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Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
Tn916-like genetic elements: a diverse group of modular mobile elements conferring antibiotic resistance
Adam P Roberts1, Peter Mullany
1Department of Microbial Diseases, UCL Eastman Dental Institute, University College London, London, UK.
Abstract:
Antibiotic-resistant Gram-positive bacteria are responsible for morbidity and mortality in healthcare environments. Enterococcus faecium, Enterococcus faecalis, Staphylococcus aureus and Streptococcus pneumoniae can all exhibit clinically relevant multidrug resistance phenotypes due to acquired resistance genes on mobile genetic elements. It is possible that clinically relevant multidrug-resistant Clostridium difficile strains will appear in the future, as the organism is adept at acquiring mobile genetic elements (plasmids and transposons). Conjugative transposons of the Tn916/Tn1545 family, which carry major antibiotic resistance determinants, are transmissible between these different bacteria by a conjugative mechanism during which the elements are excised by a staggered cut from donor cells, converted to a circular form, transferred by cell-cell contact and inserted into recipient cells by a site-specific recombinase. The ability of these conjugative transposons to acquire additional, clinically relevant antibiotic resistance genes importantly contributes to the emergence of multidrug resistance.
Insights
Mobile genetic elements like conjugative transposons facilitate the spread of antibiotic resistance genes among Gram-positive bacteria. This transfer mechanism contributes to the rise of multidrug-resistant pathogens in healthcare settings.
Area of Science:
- Microbiology
- Genetics
- Infectious Diseases
Background:
- Antibiotic-resistant Gram-positive bacteria cause significant morbidity and mortality in healthcare.
- Key pathogens like Enterococcus faecium, Enterococcus faecalis, Staphylococcus aureus, and Streptococcus pneumoniae display multidrug resistance.
- Clostridium difficile may develop multidrug resistance through mobile genetic element acquisition.
Purpose of the Study:
- To investigate the role of conjugative transposons in the spread of antibiotic resistance.
- To understand the mechanism of mobile genetic element transfer between bacteria.
- To highlight the contribution of these elements to multidrug resistance emergence.
Main Methods:
- Analysis of conjugative transposons (Tn916/Tn1545 family) and their antibiotic resistance determinants.
- Description of the conjugative transfer mechanism involving excision, circularization, cell-cell contact, and site-specific insertion.
- Examination of mobile genetic elements like plasmids and transposons.
Main Results:
- Conjugative transposons are transmissible between different bacterial species.
- These transposons carry major antibiotic resistance genes.
- The acquisition of additional resistance genes by these transposons enhances multidrug resistance.
Conclusions:
- Conjugative transposons are key drivers of multidrug resistance in Gram-positive bacteria.
- The horizontal gene transfer mediated by these elements poses a significant threat in healthcare.
- Understanding these mechanisms is crucial for combating antibiotic resistance.
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