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Antimicrobial Agents and Chemotherapy, May 2002, p. 1281-1287, Vol. 46, No. 5
0066-4804/02/$04.00+0 DOI: 10.1128/AAC.46.5.1281-1287.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Department of Veterinary Science and Microbiology, The University of Arizona, Tucson, Arizona 85721
Received 8 August 2001/ Returned for modification 9 August 2001/ Accepted 8 February 2002
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Arcanobacterium pyogenes is a common inhabitant of the respiratory and urogenital tracts of domestic animals, including cattle and swine (8). It has also been isolated from the rumen of feedlot cattle (22) and more recently from the gastric mucosa of pigs (B. H. Jost, K. W. Post, J. G. Songer, and S. J. Billington, unpublished data), suggesting that A. pyogenes may also be a common inhabitant of the gastrointestinal tract of these species. Under conditions of physical trauma or previous microbial infection, A. pyogenes can disseminate to cause a variety of suppurative infections, such as liver abscesses and mastitis in cattle (15, 18, 21) and suppurative pneumonia and polyarthritis in pigs (14, 35). Virulence, at least in an intraperitoneal mouse model, appears to be mediated through a pore-forming toxin, pyolysin (6, 16). The development of antibiotic resistance in normal flora secondary pathogens, such as A. pyogenes, is of particular significance, not only because of the ability of resistant A. pyogenes to avoid antibiotic therapy, but also because of the potential for transfer of resistance to other pathogens.
Resistance to the tetracycline antibiotics among A. pyogenes isolates is widespread. A French study indicated that 67% of 103, predominantly bovine, A. pyogenes isolates were resistant to tetracycline, doxycycline, and minocycline (13), while a study in Japan found that 85.7% of porcine and 57.1% of bovine isolates were resistant to oxytetracycline and doxycycline (40). These results were confirmed by a recent study of predominantly North American isolates of A. pyogenes, which indicated that 42% were resistant to tetracycline, chlortetracycline, and oxytetracycline, with more than 70% of porcine isolates being resistant (34).
No information is currently available on the mechanism of tetracycline resistance in A. pyogenes or the determinants involved in this resistance. In this work, we present evidence that tetracycline resistance in A. pyogenes isolates is predominantly conferred by a Tet W determinant previously found only in obligately anaerobic bacteria isolated from the rumen of cattle and the human gut (2, 5, 27, 28) and that this determinant, in at least some strains, is carried on a mobile genetic element capable of transfer between strains of A. pyogenes.
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GEM12 derivatives were propagated on E. coli LE392 as previously described (3). A. pyogenes isolates used in this study were obtained from veterinary diagnostic laboratories or personal culture collections in North America and include 20 tetracycline-resistant isolates (7 of bovine origin, 12 of porcine origin, and 1 from a macaw) and 10 tetracycline-susceptible isolates (6 of bovine origin and 4 of porcine origin). Specific A. pyogenes strains used in mating experiments are described in Table 1. A. pyogenes strains were grown on brain heart infusion (BHI) agar (Difco), supplemented with 5% bovine blood, at 38°C and 5% CO2 in a humidified incubator. Liquid cultures of A. pyogenes were grown in BHI broth supplemented with 5% fetal bovine serum (Omega Scientific, Inc.) at 37°C. Antibiotics were added as appropriate at the following concentrations: erythromycin, 15 µg/ml; kanamycin, 30 µg/ml; nalidixic acid, 10 µg/ml; tetracycline, 5 µg/ml. |
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TABLE 1. Relevant characteristics of bacterial strains and plasmids
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DNA techniques. Procedures for E. coli transformation and plasmid extraction, bacteriophage DNA extraction, DNA restriction, ligation, agarose gel electrophoresis, and DNA dot blotting were performed essentially as described previously (3). Genomic DNA was prepared from A. pyogenes strains by the method of Pospiech and Neumann (24). Preparation of DNA probes, DNA hybridization, and probe detection were performed with the digoxigenin (DIG) DNA labeling and detection kit (Roche Molecular Biochemicals). For dot blot analysis against genomic DNA from A. pyogenes, a tet(W)-specific gene probe spanning bases 117 to 1362 of tet(W) was generated by PCR with primers (Sigma-Genosys), 5'-AAGCGGGAGCGGCGTAACAGAC-3' and 5'-GACAACGAGAACGGACACTATG-3', and a mob-specific gene probe spanning bases 450 to 1177 of mob was generated by PCR with primers 5'-CTACCACCTCCATGTGGTCTAT-3' and 5'-GCGCAGACCTCGTAAATCCTGG-3'. PCR DNA amplification was performed with Taq DNA polymerase (Promega) for 35 cycles consisting of 1 min at 94°C (DNA denaturation), 1 min at 55°C (primer annealing), and 1 min/kb at 72°C (DNA synthesis).
