Hitchhiking genes and boundaries of AmpC amplicons during amoxicillin resistance development in E. coli

Luyuan Nong1, Xinyu Wang1, Belinda Koenders1

  • 1Molecular Biology and Microbial Food Safety, Swammerdam Institute of Life Sciences, University of Amsterdam, Amsterdam, The Netherlands.

BMC Microbiology
|November 18, 2025
PubMed
Abstract

Insights

Amoxicillin resistance in E. coli involves ampC gene amplification, but amplicon boundaries are not fixed. Deleting nearby sugE and epmA genes impacts resistance development, falsifying the conserved boundary hypothesis.

Area of Science:

  • Microbiology
  • Genetics
  • Molecular Biology

Background:

  • Amoxicillin resistance in E. coli is often driven by amplification of the beta-lactamase gene, ampC.
  • This gene amplification can lead to a 500-fold increase in ampC transcription.
  • The precise boundaries and determining factors of these amplified DNA fragments remain unclear.

Purpose of the Study:

  • Investigate the hypothesis of conserved amplicon boundaries and hitchhiking genes associated with ampC amplification.
  • Determine if specific genes near ampC influence the rate of amoxicillin resistance development.

Main Methods:

  • Constructed seven E. coli mutants with deletions of specific genes flanking or within the ampC amplicon.
  • Performed 22-day evolution experiments with stepwise increasing amoxicillin concentrations.
  • Analyzed genomic point mutations and gene duplications/amplifications in evolved strains.

Main Results:

  • The amplification of ampC did not show fixed boundaries; IS1A was frequently observed as an endpoint.
  • Deletion mutants ∆sugE and ∆epmA exhibited significantly reduced amoxicillin adaptation rates compared to wild-type.
  • Evolved ∆epmA and ∆yjeM strains acquired more genomic point mutations than wild-type.

Conclusions:

  • The hypothesis of conserved amplicon boundaries for ampC amplification is largely falsified.
  • IS1A acts as a common endpoint for ampC duplications.
  • The genes sugE and epmA, located near ampC, play a role in the development of amoxicillin resistance in E. coli.

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