Related Experiment Video
Updated: May 6, 2026

Site-specific Bacterial Chromosome Engineering: ΦC31 Integrase Mediated Cassette Exchange (IMCE)
Published on: March 16, 2012
Fusion event mediated by IS903B between chromosome and plasmid in two MCR-9- and KPC-2-co-producing Klebsiella
Ruishan Liu1, Yingying Chen2, Hao Xu1
1Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Abstract:
Herein, we first isolated two MCR-9- and KPC-2-co-producing K. pneumoniae isolates. Notably, we observed a fusion event between the chromosome and plasmid, mediated by IS903B, in these two strains. This cointegration of chromosomes and plasmids introduces a new mode of transmission for antimicrobial resistance genes.
Insights
Researchers discovered a novel transmission route for antimicrobial resistance genes in Klebsiella pneumoniae. A fusion event between bacterial chromosomes and plasmids, mediated by IS903B, was observed, facilitating the spread of MCR-9 and KPC-2 resistance.
Area of Science:
- Microbiology
- Genetics
- Molecular Biology
Background:
- Antimicrobial resistance (AMR) poses a significant global health threat.
- Klebsiella pneumoniae is a key opportunistic pathogen frequently associated with AMR.
- Emergence of co-resistance to multiple antibiotic classes complicates treatment strategies.
Purpose of the Study:
- To investigate the genetic mechanisms underlying co-production of MCR-9 and KPC-2 in K. pneumoniae.
- To identify novel transmission pathways for antimicrobial resistance genes.
Main Methods:
- Isolation and characterization of K. pneumoniae strains.
- Plasmid and genomic DNA analysis.
- Identification of mobile genetic elements, including insertion sequences.
Main Results:
- Two K. pneumoniae isolates co-producing MCR-9 and KPC-2 were identified.
- A novel cointegration event between the bacterial chromosome and a plasmid was observed.
- The insertion sequence IS903B was identified as the mediator of this chromosome-plasmid fusion.
Conclusions:
- Chromosome-plasmid fusion represents a new mechanism for the dissemination of antimicrobial resistance genes.
- IS903B-mediated cointegration facilitates the transfer of MCR-9 and KPC-2 resistance determinants.
- Understanding these novel transmission routes is crucial for combating the spread of multidrug-resistant bacteria.
Related Concept Videos
Conjugation
Mechanism of Conjugation
Bacterial Gastroenteritis

