Journal of Bacteriology, April 2001, p. 2417-2424, Vol. 183, No. 8
0021-9193/01/$04.00+0 DOI: 10.1128/JB.183.8.2417-2424.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Laboratory of Microbiology, The Rockefeller University, New York, New York 10021,1 and Molecular Genetics Unit, Instituto de Tecnologia Química e Biológica, Universidade Nova de Lisboa, Oeiras, Portugal2
Received 14 December 2000/Accepted 30 January 2001
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ABSTRACT |
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Strains of methicillin-resistant Staphylococcus
aureus (MRSA) have become the most important causative agents
of hospital-acquired diseases worldwide. The genetic determinant of
resistance, mecA, is not a gene native to S.
aureus but was acquired from an extraspecies source by an
unknown mechanism. We recently identified a close homologue of this
gene in isolates of Staphylococcus sciuri, a taxonomically primitive staphylococcal species recovered most frequently from rodents and primitive mammals. In spite of the close
sequence similarity between the mecA homologue of
S. sciuri and the antibiotic resistance determinant
mecA of S. aureus, S. sciuri strains were found to be uniformly susceptible to
-lactam antibiotics. In an attempt to activate the apparently
"silent" mecA gene of S. sciuri, a
methicillin-resistant derivative, K1M200 (for which the MIC of
methicillin is 200 µg/ml), was obtained through stepwise exposure of
the parental strain S. sciuri K1 (methicillin MIC of 4 µg/ml) to increasing concentrations of methicillin. DNA sequencing of
the mecA homologue from K1M200 revealed the introduction
of a point mutation into the
10 consensus of the promoter: the
replacement of a thymine residue at nucleotide 1577 in the susceptible
strain K1 by adenine in the resistant strain K1M200, which was
accompanied by a drastic increase in transcription rate and the
appearance of a new protein that reacted with monoclonal antibody
prepared against the penicillin-binding protein 2A (PBP2A), i.e., the
gene product of S. aureus mecA. Transduction of
mecA from K1M200 (cloned into a plasmid vector) into a
methicillin-susceptible S. aureus mutant resulted in a
significant increase of methicillin resistance (from a methicillin MIC
of 4 µg/ml to 12 and up to 50 µg/ml), the appearance of a
low-affinity PBP detectable by the fluorographic assay, and the
production of a protein that reacted in a Western blot with monoclonal
antibody to PBP2A. Antibiotic resistance and the protein products
disappeared upon removal of the plasmid-borne mecA
homologue. The observations support the proposition that the
mecA homologue ubiquitous in the antibiotic-susceptible animal species S. sciuri may be an evolutionary
precursor of the methicillin resistance gene mecA of the
pathogenic strains of MRSA.
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INTRODUCTION |
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The emergence and worldwide spread
of methicillin-resistant Staphylococcus aureus (MRSA)
between the early 1960s and the late 1990s have begun to pose serious
threats to the chemotherapy of staphylococcal diseases worldwide. The
genetic determinant of methicillin resistance in MRSA is the acquired
gene mecA, which encodes the low-affinity penicillin-binding
protein 2A (PBP2A), which, according to current theory, can function as
a surrogate transpeptidase in the presence of high concentrations of
-lactam antibiotics that inactivate the four high-affinity PBPs
native to S. aureus (5). The mecA
gene and the associated large (40- to 60-kb) mec element
(9, 10, 13, 15, 21, 27) are not native to S. aureus but were acquired from an extraspecies source by an unknown
mechanism (3, 18). The nature of the extraspecies source,
i.e., the evolutionary origin of mecA and the formation of
the mec element, has remained largely a matter of
speculation (1, 8, 11, 20, 26).