Cloning of the A. pyogenes tetracycline resistance genes.
A library of partially Sau3AI-digested genomic DNA from A. pyogenes strain 4 was prepared in the plasmid vector pBC KS (Stratagene). The ligation mixture was introduced into E. coli strain DH5
MCR by electroporation, and tetracycline-resistant transformants were selected on LB agar containing 10 µg of tetracycline per ml. One tetracycline-resistant transformant contained the plasmid pJGS259 with a 4-kb insert.
A DIG-labeled probe was prepared from pJGS259 and used to screen a
GEM12 (Promega) library of partial Sau3AI fragments from our standard laboratory A. pyogenes strain, BBR1. A 12-kb BamHI fragment from one probe-positive
GEM12 recombinant,
JGS9, was cloned into the BamHI site of pBC KS to create pJGS279.
Nucleotide sequence determination. Nucleotide sequencing of tetracycline resistance determinants was performed on a 377A DNA sequencer (Applied Biosystems, Inc.) at the Automated DNA Sequencing Facility at the University of Arizona. Sequence was determined from both strands, crossing all restriction sites. Sequence data were determined from primary clones and appropriate subclones by using vector- and insert-specific primers. To determine the sequence of the strong rho-independent terminator of tet(W), it was necessary to design primers to the sequence immediately upstream and downstream of the stem-loop. These primers were used in two-step (96°C, 60°C) cycle sequencing reactions performed in the presence of 5% dimethyl sulfoxide.
Computer analysis. Nucleotide sequence data were compiled by using the Sequencher 3.1 program (GeneCodes, Ann Arbor, Mich.). Database searches were performed with the BlastN, BlastX, and BlastP algorithms (1). Sequence analysis was performed with the suite of programs available through the Genetics Computer Group, Inc. (University of Wisconsin). Similarity was determined from optimized sequence alignments by using the CLUSTAL W program (33).
Construction of plasmids for mobilization experiments. The mob gene and oriT of pJGS279 were amplified by PCR with the primers 5'-CTGGGGGAGGCAACCGCACACC-3', which binds 150 bp upstream of oriT, and 5'-GTCCACGATTTCCGCCGCACAC-3', which binds 265 bp downstream of mob. The 1,710-bp PCR product was polished with the PCR-Script Cam cloning kit (Stratagene) and inserted into the SfiI site of pCR-Script Cam SK(+) to create pJGS324 (Table 1). The mob gene was amplified from pJGS324 with the M13 reverse primer (5'-AGCGGATAACAATTTCACACAGGA-3') and the primer 5'-TCCCGCAGGAGGTACCTCCCCTGAAC-3', containing a KpnI site. The 1,524-bp PCR product, containing only the mob gene, was digested with KpnI and SacI and inserted into similarly digested pBC KS to create pJGS416 (Table 1). oriT was amplified from pJGS324 by using the M13 universal primer (5'-ACGTTGTAAAACGACGGCCAGT-3') and the primer 5'-TCGAGGACGGGAGCTCAGGGGAGGC-3', containing a SacI site. The 202-bp PCR product, containing only oriT, was digested with KpnI and SacI and inserted into similarly digested pWSK129 (Table 1) to create pJGS417.
