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Antimicrobial Agents and Chemotherapy, April 2008, p. 1472-1480, Vol. 52, No. 4
0066-4804/08/$08.00+0 doi:10.1128/AAC.00982-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
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Departamento de Biología Molecular e Instituto de Biomedicina y Biotecnología de Cantabria (IBBTEC), Universidad de Cantabria-CSIC-IDICAN, C. Herrera Oria s/n, 39011 Santander, Spain,1 The Pathogen Sequencing Unit, Wellcome Trust Sanger Institute, Genome Campus, Hinxton, Cambridge CB10 1SA, United Kingdom,2 School of Biosciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom3
Received 28 July 2007/ Returned for modification 23 September 2007/ Accepted 3 February 2008
| ABSTRACT |
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| INTRODUCTION |
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The IncW group takes its name from T. Watanabe, who described the first member of the group, pSa (81). The IncW group includes three "classical" members: pSa (81), R388 (22), and R7K (17). Electron microscope heteroduplex studies (34) and restriction enzyme maps of these plasmids (6, 45, 78, 80) underscored the high DNA sequence homology between them. Physical and genetic maps of these plasmids were drawn based on information from many authors (79). R388 has been studied in the most detail, and its complete sequence has been used to infer many features of the family (28). In this work, we analyzed the DNA sequences of five IncW plasmids in order to ascertain their diversity and evolution. These are pSa, R388, R7K, and two more recent isolates, pIE321 and pIE522 (35). IncW plasmids are less than 40 kb in size (Table 1) and have been isolated from different species of Enterobacteriaceae; pSa was obtained from Shigella (81), R388 from Escherichia coli (41), R7K from Providencia rettgeri (17), pIE321 from Salmonella dublin, and pIE552 from Klebsiella pneumoniae (35). The host range of IncW plasmids, under laboratory conditions, has been shown to comprise most of the species from the phylum Proteobacteria that have been tested so far (for a review, see reference 28).
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| MATERIALS AND METHODS |
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Conjugation assays.
Matings were carried out using derivatives of strain DH5
[F– endA1 recA1 gyrA96 thi-1 hsdR17 supE44 relA1
(argF-lacZYA)U169
80dlacZ
M15] (38) carrying various plasmids as donors and UB1637 (F–
– lys his trp rpsL recA56) (24) as a recipient strain. Saturated cultures of donor and recipient strains were mixed in a 1:1 ratio and mated on an LB agar surface for 1 h at 37°C as described previously (48). Transconjugants were selected on trimethoprim (20 µg/ml) for R388, tetracycline (10 µg/ml) for pIE321, chloramphenicol (25 µg/ml) for pSa, ampicillin (100 µg/ml) for R7K, and gentamicin (10 µg/ml) for pIE522. Donors were counterselected on streptomycin (300 µg/ml).
DNA macroarray hybridization. (i) Probe DNA labeling by random priming. Plasmid DNA (25 ng) was diluted to a 45-µl final volume in Tris-EDTA buffer (10 mM Tris-HCl, pH 8.0, 1 mM EDTA). DNA was denatured by heating at 95°C for 5 min and placed on ice for an additional 5 min. Denatured DNA was incubated in a reaction solution containing Rediprime II random prime labeling system (Amersham) and 50 µCi of [32P]dCTP (Redivue Amersham) for 10 min at 37°C. The reaction was stopped by adding 0.2 M EDTA (5 µl), heating at 95°C for 5 min, and cooling on ice for an additional 5 min.
(ii) Membrane spotting. Target DNAs were obtained by PCR amplification of the relevant DNA fragments from either R388 or E. coli DNA. A total of 2.5 µg of each amplified DNA was denatured in alkali and spotted onto a nylon membrane (Zeta-Probe GT; Bio-Rad) by using the high-density replicating tool (HDRT-96) of robot Biomek 2000 (Beckman) and 0.045-in.-wide metal pins. The spotted membrane was neutralized by washing it in Tris-HCl (20 mM, pH 7.0) for 20 min and UV-cross-linking it at 1,200 mJ in a UV Stratalinker 1800 (Stratagene).