In a recent effort to track the evolutionary origin of mecA, we used a DNA probe internal to this gene in S. aureus to screen bacterial isolates belonging to 13 different staphylococcal species for bacteria that would give a positive signal with this DNA probe under hybridization conditions of high stringency. This effort has led to the identification of a close homologue of the S. aureus mecA gene in Staphylococcus sciuri, a species considered taxonomically the most primitive among staphylococci and found mainly in rodents and primitive mammals (4). Each one of 134 independent and genetically diverse S. sciuri isolates was found to carry the mecA homologue (4), which, similarly to mecA of S. aureus, encoded a protein with a putative transglycosylase and transpeptidase domain, the latter showing the conserved motifs and linear structure typical of the penicillin-binding domain of bacterial transpeptidases (30, 31). Overall similarity was 88% on the amino acid level, while even closer similarity (91% identity) was demonstrated within the transpeptidase domains of the mecA genes of S. aureus and S. sciuri.
In methicillin-resistant strains of S. aureus, the
mecA gene provides a unique and broad range of resistance to
all
-lactam antibiotics. Surprisingly, strains of S. sciuri carrying the structurally similar mecA homologue
were found to be uniformly susceptible to
-lactam antibiotics,
including even penicillin. The contrast between the striking structural
similarity of the S. sciuri mecA homologue to the
mecA gene of S. aureus and the complete lack of
associated antibiotic resistance in the case of S. sciuri
prompted us to explore possible structural changes in the S. sciuri mecA homologue and its transcription in
-lactam-resistant mutants isolated in the laboratory. The
observations described in this communication suggest that the
antibiotic pressure selects for a unique structural change in the
regulatory sequence of the mecA homologue, converting it to
an antibiotic resistance determinant capable of expressing the
resistant phenotype even in the genetic background of S. aureus.
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MATERIALS AND METHODS |
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Bacterial strain, plasmids, media, and growth conditions.
The bacterial strains and plasmids used in this study are described in
Table 1. Tryptic soy broth (TSB; Difco
Laboratories, Detroit, Mich.) was employed to grow staphylococcal
isolates, and Luria-Bertani medium (Difco) was used to propagate
Escherichia coli DH5
; ampicillin (100 µg/ml) and
chloramphenicol (20 µg/ml) were added to media to ensure maintenance
of the plasmids in E. coli and staphylococci, respectively.
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PAP and susceptibility test. Population analysis profiles (PAPs) were determined by spreading aliquots of overnight cultures at various dilutions onto tryptic soy agar plates containing increasing concentrations of antibiotics. The number of CFU was determined after 48 h of incubation at 37°C or at 30°C for the strains containing thermosensitive plasmids (6). Susceptibility tests were done with paper disks (31) for the following antibiotics (micrograms per disk): ampicillin (10), nafcillin (1), oxacillin (1), cefotaxime (10), vancomycin (30), teicoplanin (30), tetracycline (30), and erythromycin (15).
DNA methods. All routine DNA manipulations were performed essentially as described in the work of Sambrook et al. (22) and Ausubel et al. (2). Introduction of shuttle plasmids into S. aureus by electroporation and transduction was described previously (17, 31). DNA sequences were determined by the dideoxy chain termination method (23) with an automated DNA sequencing system (model 377; Perkin-Elmer Applied Biosystems Inc., Foster City, Calif.) at The Rockefeller University Sequencing Facility. Nucleotide and derived amino acid sequences were analyzed with the GCG program (Genetics Computer Group, Inc., Madison, Wis.) and DNAStar software (Lasergene, Madison, Wis.).
PCR. PCR amplification of DNA was performed as described previously (31, 32). High-fidelity PCR with the GeneAmp XL PCR kit (Perkin-Elmer Cetus, Branchburg, N.J.), which includes rTth DNA polymerase XL, was used to reduce sequencing error.
RNA preparation and Northern blot analysis.
Northern
blotting was performed as previously described (33, 34).
The RNA preparation was extracted by use of the FastRNA isolation kit
(Bio 101, Vista, Calif.) according to the recommendations of the
manufacturer. The PCR-generated DNA probes were radiolabeled with
[
-32P]dCTP (Amersham Life Science Inc.,
Arlington Heights, Ill.) by the random prime method using the Ready to
Go labeling kit (Pharmacia, Piscataway, N.J.) and hybridized under
high-stringency conditions.
