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Mechanisms of Resistance

Cloning and Nucleotide Sequence Determination of the Entire mec DNA of Pre-Methicillin-Resistant Staphylococcus aureus N315

T. Ito, Y. Katayama, K. Hiramatsu
T. Ito
Department of Bacteriology, Juntendo University, Tokyo, Japan
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Y. Katayama
Department of Bacteriology, Juntendo University, Tokyo, Japan
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K. Hiramatsu
Department of Bacteriology, Juntendo University, Tokyo, Japan
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DOI: 10.1128/AAC.43.6.1449
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ABSTRACT

In methicillin-resistant Staphylococcus aureus, the methicillin resistance gene mecA is localized within a large chromosomal region which is absent in the methicillin-susceptibleS. aureus chromosome. The region, designatedmec DNA, is speculated to have originated from the genome of another bacterial species and become integrated into the chromosome of the S. aureus cell in the past. We report here cloning and determination of the structure of the entire mec DNA sequence from a Japanese S. aureus strain, N315. Themec DNA was found to be 51,669 bp long, including terminal inverted repeats of 27 bp and a characteristic pair of direct repeat sequences of 15 bp each: one is situated in the right extremity ofmec DNA, and the other is situated outside themec DNA and abuts the left boundary of mec DNA. The integration site of mec DNA was found to be located in an open reading frame (ORF) of unknown function, designatedorfX. Clusters of antibiotic resistance genes were noted inmec DNA carried by transposon Tn554 and an integrated copy of plasmid pUB110. Both the transposon and plasmid were integrated in the proximity of the mecA gene, the latter being flanked by a pair of insertion sequence IS431elements. Many ORFs other than those encoding antibiotic resistance were considered nonfunctional because of the acquired mutations or partial deletions found in the ORFs. Two ORFs potentially encoding novel site-specific recombinases were found in mec DNA. However, there was no ORF that might encode mecDNA-specific transposase or integrase proteins, indicating that themec DNA is not a transposon or a bacteriophage in nature.

In 1961, shortly after the introduction of methicillin, methicillin-resistant Staphylococcus aureus (MRSA) was reported in England (18). MRSA soon became a serious problem challenging hospital infection control throughout the world (4). MRSA expresses methicillin resistance by producing a specific penicillin-binding protein, PBP2′ (or PBP2a), that has a decreased binding affinity to β-lactam antibiotics (13, 30, 48). The genetic determinant of methicillin resistance (mec) has been localized on the chromosome of S. aureus (36) and mapped to a locus between the genes encoding protein A (spa) and a protein involved in the biosynthesis of purine (purA) (19). The mecA gene encoding PBP2′ has been cloned from a Japanese MRSA strain by exploiting a tobramycin resistance gene which is closely linked to mecA as a selective marker, and its sequence was determined (38). ThemecA gene is adjoined by a set of regulatory genes,mecI and mecR1, forming the mecA gene complex (mecI-mecR1-mecA), though in some strains the set is partially deleted and only the 5′-portion of the mecR1 gene is left beside the mecA gene (ΔmecR1-mecA) (2, 14, 20, 24). The mecA gene complex (and its deleted version) is widely distributed among S. aureusspecies as well as among other staphylococcal species collectively called coagulase-negative staphylococci (C-NS) (17, 31, 42,43). Therefore, it has been speculated that mec may be freely transmissible among staphylococcal species, crossing the staphylococcal species barrier (3, 42). With classical genetic experiments, it was shown that mec is not transferable between S. aureus strains by conjugation (21) but is transferable by bacteriophage-mediated generalized transduction (10). Subsequently, Trees and Iandolo reported that mec could be mobilized from the chromosome to a penicillinase plasmid, pI524, and suggested the possibility that mec may comprise a part of a transposable genetic element (46). In the 1980s, direct chromosome analysis of MRSA strains revealed that a substantial length of the chromosomal DNA segment (greater than 30 kb) carrying mechas no allelic equivalence in methicillin-susceptible S. aureus (MSSA) strains; the segment was called “additional DNA” or “mec DNA” (6, 7, 11, 37). However, the size, structure, and biological properties of mec DNA have, until now, long remained unclear.

In this study, we report the first demarcation and determination of the structure of the mec DNA of a Japanese S. aureusstrain, N315.