(iii) Array hybridization. The spotted membrane was prehybridized for 2 h with 5 ml buffer (0.25 M sodium phosphate, pH 7.2, 7% sodium dodecyl sulfate [SDS]) at 65°C. Then, 55 µl labeled probe DNA was added and hybridized for 20 h under the same conditions. After hybridization, the membrane was washed twice with 5 ml buffer A (sodium phosphate, 20 mM, pH 7.2) plus 5% SDS for 30 min at 65°C and washed twice again with 5 ml buffer A plus 1% SDS in the same conditions. Treated membranes were scanned using a Molecular Imager FX (Bio-Rad).
DNA sequencing, sequence analysis, and annotation. The R388 and pIE321 plasmid DNAs, as well as fragments of plasmids pIE522 and pSa, were sequenced by progressive DNA walking, using amplified DNA fragments. The BigDye Terminator v3.0 kit (Applied Biosystems) was used in sequencing reactions. Sequencing products were analyzed in an automatic multicapillary 3700 DNA sequencer with >4-fold DNA coverage. The program suite Vector NTI 5.5 was used for analyzing and annotating the plasmid sequences. ContigExpress was used for assembling the sequences. GC content analysis was carried out with BioPlot. Multiple alignments were done with AlignX. Open reading frames (ORFs) encoding at least 50 amino acids after a translation start codon were identified. DNA and deduced protein sequences were searched by BLAST analysis. ORFs were manually annotated using evidence from BLAST analyses (4) and experimental or other evidence from previous literature. For R7K, the DNA was fragmented by sonication and size fractionated before constructing libraries in pUC19. The sequence was generated from paired-end reads from two pUC19 libraries with insert sizes of 2 to 4 kb and 4 to 6 kb. These sequence reads were performed with ABI BigDye Terminator chemistry on ABI3730 sequencing machines and gave a total coverage for the plasmid of approximately eightfold. All identified repeats were bridged with read pairs or end-sequenced PCR products. Error checking and the finishing of the sequence were performed according to standard criteria using Phrap to assemble the sequence and Gap4 for visualization.
Nucleotide sequence accession numbers. Complete DNA sequences for R7K and pIE321 are available at EMBL-EBI Bank and GenBank, respectively, under accession numbers AM901564 (R7K) and EF633507 (pIE321). Partial sequences of pIE522 and pSa are available under GenBank accession numbers EU247928 and EU419764, respectively.
| RESULTS AND DISCUSSION |
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When R388 DNA was hybridized against the array, the intensity of the signals correlated well with the size of the DNA in the spot (data not shown), indicating that association kinetics was the limiting step. No hybridization signal appeared with spots from E. coli ORFs, except an unexplained signal in gene rpoB. When the same array was hybridized against each of the four IncW plasmids shown in Table 1, hybridization to most R388 probes (ORFs and intergenic regions) was observed (see Fig. S1 in the supplemental material). Differences in the hybridization profiles of pIE522 and pSa concerned just the gene cassettes carried by the respective integrons, a consequence of their different antibiotic resistance profiles. Besides, plasmids pIE321 and R7K lacked the six spots (see Fig. S1, 9E to 10D, in the supplemental material) related to the integron, indicating that these two plasmids lack an integron platform. Finally, gene osa was absent in plasmid R7K. The use of the array allowed us to include plasmids pIE321 and pIE522 (from which nearly nothing was known) within the realm of IncW plasmids. Furthermore, based on the array results, we decided to sequence plasmids pIE321 and R7K, which showed the most interesting differences with respect to R388. We did not complete the sequences of the other two because they are practically identical to the R388 backbone.
Analysis of the DNA sequences of five IncW plasmids. The complete sequences of plasmids pIE321 (accession number EF633507) and R7K (accession number AM901564) were obtained. Plasmid R388 (accession number BR000038) was resequenced, and the 50+ sequence differences were submitted to GenBank for amending. The revised R388 sequence was used in all later analyses. In addition, we used the following pSa sequences available in the databases: L06822 (18, 40), AF143206 (10), X00060 (71), X68227 (11), U04277 and U04278 (68, 77), U30471 (16, 57), and M11444 (72). Additionally, we sequenced 5,600 bp of plasmid pIE522, comprising the backbone region oriT-trwA and the integron insertion (accession number EU247928) as well as the stbA-oriT-trwA region of pSa (accession number EU419764).
