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Applied and Environmental Microbiology, August 2001, p. 3488-3495, Vol. 67, No. 8
0099-2240/01/$04.00+0 DOI: 10.1128/AEM.67.8.3488-3495.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Characterization of the 13-Kilobase
ermF Region of the Bacteroides
Conjugative Transposon CTnDOT
Gabrielle
Whittle,*
Bonnie D.
Hund,
Nadja B.
Shoemaker, and
Abigail A.
Salyers
Department of Microbiology, University of
Illinois, Urbana, Illinois 61801
Received 21 March 2001/Accepted 4 May 2001
 |
ABSTRACT |
The conjugative transposon CTnDOT is virtually identical over most
of its length to another conjugative transposon, CTnERL, except that
CTnDOT carries an ermF gene that is not found on CTnERL. In this report, we show that the region containing ermF
appears to consist of a 13-kb chimera composed of at least one class I composite transposon and a mobilizable transposon (MTn). Although the
ermF region contains genes also carried on
Bacteroides transposons Tn4351 and
Tn4551, it does not contain the IS4351
element which is found on these transposons. In CTnDOT, insertion of
the ermF region occurred near a stem-loop structure at
the end of orf2, an open reading frame located
immediately downstream of the integrase (int) gene of
CTnDOT, and in a region known to be important for excision of CTnERL
and CTnDOT. The chimera that comprises the ermF region
can apparently no longer excise and circularize, but it contains a
functional mobilization region related to that described for the
Bacteroides MTn Tn4399. Analysis of 19 independent Bacteroides isolates showed that the
ermF region is located in the same position in all of
the strains analyzed and that the compositions of the ermF region are almost identical in these strains.
Therefore, it appears that CTnDOT-like elements present in community
and clinical isolates of Bacteroides were derived from a
common ancestor and proliferated in the diverse
Bacteroides population.
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INTRODUCTION |
Bacteroides species
contain two types of integrated transmissible elements, conjugative
transposons (CTns) and mobilizable transposons (MTns). CTns carry genes
needed for excision, conjugal transfer of the excised circular
intermediate, and integration into the recipient genome. A recent study
of human colonic Bacteroides isolates concluded that there
is extensive horizontal gene transfer among Bacteroides
strains (40). Today, more than 80% of
Bacteroides isolates carry a CTn similar to those described
here. CTns have been found in a variety of bacteria, including
Enterococcus spp., Streptococcus spp.,
Lactococcus spp., Butyrivibrio sp.,
Clostridium sp., Salmonella sp.,
Pseudomonas sp., Mezorhizobium sp., and
Vibrio sp. (1, 11, 14, 19, 26, 28, 29, 34, 45,
51). MTns rely on CTn functions to trigger their excision and
provide the transfer apparatus that allows the excised MTn circular
forms to be transferred by conjugation. MTns have been found in
Bacteroides spp. and in Clostridium sp. (9,
10, 13, 23, 39, 43, 47, 49) and may well have a wider
distribution. Examples of Bacteroides MTns include
Tn4399, Tn4555, Tn5520, NBU1, and
NBU2. MTns of this type are widely distributed in different
Bacteroides species. Approximately one-half of the natural
isolates surveyed had DNA that cross-hybridized with a highly conserved
region shared by most MTns (40). The MTns characterized in
previous studies were not linked genetically to the CTns that mobilize
them but rather were integrated in separate sites on the chromosome.
CTn-encoded proteins required for MTn transfer act in trans
to trigger excision and provide the mating apparatus. We report here
the first example of an MTn that has integrated into a CTn and is
transferred as part of the CTn; our results extend our understanding of
the ecology and evolution of horizontal gene transfer mechanisms in the
Bacteroides group.
The ermF region was found as a result of experiments
performed to assess differences between two very closely related
Bacteroides CTns, CTnERL and CTnDOT. In regions in which
genes from both CTns have been sequenced, the sequence identity is high
(>85% in most cases) (4). There are clearly differences
between these two CTns, however; the most marked difference is that
CTnDOT carries an ermF gene not found on CTnERL. This
observation, together with the fact that CTnDOT appeared to be at
least 10 kb larger than CTnERL, suggested that CTnDOT might
have arisen from a CTnERL type of element by acquiring a DNA segment
that contained ermF.
