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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2025.1526028</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Antibiotic resistance, virulence gene, phylogenetic group and genetic diversity of <italic>Escherichia coli</italic> isolated from Tibetan pig farms in Garze Tibetan Autonomous Prefecture, Sichuan, China</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Zhao</surname>
<given-names>Xing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2891594/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
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<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Liang</surname>
<given-names>Jun</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Xia</surname>
<given-names>Zhaobin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Chen</surname>
<given-names>Chaoxi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1874209/overview"/>
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<aff id="aff1">
<sup>1</sup>
<institution>College of Animal and Veterinary Sciences, Southwest Minzu University</institution>, <addr-line>Chengdu</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Institute of Veterinary Drug and Feed Product Safety Testing, Zhengzhou Inspection and Testing Center of Product Quality</institution>, <addr-line>Zhengzhou</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Nasib Singh, Eternal University, India</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Mikaeel Young, Baylor University, United States</p>
<p>Kyriaki Chatzikyriakidou, Aristotle University of Thessaloniki, Greece</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Chaoxi Chen, <email xlink:href="mailto:chaoxi8832@163.com">chaoxi8832@163.com</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>12</day>
<month>05</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>15</volume>
<elocation-id>1526028</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>11</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>04</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Zhao, Liang, Xia and Chen</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Zhao, Liang, Xia and Chen</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>
<sec>
<title>Introduction</title>
<p>To investigate the correlations among antibiotic resistance, virulence gene, phylogenetic group, and genetic diversity, providing essential data for <italic>Escherichia coli (E. coli)</italic> infection prevention and control in Tibetan pigs.</p>
</sec>
<sec>
<title>Methods</title>
<p>A total of 244 <italic>E. coli</italic> isolates were collected. Antimicrobial susceptibility was assessed using the microdilution method. PCR was used to detect antibiotic resistance genes (ARGs), virulence genes, and phylogenetic groups. Genetic diversity was analyzed using enterobacterial repetitive element sequence-based PCR. Enteroaggregative <italic>E. coli</italic> (EAEC) 5-12, a representative strain with multidrug resistance and strong biofilm-forming ability, harboring abundant virulence genes, was selected for whole-genome sequencing (WGS) to validate PCR results.</p>
</sec>
<sec>
<title>Results</title>
<p>Among the 244 isolates, 84.43% showed multidrug resistance (MDR), with the highest resistance rates for chloramphenicol (99.59%), sulfadiazine (96.31%), and sulfamethoxazole (93.85%). Twenty-five ARGs were detected, with <italic>ant(3&#x2019;)-Ia</italic>, <italic>bla</italic>
<sub>TEM</sub>, <italic>aac(3&#x2019;)-II</italic>, <italic>floR</italic>, and <italic>qnrS</italic> exceeding 80% detection rates. Integrase genes intl1 and intl2 were found in 90.16% and 15.16% of isolates, respectively. Seventeen virulence genes were detected; <italic>bcsA</italic> (98.77%), <italic>fimC</italic> (89.75%), and <italic>agn43</italic> (59.43%) were the most prevalent. A total of 106 virulence patterns were identified, with <italic>agn43/bcsA/fimC</italic> being predominant (17.92%). Most strains belonged to phylogenetic group A (45.90%), followed by B1 (34.43%), while 29 strains were unclassified. Sixty-four isolates were identified as diarrheagenic <italic>E. coli</italic> (DEC), predominantly enteroaggregative <italic>E. coli</italic> (EAEC, 90.63%). Biofilm-forming ability was categorized as strong (4.69%), moderate (21.88%), weak (59.38%), or absent (14.06%). Clustering based on 61.2% similarity grouped the 64 DEC into five clusters, with 84.38% in cluster II, which contained all strong biofilm producers.</p>
</sec>
<sec>
<title>Discussion</title>
<p>Antimicrobial resistance profiles of EAEC 5&#x2013;12 confirmed that primarily confer resistance through antibiotic efflux, target alteration, and reduced permeability. These findings will contribute to further understanding the positive correlation between antibiotic resistance and pathogenicity in <italic>E. coli</italic> from Tibetan pig farms, shedding light on the rational use of antimicrobial agents and tackling the antibiotic resistance crisis in Tibetan pig breeding in Garze Tibetan Autonomous Prefecture, Sichuan, China.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Tibetan pigs</kwd>
<kwd>diarrheagenic <italic>Escherichia coli</italic>
</kwd>
<kwd>antibiotic resistance genes</kwd>
<kwd>integrase genes</kwd>
<kwd>virulence genes</kwd>
</kwd-group>
<counts>
<fig-count count="10"/>
<table-count count="2"/>
<equation-count count="4"/>
<ref-count count="40"/>
<page-count count="13"/>
<word-count count="5141"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Veterinary and Zoonotic Infection</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>
<italic>Escherichia coli</italic> (<italic>E. coli</italic>), a facultative anaerobe, is widely present in the gastrointestinal tracts of warm-blooded animals. When the immune response of the host is impaired, certain serotypes of <italic>E. coli</italic> can invade deeper tissues or organs, causing diseases such as diarrhea, pneumonia, and septicemia to acquire antibiotic resistance genes (ARGs) and virulence genes, adapt to environmental changes, and lead to gut microbiota disturbance (<xref ref-type="bibr" rid="B11">Geurtsen et&#xa0;al., 2022</xref>). Nearly 70% of antibiotics globally are used in animal production, with this widespread usage contributing significantly to bacterial resistance in pathogens like <italic>E. coli</italic> due to selective pressure and environment acquisition of resistance genes (<xref ref-type="bibr" rid="B10">Gasparrini et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B21">McKernan et&#xa0;al., 2021</xref>). China is the largest producer and user of antibiotics, with a large share applied in animal production and agriculture (<xref ref-type="bibr" rid="B40">Zhang et&#xa0;al., 2015</xref>). In 2023, <italic>E. coli</italic> isolated from Tibetan pigs in Nyingchi, Tibet, China, demonstrated resistance to multiple antibiotics (<xref ref-type="bibr" rid="B3">Cao et&#xa0;al., 2023</xref>). Similar resistance was observed in <italic>E. coli</italic> isolated from pigs, yak, beef and dairy cattle, reducing the efficacy of diminished the efficacy of <italic>&#x3b2;</italic>-lactams, quinolones, and aminoglycosides (<xref ref-type="bibr" rid="B18">Kylla et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B37">Wang et&#xa0;al., 2021</xref>).</p>
<p>Bacteria acquire resistance genes is a significant mechanism for the spread of resistance among bacteria. Integrons, a mobile genetic element, capture and integrate foreign genes, particularly resistance genes, through integrase enzymes (<xref ref-type="bibr" rid="B12">Hall and Collis, 1995</xref>).</p>
<p>
<italic>E. coli</italic> acquires specific virulence factors through horizontal gene transfer and adaptive evolution, which enhances its adaptability and enables it to infect the host (<xref ref-type="bibr" rid="B16">Kaper et&#xa0;al., 2004</xref>; <xref ref-type="bibr" rid="B2">Arnold et&#xa0;al., 2022</xref>). Its pathogenicity is linked to virulence factors, typically encoded by genes on chromosomes, plasmids, or other genetic elements. Previous studies have shown that these factors are linked to gastrointestinal diseases (<xref ref-type="bibr" rid="B32">Singh et&#xa0;al., 2019</xref>).</p>
<p>
<italic>E. coli</italic> is classified into phylogenetic groups based on the presence/absence of genes like <italic>chuA</italic>, <italic>yjaA</italic>, <italic>TspE4.C2</italic>, <italic>arpA</italic>, and <italic>trpA</italic>. Experimental results show differences in pathogenicity, phenotype, and genotype among strains from different phylogenetic groups (<xref ref-type="bibr" rid="B35">Tenaillon et&#xa0;al., 2010</xref>). Compared to other phylogenetic groups, <italic>E. coli</italic> in group B2 exhibits a longer survival time in the host&#x2019;s intestine, which is suspected to be related to the virulence genes carried (<xref ref-type="bibr" rid="B14">Johnson and Kuskowski, 2000</xref>; <xref ref-type="bibr" rid="B15">Johnson and Stell, 2000</xref>; <xref ref-type="bibr" rid="B8">Escobar-P&#xe1;ramo et&#xa0;al., 2004</xref>). Potential pathogenic strains were also found in group D, while strains in groups A and B are mostly commensal <italic>E. coli</italic> (<xref ref-type="bibr" rid="B28">Picard et&#xa0;al., 1999</xref>; <xref ref-type="bibr" rid="B7">Duriez et&#xa0;al., 2001</xref>).</p>
<p>Tibetan pigs, physiologically adapted to high altitudes, are food animals vulnerable to outbreaks of fatal diarrhea caused by pathogenic <italic>E. coli</italic>, raising serious concerns for both animal and human health. Understanding the virulence genes, phylogroups, and phenotypic resistance characteristics in <italic>E. coli</italic> strains in Tibetan pigs is essential.</p>
<p>The linkages between virulence determinants and antibiotic resistance are still not clear despite several studies. It is important to assess the risk of antibiotic resistance and virulence factors on public health and this necessitates additional studies on such neglected food animals. This study aimed to investigate antibiotic resistance, virulence genes, and phylogenetic group distribution of <italic>E. coli</italic> isolated from Tibetan pig farms in Garze Tibetan Autonomous Prefecture, Sichuan, China. Findings provide foundational data on the relationship between antibiotic resistance and pathogenicity in <italic>E. coli</italic> from Tibetan pigs, supporting the rational use of antimicrobials and helping curb the spread of bacterial resistance in the Tibetan pig industry.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Samples collection and reference strain</title>