MATERIALS AND METHODS

Bacterial strains, plasmids, bacteriophages, and media.N315 is a mecA-carrying S. aureus strain that has been described previously (14, 20). NCTC8325 (BB255), a type strain of S. aureus, was a gift from B. Berger-Bächi.Escherichia coli MC1061 was used for the propagation of plasmid libraries, and E. coli XL1-Blue MRA(P2) was used for the propagation of phage libraries. Plasmid pACYC184 was used for the construction of plasmid libraries, and plasmid vectors pUC118 and pUC119 were used for subcloning. BamHI-cleaved arms of lambda Dash II (Stratagene, La Jolla, Calif.) were used for the construction of phage libraries. L broth and L agar, used for cultivation of E. coli, and NZY broth, NZY agar, and NZY soft agar, used for propagation of bacteriophage λ, were prepared as described (33). Heart infusion broth and heart infusion agar (Eiken Kagaku, Tokyo, Japan) were used for cultivation of S. aureus. The antibiotics ampicillin (Meiji Seika Co., Tokyo, Japan) and chloramphenicol (Sankyo Co., Tokyo, Japan) were used at the concentrations of 100 and 25 μg/ml, respectively.

Construction of genomic DNA libraries of N315 and NCTC8325.Genomic DNA libraries were prepared from S. aureus N315 and NCTC8325. Extraction of DNA from staphylococcal cells has been described previously (14). Partial Sau3AI digests and complete HindIII digests were made, and fragments were separated by agarose gel electrophoresis. Fractions with DNA fragments ranging from 10 to 20 kb in size were extracted by using BIOTRAP (Schleicher & Shuell, Keene, N.H.) and were used for the construction of genomic DNA libraries.

Plasmid libraries were constructed as follows. Phosphatase-treated linearized pACYC184 (0.3 μg) and partiallySau3AI-digested or completelyHindIII-digested S. aureus N315 DNAs (1.1 to 1.2 μg) were mixed and ligated by using a DNA ligation kit (Takara Shuzo Co. Ltd., Kyoto, Japan). The ligated DNAs were transformed into E. coli MC1061, and transformants were selected with antibiotic resistance by plating on L agar plates containing chloramphenicol. After incubation of the plates at 37°C for 16 h, colonies grown on the plates were lifted onto a nylon filter (BiodyneA; Pall BioSupport, Glen Cove, N.Y.) as described previously (14).

Phage libraries were constructed as follows: 300 ng of partialSau3AI digests of chromosomal DNA of N315 and NCTC8325 (10 to 20 kb in length) and 1 μg of the lambda Dash II arms cleaved withBamHI (Stratagene) were resuspended in 5 μl of ligation buffer containing 1 mM ATP and incubated overnight at 14°C after addition of 2 Weiss units of T4 DNA ligase and packaged by using packaging extract (Giga-puck plus; Stratagene), all as described by the manufacturer. Phages were propagated to produce plaques on E. coli XL1-Blue MRA(P2) and were lifted onto a nylon filter (BiodyneA; Pall BioSupport).

DNA hybridization.Colony hybridization was performed by using [α32P]dCTP (3,000 Ci/mmol [NEN Research Products, Du Pont, Boston, Mass.])-labeled probes as described previously (14). Probes 1, 2, 3, and 4 were prepared from 2.6-kb HindIII DNA fragments of pES1, 2.7-kbHindIII fragments of pSJ2, 1.9-kb HindIII fragments of pSJ5, and 1.8-kb EcoRI-HindIII fragments of pSJ7, respectively.

Plaque hybridizations were performed by using digoxigenin-labeled probes (Boehringer, Mannheim, Germany) as described (33). Probe 11A, which was used to clone LD8325, was prepared by PCR amplification with cL2 (5′-ATAGAAAAACAGGACTTGAAC-3′) and M4 (5′-GTTTCCCAGTCACGACGTTGTAA-3′) used as primers and SJ8 used as a template. Probe cR, which was used to clone LN4, was prepared by PCR with cR4 (5′-TTCTAATGTAATGACTGTGGAT-3′) and cR5 (5′-TTATTAGGTAAACCAGCAGTAAGTGAACAACCA-3′) used as primers and LD8325 used as a template.

DNA manipulation.Large-scale and small-scale preparation of plasmid DNA, purification of phage plaques, extraction of DNA from purified phage particles, and subcloning of DNA fragments into plasmid vector pUC118 or pUC119 were performed by standard techniques (33). All the enzymes for DNA manipulation were purchased from Takara Shuzo Co. Ltd., except for Taq DNA polymerase for PCR, which was purchased from Perkin-Elmer, Foster City, Calif.

Nucleotide sequence determination was performed as described previously (14), using a Dye Terminator Cycle Sequencing FS Ready Reaction kit (Perkin-Elmer). Descriptions of primers synthesized specifically for the sequence determination are given in the figure legends.

PCR amplification.PCR was performed essentially as described previously (42) with a 50-μl reaction volume and by using thermal cycler Gene Amp 9600 (Perkin-Elmer Cetus Instruments, Emeryville, Calif.). In nested PCR, the first round of PCR was carried out for 30 cycles and 1 to 2 μl of the reaction mixture obtained was used as the substrate for the second round of PCR, which was carried out for 10 cycles. Long PCR was performed by using ExpandTaq polymerase (Boehringer) by the procedure recommended by the manufacturer. Three microliters of the reaction mixture was subjected to agarose gel electrophoresis to detect amplified DNA fragments. PCR products were purified by using a High Pure PCR product purification kit (Boehringer).

