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Antimicrobial Agents and Chemotherapy, March 2004, p. 1028-1031, Vol. 48, No. 3
0066-4804/04/$08.00+0 DOI: 10.1128/AAC.48.3.1028-1031.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Role of attP in Integrase-Mediated Integration of the Shigella Resistance Locus Pathogenicity Island of Shigella flexneri
Sally A. Turner, Shelley N. Luck, Harry Sakellaris, Kumar Rajakumar,
and Ben Adler*
Bacterial Pathogenesis Research Group, Department of Microbiology, Monash University, Victoria 3800, Australia
Received 1 August 2003/
Returned for modification 23 October 2003/
Accepted 5 November 2003

ABSTRACT
The
Shigella resistance locus (SRL) pathogenicity island (PAI)
in
Shigella spp. mediates resistance to streptomycin, ampicillin,
chloramphenicol, and tetracycline. It can be excised from the
chromosome via site-specific recombination mediated by the P4-related
int gene. Here, we show that SRL PAI
attP is capable of RecA-independent,
site-specific,
int-mediated integration into two bacterial tRNA
attB sites.

INTRODUCTION
Shigella spp. are the causative agents of bacillary dysentery,
a disease responsible for the deaths of over 1.1 million people
annually (
10). The infection, which is spread via the fecal-oral
route, is commonly treated with a combination of rehydration
and antimicrobial therapy. However, over the past few decades,
treatment has become increasingly difficult as resistance to
most of the widely used therapeutic antibiotics has emerged
(
9,
16).
Multiple-antibiotic resistance to Shigella spp. was first reported as early as the 1950s (21), and since that time, multiresistance gene clusters have been identified on R plasmids, transposons, and integrons. Recently, a 16-kb cluster of genes known as the Shigella resistance locus (SRL) was identified on the chromosome of Shigella flexneri 2a strain YSH6000. In this strain, the SRL, which confers resistance to the antibiotics streptomycin, ampicillin, chloramphenicol, and tetracycline, is present on a 66-kb pathogenicity island (PAI) designated the SRL PAI (11). Recent findings show that the SRL PAI is present in numerous Shigella strains, and it is hypothesized that the SRL PAI may be involved in the spread of multiple-antibiotic resistance in Shigella spp. (17).
PAIs, which are believed to be acquired by horizontal gene transfer, frequently carry phage-related integrase genes, are often integrated adjacent to tRNA genes, and are flanked by short direct repeats (DRs) which resemble phage attachment (att) sites (1). It is thought that the genetic similarities of PAIs and phages may extend to related mechanisms of integration and excision (7). However, genetic instability of PAIs has been observed in only a small number of cases, with only two PAIs having been shown to be mobilizable, and very little is known about mechanisms of PAI transfer in general (5). In contrast, the mechanism by which the SRL PAI is excised from the serX tRNA gene in S. flexneri 2a YSH6000 is known to be integrase mediated and site specific. These data, in conjunction with the presence of the SRL PAI in other Shigella strains (17), suggest that the SRL PAI, and therefore the antibiotic resistance genes it carries, may still be mobile. However, nothing is known of the excised form of the SRL PAI or its ability to integrate into a new host.