Both the DNA sequences and the previous array data indicate that all five IncW plasmids show extensive genetic conservation. Using the sequence information, the IncW genetic backbone was extrapolated as the genomic sequence in common between its five members and is represented in Fig. 1. The IncW backbone is 29,684 bp long and contains 37 ORFs. Some comparative data among backbones are shown in Table 2. Plasmids R388, pIE321, and R7K diverged significantly (pIE321 and R7K were 97.0 and 97.5% identical to R388, respectively) in comparison to pSa and pIE522 (both had almost 100% identity to R388 in the available backbone sequences). The five IncW plasmids contain one or more indels containing antibiotic resistance genes in an otherwise practically identical backbone (Table 1). They are depicted in Fig. 1. Since all IncW plasmid isolations were carried through biparental matings, based on direct detection of antibiotic resistance markers, IncW cryptic plasmids devoid of transposable elements or integrons have yet to be found.
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plasmids are considered. Meanwhile, IncW relaxase domains share 100% amino acid identity. The only alterations in the IncW backbone are indels caused by the MGEs described above. No evidence of backbone disruption was observed (see Table S1 in the supplemental material), contrary to what happened in the IncP-β plasmid pB10 (66). It can be assumed that the described IncW plasmids diverged from a common ancestor more recently than IncP plasmids. Perhaps due to their recent origin, IncW plasmids are found less frequently in natural isolates than IncPs (35, 36). However, <95% identity was observed in four individual genes (see Table S1 in the supplemental material), of which trwA, encoding a relaxosomal protein, shows the highest variation (74 to 87% amino acid identity). These differences explain the lack of PCR and hybridization signals when using trwA probes in several IncW isolates that were positive using oriT and oriV probes (35). trwA sequence divergence indicates that this gene suffered a substitution rate higher than that of other backbone genes. The nonsynonymous-to-synonymous substitution ratio (Ka/Ks) between all pairs of trwA sequences is lower than 1 (R388 versus pIE321, 0.1601; R388 versus R7K, 0.3773; and R7K versus pIE321, 0.2956; calculated with the K-Estimator 6.1 program [http://www.biology.uiowa.edu/comeron/index_files/Page432.htm]) (19, 20). That is, trwA, as well as the remaining IncW genes, is under purifying selection.
As can be seen in the alignment depicted in Fig. 2A, amino acid differences between TrwAR388 and TrwApIE321 are distributed along the protein lengths. Conversely, TrwAR388 and TrwAR7K exhibit their amino acid differences mainly in the N-terminal part of the protein (Ka = 0.15038 for the 72 N-terminal residues; Ka = 0.00861 for the 48 C-terminal residues). All three TrwA variants retain residue R10, proved to be the most important amino acid for TrwA binding to oriT (51). Interestingly, TrwAR7K shows mutations in two apparently important residues, Q8 and S12, that are involved in DNA recognition (50). Perhaps even more interesting, the oriT region also shows striking differences among these plasmids (Fig. 2B). The sequence recognized by the relaxase domain of TrwC (identical for all these plasmids), comprising the inverted repeat IR2 and the nic site, remains unchanged. Variations fundamentally affect the regions recognized by the proteins integration host factor (IHF) and TrwA (51, 52), as well as the trwA promoter sequence. oriTR7K exhibits the highest variation. IHF binding inhibits nic cleavage catalyzed by TrwC (52), while TrwA binding performs a dual function: stimulation of conjugation by enhancing TrwC nicking and transcriptional repression of the trwABC operon (51). No significant differences were found in conjugation frequencies of these plasmids. It is likely that oriT and TrwA coevolved to conform plasmid-specific interactions. As a result, they could influence nic cleavage and trwABC transcription rates, modeling differences in the conjugation properties in different environments.
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1) and pIE321 (Tn1721
1 and Tn5393
2,3). Interestingly, an integron gene cassette, aadA13, was inserted in a secondary site of plasmid R7K. All insertions occurred outside the conjugation modules. MGEs in IncP plasmids show significant hot spots in oriV-klcA and tra-trb (44, 74). Judging from the representations in Fig. 1 and 3, there are not preferred regions for MGE insertion in the IncW backbone. It may also be an indication of the recent origin of IncW plasmids that all MGE insertions can be explained in one or a few steps. The inserted MGEs themselves are not composite transposons. Figure 1 shows that insertions did not produce extensive reorganizations in the IncW backbone and synteny was maintained.