Primer extension analysis.
The 5' ends of transcripts of the
S. sciuri mecA homologues from strains K1 and K1M200 were
determined by primer extension with the oligonucleotide MAK1PE,
TTCAATGGCATCAATTGTTTCG, complementary to the DNA sequence in
strain K1 between nucleotides (nt) 1730 and 1751 (32).
Primer labeling with [
-32P]ATP, reverse
transcription, and primer extension were described previously
(34). For each primer extension, 1 to 50 µg of RNA was
used. In primer extension experiments, the products of sequencing reactions initiated by the same primer were loaded in parallel lanes on
the same gel.
Promoter fusions. The following primers were used to amplify DNA fragments encompassing the region upstream of the S. sciuri mecA homologues from strains K1 and K1M200: (i) K1MABI1N, GAAGGATCCTATAGCACCTAACACAG, representing the sequence between nt 1166 and 1191 in strain K1, and (ii) K1MAPHIII, CGAAGCTTACAATCACGATGGCGATGA, the complementary sequence between nt 1654 and 1680 (32). The DNA segment representing the promoter of the mecA gene of S. aureus was amplified using the following primers: (iii) K8MAPBI, CCAGGATCCATTTGTCGGAATGCCTTAA (corresponding to the sequence between nt 2213 and 2240 in strain K8), and (iv) primer K8MAPHIII, CACAAGCTTCTATTAAAATAAGTGGAAC (complementary to the sequence between nt 2713 and 2758) (32). The PCR products were cloned into plasmid pLC4 to generate recombinant plasmids pLCSW-1 (carrying the promoter for mecA from strain K1), pLCSW-2 (carrying the promoter for mecA from strain K1M200), and pLCSW-5 (carrying the S. aureus mecA promoter). The plasmids were next introduced into strain RN4220 by electroporation to yield strains SWET33, SWET34, and SWET55, representing strains that carried the promoter regions of mecA from strains K1 and K1M200 and S. aureus, respectively. Catechol 2,3-dioxygenase activity was used to quantitate promoter activity using the assay of Sheehan et al. (24), and crude enzyme extracts were prepared as described previously (19). The reaction mixture, consisting of 100 mM potassium phosphate buffer (pH 7.5), 0.2 mM catechol, and 100 to 300 µl of crude extract, was incubated at 37°C for 30 min, and optical density readings were taken at 375 nm at 5-min intervals. One milliunit of activity was defined as that leading to the formation of 1 nmol of 2-hydroxymuconic semialdehyde per min. Specific activity was calculated in milliunits per milligram of protein. Protein concentration was measured using the Bio-Rad DC protein assay kit (Bio-Rad Laboratories, Hercules, Calif.). The RN4220 strain containing pLC4 (MGPET1) and pro9/10 (MGPET2) were used as the negative and positive controls, respectively.
Introduction of the S. sciuri mecA
homologues into S. aureus mutant RUSA4.
The
3,460-bp regions of the mecA homologues from strains K1 and
K1M200 were PCR amplified with primers K1MABI1N
(GAAGGATCCTATAGCACCTAACACAG; sequence between nt 1166 and
1191) and K1MABI2 (TATGGATCCTACAGATTTGCCTGCATG; complementary sequence between nt 4602 and 4626). The amplified sequences were ligated with shuttle plasmid vector pSPT181C to form
pSTSW-6 and pSTSW-8. The recombinant plasmids were introduced into
strain RN4220 by electroporation and then transduced into S. aureus mutant RUSA4 by phage 80
to yield the transductants SWTD10 and SWTD11. RUSA4 is a derivative of the highly and
homogeneously MRSA strain COL in which resistance was inactivated by a
Tn551 insert in the resident mecA gene (7,
14). As a control, the plasmid pSTSW-2C, which carries a
3,737-bp segment of the S. aureus mecA region (corresponding
to sequence between nt 1603 and 5340 in strain K8), was introduced into
RUSA4 to give transductant SWTD22.