The ermF gene has previously been found on three
Bacteroides plasmids (38, 42, 46). In all three
cases, ermF was part of a 5- to 10-kb composite transposon,
which was flanked by the insertion sequence IS4351. In
contrast, the presence of ermF on CTnDOT was not associated
with the presence of IS4351, since there was no
cross-hybridization between IS4351 DNA and DNA from
Bacteroides thetaiotaomicron carrying CTnDOT. In
this work we located the junctions of the ermF region, and
in this paper we describe the complete sequence of the 13-kb insertion,
which appears to be a hybrid of mobilizable and nonmobilizable
Bacteroides transposons.
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MATERIALS AND METHODS |
Bacterial strains, plasmids, and growth conditions.
The
bacterial strains and plasmids used in this study are listed in Table
1. Community isolates were obtained from
students in the microbial diversity course at Woods Hole, Mass.
(designations beginning with WH), while all of the other strains are
clinical isolates obtained from various sources in the United States
(40). The methods used for growth of
Bacteroides strains, DNA isolation, cloning, and conjugal
transfer have been described previously (15, 30, 33, 37).
The antibiotic concentrations used were as follows: ampicillin, 100 µg/ml; cefoxitin, 20 µg/ml; chloramphenicol, 10 µg/ml;
erythromycin, 10 µg/ml; gentamicin, 200 µg/ml; tetracycline, 1 µg/ml; thymidine, 100 µg/ml; and trimethoprim, 100 µg/ml. To test
for plasmid mobilization, cultures of Bacteroides mating donors were grown in the presence of tetracycline at a concentration of
1 µg/ml.
Location of the junctions of the ermF region.
To locate the junctions of the ermF region, we tested
previously cloned DNA fragments (p6E2 and p6E3) that contained portions of this region to find DNA segments that hybridized not only with DNA
from B. thetaiotaomicron carrying CTnDOT but also with DNA from B. thetaiotaomicron carrying CTnERL (Fig.
1) (36). p6E3, which
contained the smaller cloned region, hybridized to DNA from the strain
carrying CTnDOT but not to DNA from the strain carrying CTnERL, whereas
p6E2 hybridized to both. The two fragments cross-hybridized with each
other, but p6E2 had an additional 4 kb of DNA. This indicated that one
junction of the ermF region was located within this 4-kb
segment (probe A [Fig. 1]). This 4-kb segment was subcloned to obtain
smaller probes. The junction was further localized by using a 1.5-kb
HindIII-ClaI fragment of p6E2 (probe B). The
1.5-kb probe hybridized to both CTnDOT and CTnERL.

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FIG. 1.
Comparison of the Bacteroides CTns CTnERL
and CTnDOT. CTnDOT is distinguished from CTnERL by a 13-kb insertion
designated the ermF region which is present in
CTnDOT (black box) but absent from CTnERL. Regions present in both
CTnDOT and CTnERL are indicated by gray and white boxes. Open reading
frames and their orientations are indicated. Cosmid clones p6E3 and
p6E2, probes A and B used for localization of the right
ermF region junction, and probe C used for localization
of the left ermF region junction are also shown. Primers
and their directions are represented by arrows; these primers were
utilized for amplification of junction fragments (primers 1 and 2), for
detection of a putative circular transposition intermediate (primers 3 to 5), and for amplification of the putative mobilization genes for
mobilization experiments (primers 6 and 7). The putative mobilization
genes were cloned onto Bacteroides
mobilization-deficient vector pLYL7oriTRK2,
and the resulting construct was designated pGW39.1. Restriction
sites for the following restriction enzymes are indicated:
EcoRI (E), ClaI (C), and
HindIII (H).
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The other junction, the one closest to the end of CTnDOT, was located
by using a segment containing the CTn integrase gene
(
int)
as the probe (probe C [Fig.
1]). The
int gene was located
at the end of CTnDOT near the
ermF region (
attR).
DNA preparations
from cells carrying CTnDOT or CTnERL were digested
with
HincII
and
SspI. The
int probe
hybridized to DNA from both conjugative
transposons, but the fragment
from CTnDOT to which it hybridized
was of a different size from that of
the fragment from CTnERL
to which it hybridized, indicating that the
right junction was
close to the integrase
gene.
Sequencing of the ermF region.
To locate the
junctions more precisely, we sequenced the regions of CTnDOT that
contained the two junctions. These sequences were then compared with
the sequences of the corresponding regions on CTnERL (Fig.
