This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ito, T.
Right arrow Articles by Hiramatsu, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ito, T.
Right arrow Articles by Hiramatsu, K.

 Previous Article  |  Next Article 

Antimicrobial Agents and Chemotherapy, June 1999, p. 1449-1458, Vol. 43, No. 6
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Cloning and Nucleotide Sequence Determination of the Entire mec DNA of Pre-Methicillin-Resistant Staphylococcus aureus N315

T. Ito, Y. Katayama, and K. Hiramatsu*

Department of Bacteriology, Juntendo University, Tokyo, Japan

Received 15 January 1999/Returned for modification 20 March 1999/Accepted 6 April 1999


    ABSTRACT
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

In methicillin-resistant Staphylococcus aureus, the methicillin resistance gene mecA is localized within a large chromosomal region which is absent in the methicillin-susceptible S. aureus chromosome. The region, designated mec DNA, is speculated to have originated from the genome of another bacterial species and become integrated into the chromosome of the S. aureus cell in the past. We report here cloning and determination of the structure of the entire mec DNA sequence from a Japanese S. aureus strain, N315. The mec DNA was found to be 51,669 bp long, including terminal inverted repeats of 27 bp and a characteristic pair of direct repeat sequences of 15 bp each: one is situated in the right extremity of mec DNA, and the other is situated outside the mec DNA and abuts the left boundary of mec DNA. The integration site of mec DNA was found to be located in an open reading frame (ORF) of unknown function, designated orfX. Clusters of antibiotic resistance genes were noted in mec DNA carried by transposon Tn554 and an integrated copy of plasmid pUB110. Both the transposon and plasmid were integrated in the proximity of the mecA gene, the latter being flanked by a pair of insertion sequence IS431 elements. Many ORFs other than those encoding antibiotic resistance were considered nonfunctional because of the acquired mutations or partial deletions found in the ORFs. Two ORFs potentially encoding novel site-specific recombinases were found in mec DNA. However, there was no ORF that might encode mec DNA-specific transposase or integrase proteins, indicating that the mec DNA is not a transposon or a bacteriophage in nature.


    INTRODUCTION
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

In 1961, shortly after the introduction of methicillin, methicillin-resistant Staphylococcus aureus (MRSA) was reported in England (18). MRSA soon became a serious problem challenging hospital infection control throughout the world (4). MRSA expresses methicillin resistance by producing a specific penicillin-binding protein, PBP2' (or PBP2a), that has a decreased binding affinity to beta -lactam antibiotics (13, 30, 48). The genetic determinant of methicillin resistance (mec) has been localized on the chromosome of S. aureus (36) and mapped to a locus between the genes encoding protein A (spa) and a protein involved in the biosynthesis of purine (purA) (19). The mecA gene encoding PBP2' has been cloned from a Japanese MRSA strain by exploiting a tobramycin resistance gene which is closely linked to mecA as a selective marker, and its sequence was determined (38). The mecA gene is adjoined by a set of regulatory genes, mecI and mecR1, forming the mecA gene complex (mecI-mecR1-mecA), though in some strains the set is partially deleted and only the 5'-portion of the mecR1 gene is left beside the mecA gene (Delta mecR1-mecA) (2, 14, 20, 24). The mecA gene complex (and its deleted version) is widely distributed among S. aureus species as well as among other staphylococcal species collectively called coagulase-negative staphylococci (C-NS) (17, 31, 42, 43). Therefore, it has been speculated that mec may be freely transmissible among staphylococcal species, crossing the staphylococcal species barrier (3, 42). With classical genetic experiments, it was shown that mec is not transferable between S. aureus strains by conjugation (21) but is transferable by bacteriophage-mediated generalized transduction (10). Subsequently, Trees and Iandolo reported that mec could be mobilized from the chromosome to a penicillinase plasmid, pI524, and suggested the possibility that mec may comprise a part of a transposable genetic element (46). In the 1980s, direct chromosome analysis of MRSA strains revealed that a substantial length of the chromosomal DNA segment (greater than 30 kb) carrying mec has no allelic equivalence in methicillin-susceptible S. aureus (MSSA) strains; the segment was called "additional DNA" or "mec DNA" (6, 7, 11, 37). However, the size, structure, and biological properties of mec DNA have, until now, long remained unclear.

In this study, we report the first demarcation and determination of the structure of the mec DNA of a Japanese S. aureus strain, N315.


    MATERIALS AND METHODS
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Bacterial strains, plasmids, bacteriophages, and media. N315 is a mecA-carrying S. aureus strain that has been described previously (14, 20). NCTC8325 (BB255), a type strain of S. aureus, was a gift from B. Berger-Bächi. Escherichia coli MC1061 was used for the propagation of plasmid libraries, and E. coli XL1-Blue MRA(P2) was used for the propagation of phage libraries. Plasmid pACYC184 was used for the construction of plasmid libraries, and plasmid vectors pUC118 and pUC119 were used for subcloning. BamHI-cleaved arms of lambda Dash II (Stratagene, La Jolla, Calif.) were used for the construction of phage libraries. L broth and L agar, used for cultivation of E. coli, and NZY broth, NZY agar, and NZY soft agar, used for propagation of bacteriophage lambda , were prepared as described (33). Heart infusion broth and heart infusion agar (Eiken Kagaku, Tokyo, Japan) were used for cultivation of S. aureus. The antibiotics ampicillin (Meiji Seika Co., Tokyo, Japan) and chloramphenicol (Sankyo Co., Tokyo, Japan) were used at the concentrations of 100 and 25 µg/ml, respectively.

Construction of genomic DNA libraries of N315 and NCTC8325. Genomic DNA libraries were prepared from S. aureus N315 and NCTC8325. Extraction of DNA from staphylococcal cells has been described previously (14). Partial Sau3AI digests and complete HindIII digests were made, and fragments were separated by agarose gel electrophoresis. Fractions with DNA fragments ranging from 10 to 20 kb in size were extracted by using BIOTRAP (Schleicher & Shuell, Keene, N.H.) and were used for the construction of genomic DNA libraries.

Plasmid libraries were constructed as follows. Phosphatase-treated linearized pACYC184 (0.3 µg) and partially Sau3AI-digested or completely HindIII-digested S. aureus N315 DNAs (1.1 to 1.2 µg) were mixed and ligated by using a DNA ligation kit (Takara Shuzo Co. Ltd., Kyoto, Japan). The ligated DNAs were transformed into E. coli MC1061, and transformants were selected with antibiotic resistance by plating on L agar plates containing chloramphenicol. After incubation of the plates at 37°C for 16 h, colonies grown on the plates were lifted onto a nylon filter (BiodyneA; Pall BioSupport, Glen Cove, N.Y.) as described previously (14).

Phage libraries were constructed as follows: 300 ng of partial Sau3AI digests of chromosomal DNA of N315 and NCTC8325 (10 to 20 kb in length) and 1 µg of the lambda Dash II arms cleaved with BamHI (Stratagene) were resuspended in 5 µl of ligation buffer containing 1 mM ATP and incubated overnight at 14°C after addition of 2 Weiss units of T4 DNA ligase and packaged by using packaging extract (Giga-puck plus; Stratagene), all as described by the manufacturer. Phages were propagated to produce plaques on E. coli XL1-Blue MRA(P2) and were lifted onto a nylon filter (BiodyneA; Pall BioSupport).

DNA hybridization. Colony hybridization was performed by using [alpha 32P]dCTP (3,000 Ci/mmol [NEN Research Products, Du Pont, Boston, Mass.])-labeled probes as described previously (14). Probes 1, 2, 3, and 4 were prepared from 2.6-kb HindIII DNA fragments of pES1, 2.7-kb HindIII fragments of pSJ2, 1.9-kb HindIII fragments of pSJ5, and 1.8-kb EcoRI-HindIII fragments of pSJ7, respectively.

Plaque hybridizations were performed by using digoxigenin-labeled probes (Boehringer, Mannheim, Germany) as described (33). Probe 11A, which was used to clone LD8325, was prepared by PCR amplification with cL2 (5'-ATAGAAAAACAGGACTTGAAC-3') and M4 (5'-GTTTCCCAGTCACGACGTTGTAA-3') used as primers and SJ8 used as a template. Probe cR, which was used to clone LN4, was prepared by PCR with cR4 (5'-TTCTAATGTAATGACTGTGGAT-3') and cR5 (5'-TTATTAGGTAAACCAGCAGTAAGTGAACAACCA-3') used as primers and LD8325 used as a template.

DNA manipulation. Large-scale and small-scale preparation of plasmid DNA, purification of phage plaques, extraction of DNA from purified phage particles, and subcloning of DNA fragments into plasmid vector pUC118 or pUC119 were performed by standard techniques (33). All the enzymes for DNA manipulation were purchased from Takara Shuzo Co. Ltd., except for Taq DNA polymerase for PCR, which was purchased from Perkin-Elmer, Foster City, Calif.

Nucleotide sequence determination was performed as described previously (14), using a Dye Terminator Cycle Sequencing FS Ready Reaction kit (Perkin-Elmer). Descriptions of primers synthesized specifically for the sequence determination are given in the figure legends.