<p>From 19 June to 6 October 2022, 301 samples (247 feces, 41 soil, and 23 water) were aseptically collected from Tibetan pigs in Garze Tibetan Autonomous Prefecture, Sichuan Province (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>). Seven farms were sampled (Luding, 4 farms; Xiangcheng, 1 farm; and Daocheng, 4 farms) and samples were transported to Southwest Minzu University in ice-cooled containers for <italic>E. coli</italic> isolation and identification within 72 h. Anal swabs from normal animals, surface soil, and drain water were collected from intensive farms using sterile plastic bags. The reference strain ATCC25922 was kept in the Laboratory of Veterinary Pharmacology and Toxicology of Southwest Minzu University.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Antibacterial agents, medium and molecular biology reagents</title>
<p>Twenty-three antibacterial agents including Tetracyclines (Doxycycline, Oxytetracycline, Tetracycline), Sulfonamides (Sulfamethoxazole, Sulfadiazine), <italic>&#x3b2;</italic>-lactams (Amoxicillin/clavulanic acid, Ampicillin, Cefoxitin, Cefquinome, Oxacillin), Amphenicols (Chloramphenicol, Florfenicol), Rifamycins (Rifampin), Aminoglycosides (Gentamicin, Kanamycin, Spectinomycin, Streptomycin), Fluoroquinolones (Ciprofloxacin, Enrofloxacin, Nalidixic acid, Sarafloxacin), Polypeptides (Polymyxin B), Polyphosphates (Fosfomycin) were purchased from Shanghai YuanYe Biotechnology Co., Ltd. Tryptone soy broth (TSB), MacConkey agar (MAC), <italic>E. coli</italic> coliform chromogenic agar, Eosin methylene blue agar (EMB), Mueller-Hinton broth (MH), and Gram staining kits were provided by Qingdao Haibo Biotechnology Co., Ltd. molecular biology reagents for PCR including DL2000 DNA marker and 2&#xd7;<italic>Taq</italic> Master Mix were purchased from Vazyme Biotech Co., Ltd (Nanjing, China).</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Isolation, identification, and DNA extraction of <italic>E. coli</italic>
</title>
<p>A suitable volume of environmental samples (0.2 g feces, 0.5 g soil, and 5 mL water) was placed into a test tube containing 5 mL of TSB and incubated for 12 h at 37&#xb0;C. A loop of the bacterial suspension was streaked on MAC agar and incubated at 37&#xb0;C for 12 h. Single colonies of moderate size with pink color were sequentially inoculated to EMB, <italic>E. coli</italic>/coliform color indicator medium, and MAC. The purified single colonies were subjected to the suspected <italic>E. coli</italic> via Gram staining and microscopic examination. PCR reaction targeting the <italic>&#x3b2;</italic>-glucosidase gene <italic>uidA</italic> (<italic>uidA</italic>-F: ATGCCAGTCCAGCGTTTTTGC and <italic>uidA</italic>-R: AAAGTGTGGGTCAATAATCAGGAAGTG) was amplified and the PCR products were subjected to the NCBI BLAST platform for sequence analysis.</p>
<p>DNA was extracted using the nuclease-free water boiling method and used as the DNA template in all the following molecular biological tests.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Antimicrobial sensitivity testing</title>
<p>The broth microdilution method used for the antimicrobial sensitivity profile and the obtained MICs (minimum inhibitory concentration) were interpreted according to the Clinical and Laboratory Standards Institute (CLSI) guidelines (<xref ref-type="bibr" rid="B6">CLSI, 2013</xref>). The reference strain ATCC25922 was used as a quality control. Briefly, dispense 100 &#xb5;L of MH medium into each well in the columns from 1 to 12 and 100 &#xb5;L in column 1 using a 300 &#xb5;L electronic multichannel pipette (Eppendorf, Germany). Then, 100 &#xb5;L of appropriate 4-fold concentrated stock solutions (5012 &#x3bc;g/mL) was pipetted into the wells in column 1 (antibiotic concentration will be diluted this way 1:1) and mixed, 100 &#xb5;L of the mixed solutions in column 1 was withdrawn and moved into the column 2. Repeat the dilution procedure up to column 10 and additionally discard 100 &#xb5;l of solutions from this last column. 100 &#xb5;L of the suspension (10<sup>6</sup> CFU/mL) were inoculated in columns 1 to 10, columns 11 and 12 having a positive (no antibiotic) and negative growth control for medium sterility. Finally, transfer microtiter plates into the closable tray until inoculation is 12&#x2013;16 h. Multi-drug resistance (MDR) was determined according to the reference (<xref ref-type="bibr" rid="B20">Magiorakos et&#xa0;al., 2021</xref>).</p>
<disp-formula>
<mml:math id="M1">
<mml:mrow>
<mml:mtext>Concordance</mml:mtext>
<mml:mi>&#x2009;</mml:mi>
<mml:mtext>rate=</mml:mtext>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<mml:math id="M2">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mtext>Number&#xa0;of&#xa0;strains&#xa0;with&#xa0;resistance&#xa0;genes&#xa0;and&#xa0;corresponding&#xa0;resistance&#xa0;phenotypes</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mtext>Number&#xa0;of&#xa0;strains&#xa0;with&#xa0;resistance&#xa0;phenotypes</mml:mtext>
</mml:mrow>
</mml:mfrac>
<mml:mn>x100%</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<mml:math id="M3">
<mml:mrow>
<mml:mtext>Consistency</mml:mtext>
<mml:mi>&#x2009;</mml:mi>
<mml:mtext>rate=</mml:mtext>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<mml:math id="M4">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mtext>Number&#xa0;of&#xa0;strains&#xa0;with&#xa0;resistance&#xa0;genes&#xa0;and&#xa0;corresponding&#xa0;integrase&#xa0;genes</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mtext>Number&#xa0;of&#xa0;strains&#xa0;positive&#xa0;for&#xa0;integrase&#xa0;genes</mml:mtext>
</mml:mrow>
</mml:mfrac>
<mml:mn>x100%</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Detection of ARGs, integrase genes, and virulence genes</title>
<p>Specific primers for antibacterial resistance, integrase, and virulence genes were designed according to the literature (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;2</bold>
</xref>) and synthesized by Sangon Biotech (Shanghai) Co., Ltd. Primers for the detection of ARGs and integrase genes were chosen based on the antibiotic categorizations. Virulence genes were chosen based on their functional characteristics. Singleplex PCR amplification reactions were carried out in 25 &#xb5;L volumes comprising 2 &#xb5;L genomic DNA, 12.5 &#xb5;L 2&#xd7;<italic>Taq</italic> Master Mix, 1 &#xb5;L of each primer, and 8.5 &#xb5;L ddH<sub>2</sub>O. The thermocycler conditions were as follows: denaturation at 95&#xb0;C for 5 min followed by 35 cycles of denaturation at 95 &#xb0;C for 30 s, variable annealing for 30 s, and extension at 72 &#xb0;C for 15 s (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Tables S2</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>S3</bold>
</xref>). Finally, a final extension for 10 min at 72&#xb0;C. The PCR products were analyzed using by 1% agarose gel electrophoresis staining with ethidium bromide. Concordance rates between drug-resistance phenotypes and genotypes were calculated, and the consistency rates of ARGs and integrase genes were assessed (<xref ref-type="bibr" rid="B1">An, 2024</xref>). Chi-Plot was used to investigate the possible association of two variables (<ext-link ext-link-type="uri" xlink:href="https://www.chiplot.online/">https://www.chiplot.online/</ext-link>).</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Phylogenetic analysis</title>
<p>Phylogenetic analysis of the isolated <italic>E. coli</italic> using a set of genes <italic>chuA</italic>, <italic>yjaA</italic>, <italic>TspE4.C2</italic>, <italic>arpA</italic>, <italic>arpAgpE</italic>, <italic>trpAgpC</italic>, <italic>trpBA</italic> were detected by multiplex PCR assays and the results were interpreted as previously described (<xref ref-type="bibr" rid="B26">Olivier et&#xa0;al., 2013</xref>). Primer information is listed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S4</bold>
</xref>. Quadruplex genotypes and steps for assigning <italic>E. coli</italic> isolates to phylogroups are listed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S5</bold>
</xref>.</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Determination, genetic diversity, and biofilm formation of diarrheagenic <italic>E. coli</italic> (DEC)</title>
<p>DEC was determined according to the National Food Safety Standard GB/T 4789.6-2016 (<xref ref-type="bibr" rid="B25">National Health and Family Planning Commission of the People&#x2019;s Republic of China, 2016</xref>). The criteria for diarrheagenic <italic>E. coli</italic> genetic typing are listed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S6</bold>
</xref>. ERIC-PCR typing was conducted to assess the genetic diversity of DEC by amplifying repetitive DNA sequences found in the intergenic regions and the primers information was shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S4</bold>
</xref>.</p>
<p>ERIC-PCR reactions were performed in 25 &#x3bc;L volumes containing 1 &#x3bc;L of each primer, 12.5 &#x3bc;L of the master mix (CinnaGen, Iran), 2 &#x3bc;L of DNA template, and 8.5 &#x3bc;L of deionized water. The ERIC-PCR reaction program was performed following initial denaturation at 95&#xb0;C for 5 min, with the next 35 cycles consisting of a denaturation step at 95&#xb0;C for 1 min, annealing at 53&#xb0;C for 1 min, extension at 72&#xb0;C for 4 min, and a final extension for 10 min at 72&#xb0;C. 5 &#x3bc;L of ERIC-PCR products were loaded on 1% agarose gel and conducted at 120 V for 30 min. Meanwhile, a 100-base pair-DNA marker was used as a standard measuring means. DNA bands were visualized with a ChemiDoc MP Imaging System (BIO-RAD).</p>
<p>ERIC-PCR bands were used to construct a dendrogram by converting into a binary matrix where each band is either present (1) or absent (0) for each isolate. The dendrogram for the 64 strains was constructed in NTSYS software using the Unweighted Pair Group Method with the Arithmetic mean (UPGMA) method.</p>