2). Initially, a sequence was obtained
from the p6E2 clone, but it soon became apparent that the cloned DNA
had probably undergone rearrangements and deletions. Consequently, information obtained from a partial sequence of p6E2 was used to design
primers for PCR amplification of DNA directly from CTnDOT. The
corresponding region on CTnERL was obtained by performing PCR with
primers designed on the basis of the CTnDOT sequences from the left-
and right-junction regions (Fig. 1). Sequencing of the ermF
region was performed by the University of Illinois Biotechnology
Genetic Engineering Facility with an Applied Biosystems model 373A,
version 2.0.1A, dye terminator automated sequencer. Primers were
synthesized by the University of Illinois Biotechnology Genetic
Engineering Facility or by Operon Technologies, Inc. (Alameda, Calif.).
Taq polymerase (Gibco-BRL), Vent DNA polymerase (New England
Biolabs), or eLONGase polymerase (Gibco-BRL) was utilized according to
the manufacturer's instructions.

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FIG. 2.
ClustalW alignment of the CTnERL target site for
integration of the ermF region and the CTnDOT junction
sequences at the left (LJ) and right (RJ) junctions of the
ermF region. An asterisk indicates 100% nucleotide
identity. The TGA stop codon of orf2 is underlined, and
this codon is the point of divergence between the CTnERL and CTnDOT
sequences at the left end of the ermF region. Potential
stem-loop structures downstream of orf2 in CTnDOT and
CTnERL target sequences are indicated by boldface type, and the
directions of the inverted repeats are indicated by arrows above the
appropriate sequences. Sequences that are part of the
ermF region and hence are not present in CTnERL are
indicated by a gray background. The 89 nucleotides of CTnERL between
the stop codon of orf2 and the left and right junctions
of the ermF region are not present in CTnDOT.
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Comparison of ermF region left and right
junctions from CTns other than CTnDOT.
In an effort to determine
whether the ermF region is always found integrated
downstream of orf2 and contains both MTn and nonmobilizable
transposon components, PCR analyses of the left-junction (primers 1 and
3 [Fig. 1]) and right-junction (primers 2 and 4 [Fig. 1]) regions
were performed. The strains of Bacteroides utilized in these
studies were known to contain CTnDOT left and right ends and resistance
determinants, which are associated with CTnDOT-like elements (e.g.,
ermF and tetX) (40). The primers
utilized in these experiments are shown in Table
2.
Assays for excision of the ermF region.
We
tested for excision of the ermF region by using a Southern
blot assay or a PCR assay. Testing for excision with the Southern blot
method involved digesting DNA with enzymes, which cut around the
junction regions, and probing with probes for the left and right
junctions in order to detect an intermediate in which the left and
right junctions were joined. To address the possibility that excision
may be regulated by antibiotics, as is the case for CTnERL, CTnDOT, and
NBU1 (32), we attempted to detect excision after exposing
cells to tetracycline and/or erythromycin.
When excision frequencies are low, it is difficult to detect an
excision product by a Southern blot assay. Therefore, we decided
to
test for excision by using a PCR assay, which involved using
outward-facing primers in order to allow detection of a circular
transposition intermediate. For all MTns in which the excised
transposition intermediate has been characterized, a circular
intermediate is formed, and so the primers are facing inward towards
each other, although they are on opposite strands; use of these
primers
results in amplification and hence detection of the intermediate
(
22,
39,
43). Two sets of primers were used in case
the
ends of the MTn were not the ends of the 13-kb
ermF
region but
were defined by the NBU-related part of that region (primers
3
and 4 or primers 3 and 5 [Fig.
1]).
Mobilization experiments.
To determine whether the putative
mobilization genes were functional, a 3.5-kb PCR fragment containing
the mobA and mobB genes was PCR amplified from a
CTnDOT-containing Bacteroides strain, BT4107, and cloned
into pLYL7oriTRK2 (20),
generating pGW39.1 (primers 6 and 7 [Fig. 1]). The primers utilized
in these experiments are shown in Table 2.
pLYL7oriTRK2 contains a transfer origin from the conjugative plasmid RK2, which is recognized by the RP4 transfer apparatus but not by the transfer apparatus of CTnERL or
CTnDOT and hence is not mobilizable in Bacteroides strains. pGW39.1 was subsequently transferred from Escherichia coli
MCR to Bacteroides strains in a triparental mating in which
another E. coli strain, HB101, contained the helper plasmid
RP4. RP4 is not maintained in Bacteroides spp. Matings
between Bacteroides donors and E. coli HB101
recipients to test the function of the mob genes were
performed as described previously (20).