PCR amplification. PCR was performed essentially as described previously (42) with a 50-µl reaction volume and by using thermal cycler Gene Amp 9600 (Perkin-Elmer Cetus Instruments, Emeryville, Calif.). In nested PCR, the first round of PCR was carried out for 30 cycles and 1 to 2 µl of the reaction mixture obtained was used as the substrate for the second round of PCR, which was carried out for 10 cycles. Long PCR was performed by using Expand Taq polymerase (Boehringer) by the procedure recommended by the manufacturer. Three microliters of the reaction mixture was subjected to agarose gel electrophoresis to detect amplified DNA fragments. PCR products were purified by using a High Pure PCR product purification kit (Boehringer).

Computer analysis of nucleotide and protein sequences. All the analyses were carried out by using programs in The Wisconsin Package (version 9.0; Genetics Computer Group, GCG, Madison, Wis.). Homology searches of the EMBL (release no. 55.0) and GenBank (release no. 107.0) databases were performed by using BLAST and TFastA programs, and the FastA program was used for the homology search of the SWISS-PROT database (release no. 35.0).

Nucleotide sequence accession numbers. The nucleotide sequences of the mec DNA of N315 and of pLE1a described in this article have been deposited in the DDBJ, EMBL, and GenBank databases under accession nos. D86934 and AB014440, respectively.


    RESULTS
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Identification of mec DNA on S. aureus N315 chromosome. As illustrated in Fig. 1a, overlapping chromosomal DNA fragments were sequentially cloned from the mecA-carrying S. aureus strain N315 (pre-MRSA strain [14, 16]) and their nucleotide sequences were determined. The procedure was initiated by cloning chromosomal DNA fragments SJ1 and SJ2 which were cross-hybridizable with the previously cloned DNA fragment, ES1, containing a part of the mecA gene complex (14). Then the cloning proceeded leftward until the first DNA fragment that hybridized with the chromosomal DNA of the MSSA type strain NCTC8325, SJ8, was obtained. By using probe 11A, which cross-hybridized with the NCTC8325 chromosomal DNA (Fig. 1a), the chromosomal DNA fragment LD8325 was obtained from a phage library of NCTC8325 by plaque hybridization. By comparison of the nucleotide sequences of SJ8 and LD8325, the left chromosome-mec DNA junction (attL; Fig. 1b) was determined. Then, to clone the DNA fragment containing the right boundary of mec DNA, the MSSA-specific probe cR (Fig. 1a), corresponding to a stretch of nucleotides present in LD8325 but absent in SJ8, was used as a hybridization probe to screen a phage library of N315. The chromosomal DNA fragment LN4 was thus obtained (Fig. 1a). By alignment of the nucleotide sequences of LD8325 and LN4, the presumptive right chromosome-mec DNA junction (attR; Fig. 1b) was identified. The authenticity of attR was confirmed by proving that the mecA gene and attR were closely linked on the chromosome of N315 by using a long PCR amplification. One primer, mA3, for the PCR was prepared inside the mecA gene, and the other, cR2, was prepared downstream of the presumptive mec DNA boundary (the locations of the primers are indicated in Fig. 1a). The DNA fragment, 12 kb in size, was amplified by long PCR (Fig. 1a). The amplified fragment did not hybridize with NCTC8325 chromosomal DNA in dot blot hybridization, showing that the fragment was extrinsic to MSSA chromosome and was a part of the mec DNA. By determining a restriction enzyme map and by subsequent nucleotide sequencing of the 12-kb fragment, the nucleotide sequence of the entire mec DNA of N315 was carried out.


View larger version (15K):
[in this window]
[in a new window]
  		FIG. 1.   Genomic structure of mec DNA. (a) Cloning strategy of mec DNA. The mec DNA is shown in light yellow; the chromosomal region found in both the pre-MRSA strain N315 and the MSSA strain NCTC8325 is shown in green. All the hybridization probes are shown in orange. DNA fragments SJ1 and SJ2 were cloned from a N315 plasmid library by colony hybridization by using probe 1 prepared from plasmid pES1 (14). DNA fragments SJ4, SJ5, SJ7, and SJ8 were sequentially cloned by using probes 2, 3, and 4, respectively. All the fragments were cloned from a plasmid library of Sau3AI-partial digests except for SJ8, which was cloned from an N315 library of HindIII digests. LD8325 was cloned from a phage library of NCTC8325 by plaque hybridization by using the probe 11A. LN4 was cloned from a phage library of N315 by plaque hybridization by using cR as a probe. The region downstream of mecA was identified and sequenced by using the DNA fragment directly amplified by long PCR with mA3 (5'-ACAACGTTACAAGATATGAAGTGGTAAATGGTA-3') and cR2 (5'-AAACGACATGAAAATCACCAT-3') primers and the N315 DNA as a template. Only relevant restriction enzyme sites are indicated (H, HindIII; E, EcoRI; P, PstI), and those in overlapped DNA fragments are omitted. The nucleotide sequence accession numbers of the N315 chromosome containing the entire mec DNA (56,939 bp) starting at the first nucleotide of the leftmost HindIII site and of LE1a, the EcoRI-PstI subfragment of LD8325, are given in the Materials and Methods section. (b) Boundary of mec DNA. Nucleotide sequences around the left and right boundaries of mec DNA, attL and attR, respectively, are aligned with the sequence around the presumptive integration site, attB, on NCTC8325 chromosome. The four possible integration sites are located in the attB at the 3' end of orfX (indicated by red arrowheads). The stop codons for orfX in NCTC8325 and modified orfX (orfX*) of N315 are indicated by red bars. Inverted complementary repeats, IR-L and IR-R, at both extremities of mec DNA are indicated by thin arrows. Direct repeats are indicated by thick arrows. Asterisks indicate identical nucleotides in the two sequences. The numbers on top of the nucleotides indicate possible terminal nucleotides of mec DNA. The entire length of mec DNA was 51,669 bp; the left-most nucleotide was inferred to be one of the four nucleotides (positions from 4685 to 4688) designated nucleotides 1 to 4 in the figure.

Structure of the chromosome-mec DNA junction. Figure 1b shows the nucleotide sequences of the regions around the left and right boundaries of mec DNA, attL and attR, together with those of the regions around the mec DNA integration site, attB (bacterial chromosomal attachment site for mec DNA), found on the chromosome of NCTC8325. The left and right chromosome-mec DNA junction regions, attL and attR, were tentatively and operationally defined in this study by using PCR with the primer pair cL1 and mL1 for attL and the primer pair mR8 and cR2 for attR (Fig. 2a). The attB was located at the 3' end of a novel open reading frame (ORF), orfX, whose direction of transcription is shown from right to left in Fig. 1a and b, and its stop codon is indicated in Fig. 1b. The orfX, potentially encoding a 159-amino-acid (aa) polypeptide, was modified in N315 by the integration of mec DNA at its 3' end, with its last 15 bases replaced by the mec DNA sequence. However, curiously, the modified orfX, designated orfX* (see Fig. 3), had a stop codon generated at the same nucleotide position as that of the unmodified orfX and encoded exactly the same last 5 aa, EAYHK, as those of the unmodified orfX of NCTC8325. The homology between the deduced amino acid sequences of orfX of NCTC8325 and orfX* of N315 was 100%, and that between the nucleotide sequences was 98.1%. Homology search of the databases revealed homology of the polypeptide encoded by orfX with some previously identified polypeptides, but their functions are unknown (see Table 1).

By comparison of the nucleotide sequences of N315 and NCTC8325, the exact integration site of mec DNA was inferred to within a maximum ambiguity of four bases (Fig. 1b). The left terminal nucleotide of mec DNA was estimated to be one of the four nucleotides TCTG (numbered 1 through 4 in Fig. 1b), and the right terminal nucleotide was estimated to be one of the four nucleotides TTCT (numbered 5 through 8 in Fig. 1b); the set of left and right terminal nucleotides of mec DNA was thus estimated to be one of the four nucleotide combinations 1 and 5, 2 and 6, 3 and 7, or 4 and 8. The entire length of the mec DNA was estimated to be 51,699 bp. No target duplication typically accompanied by the integration of insertion sequences (IS) or transposable elements was found flanking the mec DNA. Instead, characteristic direct repeats of 15 bases each (with 13 identical bases) were found: one was localized outside the mec DNA adjacent to its left boundary, and the other was localized inside the mec DNA at its right extremity (Fig. 1b). Degenerate inverted repeats, IR-L and IR-R, composed of 27 bases each (with 22 identical bases) were found at both termini of the mec DNA (Fig. 1b).

Genomic organization of mec DNA. Figure 2a illustrates the essential structure of mec DNA. Transposon Tn554 (encoding antibiotic resistance genes for spectinomycin [spc] and erythromycin [ermA]) was found integrated to the left of the mecA gene complex (26). To the right of the mecA gene complex, an integrated copy of staphylococcal plasmid pUB110 (encoding resistance genes for tobramycin and kanamycin [aadD] and for bleomycin [ble]) was found flanked by a pair of IS431 (25). These features of mec DNA of N315 were similar to those previously described with other MRSA strains (2, 15, 47).


