Plasmid-borne high-level resistance to gentamicin in Enterococcus hirae, Enterococcus avium, and Enterococcus

M Straut1, G de Cespédès, T Horaud

  • 1Laboratoire des Staphylocoques et des Streptocoques, Institut Pasteur, Paris, France.

Insights

This study identified gentamicin resistance plasmids in Enterococcus species from Romania, Tunisia, and Portugal. These plasmids utilized Tn4001-like elements and, in one case, also carried tetracycline resistance genes.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Antimicrobial Resistance

Background:

  • Enterococcus species are important in clinical settings.
  • Plasmid-mediated antibiotic resistance is a growing concern.
  • Gentamicin resistance is frequently observed in Enterococcus.

Purpose of the Study:

  • To characterize plasmids encoding high-level gentamicin resistance (Gmr) in Enterococcus species.
  • To investigate the genetic elements responsible for Gmr.
  • To identify additional resistance determinants on these plasmids.

Main Methods:

  • Plasmid isolation and characterization.
  • Identification of resistance genes and mobile genetic elements.
  • Conjugation experiments (implied).

Main Results:

  • Plasmids pICC8, pIP1700, and pIP1701 from Enterococcus hirae, E. avium, and E. raffinosus harbored Gmr.
  • Gmr was associated with Tn4001-like elements or truncated versions.
  • pICC8 also contained chloramphenicol, erythromycin, and tetracycline-minocycline (TetM) resistance.
  • The tetM gene on pICC8 was located on a Tn916-like element.

Conclusions:

  • Plasmids play a significant role in the dissemination of gentamicin resistance in Enterococcus species.
  • Tn4001-like elements are key mediators of Gmr.
  • Co-selection of multiple resistance genes, including TetM, on the same plasmid is possible.

Related Concept Videos

Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Plasmids01:28

Plasmids

Plasmids are extrachromosomal DNA molecules found in bacteria, archaea, and some eukaryotic microbes like yeast. These small, circular DNA structures typically contain fewer than 30 genes, although some may exist linearly. Plasmids vary in their number within a cell, known as copy number. Single-copy plasmids are present in one copy per cell and multi-copy plasmids are present in multiple copies, reaching over 100 copies per cell.Plasmids usually replicate independently of the chromosomal DNA...
Antibiotic Selection01:45

Antibiotic Selection

Researchers use antibiotic resistance genes to identify bacteria that possess a plasmid containing their gene of interest. Antibiotic resistance naturally occurs when a spontaneous DNA mutation creates changes in bacterial genes that eliminate antibiotic activity. Bacteria can share these new resistance genes with their offspring and other bacteria. The overuse and misuse of antibiotics have created a public health crisis, as resistant and multi-resistant bacteria continue to develop.Antibiotic...
Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Determination of Multiple Dosing Parameters: Steady-State, Minimum and Maximum Concentrations01:15

Determination of Multiple Dosing Parameters: Steady-State, Minimum and Maximum Concentrations

Gentamicin, an aminoglycoside antibiotic, is commonly administered via intermittent intravenous infusion to treat severe infections. An intermittent one-hour infusion of gentamicin, administered at eight-hour intervals, allows for precise control of plasma drug concentrations, minimizing toxicity while ensuring therapeutic efficacy. Pharmacokinetic principles govern the dynamics of plasma concentrations and can be mathematically described using specific equations.The plasma drug concentration...