Circular form of the SRL PAI
The SRL PAI of strain YSH6000 is flanked by 14-bp sequences
that correspond to the terminal 3' 14 bp of the
serX tRNA gene
at the right boundary and a directly repeated sequence at the
left boundary. Integrase-mediated excision results in the loss
of the PAI and one copy of the DR, while an intact
serX gene
and a single copy of the DR remain on the chromosome. Thus,
the SRL PAI is excised via mechanisms that resemble the site-specific
recombination exhibited by lambdoid phages (
18). Lambdoid phages
are also known to be integrated into and excised from their
chromosomal
attB sites via a circular extrachromosomal intermediate
(
4); thus, we tested whether the SRL PAI also formed a similar
circular intermediate upon excision. The excision was predicted
to take place via recombination of the
attL (
attBOP') and
attR (
attPOB') sites, which result in the reconstitution of the chromosomal
attB (
attBOB') site (demonstrated previously with BAP679 and
BAP1157 [
18]) (Fig.
1) and also the formation of the
attP (
attPOP')
site carried on the circular form of the SRL PAI (Fig.
1). The
attP junction on the SRL PAI circular intermediate was not detectable
by PCR in YSH6000 (data not shown). Since the excised form of
the SRL PAI does not replicate and the frequency of spontaneous
PAI excision is low (10
-5 to 10
-6) (
18), formation of the circle
may be below the level of detection by PCR. For this reason,
a YSH6000 derivative strain, AL325, which incorporates a suicide
plasmid, pCACTUS (
20), with a temperature-sensitive pSC101
ori as a single crossover in the
fecI gene located on the SRL PAI,
was constructed. To increase the sensitivity of the assay, hyperexcision
of the SRL PAI was induced by the introduction of the
rox gene,
which increases the frequency of PAI excision, carried on pUC19Tp
(S. N. Luck, unpublished data). Outward-facing primers BAP2275
(5'-CTTTAAGAATTCCTCCGCGCATATCACG-3') and BAP2276 (5'-GAAAAATCTAGATCCCCCGCCCCTTTACTG-3')
were used in a PCR with an AL325 chromosomal template to successfully
amplify the
attP junction of an SRL PAI circular molecule formed
upon recombination of the left (
attL) and right (
attR) PAI boundaries
(Fig.
1). The resulting 553-bp fragment, designated
attP due
to the prophage-like organization of the SRL PAI, was cloned
into the suicide vector pJP5603 (
13) and sequenced. Sequence
analysis of the resultant plasmid, pAL226, revealed that the
SRL PAI
attP (POP') consisted of the left end of the SRL PAI
(P'), an exact copy of the 14-bp DR (O), followed by the right
end of the SRL PAI (P) (Fig.
1). These results are thus consistent
with the presence of a circular form of the SRL PAI.
To confirm that the SRL PAI was present as an extrachromosomal
molecule, Eckhardt gel electrophoresis, an in-well lysis method
which allows plasmid DNA to enter the gel matrix while retarding
chromosomal DNA (
14), was employed with strains AL325, YSH6000,
and SBA573 (carrying the 95-kb plasmid R100-1) which served
as a positive control. DNA was then analyzed by Southern hybridization
with a probe corresponding to the
cat gene which is harbored
on R100-1 and the SRL PAI as described previously (
17). Hybridization
with the
cat probe occurred in the lanes corresponding to AL325
and the positive-control SBA573, thus confirming an extrachromosomal
location of the
cat gene in both these strains. These results
indicate that the SRL PAI, although present on the chromosome
in YSH6000, is present extrachromosomally in the PAI-stabilized
strain AL325, consistent with the presence of a stabilized,
circular SRL PAI intermediate.

Site-specific recombination of the SRL PAI attP
Sequence analysis of the SRL PAI
attP site revealed the presence
of several DRs (Fig.
2). Integration systems often require a
combination of accessory elements, and the lambda
attP site
contains several DRs for the binding of integrase and the accessory
protein integration host factor (IHF) (
12). Sequences resembling
an IHF binding site, WATCAANNNNTTR (where W is A or T, R is
A or G, and N is A, G, C, or T) (
6), are also present in the
SRL PAI
attP (Fig.
2). It is interesting that the positions
of DR1 in the SRL PAI
attP site (-84, -72, +124, and +136) (Fig.
2) show some similarity to the spacing of integrase binding
sites in the lambda
attP arm sites (+80, +70, +60, -110, and
-140) (
4).
Previous analysis indicated that the SRL PAI is found adjacent
to the identical paralogous tRNA genes
serX and
serW in a number
of
Shigella isolates (
17). To determine if the integration mechanism
of the SRL PAI resembled phage-like site-specific integration,
the SRL PAI
attP was tested for its ability to undergo recombination
with
serX and
serW, which in this system represent the chromosomal
attB sites (Fig.
3). pAL226, which carries the SRL
attP site
on the suicide plasmid pJP5603, was transferred to the mobilizing
Escherichia coli strain S17-1
pir to construct AL403 (Kan
r).
S17-1
pir, which carries the RP4 conjugative-transfer genes,
mobilized pAL226, which carries the
mob site of RP4, to AL104
(Nal
r Amp
r), a RecA-deficient
E. coli DH5

strain harboring the
SRL PAI
int gene on the plasmid pWSK29 (
17). Transconjugants
were selected by plating them on nalidixic acid plus ampicillin
plus kanamycin and tested by PCR for the insertion of pAL226
into
serX (using primer pairs BAP2276-BAP679 and BAP2275-BAP1157)
or
serW (using primer pairs BAP2276-BAP1462 and BAP2275-BAP1783)
(Fig.
3). In all transconjugants tested, PCR product size and
Southern hybridization results with
serX or
serW as a probe
were consistent with the insertion of pAL226 into one or both
of these sites. Sequencing of the BAP2276-BAP679 and BAP2276-BAP1462
products confirmed the precise insertion of the SRL PAI POP',
which results in an arrangement identical to that of wild-type
YSH6000
attR (
attPOB') (Fig.
1 and
3). Thus, in the presence
of
int, the SRL PAI
attP site is sufficient for site-specific
recombination with the chromosomal
attB sites partially contained
within
serX or
serW.