View larger version (23K):
[in this window]
[in a new window]
  		FIG. 2.   (a) The essential structure of mec DNA. Locations of the essential genes are illustrated. Only restriction sites of HindIII are indicated. attL and attR (tentatively defined by the primer pairs cL1 with mL1 and mR8 with cR2) are shown by bars. orfX* is indicated by an arrow. (b) ORFs in and around mec DNA. The ORFs more than 200 bases in size in six possible reading frames are indicated by squares. Those above and those below the line are the ORFs whose transcription is directed to the right and those whose transcription is directed to the left, respectively. Colored squares indicate the ORFs whose extant gene homologues were found in the databases, though many of them were considered incomplete ORFs (underlined). These are potentially defective genes or pseudogenes containing either deletion, nonsense mutation, or frameshift mutation. The colors correspond to the inferred functional properties of the ORFs: red, drug resistance; yellow, transposases (for Tn554, IS431, and putative transposons); gray, plasmid replication (rep for pUB110); magenta, site-specific recombinase (N034 and N037); brown, metabolism and physiology; blue, plasmid replication (for pUB110); black, unknown function. CN051 (stippled green) corresponds to orfX*. Three ORFs, N001 to N003, located outside mec DNA have unknown function (black). (c) Regional change of G+C content in and around mec DNA. The G+C content was calculated and plotted as a line graph by using the Window program of The Wisconsin Package, with a window size of 100 bases and a shift increment of 100. The yellow bar indicates the range of G+C content of S. aureus strains, which is 32 to 36% (34). The range delimited by the orange bars is that of the genus Staphylococcus, which is 30 to 39% (34). The regions with substantially lower than average G+C content (regions 1, 3, 4, 6) and with high G+C content (regions 2, 5, 7) are indicated by red bars and green bars, respectively.

The mec DNA contained 112 ORFs whose locations in six possible reading frames are illustrated in Fig. 2b; 32 of them, listed in Table 1, potentially encoded polypeptides which were similar (having a z score of >400 in the TFastA program) or identical (with greater than 99% identity in amino acids) to the previously reported gene products. Among the 32 ORFs, 7 were associated with drug resistance (Fig. 2b): they were resistance genes for erythromycin (CN026), beta -lactam (CN036 or mecI, CN037 or mecR1, and N058 or mecA), spectinomycin (N048), kanamycin and tobramycin (N063), and bleomycin (N064). The mecA gene encoded a PBP2' protein with 668 aa residues. The sequence was different by 24 aa residues from those of two other MRSA strains (reported by Song et al. [38] and Ryffel et al. [31]) but, curiously, was identical to that obtained from a methicillin-resistant Staphylococcus epidermidis strain (31). Except for the mecA gene complex, drug resistance genes were carried either by the transposon Tn554 or the integrated copy of plasmid pUB110. No ORF encoding an evident pathogenic factor, such as those for bacterial adherence, invasion, or toxin production, was found. Three ORFs (N045, N046, and N047) encoded the transposases for Tn554, and two ORFs (N062 and N070) encoded the transposase for IS431. Three other ORFs (N026 through N028) encoded polypeptides homologous to putative Bacillus anthracis transposases, but the ORF N026 encoded a polypeptide which was lacking in the C-terminal third of the corresponding B. anthracis putative transposase, and the ORFs N027 and N028 encoded polypeptides homologous to the N- and C-terminal halves, respectively, of a putative IS150-like transposase of B. anthracis, indicating that these three ORFs were the remnants of transposase genes which might have been functional in the past. The ORF N066 corresponded to the pre gene, which encodes the recombination enzyme for pUB110 (25). The replication gene, rep, of pUB110 was found to be disrupted into two ORFs (N068 and N069) by a nonsense mutation (Fig. 2b and Table 1).

The two ORFs N034 and N037 encoded proteins homologous to site-specific recombinases of the invertase-resolvase family. Among the extant site-specific recombinases, a site-specific integrase of the bacteriophage TP901-1 of Lactococcus lactis, which also was distantly related to the invertase-resolvase family of site-specific recombinases, had the best homology to N034 and N037 (8). N037 was also homologous to the site-specific recombinase SpoIVCA of Bacillus subtilis (40, 44), a putative integrase of Bacillus cereus bacteriophage TP21 ply21 (23), and transposase TnpX of Clostridium perfringens (5), all from gram-positive bacterial species. These recombinases have a catalytic motif at the N-terminal domain which is characteristic of recombinases of the invertase-resolvase family (1, 35).

Eight other ORFs were gene homologues presumably involved in the metabolism or physiology of the bacterial cell (Fig. 2b). Six of them (CN009, CN010, CN012, CN013, N021, and N022) formed a cluster which en bloc was homologous to the kdp operon (kdpA through kdpE), whose relative gene order, CBADE, is the same as that in Mycobacterium tuberculosis but different from that, ABCDE, in Clostridium acetobutylicum and E. coli. The kdp operon is involved in ATP-dependent potassium transport across the bacterial cell membrane (41). In spite of the difference in the gene order, among various species the kdp genes of C. acetobutylicum were the closest to those found on mec DNA. Comparison with the C. acetobutylicum kdp genes revealed that the kdpA gene homologue in mec DNA was disrupted into two ORFs (CN012 and CN013) by a frameshift mutation, the kdpC gene homologue (CN009) was lacking 4 N-terminal aa and 63 C-terminal aa, and the kdpD gene homologue (N021) showed a deletional loss of 23 N-terminal aa (Table 1).

                              
View this table:
[in this window]
[in a new window]
  		TABLE 1.   The ORFs in and around mec DNA whose deduced products show similarities to extant protein sequences

The ORF CN034, encoding a polypeptide homologous to xylose repressor, also had a deletion of 4 aa (from residue 12 through 15 at the N terminus), causing a shift of reading frame (Table 1). The ORF CN039 was a homologue of the E. coli ugpQ gene. E. coli UgpQ is a 247-aa protein with glycerophosphoryldiester phosphotransferase activity. A similar ORF (capable of encoding a 145-aa polypeptide with homology to the N-terminal part of the E. coli UgpQ protein) was previously identified by Ryffel et al. downstream of the mecA gene in another MRSA strain (32). The comparison of its nucleotide sequence with that of the ORF CN039 showed that the previously identified ORF was a mutated version of CN039 in which the 455th nucleotide (T) was deleted and a premature termination codon was introduced. CN039 itself, however, contained a one-base insertion at around the 508th nucleotide position which, by causing a shift of reading frame, truncated the C-terminal polypeptide, which was otherwise homologous to the C-terminal 28 aa of the E. coli UgpQ protein. Four ORFs, N044, N052, CN030, and CN031, were homologous to B. subtilis hypothetical proteins with unknown function.

Distribution of G+C content of mec DNA. Figure 2c illustrates the regional change of the G+C content in and around mec DNA. The overall G+C content of mec DNA was 32.79%, which is within the range of variation for the species S. aureus (32 to 36%) (34). There were seven regions (two outside of the mec DNA and five within the mec DNA) having substantially deviant G+C content values (Fig. 2c). The regions might have different evolutionary origins: region 2 contained a group of ORFs homologous to the kdp operon, and the adjacent region, region 3, contained remnants of putative transposases (Table 1); region 4 contained mec regulator genes, mecI and mecR1 (14, 43), which are proposed to have been derived from a beta -lactamase gene complex independently of the mecA gene (38); region 5 corresponded to the drug resistance genes aadD (conferring tobramycin and kanamycin resistance) and ble (conferring bleomycin resistance) carried by the plasmid pUB110. It was noted that the MSSA chromosomal region (region 1) containing attL (Fig. 2a) had remarkably low G+C content, as did region 6, at the right extremity of mec (Fig. 2a). It was also noted that orfX, corresponding to region 7 shown in Fig. 2c, had an unusually high G+C content for an S. aureus gene; the content for the entire ORF was 39.41%, and that for the 3' half (left half) was 43.75%.

Precise excision of mec DNA. To test whether mec DNA behaves like a mobile genetic element, PCR experiments were designed to monitor spontaneous precise excision of mec DNA at the attR and attL regions. The combinations of primers, cR2 with cL3 and cR1 with cL1, were used for the first and second rounds of PCR, respectively. The primers cR1 and cR2 were located in orfX (Fig. 3), and cL1 and cL3 were located in the chromosomal region outside the left boundary of the mec DNA (Fig. 1a). Figure 4 shows that the sensitivity of the first round of PCR was such that it could detect the attB region of NCTC8325 total DNA which had been mixed with N315 total DNA at the ratio of 1:10,000 (wt/wt). At this level of sensitivity, no amplified band was detected when N315 DNA was used as a template for PCR; the second round of PCR (nested-PCR), however, did amplify a DNA fragment. The DNA fragment was purified and was subjected to nucleotide sequence determination. The sequence contained the attB sequence, which was similar to that of NCTC8325 and was identical to the corresponding sequences, attL and attR, of N315. The data indicated that attB was generated from the N315 chromosome as a result of spontaneous precise excision of mec DNA. The result suggested that the precise excision of mec DNA occurred in N315 at a low frequency: less than 1 in 104 cells.


View larger version (45K):
[in this window]
[in a new window]
  		FIG. 3.   Nucleotide and predicted amino acid sequences of orfX genes of NCTC8325 and orfX* genes of N315. The nucleotide sequence of the orfX gene of NCTC8325 located on the plasmid pLE1a was sequenced and compared to orfX* of N315. A possible integration site of mec DNA is indicated by a dotted arrow; the nucleotide position was ambiguous but within four nucleotides. Arrows indicate the locations and directions of primers used for the PCR assay. The accession number for the sequence of pLE1a is given in the Materials and Methods section.


