</given-names></name> <name><surname>Javid-Majd</surname> <given-names>F.</given-names></name> <name><surname>Blanchard</surname> <given-names>J. S.</given-names></name></person-group> (<year>2001</year>). <article-title>Overexpression and mechanistic analysis of chromosomally encoded aminoglycoside 2&#x2032;-N-acetyltransferase (AAC(2&#x2032;)-Ic) from <italic>Mycobacterium tuberculosis</italic>.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>276</volume> <fpage>45876</fpage>&#x2013;<lpage>45881</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M108810200</pub-id> <pub-id pub-id-type="pmid">11590162</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname> <given-names>Y.</given-names></name> <name><surname>Feng</surname> <given-names>Y.</given-names></name> <name><surname>Zhang</surname> <given-names>X.</given-names></name> <name><surname>Zong</surname> <given-names>Z.</given-names></name></person-group> (<year>2019</year>). <article-title><italic>Providencia huaxiensis</italic> sp. nov., recovered from a human rectal swab.</article-title> <source><italic>Int. J. Syst. Evol. Microbiol.</italic></source> <volume>69</volume> <fpage>2638</fpage>&#x2013;<lpage>2643</lpage>. <pub-id pub-id-type="doi">10.1099/ijsem.0.003502</pub-id> <pub-id pub-id-type="pmid">31162027</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><collab>International Code of Nomenclature of Prokaryotes</collab> (<year>2019</year>). <source><italic>International Journal Of</italic><italic>Systematic And Evolutionary Microbiology.</italic></source> Available online at: <pub-id pub-id-type="doi">10.1099/ijsem.0.000778</pub-id> <comment>(accessed January 11, 2019)</comment>. <pub-id pub-id-type="pmid">26596770</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jain</surname> <given-names>C.</given-names></name> <name><surname>Rodriguez</surname> <given-names>R. L.</given-names></name> <name><surname>Phillippy</surname> <given-names>A. M.</given-names></name> <name><surname>Konstantinidis</surname> <given-names>K. T.</given-names></name> <name><surname>Aluru</surname> <given-names>S.</given-names></name></person-group> (<year>2018</year>). <article-title>High throughput ANI analysis of 90K prokaryotic genomes reveals clear species boundaries.</article-title> <source><italic>Nat. Commun.</italic></source> <volume>9</volume>:<issue>5114</issue>.</citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Katoh</surname> <given-names>K.</given-names></name> <name><surname>Standley</surname> <given-names>D. M.</given-names></name></person-group> (<year>2013</year>). <article-title>MAFFT multiple sequence alignment software version 7: improvements in performance and usability.</article-title> <source><italic>Mol. Biol. Evol.</italic></source> <volume>30</volume> <fpage>772</fpage>&#x2013;<lpage>780</lpage>. <pub-id pub-id-type="doi">10.1093/molbev/mst010</pub-id> <pub-id pub-id-type="pmid">23329690</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Koren</surname> <given-names>S.</given-names></name> <name><surname>Walenz</surname> <given-names>B. P.</given-names></name> <name><surname>Berlin</surname> <given-names>K.</given-names></name> <name><surname>Miller</surname> <given-names>J. R.</given-names></name> <name><surname>Bergman</surname> <given-names>N. H.</given-names></name> <name><surname>Phillippy</surname> <given-names>A. M.</given-names></name></person-group> (<year>2017</year>). <article-title>Canu: scalable and accurate long-read assembly via adaptive k-mer weighting and repeat separation.</article-title> <source><italic>Genome Res.</italic></source> <volume>27</volume> <fpage>722</fpage>&#x2013;<lpage>736</lpage>. <pub-id pub-id-type="doi">10.1101/gr.215087.116</pub-id> <pub-id pub-id-type="pmid">28298431</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname> <given-names>S.</given-names></name> <name><surname>Stecher</surname> <given-names>G.</given-names></name> <name><surname>Li</surname> <given-names>M.</given-names></name> <name><surname>Knyaz</surname> <given-names>C.</given-names></name> <name><surname>Tamura</surname> <given-names>K.</given-names></name></person-group> (<year>2018</year>). <article-title>MEGA X: molecular evolutionary genetics analysis across computing platforms.</article-title> <source><italic>Mol. Biol. Evol.</italic></source> <volume>35</volume> <fpage>1547</fpage>&#x2013;<lpage>1549</lpage>. <pub-id pub-id-type="doi">10.1093/molbev/msy096</pub-id> <pub-id pub-id-type="pmid">29722887</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>G.</given-names></name> <name><surname>Hong</surname> <given-names>J. H.</given-names></name></person-group> (<year>2011</year>). <article-title>Xanthogranulomatous pyelonephritis with nephrocutaneous fistula due to <italic>Providencia rettgeri</italic> infection.