Nucleotide sequence accession number.
The sequence of the
ermF region has been submitted to the EMBL nucleotide
sequence database and has been assigned the accession number AJ311171.
 |
RESULTS |
Size of the ermF region.
A comparison of the
sequences from CTnERL and CTnDOT showed that ermF was in a
13-kb region that was not present in CTnERL (Fig. 1). The insertion
appeared to have occurred near a stem-loop structure at the end of
orf2, an open reading frame immediately downstream of the
integrase gene (int) (7). This stem-loop structure is located 20 bp downstream of the orf2 stop codon
and so may function as a transcriptional terminator for
orf2; alternatively, it may be involved in the regulation of
downstream genes via an attenuation mechanism. Despite the sequence
divergence downstream of the orf2 stop codon in CTnERL and
CTnDOT, upon integration of the ermF region element, another
inverted repeat, a 22-bp inverted repeat, replaced the 34-bp repeat
found in the CTnERL element (Fig. 2). Presumably, the replacement of a
similar regulatory structure in this region may have minimized any
problems that integration of a genetic element caused in this region.
This is reminiscent of integration of other genetic elements, in many cases adjacent to tRNAs, which often results in substitution of one
stem-loop structure that is thought to be involved in processing of the
pre-tRNA molecule for another stem-loop structure (35, 52,
54). If the tRNA was subsequently not processed correctly, this
could potentially affect the viability of the cell.
A comparison of sequences from CTnDOT and CTnERL showed that the
elements had virtually identical sequences in the region
around the
insertion except for an 89-bp sequence on CTnERL, which
did not align
at all with the sequence of the junction regions
on CTnDOT (Fig.
2).
Either the entry of the inserted region caused
deletions to occur in
the region or CTnDOT arose from a CTn that
was different from CTnERL in
this
region.
Features of the ermF region.
The entire
inserted segment was sequenced, and the gene map of the 13-kb
ermF region is shown in Fig.
3, where it is compared with maps of the
genes of other MTns and nonmobilizable transposons. The IntF, Orf3F,
and PrmNF proteins were most closely related to the corresponding
proteins encoded by the MTns NBU1 and NBU2, although the levels of
amino acid identity were not very high (26 to 45%). The MobA and MobB
protein sequences exhibited the highest levels of amino acid identity
to the MocA (33%) and MocB (29%) proteins encoded by genes of
the MTn Tn4399. The inserted region also carries antibiotic
resistance genes that encod proteins that exhibit high levels of amino
acid sequence identity (95 to 100%, except for the
tetX1-encoded protein) to proteins encoded by resistance
genes found on Bacteroides nonmobilizable transposons Tn4351 and Tn4551 (Fig. 3). A transposase
homolog encoded in this region by tnpF exhibited 42% amino
acid identity over 279 amino acids to a transposase encoded by
tnp on Tn4551, but the transposase encoded on
Tn4551 is not the transposase of IS4351, the
insertion element that mediates transposition of the transposon.
The ermF region looks like a hybrid element, part of which
is related to MTns and part of which is related to transposons.

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FIG. 3.
Comparison of the ermF region of CTnDOT
with related mobilizable transposons (NBU1, NBU2, and
Tn4399) and nonmobilizable transposons
(Tn4351 and Tn4551) from
Bacteroides. Regions of amino acid identity with
proteins from MTns (cross-hatched boxes) and nonmobilizable transposons
(dotted boxes) are indicated. Note that only parts of mobilizable
transposons NBU1, NBU2, and Tn4399 are shown.
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In the nonmobilizable transposon portion of the CTn there were two
copies of the
tetX gene. One of the
tetX genes,
tetX2,
encoded a protein that was virtually identical
(99.0% amino acid
sequence identity over 388 amino acids) to the
protein encoded
by a
tetX gene found on
Bacteroides transposon Tn
4351. However,
the
protein encoded by the other gene,
tetX1, exhibited only
66%
amino acid sequence identity to the proteins encoded by
tetX2 and
tetX genes.
It is interesting that neither Tn
4351 nor Tn
4551
alone contains all of the transposon-like genes that are present in the
ermF region (Fig.
3). Tn
4351 contains a copy of
the
tetX and
ermF genes
but does not contain a
copy of
aads or
tpn. Conversely,
Tn
4551 contains a copy of
aads,
ermF,
and
tpn but does not contain a
copy of
tetX.