Computer analysis of nucleotide and protein sequences.All the analyses were carried out by using programs in The Wisconsin Package (version 9.0; Genetics Computer Group, GCG, Madison, Wis.). Homology searches of the EMBL (release no. 55.0) and GenBank (release no. 107.0) databases were performed by using BLAST and TFastA programs, and the FastA program was used for the homology search of the SWISS-PROT database (release no. 35.0).

Nucleotide sequence accession numbers.The nucleotide sequences of the mec DNA of N315 and of pLE1a described in this article have been deposited in the DDBJ, EMBL, and GenBank databases under accession nos. D86934 and AB014440, respectively.

RESULTS

Identification of mec DNA on S. aureus N315 chromosome.As illustrated in Fig.1a, overlapping chromosomal DNA fragments were sequentially cloned from themecA-carrying S. aureus strain N315 (pre-MRSA strain [14, 16]) and their nucleotide sequences were determined. The procedure was initiated by cloning chromosomal DNA fragments SJ1 and SJ2 which were cross-hybridizable with the previously cloned DNA fragment, ES1, containing a part of the mecA gene complex (14). Then the cloning proceeded leftward until the first DNA fragment that hybridized with the chromosomal DNA of the MSSA type strain NCTC8325, SJ8, was obtained. By using probe 11A, which cross-hybridized with the NCTC8325 chromosomal DNA (Fig. 1a), the chromosomal DNA fragment LD8325 was obtained from a phage library of NCTC8325 by plaque hybridization. By comparison of the nucleotide sequences of SJ8 and LD8325, the left chromosome-mec DNA junction (attL; Fig. 1b) was determined. Then, to clone the DNA fragment containing the right boundary of mec DNA, the MSSA-specific probe cR (Fig. 1a), corresponding to a stretch of nucleotides present in LD8325 but absent in SJ8, was used as a hybridization probe to screen a phage library of N315. The chromosomal DNA fragment LN4 was thus obtained (Fig. 1a). By alignment of the nucleotide sequences of LD8325 and LN4, the presumptive right chromosome-mec DNA junction (attR; Fig. 1b) was identified. The authenticity of attR was confirmed by proving that the mecA gene and attR were closely linked on the chromosome of N315 by using a long PCR amplification. One primer, mA3, for the PCR was prepared inside the mecA gene, and the other, cR2, was prepared downstream of the presumptivemec DNA boundary (the locations of the primers are indicated in Fig. 1a). The DNA fragment, 12 kb in size, was amplified by long PCR (Fig. 1a). The amplified fragment did not hybridize with NCTC8325 chromosomal DNA in dot blot hybridization, showing that the fragment was extrinsic to MSSA chromosome and was a part of the mecDNA. By determining a restriction enzyme map and by subsequent nucleotide sequencing of the 12-kb fragment, the nucleotide sequence of the entire mec DNA of N315 was carried out.

Fig. 1.
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Fig. 1.

Genomic structure of mec DNA. (a) Cloning strategy of mec DNA. The mec DNA is shown in light yellow; the chromosomal region found in both the pre-MRSA strain N315 and the MSSA strain NCTC8325 is shown in green. All the hybridization probes are shown in orange. DNA fragments SJ1 and SJ2 were cloned from a N315 plasmid library by colony hybridization by using probe 1 prepared from plasmid pES1 (14). DNA fragments SJ4, SJ5, SJ7, and SJ8 were sequentially cloned by using probes 2, 3, and 4, respectively. All the fragments were cloned from a plasmid library of Sau3AI-partial digests except for SJ8, which was cloned from an N315 library of HindIII digests. LD8325 was cloned from a phage library of NCTC8325 by plaque hybridization by using the probe 11A. LN4 was cloned from a phage library of N315 by plaque hybridization by using cR as a probe. The region downstream ofmecA was identified and sequenced by using the DNA fragment directly amplified by long PCR with mA3 (5′-ACAACGTTACAAGATATGAAGTGGTAAATGGTA-3′) and cR2 (5′-AAACGACATGAAAATCACCAT-3′) primers and the N315 DNA as a template. Only relevant restriction enzyme sites are indicated (H,HindIII; E, EcoRI; P, PstI), and those in overlapped DNA fragments are omitted. The nucleotide sequence accession numbers of the N315 chromosome containing the entiremec DNA (56,939 bp) starting at the first nucleotide of the leftmost HindIII site and of LE1a, theEcoRI-PstI subfragment of LD8325, are given in the Materials and Methods section. (b) Boundary of mec DNA. Nucleotide sequences around the left and right boundaries ofmec DNA, attL and attR, respectively, are aligned with the sequence around the presumptive integration site,attB, on NCTC8325 chromosome. The four possible integration sites are located in the attB at the 3′ end oforfX (indicated by red arrowheads). The stop codons fororfX in NCTC8325 and modified orfX(orfX*) of N315 are indicated by red bars. Inverted complementary repeats, IR-L and IR-R, at both extremities ofmec DNA are indicated by thin arrows. Direct repeats are indicated by thick arrows. Asterisks indicate identical nucleotides in the two sequences. The numbers on top of the nucleotides indicate possible terminal nucleotides of mec DNA. The entire length of mec DNA was 51,669 bp; the left-most nucleotide was inferred to be one of the four nucleotides (positions from 4685 to 4688) designated nucleotides 1 to 4 in the figure.