<p>The biofilm-forming ability of DEC was semi-quantitative determined using crystal violet assay (<xref ref-type="bibr" rid="B5">Chen et&#xa0;al., 2021</xref>), and the optical density threshold value (OD<sub>C</sub>) was set as the average value of the negative control plus three standard deviations. The biofilm formation ability was categorized as follows: OD<sub>570nm</sub> &#x2264; OD<sub>C</sub> indicates no biofilm formation, OD<sub>C</sub> &lt; OD<sub>570nm</sub> &#x2264; 2 OD<sub>C</sub> indicates weak biofilm formation, 2 OD<sub>C</sub> &lt; OD<sub>570nm</sub> &#x2264; 4OD<sub>C</sub> indicates moderate biofilm formation, and D<sub>570nm</sub> &gt; 4 D<sub>C</sub> indicates strong biofilm formation.</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>Whole genome sequencing of EAEC 5-12</title>
<p>To confirm the presence of resistance-related genes and allelic variations in EAEC 5-12(multidrug resistance and strong biofilm-forming ability, harboring abundant virulence genes), the amino acid sequence from WGS data was analyzed using CARD&#x2019;s Resistance Gene Identifier (RGI) software. A single colony was selected for enrichment in a 5 mL aliquot of TSB, and bacterial culture at the logarithmic phase was centrifuged at 4000 g for 10 min at 4&#xb0;C. The supernatant was discarded, and the pellet was washed twice with sterile water. Samples were shipped with dry ice for Illumina sequencing (Beijing Novogene Bioinformatics Technology Co., Ltd). After sequencing and gene function prediction, the antimicrobial resistance genes were verified against the NCBI AMRFinderPlus database. For virulence genes, DIAMOND software was used to compare the non-redundant gene set with the VFDB core database, applying a cut-off of 80% identity and 70% coverage (parameters: BLASTP; E-value &#x2264; 1e-5).</p>
</sec>
<sec id="s2_9">
<label>2.9</label>
<title>Statistics and data analysis</title>
<p>Statistical analysis was performed using WHONET 5.6 and IBM SPSS Statistics 29. The chi-squared test and <italic>Fisher&#x2019;s</italic> exact test were used to analyze differences, with <italic>P</italic>&lt; 0.05 considered statistically significant.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>Isolation and identification of <italic>E. coli</italic>
</title>
<p>Species identification was conducted using a combination of morphological and molecular biological methods (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1a-c</bold>
</xref>). The <italic>E. coli</italic> marker gene <italic>uidA</italic> was detected in 81.06% (244/301) of strains, with a molecular weight of approximately 1487 bp (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1d</bold>
</xref>). Of these, 64 strains (26.23%, 64/244) were identified as DEC. Among the isolates, the percentage of <italic>E. coli</italic> isolated from feces, soil, and water was 72.09% (217/301), 2.33% (7/301), and 6.64% (20/301), respectively.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Identification of <italic>E. coli</italic> by combining morphological and molecular biological methods. <bold>(a)</bold> Colonies showing greenish metallic sheen on EMB agar; <bold>(b)</bold> Dark blue to violet colonies on <italic>E. coli</italic> coliform chromogenic agar; <bold>(c)</bold> <italic>E coli</italic> Colony Gram staining (1000&#xd7;); <bold>(d)</bold> <italic>E. coli</italic> marker gene <italic>uidA</italic> (Lane 1-6: Representative strains. N, Negative control; M, DL 2000 DNA Marker).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Antimicrobial resistance and multi-drug resistance analysis</title>
<p>The antimicrobial sensitivity testing of 244 <italic>E. coli</italic> strains against 23 antibiotics is summarized in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>. The strains exhibited resistance to various antibiotics, including aminoglycosides, sulfonamides, and tetracyclines, with resistance rates exceeding 50%. The highest resistance rates were observed for CHL, SMZ, and SMX, posing 99.59%, 96.31%, and 93.85%, respectively. However, the isolated strains were sensitive to PLB (93.85%), CEF (91.8%), TIO (88.52%), CIP (88.11%), GEN (87.3%), KAM (85%). 84.43% (206/244) of the <italic>E. coli</italic> strains displayed MDR, with the highest proportion (32.52%, 67/206) being resistant to five classes of antibiotics (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Antibiotic sensitivity testing of 244 <italic>E. coli</italic> isolated from Tibetan pigs.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Antibiotic classes</th>
<th valign="middle" align="center">Names of antibiotics</th>
<th valign="middle" align="center">R (%)</th>
<th valign="middle" align="center">I (%)</th>
<th valign="middle" align="center">S (%)</th>
<th valign="middle" align="center">MIC<sub>50</sub>
</th>
<th valign="middle" align="center">MIC<sub>90</sub>
</th>
<th valign="middle" align="center">MIC range</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" rowspan="3" align="center">Tetracyclines</td>
<td valign="middle" align="center">OTC</td>
<td valign="middle" align="center">69.67</td>
<td valign="middle" align="center">10.25</td>
<td valign="middle" align="center">20.08</td>
<td valign="middle" align="center">64</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">0.5 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">DOX</td>
<td valign="middle" align="center">51.64</td>
<td valign="middle" align="center">9.84</td>
<td valign="middle" align="center">38.52</td>
<td valign="middle" align="center">8</td>
<td valign="middle" align="center">32</td>
<td valign="middle" align="center">0.25 - 128</td>
</tr>
<tr>
<td valign="middle" align="center">TCY</td>
<td valign="middle" align="center">64.34</td>
<td valign="middle" align="center">2.05</td>
<td valign="middle" align="center">33.61</td>
<td valign="middle" align="center">64</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">0.25 - 256</td>
</tr>
<tr>
<td valign="middle" rowspan="2" align="center">Sulfonamides</td>
<td valign="middle" align="center">SMZ</td>
<td valign="middle" align="center">96.31</td>
<td valign="middle" align="center">0.00</td>
<td valign="middle" align="center">3.69</td>
<td valign="middle" align="center">512</td>
<td valign="middle" align="center">512</td>
<td valign="middle" align="center">32 - 512</td>
</tr>
<tr>
<td valign="middle" align="center">SMX</td>
<td valign="middle" align="center">93.85</td>
<td valign="middle" align="center">0.00</td>
<td valign="middle" align="center">6.15</td>
<td valign="middle" align="center">512</td>
<td valign="middle" align="center">512</td>
<td valign="middle" align="center">8 - 512</td>
</tr>
<tr>
<td valign="middle" rowspan="5" align="center">
<italic>&#x3b2;</italic>-lactams</td>
<td valign="middle" align="center">AMP</td>
<td valign="middle" align="center">59.84</td>
<td valign="middle" align="center">1.23</td>
<td valign="middle" align="center">38.93</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">2 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">OXA</td>
<td valign="middle" align="center">62.70</td>
<td valign="middle" align="center">29.10</td>
<td valign="middle" align="center">8.20</td>
<td valign="middle" align="center">32</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">2 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">AMC</td>
<td valign="middle" align="center">6.56</td>
<td valign="middle" align="center">22.54</td>
<td valign="middle" align="center">70.90</td>
<td valign="middle" align="center">8</td>
<td valign="middle" align="center">16</td>
<td valign="middle" align="center">0.5 - 64</td>
</tr>
<tr>
<td valign="middle" align="center">TIO</td>
<td valign="middle" align="center">10.25</td>
<td valign="middle" align="center">1.23</td>
<td valign="middle" align="center">88.52</td>
<td valign="middle" align="center">0.25</td>
<td valign="middle" align="center">8</td>
<td valign="middle" align="center">0.25 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">CEF</td>
<td valign="middle" align="center">7.38</td>
<td valign="middle" align="center">0.82</td>
<td valign="middle" align="center">91.80</td>
<td valign="middle" align="center">0.25</td>
<td valign="middle" align="center">1</td>
<td valign="middle" align="center">0.25 - 256</td>
</tr>
<tr>
<td valign="middle" rowspan="2" align="center">Amphenicols</td>
<td valign="middle" align="center">FLR</td>
<td valign="middle" align="center">79.10</td>
<td valign="middle" align="center">13.11</td>
<td valign="middle" align="center">7.79</td>
<td valign="middle" align="center">32</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">0.5 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">CHL</td>
<td valign="middle" align="center">99.59</td>
<td valign="middle" align="center">0.00</td>
<td valign="middle" align="center">0.41</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">2 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">Rifamycins</td>
<td valign="middle" align="center">RIF</td>
<td valign="middle" align="center">8.61</td>
<td valign="middle" align="center">38.52</td>
<td valign="middle" align="center">52.87</td>
<td valign="middle" align="center">4</td>
<td valign="middle" align="center">8</td>
<td valign="middle" align="center">1 - 64</td>
</tr>
<tr>
<td valign="middle" rowspan="4" align="center">Aminoglycosides</td>
<td valign="middle" align="center">STR</td>
<td valign="middle" align="center">26.64</td>
<td valign="middle" align="center">0.00</td>
<td valign="middle" align="center">73.36</td>
<td valign="middle" align="center">16</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">0.5 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">GEN</td>
<td valign="middle" align="center">12.30</td>
<td valign="middle" align="center">0.41</td>
<td valign="middle" align="center">87.30</td>
<td valign="middle" align="center">0.5</td>
<td valign="middle" align="center">16</td>
<td valign="middle" align="center">0.25 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">SPT</td>
<td valign="middle" align="center">24.59</td>
<td valign="middle" align="center">13.11</td>
<td valign="middle" align="center">62.30</td>
<td valign="middle" align="center">32</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">1 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">KAM</td>
<td valign="middle" align="center">14.75</td>
<td valign="middle" align="center">0.00</td>
<td valign="middle" align="center">85.25</td>
<td valign="middle" align="center">4</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">0.5 - 256</td>
</tr>
<tr>