Consequently, it is possible that the
ermF region
may have
evolved by insertion of more than one nonmobilizable
transposon.
orf61,
orf99, and
orf297 showed no
significant homology
to the sequences available in the GenBank
databases.
Location of the ermF region in
Bacteroides strains containing CTnDOT-like
elements.
From previous studies we knew that many
Bacteroides strains contained CTnDOT-like elements, but we
did not know whether the ermF region was located in the same
position in these Bacteroides strains as in CTnDOT. All of
the 19 isolates tested yielded a product that was either 368 bp long
(17 isolates) or 300 bp long (2 isolates) for the right junction and a
product that was either 1,024 bp long (17 isolates) or 900 bp long (2 isolates) for the left junction (Table
3). Our results indicate that the
ermF region composition and position of integration are the
same in independently isolated strains of Bacteroides, which
suggests that the CTnDOT element may have been derived from a common
ancestor. This hypothesis is supported by the observation that the
ermF region itself appears to have arisen by insertion of at
least two different integrating elements.
It is also interesting that 13 (68%) of the 19 isolates tested for
ermF region junction fragments also yielded a 625-bp product
with primers 1 and 2 (Fig.
1) which was amplified only if a CTnERL
element was present in the same background as CTnDOT. Alternatively,
a
625-bp product may have been generated if the
ermF region
element
were able to excise from the CTnDOT element (see
below).
Tests for excision and mobilization of the ermF
region in B. thetaiotaomicron strains containing
CTnDOT.
No excision of the ermF region was detected by
either Southern blot or PCR assays. Although no circular intermediate
excision product was detected, it is possible that excision is not
mediated by a circular intermediate, although this seems unlikely since MTns from Bacteroides typically form a circular
transposition intermediate (32). It is possible, however,
that integration of nonmobilizable transposons in the right end of the
NBU-like element may have disrupted functions necessary for excision of the ermF region element. Similarly, it is also possible that
the putative mobilization region present in the ermF region
is not functional.
In an effort to determine whether the putative mobilization genes,
mobA and
mobB, are functional, a plasmid
containing the
putative mobilization region was constructed; this
plasmid was
designated pGW39.1 (Table
1 and Fig.
1). pGW39.1 was
mobilized
from both CTnERL- and CTnDOT-containing strains of
B. thetaiotaomicron,
after induction with a low level of tetracycline
(1 µg/ml), at
frequencies of 10
5 to
10
6 transconjugant per recipient (Table
4). No mobilization
(<10
9 transconjugant per recipient) was
detected in the absence of
tetracycline induction; the same result is
obtained for the mobilization
region of the MTn NBU1 when it is
provided in
trans. This is interesting
because
Bacteroides plasmids carrying
mob regions from
pBI143
are mobilized at a frequency of 10
6
transconjugant per recipient without tetracycline induction,
but only
when a CTn is present in the same background. The frequency
of plasmid
mobilization increases 10- to 100-fold after tetracycline
induction.
These observations suggest that, irrespective of whether
the
mob region is provided on a plasmid or integrated,
mobilization
of NBU-like elements may be regulated more tightly by the
coresident
CTn than the mobilization of plasmids carrying pBI143 or
pB8-51
mob regions.
In addition, the presence of a coresident plasmid harboring a
tetracycline resistance determinant in strains that do not contain
a
CTn (Table
4) was not sufficient for mobilization of pGW39.1.
This
result demonstrated that induction of pGW39.1 mobilization
by
tetracycline is dependent on a coresident CTnERL or CTnDOT
element and
not on exposure to tetracycline
alone.
NBU MTns and other MTns are unusual in that their mobilization regions
are recognized by
E. coli IncP plasmids, such as RP4
(IncP

) and R751 (IncP

) (
21). The ability of pGW39.1
to be
mobilized between
E. coli strains by an IncP plasmid
was also
investigated. The IncP

plasmid R751 was not able to
mobilize
pGW39.1 from
E. coli DH5

MCR to
E. coli EM24R. It is possible
that the
ermF mob genes are
not expressed in
E. coli and consequently
cannot initiate
mobilization in an
E. coli host.
Given that the
ermF element
mob region is
functional and given the sequence similarity between the mobilization
regions of
the
ermF region element and those of other MTns,
sequences were
compared in order to identify the putative
oriT region in the
mob region of the
ermF element. The
nic site for Tn
4399
has recently
been determined (
27) and is shown in Fig.