View larger version (63K):
[in this window]
[in a new window]
  		FIG. 4.   PCR for the detection of spontaneous precise excision of mec DNA. Two sets of primers were used. The primers cR2 (5'-AAACGACATGAAAATCACCAT-3') and cL3 (5'-TGAAACTTCATTGGTATATT-3') were used as the outer primers in (the first round of) PCR to detect generation of a DNA fragment containing attB, and the primers cR1 (5'-AAGAATTGAACCAACGCATGA-3') and cL1 (5'-ATTTAATGTCCACCATTTAACA-3') were used as the inner primers in (the second round of) PCR to generate a DNA fragment of 275 bp in attB. The results of the first round (lanes 2 to 12) and the second round (lane 14) of PCR are shown. Ten nanograms each of chromosomal DNA of N315, NCTC8325, and the mixtures (wt/wt) of N315 and NCTC8325 DNAs at the ratios indicated below were used as templates. Lanes: 1 and 13, 1-kb ladder (Gibco-BRL, Gaithersburg, Md.); 2, N315; 3 to 11, mixtures of N315 and NCTC8325 DNAs at ratios of 1:10-8, 1:10-7, 1:10-6, 1:10-5, 1:10-4, 1:10-3, 1:10-2, 1:10-1, and 1:0.5, respectively; 12, NCTC8325; 14, N315 (nested PCR).


    DISCUSSION
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

The mecA gene is known to be located between the markers nov, encoding DNA gyrase, and spa, encoding protein A, on the same SmaI-generated chromosomal fragment in several different strains (19, 27). In this study, we have determined the location and boundaries of mec DNA. mec DNA was found to be integrated inside orfX, which is located on the SmaI-G fragment of the S. aureus type strain NCTC8325 (data not shown). We have tested strains by PCR with primers cR2 and cR6 (Fig. 3), and we found that the orfX is present in all 55 S. aureus strains (13 MSSA strains and 42 MRSA strains) tested so far. Therefore, orfX seems to have an essential function in the S. aureus genome. The preservation of the reading frame of orfX even after integration of mec DNA in N315 further supports its importance. However, its function cannot be inferred from the amino acid sequence since there is no homologue whose function has been elucidated in the database.

The structural features of the boundaries of mec DNA, which might reflect the integration mechanism of mec DNA were (i) the presence of terminal inverted repeats of 27-bp length and (ii) the presence of direct repeats of 15-bp length: one of the latter was situated in the right extremity of mec DNA, and the other was situated outside mec DNA and abutting the left boundary. The presence of terminal inverted repeats and duplication of target sequences are characteristic features of most transposons. There were no direct repeats, however, reflecting the target duplication around mec DNA. The characteristic deployment of the direct repeats found inside and outside the mec DNA is reminiscent of cassette gene integration of an integron (29, 39). However, no ORF possibly encoding integrase, like that characteristically found in the integron machinery, was found in the chromosomal area around attB. Therefore, the structural features at the boundaries of mec DNA suggested that mec DNA is integrated into the chromosome by an as yet unknown recombination process.

As a possible mobile genetic element, the size (52 kb) of mec DNA was comparable only to those of bacteriophages, conjugative transposons, or a pathogenicity island (PI). PIs, large (35 to 190 kb) chromosomal DNA segments each carrying a cluster of genes encoding virulence factors, have recently been identified in various gram-negative enteric bacteria (22). However, mec DNA did not carry structural genes (or their remnants) encoding head or tail proteins of bacteriophages or any ORFs predictably encoding any virulence factors as far as we could judge from the homology search over extant gene products. It also lacked tra gene complexes, which are crucial components for the intercellular transfer of conjugative transposons (9, 28). Therefore, mec DNA was distinct from any of the above-described genetic elements.

The mec DNA of N315 carried a total of 28 ORFs whose encoded functions were inferable based on the homology search. The seven genes associated with antibiotic resistance, mecI, mecR1, mecA, spc, ermA, ble, and aadD, had intact coding frames. Of the rest of the ORFs, however, 13 appeared to be incomplete (Table 1). Prior to the disruption of the coding frames, these ORFs might have encoded products with physiological functions in a bacterial chromosome like those encoded by housekeeping genes; e.g., the kdp operon gene homologues might have engaged in ATP-dependent potassium transport, and the xylR gene homologue might have been involved in xylose metabolism. It is possible that some of these ORFs were located along with mecA gene complex on the chromosome of the bacterium from which the primordial mec DNA originated and subsequently were mutated or disrupted during the process of molecular evolution of mec DNA into its present structure. While the mecA gene complex has remained intact, as it conferred selective advantage to the host cell (i.e., beta -lactam resistance), most of the housekeeping genes carried by the primordial mec DNA may have been disrupted because they were redundant or even toxic in the foreign physiological milieu of some staphylococcal species to which the mec DNA had been transferred.

Besides antibiotic resistance genes, all the three transposase genes, tnpA, tnpB, and tnpC, encoding proteins involved in the movement of Tn554, were found to be intact. This indicates that the transposon was integrated later than other pseudogenes during the process of formation of the mec DNA in its present form in N315. Tn554 has been identified not only in S. aureus but also in other C-NS species (45). Recently, we found a methicillin-resistant S. epidermidis strain, G3, on whose mec DNA a copy of Tn554 is found at exactly the same location relative to the mecA gene complex as that in mec DNA of N315 (17a). Therefore, it is probable that the copy of Tn554 is transferable as an integrated member of the mec DNA between S. aureus and other staphylococcal species.

The plasmid pUB110, also carrying two intact drug resistance genes, may also have been acquired relatively recently as compared to the pseudogenes. The integrated copy of pUB110 was flanked by two IS431 (25). IS431 is postulated to serve as a portal of entry of the transposons or plasmids carrying various antibiotic resistance genes into MRSA chromosome. The repertoire of resistance genes accumulated by the IS431-mediated recombination differs from strain to strain; for example, plasmid pT181 (carrying tetracycline resistance) and a mercury resistance gene have been found in an Australian MRSA strain (11). However, there also exist MRSA strains with no other antibiotic resistance genes associated with IS431mec. NCTC10442, the first MRSA strain isolated in the world, in England in 1961, is one such strain carrying the intact copy of IS431mec, but no other resistance gene is associated with it (17b). Therefore, the diversification of mec DNA by accumulation of resistance genes via IS431-mediated recombination may have occurred rather recently, probably after the establishment of mec DNA in the chromosome of S. aureus. A mutation was found in the rep gene of pUB110. The gene encodes replication of the plasmid. Therefore, the mutation might have served for the stabilization of the integrated copy of pUB110 after its integration into the chromosome of N315.

It is interesting that the mecA gene of N315 had quite a few nucleotide sequence differences from those previously reported in other strains (38) but was identical to that in S. epidermidis (31). As opposed to other MRSA strains, N315 is a pre-MRSA, in which transcription of mecA gene is strongly repressed by the mecI gene-encoded repressor function (20). Assuming that the direction of mecA gene transfer was from other staphylococcal species to S. aureus, as proposed by Archer (2), it is an attractive hypothesis that N315 retains the mecA gene in its more original form, which subsequently was mutated in MRSA cells to adapt to the S. aureus-specific cell wall synthesis machinery.

The two ORFs, N034 and N037, which showed homology to site-specific recombinases belonging to the invertase-resolvase family were found in the midst of mec DNA. Invertases are a well-known cause of DNA rearrangement in bacterial chromosomes or phage genomes resulting in the alteration of gene expression; e.g., Hin causes the phase transition from one flagellar antigen to another in Salmonella, and Gin, Cin, and Pin cause the inversion of specific DNA segments of bacteriophages which control their host ranges (12). Resolvases of the Tn3 type, also a member of the resolvase-invertase family, bind to the resolution site and accomplish transposition by resolving cointegrate (an intermediate of transposition) into two independent replicons (35). Most DNA invertases and resolvases are 180 to 190 aa in size and have a well-defined two-domain structure (1, 35). Although the predicted sizes of N034 and N037 are about two to three times larger than the site-specific recombinases of the invertase-resolvase family, the N-terminal thirds of the two proteins have substantial homology with the N-terminal domains of recombinases of the invertase-resolvase family; the domains are implicated in the strand-exchange function of site-specific recombination. The nested-PCR and sequencing experiment performed by using primers bracketing the attB sequence indicated that a recombination enzyme that can precisely excise mec DNA out of the chromosome is encoded on the N315 genome. The enzyme(s) responsible for the spontaneous mec DNA excision is thought to be a novel site-specific recombinase. In this regard, the ORFs N034 and N037 are good candidates for the genes responsible for the mec DNA-specific excision. Experiments are under way to clarify the function(s) of the products of the two ORFs.


    ACKNOWLEDGMENTS

We thank B. Berger-Bächi for the kind gift of NCTC8325 and K. Sasaki-Asada, M. Kaziro, E. Ozone, and K. Tsutsumimoto for excellent technical assistance.


    FOOTNOTES

* Corresponding author. Mailing address: Juntendo University, Department of Bacteriology, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421 Japan. Phone: 81-3-5802-1040. Fax: 81-3-5684-7830. E-mail: hiram{at}med.juntendo.ac.jp.


