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Updated: Mar 12, 2026

Site-specific Bacterial Chromosome Engineering: ΦC31 Integrase Mediated Cassette Exchange (IMCE)
Published on: March 16, 2012
IncFIIk plasmid harbouring an amplification of 16S rRNA methyltransferase-encoding gene rmtH associated with mobile
Racha Beyrouthy1,2,3,4,5, Frederic Robin1,2,3,4,5, Monzer Hamze6
1CHU Clermont-Ferrand, Laboratoire de Bactériologie Clinique, Clermont-Ferrand, France.
Objectives:
To investigate the resistance mechanisms and genetic support underlying the high resistance level of the Klebsiella pneumoniae strain CMUL78 to aminoglycoside and β-lactam antibiotics.
Methods:
Antibiotic susceptibility was assessed by the disc diffusion method and MICs were determined by the microdilution method. Antibiotic resistance genes and their genetic environment were characterized by PCR and Sanger sequencing. Plasmid contents were analysed in the clinical strain and transconjugants obtained by mating-out assays. Complete plasmid sequencing was performed with PacBio and Illumina technology.
Results:
Strain CMUL78 co-produced the 16S rRNA methyltransferase (RMTase) RmtH, carbapenemase OXA-48 and ESBL SHV-12. The rmtH- and blaSHV-12-encoding genes were harboured by a novel ∼115 kb IncFIIk plasmid designated pRmtH, and blaOXA-48 by a ∼62 kb IncL/M plasmid related to pOXA-48a. pRmtH plasmid possessed seven different stability modules, one of which is a novel hybrid toxin-antitoxin system. Interestingly, pRmtH plasmid harboured a 4-fold amplification of an rmtH-ISCR2 unit arranged in tandem and inserted within a novel IS26-based composite transposon designated Tn6329.
Conclusions:
This is the first known report of the 16S RMTase-encoding gene rmtH in a plasmid. The rmtH-ISCR2 unit was inserted in a composite transposon as a 4-fold tandem repeat, a scarcely reported organization.
Insights
This study reveals a Klebsiella pneumoniae strain with high resistance to antibiotics, featuring a novel plasmid carrying multiple resistance genes, including the first reported plasmid-borne 16S rRNA methyltransferase gene (rmtH).
Area of Science:
- Microbiology
- Genetics
- Molecular Biology
Background:
- Klebsiella pneumoniae is a significant opportunistic pathogen.
- High-level antibiotic resistance in K. pneumoniae poses a major public health threat.
- Understanding resistance mechanisms is crucial for effective treatment.
Purpose of the Study:
- Investigate the resistance mechanisms of Klebsiella pneumoniae strain CMUL78.
- Characterize the genetic basis for high-level aminoglycoside and β-lactam resistance.
- Identify novel genetic elements and plasmid structures contributing to antibiotic resistance.
Main Methods:
- Antibiotic susceptibility testing (disc diffusion, MICs).
- Molecular characterization of resistance genes (PCR, Sanger sequencing).
- Plasmid analysis (mating-out assays, PacBio, Illumina sequencing).
Main Results:
- Strain CMUL78 produces 16S rRNA methyltransferase (RMTase) RmtH, carbapenemase OXA-48, and ESBL SHV-12.
- A novel IncFIIk plasmid (pRmtH) harbors rmtH and blaSHV-12 genes.
- A composite transposon (Tn6329) contains a 4-fold tandem repeat of the rmtH-ISCR2 unit.
Conclusions:
- First report of the 16S RMTase-encoding gene rmtH on a plasmid.
- Unusual 4-fold tandem repeat organization of rmtH-ISCR2 within a composite transposon.
- Identified novel plasmid stability modules and a hybrid toxin-antitoxin system.
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