E. coli mobilization experiments.
Recombinant plasmids to be assessed for mobilization were introduced into E. coli S17-1 (Table 1) by transformation. S17-1 supplies conjugative functions in trans from a chromosomal copy of RP4. These strains were then used as donors in filter matings with the nalidixic acid-resistant recipient strain DH5
MCR. Donor and recipient strains were grown overnight under appropriate selection, diluted to an OD600 of 0.05 in the same medium, and grown to an OD600 of 1.0. The two cultures (0.5 ml of each) were mixed and filtered through a 0.45-µm-pore-size filter. The filter was incubated for 2 h on an LB agar plate at 37°C, and the cells were resuspended in LB broth. Serial dilutions were plated onto LB agar containing the appropriate antibiotics to select for transconjugants. Bacterial viable counts were obtained from identically treated filters containing either the donor or recipient strain alone. Mobilization frequencies were expressed as transconjugants per donor cell and were determined as an average of at least three independent experiments.
A. pyogenes filter matings. Tetracycline-resistant A. pyogenes isolates were used in filter matings with the kanamycin-resistant A. pyogenes recipient strain JGS478. JGS478 is a derivative of the tetracycline-susceptible isolate 3274, which contains a kanamycin resistance cassette inserted into the neuraminidase gene, nanP (Table 1). Donor and recipient strains were grown overnight under appropriate selection, diluted to an OD600 of 0.1 in the same medium, and grown to an OD600 of 1.0. The two cultures (0.5 ml of each) were mixed and filtered through a 0.45-µm-pore-size filter. Following overnight incubation on a BHI-5% blood agar plate at 37°C under 5% CO2, the cells were resuspended from the filter in BHI broth. Serial dilutions were plated onto BHI-5% blood agar supplemented with 5 µg of tetracycline and 30 µg of kanamycin per ml to select for transconjugants. Bacterial viable counts were obtained from identically treated filters containing either the donor or recipient strain alone. Conjugation frequencies were expressed as transconjugants per donor cell and were determined as an average of at least three independent experiments.
Selected transconjugants from the conjugations described above were used as donors in separate conjugation experiments with JGS610 (Table 1). JGS610 is an erythromycin-resistant derivative of strain 3274, which contains an erythromycin resistance cassette inserted into the nanH gene, constructed as previously described (17).
Nucleotide sequence accession number. The nucleotide sequences of the A. pyogenes BBR1 mob and tet(W) genes have been deposited in the GenBank nucleotide sequence database under accession no. AY049983.
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MCR carrying pJGS259 were significantly higher than that for a control strain carrying the vector pBC KS (Table 2). A NotI deletion derivative, pJGS264 (Fig. 1), did not confer tetracycline resistance upon DH5
MCR (Table 2), suggesting this deletion removed all or part of the tetracycline resistance determinant. Nucleotide sequence data from this region of pJGS259 allowed the identification of a 1,920-bp open reading frame (ORF) that spanned the NotI site of pJGS259 and showed 92% DNA sequence identity to the tet(W) gene of the rumen bacterium Butyrivibrio fibrisolvens (5). The putative product of this ORF had 91% identity and 96% similarity to the B. fibrisolvens TetW protein. Since current convention insists that 80% amino acid identity is the cutoff between tetracycline resistance determinants (19), the A. pyogenes determinant was also designated Tet W. Like the TetW protein of B. fibrisolvens and other ribosomal protection tetracycline resistance proteins, the A. pyogenes TetW protein shared similarity with the elongation factors, particularly in N-terminal regions associated with GTP binding (32).