    REFERENCES
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

1. Abdel-Meguid, S. S., N. D. F. Grindley, N. S. Templeton, and T. A. Steitz. 1984. Cleavage of the site-specific recombination protein gamma delta resolvase: the smaller of two fragments binds DNA specifically. Proc. Natl. Acad. Sci. USA 81:2001-2005[Abstract/Free Full Text].
2. Archer, G. L., D. M. Niemeyer, J. A. Thanassi, and M. J. Pucci. 1994. Dissemination among staphylococci of DNA sequences associated with methicillin resistance. Antimicrob. Agents Chemother. 38:447-454[Abstract/Free Full Text].
3. Archer, G. L., J. A. Thanassi, D. M. Niemeyer, and M. J. Pucci. 1996. Characterization of IS1272, an insertion sequence-like element from Staphylococcus haemolyticus. Antimicrob. Agents Chemother. 40:924-929[Abstract].
4. Ayliffe, G. A. 1997. The progressive intercontinental spread of methicillin-resistant Staphylococcus aureus. Clin. Infect. Dis. 24(Suppl. 1):74-79.
5. Bannam, T. L., P. K. Crellin, and J. I. Rood. 1995. Molecular genetics of the chloramphenicol-resistance transposon Tn4451 from Clostridium perfringens: the TnpX site-specific recombinase excises a circular transposon molecule. Mol. Microbiol. 16:535-551[Medline].
6. Beck, W. D., B. Berger-Bächi, and F. H. Kayser. 1986. Additional DNA in methicillin-resistant Staphylococcus aureus and molecular cloning of mec-specific DNA. J. Bacteriol. 165:373-378[Abstract/Free Full Text].
7. Chikramane, S. G., P. R. Matthews, W. C. Noble, P. R. Stewart, and D. T. Dubin. 1991. Tn554 inserts in methicillin-resistant Staphylococcus aureus from Australia and England. J. Gen. Microbiol. 137:1303-1311[Abstract/Free Full Text].
8. Christiansen, B., L. Brondsted, F. K. Vogensen, and K. A. Hammer. 1996. Resolvase-like protein is required for the site-specific integration of the temperate lactococcal bacteriophage TP901-1. J. Bacteriol. 178:5164-5173[Abstract/Free Full Text].
9. Clewell, D. B. 1998. Conjugative transposons, p. 130-139. In F. J. de Bruijn, J. R. Lupski, and G. M. Weinstock (ed.), Bacterial genomes. Chapman & Hall, New York, N.Y.
10. Cohen, S., and H. M. Sweeney. 1970. Transduction of methicillin resistance in Staphylococcus aureus dependent on an unusual specificity of the recipient strain. J. Bacteriol. 104:1158-1167[Abstract/Free Full Text].
11. Dubin, D. T., P. R. Matthews, S. G. Chikramane, and P. R. Stewart. 1991. Physical mapping of the mec region of an American methicillin-resistant Staphylococcus aureus strain. Antimicrob. Agents Chemother. 35:1661-1665[Abstract/Free Full Text].
12. Glasgow, A. C., K. T. Hughes, and M. L. Simon. 1989. Bacterial DNA inversion systems, p. 637-660. In D. E. Berg, and M. M. Howe (ed.), Mobile DNA. American Society for Microbiology, Washington, D.C.
13. Hartman, B. J., and A. Tomasz. 1984. Low-affinity penicillin-binding protein associated with beta-lactam resistance in Staphylococcus aureus. J. Bacteriol. 158:513-516[Abstract/Free Full Text].
14. Hiramatsu, K., K. Asada, E. Suzuki, K. Okonogi, and T. Yokota. 1991. Molecular cloning and nucleotide sequence determination of the regulator region of mecA gene in methicillin-resistant Staphylococcus aureus (MRSA). FEBS Lett. 298:133-136.
15. Hiramatsu, K., N. Kondo, and T. Ito. 1996. Genetic basis for molecular epidemiology of MRSA. J. Infect. Chemother. 2:117-129.
16. Hiramatsu, K. 1995. Molecular evolution of MRSA. Microbiol. Immunol. 39:531-543[Medline].
17. Hurlimann-Dalei, R. L., C. Ryffel, F. H. Kayser, and B. Berger-Bächi. 1992. Survey of the methicillin resistance-associated genes mecA, mecR1-mecI, and femA-femB in clinical isolates of methicillin-resistant Staphylococcus aureus. Antimicrob. Agents Chemother. 36:2617-2621[Abstract/Free Full Text].
17a. Ito, T. Unpublished observation.
17b. Ito, T., Y. Katayama, and K. Hiramatsu. Unpublished observation.
18. Jevons, M. P. 1961. "Celbenin"-resistant staphylococci. Br. Med. J. 1:124-125.
19. Kuhl, S. A., P. A. Pattee, and J. N. Baldwin. 1978. Chromosomal map location of the methicillin resistance determinant in Staphylococcus aureus. J. Bacteriol. 135:460-465[Abstract/Free Full Text].
20. Kuwahara-Arai, K., N. Kondo, S. Hori, E. Tateda-Suzuki, and K. Hiramatsu. 1996. Suppression of methicillin resistance in a mecA-containing pre-methicillin-resistant Staphylococcus aureus strain is caused by the mecI-mediated repression of PBP2' production. Antimicrob. Agents Chemother. 40:2680-2685[Abstract].
21. Lacey, R. W. 1972. Genetic control in methicillin-resistant strains of Staphylococcus aureus. J. Med. Microbiol. 5:497-508[Abstract/Free Full Text].
22. Lee, C. A. 1996. Pathogenicity islands and the evolution of bacterial pathogens. Infect. Agents Dis. 5:1-7[Medline].
23. Loessner, M. J., S. K. Maier, H. Daubek-Puza, G. Wendlinger, and S. Scherer. 1997. Three Bacillus cereus bacteriophage endolysins are unrelated but reveal high homology to cell wall hydrolases from different bacilli. J. Bacteriol. 179:22845-2851.
24. Matthews, P., and A. Tomasz. 1990. Insertional inactivation of the mec gene in a transposon mutant of a methicillin-resistant clinical isolate of Staphylococcus aureus. Antimicrob. Agents Chemother. 34:1777-1779[Abstract/Free Full Text].
25. McKenzie, T., T. Hoshino, T. Tanaka, and N. Sueoka. 1986. The nucleotide sequence of pUB110: some salient features in relation to replication and its regulation. Plasmid 15:93-103[Medline].
26. Murphy, E., L. Huwyler, and M. C. Bastos. 1985. Transposon Tn554: complete nucleotide sequences and isolation of transposition-defective and antibiotic-sensitive mutants. EMBO J. 4:3357-3365[Medline].
27. Pattee, P. A., H.-C. Lee, and J. P. Bannantine. 1990. Genetic and physical mapping of the chromosome of Staphylococcus aureus, p. 41-58. In R. P. Novick (ed.), Molecular biology of the staphylococci. VCH Publishers, New York, N.Y.
28. Quintiliani, R., Jr., and P. Courvalin. 1995. Mechanism of resistance to antimicrobial agents. In P. R. Murray, E. J. Baron, M. A. Pfaller, F. C. Tenover, and R. H. Yolken (ed.), Manual of clinical microbiology. American Society for Microbiology, Washington, D.C.
29. Recchia, G. D., and R. M. Hall. 1995. Gene cassettes: a new class of mobile element. Microbiology 141:3015-3027[Free Full Text].
30. Reynolds, P. E., and D. F. J. Brown. 1985. Penicillin-binding proteins of beta-lactam-resistant strains of Staphylococcus aureus. FEBS Lett. 192:28-32[Medline].
31. Ryffel, C., W. Tesch, I. Birch-Machin, P. E. Reynolds, L. Barberis-Makino, F. H. Kayser, and B. Berger-Bächi. 1990. Sequence comparison of mecA genes isolated from methicillin-resistant Staphylococcus aureus and Staphylococcus epidermidis. Gene 94:137-138[Medline].
32. Ryffel, C., R. Bucher, F. H. Kayser, and B. Berger-Bächi. 1991. The Staphylococcus aureus mec determinant comprises an unusual cluster of direct repeats and codes for a gene product similar to the Escherichia coli sn-glycerophosphoryl diester phosphodiesterase. J. Bacteriol. 173:7416-7422[Abstract/Free Full Text].
33. Sambrook, J., E. F. Fritsch, and T. Maniatis. 1989. Molecular cloning: a laboratory manual. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.
34. Schleifer, K. H. 1986. Gram-positive cocci, p. 999-1002. In P. H. A. Sneath, N. S. Mair, M. E. Sharpe, and J. G. Holt (ed.), Bergey's manual of systematic bacteriology. Williams & Wilkins, Baltimore, Md.
35. Sherratt, D. 1989. Tn3 and related transposable elements: site-specific recombination and transposition, p. 163-184. In D. E. Berg, and M. M. Howe (ed.), Mobile DNA. American Society for Microbiology, Washington, D.C.
36. Sjöström, J.-E., S. Löfdahl, and L. Philipson. 1975. Transformation reveals a chromosomal locus of the gene(s) for methicillin-resistance in Staphylococcus aureus. J. Bacteriol. 123:905-915[Abstract/Free Full Text].
37. Skinner, S., B. Ingli, P. R. Matthews, and P. R. Stewart. 1988. Mercury and tetracycline resistance genes and flanking repeats associated with methicillin resistance on the chromosome of Staphylococcus aureus. Mol. Microbiol. 2:289-298[Medline].
38. Song, M. D., M. Wachi, M. Doi, F. Ishino, and M. Matsuhashi. 1987. Evolution of an inducible penicillin-target protein in methicillin-resistant Staphylococcus aureus by gene fusion. FEBS Lett. 221:167-171[Medline].
39. Stokes, H. W., D. B. O'Gorman, G. D. Recchia, M. Persekhian, and R. M. Hall. 1997. Structure and function of 59-base element recombination sites associated with mobile gene cassettes. Mol. Microbiol. 26:731-745[Medline].
40. Stragier, P., B. Kunkel, L. Kroos, and R. Losick. 1989. Chromosomal rearrangement generating a composite gene for a developmental transcription factor. Science 243:507-512[Abstract/Free Full Text].
41. Sugiura, A., K. Nakashima, K. Tanaka, and T. Muzuno. 1992. Clarification of the structural and functional features of the osmoregulated kdp operon of Escherichia coli. Mol. Microbiol. 6:1769-1776[Medline].
42. Suzuki, E., K. Hiramatsu, and T. Yokota. 1992. Survey of methicillin-resistant clinical strains of coagulase-negative staphylococci for mecA gene distribution. Antimicrob. Agents Chemother. 36:429-434[Abstract/Free Full Text].
43. Suzuki, E., K. Kuwahara-Arai, J. F. Richardson, and K. Hiramatsu. 1993. Distribution of mec regulator genes in methicillin-resistant Staphylococcus clinical strains. Antimicrob. Agents Chemother. 37:1219-1226[Abstract/Free Full Text].
44. Takemaru, K., M. Mizuno, T. Sato, M. Takeuchi, and Y. Kobayashi. 1995. Complete nucleotide sequence of a skin element excised by DNA rearrangement during sporulation in Bacillus subtilis. Microbiology 141:323-327[Abstract/Free Full Text].
45. Thakker-Varia, S., W. D. Jenssen, L. Moon-McDermott, M. P. Weinstein, and D. T. Dubin. 1987. Molecular epidemiology of macrolides-lincosamides-streptogramin B resistance in Staphylococcus aureus and coagulase-negative staphylococci. Antimicrob. Agents Chemother. 31:735-743[Abstract/Free Full Text].
46. Trees, D. L., and J. J. Iandolo. 1988. Identification of a Staphylococcus aureus transposon (Tn4291) that carries the methicillin resistance gene(s). J. Bacteriol. 170:149-154[Abstract/Free Full Text].
47. Ubukata, K., R. Nonoguchi, M. Matsuhashi, M. D. Song, and M. Konno. 1989. Restriction maps of the regions coding for methicillin and tobramycin resistances on chromosomal DNA in methicillin-resistant staphylococci. Antimicrob. Agents Chemother. 33:1624-1626[Abstract/Free Full Text].
48. Utsui, Y., and T. Yokota. 1985. Role of an altered penicillin-binding protein in methicillin- and cephem-resistant Staphylococcus aureus. Antimicrob. Agents Chemother. 28:397-403[Abstract/Free Full Text].

