Insertion Sequence IS<italic toggle="yes">26</italic> Reorganizes Plasmids in Clinically Isolated Multidrug-Resistant Bacteria by Replicative Transposition

ABSTRACT Carbapenemase-producing Enterobacteriaceae (CPE), which are resistant to most or all known antibiotics, constitute a global threat to public health. Transposable elements are often associated with antibiotic resistance determinants, suggesting a role in the emergence of resistance. One inse...

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Autores principales: Susu He, Alison Burgess Hickman, Alessandro M. Varani, Patricia Siguier, Michael Chandler, John P. Dekker, Fred Dyda
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Publicado: American Society for Microbiology 2015
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spelling oai:doaj.org-article:4ada9d4fb9c148a89c22b1e6e88a328c2021-11-15T15:49:02ZInsertion Sequence IS<italic toggle="yes">26</italic> Reorganizes Plasmids in Clinically Isolated Multidrug-Resistant Bacteria by Replicative Transposition10.1128/mBio.00762-152150-7511https://doaj.org/article/4ada9d4fb9c148a89c22b1e6e88a328c2015-07-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.00762-15https://doaj.org/toc/2150-7511ABSTRACT Carbapenemase-producing Enterobacteriaceae (CPE), which are resistant to most or all known antibiotics, constitute a global threat to public health. Transposable elements are often associated with antibiotic resistance determinants, suggesting a role in the emergence of resistance. One insertion sequence, IS26, is frequently associated with resistance determinants, but its role remains unclear. We have analyzed the genomic contexts of 70 IS26 copies in several clinical and surveillance CPE isolates from the National Institutes of Health Clinical Center. We used target site duplications and their patterns as guides and found that a large fraction of plasmid reorganizations result from IS26 replicative transpositions, including replicon fusions, DNA inversions, and deletions. Replicative transposition could also be inferred for transposon Tn4401, which harbors the carbapenemase blaKPC gene. Thus, replicative transposition is important in the ongoing reorganization of plasmids carrying multidrug-resistant determinants, an observation that carries substantial clinical and epidemiological implications for understanding how such extreme drug resistance phenotypes evolve. IMPORTANCE Although IS26 is frequently reported to reside in resistance plasmids of clinical isolates, the characteristic hallmark of transposition, target site duplication (TSD), is generally not observed, raising questions about the mode of transposition for IS26. The previous observation of cointegrate formation during transposition implies that IS26 transposes via a replicative mechanism. The other possible outcome of replicative transposition is DNA inversion or deletion, when transposition occurs intramolecularly, and this would also generate a specific TSD pattern that might also serve as supporting evidence for the transposition mechanism. The numerous examples we present here demonstrate that replicative transposition, used by many mobile elements (including IS26 and Tn4401), is prevalent in the plasmids of clinical isolates and results in significant plasmid reorganization. This study also provides a method to trace the evolution of resistance plasmids based on TSD patterns.Susu HeAlison Burgess HickmanAlessandro M. VaraniPatricia SiguierMichael ChandlerJohn P. DekkerFred DydaAmerican Society for MicrobiologyarticleMicrobiologyQR1-502ENmBio, Vol 6, Iss 3 (2015)
institution DOAJ
collection DOAJ
language EN
topic Microbiology
QR1-502
spellingShingle Microbiology
QR1-502
Susu He
Alison Burgess Hickman
Alessandro M. Varani
Patricia Siguier
Michael Chandler
John P. Dekker
Fred Dyda
Insertion Sequence IS<italic toggle="yes">26</italic> Reorganizes Plasmids in Clinically Isolated Multidrug-Resistant Bacteria by Replicative Transposition
description ABSTRACT Carbapenemase-producing Enterobacteriaceae (CPE), which are resistant to most or all known antibiotics, constitute a global threat to public health. Transposable elements are often associated with antibiotic resistance determinants, suggesting a role in the emergence of resistance. One insertion sequence, IS26, is frequently associated with resistance determinants, but its role remains unclear. We have analyzed the genomic contexts of 70 IS26 copies in several clinical and surveillance CPE isolates from the National Institutes of Health Clinical Center. We used target site duplications and their patterns as guides and found that a large fraction of plasmid reorganizations result from IS26 replicative transpositions, including replicon fusions, DNA inversions, and deletions. Replicative transposition could also be inferred for transposon Tn4401, which harbors the carbapenemase blaKPC gene. Thus, replicative transposition is important in the ongoing reorganization of plasmids carrying multidrug-resistant determinants, an observation that carries substantial clinical and epidemiological implications for understanding how such extreme drug resistance phenotypes evolve. IMPORTANCE Although IS26 is frequently reported to reside in resistance plasmids of clinical isolates, the characteristic hallmark of transposition, target site duplication (TSD), is generally not observed, raising questions about the mode of transposition for IS26. The previous observation of cointegrate formation during transposition implies that IS26 transposes via a replicative mechanism. The other possible outcome of replicative transposition is DNA inversion or deletion, when transposition occurs intramolecularly, and this would also generate a specific TSD pattern that might also serve as supporting evidence for the transposition mechanism. The numerous examples we present here demonstrate that replicative transposition, used by many mobile elements (including IS26 and Tn4401), is prevalent in the plasmids of clinical isolates and results in significant plasmid reorganization. This study also provides a method to trace the evolution of resistance plasmids based on TSD patterns.
format article
author Susu He
Alison Burgess Hickman
Alessandro M. Varani
Patricia Siguier
Michael Chandler
John P. Dekker
Fred Dyda
author_facet Susu He
Alison Burgess Hickman
Alessandro M. Varani
Patricia Siguier
Michael Chandler
John P. Dekker
Fred Dyda
author_sort Susu He
title Insertion Sequence IS<italic toggle="yes">26</italic> Reorganizes Plasmids in Clinically Isolated Multidrug-Resistant Bacteria by Replicative Transposition
title_short Insertion Sequence IS<italic toggle="yes">26</italic> Reorganizes Plasmids in Clinically Isolated Multidrug-Resistant Bacteria by Replicative Transposition
title_full Insertion Sequence IS<italic toggle="yes">26</italic> Reorganizes Plasmids in Clinically Isolated Multidrug-Resistant Bacteria by Replicative Transposition
title_fullStr Insertion Sequence IS<italic toggle="yes">26</italic> Reorganizes Plasmids in Clinically Isolated Multidrug-Resistant Bacteria by Replicative Transposition
title_full_unstemmed Insertion Sequence IS<italic toggle="yes">26</italic> Reorganizes Plasmids in Clinically Isolated Multidrug-Resistant Bacteria by Replicative Transposition
title_sort insertion sequence is<italic toggle="yes">26</italic> reorganizes plasmids in clinically isolated multidrug-resistant bacteria by replicative transposition
publisher American Society for Microbiology
publishDate 2015
url https://doaj.org/article/4ada9d4fb9c148a89c22b1e6e88a328c
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