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Nanomechanics of Drug-target Interactions and Antibacterial Resistance Detection
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Transferable, plasmid-mediated vanB-type glycopeptide resistance in Enterococcus faecium

L B Rice1, L L Carias, C L Donskey

  • 1Cleveland Department of Veterans Affairs Medical Center, Department of Medicine, Case Western Reserve University School of Medicine, Ohio 44106, USA. lbr@po.cwru.edu

Antimicrobial Agents and Chemotherapy
|April 29, 1998
PubMed
Summary

A transferable plasmid carrying vanB genes was found in Enterococcus faecium. This suggests natural plasmid transfer contributes to the spread of VanB-type resistance in E. faecium strains.

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Area of Science:

  • Microbiology
  • Genetics
  • Antimicrobial Resistance

Background:

  • Enterococcus faecium is a significant cause of nosocomial infections.
  • VanB-type resistance is a growing public health concern.
  • Plasmids are key mediators of antimicrobial resistance gene dissemination.

Purpose of the Study:

  • To identify and characterize the genetic elements responsible for VanB-type resistance in clinical Enterococcus faecium isolates.
  • To investigate the role of plasmids in the natural dissemination of vanB operons.

Main Methods:

  • Plasmid isolation and characterization from clinical Enterococcus faecium strains.
  • Molecular analysis of vanB operon carriage and transferability.
  • Comparative analysis of vanB-carrying plasmids across unrelated strains.

Main Results:

  • Identification of a transferable approximately 60-kb plasmid carrying the vanB operon in an E. faecium strain.
  • Observation of a similar plasmid in an unrelated E. faecium strain.
  • Evidence supporting plasmid-mediated transfer of vanB operons in nature.

Conclusions:

  • Plasmids play a crucial role in the dissemination of VanB-type resistance among E. faecium.
  • Natural plasmid transfer facilitates the spread of vanB genes, contributing to vancomycin resistance.
  • Understanding plasmid dynamics is essential for combating antimicrobial resistance in E. faecium.