Antimicrobial Agents and Chemotherapy, June 1999, p. 1449-1458, Vol. 43, No. 6
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.


This article has been cited by other articles:

  • Cai, L., Kong, F., Wang, Q., Wang, H., Xiao, M., Sintchenko, V., Gilbert, G. L. (2009). A new multiplex PCR-based reverse line-blot hybridization (mPCR/RLB) assay for rapid staphylococcal cassette chromosome mec (SCCmec) typing. J Med Microbiol 58: 1045-1057 [Abstract] [Full Text]  
  • Argudin, M. A., Mendoza, M. C., Mendez, F. J., Martin, M. C., Guerra, B., Rodicio, M. R. (2009). Clonal Complexes and Diversity of Exotoxin Gene Profiles in Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Isolates from Patients in a Spanish Hospital. J. Clin. Microbiol. 47: 2097-2105 [Abstract] [Full Text]  
  • Ruppe, E., Barbier, F., Mesli, Y., Maiga, A., Cojocaru, R., Benkhalfat, M., Benchouk, S., Hassaine, H., Maiga, I., Diallo, A., Koumare, A. K., Ouattara, K., Soumare, S., Dufourcq, J.-B., Nareth, C., Sarthou, J.-L., Andremont, A., Ruimy, R. (2009). Diversity of Staphylococcal Cassette Chromosome mec Structures in Methicillin-Resistant Staphylococcus epidermidis and Staphylococcus haemolyticus Strains among Outpatients from Four Countries. Antimicrob. Agents Chemother. 53: 442-449 [Abstract] [Full Text]  
  • Liu, Y., Wang, H., Du, N., Shen, E., Chen, H., Niu, J., Ye, H., Chen, M. (2009). Molecular Evidence for Spread of Two Major Methicillin-Resistant Staphylococcus aureus Clones with a Unique Geographic Distribution in Chinese Hospitals. Antimicrob. Agents Chemother. 53: 512-518 [Abstract] [Full Text]  
  • Zhang, K., McClure, J.-A., Elsayed, S., Conly, J. M. (2009). Novel Staphylococcal Cassette Chromosome mec Type, Tentatively Designated Type VIII, Harboring Class A mec and Type 4 ccr Gene Complexes in a Canadian Epidemic Strain of Methicillin-Resistant Staphylococcus aureus. Antimicrob. Agents Chemother. 53: 531-540 [Abstract] [Full Text]  
  • Berglund, C., Ito, T., Ma, X. X., Ikeda, M., Watanabe, S., Soderquist, B., Hiramatsu, K. (2009). Genetic diversity of methicillin-resistant Staphylococcus aureus carrying type IV SCCmec in Orebro County and the western region of Sweden. J Antimicrob Chemother 63: 32-41 [Abstract] [Full Text]  
  • Berglund, C., Ito, T., Ikeda, M., Ma, X. X., Soderquist, B., Hiramatsu, K. (2008). Novel Type of Staphylococcal Cassette Chromosome mec in a Methicillin-Resistant Staphylococcus aureus Strain Isolated in Sweden. Antimicrob. Agents Chemother. 52: 3512-3516 [Abstract] [Full Text]  
  • Faria, N. A., Carrico, J. A., Oliveira, D. C., Ramirez, M., de Lencastre, H. (2008). Analysis of Typing Methods for Epidemiological Surveillance of both Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Strains. J. Clin. Microbiol. 46: 136-144 [Abstract] [Full Text]  
  • Mombach Pinheiro Machado, A. B., Reiter, K. C., Paiva, R. M., Barth, A. L. (2007). Distribution of staphylococcal cassette chromosome mec (SCCmec) types I, II, III and IV in coagulase-negative staphylococci from patients attending a tertiary hospital in southern Brazil. J Med Microbiol 56: 1328-1333 [Abstract] [Full Text]  
  • Milheirico, C., Oliveira, D. C., de Lencastre, H. (2007). Update to the Multiplex PCR Strategy for Assignment of mec Element Types in Staphylococcus aureus. Antimicrob. Agents Chemother. 51: 3374-3377 [Abstract] [Full Text]  
  • Stephens, A. J., Huygens, F., Giffard, P. M. (2007). Systematic Derivation of Marker Sets for Staphylococcal Cassette Chromosome mec Typing. Antimicrob. Agents Chemother. 51: 2954-2964 [Abstract] [Full Text]  
  • Milheirico, C., Oliveira, D. C., de Lencastre, H. (2007). Multiplex PCR strategy for subtyping the staphylococcal cassette chromosome mec type IV in methicillin-resistant Staphylococcus aureus: 'SCCmec IV multiplex'. J Antimicrob Chemother 60: 42-48 [Abstract] [Full Text]  
  • Hanssen, A.-M., Sollid, J. U. E. (2007). Multiple Staphylococcal Cassette Chromosomes and Allelic Variants of Cassette Chromosome Recombinases in Staphylococcus aureus and Coagulase-Negative Staphylococci from Norway. Antimicrob. Agents Chemother. 51: 1671-1677 [Abstract] [Full Text]  
  • Miragaia, M., Thomas, J. C., Couto, I., Enright, M. C., de Lencastre, H. (2007). Inferring a Population Structure for Staphylococcus epidermidis from Multilocus Sequence Typing Data. J. Bacteriol. 189: 2540-2552 [Abstract] [Full Text]  
  • Kondo, Y., Ito, T., Ma, X. X., Watanabe, S., Kreiswirth, B. N., Etienne, J., Hiramatsu, K. (2007). Combination of Multiplex PCRs for Staphylococcal Cassette Chromosome mec Type Assignment: Rapid Identification System for mec, ccr, and Major Differences in Junkyard Regions. Antimicrob. Agents Chemother. 51: 264-274 [Abstract] [Full Text]  
  • Heusser, R., Ender, M., Berger-Bachi, B., McCallum, N. (2007). Mosaic Staphylococcal Cassette Chromosome mec Containing Two Recombinase Loci and a New mec Complex, B2. Antimicrob. Agents Chemother. 51: 390-393 [Abstract] [Full Text]  
  • Ma, X. X., Ito, T., Chongtrakool, P., Hiramatsu, K. (2006). Predominance of Clones Carrying Panton-Valentine Leukocidin Genes among Methicillin-Resistant Staphylococcus aureus Strains Isolated in Japanese Hospitals from 1979 to 1985. J. Clin. Microbiol. 44: 4515-4527 [Abstract] [Full Text]  
  • Oliveira, D. C., Milheirico, C., de Lencastre, H. (2006). Redefining a Structural Variant of Staphylococcal Cassette Chromosome mec, SCCmec Type VI.. Antimicrob. Agents Chemother. 50: 3457-3459 [Abstract] [Full Text]  
  • Revazishvili, T., Bakanidze, L., Gomelauri, T., Zhgenti, E., Chanturia, G., Kekelidze, M., Rajanna, C., Kreger, A., Sulakvelidze, A. (2006). Genetic Background and Antibiotic Resistance of Staphylococcus aureus Strains Isolated in the Republic of Georgia.. J. Clin. Microbiol. 44: 3477-3483 [Abstract] [Full Text]  
  • Oliveira, D. C., Milheirico, C., Vinga, S., de Lencastre, H. (2006). Assessment of allelic variation in the ccrAB locus in methicillin-resistant Staphylococcus aureus clones. J Antimicrob Chemother 58: 23-30 [Abstract] [Full Text]  
  • Chongtrakool, P., Ito, T., Ma, X. X., Kondo, Y., Trakulsomboon, S., Tiensasitorn, C., Jamklang, M., Chavalit, T., Song, J.-H., Hiramatsu, K. (2006). Staphylococcal Cassette Chromosome mec (SCCmec) Typing of Methicillin-Resistant Staphylococcus aureus Strains Isolated in 11 Asian Countries: a Proposal for a New Nomenclature for SCCmec Elements. Antimicrob. Agents Chemother. 50: 1001-1012 [Abstract] [Full Text]  
  • Malik, S., Peng, H., Barton, M. D. (2006). Partial Nucleotide Sequencing of the mecA Genes of Staphylococcus aureus Isolates from Cats and Dogs. J. Clin. Microbiol. 44: 413-416 [Abstract] [Full Text]  
  • Yang, J. A., Park, D. W., Sohn, J. W., Kim, M. J. (2006). Novel PCR-Restriction Fragment Length Polymorphism Analysis for Rapid Typing of Staphylococcal Cassette Chromosome mec Elements. J. Clin. Microbiol. 44: 236-238 [Abstract] [Full Text]  
