Antimicrobial Agents and Chemotherapy, April 2001, p. 1249-1253, Vol. 45, No. 4
0066-4804/01/$04.00+0 DOI: 10.1128/AAC.45.4.1249-1253.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Dipartimento di Biologia Molecolare, Sezione di Microbiologia, Università di Siena, I-53100 Siena,1 and Dipartimento di Patologia, Sezione di Microbiologia, Università di Verona, I-37134 Verona,2 Italy
Received 7 August 2000/Returned for modification 18 December 2000/Accepted 26 January 2001
An Achromobacter xylosoxydans strain showing
broad-spectrum resistance to
-lactams (including
carbapenems) and aminoglycosides was isolated at the
University Hospital of Verona (Verona, Italy). This strain was found to
produce metallo-
-lactamase activity and to harbor a 30-kb
nonconjugative plasmid, named pAX22, carrying a
blaVIM-1 determinant inserted into a class 1 integron. Characterization of this integron, named In70, revealed an
original array of four gene cassettes containing, respectively, the
blaVIM-1 gene and three different
aminoglycoside resistance determinants, including an aacA4
allele, a new aph-like gene named aphA15, and
an aadA1 allele. The aphA15 gene is the first
example of an aph-like gene carried on a mobile gene
cassette, and its product exhibits close similarity to the APH(3')-IIa
aminoglycoside phosphotransferase encoded by Tn5 (36%
amino acid identity) and to an APH(3')-IIb enzyme from
Pseudomonas aeruginosa (38% amino acid identity). Expression of the cloned aphA15 gene in Escherichia
coli reduced the susceptibility to kanamycin and neomycin as well
as (slightly) to amikacin, netilmicin, and streptomycin.
Characterization of the 5' and 3' conserved segments of In70 and of
their flanking regions showed that In70 belongs to the group of class 1 integrons associated with defective transposon derivatives originating
from Tn402-like elements. The structure of the 3'
conserved segment indicates the closest ancestry with members of
the In0-In2 lineage. In70, with its array of cassette-borne resistance
genes, can mediate broad-spectrum resistance to most
-lactams and aminoglycosides.
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