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      Sequences of Two Related Multiple Antibiotic Resistance Virulence Plasmids Sharing a Unique IS 26-Related Molecular Signature Isolated from Different Escherichia coli Pathotypes from Different Hosts

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          Abstract

          Enterohemorrhagic Escherichia coli (EHEC) and atypical enteropathogenic E. coli (aEPEC) are important zoonotic pathogens that increasingly are becoming resistant to multiple antibiotics. Here we describe two plasmids, pO26-CRL 125 (125 kb) from a human O26:H- EHEC, and pO111-CRL 115 (115kb) from a bovine O111 aEPEC, that impart resistance to ampicillin, kanamycin, neomycin, streptomycin, sulfathiazole, trimethoprim and tetracycline and both contain atypical class 1 integrons with an identical IS 26-mediated deletion in their 3´-conserved segment. Complete sequence analysis showed that pO26-CRL 125 and pO111-CRL 115 are essentially identical except for a 9.7 kb fragment, present in the backbone of pO26-CRL 125 but absent in pO111-CRL 115, and several indels. The 9.7 kb fragment encodes IncI-associated genes involved in plasmid stability during conjugation, a putative transposase gene and three imperfect repeats. Contiguous sequence identical to regions within these pO26-CRL 125 imperfect repeats was identified in pO111-CRL 115 precisely where the 9.7 kb fragment is missing, suggesting it may be mobile. Sequences shared between the plasmids include a complete IncZ replicon, a unique toxin/antitoxin system, IncI stability and maintenance genes, a novel putative serine protease autotransporter, and an IncI1 transfer system including a unique shufflon. Both plasmids carry a derivate Tn 21 transposon with an atypical class 1 integron comprising a dfrA5 gene cassette encoding resistance to trimethoprim, and 24 bp of the 3´-conserved segment followed by Tn 6026, which encodes resistance to ampicillin, kanymycin, neomycin, streptomycin and sulfathiazole. The Tn 21-derivative transposon is linked to a truncated Tn 1721, encoding resistance to tetracycline, via a region containing the IncP-1α oriV. Absence of the 5 bp direct repeats flanking Tn 3-family transposons, indicates that homologous recombination events played a key role in the formation of this complex antibiotic resistance gene locus. Comparative sequence analysis of these closely related plasmids reveals aspects of plasmid evolution in pathogenic E. coli from different hosts.

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          Most cited references61

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          ISfinder: the reference centre for bacterial insertion sequences

          ISfinder () is a dedicated database for bacterial insertion sequences (ISs). It has superseded the Stanford reference center. One of its functions is to assign IS names and to provide a focal point for a coherent nomenclature. It is also the repository for ISs. Each new IS is indexed together with information such as its DNA sequence and open reading frames or potential coding sequences, the sequence of the ends of the element and target sites, its origin and distribution together with a bibliography where available. Another objective is to continuously monitor ISs to provide updated comprehensive groupings or families and to provide some insight into their phylogenies. The site also contains extensive background information on ISs and transposons in general. Online tools are gradually being added. At present an online Blast facility against the entire bank is available. But additional features will include alignment capability, PsiBLAST and HMM profiles. ISfinder also includes a section on bacterial genomes and is involved in annotating the IS content of these genomes. Finally, this database is currently recommended by several microbiology journals for registration of new IS elements before their publication.
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            Diarrheagenic Escherichia coli.

            Escherichia coli is the predominant nonpathogenic facultative flora of the human intestine. Some E. coli strains, however, have developed the ability to cause disease of the gastrointestinal, urinary, or central nervous system in even the most robust human hosts. Diarrheagenic strains of E. coli can be divided into at least six different categories with corresponding distinct pathogenic schemes. Taken together, these organisms probably represent the most common cause of pediatric diarrhea worldwide. Several distinct clinical syndromes accompany infection with diarrheagenic E. coli categories, including traveler's diarrhea (enterotoxigenic E. coli), hemorrhagic colitis and hemolytic-uremic syndrome (enterohemorrhagic E. coli), persistent diarrhea (enteroaggregative E. coli), and watery diarrhea of infants (entero-pathogenic E. coli). This review discusses the current level of understanding of the pathogenesis of the diarrheagenic E. coli strains and describes how their pathogenic schemes underlie the clinical manifestations, diagnostic approach, and epidemiologic investigation of these important pathogens.
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              Resistance plasmid families in Enterobacteriaceae.

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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, USA )
                1932-6203
                2013
                4 November 2013
                : 8
                : 11
                : e78862
                Affiliations
                [1 ]School of Chemistry and Molecular Biosciences and Australian Infectious Diseases Research Centre, the University of Queensland, Brisbane, Queensland, Australia
                [2 ]Department of Chemistry and Biomolecular Sciences, Macquarie University, Macquarie Park, New South Wales, Australia
                [3 ]NSW Department of Primary Industries, Camden, New South Wales, Australia
                [4 ] The ithree Institute - Infection. Immunity. Innovation, University of Technology, Sydney, New South Wales, Australia
                University of Manchester, United Kingdom
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: CV KAH ITP MJW SPD. Performed the experiments: CV KAH. Analyzed the data: CV KAH PRC ITP SPD. Contributed reagents/materials/analysis tools: ITP MJW SPD. Wrote the manuscript: CV KAH SPD. Proofread manuscript: CV KAH PRC ITP MJW SPD.

                Article
                PONE-D-13-30712
                10.1371/journal.pone.0078862
                3817090
                24223859
                c847caa9-5c9e-43dc-ade1-073775555f2b
                Copyright @ 2013

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 25 July 2013
                : 23 September 2013
                Funding
                This work was supported by of the Australian Research Council (ARC) and the Australian National Health and Medical Research Council (NHMRC). This work was partly funded by UTS start-up monies to SPD. The authors acknowledge the financial support of the Australian Research Council (ARC) for provision of a PhD scholarship to CV and research support provided through the ARC Linkage grant LP034885 and the Australian National Health and Medical Research Council (NHMRC). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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