Structure of the chromosome-mec DNA junction.Figure 1b shows the nucleotide sequences of the regions around the left and right boundaries of mec DNA, attL andattR, together with those of the regions around themec DNA integration site, attB (bacterial chromosomal attachment site for mec DNA), found on the chromosome of NCTC8325. The left and right chromosome-mecDNA junction regions, attL and attR, were tentatively and operationally defined in this study by using PCR with the primer pair cL1 and mL1 for attL and the primer pair mR8 and cR2 for attR (Fig. 2a). The attB was located at the 3′ end of a novel open reading frame (ORF), orfX, whose direction of transcription is shown from right to left in Fig. 1a and b, and its stop codon is indicated in Fig. 1b. The orfX, potentially encoding a 159-amino-acid (aa) polypeptide, was modified in N315 by the integration of mec DNA at its 3′ end, with its last 15 bases replaced by the mec DNA sequence. However, curiously, the modified orfX, designated orfX* (see Fig. 3), had a stop codon generated at the same nucleotide position as that of the unmodified orfX and encoded exactly the same last 5 aa, EAYHK, as those of the unmodified orfXof NCTC8325. The homology between the deduced amino acid sequences oforfX of NCTC8325 and orfX* of N315 was 100%, and that between the nucleotide sequences was 98.1%. Homology search of the databases revealed homology of the polypeptide encoded byorfX with some previously identified polypeptides, but their functions are unknown (see Table 1).

By comparison of the nucleotide sequences of N315 and NCTC8325, the exact integration site of mec DNA was inferred to within a maximum ambiguity of four bases (Fig. 1b). The left terminal nucleotide of mec DNA was estimated to be one of the four nucleotides TCTG (numbered 1 through 4 in Fig. 1b), and the right terminal nucleotide was estimated to be one of the four nucleotides TTCT (numbered 5 through 8 in Fig. 1b); the set of left and right terminal nucleotides of mec DNA was thus estimated to be one of the four nucleotide combinations 1 and 5, 2 and 6, 3 and 7, or 4 and 8. The entire length of the mec DNA was estimated to be 51,699 bp. No target duplication typically accompanied by the integration of insertion sequences (IS) or transposable elements was found flanking the mec DNA. Instead, characteristic direct repeats of 15 bases each (with 13 identical bases) were found: one was localized outside the mec DNA adjacent to its left boundary, and the other was localized inside the mec DNA at its right extremity (Fig. 1b). Degenerate inverted repeats, IR-L and IR-R, composed of 27 bases each (with 22 identical bases) were found at both termini of the mec DNA (Fig. 1b).

Genomic organization of mec DNA.Figure2a illustrates the essential structure of mec DNA. Transposon Tn554(encoding antibiotic resistance genes for spectinomycin [spc] and erythromycin [ermA]) was found integrated to the left of the mecA gene complex (26). To the right of the mecA gene complex, an integrated copy of staphylococcal plasmid pUB110 (encoding resistance genes for tobramycin and kanamycin [aadD] and for bleomycin [ble]) was found flanked by a pair of IS431 (25). These features of mec DNA of N315 were similar to those previously described with other MRSA strains (2, 15, 47).

Fig. 2.
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Fig. 2.