<td valign="middle" rowspan="4" align="center">Fluoroquinolones</td>
<td valign="middle" align="center">NAC</td>
<td valign="middle" align="center">21.31</td>
<td valign="middle" align="center">0.00</td>
<td valign="middle" align="center">78.69</td>
<td valign="middle" align="center">4</td>
<td valign="middle" align="center">256</td>
<td valign="middle" align="center">0.25 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">CIP</td>
<td valign="middle" align="center">10.25</td>
<td valign="middle" align="center">1.64</td>
<td valign="middle" align="center">88.11</td>
<td valign="middle" align="center">0.25</td>
<td valign="middle" align="center">1</td>
<td valign="middle" align="center">0.25 - 16</td>
</tr>
<tr>
<td valign="middle" align="center">ENR</td>
<td valign="middle" align="center">14.75</td>
<td valign="middle" align="center">3.69</td>
<td valign="middle" align="center">81.56</td>
<td valign="middle" align="center">0.25</td>
<td valign="middle" align="center">8</td>
<td valign="middle" align="center">0.25 - 128</td>
</tr>
<tr>
<td valign="middle" align="center">SAR</td>
<td valign="middle" align="center">8.61</td>
<td valign="middle" align="center">11.48</td>
<td valign="middle" align="center">79.92</td>
<td valign="middle" align="center">0.25</td>
<td valign="middle" align="center">1</td>
<td valign="middle" align="center">0.25 - 16</td>
</tr>
<tr>
<td valign="middle" align="center">Polypeptides</td>
<td valign="middle" align="center">PLB</td>
<td valign="middle" align="center">6.15</td>
<td valign="middle" align="center">0.00</td>
<td valign="middle" align="center">93.85</td>
<td valign="middle" align="center">1</td>
<td valign="middle" align="center">2</td>
<td valign="middle" align="center">0.25 - 256</td>
</tr>
<tr>
<td valign="middle" align="center">Polyphosphates</td>
<td valign="middle" align="center">FOS</td>
<td valign="middle" align="center">2.87</td>
<td valign="middle" align="center">4.10</td>
<td valign="middle" align="center">93.03</td>
<td valign="middle" align="center">4</td>
<td valign="middle" align="center">64</td>
<td valign="middle" align="center">0.25 - 256</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>AMC, Amoxicillin/clavulanic acid; AMP, Ampicillin; CEF, Cefquinome; CHL, Chloramphenicol; CIP, Ciprofloxacin; DOX, Doxycycline; ENR, Enrofloxacin; FLR, Florfenicol; FOS, Fosfomycin; GEN, Gentamicin; KAN, Kanamycin; NAL, Nalidixic acid; OTC, Oxytetracycline; OXA, Oxacillin; PLB, Polymyxin B; RIF, Rifampin; SAR, Sarafloxacin; SMX, Sulfamethoxazole; SMZ, Sulfadiazine; SPT, Spectinomycin; STR, Streptomycin; TCY, Tetracycline; and TIO, Cefoxitin. The MIC<sub>50</sub>, MIC<sub>90</sub> and MIC range units are &#x3bc;g/mL.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Antibiogram of MDR <italic>E. coli</italic>. (3&#x2013;7 means that resistance to 3&#x2013;7 kinds of antibiotics was tested).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g002.tif"/>
</fig>
<p>Among the seven sampling sites, strains from Shangkuiwu Village and Lamu Village exhibited higher resistance rates to aminoglycosides and sulfonamides, followed by tetracyclines and some <italic>&#x3b2;</italic>-lactams. Resistant strains of all 23 antibiotics were detected in these villages. The resistance profiles of the other five sites were similar (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). Regional differences in the detection rates of antimicrobial agents were observed, with statistical significance (<italic>P&lt;</italic>&#xa0;0.05) for agents such as Ciprofloxacin, Gentamicin, and Sarafloxacin (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S7</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Antibacterial resistance in seven different sampling sites.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g003.tif"/>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Detection of ARGs, integrase genes, and virulence genes</title>
<p>Twenty-five ARGs were positively detected (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4</bold>
</xref>, <xref ref-type="fig" rid="f5">
<bold>5</bold>
</xref>). The predicted fragment length (bp) and optimized annealing temperature (&#xb0;C) are listed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S2</bold>
</xref>. For ARGs, detection rates exceeded 80% for <italic>ant (3&#x2019;)-Ia</italic> (93.44%, 228/244), <italic>bla</italic>
<sub>TEM</sub> (93.03%, 227/244), <italic>aac (3&#x2019;)-II</italic> (91.80%, 224/244), <italic>floR</italic> (88.52%, 216/244), <italic>qnrS</italic> (86.07%, 210/244), <italic>sul3</italic> (81.97%, 200/244), and <italic>cmlA</italic> (81.56%, 199/244). Correlation analysis between ARGs and phenotypes indicated a significant positive association between strains carrying ARGs and those without (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S8</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Electrophoresis of PCR amplification products of antibacterial resistance genes and integrase genes. <bold>(a)</bold> Tetracyclines (1-4, <italic>tetA, tetB, tetD, tetM</italic>); <bold>(b)</bold>&#xa0;<italic>&#x3b2;</italic>-lactams (1-6, <italic>blaCMY-2, blaCTX-M-U, blaDHA, blaOXA, blaSHV, blaTEM</italic>); <bold>(c)</bold> Aminoglycosides (1-4, <italic>aac(3&#x2019;)-II, aadA2, ant(3&#x2019;)-Ia, aph(3&#x2019;)-VII</italic>); <bold>(d)</bold>&#xa0;Quinolones (1-4, <italic>aac(6&#x2019;)-Ib, qnrA, qnrD, qnrS</italic>).; <bold>(e)</bold> Amphenicols (1-4, <italic>cat1, cat2, cmlA, floR</italic>); <bold>(f)</bold> Sulfonamides (1-3, <italic>sul1, sul2, sul3</italic>); <bold>(g)</bold> Integrase (1-2, <italic>intl1, intl2</italic>). (N, Negative control; M, DL 2000 DNA Marker).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g004.tif"/>
</fig>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>The number of strains with antibacterial resistance genes.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g005.tif"/>
</fig>
<p>The detection rates of <italic>intl1</italic> and <italic>intl2</italic> were 90.16% (220/244), and 15.16% (37/244), respectively. 14.34% (35/244) of the strains carried both <italic>intl1</italic> and <italic>intl2</italic> genes, and 9.02% (22/244) did not carry the <italic>intl1</italic> and <italic>intl2</italic> genes. Correlation analysis between ARGs and integrase genes was evaluated and shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S9</bold>
</xref>. Overall, the consistency rate of the integrase gene <italic>intl1</italic> was higher than that of <italic>intl2</italic>, and the detection rate of ARGs in strains carrying integrase genes differed significantly from the strains not carrying integrase genes.</p>
<p>Among the 17 positively detected virulence genes (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6</bold>
</xref>), the highest detection rates for <italic>bcsA</italic>, <italic>fimC</italic>, and <italic>agn43</italic> genes were 98.77% (241/244), 89.75% (219/244), 59.43% (145/244), respectively. However, none of the isolates were positive for <italic>afa</italic>, <italic>bcsB</italic>, <italic>exhA</italic>, <italic>papC</italic>, <italic>stx1</italic> and <italic>vat</italic>. The 244 <italic>E. coli</italic> posed106 virulence genotypes, exhibited the highest number of 11 virulence genes (<italic>agn43</italic>, <italic>astA</italic>, <italic>bcsA</italic>, <italic>colV</italic>, <italic>eaeA</italic>, <italic>fimC</italic>, <italic>hlyF</italic>, <italic>iss</italic>, <italic>ompT</italic>, <italic>sitA</italic>, <italic>tsh</italic>) and the lowest number of 1 virulence gene (<italic>bcsA</italic>). The predominant virulence pattern was <italic>agn43</italic>/<italic>bcsA</italic>/<italic>fimC</italic> (17.92%, 19/106) summarized in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S10</bold>
</xref>.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Electropherogram of the PCR amplification product of virulence genes. Lane 1, <italic>agn43</italic>; Lane 2, <italic>astA</italic>; Lane 3, <italic>bcsA</italic>; Lane 4, <italic>colV</italic>; Lane 5, <italic>eaeA</italic>; Lane 6, <italic>fimC</italic>; Lane 7, <italic>fyuA</italic>; Lane 8, <italic>hlyA</italic>; Lane 9, <italic>hlyF</italic>; Lane 10, <italic>irp2</italic>; Lane 11, <italic>iss</italic>; Lane 12, <italic>ler</italic>; Lane 13, <italic>LT</italic>; Lane 14, <italic>ompT</italic>; Lane 15, <italic>sitA</italic>; Lane 16, <italic>stx2</italic>; Lane 17, <italic>tsh</italic>; (N, Negative control; M, DL 2000 DNA Marker).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g006.tif"/>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Phylogenetic analysis</title>
<p>Of the 244 strains, 45.90% (112/244) mainly belonged to group A, followed by group B1(34.43%), group B2(0.82%), group C (4.10%), group D (0.82%), group E (0.41%), and Clade I (1.64%). However, 29 strains could not be classified into any phylogenetic clusters (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1</bold>
</xref>). <xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref> revealed the distribution of virulence genes in 244 <italic>E. coli</italic> among the different phylogenetic groups, the most prevalent genes in group A were <italic>agn43</italic>, <italic>bcsA</italic>, <italic>eaeA</italic>, <italic>fimC</italic>, <italic>fyuA</italic>, <italic>irp2</italic>, <italic>sitA</italic>, and <italic>stx2</italic>, and those of B1 were higher in genes <italic>astA</italic>, <italic>colV</italic>, <italic>hlyA</italic>, <italic>hlyF</italic>, <italic>iss</italic>, <italic>ompT</italic>, and <italic>tsh</italic>. For <italic>ler</italic> and <italic>LT</italic>, the predominant groups were located in D and Clade I, respectively.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Distribution of virulence genes among phylogenetic groups.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g007.tif"/>
</fig>
<p>A total of 64 strains were screened and identified as DEC, the most predominant pathotype belonged to enteroaggregative <italic>E. coli</italic> (EAEC), accounting for 90.63% (58/64). Followed by enteropathogenic <italic>E. coli</italic> (EPEC), enterohemorrhagic <italic>E. coli</italic> (EHEC), and enterotoxigenic <italic>E. coli</italic> (ETEC), accounting for 4.69% (3/64), 3.12% (2/64), 1.56% (1/64), respectively. No enteroinvasive <italic>E. coli</italic> (EIEC) were identified in this study. Our results also revealed that EAEC strains (EAEC5-12) harbored various virulence genes relating to biofilm formation with a higher detection rate of virulence genes (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8</bold>
