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Antimicrobial Agents and Chemotherapy, July 1998, p. 1563-1567, Vol. 42, No. 7
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Chloramphenicol Resistance in Clostridium
difficile Is Encoded on Tn4453 Transposons That Are
Closely Related to Tn4451 from Clostridium
perfringens
Dena
Lyras,*
Christine
Storie,
Andrea S.
Huggins,
Paul K.
Crellin,
Trudi L.
Bannam, and
Julian
I.
Rood
Department of Microbiology, Monash
University, Clayton, Victoria 3168, Australia
Received 22 December 1997/Returned for modification 20 February
1998/Accepted 16 April 1998
 |
ABSTRACT |
The chloramphenicol resistance gene catD from
Clostridium difficile was shown to be encoded on the
transposons Tn4453a and Tn4453b, which were
structurally and functionally related to Tn4451 from
Clostridium perfringens. Tn4453a and
Tn4453b excised precisely from recombinant plasmids,
generating a circular form, as is the case for Tn4451.
Evidence that this process is mediated by Tn4453-encoded tnpX genes was obtained from experiments which showed that
in trans these genes complemented a
Tn4451tnpX
1 mutation for excision. Nucleotide sequencing showed that the joint of the
circular form generated by the excision of Tn4453a and
Tn4453b was similar to that from
Tn4451. These results suggest that the
Tn4453-encoded TnpX proteins bind to similar DNA target
sequences and function in a manner comparable to that of TnpX from
Tn4451. Furthermore, it has been shown that
Tn4453a and Tn4453b can be transferred to
suitable recipient cells by RP4 and therefore are mobilizable transposons. It is concluded that, like Tn4451, they must
encode a functional tnpZ gene and a target
oriT or RSA site. The finding that related
transposable elements are present in C. difficile and
C. perfringens has implications for the evolution and
dissemination of antibiotic resistance genes and the mobile elements on
which they are found within the clostridia.
 |
INTRODUCTION |
Clostridium difficile is
the major etiological agent of pseudomembranous colitis and
also causes a more common, but less severe, form of this disease, known
as antibiotic-associated diarrhea (13, 17). C. difficile causes disease when the normal intestinal flora is
altered as a result of antimicrobial therapy. Although these organisms
probably become a part of the normal intestinal flora, during
antibiotic treatment they proliferate, which disrupts other
endogenous flora (30). Since it is usually necessary
to administer further antibiotics to treat the resultant infection, the
presence of antibiotic-resistant C. difficile isolates may complicate the treatment of the diseases caused by this organism (13).
Chloramphenicol resistance in C. difficile and
Clostridium perfringens may be mediated by the
catD (31, 32) and catP (5, 27) genes, respectively, both of which encode chloramphenicol acetyltransferases. The C. perfringens catP gene is located
on the transposons Tn4451 and Tn4452
(2). Tn4451 is found on the conjugative
tetracycline resistance plasmid pIP401 and excises precisely upon
conjugative transfer in C. perfringens and when it is
present on multicopy plasmids in both C. perfringens and Escherichia coli (2, 4, 5). The products of both
excision events are identical, indicating that the same precise
deletion event is occurring in both organisms (3).
Transposition of Tn4451 has been demonstrated in
E. coli but occurs only at a very low frequency
(2). Transposition has not been demonstrated in
C. perfringens because of the lack of a detection
method with sufficient sensitivity.
Tn4451 has been completely sequenced (6,338 bp) and has been
shown to contain six genes (5). One of these genes,
tnpX, encodes a trans-acting site-specific
recombinase which is responsible for the excision of Tn4451
in both C. perfringens and E. coli (5). The TnpX protein catalyzes the excision of
Tn4451 as a circular molecule (5); this molecule
may function as the transposition intermediate, as do the equivalent
circular molecules from the well-characterized conjugative transposons
Tn916 and Tn1545 (24). The TnpX
recombinase is a large member of the resolvase-invertase family of
site-specific recombinases (5) and site-directed mutagenesis
studies have shown that the resolvase-invertase domains are functional
in the excision of Tn4451 (8). Tn4451
is flanked by directly repeated GA dinucleotides, and GA residues are
also found at the joint of the circular form, where the left and right termini of Tn4451 are fused (3, 5, 8). Analysis
of a number of Tn4451 transposition target sites revealed
that they resemble the joint of the circular form and that insertion
occurs at a GA dinucleotide (8). On the basis of these data
a model for the excision and insertion of Tn4451 which
involves the resolvase-invertase domain of TnpX that introduces 2-bp
staggered cuts at the GA dinucleotides has been proposed
(8).
