Restriction fragment length polymorphism (RFLP) patterns and sequence analysis of high-level mupirocin-resistant

Jae Il Yoo1, Eun Shim Shin, Gyung Tae Chung

  • 1Division of Antimicrobial Resistance, Center for Infectious Diseases, National Institute of Health, Seoul, South Korea.

Insights

High-level mupirocin resistance in staphylococci is linked to the mupA gene on plasmids. This study reveals sequence variations and heterogeneous gene locations in South Korean isolates, impacting resistance mechanisms.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Genetics

Background:

  • High-level mupirocin resistance (MuH) in staphylococci is primarily mediated by the acquisition of the mupA gene, often located on plasmids.
  • Understanding the genetic basis and location of the mupA gene is crucial for tracking and managing antibiotic resistance.

Purpose of the Study:

  • To investigate the heterogeneous location and sequence variations of the mupA gene in high-level mupirocin-resistant staphylococci.
  • To analyze the genetic structure of the mupA-carrying cassette, including the transfer gene complex (trs) and insertion sequence (IS257-like).

Main Methods:

  • Restriction fragment length polymorphism (RFLP) analysis of the mupA gene in 14 MuH staphylococci isolates.
  • DNA sequencing of the trsLM-IS257-like-mupA cassette to identify variations.

Main Results:

  • Four distinct RFLP patterns were observed, attributed to sequence deletions between the mupA gene and the trsLM region.
  • Four different sequence types of the trsLM-IS257-like-mupA cassette were identified.
  • The IS257-like sequence showed variations (two base substitutions, one deletion) compared to the reference IS257 sequence.

Conclusions:

  • Sequence deletions adjacent to the IS257-like sequence within the cassette are responsible for the heterogeneous location of the mupA gene.
  • The IS257-like sequence is consistently present in all studied MuH staphylococci, suggesting its role in the cassette structure and gene location.

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