</xref>).</p>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>Distribution of virulence genes in DEC.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g008.tif"/>
</fig>
<p>Among the 64 DEC isolates, most isolates exhibited moderate or weak biofilm-forming ability. Namely, 4.69% (3/64), 21.88% (14/64), 59.38% (38/64), and 14.06% (9/64) were classed as strong, moderate, weak, and absent producers of biofilm.</p>
<p>ERIC patterns based on molecular weight and markers were observed. Isolates with one to three similar or different band patterns were grouped, while those with differences in more than three bands were classified into separate types. Based on 61.2% similarity among strains, dendrograms grouped the 64 DEC isolates into five clusters (I, II, III, IV, and V). Of these, 84.38% were in cluster II, where all strong biofilm-forming strains were located (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;2</bold>
</xref>).</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Biofilm-forming ability and hierarchical clustering 64 DEC.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" rowspan="2" align="center">Clusters</th>
<th valign="top" colspan="4" align="center">Biofilm-forming ability</th>
</tr>
<tr>
<th valign="middle" align="center">Strong</th>
<th valign="middle" align="center">Moderate</th>
<th valign="middle" align="center">Weak</th>
<th valign="middle" align="center">Absent</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">I</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="middle" align="center">II</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">28</td>
<td valign="top" align="center">8</td>
</tr>
<tr>
<td valign="middle" align="center">III</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="middle" align="center">IV</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="middle" align="center">V</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="middle" align="center"/>
<td valign="top" align="center">3 (4.69%)</td>
<td valign="top" align="center">14 (21.88%)</td>
<td valign="top" align="center">38 (59.38%)</td>
<td valign="top" align="center">9 (14.06%)</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Whole-genome sequencing</title>
<p>The detected antibiotic resistance profiles for EAEC5&#x2013;12 largely agreed with the MIC results. Based on the verification against the NCBI AMRFinderPlus database, a total of 120 ARGs were ultimately selected, including those for tetracyclines, aminoglycosides, fluoroquinolones, glycopeptides, and macrolides, 71.67% were involved in antibiotic efflux, 14.17% were involved in antibiotic target alteration, and 15.16% were involved in multiple resistance mechanisms simultaneously (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9</bold>
</xref>).</p>
<fig id="f9" position="float">
<label>Figure&#xa0;9</label>
<caption>
<p>Predicted mechanisms of action for drug resistance genes.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g009.tif"/>
</fig>
<p>Gene function annotations for EAEC 5&#x2013;12 virulence genes showed 486 annotated virulence genes, including functions in adherence, antimicrobial activity/competitive advantage, biofilm formation, effector delivery systems, and others (<xref ref-type="fig" rid="f10">
<bold>Figure&#xa0;10</bold>
</xref>).</p>
<fig id="f10" position="float">
<label>Figure&#xa0;10</label>
<caption>
<p>Classification of virulence genes. <bold>(a)</bold> adherence; <bold>(b)</bold> nutritional/metabolic factor; <bold>(c)</bold> immune modulation; <bold>(d)</bold> effector delivery system; <bold>(e)</bold> motility; <bold>(f)</bold> regulation; <bold>(g)</bold> antimicrobial activity/competitive advantage; <bold>(h)</bold> biofilm; <bold>(i)</bold> stress survival; <bold>(j)</bold> exotoxin; <bold>(k)</bold> others; <bold>(l)</bold> exoenzyme; <bold>(m)</bold> invasion; <bold>(n)</bold> post-translational modification.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1526028-g010.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>Bacterial resistance is a growing global issue, with MDR problems becoming increasingly severe. Economic and regulatory challenges contribute to the high prevalence of MDR bacteria in some developing countries. Given the limited research on antimicrobial resistance in Tibetan pigs, in this study, we observed a higher prevalence of multidrug-resistant <italic>E. coli</italic> with virulence factors in Tibetan pigs and the environmental samples (soil and drain water), providing a basis for comparison with reports from other regions and animal populations.</p>
<p>In this study, 84.43% of the 244 <italic>E. coli</italic> isolates from Tibetan were MDR and were resistant to 23 antibiotics with high resistance to sulfonamides, amphenicols, tetracyclines, and <italic>&#x3b2;</italic>-lactams, emphasizing the urgent need to improve drug management and avoid unnecessary antibiotic use in Tibetan pig farms. The result is aligned with a study in Bangladesh, where 98% of the tested strains were MDR (<xref ref-type="bibr" rid="B13">Jain et&#xa0;al., 2021</xref>) and another report indicates that resistance rates vary significantly by region and sample types (<xref ref-type="bibr" rid="B1">An, 2024</xref>).</p>
<p>Tibetan pig farming is a key economic sector in Garze Tibetan Autonomous Prefecture, Sichuan Province. According to the drug use information provided by the farmers, Ampicillin, Florfenicol, and Doxycycline are the most commonly used antibiotics in Tibetan pig farming due to their low cost and effectiveness. Data indicates that over 75% of tetracycline antibiotics or their metabolites enter the environment through waste, increasing selective pressure and promoting antibacterial resistance (<xref ref-type="bibr" rid="B38">Xu et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B19">Larsson and Flach, 2022</xref>). In early livestock practices, sulfonamides were often combined with <italic>&#x3b2;</italic>-lactams and tetracyclines (<xref ref-type="bibr" rid="B31">S&#xe1;nchez-Osuna et&#xa0;al., 2018</xref>). Compared with other antibiotics, tetracyclines and sulfonamides are more readily adsorbed by soil and other natural organic matter (<xref ref-type="bibr" rid="B17">Kumar et&#xa0;al., 2005</xref>). Thus, surveillance is urgent to avoid the dissemination of antibiotic resistance in Garze Tibetan Autonomous Prefecture, Sichuan Province, China.</p>
<p>Bacterial resistance arises from multiple factors, necessitating a comprehensive, multifaceted approach to understanding its spread. The mobility of resistance genes enables their transfer between bacterial species via mobile genetic elements, facilitating the spread of pathogenic resistance genes (<xref ref-type="bibr" rid="B23">Mmh et&#xa0;al., 2021</xref>). Integrases are one of the major causes of multidrug resistance in gram-negative bacteria. Strains with class I integrase exhibit distinct resistance profiles compared to those lacking class I integrase (<xref ref-type="bibr" rid="B34">Sunde and Norstr&#xf6;m, 2006</xref>). We detected 41 ARGs associated with tetracyclines, <italic>&#x3b2;</italic>-lactams, aminoglycosides, fluoroquinolones, amphenicols, and sulfonamides, and 25 were positively detected in this study. Detection rates of ARGs were similar to a previous study, where resistance gene detection rates for <italic>&#x3b2;</italic>-lactams, aminoglycosides, tetracyclines, amphenicols, macrolides, sulfonamides, and polymyxins ranged from 50% to 96% (<xref ref-type="bibr" rid="B27">Peng et&#xa0;al., 2021</xref>). A study in India also found that isolates from various animals and their handlers carry multiple resistance genes (<xref ref-type="bibr" rid="B22">Mitra et&#xa0;al., 2024</xref>). Integrase genes<italic>, intl1</italic> and <italic>intl2</italic>, have also been detected in pigs, chickens, and cattle (<xref ref-type="bibr" rid="B36">Wang et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B39">Yang et&#xa0;al., 2020</xref>). We also detected integrase genes, <italic>intl1</italic> and <italic>intl2</italic>, with detection rates of 90.16% and 15.16%, respectively. Our results revealed a strong correlation between resistance genes and resistance phenotypes, with a significant difference between integrase gene-positive and gene-negative strains, highlighting the necessity to monitor integrase genes to prevent worsening antimicrobial resistance in Tibetan pigs.</p>
<p>In this experimental design, we detected 23 virulence genes, the results showed that 17 virulence genes (<italic>agn43</italic>, <italic>astA</italic>, <italic>bcsA</italic>&#x3001;<italic>colV</italic>, <italic>eaeA</italic>, <italic>fimC</italic>, <italic>fyuA</italic>, <italic>hlyA</italic>, <italic>hlyF</italic>, <italic>irp2</italic>, <italic>iss</italic>, <italic>ler</italic>, <italic>LT</italic>, <italic>ompT</italic>, <italic>sitA</italic>, <italic>stx2</italic>, <italic>tsh</italic>) were positively detected, while 6 genes (<italic>afa</italic>, <italic>bcsB</italic>, <italic>ehxA</italic>, <italic>papC</italic>, <italic>stx1</italic>, and <italic>Vat</italic>) were not detected. Overall, our results indicate that most <italic>E. coli</italic> isolates are diarrheagenic pathotypes. Nevertheless, the occurrence of single or multiple virulence factors does not essentially signify its pathogenicity. Further studies via animal models or tissue cultures are needed to confirm the pathogenicity based on the observed virulence genotypes. Among the detected virulence genes, <italic>bcsA</italic>, <italic>fimC</italic>, and <italic>agn43</italic> had the highest detection rates, with the <italic>agn43</italic>/<italic>bcsA</italic>/<italic>fimC</italic> combination being the most prevalent genotype, accounting for 17.92% (19/106). <italic>Agn43</italic> encodes an adhesin that bacterial attachment to host cells (<xref ref-type="bibr" rid="B33">Sora et&#xa0;al., 2021</xref>). <italic>BcsA</italic> encodes bacterial cellulose synthase, which aids in biofilm formation and promotes adherence to host cells (<xref ref-type="bibr" rid="B4">Castiblanco and Sundin, 2018</xref>). <italic>FimC</italic> encodes the Type I flagellum adhesin, an adhesion factor critical for fimbriae synthesis; mutations in <italic>fimC</italic> can impair fimbriae formation (<xref ref-type="bibr" rid="B9">Gahlot et&#xa0;al., 2022</xref>). The above three virulence genes are all associated with biofilm formation, suggesting that <italic>E. coli</italic> isolated from Tibetan pigs may exert pathogenic effects through biofilm formation. The relationship between biofilm formation and virulence gene expression is needed in our future work.</p>