</article-title> <source><italic>J. Med. Microbiol.</italic></source> <volume>60</volume> <fpage>1050</fpage>&#x2013;<lpage>1052</lpage>. <pub-id pub-id-type="doi">10.1099/jmm.0.028977-0</pub-id> <pub-id pub-id-type="pmid">21459904</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname> <given-names>K. J.</given-names></name> <name><surname>Schmittgen</surname> <given-names>T. D.</given-names></name></person-group> (<year>2001</year>). <article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method.</article-title> <source><italic>Methods</italic></source> <volume>25</volume> <fpage>402</fpage>&#x2013;<lpage>408</lpage>. <pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id> <pub-id pub-id-type="pmid">11846609</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Macinga</surname> <given-names>D. R.</given-names></name> <name><surname>Cook</surname> <given-names>G. M.</given-names></name> <name><surname>Poole</surname> <given-names>R. K.</given-names></name> <name><surname>Rather</surname> <given-names>P. N.</given-names></name></person-group> (<year>1998</year>). <article-title>Identification and characterization of aarF, a locus required for production of ubiquinone in <italic>Providencia stuartii</italic> and <italic>Escherichia coli</italic> and for expression of 2&#x2032;-N-acetyltransferase in <italic>P. stuartii</italic>.</article-title> <source><italic>J. Bacteriol.</italic></source> <volume>180</volume> <fpage>128</fpage>&#x2013;<lpage>135</lpage>. <pub-id pub-id-type="doi">10.1128/JB.180.1.128-135.1998</pub-id> <pub-id pub-id-type="pmid">9422602</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>McArthur</surname> <given-names>A. G.</given-names></name> <name><surname>Waglechner</surname> <given-names>N.</given-names></name> <name><surname>Nizam</surname> <given-names>F.</given-names></name> <name><surname>Yan</surname> <given-names>A.</given-names></name> <name><surname>Azad</surname> <given-names>M. A.</given-names></name> <name><surname>Baylay</surname> <given-names>A. J.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>The comprehensive antibiotic resistance database.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>57</volume> <fpage>3348</fpage>&#x2013;<lpage>3357</lpage>.</citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Moura</surname> <given-names>A.</given-names></name> <name><surname>Soares</surname> <given-names>M.</given-names></name> <name><surname>Pereira</surname> <given-names>C.</given-names></name> <name><surname>Leitao</surname> <given-names>N.</given-names></name> <name><surname>Henriques</surname> <given-names>I.</given-names></name> <name><surname>Correia</surname> <given-names>A.</given-names></name></person-group> (<year>2009</year>). <article-title>INTEGRALL: a database and search engine for integrons, integrases and gene cassettes.</article-title> <source><italic>Bioinformatics</italic></source> <volume>25</volume> <fpage>1096</fpage>&#x2013;<lpage>1098</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btp105</pub-id> <pub-id pub-id-type="pmid">19228805</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Payie</surname> <given-names>K. G.</given-names></name> <name><surname>Rather</surname> <given-names>P. N.</given-names></name> <name><surname>Clarke</surname> <given-names>A. J.</given-names></name></person-group> (<year>1995</year>). <article-title>Contribution of gentamicin 2&#x2032;-N-acetyltransferase to the O acetylation of peptidoglycan in <italic>Providencia stuartii</italic>.</article-title> <source><italic>J. Bacteriol.</italic></source> <volume>177</volume> <fpage>4303</fpage>&#x2013;<lpage>4310</lpage>. <pub-id pub-id-type="doi">10.1128/jb.177.15.4303-4310.1995</pub-id> <pub-id pub-id-type="pmid">7635816</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Petkau</surname> <given-names>A.</given-names></name> <name><surname>Stuart-Edwards</surname> <given-names>M.</given-names></name> <name><surname>Stothard</surname> <given-names>P.</given-names></name> <name><surname>Van Domselaar</surname> <given-names>G.</given-names></name></person-group> (<year>2010</year>). <article-title>Interactive microbial genome visualization with GView.</article-title> <source><italic>Bioinformatics</italic></source> <volume>26</volume> <fpage>3125</fpage>&#x2013;<lpage>3126</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btq588</pub-id> <pub-id pub-id-type="pmid">20956244</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><collab>Python</collab> (<year>2021</year>). Availble online at: <ext-link ext-link-type="uri" xlink:href="https://www.python.org/">https://www.python.org/</ext-link>. <comment>(accessed July 22, 2021)</comment>.</citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Qing</surname> <given-names>G.