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FIG. 1. Restriction maps of plasmids containing the tet(W) genes of strains 4 (pJGS259) and BBR1 (pJGS279). pJGS264, the NotI deletion derivative of pJGS259 that does not confer tetracycline resistance in E. coli, is also shown. Only the A. pyogenes-derived insert is shown for each plasmid. The large arrows indicate the positions of ORFs, which are labeled. The oriT upstream of mob is indicated by the solid rectangle. Restriction enzyme sites are as follows: B, BglII; Bm, BamHI; C, ClaI; E, EagI; N, NotI; Nd, NdeI; P, PstI; Sa, Sau3AI; S, SacI; Sc, ScaI; V, EcoRV; and X, XhoI. Coordinates (in kilobases) are given below the pJGS279 map.
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TABLE 2. MICs of tetracycline, chlortetracycline, and oxytetracycline for E. coli clones and A. pyogenes strain BBR1
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GEM12 library of our standard laboratory strain, BBR1, which is also tetracycline resistant. Homologous sequences were subcloned into pBC KS to create pJGS279 (Fig. 1), which overlaps considerably in restriction sites with pJGS259 and also confers tetracycline, chlortetracycline, and oxytetracycline resistance to DH5
MCR (Table 2). Nucleotide sequencing of the BBR1 tet(W) gene indicated that it was identical to that of strain 4. However, pJGS279 contains at least 6 kb upstream of the tet(W) gene (Fig. 1).
The percent G+C content of the tet(W) genes of strain 4 and BBR1 was 52.2, which is considerably lower than that of the A. pyogenes housekeeping genes we have sequenced (average G+C = 62.5%) (S. J. Billington, S. T. Gilbert, and B. H. Jost, unpublished data). Downstream of tet(W) was a strong rho-independent terminator (
G = -35.7 kcal/mol) composed of a 14-bp stem of completely base-paired G and C residues. Upstream of tet(W) were sequences similar to those that control the regulation of the inducible tet(M) gene of Tn916 (31), including the presence of a significant secondary structure (
G= -26.3 kcal/mol) 36 bp upstream of tet(W), which could act as a rho-independent terminator. However, the MIC of tetracycline for BBR1 was not increased following incubation on plates containing tetracycline (Table 2), suggesting that this tet(W) gene is not induced by tetracycline.
Distribution of the tet(W) gene among A. pyogenes isolates. Genomic DNA from 20 tetracycline-resistant and 10 tetracycline-susceptible isolates were subjected to dot blot analysis with a tet(W)-specific gene probe (Fig. 2). All 20 tetracycline-resistant isolates, but none of the tetracycline-susceptible isolates, hybridized to the tet(W)-specific probe. To confirm these results, oligonucleotide primers internal to the tet(W) gene were used to screen all 30 isolates by PCR for the presence of the gene. Again, a direct correlation was obtained between resistance of the isolate to tetracycline and the amplification of a 694-bp DNA fragment internal to tet(W) (data not shown). These results indicate that tet(W) is widely distributed among tetracycline-resistant A. pyogenes strains.
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FIG. 2. Dot blot hybridization of tetracycline-resistant (Tetr) and tetracycline-susceptible (Tets) isolates with a tet(W)-specific probe. Approximately 500 ng of genomic DNA from 20 tetracycline-resistant and 10 tetracycline-sensitive isolates was spotted onto a nylon membrane in the arrangement indicated and hybridized with the 1,246-bp tet(W)-specific probe.
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FIG. 3. (A) Amino acid sequence alignment of the A. pyogenes Mob protein (Ap Mob) with the clostridial TnpZ proteins from Tn4451 of Clostridium perfringens (Cp TnpZ) (11) and Tn4453a of C. difficile (Cd TnpZ) (20). Amino acids identical to those in Mob are boxed. Amino acid numbers are shown on the right. (B) Nucleotide sequence comparison of the oriT upstream of mob with the oriT of Tn4451. The oriT of Tn4451 and that of Tn4453a are identical (11, 20). Identical nucleotides are boxed, and the region of dyad symmetry is indicated by the divergent arrows.