Another gene carried by Tn4451, tnpZ, encodes the
50-kDa TnpZ protein, which has amino acid sequence similarity to those
of a group of plasmid mobilization and recombination proteins that comprise the Mob-Pre family (5). These proteins interact
with an upstream palindromic sequence known as the RSA site
to mediate plasmid mobilization and the formation of plasmid multimers
and cointegrates. In the presence of the conjugative IncP plasmid RP4,
TnpZ has been shown to promote RSA-dependent plasmid
mobilization in cis and the in trans mobilization
of a coresident plasmid carrying an RSA site
(9). In addition, TnpZ was found to modulate the conjugative
transfer of plasmids from E. coli to C. perfringens (9, 15).
The chloramphenicol resistance gene catD from C. difficile has also been cloned (31). Hybridization
studies indicated that this chromosomal gene is very closely related to
catP (23). The CATD and CATP monomers have 97%
amino acid sequence identity (11). In contrast to
catP, the catD gene appears to be present in at
least two copies on the C. difficile chromosome
(31). There is no evidence that catD can be
transferred by conjugation, either within or between species
(12, 33).
The aim of this study was to determine if the similarity between the
catP and catD determinants extended beyond the
resistance genes and therefore to determine if catD was
located on an element similar to Tn4451. In this paper we
report the cloning and detailed genetic analysis of two catD
transposons that are closely related to Tn4451.
 |
MATERIALS AND METHODS |
Bacterial strains, plasmids, and growth media.
The E. coli strains used in this study were derivatives of DH5
(Bethesda Research Laboratories), S17-1 (26), or LT101
(20). The C. perfringens isolate used in
this study was CP590, which carries Tn4451 as part of the
conjugative plasmid pIP401 (2, 7). The
chloramphenicol-resistant C. difficile strains included isolates from Belgium (SGC0545), England (W1), Holland (3026), and
Italy (C250) (31) and two isolates from Japan (KZ1606 and KZ1613 [19]). The properties of the plasmids used in
this study are presented in Table 1.
E. coli strains were grown on 2YT agar medium
(
16) supplemented with ampicillin (100 µg/ml),
chloramphenicol (20 µg/ml),
kanamycin (20 µg/ml), or rifampin (150 µg/ml).
C. perfringens strains were cultured in
Trypticase-peptone-glucose broth (
21),
brain heart infusion
broth (Oxoid), fluid thioglycolate medium
(Difco), or nutrient agar
(
22) supplemented with chloramphenicol
(10 µg/ml). The
C. difficile strains were grown in BHIS medium
(
28) supplemented with chloramphenicol (10 µg/ml).
Clostridial
agar cultures were grown in an atmosphere of 10%
H
2-10% CO
2-80%
N
2. All
bacterial strains were grown at 37°C.
DNA isolation and general molecular techniques.
Plasmid DNA
from E. coli was isolated by an alkaline lysis procedure
(18). PCR amplifications were performed with Taq
DNA polymerase (Boehringer Mannheim). PCR products for nucleotide sequencing and cloning were purified by isolation from a
low-melting-temperature agarose gel (Seaplaque; FMC BioProducts) with
the Magic PCR Preps DNA Purification System (Promega). Total genomic
DNA from the clostridial isolates was prepared by a method developed
for C. perfringens (1). Transformation of
E. coli cells was done as described before (25).
The primers used for PCR or nucleotide sequencing were synthesized on
an Applied Biosystems 392 DNA/RNA Synthesizer and are shown in Table
2 and Fig.
1.

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FIG. 1.
Comparative linear maps of Tn4451,
Tn4453a, and Tn4453b. The oligonucleotide primers
used for PCR analysis are indicated by the short arrows. Restriction
sites for CfoI (C), EcoRV (E),
HindII (HII), HindIII (HIII),
NsiI (N), and Sau3A (S) are indicated. The
relative size, location, and direction of transcription of each of the
Tn4451-encoded genes are indicated by the longer filled
arrows.
|
|
Transposon stability assays.
To determine the stabilities of
Tn4451, Tn4453a, and Tn4453b on
recombinant plasmids, assays were performed as described previously (5, 8), with modifications as follows. Each strain was
cultured on solid medium supplemented with ampicillin and
chloramphenicol, and a single colony was transferred to 10 ml of broth
with the same antibiotics, which select for the vector plasmid and the transposon, respectively. After overnight incubation at 37°C, plasmid
DNA was extracted and was used to transform competent E. coli DH5
cells to ampicillin resistance. Single colonies
(n = 120) were then patched onto media containing
chloramphenicol or ampicillin and were incubated at 37°C overnight.