4. A similar sequence
was found in the
ermF mob region and is located between
prmNF and
mobB. This is interesting because the putative
oriT regions
of NBU1 and NBU2 have also been localized to
the C-terminal ends
of
prmNF homologs (
prmN1 and
prmN2, respectively) (
20,
21).
Putative
nic sites were also identified in these
oriT
regions
and between the
prmN and
mobN genes, but
these sites have not
been confirmed experimentally.

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FIG. 4.
Alignment of the putative nic sites of
the mob region from the ermF region of
CTnDOT, NBU1, and NBU2 and the determined nic sites of
Tn4399, RP4, and R751. Nucleotide positions conserved in
the family of oriT sequences are indicated by gray
shading, and cleavage sites that have been determined are indicated by
arrows. The consensus sequence described for the RP4 family of
oriT nic sites is shown below the aligned
sequences. GenBank accession numbers are as follows: NBU1,
AF238307; NBU2, AF251288; RP4, L27758; and R751, X54458.
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DISCUSSION |
This is the first report of an MTn that has entered a CTn and is
now moving as part of the CTn. Our results show that insertion of the
ermF gene region occurred in a region of a CTnERL-like element that is immediately downstream of orf2 and
immediately upstream of a region known to be essential for CTn excision
(7, 8). Although in a separate study we found that
orf2 has no role in integration or excision of the CTn, it
was possible that insertion in this region could alter regulation of
genes located immediately downstream of orf2, which do
have a role in CTn excision (7, 8). We confirmed
that CTnDOT transfers as well as CTnERL from B. thetaiotaomicron donors to B. thetaiotaomicron
recipients (10
5 to 10
6
transconjugant per recipient), and therefore, insertion in the region
immediately downstream of orf2 has no apparent
adverse effect on the ability of the CTn to excise and transfer.
The CTnDOT type of element was rare in Bacteroides strains
before 1970, but this type is now found in 10% of
Bacteroides strains that belong to a number of species.
CTnERL elements were found in 20 to 30% of Bacteroides
strains before 1970, and now at least 60% of Bacteroides
strains contain at least one copy of CTnERL (40). A
further 10% of Bacteroides strains contain elements that
cross-hybridize to the ends of CTnDOT/CTnERL-like elements but
do not contain either erythromycin or tetracycline resistance determinants. The simplest explanation for the appearance of CTnDOT is
that a CTnERL element acquired the ermF region, possibly in multiple steps; one of the steps could have been entry of an NBU type
of MTn, and at least one but perhaps more involving a nonmobilizable transposon. Then CTnDOT spread widely to many different
Bacteroides species. This is a clinically significant event
because clindamycin was once a drug of choice for treating anaerobic
infections, including those caused by Bacteroides, but the
ermF gene, which confers resistance to clindamycin as well
as to erythromycin, has made clindamycin much less effective
(31).
In Bacteroides spp. CTns have made a significant
contribution to the spread of tetracycline resistance, and now CTns may
also be driving dissemination of the
macrolide-lincosamide-streptogramin B
(MLSB) type of resistance via transmission
of CTnDOT-like elements and also via the spread of other elements. Most
of the antibiotic resistance present in the Bacteroides
group is attributable to antibiotic resistance determinants carried by
the CTns themselves. However, Bacteroides CTns can also
mobilize coresident plasmids in cis or in trans
and also stimulate excision and transfer of unlinked MTns (NBU2 and
Tn4551) which are also known to harbor resistance
determinants (48, 53). In a recent survey of 290 Bacteroides strains, 24% of the strains were found to be
carrying erythromycin resistance genes. A total of 80% of the
resistance was attributable to the erm type of resistance,
including ermF (59%) carried by CTnDOT-like elements (48%)
or Bacteroides transposons (Tn4351,
Tn4551) (11%), ermG (13%), and ermB
(8%). However, for the remaining 20% of erythromycin-resistant
strains, the resistance phenotype was not attributable to the
ermA, ermB, ermC, ermF, ermG, or ermQ gene (40), and so the
source of antibiotic resistance remains to be determined.
