Colistin is a cationic polypeptide antibiotic that acts against most gram-negative bacteria, including those from the family Enterobacteriaceae. Colistin is a type of polymyxin, the five known subtypes of which (A-E) lead to disruption of membrane permeability by mediating electrostatic interactions between positively charged residues of polymyxin and negatively charged lipid A components of lipopolysaccharides (LPSs) in the bacterial membrane [1]. The use of colistin, also known as polymyxin E, in clinical practice has been limited because of its nephrotoxicity and neurotoxicity [2,3]. However, owing to recent increases in multidrug resistant gram-negative bacteria and the rapid expansion of carbapenemase-producing Enterobacteriaceae, colistin has re-emerged as the last treatment option for severe bacterial infections [4,5].Several studies have reported that colistin resistance is related to chromosomal mutations in two-component systems, such as PmrAB and PhoPQ, leading to modification of LPS moieties in the outer membrane [6,7]; therefore, there was little concern regarding the spread of colistin resistance. However, since Liu and colleagues first described the plasmid-mediated transfer of colistin resistance in China in 2015 [8], the spread of the mobile colistin resistance gene has posed a serious threat to human health because of the possible emergence of bacteria resistant to all available antimicrobials [9,10].The mobile colistin resistance gene mcr-1 encodes a phosphoethanolamine transferase enzyme that is capable of modifying lipid A in the bacterial membrane and reducing the affinity for colistin [11]. Most mcr-1 genes are located on various types of plasmids, including IncI2-, IncX4-, IncHI2-, IncP-, IncY-, and IncFI1-type plasmids, and are easily transferred to other strains [12,13]. These mcr-1 genes were identified globally in various species of Enterobacteriaceae, such as Escherichia coli and Salmonella enterica isolated from humans, food animals, foods, and the environment [14]. mcr-1-positive E. coli have also been found in humans and food animals in Korea [15][16][17]. However, few studies have reported mcr-1-bearing bacteria recovered from food samples in Korea [18].Since 2003, the Korean government has monitored and surveyed the antimicrobial resistance of bacteria collected from foods, such as retail meats, within the framework of the National Program on Antimicrobial Resistance Management [19]. mcr-1-positive E. coli were recently identified from retail meat samples. In this The spread of plasmid-mediated colistin resistance has posed a serious threat to public health owing to its effects on the emergence of pandrug-resistant bacteria. In this study, we investigated the prevalence and characteristics of mcr-1-positive Escherichia coli isolated from retail meat samples in Korea. In total, 1,205 E. coli strains were isolated from 3,234 retail meat samples in Korea. All E. coli strains were subjected to antimicrobial susceptibility testing and were examined for the presence of mcr-1 gene. All ...