  • van der Zee, A., Heck, M., Sterks, M., Harpal, A., Spalburg, E., Kazobagora, L., Wannet, W. (2005). Recognition of SCCmec Types According to Typing Pattern Determined by Multienzyme Multiplex PCR-Amplified Fragment Length Polymorphism Analysis of Methicillin-Resistant Staphylococcus aureus. J. Clin. Microbiol. 43: 6042-6047 [Abstract] [Full Text]  
  • Rihn, J. A., Michaels, M. G., Harner, C. D. (2005). Community-Acquired Methicillin-Resistant Staphylococcus aureus: An Emerging Problem in the Athletic Population. Am J Sports Med 33: 1924-1929 [Abstract] [Full Text]  
  • Takeuchi, F., Watanabe, S., Baba, T., Yuzawa, H., Ito, T., Morimoto, Y., Kuroda, M., Cui, L., Takahashi, M., Ankai, A., Baba, S.-i., Fukui, S., Lee, J. C., Hiramatsu, K. (2005). Whole-Genome Sequencing of Staphylococcus haemolyticus Uncovers the Extreme Plasticity of Its Genome and the Evolution of Human-Colonizing Staphylococcal Species. J. Bacteriol. 187: 7292-7308 [Abstract] [Full Text]  
  • Zhang, K., McClure, J.-A., Elsayed, S., Louie, T., Conly, J. M. (2005). Novel Multiplex PCR Assay for Characterization and Concomitant Subtyping of Staphylococcal Cassette Chromosome mec Types I to V in Methicillin-Resistant Staphylococcus aureus. J. Clin. Microbiol. 43: 5026-5033 [Abstract] [Full Text]  
  • Kwon, N. H., Park, K. T., Moon, J. S., Jung, W. K., Kim, S. H., Kim, J. M., Hong, S. K., Koo, H. C., Joo, Y. S., Park, Y. H. (2005). Staphylococcal cassette chromosome mec (SCCmec) characterization and molecular analysis for methicillin-resistant Staphylococcus aureus and novel SCCmec subtype IVg isolated from bovine milk in Korea. J Antimicrob Chemother 56: 624-632 [Abstract] [Full Text]  
  • Hisata, K., Kuwahara-Arai, K., Yamanoto, M., Ito, T., Nakatomi, Y., Cui, L., Baba, T., Terasawa, M., Sotozono, C., Kinoshita, S., Yamashiro, Y., Hiramatsu, K. (2005). Dissemination of Methicillin-Resistant Staphylococci among Healthy Japanese Children. J. Clin. Microbiol. 43: 3364-3372 [Abstract] [Full Text]  
  • Trindade, P. d. A., Pacheco, R. L., Costa, S. F., Rossi, F., Barone, A. A., Mamizuka, E. M., Levin, A. S. (2005). Prevalence of SCCmec Type IV in Nosocomial Bloodstream Isolates of Methicillin-Resistant Staphylococcus aureus. J. Clin. Microbiol. 43: 3435-3437 [Abstract] [Full Text]  
  • Shore, A., Rossney, A. S., Keane, C. T., Enright, M. C., Coleman, D. C. (2005). Seven Novel Variants of the Staphylococcal Chromosomal Cassette mec in Methicillin-Resistant Staphylococcus aureus Isolates from Ireland. Antimicrob. Agents Chemother. 49: 2070-2083 [Abstract] [Full Text]  
  • Katayama, Y., Robinson, D. A., Enright, M. C., Chambers, H. F. (2005). Genetic Background Affects Stability of mecA in Staphylococcus aureus. J. Clin. Microbiol. 43: 2380-2383 [Abstract] [Full Text]  
  • Zhang, H., Morikawa, K., Ohta, T., Kato, Y. (2005). In vitro resistance to the CS{alpha}{beta}-type antimicrobial peptide ASABF- is conferred by overexpression of sigma factor sigB in Staphylococcus aureus. J Antimicrob Chemother 55: 686-691 [Abstract] [Full Text]  
  • Juuti, K., Ibrahem, S., Virolainen-Julkunen, A., Vuopio-Varkila, J., Kuusela, P. (2005). The pls Gene Found in Methicillin-Resistant Staphylococcus aureus Strains Is Common in Clinical Isolates of Staphylococcus sciuri. J. Clin. Microbiol. 43: 1415-1419 [Abstract] [Full Text]  
  • Warren, D. K., Liao, R. S., Merz, L. R., Eveland, M., Dunne, W. M. Jr. (2004). Detection of Methicillin-Resistant Staphylococcus aureus Directly from Nasal Swab Specimens by a Real-Time PCR Assay. J. Clin. Microbiol. 42: 5578-5581 [Abstract] [Full Text]  
  • Shukla, S. K., Ramaswamy, S. V., Conradt, J., Stemper, M. E., Reich, R., Reed, K. D., Graviss, E. A. (2004). Novel Polymorphisms in mec Genes and a New mec Complex Type in Methicillin-Resistant Staphylococcus aureus Isolates Obtained in Rural Wisconsin. Antimicrob. Agents Chemother. 48: 3080-3085 [Abstract] [Full Text]  
  • Ito, T., Ma, X. X., Takeuchi, F., Okuma, K., Yuzawa, H., Hiramatsu, K. (2004). Novel Type V Staphylococcal Cassette Chromosome mec Driven by a Novel Cassette Chromosome Recombinase, ccrC. Antimicrob. Agents Chemother. 48: 2637-2651 [Abstract] [Full Text]  
  • Huletsky, A., Giroux, R., Rossbach, V., Gagnon, M., Vaillancourt, M., Bernier, M., Gagnon, F., Truchon, K., Bastien, M., Picard, F. J., van Belkum, A., Ouellette, M., Roy, P. H., Bergeron, M. G. (2004). New Real-Time PCR Assay for Rapid Detection of Methicillin- Resistant Staphylococcus aureus Directly from Specimens Containing a Mixture of Staphylococci. J. Clin. Microbiol. 42: 1875-1884 [Abstract] [Full Text]  
  • Huygens, F., Stephens, A. J., Nimmo, G. R., Giffard, P. M. (2004). mecA Locus Diversity in Methicillin-Resistant Staphylococcus aureus Isolates in Brisbane, Australia, and the Development of a Novel Diagnostic Procedure for the Western Samoan Phage Pattern Clone. J. Clin. Microbiol. 42: 1947-1955 [Abstract] [Full Text]  
  • Donnio, P.-Y., Preney, L., Gautier-Lerestif, A.-L., Avril, J.-L., Lafforgue, N. (2004). Changes in staphylococcal cassette chromosome type and antibiotic resistance profile in methicillin-resistant Staphylococcus aureus isolates from a French hospital over an 11 year period. J Antimicrob Chemother 53: 808-813 [Abstract] [Full Text]  
  • Kozitskaya, S., Cho, S.-H., Dietrich, K., Marre, R., Naber, K., Ziebuhr, W. (2004). The Bacterial Insertion Sequence Element IS256 Occurs Preferentially in Nosocomial Staphylococcus epidermidis Isolates: Association with Biofilm Formation and Resistance to Aminoglycosides. Infect. Immun. 72: 1210-1215 [Abstract] [Full Text]  
  • Severin, A., Tabei, K., Tenover, F., Chung, M., Clarke, N., Tomasz, A. (2004). High Level Oxacillin and Vancomycin Resistance and Altered Cell Wall Composition in Staphylococcus aureus Carrying the Staphylococcal mecA and the Enterococcal vanA Gene Complex. J. Biol. Chem. 279: 3398-3407 [Abstract] [Full Text]  
  • Hanssen, A.-M., Kjeldsen, G., Sollid, J. U. E. (2004). Local Variants of Staphylococcal Cassette Chromosome mec in Sporadic Methicillin-Resistant Staphylococcus aureus and Methicillin-Resistant Coagulase-Negative Staphylococci: Evidence of Horizontal Gene Transfer?. Antimicrob. Agents Chemother. 48: 285-296 [Abstract] [Full Text]  
  • Wisplinghoff, H., Rosato, A. E., Enright, M. C., Noto, M., Craig, W., Archer, G. L. (2003). Related Clones Containing SCCmec Type IV Predominate among Clinically Significant Staphylococcus epidermidis Isolates. Antimicrob. Agents Chemother. 47: 3574-3579 [Abstract] [Full Text]  
  • McDougal, L. K., Steward, C. D., Killgore, G. E., Chaitram, J. M., McAllister, S. K., Tenover, F. C. (2003). Pulsed-Field Gel Electrophoresis Typing of Oxacillin-Resistant Staphylococcus aureus Isolates from the United States: Establishing a National Database. J. Clin. Microbiol. 41: 5113-5120 [Abstract] [Full Text]  
  • Katayama, Y., Zhang, H.-Z., Hong, D., Chambers, H. F. (2003). Jumping the Barrier to {beta}-Lactam Resistance in Staphylococcus aureus. J. Bacteriol. 185: 5465-5472 [Abstract] [Full Text]  