</given-names></name> <name><surname>Ma</surname> <given-names>L. C.</given-names></name> <name><surname>Khorchid</surname> <given-names>A.</given-names></name> <name><surname>Swapna</surname> <given-names>G. V.</given-names></name> <name><surname>Mal</surname> <given-names>T. K.</given-names></name> <name><surname>Takayama</surname> <given-names>M. M.</given-names></name><etal/></person-group> (<year>2004</year>). <article-title>Cold-shock induced high-yield protein production in <italic>Escherichia coli</italic>.</article-title> <source><italic>Nat. Biotechnol.</italic></source> <volume>22</volume> <fpage>877</fpage>&#x2013;<lpage>882</lpage>. <pub-id pub-id-type="doi">10.1038/nbt984</pub-id> <pub-id pub-id-type="pmid">15195104</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ramirez</surname> <given-names>M. S.</given-names></name> <name><surname>Tolmasky</surname> <given-names>M. E.</given-names></name></person-group> (<year>2010</year>). <article-title>Aminoglycoside modifying enzymes.</article-title> <source><italic>Drug Resist. Updat.</italic></source> <volume>13</volume> <fpage>151</fpage>&#x2013;<lpage>171</lpage>.</citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rather</surname> <given-names>P. N.</given-names></name> <name><surname>Orosz</surname> <given-names>E.</given-names></name> <name><surname>Shaw</surname> <given-names>K. J.</given-names></name> <name><surname>Hare</surname> <given-names>R.</given-names></name> <name><surname>Miller</surname> <given-names>G.</given-names></name></person-group> (<year>1993</year>). <article-title>Characterization and transcriptional regulation of the 2&#x2032;-N-acetyltransferase gene from <italic>Providencia stuartii</italic>.</article-title> <source><italic>J. Bacteriol.</italic></source> <volume>175</volume> <fpage>6492</fpage>&#x2013;<lpage>6498</lpage>. <pub-id pub-id-type="doi">10.1128/jb.175.20.6492-6498.1993</pub-id> <pub-id pub-id-type="pmid">8407825</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sagar</surname> <given-names>S.</given-names></name> <name><surname>Narasimhaswamy</surname> <given-names>N.</given-names></name> <name><surname>D&#x2019;souza</surname> <given-names>J.</given-names></name></person-group> (<year>2017</year>). <article-title><italic>Providencia rettgeri</italic>: an emerging nosocomial uropathogen in an indwelling urinary catheterised patient.</article-title> <source><italic>J. Clin. Diagn. Res.</italic></source> <volume>11</volume> <fpage>DD01</fpage>&#x2013;<lpage>DD02</lpage>. <pub-id pub-id-type="doi">10.7860/JCDR/2017/25740.10026</pub-id> <pub-id pub-id-type="pmid">28764161</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Seemann</surname> <given-names>T.</given-names></name></person-group> (<year>2014</year>). <article-title>Prokka: rapid prokaryotic genome annotation.</article-title> <source><italic>Bioinformatics</italic></source> <volume>30</volume> <fpage>2068</fpage>&#x2013;<lpage>2069</lpage>.</citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shaw</surname> <given-names>K. J.</given-names></name> <name><surname>Rather</surname> <given-names>P. N.</given-names></name> <name><surname>Hare</surname> <given-names>R. S.</given-names></name> <name><surname>Miller</surname> <given-names>G. H.</given-names></name></person-group> (<year>1993</year>). <article-title>Molecular genetics of aminoglycoside resistance genes and familial relationships of the aminoglycoside-modifying enzymes.</article-title> <source><italic>Microbiol. Rev.</italic></source> <volume>57</volume> <fpage>138</fpage>&#x2013;<lpage>163</lpage>. <pub-id pub-id-type="doi">10.1128/mr.57.1.138-163.1993</pub-id> <pub-id pub-id-type="pmid">8385262</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Siguier</surname> <given-names>P.</given-names></name> <name><surname>Perochon</surname> <given-names>J.</given-names></name> <name><surname>Lestrade</surname> <given-names>L.</given-names></name> <name><surname>Mahillon</surname> <given-names>J.</given-names></name> <name><surname>Chandler</surname> <given-names>M.</given-names></name></person-group> (<year>2006</year>). <article-title>ISfinder: the reference centre for bacterial insertion sequences.</article-title> <source><italic>Nucleic Acids Res.</italic></source> <volume>34</volume> <fpage>D32</fpage>&#x2013;<lpage>D36</lpage>.</citation></ref>
