Antimicrobial Agents and Chemotherapy · 2002 · 170 citations · 33 references
Life SciencesMicrobiologyMolecular GeneticsAntimicrobial ResistanceBacteriologyMicrobial GeneticsAntibiotic ResistanceHorizontal Gene TransferPlasmid BiologyPlasmid GeneticsPlasmid GenomicsResistance GenesAntibiotic Resistance PlasmidsChloramphenicol ResistanceIntegron-mediated Gene TransferMultidrug Resistance PlasmidsPlasmid InheritancePlasmid-borne Antibiotic ResistancePlasmid-borne Virulence FactorsResistance Gene Cassettes
An unusual self-transferable virulence-resistance plasmid (pUO-StVR2) was found in nine multidrug-resistant (ACSSuT phenotype) Salmonella enterica serotype Typhimurium clinical isolates that were assigned to four different phage types and a single and distinctive XbaI pulsed-field gel electrophoresis profile. pUO-StVR2 is an IncFII plasmid of about 140 kb in length carrying the spvA, spvB, and spvC (Salmonella plasmid virulence) and rck (resistance to complement killing) genes. It also carries the oxa1/aadA1a (ampicillin resistance and streptomycin-spectinomycin resistance) gene cassette configuration located within a class 1 integron with qacEDelta1/sul1 (ammonium antiseptics resistance and sulfadiazine resistance); the transposon genes merA, tnpA, and tnpR (mercury resistance, transposase, and resolvase of Tn21, respectively); and the catA1 (chloramphenicol resistance) and tet(B) (tetracycline resistance) genes. The insertion of resistance genes into a Salmonella virulence plasmid constitutes a new and interesting example of plasmid evolution and presents a serious public health problem.
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M. Kathleen Glynn, Cheryl A. Bopp, Wallis E. DeWitt et al. · New England Journal of Medicine · 1998 · 617 citations · Full text