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MCR (Table 3). pJGS279 could be mobilized at a frequency >4 logs more efficiently than the negative control plasmid pBC KS, with which no transconjugants were obtained. pJGS324, containing only the mob gene and oriT, could be transferred at a frequency similar to that of pJGS279, suggesting that the mob gene and oriT can function in DNA mobilization. When the mob gene (pJGS416) or oriT (pJGS417) was cloned independently, neither of these plasmids could be mobilized. However, if these plasmids were present in the same cell, pJGS417, but not pJGS416, could be mobilized to the recipient strain. Thus, the product of the mob gene expressed from pJGS416 is able to act in trans on oriT to effect mobilization of pJGS417. |
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TABLE 3. Mobilization frequencies of mob and oriT plasmids
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FIG. 4. Dot blot hybridization of tetracycline-resistant (Tetr) and tetracycline-susceptible (Tets) strains with a mob-specific probe. Approximately 500 ng of genomic DNA from 20 tetracycline-resistant and 10 tetracycline-sensitive isolates was spotted onto a nylon membrane in the arrangement indicated and hybridized with the 728-bp mob-specific probe.
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TABLE 4. Conjugation frequencies of Tet W determinants among A. pyogenes strains
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In this paper, we report the cloning of the tetracycline resistance determinant from two bovine isolates of A. pyogenes, a frequent commensal organism on the mucous membranes of domestic animals. The predicted tetracycline resistance protein from A. pyogenes is greater than 80% identical to TetW of the obligately anaerobic rumen bacterium B. fibrisolvens, and thus by the criteria of Levy et al. (19), the A. pyogenes determinant was also classified as Tet W. Tet W determinants have previously been described only in obligately anaerobic bacteria isolated from the rumen of sheep and cattle, pig feces, or the human gut (2, 5, 28). A. pyogenes is commensal on the ruminal wall of cattle (22) and has been isolated from the stomach of pigs (B. H. Jost, K. W. Post, J. G. Songer, and S. J. Billington, unpublished data), and it may have acquired the determinant from obligately anaerobic rumen or gastric bacteria. The tet(W) genes of the obligate anaerobes diverge in DNA sequence by less than 1% over the coding region, consistent with proposed recent intergeneric transfer of the determinant within the gastrointestinal environment (5, 28). The A. pyogenes tet(W) gene diverges by approximately 8% from these sequences, but is still highly homologous, consistent with its potential inheritance from the normal flora anaerobes. The greater divergence of the tet(W) gene of A. pyogenes may be due to a longer residence of this gene in A. pyogenes. However, inconsistent with this hypothesis is the fact that less than half of the base changes between the B. fibrisolvens and the A. pyogenes tet(W) sequences are A/T to G/C transitions. The percent G+C content of the A. pyogenes tet(W) gene and the associated mob gene are lower than those of A. pyogenes housekeeping genes, suggestive of an origin outside of A. pyogenes. A similar argument has been used to suggest that tet(W) did not originate in B. fibrisolvens, which has a much lower percent G+C content. However, several of the gastrointestinal species that carry tet(W) have G+C contents in the range of 50 to 55% (28).
The presence of Tet W in the facultative anaerobe A. pyogenes gives this determinant a life outside the gastrointestinal tract of animals and humans and establishes a bridge between the tet(W)-carrying anaerobic bacteria found in different animal hosts. While A. pyogenes is likely capable of survival in the environment, it is still relatively fastidious and is generally found associated with animals. However, even on the respiratory mucosa, A. pyogenes will interact with a different set of microbiological flora from that present in the gastrointestinal tract. The ability of A. pyogenes to transfer the Tet W determinant to other bacteria may play a role in the dissemination of this determinant. Recent studies of the distribution of tet(W) genes suggest that while they contribute significantly to the resistance of the gastrointestinal flora of animals (2), the ability of these genes to be disseminated even in effluent is limited (9). Despite this fact, tet(W) genes were detected in food components and even antibiotics fed to swine (2).
