Affiliation:
1. Unité des Agents Antibactériens, Institut Pasteur, 75724 Paris Cedex 15,1
2. Laboratoire de Bactériologie-Virologie-Hygiène, CHU Dupuytren, 87000 Limoges,2 and
3. Centre d’Etudes Pharmaceutiques, 92296 Châtenay-Malabry,3 France
Abstract
ABSTRACT
Enterobacter aerogenes
BM2688, which is resistant to multiple antibiotics, and its aminoglycoside-susceptible derivative BM2688-1 were isolated from the same clinical sample. Strain BM2688 harbored plasmid pIP833, which carries a class 1 integron, In40, containing (in addition to
qacEΔ1
and
sul1
, which are characteristic of class 1 integrons) four gene cassettes:
aac(6′)-Ib
,
qacF
,
cmlA2
, and
oxa-9
. The
cmlA2
gene had 83.7% identity with the previously described nonenzymatic chloramphenicol resistance
cmlA1
gene. The
qacF
gene conferred resistance to quaternary ammonium compounds and displayed a high degree of similarity with
qacE
(67.8% identity) which, however, has been found as part of a cassette with a very different 59-base element. The
oxa-9
gene was not expressed due to a lack of promoter sequences. Study of the antibiotic-susceptible derivative BM2688-1 indicated that a 3,148-bp deletion between the 3′ end of the
aac(6′)-Ib
gene and the 3′ conserved segment of In40 was responsible for the loss of resistance. The occurrence of this DNA rearrangement, which did not involve homologous sequences, suggests that the In40 integrase could promote recombination at secondary sites.
Publisher
American Society for Microbiology
Subject
Infectious Diseases,Pharmacology (medical),Pharmacology