Conjugative transfer of the erm(A) gene from erythromycin-resistant Streptococcus pyogenes to macrolide-susceptible

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E Giovanetti1, G Magi, A Brenciani

  • 1Institute of Microbiology, University of Ancona Medical School, Via Ranieri, Monte d'Ago, 60131 Ancona, Italy.

Insights

The erm(A) gene conferring erythromycin resistance was transferred between Streptococcus pyogenes strains and to other bacteria. This study provides the first experimental evidence of erm(A) gene transfer in Gram-positive bacteria.

Area of Science:

  • Microbiology
  • Genetics
  • Molecular Biology

Background:

  • Macrolide resistance is a growing public health concern.
  • The erm(A) gene is a common determinant of macrolide resistance.
  • Understanding gene transfer mechanisms is crucial for combating antibiotic resistance.

Purpose of the Study:

  • To investigate the transferability of the erythromycin resistance methylase (erm(A)) gene.
  • To determine if erm(A) can be transferred from clinical isolates of Streptococcus pyogenes to other bacteria.
  • To analyze genetic changes in recipient strains following gene transfer.

Main Methods:

  • Mating experiments were conducted using erm(A)-positive Streptococcus pyogenes clinical isolates.
  • Macrolide-susceptible recipients included S. pyogenes, Enterococcus faecalis, and Listeria innocua.
  • SmaI macrorestriction fragment analysis was used to compare DNA patterns of recipients and transconjugants.

Main Results:

  • Successful transfer of the erm(A) gene from S. pyogenes to S. pyogenes, E. faecalis, and L. innocua was achieved.
  • S. pyogenes transconjugants exhibited altered SmaI macrorestriction patterns, including loss of a fragment and gain of a larger fragment.
  • This demonstrates the mobility of the erm(A) gene across different Gram-positive species.

Conclusions:

  • The erm(A) gene is transferable between S. pyogenes strains and to other Gram-positive bacteria.
  • Horizontal gene transfer contributes to the spread of macrolide resistance.
  • Further research is needed to understand the implications of erm(A) gene mobility in clinical settings.

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