A Possible Role of Insertion Sequence IS<i>1216V</i> in Dissemination of Multidrug-Resistant Elements MES<sub>PM1</sub> and MES<sub>6272-2</sub> between <i>Enterococcus</i> and ST59 <i>Staphylococcus aureus</i>

Sequence type 59 (ST59) is the dominant type of community-associated methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) in Taiwan. Previously, we reported that ST59 MRSA harbors enterococcal IS<i>1216V</i>-mediated multidrug-resistant composite transposons MES<sub&g...

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Main Authors: Yu-Tzu Lin, Sung-Pin Tseng, Wei-Wen Hung, Chen-Chia Chang, You-Han Chen, Ya-Ting Jao, Yen-Hsu Chen, Lee-Jene Teng, Wei-Chun Hung
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/8/12/1905
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author Yu-Tzu Lin
Sung-Pin Tseng
Wei-Wen Hung
Chen-Chia Chang
You-Han Chen
Ya-Ting Jao
Yen-Hsu Chen
Lee-Jene Teng
Wei-Chun Hung
author_facet Yu-Tzu Lin
Sung-Pin Tseng
Wei-Wen Hung
Chen-Chia Chang
You-Han Chen
Ya-Ting Jao
Yen-Hsu Chen
Lee-Jene Teng
Wei-Chun Hung
author_sort Yu-Tzu Lin
collection DOAJ
description Sequence type 59 (ST59) is the dominant type of community-associated methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) in Taiwan. Previously, we reported that ST59 MRSA harbors enterococcal IS<i>1216V</i>-mediated multidrug-resistant composite transposons MES<sub>PM1</sub> or MES<sub>6272-2</sub>. The MES were found to have a mosaic structure, largely originating in enterococci and partly native to <i>S. aureus</i>. The current study aimed to track the origin of the MES and how they disseminated from enterococci to ST59 <i>S. aureus</i>. A total of 270 enterococcal isolates were analyzed, showing that two ST64 <i>Enterococcus faecalis</i> isolated in 1992 and 11 clonal complex 17 <i>Enterococcus faecium</i> harbored MES<sub>PM1</sub>-like and MES<sub>6272-2</sub>-like structures, respectively. Sequence analysis revealed that ST64 <i>E. faecalis</i> strain N48 acquired the MES<sub>PM1</sub>-like structure on the plasmid pEflis48. The pEflis48 harbored the enterococci-originated region (erythromycin, kanamycin, and streptomycin resistances) and the <i>S.</i><i>aureus</i>-originated region (chloramphenicol resistance) of MES<sub>PM1</sub> but was separated by the replication region of the plasmid. Homologous recombination between the two direct repeats of IS<i>1216V</i> resulted in excision of the replication region of the plasmid to regenerate MES<sub>PM1</sub>. The p4780-1 and pV19 of <i>E. faecium</i> carried MES<sub>6272-2</sub>-like structures with IS<i>1216V</i>, albeit with multiple insertions by other insertion sequences. The findings show that IS<i>1216V</i> plays important roles in bidirectional gene transfer of multidrug resistance between enterococci and <i>S. aureus</i>.
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spelling doaj.art-2994d72a88be4406abb30d7a3400793e2023-11-20T23:00:25ZengMDPI AGMicroorganisms2076-26072020-11-01812190510.3390/microorganisms8121905A Possible Role of Insertion Sequence IS<i>1216V</i> in Dissemination of Multidrug-Resistant Elements MES<sub>PM1</sub> and MES<sub>6272-2</sub> between <i>Enterococcus</i> and ST59 <i>Staphylococcus aureus</i>Yu-Tzu Lin0Sung-Pin Tseng1Wei-Wen Hung2Chen-Chia Chang3You-Han Chen4Ya-Ting Jao5Yen-Hsu Chen6Lee-Jene Teng7Wei-Chun Hung8Department of Medical Laboratory Science and Biotechnology, China Medical University, Taichung 404333, TaiwanDepartment of Medical Laboratory Science and Biotechnology, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 807378, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807377, TaiwanDepartment of Microbiology and Immunology, College of Medicine, Kaohsiung Medical University, Kaohsiung 807378, TaiwanDepartment of Microbiology and Immunology, College of Medicine, Kaohsiung Medical University, Kaohsiung 807378, TaiwanInfection Control Center, Kaohsiung Medical University Hospital, Kaohsiung 807377, TaiwanDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807377, TaiwanDepartment