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plasmids RP1/RP4 (accession number L27758) (59), 98.2% to Tn2 (accession numbers X54607 and AY123253) (60), and 98% to Tn3 (accession number V00613). Flanking the inserted element are duplications of the target pentanucleotide AAATT (Fig. 3, panel A), pointing to a clean transposon insertion. Tn1 insertion in plasmid RP4 occurs also within gene klcB, although the insertion site is not identical. Tn1R7K shows perfect 38-bp terminal IRs and retains its three functional genes: tnpA (transposase), tnpR (resolvase), and blaTEM-1c (encoding TEM-1 β-lactamase), as well as the resolution res site. Tn1RP4 and Tn1R7K differ in only 10 nucleotides, resulting in a three-residue change in their TnpAs (A457R, D797G, and D801N) and one residue mutation in TEM proteins (K37Q). Gene blaTEM-1c, as present in R7K, constitutes a new allele, and differs from blaTEM-1a, blaTEM-1b, and blaTEM-2, present in transposons Tn3, Tn2, and Tn1, respectively, by the mutations shown in Table S2 in the supplemental material. Two regions are delimited: one comprising the promoter and the coding region up to position 345, which is identical to that in Tn3, and the other spanning from position 346 to the stop codon, which is identical to that in Tn1. This fact suggests homologous recombination between blaTEM-1a and blaTEM-2, originating blaTEM-1c. The resulting protein, as well as its putative weak promoter, is identical to those encoded by Tn2 and Tn3 (37).
A second transposon, Tn5393
1, is inserted in gene nuc, leaving its last 14 codons contiguous to the transposon 3' end (Fig. 1 and see Fig. S2 in the supplemental material). Tn5393
1 is 99% identical to Tn5393 from plasmid pEa34 (accession number M95402) (21) but has an internal deletion (1,982 bp) comprising the resolvase gene, insertion element IS1133, and the first 50 codons of strA. The deletion is clean, without relics of other transposable elements. The transposon is flanked by imperfect IRs (77 nucleotides out of 81) and a direct repeat of GACAG, corresponding to the target duplication at the insertion site (Fig. 3, panel B).
Gene aadA13, coding for aminoglycoside-3'-adenylyltransferase that confers resistance to streptomycin and spectinomycin, is located proximal to Tn5393
2 in plasmid R7K (Fig. 1). The presence of 14 codons of the 3' region of nuc between the insertions of Tn5393
1 and aadA13 demonstrates that both elements inserted independently (see Fig. S2 in the supplemental material). Protein AadA13R7K shows 98% identity to reported versions of AadA13 (accession numbers AAV49321, AAY18576, ABG76948, ABG76949, and BAF73713). The AadA family alignment (from AadA1 to AadA15), which contains the N-terminal nucleotidyltransferase domain, shows 33.5% consensus identity. AadA1 is most related to AadA13 (85.3% identity), while AadA14 is the least similar (54.3%).
The aadA13 insertion looks like an integron gene cassette (855 bp long), containing a 3' attC element as well as a recombination site (G/TTAGAC) upstream of the aadA13 start codon (Fig. 3, panel C). It lacks attI or any other integron component. The attC sequence of the hypothetical circularized cassette (60 bp long) is 100% identical to previously reported aadA13-related attC sequences (accession numbers AY940492, DQ779001, DQ779002, and AB332415) (43). All these homologues are contained in class I integrons. Thus, we assume that the aadA13 cassette integrated in an IntI1 secondary site (G/TTAGCG; the consensus being GWTMW [29]) located in the complementary strand of gene nuc, just downstream of its stop codon (see Fig. 3, panel C). Since the aadB cassette was shown to excise from a secondary site with a completely conserved GTT triplet (67), the composite core site of cassette aadA13 may also be active in IntI1-mediated recombination.
The integration of cassette aadA13 produced a deletion in the osa gene, leaving 114 bp of its 3' region. Interestingly, this truncated segment shows only 83% identity to the functional osaR388, perhaps underscoring the rapid shift of nonfunctional sequences (see Fig. S2 in the supplemental material). Osa impairs transport of Vir proteins (46) and DNA transfer (14) to plant cells. The repercussion of osa deletion in the ecology of plasmid R7K remains to be investigated.