<p>Sixty-four strains were identified as DEC, with EAEC showing the highest isolation rate. Most of the 17 virulence genes were found in EAEC, likely due to its high prevalence. Phylogenetic analysis showed that the 17 detected virulence genes are mainly distributed in groups A and B1, aligning with Rehman et&#xa0;al.&#x2019;s finding that virulence genes are predominantly found in group A (<xref ref-type="bibr" rid="B30">Rehman et&#xa0;al., 2017</xref>). Notably, studies have found that human-derived <italic>E. coli</italic> in group B2 is associated with the virulence genes <italic>fimH</italic>, <italic>irp2</italic>, <italic>kpsMTII</italic> (<xref ref-type="bibr" rid="B24">Monroy-P&#xe9;rez et&#xa0;al., 2020</xref>). The discrepancies in these findings may be attributed to animal groups or geographical origin.</p>
<p>In this study, we developed a rapid and simple method to investigate the relationship between ERIC-PCR typing and biofilm formation. ERIC-PCR typing identified 11 separating DNA fragments of varying sizes ranging from 300 bp to 2000 bp. Based on a genetic similarity of 61.2%, 84.38% of the DEC were classified as cluster II, with all five clusters showing weak biofilm-forming ability. A study in Iran also found that DNA fragments of varying sizes of 115 tested strains ranged from 380 bp to 3280 bp, with different band distributions depending on the animal source: chicken samples primarily concentrated around 2800 bp, while sheep and cattle samples focused around 1200 bp (<xref ref-type="bibr" rid="B29">Ranjbar et&#xa0;al., 2017</xref>).</p>
<p>A total of 120 ARGs were predicted from CARD in EAEC 5-12, including genes for tetracyclines (<italic>tetA</italic>, <italic>tetB</italic>, <italic>tetD</italic>, and <italic>tetT</italic>), aminoglycosides (<italic>aadA5</italic>, aph <italic>(3&#x2019;&#x2019;)-Ib</italic>, and <italic>aph(6)-Id</italic>), fluoroquinolones (<italic>mfd</italic>, <italic>gyrA</italic>, and <italic>gyrB</italic>), amphenicols (<italic>cat1</italic>, <italic>cmlV</italic>, and <italic>mexN</italic>), <italic>&#x3b2;</italic>-lactams (<italic>CMY-63</italic>, <italic>mecC</italic>, and <italic>ompK37</italic>), and sulfonamides (<italic>sul2</italic> and <italic>sul3</italic>). Additionally, resistance genes related to efflux pumps, macrolides, glycopeptides, and lacosamide were also predicted, and most were associated with efflux pumps. Although EAEC 5&#x2013;12 is sensitive to PLB, it is predicted to carry the <italic>MCR-3</italic> gene.</p>
<p>Adhesins are key proteins that facilitate pathogen-host binding, and the genes (<italic>fimA</italic>, <italic>fimB</italic>, <italic>fimC</italic>, etc.) carried by EAEC 5&#x2013;12 play a role in the pathogen&#x2019;s colonization process. The <italic>entA</italic>, <italic>entB</italic>, and <italic>fepA</italic> genes in EAEC 5&#x2013;12 are nutritional/metabolic factors that supply essential nutrients to the pathogen. The <italic>ompA</italic>, <italic>LPS</italic>, and <italic>pbpG</italic> genes are involved in immune regulation, modulating the immune response to the pathogen. Through WGS and VFDB alignment analysis, fourteen virulence genes were predicted in EAEC 5-12, primarily including adhesins, nutritional/metabolic factors, and immune regulators. Most of the virulence genes mentioned above are linked to biofilm formation and pathogenicity, suggesting that effectively inhibiting biofilm formation could be a strategy to reduce pathogenicity in bacterial infections.</p>
<p>A limitation of this study is the small sample size, and our future work should increase sample sizes for WGS. Another important issue to address is that a systematic and comprehensive reference for the research on antimicrobial resistance based on machine learning methods and data mining techniques is urgent in our future work.</p>
</sec>
<sec id="s5" sec-type="conclusions">
<label>5</label>
<title>Conclusion</title>
<p>The present study highlights the important role of the Tibetan pigs as a potential reservoir of multidrug-resistant <italic>E. coli</italic> carrying a variety of virulence genes that evoke public health problems by spreading into the environment. The association between antibiotic resistance and virulence genes reveals that virulence characteristics in Tibetan pigs might be selected by antibiotic usage in Tibetan pig farms. In summary, it is urgent to enhance surveillance response systems for monitoring the rational use of antimicrobial agents in Tibetan pigs in Garze Tibetan Autonomous Prefecture, Sichuan province, China.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal studies were approved by Animals Care and Ethics Committee of Southwest Minzu University (Approval code: SMU- CAVS-240902001). The studies were conducted in accordance with the local legislation and institutional requirements. Written informed consent was obtained from the owners for the participation of their animals in this study.</p>
</sec>
<sec id="s8" sec-type="author-contributions">
<title>Author contributions</title>
<p>XZ: Conceptualization, Data curation, Formal analysis, Methodology, Software, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. JL: Funding acquisition, Writing &#x2013; review &amp; editing. ZX: Data curation, Formal analysis, Software, Writing &#x2013; review &amp; editing.  CC: Conceptualization, Funding acquisition, Resources, Supervision, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s9" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was funded by the Qinghai Provincial Model County Special Project for Rural Revitalization Science and Technology (2024-NK-X02) and Fundamental Research Funds for Central Universities, Southwest Minzu University (2025ZYN2025095).</p>
</sec>
<sec id="s10" sec-type="COI-statement">
<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 id="s11" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec id="s12" sec-type="disclaimer">
<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>
<sec id="s13" 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/fcimb.2025.1526028/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcimb.2025.1526028/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>An</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2024</year>). <source>Study on drug resistance genes of Klebsiella pneumoniae clinical isolates in Jilin Province</source>. [master&#x2019;s thesis]. <publisher-loc>Jilin Province</publisher-loc>: <publisher-name>Jilin University</publisher-name>. doi:&#xa0;<pub-id pub-id-type="doi">10.27162/d.cnki.gjlin2023.002349</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Arnold</surname> <given-names>B. J.</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>I. T.</given-names>
</name>
<name>
<surname>Hanage</surname> <given-names>W. P.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Horizontal gene transfer and adaptive evolution in bacteria</article-title>. <source>Nat. Rev. Microbiol.</source> <volume>20</volume>, <fpage>206</fpage>&#x2013;<lpage>218</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41579-021-00650-4</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cao</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Qi</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Shang</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Nawaz</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Ghaffar</surname> <given-names>A.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>Characterization, estimation of virulence and drug resistance of diarrheagenic <italic>Escherichia coli</italic> (DEC) isolated from Tibetan pigs</article-title>. <source>Microb. Pathog.</source> <volume>177</volume>, <elocation-id>106046</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.micpath.2023.106046</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Castiblanco</surname> <given-names>L. F.</given-names>
</name>
<name>
<surname>Sundin</surname> <given-names>G. W.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Cellulose production, activated by cyclic di-GMP through <italic>BcsA</italic> and <italic>BcsZ</italic>, is a virulence factor and an essential determinant of the three-dimensional architectures of biofilms formed by <italic>Erwinia amylovora</italic> Ea1189</article-title>. <source>Mol. Plant Pathol.</source> <volume>19</volume>, <fpage>90</fpage>&#x2013;<lpage>103</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/mpp.12501</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Tan</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>Z.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Biofilm-forming phenotype, antibacterial resistance genes, integrase genes and virulence genes detection of <italic>Escherichia coli</italic> isolated from yaks and Tibetan pigs in northwest Sichuan Plateau</article-title>. <source>Agricultural Sciences in China.</source> <volume>54</volume>, <fpage>5144</fpage>&#x2013;<lpage>5162</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3864/j.issn.0578-1752.2021.23.018</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="book">
<person-group person-group-type="author">
<collab>Clinical Laboratory Standards Institute</collab>
</person-group> (<year>2013</year>). <source>Performance standards for antimicrobial susceptibility testing; Twenty-third informational supplement</source> (<publisher-loc>Wayne, PA</publisher-loc>: <publisher-name>Clinical Laboratory Standards Institute (CLSI document M100-S23</publisher-name>).</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Duriez</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Clermont</surname> <given-names>O.</given-names>
</name>
<name>
<surname>Bonacorsi</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Bingen</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Chaventr&#xe9;</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Elion</surname> <given-names>J.</given-names>