The region upstream of the A. pyogenes tet(W) gene is similar to a region upstream of the tet(M) gene of Tn916, which is involved in transcriptional attenuation of the tet(M) gene (31). This observation has previously been made for the B. fibrisolvens tet(W) gene, although no inducibility data were described (5). The tetracycline resistance of strain BBR1 was not inducible by previous exposure to tetracycline. This is also true of the resistances of the other tetracycline-resistant isolates examined in this study (34). Therefore, it is unlikely that these upstream sequences are involved in tet(W) induction. Other ribosomal protection tet genes, such as tet(O), also have upstream sequences similar to the tet(M) upstream region, although these determinants are expressed constitutively (39). However, for tet(O), this upstream region is required for full expression of the gene (39).
The association of tet(W) with a functional mob gene is also indicative of the mobile nature of this determinant. The mob gene encodes a protein of the Mob/Pre family of gram-positive mobilization proteins, which function in mobilization by single-stranded cleavage at an oriT sequence. The tet(W)-associated Mob protein is most similar to the TnpZ proteins of the clostridial mobilizable transposons Tn4451 and Tn4453a (11, 20), and its associated oriT shares identity of 22 of 24 bp to the oriT of these transposons. The Mob protein appears capable of acting in trans at its cognate oriT to effect mobilization, at least in E. coli. While the direct effect of Mob on the transmissibility of tet(W) was not addressed in this study, the transfer of tet(W) and mob, from at least some of the mob+ tetracycline-resistant A. pyogenes strains, is consistent with the presence of these genes on a mobile genetic element. The exact nature of the genetic element is not yet known, since mob genes can be present on either mobilizable or conjugative plasmids or transposons. These strains have previously been examined for the presence of plasmids, and the only plasmid identified was the small, broad-host-range plasmid pAP1, which lacks conjugative or mobilization functions, in BBR1 and JGS190 (7). However, the techniques used in those studies may not have allowed the identification of large plasmids. Preliminary sequence data from one end of pJGS279 indicated the presence of the putative housekeeping gene rluC, which encodes pseudouridylate synthase (data not shown). The presence of a housekeeping gene on pJGS279 suggests that the insert from this recombinant plasmid is of chromosomal, rather than plasmid, origin. A chromosomal location for tet(W) is consistent with the low transfer efficiency, since this adds additional rate-limiting steps that could affect conjugative transfer, such as excision, and in the case of nonreplicating DNA, chromosomal insertion. The tet(W) genes of B. fibrisolvens strains 1.23 and 1.230 have been reported to be capable of being transferred by conjugation (27), although the frequency of conjugative transfer was considerably higher than was observed in this study. The B. fibrisolvens element also appears to be chromosomally located, although no additional sequence information is available to determine if it is an element similar to that described here. The lack of transconjugants observed with strains 3 and 4 as donors may reflect a defect in some part of the transfer process, or, given the low transfer frequency observed with the other three mob+ strains, the transfer frequency could be below the level of detection in the assays performed. Interestingly, onward transfer of the element from transconjugants appeared to be more efficient than the initial transfer event. This result may reflect transfer into a strain with the same background, since JGS478 and JGS610 are both derivatives of 3274. Recent evidence suggests that some strains of A. pyogenes carry different restriction-modification mechanisms (S. J. Billington and B. H. Jost, unpublished data), which may ultimately affect transfer frequencies.
The presence of tet(W) in each of the tetracycline-resistant isolates examined in this study suggests that Tet W is a widespread determinant of tetracycline resistance in A. pyogenes. However, since no other determinants were examined in this study, it is possible that some or all of these isolates may carry more than one tetracycline resistance determinant. Despite the fact that all tetracycline-resistant A. pyogenes isolates carry tet(W), only 25% of these strains carry the mob gene, which appears to be part of the genetic element carrying tet(W). Incidentally, the majority of mob+ isolates are of bovine origin, and none of the 12 tetracycline-resistant isolates of porcine origin carries this gene. This difference may reflect the way in which bovine and porcine isolates have inherited this gene, with bovine isolates primarily receiving tet(W) on the element described in this study, but with porcine isolates receiving tet(W) by an alternative route, perhaps through a separate genetic element.
GEM12 library. |
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