Novel Structure of Enterococcus faecium-Originated ermB-Positive Tn1546-Like Element in Staphylococcus aureus

Tsai-Wen Wan1, Wei-Chun Hung2, Jui-Chang Tsai3

  • 1Department of Clinical Laboratory Sciences and Medical Biotechnology, National Taiwan University College of Medicine, Taipei, Taiwan.

Insights

This study identified resistance determinants in erythromycin-resistant Staphylococcus aureus (MSSA). The ermB gene, often linked to mobile elements, was prevalent, with a novel plasmid-borne Tn1546-like element found in MSSA.

Area of Science:

  • Microbiology
  • Genetics
  • Antimicrobial Resistance

Background:

  • Methicillin-susceptible Staphylococcus aureus (MSSA) can develop resistance to antibiotics like erythromycin.
  • Understanding the genetic basis of this resistance is crucial for effective treatment strategies.

Purpose of the Study:

  • To determine the resistance determinants in erythromycin-resistant MSSA isolates.
  • To investigate the genetic elements and mobile structures associated with macrolide-lincosamide-streptogramin (MLS) resistance phenotypes.

Main Methods:

  • Phenotypic characterization of resistance using the double-disk diffusion D test.
  • Molecular detection of resistance genes (ermB, ermC, ermA) and mobile genetic elements (Tn551, IS1216V).
  • Plasmid analysis using S1 nuclease pulsed-field gel electrophoresis (PFGE) and conjugation tests.

Main Results:

  • The ermB gene was the most frequent resistance determinant (35%) in MSSA.
  • A majority of ermB-positive isolates displayed the constitutive MLS (cMLS) phenotype and carried mobile element structure (MES)-like elements.
  • A novel finding was the presence of an Enterococcus faecium-originated ermB-positive Tn1546-like element on a plasmid in MSSA, previously unobserved in this bacterial species.

Conclusions:

  • The ermB gene, often associated with mobile elements and specific resistance phenotypes, is a significant determinant of erythromycin resistance in MSSA.
  • The identification of a plasmid-borne Tn1546-like element in MSSA represents a novel mechanism of resistance acquisition, with potential implications for the spread of antibiotic resistance.

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