The stability of the transposon carried by each plasmid was defined as
the percentage of ampicillin-resistant colonies that were resistant to
chloramphenicol. The values presented are the averages of three
independent experiments.
To determine the ability of recombinant plasmids carrying
tnpX genes from Tn
4453a and Tn
4453b to
complement the Tn
4451tnpX
1 mutation carried on pJIR773,
trans-complementation assays were
performed as described
previously (
8).
E. coli spot mating experiments.
Matings were
carried out with late-exponential-phase E. coli cultures as
follows (10). A 1-in-2 dilution of the rifampin-resistant recipient LT101 (20) was used to flood the selective agar
medium, and the surface was allowed to dry. Samples (20 µl) of
serially diluted donor cultures were then spotted onto the surface and, when absorbed, were incubated overnight at 37°C.
Cloning of PCR-generated DNA fragments.
Purified PCR
products were treated with T4 polynucleotide kinase and T4 DNA
polymerase (Boehringer Mannheim). Following phenol-chloroform extraction and ethanol precipitation (25) the products were ligated to the appropriate restriction endonuclease-digested and alkaline phosphatase-treated vector DNA.
Nucleotide sequencing.
Nucleotide sequence analysis was
performed with the PRISM Ready Reaction DyeDeoxy Terminator Cycle
Sequencing Kit (Applied Biosystems) and an ABI 373 A automated
fluorescent sequencing apparatus (Applied Biosystems). The sequences
were compiled with Sequencher software (Gene Codes Corporation).
 |
RESULTS |
Identification of a Tn4451-like transposon in
C. difficile.
To see if catD was located on
an element similar to Tn4451, PCR analysis was performed
with C. difficile SGC0545, W1, 3026, and C250,
which are known to carry catD (31), as well
as chloramphenicol-resistant strains KZ1606 and KZ1613. The
Tn4451-carrying strain C. perfringens CP590
was included as a positive control. The Tn4451-derived
oligonucleotide primers used for this analysis were chosen so that when
combined they would span the entire transposon (Fig. 1). The primers
were used in the combinations 300-274, 94-274, and 212-274 to amplify the left side of the transposon and 212-221, 212-220, 212-211, and
212-1727 to amplify the right side. PCR products of the appropriate size were obtained for all primer combinations from each of the six
C. difficile strains (data not shown). These data
therefore confirmed that the C. difficile isolates
carried catD and provided evidence that in each isolate this
gene was located on a transposon similar to Tn4451. We have
designated this putative element Tn4453.
Cloning and restriction mapping of Tn4453a and
Tn4453b from C. difficile W1.
Since
the catD gene from strain W1 had previously been cloned and
sequenced (31, 32), further studies were restricted to this
strain. Southern hybridization analysis of EcoRI-digested chromosomal DNA from strain W1 was carried out with a
catD-specific probe. The results confirmed that there are
two copies of this gene (31) and therefore two potential
copies of Tn4453 on the W1 chromosome (data not shown).
These Tn4453 variants were cloned into pUC18 and pUC19 as
separate 15.5-kb and 11.0-kb EcoRI fragments, generating the
recombinant plasmids pJIR1377 and pJIR1378, respectively. The putative
transposons carried on these plasmids were designated Tn4453a and Tn4453b, respectively.
The restriction maps of both transposons were deduced and compared to
the known map of Tn
4451 (Fig.
1). Both similarities
and
differences in the restriction profiles of the three elements
were
evident. These data also indicate that Tn
4453a and
Tn
4453b are not identical, even though they are both found
in the same
strain. The differences between Tn
4451 and
the two Tn
4453 variants
suggest that although these
elements probably have a common origin,
they have
subsequently evolved independently. Further studies
were aimed at
comparing the functional properties of these transposons.
Tn4453a and Tn4453b are excised as circular
molecules in E. coli and C. difficile.
Tn4451 undergoes precise TnpX-mediated excision from
multicopy plasmids in both C. perfringens and E. coli (2, 4, 5). To assess whether the C. difficile elements are also excised precisely in E. coli, transposon stability assays were performed with pJIR1377 and
pJIR1378. The results (Table 3) showed
that the recombinant plasmids carrying the Tn4453 elements
were unstable in E. coli, although they were more stable
than plasmids carrying Tn4451. The C. difficile elements also differed in their stability, with Tn4453a being more stable than Tn4453b. The
variation in transposon stability may reflect differences in flanking
sequences rather than differences between the elements.
