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Mechanisms of Resistance

Characterization of Class 1 Integrons from Pseudomonas aeruginosa That Contain the blaVIM-2Carbapenem-Hydrolyzing β-Lactamase Gene and of Two Novel Aminoglycoside Resistance Gene Cassettes

Laurent Poirel, Thierry Lambert, Salih Türkoglü, Esthel Ronco, Jean-Louis Gaillard, Patrice Nordmann
Laurent Poirel
Service de Bactériologie-Virologie, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine Paris-Sud, 94275 Le Kremlin-Bicêtre,
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Thierry Lambert
Centre d'Etudes Pharmaceutiques, 92296 Châtenay-Malabry,and
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Salih Türkoglü
Service de Bactériologie-Virologie, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine Paris-Sud, 94275 Le Kremlin-Bicêtre,
Department of Virology and Immunology, Istanbul Faculty of Medicine, 34390 Capa Istanbul, Turkey
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Esthel Ronco
Service de Microbiologie, Hôpital Raymond Poincaré, Assistance Publique Hôpitaux de Paris, Faculté de Médecine Paris-Ouest, 92380 Garches, France, and
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Jean-Louis Gaillard
Service de Microbiologie, Hôpital Raymond Poincaré, Assistance Publique Hôpitaux de Paris, Faculté de Médecine Paris-Ouest, 92380 Garches, France, and
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Patrice Nordmann
Service de Bactériologie-Virologie, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine Paris-Sud, 94275 Le Kremlin-Bicêtre,
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DOI: 10.1128/AAC.45.2.546-552.2001
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    Fig. 1.

    Comparative structures of the class 1 integrons In58 and In59 that contain the blaVIM-2 gene cassette from P. aeruginosa RON-1 and RON-2 clinical isolates, respectively. The intI1 integrase gene, which encodes the integrase, is contained in the 5′-CS, and the 3′-CS found downstream of the integrated gene cassette includes the sulfonamide resistance genesul1 and the disinfectant resistance determinantqacEΔ1. Inserted genes are indicated by boxes, and the arrows indicate their transcriptional orientation. The 59-be's are represented by black circles and the attI1 recombination sites by white circles.

  • Fig. 2.
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    Fig. 2.

    Nucleotide sequence of a 5,061-bp BamHI fragment of pNOR-2003 containing the VIM-2 coding sequence and part of integron In59. The start codons of the ORFs are indicated by horizontal arrows, and the deduced amino acid sequences are reported below the nucleotide sequence. Stop codons for each ORF are indicated by asterisks. Dashes in the nucleotide sequence indicate where the reported sequence was identical to published sequences. The −35 and −10 sequences of promoters Pc and putativeqacE/qacEΔ1 are indicated. The conserved core and inverse core sites located at each cassette boundary are boxed, and the composite 59-be's are italicized. The cassette boundaries are indicated by vertical arrows as well as the putative fusion points of the 5′ end of part of the qacE cassette to theaacA29 gene cassettes. The attI1 site is underlined with a dashed line.

  • Fig. 3.
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    Fig. 3.

    Comparisons of the deduced amino acid sequences of AAC(6′)-29a and AAC(6′)-29b proteins with those of the most closely related aminoglycoside acetyltransferases. Amino acid differences between AAC(6′)-29a and AAC(6′)-29b appear in grey. Identical amino acids in at least 17 sequences are indicated by asterisks; conserved amino acid substitutions are indicated by dots according to the following exchange groups: A, G, P, S, and T; H, K, and R; F, W, and Y; D, E, N, and Q; and I, L, M, and V. Boxed motifs at the carboxy terminal end of the proteins are conserved in most of the enzymes and are absent in AAC(6′)-29 proteins.

Tables

  • Figures
  • Table 1.