Gene cassettes do not contain their own promoters and thus are transcribed from the Pant promoter when inserted in the integron, or from a suitable oriented promoter when inserted in a secondary site (64). For example, cassette aadB was integrated in a secondary site of plasmid pRAY and is transcribed from a plasmid promoter (67). In R7K, aadA13 is expressed since the host bacteria are resistant to spectinomycin, a phenotype that is not attributable to the str genes present in transposon Tn5393
1. A putative promoter is located upstream of aadA13 in the 'osa region (detected using the bacterial promoter prediction BPROM program at http://www.softberry.com) (see Fig. S2B in the supplemental material). Finally, a 13-bp string of DNA appears between cassette aadA13 and 'osa that is neither part of the gene cassette nor part of the IncW backbone.
Insertions in plasmid pIE321.
Plasmid pIE321 contains insertions of truncated class II transposons Tn1721 and Tn5393c (Fig. 1). The 6,295-bp-long Tn1721
1 element is inserted between coding sequence 14 (CDS14) and stbC. Compared to the canonical Tn1721 (11,139 bp long) (accession number X61367) (3), this derivative shows a 4,844-bp deletion that includes the left terminal IR, the gene orfI, the resolution site res, the resolvase gene tnpR, and part of the transposase gene tnpA. No DNA target duplication was observed (Fig. 3, panel D). The transposon keeps the last 256 codons of tnpA, tetR (encoding a tetracycline resistance repressor), tetA(A) (encoding a tetracycline efflux protein that confers resistance to tetracycline), pecM (related to a permease repressor), pncA (a cystein-hydrolase), the second truncated copy of tnpA (encoding the 583 C-terminal residues), and the right IR (IRR2), which appears duplicated in the middle of the element (IRR1), as happens in the original transposon. A simple one-ended transposition event explains the Tn1721
1 insertion. Single-ended derivatives of Tn3-like transposons Tn1721, Tn21, and TnA were found to cleanly insert into a recipient plasmid (7, 42, 53). Insertion products contain the entire donor plasmid plus a duplication of the IR (7, 42, 53, 54), or only variable-length portions of the transposable derivative (8, 42, 53). So, transposition termination at a non-IR sequence can yield a simple insertion of a truncated transposon without duplication of the target sequence, like Tn1721
1 in plasmid pIE321. This is not an isolated example. A single-end Tn1721 derivative found in the IncP plasmid pB10 (accession number AJ564903) has almost the same truncation (66). Given the fact that single-ended TnpA– Tn21 and TnA derivatives transpose when the cognate transposase is provided in trans (7, 42), the Tn1721
1 copy in pIE321 could potentially be mobilized.
The 2,148-bp Tn5393
2,3 derivative is inserted between ardK and LDR1 (Fig. 1), duplicating the target sequence ATCAA (Fig. 3, panel E). The element retains the Tn5393 81-bp terminal IRs and genes strA and strB encoding streptomycin resistance (aminoglycoside-3'-phosphotransferase and aminoglycoside-6-phosphotransferase) but has two internal deletions. The first (
2; 2,316 bp) includes the N-terminal portions of the transposase (tnpA and tnpR) and resolvase genes, leaving their last 77 and 37 codons, respectively. The second (
3; 1,233 bp) comprises IS1133. The three remaining portions, IR-'tnpA, 'tnpR, and strA-strB-IR, are juxtaposed, as happens in the R7K element, and are 100%, 98%, and 100% identical, respectively, to Tn5393 (accession number M95402) (15). Blast analysis of Tn5393
2,3 showed 100% nucleotide identity and coverage with an element contained in plasmid pMBSF1, which has exactly the same deletions (accession number AJ518835). This plasmid was obtained from E. coli isolated from pigs and, as with pIE321, also contains a truncated Tn1721 copy but inserted in a different location (12).
Insertion of the integron platform in plasmids R388, pSa, and pIE522. Complete class I integrons are present in R388, pSa, and pIE522 at exactly the same backbone location (Fig. 3, panel F). They contain the same 5' and 3' conserved regions. In all three cases, the integron disrupts orphan gene CDS36, present in integron-free plasmids R7K and pIE321. As a result of the integron insertion, an internal 112-nucleotide deletion was produced in CDS36, leaving 22 codons 5' and 77 codons 3' of the inserted integron. Thus, we assume the integron inserted just once in an ancestral IncW backbone, as proposed by Gorai et al. (34) and Stokes et al. (68), as will be discussed later.
