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Antimicrobial Agents and Chemotherapy, February 2000, p. 393-395, Vol. 44, No. 2
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Acquisition of Chloramphenicol Resistance by the
Linearization and Integration of the Entire Staphylococcal Plasmid
pC194 into the Chromosome of Streptococcus
pneumoniae
Carol A.
Widdowson,
Peter V.
Adrian, and
Keith P.
Klugman*
Medical Research Council, South African
Institute for Medical Research, WITS Pneumococcal Diseases Research
Unit, Johannesburg, South Africa
Received 17 May 1999/Returned for modification 22 July
1999/Accepted 1 November 1999
 |
ABSTRACT |
Chloramphenicol resistance in Streptococcus pneumoniae
was associated with cat, which has 100% identity with
catpC194 from Staphylococcus
aureus. Inverse PCR with primers specific for pC194 confirmed
that in some isolates the entire staphylococcal plasmid was present in
the S. pneumoniae chromosome, with linearization having
occurred between catpC194 and the origin of replication.
 |
TEXT |
Resistance to chloramphenicol in
Streptococcus pneumoniae is due to the acetylation of the
antibiotic by the production of a chloramphenicol acetyltransferase
(CAT) (4, 11). In S. pneumoniae, cat
is carried on the conjugate transposon Tn5253 (18), a composite transposon consisting of the tetracycline resistance transposon Tn5251 and Tn5252, a 47-kb
transposon carrying the chloramphenicol resistance determinant
(1). Tn5252 is capable of conjugal transfer
between pneumococci and Streptococcus agalactiae, Streptococcus gordonii, and Enterococcus faecalis
(1, 17), most likely through site-specific recombination
(17). Chloramphenicol-resistant S. pneumoniae has
been shown to contain sequences homologous to catpC194 and other flanking sequences from the
Staphylococcus aureus plasmid pC194 (5, 14).
S. pneumoniae does not naturally have plasmids that confer
antibiotic resistance. pC194 has been introduced into S. pneumoniae in the laboratory by transformation, but the plasmid is
lost at a rate of 2% per generation when it is grown in the absence of
chloramphenicol (2). The aim of the study described here was
to determine the nature of and putative origins of cat in
S. pneumoniae.
Bacterial isolates.
S. pneumoniae R6 and ATCC 49619 were
used as chloramphenicol-sensitive controls. Twenty-five
chloramphenicol-resistant (MICs, 8 to 16 µg/ml) clinical isolates of
S. pneumoniae were obtained between 1990 and 1995 from the
South African Institute for Medical Research, Johannesburg, South
Africa. MICs were determined on Mueller-Hinton agar supplemented with
5% horse blood by an agar dilution method as described by the National
Committee for Clinical Laboratory Standards (12).
Detection of the cat gene.
PCR amplification with
primers F3 and R3 (Fig. 1) was used to
detect catpC194 in all 25 clinical S. pneumoniae isolates. Pulsed-field gel electrophoresis profiles
(9) showed that more than half of the isolates (including
strain 1) were closely related to the Spain23F-1 clone. Six
genotypically unrelated strains were selected for further study (data
not shown). The resistance profiles and serotypes of these strains are
shown in Table 1. To determine whether
catpC194 was located within the chromosomes of
these six strains, a Southern blot of a pulsed-field gel of
SmaI restricted and unrestricted DNA was probed with a
whole-gene probe for catpC194 (random primed DNA
labelling kit; Boehringer Mannheim, Mannheim, Germany). The largest
SmaI restriction fragment (>300 kb) from each of the six chloramphenicol-resistant strains hybridized to the
catpC194 probe. In the unrestricted
samples, only the chromosomal DNA hybridized to the
catpC194 probe. Extrachromosomal DNA in the form
of small cryptic plasmids was detected in two chloramphenicol-resistant strains and did not hybridize to the catpC194
probe.

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FIG. 1.
Nucleotide sequences of the 5' and 3' ends of pC194
(capital letters) (8) and the flanking DNA (lowercase
letters). The sequences of the primers used for PCR and sequencing
reactions are shown in boldface type, and the 5' to 3' direction is
indicated ( ). Regions of secondary structure (inverted repeats
 ) at the 5' and 3' ends of pC194 are indicated. The nicked site
within the origin of replication (underlined) is indicated
(10). Insertions into the pC194 sequence described
previously (8) are shaded, and the T-to-C substitution in
the origin of replication is indicated.
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TABLE 1.
Genetypically unrelated chloramphenicol-sensitive and
-resistant strains of S. pneumoniae, the serotype,
resistance profile, and the presence of regions of pC194 and the
flanking structures determined by PCR with the primers described
in Fig. 1
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Sequence analysis.
