Related Experiment Video
Updated: Jun 16, 2026

Testing the Role of Multicopy Plasmids in the Evolution of Antibiotic Resistance
Published on: May 2, 2018
Spread of OXA-48-encoding plasmid in Turkey and beyond
Amélie Carrër1, Laurent Poirel, Mesut Yilmaz
1Service de Bactériologie-Virologie, INSERM U914 Emerging Resistance to Antibiotics, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine Paris Sud, K.-Bicêtre, France.
The OXA-48 carbapenemase gene is spreading globally via plasmids among Enterobacteriaceae. This study identified similar plasmids carrying bla(OXA-48) in isolates from multiple countries, highlighting a significant public health concern.
Area of Science:
- Microbiology
- Molecular Biology
- Infectious Diseases
Background:
- Carbapenem resistance is a growing global health threat.
- OXA-48 carbapenemase is a significant mechanism of resistance in Enterobacteriaceae.
- Previous studies have indicated the presence of OXA-48 in various geographical regions.
Purpose of the Study:
- To analyze carbapenem-resistant Enterobacteriaceae isolates positive for OXA-48.
- To investigate the genetic basis and dissemination of the bla(OXA-48) gene.
- To understand the role of plasmids in the spread of OXA-48 carbapenemase.
Main Methods:
- Analysis of 18 carbapenem-resistant, OXA-48-positive Enterobacteriaceae isolates.
- Plasmid profiling to identify genetic elements carrying the bla(OXA-48) gene.
- Investigation of transposon structures (Tn1999, Tn1999.2) associated with the carbapenemase gene.
Main Results:
- Identical 70-kb plasmids carrying the bla(OXA-48) gene were found in most isolates.
- The bla(OXA-48) gene was located within transposons Tn1999 or Tn1999.2.
- These transposons were consistently inserted within the same host gene across different isolates.
- Isolates were recovered from Turkey, Lebanon, Egypt, France, and Belgium.
Conclusions:
- The findings demonstrate the plasmid-mediated dissemination of OXA-48 carbapenemase.
- The identified genetic structures (plasmids, transposons) are key to the spread of this resistance mechanism.
- This study underscores the worldwide spread of OXA-48 carbapenemase, posing a significant challenge for infection control.
Related Concept Videos
Horizontal Gene Transfer
Plague
Antibiotic Selection
Plasmids
Transposons
Development of Antibiotic Resistance