Membrane purification and analysis of PBPs. Membrane proteins were prepared from bacterial cultures of the late exponential stage (25). Forty or eighty micrograms of each protein extract was labeled with [3H]benzylpenicillin N-ethyl-piperidin (NEP) salt (87.4 mCi/mg; Merck, Rahway, N.J.) for 10 min at 30°C after preincubation with nafcillin (20 µg/ml) for 10 min at 30°C, in order to block the appearance of all but the low-affinity PBPs in the fluorogram. The labeling reaction was stopped by addition of an excess of unlabeled benzylpenicillin. Separation of proteins was performed on 8% acrylamide gels at the constant current of 20 mA essentially according to the method of Laemmli (12). Following the separation, the gel was stained with Coomassie blue, and PBPs were detected on the dried gels by fluorography (25).
Analysis of PBP2A and PBP2A-like protein by Western blotting. The amount of membrane protein in each sample was essentially based on the protein concentration measured by use of the Bio-Rad DC protein assay kit and further confirmed with a Coomassie blue-stained gel. Electrophoresis was performed with the same procedure as PBP analysis. Proteins for immunoblotting were transferred to a Hybond ECL nitrocellulose membrane, and Western blotting was developed using the ECL Western blotting analysis system (Amersham Pharmacia Biotech UK Ltd., Little Chalfont, England) according to the manufacturer. A monoclonal antibody against PBP2A of S. aureus (Eli Lilly & Co., Indianapolis, Ind.) was used at a concentration of 1:10,000 as the primary antibody. The secondary antibody was peroxidase-labeled anti-rabbit antibody included in the kit. To block the nonspecific signal of protein A, 3 µg of ChromPure human immunoglobulin G, Fc fragment (Jackson ImmunoResearch Laboratories, Inc., West Grove, Pa.), per ml was added during the blotting procedure with the primary antibody.
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RESULTS |
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Isolation of a
-lactam antibiotic-resistant step mutant of
S. sciuri.
The
-lactam antibiotic-susceptible
strain S. sciuri K1 (methicillin MIC of 4 µg/ml) (4,
30) was used as the parental strain to generate the highly
methicillin-resistant derivative K1M200. A culture of strain K1 was
incubated in growth medium (TSB) containing 4 µg of methicillin per
ml until the appearance of a turbid culture that was used as the
inoculum for TSB containing 8 µg of the antibiotic per ml. Stepwise
exposure to gradually increasing concentrations of methicillin
continued up to the isolation of the resistant culture K1M200, which
was capable of growing in TSB containing 200 µg of the antibiotic per ml.
-lactam antibiotics such as penicillin G, nafcillin, cefotaxime, and
oxacillin. The MICs for the parental strain K1 have increased in mutant
K1M200 from 0.1 to 50 µg/ml (penicillin), from 0.75 to 100 µg/ml
(nafcillin), from 1 to 200 µg/ml (oxacillin), and from 6 to 400 µg/ml (cefotaxime). Both strains K1 and K1M200 were fully susceptible
to vancomycin, teicoplanin, tetracycline, erythromycin, and kanamycin.
The antibiotic-resistant phenotype of K1M200 was stable in
response to serial culturing in the absence of antibiotic.
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Comparison of the DNA sequences of the mecA homologues carried by S. sciuri strains K1 and K1M200. The 2,605-bp mecA region corresponding to the sequence between nt 1166 and 3771 (including 474 bp upstream and 131 bp downstream of the mecA gene) was PCR amplified from strains K1 and K1M200 using primers K1MABI1N (AGCTGCTATAGCACCTAACACAG) and CP2F3C (AATATATGGAGCATGGTATTTCTATGCAG). Comparison of the DNA sequences of PCR products identified only one difference: a single point mutation that replaced the thymine residue at nt 1577 in the promoter region of strain K1 with an adenine in strain K1M200.