(a) The essential structure of mec DNA. Locations of the essential genes are illustrated. Only restriction sites of HindIII are indicated. attL andattR (tentatively defined by the primer pairs cL1 with mL1 and mR8 with cR2) are shown by bars. orfX* is indicated by an arrow. (b) ORFs in and around mec DNA. The ORFs more than 200 bases in size in six possible reading frames are indicated by squares. Those above and those below the line are the ORFs whose transcription is directed to the right and those whose transcription is directed to the left, respectively. Colored squares indicate the ORFs whose extant gene homologues were found in the databases, though many of them were considered incomplete ORFs (underlined). These are potentially defective genes or pseudogenes containing either deletion, nonsense mutation, or frameshift mutation. The colors correspond to the inferred functional properties of the ORFs: red, drug resistance; yellow, transposases (for Tn554, IS431, and putative transposons); gray, plasmid replication (rep for pUB110); magenta, site-specific recombinase (N034 and N037); brown, metabolism and physiology; blue, plasmid replication (for pUB110); black, unknown function. CN051 (stippled green) corresponds toorfX*. Three ORFs, N001 to N003, located outsidemec DNA have unknown function (black). (c) Regional change of G+C content in and around mec DNA. The G+C content was calculated and plotted as a line graph by using the Window program of The Wisconsin Package, with a window size of 100 bases and a shift increment of 100. The yellow bar indicates the range of G+C content ofS. aureus strains, which is 32 to 36% (34). The range delimited by the orange bars is that of the genusStaphylococcus, which is 30 to 39% (34). The regions with substantially lower than average G+C content (regions 1, 3, 4, 6) and with high G+C content (regions 2, 5, 7) are indicated by red bars and green bars, respectively.

The mec DNA contained 112 ORFs whose locations in six possible reading frames are illustrated in Fig. 2b; 32 of them, listed in Table 1, potentially encoded polypeptides which were similar (having a z score of >400 in the TFastA program) or identical (with greater than 99% identity in amino acids) to the previously reported gene products. Among the 32 ORFs, 7 were associated with drug resistance (Fig. 2b): they were resistance genes for erythromycin (CN026), β-lactam (CN036 or mecI, CN037 or mecR1, and N058 or mecA), spectinomycin (N048), kanamycin and tobramycin (N063), and bleomycin (N064). The mecA gene encoded a PBP2′ protein with 668 aa residues. The sequence was different by 24 aa residues from those of two other MRSA strains (reported by Song et al. [38] and Ryffel et al. [31]) but, curiously, was identical to that obtained from a methicillin-resistant Staphylococcus epidermidisstrain (31). Except for the mecA gene complex, drug resistance genes were carried either by the transposon Tn554 or the integrated copy of plasmid pUB110. No ORF encoding an evident pathogenic factor, such as those for bacterial adherence, invasion, or toxin production, was found. Three ORFs (N045, N046, and N047) encoded the transposases for Tn554, and two ORFs (N062 and N070) encoded the transposase for IS431. Three other ORFs (N026 through N028) encoded polypeptides homologous to putative Bacillus anthracis transposases, but the ORF N026 encoded a polypeptide which was lacking in the C-terminal third of the corresponding B. anthracis putative transposase, and the ORFs N027 and N028 encoded polypeptides homologous to the N- and C-terminal halves, respectively, of a putative IS150-like transposase of B. anthracis, indicating that these three ORFs were the remnants of transposase genes which might have been functional in the past. The ORF N066 corresponded to the pregene, which encodes the recombination enzyme for pUB110 (25). The replication gene, rep, of pUB110 was found to be disrupted into two ORFs (N068 and N069) by a nonsense mutation (Fig. 2b and Table 1).

The two ORFs N034 and N037 encoded proteins homologous to site-specific recombinases of the invertase-resolvase family. Among the extant site-specific recombinases, a site-specific integrase of the bacteriophage TP901-1 of Lactococcus lactis, which also was distantly related to the invertase-resolvase family of site-specific recombinases, had the best homology to N034 and N037 (8). N037 was also homologous to the site-specific recombinase SpoIVCA ofBacillus subtilis (40, 44), a putative integrase of Bacillus cereus bacteriophage TP21 ply21 (23), and transposase TnpX of Clostridium perfringens(5), all from gram-positive bacterial species. These recombinases have a catalytic motif at the N-terminal domain which is characteristic of recombinases of the invertase-resolvase family (1, 35).

Eight other ORFs were gene homologues presumably involved in the metabolism or physiology of the bacterial cell (Fig. 2b). Six of them (CN009, CN010, CN012, CN013, N021, and N022) formed a cluster which en bloc was homologous to the kdp operon (kdpAthrough kdpE), whose relative gene order, CBADE, is the same as that in Mycobacterium tuberculosis but different from that, ABCDE, in Clostridium acetobutylicum and E. coli. The kdp operon is involved in ATP-dependent potassium transport across the bacterial cell membrane (41). In spite of the difference in the gene order, among various species thekdp genes of C. acetobutylicum were the closest to those found on mec DNA. Comparison with the C. acetobutylicum kdp genes revealed that the kdpA gene homologue in mec DNA was disrupted into two ORFs (CN012 and CN013) by a frameshift mutation, the kdpC gene homologue (CN009) was lacking 4 N-terminal aa and 63 C-terminal aa, and thekdpD gene homologue (N021) showed a deletional loss of 23 N-terminal aa (Table 1).