</name>
<etal/>
</person-group>. (<year>2001</year>). <article-title>Commensal <italic>Escherichia coli</italic> isolates are phylogenetically distributed among geographically distinct human populations</article-title>. <source>Microbiol. (Reading)</source> <volume>147</volume>, <fpage>1671</fpage>&#x2013;<lpage>1676</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1099/00221287-147-6-1671</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Escobar-P&#xe1;ramo</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Clermont</surname> <given-names>O.</given-names>
</name>
<name>
<surname>Blanc-Potard</surname> <given-names>A.-B.</given-names>
</name>
<name>
<surname>Bui</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Le Bougu&#xe9;nec</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Denamur</surname> <given-names>E.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>A specific genetic background is required for acquisition and expression of virulence factors in <italic>Escherichia coli</italic>
</article-title>. <source>Mol. Biol. Evol.</source> <volume>21</volume>, <fpage>1085</fpage>&#x2013;<lpage>1094</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/molbev/msh118</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gahlot</surname> <given-names>D. K.</given-names>
</name>
<name>
<surname>Taheri</surname> <given-names>N.</given-names>
</name>
<name>
<surname>MacIntyre</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Diversity in genetic regulation of bacterial fimbriae assembled by the chaperone usher pathway</article-title>. <source>Int. J. Mol. Sci.</source> <volume>24</volume>, <elocation-id>161</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijms24010161</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gasparrini</surname> <given-names>A. J.</given-names>
</name>
<name>
<surname>Markley</surname> <given-names>J. L.</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Fang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Irum</surname> <given-names>S.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Tetracycline-inactivating enzymes from environmental, human commensal, and pathogenic bacteria cause broad-spectrum tetracycline resistance</article-title>. <source>Commun. Biol.</source> <volume>3</volume>, <fpage>241</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s42003-020-0966-5</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Geurtsen</surname> <given-names>J.</given-names>
</name>
<name>
<surname>de Been</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Weerdenburg</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Zomer</surname> <given-names>A.</given-names>
</name>
<name>
<surname>McNally</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Poolman</surname> <given-names>J.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Genomics and pathotypes of the many faces of <italic>Escherichia coli</italic>
</article-title>. <source>FEMS Microbiol. Rev.</source> <volume>46</volume>, <elocation-id>fuac031</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/femsre/fuac031</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hall</surname> <given-names>R. M.</given-names>
</name>
<name>
<surname>Collis</surname> <given-names>C. M.</given-names>
</name>
</person-group> (<year>1995</year>). <article-title>Mobile gene cassettes and integrons: capture and spread of genes by site-specific recombination</article-title>. <source>Mol. Microbiol.</source> <volume>15</volume>, <fpage>593</fpage>&#x2013;<lpage>600</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1365-2958</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jain</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Bepari</surname> <given-names>A. K.</given-names>
</name>
<name>
<surname>Sen</surname> <given-names>P. K.</given-names>
</name>
<name>
<surname>Rafe</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Imtiaz</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Hossain</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>High prevalence of multiple antibiotic resistance in clinical <italic>E. coli</italic> isolates from Bangladesh and prediction of molecular resistance determinants using WGS of an XDR isolate</article-title>. <source>Sci. Rep.</source> <volume>11</volume>, <fpage>22859</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-021-02251-w</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Johnson</surname> <given-names>J. R.</given-names>
</name>
<name>
<surname>Kuskowski</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2000</year>). <article-title>Clonal origin, virulence factors, and virulence</article-title>. <source>Infect. Immun.</source> <volume>68</volume>, <fpage>424</fpage>&#x2013;<lpage>425</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/IAI.68.1.424-425.2000</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Johnson</surname> <given-names>J. R.</given-names>
</name>
<name>
<surname>Stell</surname> <given-names>A. L.</given-names>
</name>
</person-group> (<year>2000</year>). <article-title>Extended virulence genotypes of <italic>Escherichia coli</italic> strains from patients with urosepsis in relation to phylogeny and host compromise</article-title>. <source>J. Infect. Dis.</source> <volume>181</volume>, <fpage>261</fpage>&#x2013;<lpage>272</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1086/315217</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kaper</surname> <given-names>J. B.</given-names>
</name>
<name>
<surname>Nataro</surname> <given-names>J. P.</given-names>
</name>
<name>
<surname>Mobley</surname> <given-names>H. L.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>Pathogenic <italic>escherichia coli</italic>
</article-title>. <source>Nat. Rev. Microbiol.</source> <volume>2</volume>, <fpage>123</fpage>&#x2013;<lpage>140</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nrmicro818</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kumar</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Gupta</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Chander</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Singh</surname> <given-names>A. K.</given-names>
</name>
</person-group> (<year>2005</year>). <article-title>Antibiotic use in agriculture and its impact on the terrestrial environment</article-title>. <source>Adv. Agron.</source> <volume>87</volume>, <fpage>1</fpage>&#x2013;<lpage>54</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S0065-2113(05)87001-4</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kylla</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Dutta</surname> <given-names>T. K.</given-names>
</name>
<name>
<surname>Roychoudhury</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Subudhi</surname> <given-names>P. K.</given-names>
</name>
<name>
<surname>Lalhruaipuii</surname>
</name>
<name>
<surname>Lalsiamthara</surname> <given-names>J.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Characterization of porcine Enteropathogenic <italic>Escherichia Coli</italic> isolated in Northeastern India</article-title>. <source>J. Vet. Res.</source> <volume>64</volume>, <fpage>391</fpage>&#x2013;<lpage>397</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.2478/jvetres-2020-0046</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Larsson</surname> <given-names>D. G. J.</given-names>
</name>
<name>
<surname>Flach</surname> <given-names>C. F.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Antibiotic resistance in the environment</article-title>. <source>Nat. Rev. Microbiol.</source> <volume>20</volume>, <fpage>257</fpage>&#x2013;<lpage>269</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41579-021-00649-x</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Magiorakos</surname> <given-names>A.-P.</given-names>
</name>
<name>
<surname>Srinivasan</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Carey</surname> <given-names>R. B.</given-names>
</name>
<name>
<surname>Carmeli</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Falagas</surname> <given-names>M. E.</given-names>
</name>
<name>
<surname>Giske</surname> <given-names>C. G.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance</article-title>. <source>Clin. Microbiol. Infect.</source> <volume>18</volume>, <fpage>268</fpage>&#x2013;<lpage>281</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1469-0691.2011.03570.x</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>McKernan</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Benson</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Farrell</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Dean</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Antimicrobial use in agriculture: critical review of the factors influencing behavior</article-title>. <source>JAC Antimicrob. Resist.</source> <volume>3</volume>, <elocation-id>dlab178</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/jacamr/dlab178</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mitra</surname> <given-names>S. D.</given-names>
</name>
<name>
<surname>Shome</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Bandopadhyay</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Geddam</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>A. M. P.</given-names>
</name>
<name>
<surname>Murugesan</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Genetic insights of antibiotic resistance, pathogenicity (virulence) and phylogenetic relationship of <italic>Escherichia coli</italic> strains isolated from livestock, poultry and their handlers - a one health snapshot</article-title>. <source>Mol. Biol. Rep.</source> <volume>51</volume>, <fpage>404</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s11033-024-09354-3</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mmh</surname> <given-names>E.</given-names>
</name>
<name>
<surname>M.</surname> <given-names>A.</given-names>
</name>
<name>
<surname>P.</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Moa</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Forecasting the dissemination of antibiotic resistance genes across bacterial genomes</article-title>. <source>Nat. Commun.</source> <volume>12</volume>, <fpage>2435</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-021-22757-1</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Monroy-P&#xe9;rez</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Cer&#xf3;n</surname> <given-names>A. B.</given-names>