    Bacterial strains and plasmids

    Strain or plasmidRelevant genotype or phenotypeaSource or reference
    Strains
     E. coliDH10BaraD139Δ(ara leu)7697 deoR endA1 galK1 galU nupG recA1 rpsL F′-mcrA Δ(mrr-hsdRMS-mrcBC) φ80lacZΔM15 ΔlacX74Gibco BRL, Paris, France
     E. coli JM109endA1 gyrA96 hsdR17Δ(lac proA) relA recA1 supE44 thi F′ (lacIqlacZΔM15proAB+ traD36)15
     In vitro-obtained rifampin-resistant E. coliJM109Rifampinr15
     In vitro-obtained rifampin-resistant P. aeruginosa PU21ilv/leu, streptomycinr, rifampinr15
     P. aeruginosa COL-1blaVIM-2 expressing clinical isolate16
     P. aeruginosaRON-1Carbapenem-hydrolyzing clinical isolateThis study
     P. aeruginosa RON-2Carbapenem-hydrolyzing clinical isolateThis study
    Plasmids
     pBK-CMVNeomycinr, kanamycinrStratagene Inc., Ozyme, Amsterdam, The Netherlands
     pPCRScript-Cam (SK+)ChloramphenicolrStratagene Inc.
     pNOR-20025,648-bp BamHI-fragment from P. aeruginosa RON-1 DNA in pBK-CMVThis study
     pNOR-20035,061-bp BamHI-fragment from P. aeruginosa RON-2 DNA in pBK-CMVThis study
     pLO-11,541-bp PCR fragment containing aacA29a from pNOR-2003 in pPCRScript-CamThis study
     pLO-21,655-bp PCR fragment containing aacA29b from pNOR-2003 in pPCRScript-CamThis study
    • ↵a A superscript, “r” indicates resistance.

  • Table 2.

    MICs of β-lactams for VIM-2-possessing P. aeruginosa clinical strains, E. coli DH10B harboring recombinant plasmids pNOR-2002 and pNOR-2003, and reference strainE. coli DH10B

    β-Lactam (s)aMIC (μg/ml)
    P. aeruginosa RON-1P. aeruginosaRON-2P. aeruginosa COL-1bE. coli DH10B (pNOR-2002 or pNOR-2003)cE. coli DH10B
    Amoxicillin>512>512>512>5124
    Amoxicillin + CLA>512>512>512>5124
    Ticarcillin512>512>512>5124
    Ticarcillin + CLA>512>512>512>5124
    Piperacillin64326441
    Piperacillin + TZB128641641
    Cephalothin>512>512>5121282
    Cefoxitin>512>512>512641
    Ceftazidime64128256160.5
    Cefotaxime256256>51280.06
    Cefepime6432640.250.03
    Cefsulodin5125125125120.25
    Aztreonam220.250.120.12
    Imipenem326412820.12
    Meropenem4812810.06
    • ↵a CLA, clavulanic acid at a fixed concentration of 2 μg/ml; TZB, tazobactam at a fixed concentration of 4 μg/ml.

    • ↵b MICs of β-lactams for P. aeruginosa COL-1 have been reported previously (16).

    • ↵c Recombinant plasmids pNOR-2002 and pNOR-2003 possess the blaVIM-2 gene from P. aeruginosa RON-1 and RON-2, respectively.

  • Table 3.

    MICs of various aminoglycosides for P. aeruginosa RON-2, E. coli JM109 harboring recombinant plasmids pLO-1 and pLO-2 containing aacA29a andaacA29b genes, respectively, and reference strain E. coli JM109

    StrainMIC (μg/ml)a
    AMKDIBGENISENETTOBKANSIS
    P. aeruginosaRON-225625642568256>25616
    E. coli JM109 (pLO-1)22<0.121<0.128320.25
    E. coli JM109 (pLO-2)44<0.121<0.124160.25
    E. coli JM109 (pNOR-2003)3232<0.12160.2516>2561
    E. coliJM109<0.120.25<0.12<0.12<0.12<0.120.5<0.12
    • ↵a AMK, amikacin; DIB, dibekacin; GEN, gentamicin; ISE, isepamicin; NET, netilmicin; TOB, tobramycin; KAN, kanamycin; SIS, sisomicin.

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Characterization of Class 1 Integrons from Pseudomonas aeruginosa That Contain the blaVIM-2Carbapenem-Hydrolyzing β-Lactamase Gene and of Two Novel Aminoglycoside Resistance Gene Cassettes
Laurent Poirel, Thierry Lambert, Salih Türkoglü, Esthel Ronco, Jean-Louis Gaillard, Patrice Nordmann
Antimicrobial Agents and Chemotherapy Feb 2001, 45 (2) 546-552; DOI: 10.1128/AAC.45.2.546-552.2001

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Characterization of Class 1 Integrons from Pseudomonas aeruginosa That Contain the blaVIM-2Carbapenem-Hydrolyzing β-Lactamase Gene and of Two Novel Aminoglycoside Resistance Gene Cassettes
Laurent Poirel, Thierry Lambert, Salih Türkoglü, Esthel Ronco, Jean-Louis Gaillard, Patrice Nordmann
Antimicrobial Agents and Chemotherapy Feb 2001, 45 (2) 546-552; DOI: 10.1128/AAC.45.2.546-552.2001
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KEYWORDS

Anti-Bacterial Agents
carbapenems
Genes, Bacterial
Pseudomonas aeruginosa
beta-lactamases

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