Excision of Tn
4451 results in the formation of a
circular molecule (
5). PCR analysis was
used to determine whether similar
molecules are produced by the
excision of Tn
4453a and Tn
4453b.
These studies used the outward-firing
Tn
4451-derived oligonucleotide
primers 4675 and 4676 (Fig.
1). Binding of these primers to circular
forms of
Tn
4451-like transposons would lead to the formation of
909-bp PCR products. Products of the appropriate size were observed
when DNA from
E. coli strains carrying pJIR45, pJIR1377, or
pJIR1378
or DNA from the parent strain
C. difficile W1
was used as the
template (data not shown). These results provide clear
evidence
that the excision of Tn
4453a and Tn
4453b
results in the formation
of a circular molecule, as is the case with
Tn
4451. This process
occurs both in
E. coli and in the original
C. difficile host,
implying that excision occurs by a similar mechanism in both organisms.
Nucleotide sequence of the joint of the circular form
of Tn4453a and Tn4453b.
The 909-bp
4675-4676 PCR products generated from pJIR1377 and pJIR1378 were
purified, partially sequenced, and compared to the sequence of the
circular form of Tn4451. The results showed that both PCR
products represented the joint of the circular form of the transposon,
where the left and right termini of the elements are fused. At the
fusion point these joints contained a GA dinucleotide, as does the
circular form of Tn4451 (Fig.
2). These residues are also found in
consensus Tn4451 target sequences (Fig. 2) and in the
regions flanking Tn4451 insertion sites, which indicates
that they are important for Tn4451 excision and insertion
(5, 8). Site-directed mutagenesis studies have confirmed
that the GA residues are important components of the TnpX target site
(8).

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FIG. 2.
Alignment of the joint of the circular forms of
Tn4451, Tn4453a, and Tn4453b.
Tn4451 sequences are as reported previously (5,
8). The consensus target sequence which is cleaved by TnpX
(8) is also shown. All of the sequences consist of central
GA residues (black boxes). Residues which are the same as those found
in Tn4451 are shaded (grey boxes). Residues which differ
between Tn4453a and Tn4453b are outlined in
black.
|
|
Complementation in trans of the
Tn4451tnpX
1 mutation by the cloned Tn4453a
and Tn4453b tnpX genes in E. coli.
On the basis
of the previous results it was postulated that Tn4453a and
Tn4453b encoded TnpX proteins that functioned in a manner
similar to that of TnpX from Tn4451. A
trans-complementation assay was used to confirm the presence
of functional tnpX genes. This assay is based on the finding
that Tn4451 derivatives carrying a tnpX gene that
contains the internal tnpX
1 deletion are stable on
multicopy plasmids in C. perfringens and E. coli. Provision of a wild-type tnpX gene in
trans restores the unstable phenotype of the
Tn4451tnpX
1 element (5).
PCR products encompassing the
tnpX gene regions from
Tn
4453a and Tn
4453b were generated with primers
300 and 3277 (Fig.
1).
These fragments were cloned into
SmaI-digested pUC18 DNA to construct
pJIR1488 and pJIR1489,
respectively. Partial nucleotide sequencing
was used to confirm that
the desired fragments had been cloned
(data not shown). These
plasmids were then introduced into DH5
derivatives carrying
Tn
4451tnpX
1 on a compatible pSU39-derived
replicon
(
5). The stability of the transposon derivative in
the
resultant transformants was then determined. The cloned
C. difficile-derived
tnpX genes were shown to be
functional in that
they could facilitate excision of the
Tn
4451tnpX
1 element in
the
trans-complementation assay, although to somewhat different
extents (Table
4). Excision was confirmed
by detection of the
circular form after PCR with the oligonucleotides
4675 and 4676
(data not shown).
Tn4453a and Tn4453b mediate mobilization of
pJIR1377 and pJIR1378.
To see if Tn4453a and
Tn4453b also have a functional TnpZ-RSA
mobilization system, plasmids carrying the various transposons were
introduced into E. coli S17-1, which carries a chromosomal RP4 derivative. These strains were used as donors in matings with E. coli LT101 (Table 5). The
results showed that the Tn4453 plasmids pJIR1377 and
pJIR1378 were able to be mobilized to the recipient bacterium, as was
the Tn4451 plasmid pJIR45 but not the negative control
plasmid pJIR62, which carried only catP (Table 5). These data provide evidence that Tn4453a and Tn4453b
carry a TnpZ-RSA mobilization system that is functionally
equivalent to that of Tn4451.
 |
DISCUSSION |
In this study, two chloramphenicol resistance transposons which
carried the catD gene were identified in a single
C. difficile strain and were shown to be functionally
and structurally related to Tn4451 from C. perfringens. PCR analysis indicated that five other C. difficile isolates carried similar transposons. These strains were from diverse sources, indicating that
Tn4451-like transposons not only are found in
chloramphenicol-resistant strains of C. perfringens
(2, 23) but are also common in C. difficile.