of Clinical Laboratory Sciences and Medical Biotechnology, National Taiwan University College of Medicine, Taipei 100229, TaiwanDepartment of Microbiology and Immunology, College of Medicine, Kaohsiung Medical University, Kaohsiung 807378, TaiwanSequence type 59 (ST59) is the dominant type of community-associated methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) in Taiwan. Previously, we reported that ST59 MRSA harbors enterococcal IS<i>1216V</i>-mediated multidrug-resistant composite transposons MES<sub>PM1</sub> or MES<sub>6272-2</sub>. The MES were found to have a mosaic structure, largely originating in enterococci and partly native to <i>S. aureus</i>. The current study aimed to track the origin of the MES and how they disseminated from enterococci to ST59 <i>S. aureus</i>. A total of 270 enterococcal isolates were analyzed, showing that two ST64 <i>Enterococcus faecalis</i> isolated in 1992 and 11 clonal complex 17 <i>Enterococcus faecium</i> harbored MES<sub>PM1</sub>-like and MES<sub>6272-2</sub>-like structures, respectively. Sequence analysis revealed that ST64 <i>E. faecalis</i> strain N48 acquired the MES<sub>PM1</sub>-like structure on the plasmid pEflis48. The pEflis48 harbored the enterococci-originated region (erythromycin, kanamycin, and streptomycin resistances) and the <i>S.</i><i>aureus</i>-originated region (chloramphenicol resistance) of MES<sub>PM1</sub> but was separated by the replication region of the plasmid. Homologous recombination between the two direct repeats of IS<i>1216V</i> resulted in excision of the replication region of the plasmid to regenerate MES<sub>PM1</sub>. The p4780-1 and pV19 of <i>E. faecium</i> carried MES<sub>6272-2</sub>-like structures with IS<i>1216V</i>, albeit with multiple insertions by other insertion sequences. The findings show that IS<i>1216V</i> plays important roles in bidirectional gene transfer of multidrug resistance between enterococci and <i>S. aureus</i>.https://www.mdpi.com/2076-2607/8/12/1905<i>Staphylococcus aureus</i>enterococciIS<i>1216V</i>gene transfer
spellingShingle Yu-Tzu Lin
Sung-Pin Tseng
Wei-Wen Hung
Chen-Chia Chang
You-Han Chen
Ya-Ting Jao
Yen-Hsu Chen
Lee-Jene Teng
Wei-Chun Hung
A Possible Role of Insertion Sequence IS<i>1216V</i> in Dissemination of Multidrug-Resistant Elements MES<sub>PM1</sub> and MES<sub>6272-2</sub> between <i>Enterococcus</i> and ST59 <i>Staphylococcus aureus</i>
Microorganisms
<i>Staphylococcus aureus</i>
enterococci
IS<i>1216V</i>
gene transfer
title A Possible Role of Insertion Sequence IS<i>1216V</i> in Dissemination of Multidrug-Resistant Elements MES<sub>PM1</sub> and MES<sub>6272-2</sub> between <i>Enterococcus</i> and ST59 <i>Staphylococcus aureus</i>
title_full A Possible Role of Insertion Sequence IS<i>1216V</i> in Dissemination of Multidrug-Resistant Elements MES<sub>PM1</sub> and MES<sub>6272-2</sub> between <i>Enterococcus</i> and ST59 <i>Staphylococcus aureus</i>
title_fullStr A Possible Role of Insertion Sequence IS<i>1216V</i> in Dissemination of Multidrug-Resistant Elements MES<sub>PM1</sub> and MES<sub>6272-2</sub> between <i>Enterococcus</i> and ST59 <i>Staphylococcus aureus</i>
title_full_unstemmed A Possible Role of Insertion Sequence IS<i>1216V</i> in Dissemination of Multidrug-Resistant Elements MES<sub>PM1</sub> and MES<sub>6272-2</sub> between <i>Enterococcus</i> and ST59 <i>Staphylococcus aureus</i>
title_short A Possible Role of Insertion Sequence IS<i>1216V</i> in Dissemination of Multidrug-Resistant Elements MES<sub>PM1</sub> and MES<sub>6272-2</sub> between <i>Enterococcus</i> and ST59 <i>Staphylococcus aureus</i>
title_sort possible role of insertion sequence is i 1216v i in dissemination of multidrug resistant elements mes sub pm1 sub and mes sub 6272 2 sub between i enterococcus i and st59 i staphylococcus aureus i
topic <i>Staphylococcus aureus</i>
enterococci
IS<i>1216V</i>
gene transfer
url https://www.mdpi.com/2076-2607/8/12/1905
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