<ref id="B42"><citation citation-type="journal"><collab>The European Committee on Antimicrobial Susceptibility Testing</collab> (<year>2019</year>). <source><italic>Breakpoint Tables for Interpretation of MICs and Zone Diameters. Version 9.0.</italic></source> Available online at: <ext-link ext-link-type="uri" xlink:href="http://www.eucast.org">http://www.eucast.org</ext-link></citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vakulenko</surname> <given-names>S. B.</given-names></name> <name><surname>Mobashery</surname> <given-names>S.</given-names></name></person-group> (<year>2003</year>). <article-title>Versatility of aminoglycosides and prospects for their future.</article-title> <source><italic>Clin. Microbiol. Rev.</italic></source> <volume>16</volume> <fpage>430</fpage>&#x2013;<lpage>450</lpage>. <pub-id pub-id-type="doi">10.1128/CMR.16.3.430-450.2003</pub-id> <pub-id pub-id-type="pmid">12857776</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>van Hoek</surname> <given-names>A. H.</given-names></name> <name><surname>Mevius</surname> <given-names>D.</given-names></name> <name><surname>Guerra</surname> <given-names>B.</given-names></name> <name><surname>Mullany</surname> <given-names>P.</given-names></name> <name><surname>Roberts</surname> <given-names>A. P.</given-names></name> <name><surname>Aarts</surname> <given-names>H. J.</given-names></name></person-group> (<year>2011</year>). <article-title>Acquired antibiotic resistance genes: an overview.</article-title> <source><italic>Front. Microbiol.</italic></source> <volume>2</volume>:<issue>203</issue>.</citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vetting</surname> <given-names>M. W.</given-names></name> <name><surname>Lp</surname> <given-names>S. D. C.</given-names></name> <name><surname>Yu</surname> <given-names>M.</given-names></name> <name><surname>Hegde</surname> <given-names>S. S.</given-names></name> <name><surname>Magnet</surname> <given-names>S.</given-names></name> <name><surname>Roderick</surname> <given-names>S. L.</given-names></name><etal/></person-group> (<year>2005</year>). <article-title>Structure and functions of the GNAT superfamily of acetyltransferases.</article-title> <source><italic>Arch. Biochem. Biophys.</italic></source> <volume>433</volume> <fpage>212</fpage>&#x2013;<lpage>226</lpage>. <pub-id pub-id-type="doi">10.1016/j.abb.2004.09.003</pub-id> <pub-id pub-id-type="pmid">15581578</pub-id></citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Walker</surname> <given-names>B. J.</given-names></name> <name><surname>Abeel</surname> <given-names>T.</given-names></name> <name><surname>Shea</surname> <given-names>T.</given-names></name> <name><surname>Priest</surname> <given-names>M.</given-names></name> <name><surname>Abouelliel</surname> <given-names>A.</given-names></name> <name><surname>Sakthikumar</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>Pilon: an integrated tool for comprehensive microbial variant detection and genome assembly improvement.</article-title> <source><italic>PLoS One</italic></source> <volume>9</volume>:<issue>e112963</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0112963</pub-id> <pub-id pub-id-type="pmid">25409509</pub-id></citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wright</surname> <given-names>G. D.</given-names></name></person-group> (<year>1999</year>). <article-title>Aminoglycoside-modifying enzymes.</article-title> <source><italic>Curr. Opin. Microbiol.</italic></source> <volume>2</volume> <fpage>499</fpage>&#x2013;<lpage>503</lpage>. <pub-id pub-id-type="doi">10.1016/s1369-5274(99)00007-7</pub-id></citation></ref>
<ref id="B48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zankari</surname> <given-names>E.</given-names></name> <name><surname>Hasman</surname> <given-names>H.</given-names></name> <name><surname>Cosentino</surname> <given-names>S.</given-names></name> <name><surname>Vestergaard</surname> <given-names>M.</given-names></name> <name><surname>Rasmussen</surname> <given-names>S.</given-names></name> <name><surname>Lund</surname> <given-names>O.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>Identification of acquired antimicrobial resistance genes.</article-title> <source><italic>J. Antimicrob. Chemother.</italic></source> <volume>67</volume> <fpage>2640</fpage>&#x2013;<lpage>2644</lpage>.</citation></ref>
</ref-list>
<fn-group>
<fn id="footnote1">
<label>1</label>
<p><ext-link ext-link-type="uri" xlink:href="https://lpsn.dsmz.de/search?word=Providencia">https://lpsn.dsmz.de/search?word=Providencia</ext-link></p></fn>
<fn id="footnote2">
<label>2</label>
<p><ext-link ext-link-type="uri" xlink:href="http://www.softberry.com/berry.phtml?topic=bprom&#x0026;group=programs&#x0026;subgroup=gfindb">http://www.softberry.com/berry.phtml?topic=bprom&#x0026;group=programs&#x0026;subgroup=gfindb</ext-link></p></fn>
<fn id="footnote3">
<label>3</label>
<p><ext-link ext-link-type="uri" xlink:href="https://web.expasy.org/protparam/">https://web.expasy.org/protparam/</ext-link></p></fn>
<fn id="footnote4">
<label>4</label>
<p><ext-link ext-link-type="uri" xlink:href="https://www.python.org/">https://www.python.org/</ext-link></p></fn>
</fn-group>
</back>
</article>