Transcriptional analysis of the mecA homologues in
strains K1 and K1M200.
Primer extension analysis using 50 µg of
RNA template from strain K1 identified only a weak signal for the
primer extension product located at the position corresponding to the
nt 1585 cytosine (lane PE1 in Fig. 2),
suggesting that this residue is the transcriptional start (+1) of the
mecA homologue in strain K1. Two reverse
transcriptase (RT) products were generated with RNA from strain
K1M200, and these were located at the positions corresponding to the nt
1584 thymine and the nt 1585 cytosine residues, respectively (lane PE2
in Fig. 2). The signal at nt 1584 was much stronger than that at nt
1585, and the amount of RT product produced from 1 µg of K1M200 RNA
template was much larger than that generated from 50 µg of RNA from
strain K1; one may roughly estimate that the transcription rate of the
mecA homologue resident in K1M200 was at least a hundredfold higher than that in strain K1 (lanes PE2 to PE4 in Fig. 2). Based on
the +1 site of the strain K1 mecA homologue, the
nucleotides TATATT (nt 1573 to 1578) should be the
10
consensus of the promoter for the mecA homologue of strain
K1. In K1M200, the
10 consensus sequence was changed from TATATT
to TATAAT due to the point mutation that resulted in
the replacement of thymine with adenine at nt 1577 and a greatly
increased rate of transcription of mecA.
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Expression of the methicillin-resistant phenotype in S. aureus from the mecA gene of the antibiotic-resistant strain K1M200 of S. sciuri The mecA genes from S. sciuri strains K1 and K1M200 were introduced into the background of the S. aureus strain RUSA4, a derivative of the highly methicillin-resistant strain COL in which the resident S. aureus mecA gene was insertionally inactivated by Tn551 (7, 14). Figure 1B shows the antibiotic susceptibility profiles of transductant SWTD10 (carrying mecA derived from the methicillin-susceptible S. sciuri strain K1) and transductant SWTD11 (carrying mecA with the promoter mutation derived from the methicillin-resistant S. sciuri mutant K1M200). Also shown in Fig. 1B are the antibiotic susceptibility profiles of several control strains. It may be seen that the introduction of mecA from strain K1M200 was able to confer a significant degree of methicillin resistance on the S. aureus strain used as the transductional recipient. Removal of the plasmid-borne gene resulted in the complete disappearance of resistance. No increase in the methicillin MIC for the recipient strain RUSA4 was detected in transductant SWTD10 carrying the mecA gene derived from the methicillin-susceptible S. sciuri strain K1.
Production of a PBP2A-like protein in S. aureus
carrying the S. sciuri mecA homologue.
To examine
the expression of the S. sciuri mecA homologues introduced
into S. aureus by transduction, membrane proteins of the
transductants were analyzed by Western blotting and by the PBP
fluorographic assay. As controls, membrane proteins from the S. aureus strain COL, its insertional mutant RUSA4, and the
transductant SWTD22 were used. A single protein band reacting with the
monoclonal antibody against PBP2A was detected in each one of the
membrane protein preparations from S. aureus strain COL,
transductant SWTD22 (carrying the S. aureus mecA gene), and
transductant SWTD11 (carrying the S. sciuri mecA gene from
strain K1M200) and also in membrane protein preparations from S. sciuri strain K1M200 (Fig. 4). As estimated from the intensity of labeling, the amount of protein produced by K1M200 was about half of that detectable in the S. aureus strain COL. No protein reacting with the anti-PBP2A
monoclonal antibody was detected in the membrane protein preparations
from S. sciuri strain K1, the S. aureus mecA
insertional mutant RUSA4, and the transductant SWTD10, which carried
mecA from the drug-susceptible S. sciuri strain
K1.