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Table 1.

The ORFs in and around mec DNA whose deduced products show similarities to extant protein sequences

The ORF CN034, encoding a polypeptide homologous to xylose repressor, also had a deletion of 4 aa (from residue 12 through 15 at the N terminus), causing a shift of reading frame (Table 1). The ORF CN039 was a homologue of the E. coli ugpQ gene. E. coliUgpQ is a 247-aa protein with glycerophosphoryldiester phosphotransferase activity. A similar ORF (capable of encoding a 145-aa polypeptide with homology to the N-terminal part of the E. coli UgpQ protein) was previously identified by Ryffel et al. downstream of the mecA gene in another MRSA strain (32). The comparison of its nucleotide sequence with that of the ORF CN039 showed that the previously identified ORF was a mutated version of CN039 in which the 455th nucleotide (T) was deleted and a premature termination codon was introduced. CN039 itself, however, contained a one-base insertion at around the 508th nucleotide position which, by causing a shift of reading frame, truncated the C-terminal polypeptide, which was otherwise homologous to the C-terminal 28 aa of the E. coli UgpQ protein. Four ORFs, N044, N052, CN030, and CN031, were homologous to B. subtilishypothetical proteins with unknown function.

Distribution of G+C content of mec DNA.Figure 2c illustrates the regional change of the G+C content in and aroundmec DNA. The overall G+C content of mec DNA was 32.79%, which is within the range of variation for the speciesS. aureus (32 to 36%) (34). There were seven regions (two outside of the mec DNA and five within themec DNA) having substantially deviant G+C content values (Fig. 2c). The regions might have different evolutionary origins: region 2 contained a group of ORFs homologous to the kdpoperon, and the adjacent region, region 3, contained remnants of putative transposases (Table 1); region 4 contained mecregulator genes, mecI and mecR1 (14,43), which are proposed to have been derived from a β-lactamase gene complex independently of the mecA gene (38); region 5 corresponded to the drug resistance genes aadD(conferring tobramycin and kanamycin resistance) and ble(conferring bleomycin resistance) carried by the plasmid pUB110. It was noted that the MSSA chromosomal region (region 1) containingattL (Fig. 2a) had remarkably low G+C content, as did region 6, at the right extremity of mec (Fig. 2a). It was also noted that orfX, corresponding to region 7 shown in Fig. 2c, had an unusually high G+C content for an S. aureus gene; the content for the entire ORF was 39.41%, and that for the 3′ half (left half) was 43.75%.

Precise excision of mec DNA.To test whethermec DNA behaves like a mobile genetic element, PCR experiments were designed to monitor spontaneous precise excision ofmec DNA at the attR and attL regions. The combinations of primers, cR2 with cL3 and cR1 with cL1, were used for the first and second rounds of PCR, respectively. The primers cR1 and cR2 were located in orfX (Fig.3), and cL1 and cL3 were located in the chromosomal region outside the left boundary of the mec DNA (Fig. 1a). Figure 4 shows that the sensitivity of the first round of PCR was such that it could detect theattB region of NCTC8325 total DNA which had been mixed with N315 total DNA at the ratio of 1:10,000 (wt/wt). At this level of sensitivity, no amplified band was detected when N315 DNA was used as a template for PCR; the second round of PCR (nested-PCR), however, did amplify a DNA fragment. The DNA fragment was purified and was subjected to nucleotide sequence determination. The sequence contained theattB sequence, which was similar to that of NCTC8325 and was identical to the corresponding sequences, attL andattR, of N315. The data indicated that attB was generated from the N315 chromosome as a result of spontaneous precise excision of mec DNA. The result suggested that the precise excision of mec DNA occurred in N315 at a low frequency: less than 1 in 104 cells.

Fig. 3.
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Fig. 3.

Nucleotide and predicted amino acid sequences oforfX genes of NCTC8325 and orfX* genes of N315. The nucleotide sequence of the orfX gene of NCTC8325 located on the plasmid pLE1a was sequenced and compared to orfX* of N315. A possible integration site of mec DNA is indicated by a dotted arrow; the nucleotide position was ambiguous but within four nucleotides. Arrows indicate the locations and directions of primers used for the PCR assay. The accession number for the sequence of pLE1a is given in the Materials and Methods section.

Fig. 4.
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Fig. 4.