Double-stranded PCR products were sequenced
in both directions with the fmol cycle sequencing kit
(Promega, Madison, Wis.) according to the manufacturer's
recommendations. The nucleotide sequence of cat from strain
1 was determined with primers F2 and R3 (Fig. 1). In addition, internal
cat primers were used for sequencing. The nucleotide
sequence of cat from this strain shared 100% identity with
catpC194. Further PCR analysis showed that pC194
was present in this strain (data not shown) and that the plasmid
sequence was linearized between catpC194 and
reppC194. To determine the position of
linearization and the flanking sequence of pC194, inverse PCR was
performed with primers R2 and F4 (Fig. 1) on
EcoRI-restricted and -ligated fragments. A 3.8-kb amplicon
which could be restricted with EcoRI into fragments of 1.6 and 2.2 kb was obtained (data not shown). Nucleotide sequencing of the
inverse PCR product with primers R2 and F4 showed that pC194 was
linearized at a position 1088 nucleotides from the published
MboI site (8) (accession no. J01754) (Fig. 1).
The nucleotide sequence flanking pC194 (346 bp upstream and 265 bp
downstream; Fig. 1) did not show any significant homology with other
sequences in the EMBL and GenBank databases. PCR amplification of these
flanking sequences with primer pairs F1-R1 and F5-R5 showed that these
flanking sequences were not present in the sensitive controls and
suggests that they are not wild-type pneumococcal chromosomal DNA, as
reported previously (18). The 5' sequence flanking pC194 was
detected in all six chloramphenicol-resistant strains and appears to be
in the identical position with respect to
catpC194, as determined with strain 1 (Table 1).
The flanking sequence 3' of linearized pC194 was not detected by PCR in
the other five chloramphenicol-resistant strains, of which two strains
appeared to have deletions from pC194 at the 3' end (Table 1). pC194 in
eight of eight Spain23F-1-related clones had 5' and 3'
flanking sequences identical to those in strain 1 (data not shown). The
3' variants may be the result of subsequent deletion or recombination
of the element harboring catpC194 in the
pneumococcus, possibly in association with the pC194 origin of
replication which has been identified as a hot spot for deletion
formation (10).
There are a number of possible mechanisms by which pC194 has integrated
into a putative conjugable element. The 5' and 3'
ends of linearized
pC194 in strain 1 are characterized by a number
of inverted repeats at
both ends (Fig.
1). It is possible that
these structures may be
involved in some type of recombination,
especially since these features
have previously been identified
to play roles in recombination between
plasmids and the chromosome
(
13). Another possible mechanism
of integration is via some
form of illegitimate recombination as a
result of defective replication
of the plasmid. pC194 replicates via a
rolling-circle replication
mechanism during which large
amounts of single-stranded plasmid
are produced (
15,
16).
Such a mechanism has been shown to
greatly enhance illegitimate
recombination by such plasmids (
7);
however, the site of
integration in strain 1 was 100 bp from the
recognized nick site of
pC194 (
10). The integration site of
pC194 is also different
from previously identified site-specific
recombination sites
RS
A and RS
B described in staphylococcal
plasmids
(
6).
The presence of the entire plasmid, including a functional origin of
replication and RepH, suggests that it may be possible
for the plasmid
to replicate independently from the chromosome,
allowing the production
of increased levels of CAT. RepH is able
to identify a different origin
of replication and as a result
ligates the strand prematurely,
resulting in deletion plasmids
(
3). Such deletion plasmids
resulting from replication of the
linear pC194 may be produced and
could enhance the abilities of
such strains to survive in the presence
of chloramphenicol. These
plasmids would most likely not be able to
replicate in
S. pneumoniae since the origin of replication
would be disrupted. The integration
of pC194 into a conjugative element
represents a means by which
chloramphenicol resistance and potentially
other plasmid-mediated
resistance genes can be introduced, maintained,
and disseminated
in
S. pneumoniae.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Pneumococcal
Diseases Research Unit, SAIMR, P.O. Box 1038, Johannesburg 2000, South Africa. Phone: 27 11 489 9010. Fax: 27 11 489 9012. E-mail:
keithk{at}mail.saimr.wits.ac.za.
 |
REFERENCES |
| 1.
|
Ayoubi, P.,
A. O. Kiliç, and M. N. Vijayakumar.
1991.
Tn5253, the pneumococcal (cat tet) BM6001 element, is a composite structure of two conjugative transposons, Tn5251 and Tn5252.
J. Bacteriol.
173:1617-1622[Abstract/Free Full Text].
|
| 2.
|
Ballester, S.,
P. Lopez,
J. C. Alonso,
M. Espinosa, and S. A. Lacks.
1986.