Two closely related but distinct C. difficile-derived
elements, Tn4453a and Tn4453b, were cloned
and, like Tn4451, were found to be unstable on
multicopy plasmids in E. coli. There was variation in the
stability levels observed with these three elements (Table 3). These
differences could be due to differences in the expression levels of the
tnpX gene, sequence differences between the three TnpX
proteins, or differences in the TnpX-binding regions flanking the ends
of each element.
It was found that excision of Tn4453a and Tn4453b
resulted in the production of a circular form of the transposons in
both E. coli and C. difficile. This form may
represent the transposition intermediate, as has been suggested for the
equivalent molecule produced from Tn4451 (5). The
joints of these circular molecules were sequenced and were found to be
very similar to the corresponding region in the Tn4451
circular form and to the consensus TnpX target site, with a GA
dinucleotide located at the fusion point (Fig. 2). A model has been
proposed for Tn4451 whereby the resolvase-invertase domain
of TnpX introduces 2-bp staggered cuts at GA dinucleotides, leading to
the excision or insertion of Tn4451 via a circular intermediate (8). The findings that Tn4453a and
Tn4453b have similar GA residues at the joints of their
circular forms and similar joint sequences imply that the three TnpX
proteins have similar mechanisms of action and similar DNA binding and
target sites. The latter suggestions were supported by comparison of the ends of each C. difficile element to those of
Tn4451 and also to the consensus target sequence (Fig.
2). A high level of similarity was evident, with only two or three
sequence changes, all of which were at one end. The ends of
Tn4453a and Tn4453b also closely match the
consensus TnpX target sequence. Evidence that the TnpX proteins encoded
by these transposons were functionally interchangeable was obtained by
cloning the tnpX genes from Tn4453a and
Tn4453b and showing that they could substitute for the
Tn4451-derived tnpX gene in a
trans-complementation excision assay (Table 4). Overall,
these data suggest that the TnpX proteins encoded by each transposon
bind to similar DNA target sequences and subsequently function in a
comparable manner to promote excision or insertion.
The Tn4451-encoded TnpZ protein is the only known Mob-Pre
protein encoded on a transposable element from a gram-positive
bacterium (9). On the basis of the results of this study, it
is concluded that Tn4453a and Tn4453b encode
equivalent TnpZ proteins and RSA sites since these
transposons also facilitated RP4-mediated mobilization of their host
plasmids (Table 5). The observed differences in mobilization
frequencies are probably the result of differences in the TnpZ proteins
or RSA sites encoded by these transposons. Further studies
are required to determine the role that this mobilization system plays
in the dissemination of Tn4451- and Tn4453-like
transposons to different bacterial genera and species.
The comparative analysis of these chloramphenicol resistance elements
provides clear evidence that genetic exchange between C. difficile and C. perfringens may have occurred
either directly or through an intermediate bacterial host. Not only is
there near identity between the catD and catP
genes, but there is also a high degree of similarity between the
transposons which carry these genes. The probability that gene transfer
may occur directly or indirectly between these species is also
supported by the comparative analysis of the erythromycin resistance
determinants ermBP and ermBZ from C. perfringens and C. difficile, respectively
(6, 14). However, direct and reproducible exchange of
genetic information between C. difficile and
C. perfringens has not been demonstrated. Further
studies are required to elucidate the mechanism of transfer of
Tn4451-like elements, especially with regard to the
transposition process. Such studies will lead to a greater
understanding of how these transposons are disseminated among these
important pathogenic bacteria and of the evolutionary relationships
between clostridial transposons and those from other bacteria.
 |
ACKNOWLEDGMENTS |
We thank Pauline Howarth for excellent technical assistance.
This research was supported by a grant from the Australian National
Health and Medical Research Council.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Microbiology, Monash University, Clayton, Victoria 3168, Australia.
Phone: 61 3 9905 4821. Fax: 61 3 9905 4811. E-mail:
dena.lyras{at}med.monash.edu.au.
 |
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Antimicrobial Agents and Chemotherapy, July 1998, p. 1563-1567, Vol. 42, No. 7
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Copyright © 1998, American Society for Microbiology. All rights reserved.
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