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Antimicrobial Agents and Chemotherapy, November 2005, p. 4771-4774, Vol. 49, No. 11
0066-4804/05/$08.00+0 doi:10.1128/AAC.49.11.4771-4774.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Recombination between the dfrA12-orfF-aadA2 Cassette Array and an aadA1 Gene Cassette Creates a Hybrid Cassette, aadA8b
Alicia M. Gestal,1
H. W. Stokes,1
Sally R. Partridge,1,
and
Ruth M. Hall2*
Department of Chemistry and Biomolecular Sciences, Macquarie University, Sydney, NSW 2109,1
School of Molecular and Microbial Biosciences, The University of Sydney, NSW 2006, Australia2
Received 20 December 2004/
Returned for modification 22 February 2005/
Accepted 19 August 2005

ABSTRACT
Homologous recombination between closely related gene cassettes,
such as
aadA1 and
aadA2, which are 89% identical, can create
hybrid cassettes and hybrids of existing cassette arrays. A
new cassette array,
dfrA12-orfF-
aadA8b, which was created by
such a recombination event occurring within the
aadA2 cassette
in the
dfrA12-orfF-
aadA2 array, has been identified.

TEXT
Gene cassettes are a major source of the resistance genes found
in clinical, commensal, and environmental isolates of bacteria
that are resistant to antibiotics. Most commonly, they are found
in association with class 1 or class 2 integrons (
3,
13). One
growing group of gene cassettes encodes aminoglycoside (3')
(
9) adenylyltransferases that confer resistance to both streptomycin
and spectinomycin (
9). The genes and the cassettes, which are
named after the genes, are designated
aadA with an Arabic numeral
to distinguish distinct genes, namely, those that differ by
at least 2% in both the DNA and protein sequences. Two of these
cassettes,
aadA1 and
aadA2, were present in two of the earliest-known
plasmids that confer resistance to multiple antibiotics, namely,
NR1, also called R100 (
7), and pSa (
1,
14), and remain very
common in modern-day isolates. Though they have both been found
in various contexts, they recur in a few specific cassette arrays,
e.g.,
aadA1 or
aadA2 alone,
oxa1-
aadA1,
dfrA1-aadA1, and
dfrA12-orfF-
aadA2,
which appear to have become globally disseminated. These two
cassettes have now been sequenced many times, leading to the
identification of several variant sequences for each of them,
each containing one or a few single base changes (Fig.
1; also
Fig. 3 in reference
9). The high level of similarity between
the
aadA1 and
aadA2 cassette sequences (89.3% DNA identity;
cassette length, 856 bp) means that they share many stretches
of sequence identity that allow homologous recombination between
them to occur. Several hybrids between
aadA1 and
aadA2 that
presumably arose by homologous recombination have already been
reported (Table
1). By combining existing knowledge of variant
sequences and of cassette arrays, it is potentially possible
to track the movement of specific sets of gene cassettes within
bacterial populations and identify events that have been involved
in their creation and dissemination.
We used primers located in the 5'- and 3'-conserved segments
(CS) of class 1 integrons (HS458, 5'-GTTTGATGTTATGGAGCAGCAACG-3',
and HS459, 5'-GCAAAAAGGCAGCAATTATGAGCC-3' [
5]) to screen DNA
isolated from mixed bacterial samples recovered from the feces
of human volunteers with no recent exposure to antibiotics.
Mixed cultures were grown in L broth at 37°C under aerobic
conditions, and the organisms recovered were predominantly
Escherichia coli. DNA was recovered using alkaline lysis, and PCR conditions
were as follows: denaturation at 94°C for 3.0 min; 35 cycles
at 94°C for 30 s, 65°C for 1.0 min, and 72°C for
1.5 min or 4.0 min in the final cycle. A significant proportion
of the samples screened yielded an amplicon of 2.2 kb corresponding
to a cassette array of 1.7 to 1.8 kb when corrected for the
amplified portions of the 5'-CS and 3'-CS (465 bp). Partial
sequencing of seven of the PCR products revealed that the cassette
array was either
dfrA12-orfF-
aadA2 (in one case) or a derivative
in which the end of the
aadA2 cassette is replaced by the corresponding
part of the
aadA1 cassette (in six cases) (Fig.
2). The 2.2-kb
amplicon from one of the latter samples was cloned into pGEM-T
Easy (Promega) by following the manufacturer's instructions,
with selection on LB plates containing streptomycin (25 µg
ml
1) and trimethoprim (50 µg ml
1), and the
resultant plasmid (pMAQ697) also conferred resistance to spectinomycin
(25 µg ml