Selective advantage of deletions enhancing chloramphenicol acetyltransferase gene expression in Streptococcus pneumoniae plasmids.
Gene
41:153-163[CrossRef][Medline].
|
| 3.
|
Ballester, S.,
P. Lopez,
M. Espinosa,
J. C. Alonso, and S. A. Lacks.
1989.
Plasmid structural instability associated with pC194 replication functions.
J. Bacteriol.
171:2271-2277[Abstract/Free Full Text].
|
| 4.
|
Dang-Van, A.,
G. Tiraby,
J. F. Acar,
W. V. Shaw, and D. H. Bonanchaud.
1978.
Chloramphenicol resistance in Streptococcus pneumoniae: enzymatic acetylation and possible plasmid linkage.
Antimicrob. Agents Chemother.
13:557-583.
|
| 5.
|
David, F.,
G. de Céspèdes,
F. Delbos, and T. Horaud.
1993.
Diversity of chromosomal genetic elements and gene identification in antibiotic-resistant strains of Streptococcus pneumoniae and Streptococcus bovis.
Plasmid
29:147-153[CrossRef][Medline].
|
| 6.
| Gennaro, M. L., J. Kornblum, and R. P. Novick. 1987. A site-specific recombination function in
Staphylococcus aureus plasmids. 196:2601-2610.
|
| 7.
|
Gruss, A., and S. D. Ehrlich.
1989.
The family of highly interrelated single-stranded deoxyribonucleic acid plasmids.
Microbiol. Rev.
53:231-241[Abstract/Free Full Text].
|
| 8.
|
Horinouchi, S., and B. Weisblum.
1982.
Nucleotide sequence and functional map of pC194, a plasmid that specifies inducible chloramphenicol resistance.
J. Bacteriol.
150:815-825[Abstract/Free Full Text].
|
| 9.
|
Lefevre, J. C.,
G. Faucon,
A. M. Sicard, and A. M. Gasc.
1993.
DNA fingerprinting of Streptococcus pneumoniae by pulsed-field gel electrophoresis.
J. Clin. Microbiol.
31:2724-2728[Abstract/Free Full Text].
|
| 10.
|
Michel, B., and S. D. Ehrlich.
1986.
Illegitimate recombination occurs between the replication origin of plasmid pC194 and a progressing replication fork.
EMBO J.
5:3691-3696[Medline].
|
| 11.
|
Miyamura, S.,
H. Ochiai,
Y. Nitahara,
Y. Nakagawa, and M. Tereo.
1977.
Resistance mechanism of chloramphenicol in Streptococcus haemolyticus, Streptococcus pneumoniae and Streptococcus faecalis.
Microbiol. Immunol.
21:69-76[Medline].
|
| 12.
|
National Committee for Clinical Laboratory Standards.
1997.
Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically, 4th ed.
Approved standard M7-A4. National Committee for Clinical Laboratory Standards, Wayne, Pa.
|
| 13.
|
Peeters, B. P.,
J. H. de Boer,
S. Bron, and G. Venema.
1988.
Structural plasmid instability in Bacillus subtilis: effect of direct and inverted repeats.
Mol. Gen. Genet.
212:450-458[CrossRef][Medline].
|
| 14.
|
Pepper, K.,
G. de Céspèdes, and T. Horaud.
1988.
Heterogeneity of chromosomal genes encoding chloramphenicol resistance in streptococci.
Plasmid
19:71-74[CrossRef][Medline].
|
| 15.
|
te Riele, H.,
B. Michel, and S. D. Ehrlich.
1986a.
Are single-stranded circles intermediates in plasmid DNA replication?
EMBO J.
5:631-637[Medline].
|
| 16.
|
te Riele, H.,
B. Michel, and S. D. Ehrlich.
1986b.
Single-stranded plasmid DNA in Bacillus subtilis and Staphylococcus aureus.
Proc. Natl. Acad. Sci. USA
83:2541-2545[Abstract/Free Full Text].
|
| 17.
|
Vijayakumar, M. N., and S. Ayalew.
1993.
Nucleotide sequence analysis of the termini and chromosomal locus involved in site-specific integration of the streptococcal conjugative transposon Tn5252.
J. Bacteriol.
175:2713-2719[Abstract/Free Full Text].
|
| 18.
|
Vijayakumar, M. N.,
S. D. Priebe, and W. R. Guild.
1986.
Structure of a conjugative element in Streptococcus pneumoniae.
J. Bacteriol.
166:978-984[Abstract/Free Full Text].
|
Antimicrobial Agents and Chemotherapy, February 2000, p. 393-395, Vol. 44, No. 2
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
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