  • Rohrer, S., Maki, H., Berger-Bachi, B. (2003). What makes resistance to methicillin heterogeneous?. J Med Microbiol 52: 605-607 [Full Text]  
  • Vakulenko, S. B., Mobashery, S. (2003). Versatility of Aminoglycosides and Prospects for Their Future. Clin. Microbiol. Rev. 16: 430-450 [Abstract] [Full Text]  
  • Katayama, Y., Takeuchi, F., Ito, T., Ma, X. X., Ui-Mizutani, Y., Kobayashi, I., Hiramatsu, K. (2003). Identification in Methicillin-Susceptible Staphylococcus hominis of an Active Primordial Mobile Genetic Element for the Staphylococcal Cassette Chromosome mec of Methicillin-Resistant Staphylococcus aureus. J. Bacteriol. 185: 2711-2722 [Abstract] [Full Text]  
  • Rohrer, S., Berger-Bachi, B. (2003). FemABX Peptidyl Transferases: a Link between Branched-Chain Cell Wall Peptide Formation and {beta}-Lactam Resistance in Gram-Positive Cocci. Antimicrob. Agents Chemother. 47: 837-846 [Full Text]  
  • Yoshida, R., Kuwahara-Arai, K., Baba, T., Cui, L., Richardson, J. F., Hiramatsu, K. (2003). Physiological and molecular analysis of a mecA-negative Staphylococcus aureus clinical strain that expresses heterogeneous methicillin resistance. J Antimicrob Chemother 51: 247-255 [Abstract] [Full Text]  
  • Oliveira, D. C., Lencastre, H. d. (2002). Multiplex PCR Strategy for Rapid Identification of Structural Types and Variants of the mec Element in Methicillin-Resistant Staphylococcus aureus. Antimicrob. Agents Chemother. 46: 2155-2161 [Abstract] [Full Text]  
  • Luong, T. T., Ouyang, S., Bush, K., Lee, C. Y. (2002). Type 1 Capsule Genes of Staphylococcus aureus Are Carried in a Staphylococcal Cassette Chromosome Genetic Element. J. Bacteriol. 184: 3623-3629 [Abstract] [Full Text]  
  • Enright, M. C., Robinson, D. A., Randle, G., Feil, E. J., Grundmann, H., Spratt, B. G. (2002). The evolutionary history of methicillin-resistant Staphylococcus aureus (MRSA). Proc. Natl. Acad. Sci. USA 99: 7687-7692 [Abstract] [Full Text]  
  • Ma, X. X., Ito, T., Tiensasitorn, C., Jamklang, M., Chongtrakool, P., Boyle-Vavra, S., Daum, R. S., Hiramatsu, K. (2002). Novel Type of Staphylococcal Cassette Chromosome mec Identified in Community-Acquired Methicillin-Resistant Staphylococcus aureus Strains. Antimicrob. Agents Chemother. 46: 1147-1152 [Abstract] [Full Text]  
  • McKinney, T. K., Sharma, V. K., Craig, W. A., Archer, G. L. (2001). Transcription of the Gene Mediating Methicillin Resistance in Staphylococcus aureus (mecA) Is Corepressed but Not Coinduced by Cognate mecA and beta -Lactamase Regulators. J. Bacteriol. 183: 6862-6868 [Abstract] [Full Text]  
  • Venezia, R. A., Domaracki, B. E., Evans, A. M., Preston, K. E., Graffunder, E. M. (2001). Selection of high-level oxacillin resistance in heteroresistant Staphylococcus aureus by fluoroquinolone exposure. J Antimicrob Chemother 48: 375-381 [Abstract] [Full Text]  
  • Fitzgerald, J. R., Sturdevant, D. E., Mackie, S. M., Gill, S. R., Musser, J. M. (2001). Evolutionary genomics of Staphylococcus aureus: Insights into the origin of methicillin-resistant strains and the toxic shock syndrome epidemic. Proc. Natl. Acad. Sci. USA 10.1073/pnas.161098098v1 [Abstract] [Full Text]  
  • Katayama, Y., Ito, T., Hiramatsu, K. (2001). Genetic Organization of the Chromosome Region Surrounding mecA in Clinical Staphylococcal Strains: Role of IS431-Mediated mecI Deletion in Expression of Resistance in mecA-Carrying, Low-Level Methicillin- Resistant Staphylococcus haemolyticus. Antimicrob. Agents Chemother. 45: 1955-1963 [Abstract] [Full Text]  
  • Salmenlinna, S., Vuopio-Varkila, J. (2001). Recognition of Two Groups of Methicillin-Resistant Staphylococcus aureus Strains Based on Epidemiology, Antimicrobial Susceptibility, Hypervariable-Region Type, and Ribotype in Finland. J. Clin. Microbiol. 39: 2243-2247 [Abstract] [Full Text]  
  • Ito, T., Katayama, Y., Asada, K., Mori, N., Tsutsumimoto, K., Tiensasitorn, C., Hiramatsu, K. (2001). Structural Comparison of Three Types of Staphylococcal Cassette Chromosome mec Integrated in the Chromosome in Methicillin-Resistant Staphylococcus aureus. Antimicrob. Agents Chemother. 45: 1323-1336 [Abstract] [Full Text]  
  • Savolainen, K., Paulin, L., Westerlund-Wikstrom, B., Foster, T. J., Korhonen, T. K., Kuusela, P. (2001). Expression of pls, a Gene Closely Associated with the mecA Gene of Methicillin-Resistant Staphylococcus aureus, Prevents Bacterial Adhesion In Vitro. Infect. Immun. 69: 3013-3020 [Abstract] [Full Text]  
  • Pournaras, S., Slavakis, A., Polyzou, A., Sofianou, D., Maniatis, A. N., Tsakris, A. (2001). Nosocomial Spread of an Unusual Methicillin-Resistant Staphylococcus aureus Clone That Is Sensitive to All Non-{beta}-Lactam Antibiotics, Including Tobramycin. J. Clin. Microbiol. 39: 779-781 [Abstract] [Full Text]  
  • Kobayashi, N., Alam, M. M., Urasawa, S. (2001). Genomic Rearrangement of the mec Regulator Region Mediated by Insertion of IS431 in Methicillin-Resistant Staphylococci. Antimicrob. Agents Chemother. 45: 335-338 [Abstract] [Full Text]  
  • Wang, H., Mullany, P. (2000). The Large Resolvase TndX Is Required and Sufficient for Integration and Excision of Derivatives of the Novel Conjugative Transposon Tn5397. J. Bacteriol. 182: 6577-6583 [Abstract] [Full Text]  
  • Santagati, M., Iannelli, F., Oggioni, M. R., Stefani, S., Pozzi, G. (2000). Characterization of a Genetic Element Carrying the Macrolide Efflux Gene mef(A) in Streptococcus pneumoniae. Antimicrob. Agents Chemother. 44: 2585-2587 [Abstract] [Full Text]  
  • Oliveira, D. C., Wu, S. W., de Lencastre, H. (2000). Genetic Organization of the Downstream Region of the mecA Element in Methicillin-Resistant Staphylococcus aureus Isolates Carrying Different Polymorphisms of This Region. Antimicrob. Agents Chemother. 44: 1906-1910 [Abstract] [Full Text]  
  • Simpson, A. E., Skurray, R. A., Firth, N. (2000). An IS257-Derived Hybrid Promoter Directs Transcription of a tetA(K) Tetracycline Resistance Gene in the Staphylococcus aureus Chromosomal mec Region. J. Bacteriol. 182: 3345-3352 [Abstract] [Full Text]  
  • Katayama, Y., Ito, T., Hiramatsu, K. (2000). A New Class of Genetic Element, Staphylococcus Cassette Chromosome mec, Encodes Methicillin Resistance in Staphylococcus aureus. Antimicrob. Agents Chemother. 44: 1549-1555 [Abstract] [Full Text]  
  • Fitzgerald, J. R., Sturdevant, D. E., Mackie, S. M., Gill, S. R., Musser, J. M. (2001). Evolutionary genomics of Staphylococcus aureus: Insights into the origin of methicillin-resistant strains and the toxic shock syndrome epidemic. Proc. Natl. Acad. Sci. USA 98: 8821-8826 [Abstract] [Full Text]  

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ito, T.
Right arrow Articles by Hiramatsu, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ito, T.
Right arrow Articles by Hiramatsu, K.

Copyright © 2009 by the American Society for Microbiology.   For an alternate route to Journals.ASM.org, visit: http://intl-journals.asm.org | More Info»