Upon integration, gene CDS36 is split in such a way that an in-frame GTG start codon near the integron border gives rise to a chimeric gene in plasmids containing the integron platform. We annotated it as tnpM in R388 (28) by analogy with tnpM of Tn21 (also located after intI1, as shown previously [47]). However, there is practically no similarity with the Tn21 gene, so it should not be called tnpM, to avoid confusion. The DNA sequence that CDS36 and tnpM have in common is responsible for hybridization of the R388 tnpM probe to plasmids R7K and pIE321 in the DNA array (see Fig. S1 in the supplemental material).
The IncW integron platform does not retain the transposition functions responsible for integron movement but conserves the terminal sequence IRi (25 bp long; close to the 3' end of intI1) of Tni, the vehicle transposon present in Tn21 (47). The integron 3' conserved region, besides the common qacE
1 gene and sul1, the sulfonamide resistance gene, harbors orf5 and a truncated orphan gene, orf6 (coding for its first 57 residues). The integron variable regions contain different gene cassettes. In R388, cassette dhfr codes for dihydrofolate reductase that confers resistance to trimethoprim (70, 83), while cassette orfA (69, 70) has no assigned phenotype. In pIE522, cassette aadB encodes 2-aminoglycoside (2') adenylyltransferase and confers resistance to gentamicin/kanamycin/tobramycin. In pSa, the inserted integron contains two gene cassettes, aacA4 and aadA2, which confer resistance to gentamicin/kanamycin and streptomycin/spectinomycin, respectively (39, 72).
The existence of different gene cassettes as well as the high conservation of the integrase with that of Tn21 (they differ only in residue 39: His in IntTn21 and Asn in IntIncW plasmids) suggests that the IncW integrase is active in the genesis of new IncW plasmids. According to theory, the first acquired cassette is located in the last position of the integron variable region. Consistent with this, the first inserted cassette in each integron contains the same sequence (GTTAGAT) in its attC core site, derived from the primary attI recombination site in the empty integron.
In the integron version of plasmid pSa, the 3' conserved genes qacE
1 and sul1 have been duplicated (68). In between, there is a chloramphenicol resistance gene, catA2, which does not correspond to a cassette insertion, followed by an ISCR1 element. This insertion sequence contains orf513, a gene found close to many integrons, which encodes a protein related to the IS91 transposase (32, 76). Three copies of the putative 5' end of the ISCR1 element oriISCR1 appear downstream of orf513. The pSa integron distal 3' conserved sequence is identical to that in R388. Based on the proposed three-step mechanism (75, 76), a possible scenario for the formation of the pSa integron includes rolling-circle transposition of ISCR1 fused to the 3' conserved region of a class I integron (containing orf513, sul1, and qacE
1) to the vicinity of gene catA2. Subsequent one-ended rolling-circle transposition of this element, now containing catA2, gives rise to circular intermediates that can recombine with the 3' conserved region of a simple integron platform, like that present in R388.
Concluding remarks. Several horizontal gene transfer events shaped currently known IncW plasmids. The most parsimonious assumption is to consider that the integron platform was inserted only once in an ancestral IncW plasmid, since its genetic location is exactly the same for the three IncW plasmids harboring it. Different gene cassettes were then incorporated into the integron by integrase-catalyzed reactions, producing the present versions in R388, pIE522, and pSa. A subsequent acquisition of an ISCR1 element in the pSa integron occurred. The diversifications in the integron arrangements must be very recent, considering the 100% nucleotide identity in the integron platform of the three plasmids. Independent events of MGEs loaded in the ancestral plasmid gave rise to the IncW variants pIE321 and R7K. Divergence of those plasmids is older than that of R388/pIE522/pSa, since pIE321 and R7K exhibit small but significant differences in the backbone (see Table S1 in the supplemental material). The IncW group thus provides an example of the recent evolution of a plasmid backbone which acquired different MGEs that were selected by the heavy use of antibiotics.
| ACKNOWLEDGMENTS |
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We are grateful to K. Smalla for providing plasmids pIE522 and pIE321.
| FOOTNOTES |
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Published ahead of print on 11 February 2008. ![]()
Supplemental material for this article may be found at http://aac.asm.org/. ![]()
# These authors are equal contributors. ![]()
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