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Updated: Jan 26, 2026

Testing the Role of Multicopy Plasmids in the Evolution of Antibiotic Resistance
Published on: May 2, 2018
Novel trimethoprim resistance gene, dfrA35, in IncC plasmids from Australia
Stephanie J Ambrose1, Ruth M Hall1
1School of Life and Environmental Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Background:
In Gram-negative bacteria, over 30 different genes are known to encode a trimethoprim-insensitive dihydrofolate reductase that confers resistance to trimethoprim.
Objectives:
To determine whether a gene encoding a putative dihydrofolate reductase found in type 2 IncC plasmids isolated between 2002 and 2013 in healthcare facilities in Melbourne, Australia, confers trimethoprim resistance.
Methods:
Conjugation was used to transfer plasmids into a laboratory Escherichia coli. A PCR-amplified fragment was cloned into pUC19 using Gibson Assembly and transformed into E. coli. The level of resistance to trimethoprim was determined using broth microdilution. MEGA (7.0.26) and Geneious Prime (7.0.9) were used to examine the relationship to known Dfr proteins.
Results:
The conjugative IncC plasmid pEc158 from a 2002 Melbourne clinical E. coli isolate was shown to transfer trimethoprim resistance. The putative DfrA protein encoded by a dfrA gene in pEc158 shares <40% amino acid identity with any previously identified DfrA protein. This gene was cloned and found to confer trimethoprim resistance. The gene and protein were named dfrA35/DfrA35. In pEc158 the dfrA35 gene is located near the ori end of a partial copy of the CR1 element, within a complex resistance island. It is found in the same location in further closely-related type 2 IncC plasmids from Klebsiella pneumoniae (Melbourne, 2013), which were not transfer proficient.
Conclusions:
Resistance determinants continue to be found and will be missed using website-associated databases to infer phenotypes from genome sequences rather than direct phenotypic testing.
Insights
A novel gene, dfrA35, found on IncC plasmids in Australia, confers trimethoprim resistance in Gram-negative bacteria. This highlights the need for direct testing to identify new resistance mechanisms.
Area of Science:
- Microbiology
- Genetics
- Molecular Biology
Background:
- Over 30 genes encoding trimethoprim-insensitive dihydrofolate reductase are known in Gram-negative bacteria.
- These enzymes confer resistance to the antibiotic trimethoprim.
Purpose of the Study:
- To investigate a putative dihydrofolate reductase gene on type 2 IncC plasmids from Melbourne, Australia (2002-2013).
- To determine if this gene confers trimethoprim resistance in Gram-negative bacteria.
Main Methods:
- Plasmid transfer via conjugation to laboratory Escherichia coli.
- PCR amplification, Gibson Assembly cloning into pUC19, and transformation into E. coli.
- Broth microdilution for trimethoprim resistance determination.
- Phylogenetic analysis of the dihydrofolate reductase protein using MEGA and Geneious Prime.
Main Results:
- The IncC plasmid pEc158 from a 2002 E. coli isolate successfully transferred trimethoprim resistance.
- A novel dfrA gene, named dfrA35, was identified, encoding a DfrA protein with <40% amino acid identity to known proteins.
- Cloning and testing confirmed that dfrA35 confers trimethoprim resistance.
- The dfrA35 gene was located within a complex resistance island on the plasmid, also found in related Klebsiella pneumoniae plasmids.
Conclusions:
- Novel trimethoprim resistance genes like dfrA35 are continuously discovered.
- Relying solely on genomic databases for phenotype prediction can lead to missed resistance mechanisms.
- Direct phenotypic testing remains crucial for accurate identification of antimicrobial resistance determinants.
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