PCR for the detection of spontaneous precise excision ofmec DNA. Two sets of primers were used. The primers cR2 (5′-AAACGACATGAAAATCACCAT-3′) and cL3 (5′-TGAAACTTCATTGGTATATT-3′) were used as the outer primers in (the first round of) PCR to detect generation of a DNA fragment containingattB, and the primers cR1 (5′-AAGAATTGAACCAACGCATGA-3′) and cL1 (5′-ATTTAATGTCCACCATTTAACA-3′) were used as the inner primers in (the second round of) PCR to generate a DNA fragment of 275 bp inattB. The results of the first round (lanes 2 to 12) and the second round (lane 14) of PCR are shown. Ten nanograms each of chromosomal DNA of N315, NCTC8325, and the mixtures (wt/wt) of N315 and NCTC8325 DNAs at the ratios indicated below were used as templates. Lanes: 1 and 13, 1-kb ladder (Gibco-BRL, Gaithersburg, Md.); 2, N315; 3 to 11, mixtures of N315 and NCTC8325 DNAs at ratios of 1:10−8, 1:10−7, 1:10−6, 1:10−5, 1:10−4, 1:10−3, 1:10−2, 1:10−1, and 1:0.5, respectively; 12, NCTC8325; 14, N315 (nested PCR).

DISCUSSION

The mecA gene is known to be located between the markers nov, encoding DNA gyrase, and spa, encoding protein A, on the same SmaI-generated chromosomal fragment in several different strains (19, 27). In this study, we have determined the location and boundaries of mecDNA. mec DNA was found to be integrated insideorfX, which is located on the SmaI-G fragment of the S. aureus type strain NCTC8325 (data not shown). We have tested strains by PCR with primers cR2 and cR6 (Fig. 3), and we found that the orfX is present in all 55 S. aureusstrains (13 MSSA strains and 42 MRSA strains) tested so far. Therefore,orfX seems to have an essential function in the S. aureus genome. The preservation of the reading frame oforfX even after integration of mec DNA in N315 further supports its importance. However, its function cannot be inferred from the amino acid sequence since there is no homologue whose function has been elucidated in the database.

The structural features of the boundaries of mec DNA, which might reflect the integration mechanism of mec DNA were (i) the presence of terminal inverted repeats of 27-bp length and (ii) the presence of direct repeats of 15-bp length: one of the latter was situated in the right extremity of mec DNA, and the other was situated outside mec DNA and abutting the left boundary. The presence of terminal inverted repeats and duplication of target sequences are characteristic features of most transposons. There were no direct repeats, however, reflecting the target duplication aroundmec DNA. The characteristic deployment of the direct repeats found inside and outside the mec DNA is reminiscent of cassette gene integration of an integron (29, 39). However, no ORF possibly encoding integrase, like that characteristically found in the integron machinery, was found in the chromosomal area aroundattB. Therefore, the structural features at the boundaries of mec DNA suggested that mec DNA is integrated into the chromosome by an as yet unknown recombination process.

As a possible mobile genetic element, the size (52 kb) ofmec DNA was comparable only to those of bacteriophages, conjugative transposons, or a pathogenicity island (PI). PIs, large (35 to 190 kb) chromosomal DNA segments each carrying a cluster of genes encoding virulence factors, have recently been identified in various gram-negative enteric bacteria (22). However, mecDNA did not carry structural genes (or their remnants) encoding head or tail proteins of bacteriophages or any ORFs predictably encoding any virulence factors as far as we could judge from the homology search over extant gene products. It also lacked tra gene complexes, which are crucial components for the intercellular transfer of conjugative transposons (9, 28). Therefore,mec DNA was distinct from any of the above-described genetic elements.

The mec DNA of N315 carried a total of 28 ORFs whose encoded functions were inferable based on the homology search. The seven genes associated with antibiotic resistance, mecI,mecR1, mecA, spc, ermA,ble, and aadD, had intact coding frames. Of the rest of the ORFs, however, 13 appeared to be incomplete (Table 1). Prior to the disruption of the coding frames, these ORFs might have encoded products with physiological functions in a bacterial chromosome like those encoded by housekeeping genes; e.g., the kdpoperon gene homologues might have engaged in ATP-dependent potassium transport, and the xylR gene homologue might have been involved in xylose metabolism. It is possible that some of these ORFs were located along with mecA gene complex on the chromosome of the bacterium from which the primordial mec DNA originated and subsequently were mutated or disrupted during the process of molecular evolution of mec DNA into its present structure. While the mecA gene complex has remained intact, as it conferred selective advantage to the host cell (i.e., β-lactam resistance), most of the housekeeping genes carried by the primordialmec DNA may have been disrupted because they were redundant or even toxic in the foreign physiological milieu of some staphylococcal species to which the mec DNA had been transferred.

Besides antibiotic resistance genes, all the three transposase genes,tnpA, tnpB, and tnpC, encoding proteins involved in the movement of Tn554, were found to be intact. This indicates that the transposon was integrated later than other pseudogenes during the process of formation of the mecDNA in its present form in N315. Tn554 has been identified not only in S. aureus but also in other C-NS species (45). Recently, we found a methicillin-resistant S. epidermidis strain, G3, on whose mec DNA a copy of Tn554 is found at exactly the same location relative to themecA gene complex as that in mec DNA of N315 (17a). Therefore, it is probable that the copy of Tn554 is transferable as an integrated member of themec DNA between S. aureus and other staphylococcal species.