The SRL PAI attP x attB recombination requires int
To test the ability of the SRL PAI
int to catalyze the
attP x attB recombination, matings of the donor AL403 (harboring
the SRL PAI
attP site) were carried out with both an
int-positive
and an
int-negative RecA-deficient DH5

recipient. Site-specific
integration into the
serX or
serW tRNA gene was determined by
PCR with the primer pairs BAP2275-BAP1157 and BAP2275-BAP1783
(Fig.
3). Integrants were obtained with a frequency of 2
x 10
-4 per donor in the
int-positive background. However, no integration
was detected in the
int-negative background (detection limit
of 3.4
x 10
-5). Thus, site-specific integration of the SRL PAI
attP site requires the presence of the SRL PAI integrase.
Together with previous findings (18), these data indicate that the integration and excision mechanisms of the SRL PAI are closely related to those of lambdoid phages. First, the integrated SRL PAI forms a circular extrachromosomal intermediate through recombination of the left and right junctions. Second, integration via site-specific recombination occurs in a 14-bp sequence found both in the circular form of the SRL PAI and at the 3' end of the tRNA genes serX and serW. Finally, both excision and integration of the SRL PAI require the P4 phage-related SRL PAI int gene.
Many PAIs and genomic islands are flanked by short DRs, are situated adjacent to tRNA genes, and carry integrase-related sequences. Thus, it has been suggested that, although in the majority of cases direct evidence of integration and excision is lacking, site-specific recombination is likely to play a role in the mobility of these elements (7). Certainly, an integrative module of the Yersinia HPI has been shown to undergo site-specific integration (15), and similarly, Staphylococcus SaPIbov2 undergoes site-specific, integrase-mediated integration and excision (19). Indeed, as the SRL PAI is able to undergo int-dependent, site-specific excision (18) and integration and is found in a number of Shigella isolates (17), it seems credible that site-specific recombination plays an essential role in the dissemination of the SRL PAI and therefore the dissemination of the SRL resistance determinants.
To date, site-specific recombination is known to be involved where mobility of genomic islands and PAIs has been demonstrated. The conjugative integrating Vibrio cholerae SXT element and several bacteriophages employ integrase-mediated, site-specific recombination to transfer as a circular intermediate (8). However, unlike these elements, sequence analysis indicates that the SRL PAI does not posses similarity to genes encoding conjugative-transfer or phage coat proteins (11). It therefore remains unclear how the transfer of the SRL PAI occurs. Interestingly, the Salmonella SaPI is encapsidated and mobilized by the staphylococcal phage 80
in a relationship that has been likened to that of coliphages P2 and P4 (18). It remains a possibility that the SRL PAI may be similarly mobilized, and future work will focus on the role of accessory elements in the mobilization of the PAI.
It is interesting that several genomic islands carrying multiresistance determinants are now thought to employ site-specific recombination as a means for lateral transfer. Such elements include the SXT element of V. cholerae (8), Salmonella genomic island 1 (2, 3), and the SRL PAI. Thus, the studies presented here not only are a useful tool in examining the mechanistic aspects of PAI dissemination but also provide an interesting insight into potential mechanisms for the spread of multiple-antibiotic resistance.

ACKNOWLEDGMENTS
We acknowledge the expert technical assistance of Ian McPherson
and Vicki Vallance.
This work was supported by the National Health and Medical Research Council, Canberra, Australia.

FOOTNOTES
* Corresponding author. Mailing address: Department of Microbiology, Building 53, Monash University, Victoria 3800, Australia. Phone: 61-3-99054815. Fax: 61-3-99054811. E-mail:
Ben.Adler{at}med.monash.edu.au.

Present address: Department of Microbiology and Immunology, University of Leicester, Leicester LE1 9HN, United Kingdom. 

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Antimicrobial Agents and Chemotherapy, March 2004, p. 1028-1031, Vol. 48, No. 3
0066-4804/04/$08.00+0 DOI: 10.1128/AAC.48.3.1028-1031.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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