A conjugative macrolide resistance gene, mef(A), in environmental Clostridium perfringens carrying multiple macrolide and/or tetracycline resistance genes
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Updated: Jun 26, 2026

Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
O O Soge1, L D Tivoli, J S Meschke
1Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA 98195, USA.
Aims:
To determine if environmental Clostridium perfringens carry antibiotic resistance genes and if the genes are mobile.
Methods And Results:
Clostridium perfringens from water, soil and sewage (2003-2006) were screened for the tetracycline and macrolide resistance genes previously described in animal and human C. perfringens [erm(B), erm(Q), tetA(P), tetB(P) and tet(M) genes] and the macrolide resistance mef(A) gene. Of the 160 isolates, 108 (67.5%) carried > or =1 of the six antibiotic resistance gene(s). The tetA(P), tetB(P) and tet(M) genes were in 53%, 22% and 8%, and the erm(B), erm(Q) and mef(A) genes in 26%, 1% and 18% of the isolates, respectively. The mef(A) gene and flanking regions were sequenced. The tet(M), erm(B), erm(Q) and mef(A) genes transfer independently from C. perfringens donors to the Enterococcus faecalis recipient.
Conclusions:
Six resistance genes were found in the environmental C. perfringens with the most common being the tetA(P) gene and the erm(Q) gene the least common.
Significance And Impact Of The Study:
This is the first time conjugal transfer of macrolide resistance genes and/or the tet(M) gene from C. perfringens has been demonstrated. The data presented supports the hypothesis that antibiotic-resistant environmental C. perfringens are capable of acting as reservoirs for these antibiotic resistance genes.
Insights
Environmental Clostridium perfringens harbor antibiotic resistance genes, with tetracycline resistance genes being most common. These genes are transferable, suggesting environmental bacteria act as reservoirs.
Area of Science:
- Environmental microbiology
- Molecular biology
- Antimicrobial resistance
Background:
- Clostridium perfringens is found in various environments.
- Antibiotic resistance genes (ARGs) are a growing public health concern.
- Understanding ARG mobility in environmental bacteria is crucial.
Purpose of the Study:
- To investigate the presence of specific tetracycline and macrolide resistance genes in environmental Clostridium perfringens isolates.
- To determine the mobility of these identified antibiotic resistance genes.
Main Methods:
- Screening of 160 environmental Clostridium perfringens isolates (water, soil, sewage) for six specific ARGs (erm(B), erm(Q), tetA(P), tetB(P), tet(M), mef(A)).
- Sequencing of the mef(A) gene and its flanking regions.
- Conjugal transfer experiments using Enterococcus faecalis as a recipient.
Main Results:
- 67.5% of isolates carried at least one of the six ARGs.
- tetA(P) was the most prevalent gene (53%), followed by mef(A) (18%) and tetB(P) (22%).
- The tet(M), erm(B), erm(Q), and mef(A) genes were successfully transferred from C. perfringens to Enterococcus faecalis.
Conclusions:
- Environmental Clostridium perfringens isolates harbor multiple antibiotic resistance genes.
- This study demonstrates, for the first time, the conjugal transfer of macrolide resistance genes and tet(M) from C. perfringens.
- Environmental C. perfringens can serve as reservoirs for mobile antibiotic resistance genes, highlighting potential environmental dissemination pathways.
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