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Antimicrobial Agents and Chemotherapy, March 2009, p. 1235-1237, Vol. 53, No. 3
0066-4804/09/$08.00+0 doi:10.1128/AAC.00970-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

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Tsai-Lien Liao,1,
Yen-Ming Liu,1
Tsai-Ling Lauderdale,2
Jing-Jou Yan,3 and
Shih-Feng Tsai1,4,5
Division of Molecular and Genomic Medicine, National Health Research Institutes, Miaoli, Taiwan,1 Division of Clinical Research, National Health Research Institutes, Miaoli, Taiwan,2 Department of Pathology, National Cheng Kung University Hospital, Tainan, Taiwan,3 Genome Research Center and Institute of Biomedical Informatics, National Yang-Ming University, Taipei, Taiwan,4 and Department of Life Sciences and Institute of Genome Sciences, National Yang-Ming University, Taipei, Taiwan5
Received 22 July 2008/ Returned for modification 1 November 2008/ Accepted 6 December 2008
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ISCR1 were found to be associated with many antimicrobial resistance genes, including the plasmid-mediated quinolone resistance determinant qnr (5) as well as genes encoding resistance to chloramphenicol, trimethoprim, aminoglycosides, and β-lactams (8, 13, 14). However, lacking the 59 base elements required for site-specific recombination, these orf513-linked genes could not have been acquired as gene cassettes. It was hypothesized that these antimicrobial resistance genes were added to the 3'-CS of the class 1 integron through comobilization with the nearby ISCR1 from other integrons using RC transposition and homologous recombination (1, 13).
In a recent study on the prevalence of QnrA, QnrB, and QnrS among clinical isolates of Enterobacter cloacae, the association of Qnr with the IMP-8 metallo-β-lactamase (MBL) was investigated (15). From 56 IMP-8 MBL producers, eight qnrB-positive, blaIMP-8-positive transconjugants and four qnrB-negative blaIMP-8-positive transconjugants were obtained. Restriction pattern analysis on these plasmids gave very similar patterns, suggesting the occurrence of horizontal mobility of qnrB2 (15). To investigate the possible horizontal transfer mechanisms responsible for qnrB2, we have conducted complete DNA sequencing and comparative analysis on two of the plasmids, the qnrB2-positive plasmid pEC-IMPQ and the qnrB2-negative plasmid pEC-IMP.
The DNA sequences of the two plasmids were determined using a whole-genome shotgun approach as described before (3). The two plasmids are 324,503 bp and 318,782 bp in length and have a common backbone similar to that of the IncHI2 plasmids (2, 6, 7). The larger one, pEC-IMPQ, carries an additional segment which contains qnrB2, a truncated 3'-CS, and an ISCR1. Outside this region, single nucleotide substitutions were found in five positions, and a 20-kb inversion, probably facilitated by the two flanking IS26s, was detected (Fig. 1a). Three β-lactamase genes, blaTEM-1, blaIMP-8, and blaSHV-12, were found in both pEC-IMP and pEC-IMPQ. Among them, only blaIMP-8 was located within an integron. The blaTEM-1 and blaSHV-12 genes were associated with Tn3 and IS26, respectively. There were also other resistance genes, including those encoding a tetracycline efflux pump and its regulator, tetAR; dihydropteroate synthetase genes sul1 and sul2; chloramphenicol acetyltransferase genes catA2 and catB3; hipBA genes encoding putative multidrug tolerance proteins; a dihydrofolate reductase gene, dfrA19; a putative rifampin ADP-ribosyl transferase gene; a putative aminoglycoside 3'-phosphotransferase gene; and several aminoglycoside acetyltransferase genes, aac3, aacA4, aac6, and aac(6')-IIc. Most of these antimicrobial resistance genes are located in the four integrons of both of the plasmids (Fig. 1a). Several gene clusters responsible for heavy metal resistance were also identified.
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FIG. 1. (a) Schematic diagram of the plasmids pEC-IMPQ and pEC-IMP. The qnrB2-containing region in pEC-IMPQ is depicted in a white box. The inversion is indicated by dotted lines. The five nucleotide substitutions are indicated by black arrowheads. The four class 1 integrons are depicted in gray boxes. The other features indicated are as follows: repHIA and repHI2, replication origins; ter, tellurite resistance gene cluster; pbr, lead resistance gene cluster; mer, mercury resistance gene cluster; ars, arsenic resistance gene cluster; aph, putative aminoglycoside phosphotransferase gene; ereA2*, erythromycin esterase pseudogene; and arr, putative rifampin ADP-ribosyl transferase gene. The ISCR1-containing regions are detailed in panel b. (b) The genetic contexts near the extra region found in pEC-IMPQ. The repeats of the redundant ISCR1 in pEC-IMPQ are marked. The dotted line indicates the 5.8-kb region identical to a previously reported plasmid from a Salmonella enterica serovar Keurmassar. The proposed circular intermediate of an aberrant RC replication carrying the qnrB2-truncated qacE 1-sul1 is shown above. The proposed integration event between this intermediate and pEC-IMP are marked (the big x). The intI1 integrase genes of the class 1 integrons are crosshatched. The resistance genes that comobilized with the ISCR1 are shown in gray. Other resistance genes are shown in white. The single nucleotide differences of the sul1 genes are indicated (T and A) at the positions of variation. Truncated orf genes are marked with an asterisk after the gene name. The str genes encode streptomycin resistance proteins.
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1, and dihydropteroate synthetase gene sul1. In pEC-IMP, an ISCR1 and dihydrofolate reductase gene dfrA19 were identified downstream of sul1. In pEC-IMPQ, the duplication of the ISCR1 and the 3' end of the nearby sul1 were identified. A qnrB2, a truncated qacE
1, and another sul1 were identified between the duplicated ISCR1 (Fig. 1b). In pEC-IMPQ, the 5.8-kb sequence at approximately bp 149926 to 155739 flanked by the duplications is identical to a recently described qnrB2-containing sequence found between two ISCR1s on a plasmid from a Salmonella enterica serovar Keurmassar strain (5). This suggests that the region in common that includes qnrB2 was derived from the same immediate ancestor (Fig. 1b). The two sul1 genes differ at one position, as indicated in the figure.
On the basis of sequence analyses and the proposed mobilizing function of ISCR1, a model was made (Fig. 1b). In this model, a circular intermediate that carries the qnrB2-truncated qacE
1-sul1 was produced by RC replication initiated from the replication origin oriIS of the ISCR1 element. The circular intermediate was then inserted into pEC-IMP by homologous recombination somewhere between the 3' moiety of the sul1 gene and the oriIS. This would explain the formation of the so-called complex class 1 integron of pEC-IMPQ, in which the qnrB2-containing extra region was found between two CRs (Fig. 1b). It is, however, also possible that the pEC-IMP was created from pEC-IMPQ by the deletion of this extra region via excision between the two repeat regions (Fig. 1b).
In summary, the major difference between two related plasmids isolated from E. cloacae was a qnrB2-containing region flanked by two ISCR1s. Our comparative analyses provide support for the proposed ISCR1-mediated gene mobilization.
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Published ahead of print on 15 December 2008. ![]()
These authors contributed equally to this article. ![]()
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