Dissemination and Persistence of blaCTX-M-9 Are Linked to Class 1 Integrons Containing CR1 Associated with Defective Transposon Derivatives from Tn402 Located in Early Antibiotic Resistance Plasmids of IncHI2, IncP1-α, and IncFI Groups

Autor: Novais, Â, Cantón, R, Valverde, A, Machado, E, Galán, Jc, Peixe, L, Carattoli, A, Baquero, F, Coque, Tm.
Jazyk: angličtina
Rok vydání: 2006
Předmět:
chloramphenicol
kanamycin
Enterobacter infection
antibiotic resistance
integron
transposon
DNA hybridization
polymerase chain reaction
retrospective study
Variation (Genetics)
plasmid incp 1alpha
bacterial protein
recombinase
Integrons
class 1 integron
protein CR1
tertiary health care
amikacin
Tn antigen
genetic variability
antibiotic agent
genetics
hospital
restriction fragment length polymorphism
plasmid inci
article
Bacterial
Enterobacteriaceae Infections
Nucleic Acid Hybridization
Salmonella enterica
transposon 402
bla ctx m 9 gene
Hospitals
unclassified drug
Klebsiella pneumoniae
priority journal
bacterium identification
bacterium conjugation
bacterial gene
beta lactamase
ciprofloxacin
gentamicin
mercury
nalidixic acid
streptomycin
sulfonamide
tetracycline
tobramycin
trimethoprim
bacterial DNA
beta lactamase
antibiotic resistance

antibiotic sensitivity
bacterial strain
bacterial transmission
DNA fingerprinting
DNA recombination
DNA sequence
Enterobacter cloacae
Escherichia coli
gene sequence
Gram negative bacterium
host range
human
integron 60
molecular evolution
nonhuman
nucleotide sequence
plasmid
plasmid incfi
plasmid inch12
replicon
Spain
Enterobacteriaceae
enzymology
isolation and purification
microbiology
nucleic acid hybridization
Spain
beta-Lactam Resistance

beta-Lactamases
DNA Transposable Elements
DNA
Bacterial

Humans
Plasmids
Retrospective Studies
Sequence Analysis
DNA

Sequence Analysis
beta-Lactam Resistance
Mechanisms of Resistance
Genetic Variation
DNA
Popis: This study analyzes the diversity of In60, a class 1 integron bearing CR1 and containing bla(CTX-M-9), and its association with Tn402, Tn21, and classical conjugative plasmids among 45 CTX-M-9-producing clinical strains (41 Escherichia coli strains, 2 Klebsiella pneumoniae strains, 1 Salmonella enterica strain, and 1 Enterobacter cloacae strain). Forty-five patients in a Spanish tertiary care hospital were studied (1996 to 2003). The diversity of In60 and association of In60 with Tn402 or mercury resistance transposons were investigated by overlapping PCR assays and/or hybridization. Plasmid characterization included comparison of restriction fragment length polymorphism patterns and determination of incompatibility group by PCR-based replicon typing, sequencing, and hybridization. CTX-M-9 plasmids belonged to IncHI2 (n = 26), IncP-1alpha (n = 10), IncFI (n = 4), and IncI (n = 1) groups. Genetic platforms containing bla(CTX-M-9) were classified in six types in relation to the In60 backbone and in eight subtypes in relation to Tn402 derivatives. They were associated with Tn21 sequences when located in IncP-1alpha or IncHI2 plasmids. Our study identified bla(CTX-M-9) in a high diversity of CR1-bearing class 1 integrons linked to different Tn402 derivatives, often to Tn21, highlighting the role of recombination events in the evolution of antibiotic resistance plasmids. The presence of bla(CTX-M-9) on broad-host-range IncP-1alpha plasmids might contribute to its dissemination to hosts that were not members of the family Enterobacteriaceae.
Databáze: OpenAIRE