The plasmid pUB110, also carrying two intact drug resistance genes, may also have been acquired relatively recently as compared to the pseudogenes. The integrated copy of pUB110 was flanked by two IS431 (25). IS431 is postulated to serve as a portal of entry of the transposons or plasmids carrying various antibiotic resistance genes into MRSA chromosome. The repertoire of resistance genes accumulated by the IS431-mediated recombination differs from strain to strain; for example, plasmid pT181 (carrying tetracycline resistance) and a mercury resistance gene have been found in an Australian MRSA strain (11). However, there also exist MRSA strains with no other antibiotic resistance genes associated with IS431mec. NCTC10442, the first MRSA strain isolated in the world, in England in 1961, is one such strain carrying the intact copy of IS431mec, but no other resistance gene is associated with it (17b). Therefore, the diversification of mecDNA by accumulation of resistance genes via IS431-mediated recombination may have occurred rather recently, probably after the establishment of mec DNA in the chromosome of S. aureus. A mutation was found in the rep gene of pUB110. The gene encodes replication of the plasmid. Therefore, the mutation might have served for the stabilization of the integrated copy of pUB110 after its integration into the chromosome of N315.

It is interesting that the mecA gene of N315 had quite a few nucleotide sequence differences from those previously reported in other strains (38) but was identical to that in S. epidermidis (31). As opposed to other MRSA strains, N315 is a pre-MRSA, in which transcription of mecA gene is strongly repressed by the mecI gene-encoded repressor function (20). Assuming that the direction ofmecA gene transfer was from other staphylococcal species toS. aureus, as proposed by Archer (2), it is an attractive hypothesis that N315 retains the mecA gene in its more original form, which subsequently was mutated in MRSA cells to adapt to the S. aureus-specific cell wall synthesis machinery.

The two ORFs, N034 and N037, which showed homology to site-specific recombinases belonging to the invertase-resolvase family were found in the midst of mec DNA. Invertases are a well-known cause of DNA rearrangement in bacterial chromosomes or phage genomes resulting in the alteration of gene expression; e.g., Hin causes the phase transition from one flagellar antigen to another inSalmonella, and Gin, Cin, and Pin cause the inversion of specific DNA segments of bacteriophages which control their host ranges (12). Resolvases of the Tn3 type, also a member of the resolvase-invertase family, bind to the resolution site and accomplish transposition by resolving cointegrate (an intermediate of transposition) into two independent replicons (35). Most DNA invertases and resolvases are 180 to 190 aa in size and have a well-defined two-domain structure (1, 35). Although the predicted sizes of N034 and N037 are about two to three times larger than the site-specific recombinases of the invertase-resolvase family, the N-terminal thirds of the two proteins have substantial homology with the N-terminal domains of recombinases of the invertase-resolvase family; the domains are implicated in the strand-exchange function of site-specific recombination. The nested-PCR and sequencing experiment performed by using primers bracketing the attB sequence indicated that a recombination enzyme that can precisely excisemec DNA out of the chromosome is encoded on the N315 genome. The enzyme(s) responsible for the spontaneous mec DNA excision is thought to be a novel site-specific recombinase. In this regard, the ORFs N034 and N037 are good candidates for the genes responsible for the mec DNA-specific excision. Experiments are under way to clarify the function(s) of the products of the two ORFs.

ACKNOWLEDGMENTS

We thank B. Berger-Bächi for the kind gift of NCTC8325 and K. Sasaki-Asada, M. Kaziro, E. Ozone, and K. Tsutsumimoto for excellent technical assistance.

FOOTNOTES

    • Received 15 January 1999.
    • Returned for modification 20 March 1999.
    • Accepted 6 April 1999.
  • Copyright © 1999 American Society for Microbiology

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Cloning and Nucleotide Sequence Determination of the Entire mec DNA of Pre-Methicillin-Resistant Staphylococcus aureus N315
T. Ito, Y. Katayama, K. Hiramatsu
Antimicrobial Agents and Chemotherapy Jun 1999, 43 (6) 1449-1458; DOI: 10.1128/AAC.43.6.1449

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Cloning and Nucleotide Sequence Determination of the Entire mec DNA of Pre-Methicillin-Resistant Staphylococcus aureus N315
T. Ito, Y. Katayama, K. Hiramatsu
Antimicrobial Agents and Chemotherapy Jun 1999, 43 (6) 1449-1458; DOI: 10.1128/AAC.43.6.1449
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