1). The insert was sequenced using procedures
described previously (
11). The crossover in the hybrid
aadA2/
aadA1 cassette was located between positions 602 and 647 in the cassette
(numbered from the conserved TT at beginning of the cassette)
by comparison with the reference
aadA1 (GenBank accession no.
X12870) and
aadA2 (
X68227) cassette sequences. A similar hybrid
with the same crossover position has recently been reported
as
aadA8 (
AY139603 [
15]). However, the original
aadA8 cassette
(
AF326210 [
12]), which is also an
aadA2/
1 hybrid, has a different
crossover position, between 550 and 600 (Table
1). As the three
sequences exhibit high levels (>98%) of DNA and protein identity,
we have named the
aadA2/
1 hybrid cassettes with crossover between
positions 602 and 647
aadA8b (Table
1) to indicate the difference
in the crossover position.
To examine if the recombination event could have occurred between
the
dfrA12-orfF-
aadA2 cassette array in one integron and an
aadA1 cassette located in a second integron, the sequences were
examined in detail. The
dfrA12-orfF-
aadA2 cassette array was
first isolated from an
E. coli strain from Finland (
4), but
the sequence of the
aadA2 cassette was not completed (GenBank
accession no.
Z21672). However, this array has since been found
in many bacterial species (Table
2) isolated in many different
countries from clinical and animal-associated sources and from
wastewater. Examination of the sequences of this array recorded
in the relevant GenBank entries revealed that five are identical
to one another (reference sequence AF284063) and to the incomplete
Z21672 sequence. The remainder differ by only a few single base
changes (Table
2; Fig.
1), and some of these variations may
represent either sequence errors or errors arising during PCR
amplification. This suggests that this array arose on a single
occasion and has become globally disseminated but subsequently
acquired occasional base substitutions.
There are several variant sequences for the
aadA2 cassette found
among those deposited in GenBank (Fig.
1), but
aadA2 in the
dfrA12-orfF-
aadA2 arrays (Fig.
1) usually differs at two positions
(T17A and C216T) from the reference
aadA2 cassette found in
In6 from plasmid pSa (X68227). In the
dfrA12-orfF-
aadA2 and
dfrA12-orfF-
aadA8b arrays recovered here, the
aadA2 gene cassette
and the
aadA2 portion of the
aadA8b cassette are identical to
the
aadA2 variant found in the standard
dfrA12-orfF-
aadA2 array
(AF284063), indicating that the recombination event is likely
to have occurred within this array. Beyond the position of the
switch to
aadA1, the sequence of the
aadA8b cassette is identical
to the prototype for
aadA1 (X12870) and to single
aadA1 cassettes
recovered from other samples in our commensal mixed-culture
collection. In contrast, the variant of
aadA8b found as a single
cassette in AY139603 (
15) differs from the version reported
here at three positions in the
aadA2 portion and one in the
aadA1 portion (Table
1), indicating that the two variants are
likely to have arisen via independent recombination events occurring
within the same span (positions 602 to 647).
It is clear that recombination events involving the aadA1 and aadA2 cassettes have occurred on several occasions (Table 1) and thus contribute significantly to the creation of new cassette arrays. However, the fact that the dfrA12-orfF-aadA8b array was recovered from the fecal flora of a number of different individuals indicates that it has already become widely distributed, at least in Australia.
Nucleotide sequence accession number.
The sequence of the dfrA12-orfF-aadA8b PCR amplicon has been deposited in GenBank under accession no. AY852272.

ACKNOWLEDGMENTS
S.R.P. was supported by grant no. 192108 from the Australian
National Health and Medical Research Council.

FOOTNOTES
* Corresponding author. Mailing address: School of Molecular and Microbial Biosciences, Biochemistry and Microbiology Building G08, The University of Sydney, NSW 2006, Australia. Phone: 61-2-9351-6014. Fax: 61-2-9351-4571. E-mail:
Ruth.Hall{at}mmb.usyd.edu.au.

Present address: Centre for Infectious Diseases and Microbiology, Westmead Hospital, Westmead, NSW 2145, Australia 

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Antimicrobial Agents and Chemotherapy, November 2005, p. 4771-4774, Vol. 49, No. 11
0066-4804/05/$08.00+0 doi:10.1128/AAC.49.11.4771-4774.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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