</name>
<name>
<surname>Cort&#xe9;s</surname> <given-names>L. R. G.</given-names>
</name>
<name>
<surname>Alonso</surname> <given-names>N. N.</given-names>
</name>
<name>
<surname>Dom&#xed;nguez-Trejo</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Hern&#xe1;ndez-Jaimes</surname> <given-names>T.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Virulence gene transcription, phylogroups, and antibiotic resistance of cervicovaginal pathogenic <italic>E. coli</italic> in Mexico</article-title>. <source>PloS One</source> <volume>15</volume>, <fpage>e0234730</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0234730</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="book">
<person-group person-group-type="author">
<collab>National Health and Family Planning Commission of the People&#x2019;s Republic of China</collab>
</person-group>.&#xa0;(<year>2016</year>). <source>National food safety standard GB/T 4789.6-2016</source>. <publisher-loc>Beijing</publisher-loc>: <publisher-name>Standards Press of China</publisher-name>.</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Olivier</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Julia K</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Erick</surname> <given-names>D.</given-names>
</name>
<name>
<surname>David</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>The Clermont <italic>Escherichia coli</italic> phylo-typing method revisited: improvement of specificity and detection of new phylo-groups</article-title>. <source>Environ. Microbiol. Rep.</source> <volume>5</volume>, <fpage>58</fpage>&#x2013;<lpage>65</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/1758-2229.12019</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Peng</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Balasubramanian</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Ming</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Niu</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Yi</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Ma</surname> <given-names>Y.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>Identification of antimicrobial resistance genes and drug resistance analysis of <italic>Escherichia coli</italic> in the animal farm environment</article-title>. <source>J. Infect. Public Health</source> <volume>14</volume>, <fpage>1788</fpage>&#x2013;<lpage>1795</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jiph.2021.10.025</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Picard</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Garcia</surname> <given-names>J. S.</given-names>
</name>
<name>
<surname>Gouriou</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Duriez</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Brahimi</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Bingen</surname> <given-names>E.</given-names>
</name>
<etal/>
</person-group>. (<year>1999</year>). <article-title>The link between phylogeny and virulence in <italic>Escherichia coli</italic> extraintestinal infection</article-title>. <source>Infect. Immun.</source> <volume>67</volume>, <fpage>546</fpage>&#x2013;<lpage>553</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/IAI.67.2.546-553.1999</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ranjbar</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Tabatabaee</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Behzadi</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Kheiri</surname> <given-names>R.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Enterobacterial repetitive intergenic consensus polymerase chain reaction (ERIC-PCR) genotyping of <italic>Escherichia coli</italic> strains isolated from different animal stool specimens</article-title>. <source>Iran J. Pathol.</source> <volume>12</volume>, <fpage>25</fpage>&#x2013;<lpage>34</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.30699/ijp.2017.21506</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rehman</surname> <given-names>M. U.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Iqbal</surname> <given-names>M. K.</given-names>
</name>
<name>
<surname>Mehmood</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Nabi</surname> <given-names>F.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>Antibiotic resistance, serogroups, virulence genes, and phylogenetic groups of <italic>Escherichia coli</italic> isolated from yaks with diarrhea in Qinghai Plateau, China</article-title>. <source>Gut Pathog.</source> <volume>9</volume>, <fpage>24</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13099-017-0174-0</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>S&#xe1;nchez-Osuna</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Cort&#xe9;s</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Barb&#xe9;</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Erill</surname> <given-names>I.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Origin of the mobile dihydropteroate synthase gene determining sulfonamide resistance in clinical isolates</article-title>. <source>Front. Microbiol.</source> <volume>9</volume>, <elocation-id>3332</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmicb.2018.03332</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Singh</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Singh</surname> <given-names>P. K.</given-names>
</name>
<name>
<surname>Das</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Wani</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Jawed</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Dar</surname> <given-names>S. A.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Transcriptome analysis of beta-lactamase genes in diarrheagenic <italic>Escherichia coli</italic>
</article-title>. <source>Sci. Rep.</source> <volume>9</volume>, <fpage>3626</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-019-40279-1</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sora</surname> <given-names>V. M.</given-names>
</name>
<name>
<surname>Meroni</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Martino</surname> <given-names>P. A.</given-names>
</name>
<name>
<surname>Soggiu</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Bonizzi</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Zecconi</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Extraintestinal pathogenic <italic>Escherichia coli</italic>: virulence factors and antibiotic resistance</article-title>. <source>Pathog</source> <volume>10</volume>, <elocation-id>1355</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/pathogens10111355</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sunde</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Norstr&#xf6;m</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>The prevalence of, associations between and conjugal transfer of antibiotic resistance genes in <italic>Escherichia coli</italic> isolated from Norwegian meat and meat products</article-title>. <source>J. Antimicrob. Chemother.</source> <volume>58</volume>, <fpage>741</fpage>&#x2013;<lpage>747</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/jac/dkl294</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tenaillon</surname> <given-names>O.</given-names>
</name>
<name>
<surname>Skurnik</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Picard</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Denamur</surname> <given-names>E.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>The population genetics of commensal <italic>Escherichia coli</italic>
</article-title>. <source>Nat. Rev. Microbiol.</source> <volume>8</volume>, <fpage>207</fpage>&#x2013;<lpage>217</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nrmicro2298</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>R.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Distribution characteristics of antibiotic resistant bacteria and genes in fresh and composted manures of livestock farms</article-title>. <source>Sci. Total Environ.</source> <volume>695</volume>, <elocation-id>133781</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.scitotenv.2019.133781</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Wei</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Shang</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Cheng</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>B.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>The occurrence of antibiotic resistance genes in the microbiota of yak, beef and dairy cattle characterized by a metagenomic approach</article-title>. <source>J. Antibiot</source> <volume>74</volume>, <fpage>508</fpage>&#x2013;<lpage>518</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41429-021-00425-2</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Xiong</surname> <given-names>P.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Occurrence, fate, and risk assessment of typical tetracycline antibiotics in the aquatic environment: a review</article-title>. <source>Sci. Total Environ.</source> <volume>753</volume>, <elocation-id>141975</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.scitotenv.2020.141975</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Xing</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Mi</surname> <given-names>J.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Dominant denitrifying bacteria are important hosts of antibiotic resistance genes in pig farm anoxic-oxic wastewater treatment processes</article-title>. <source>Environ. Int.</source> <volume>143</volume>, <elocation-id>105897</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.envint.2020.105897</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>Q.</given-names>
</name>
<name>
<surname>Ying</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Pan</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>J.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Comprehensive evaluation of antibiotics emission and fate in the river basins of China: source analysis, multimedia modeling, and linkage to bacterial resistance</article-title>. <source>Environ. Sci. Technol.</source> <volume>49</volume>, <fpage>6772</fpage>&#x2013;<lpage>6782</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acs.est.5b00729</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>