Our results also indicate that the majority (68%) of community and
clinical isolates contain both a CTnERL element and a CTnDOT-like element (Table 3). This probably reflects selection of the
MLSB type of resistance in a
Bacteroides population in which CTnERL is already well
represented. However, there may be some other advantage in harboring
more than one copy of a CTnDOT or CTnERL element, particularly if there
is a linear relationship between the level of CTn excision and the
level of transfer and therefore spread. However, we did not observe a
detectable increase in the level of transfer under the laboratory
conditions utilized for conjugal transfer. This failure to detect an
increase in the level of CTnDOT transfer may have been due to a
limitation in the sensitivity of the transfer assay, since it is
difficult to detect differences in conjugal transfer, a multistep
process, of less than 10-fold. Differences of less than 10-fold may
still be significant for Bacteroides spp. in vivo, and
laboratory conditions may not reflect the in vivo situation.
In all of the Bacteroides strains assayed, the
ermF region appeared to be integrated in the same region of
the CTnDOT element. Primer sets were designed that were specific for
both the right and left junctions of the ermF region and
therefore both the MTn component (right) and the composite transposon
component (left). In every Bacteroides isolate analyzed, a
product was obtained for each junction. This suggests that the
compositions of the ermF region are very similar if not
identical in all strains of Bacteroides containing CTnDOT.
Therefore, the CTnDOT-like elements present in the
Bacteroides population, diverse as it is (6, 17,
18), are likely to have been derived from a common ancestor.
The ermF region did not excise and circularize under any of
the conditions which we tested. If a transposon had inserted into one
end of the NBU-like element, it could very well have abolished excision
by disrupting one of the ends of the NBU element. Alternatively, the
ermF region may not excise and form a circular transfer
intermediate, although this seems unlikely given that all related MTns
characterized so far do form such a transfer intermediate.
Although excision functions appear to be inactive, the mobilization
genes of the ermF region are still active. The presence of
two active mobilization regions in CTnDOT would be expected to make the
CTn somewhat prone to deletions, although other composite elements that
contain two active mobilization regions have been described elsewhere
(50). When two oriT regions are present in a
plasmid, deletions of the region between the oriT regions occur (2, 24). The directionality of transfer from the
ermF region oriT and the directionality of
transfer from the original CTn oriT are not known. It is
possible that they are opposite. If so, transfer from one might
preclude transfer from the other. Whatever the case, transfer of CTnDOT
itself is still as efficient as transfer of CTnERL, in which only one
oriT and one set of mobilization genes have been found so far.
It is odd that the ermF region of CTnDOT contains two copies
of tetX, because tetX confers tetracycline
resistance on aerobically grown E. coli but not on
Bacteroides because the gene encodes an enzyme that uses
oxygen to inactivate tetracycline (44). The origin of this
gene is not known, but the gene is presumed to have come from some
genus other than Bacteroides, since Bacteroides species are obligate anaerobes. Alternatively, the gene might have an
oxygen-independent function in Bacteroides that has not been
discovered. The fact that a gene that has a very divergent sequence
(tetX1) has now been found raises the possibility that this
gene is more widespread in nature than was previously thought to be the
case. Similarly, the aads gene, which encodes a streptomycin resistance determinant, does not appear to provide a significant benefit to its Bacteroides host, because
Bacteroides spp. are naturally resistant to aminoglycoside antibiotics.
In summary, our results suggest that the CTnDOT-like elements appear to
have evolved from a single CTnERL element that acquired at least two
other Bacteroides mobile elements, one of which contained ermF. Although the elements that make up the ermF
region of the CTnDOT element do not appear to be able to excise from
the host element, the mobilization region appears to be functional. Our results also indicate that the CTnDOT-like elements (which are now
present in 10% of the diverse Bacteroides population) from various sources in the United States appear to have been derived from a
common ancestor. This further illustrates the pervasiveness of the
CTnERL-CTnDOT family of CTns and their significant role in horizontal
transfer of antibiotic resistance determinants in the
Bacteroides group.
 |
ACKNOWLEDGMENTS |
We thank Rebecca Alavi for preliminary mapping of the
ermF region of CTnDOT compared with CTnERL by Southern
blot comparison. We also thank Laura Bedzyk for sequencing p6E2 and p6E3.
This work was supported by grant AI22383 from the National Institutes
of Health.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Microbiology, 601 S. Goodwin Ave., University of Illinois, Urbana, IL 61801. Phone: (217) 244-2938. Fax: (217) 244-8485. E-mail:
gwhittle{at}life.uiuc.edu.
 |
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Applied and Environmental Microbiology, August 2001, p. 3488-3495, Vol. 67, No. 8
0099-2240/01/$04.00+0 DOI: 10.1128/AEM.67.8.3488-3495.2001
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