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DISCUSSION |
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The studies described here were designed to probe the similarities
and contrasts that exist between the mecA homologues carried by two staphylococcal species, S. aureus and S. sciuri. In S. aureus, the mecA gene is
acquired from an unknown extraspecies source: it is present only in
methicillin-resistant strains, providing these bacteria with blanket
resistance against the most important class of antimicrobial
agents
the family of
-lactam antibiotics. In S. sciuri,
a close structural homologue of the S. aureus mecA gene
appears to be a domestic gene present in each one of the large number
of independent isolates examined. Yet, in contrast to the case of
S. aureus, S. sciuri strains carrying the
mecA gene homologue are uniformly susceptible to all
-lactam antibiotics (4). S. sciuri is a
staphylococcal species taxonomically remote from S. aureus,
and it is unlikely that these bacteria have often been exposed to
-lactam antibiotics in their natural habitat, which is the skin of
rodents and primitive mammals (4). In an attempt to probe
a possible recruitment of the mecA homologue of S. sciuri as part of a drug resistance mechanism, we tested the
effect of selective antibiotic pressure applied to S. sciuri in the laboratory on the structure and expression of the
mecA homologue.
The results of these experiments were quite striking. Comparison of the
sequence of the S. sciuri mecA homologue of the
drug-susceptible strain S. sciuri K1 to that of the
laboratory-selected methicillin-resistant derivative K1M200 identified
a single point mutation introduced into the promoter region of the
mecA gene of the resistant strain. The replacement of the
thymine residue with an adenine at nt 1577 changed the sequence
TATATT to TATAAT, which was accompanied by a
striking increase in the rate of transcription of the mecA
gene and the appearance in the resistant cells of a protein product that reacted with a monoclonal antibody prepared against the S. aureus gene product PBP2A. The monoclonal antibody has
specifically recognized the 38-amino-acid peptide encoded by the DNA
sequence between nt 115 and 174 close to the amino terminus of the
S. aureus mecA gene (29). These findings
strongly suggest that the mechanism of
-lactam resistance generated
by antibiotic selection in the laboratory mutant S. sciuri
K1M200 involves, as a genetic determinant of drug resistance, the
mecA homologue resident in this bacterium. The critical
event for the recruitment of this gene to be part of the mechanism of
drug resistance appears to be the generation of a more efficient promoter.
In order to further test the relationship between the methicillin-resistant phenotype and the structure of the S. sciuri mecA homologues, the mecA gene of the drug-susceptible parental strain S. sciuri K1 and the mecA gene of the drug-resistant mutant strain K1M200 were ligated into plasmid vectors which were then introduced by transduction into the background of S. aureus. The S. aureus strain selected for this purpose was a methicillin-susceptible derivative of a highly and homogeneously resistant MRSA strain, COL, in which the resident mecA gene was inactivated by a Tn551 insert (14). Previous studies have shown that the genetic background of this strain allows optimal expression of the resistant phenotype (7).
These transduction experiments produced several observations indicating
that the mecA homologue from the antibiotic-resistant strain
of S. sciuri can also generate a drug-resistant phenotype in
the heterologous background of S. aureus and that the
mechanism of this resistance is similar to the one operating in MRSA
strains, namely, it confers a broad range of resistance to
-lactam
antibiotics and is associated with the production of a PBP2A-like protein.
Introduction of the mecA homologue from the drug-resistant strain K1M200 into S. aureus strain RUSA4 resulted in the increase of the methicillin MIC from 4 µg/ml for the recipient strain to 12 µg/ml for the transductant SWTD11. In addition, the methicillin MIC for a subpopulation of the same transductant (SWTD11S1) increased even more, to 50 µg/ml. Upon removal of the plasmid-borne mecA gene, the MICs of the cured bacteria were reduced back to the level of susceptibility of the recipient strain, indicating that the drug-resistant phenotype depended on the presence of the S. sciuri mecA homologue introduced into the S. aureus cells. No increase in the MIC was detected for transductants that received the mecA homologue derived from the drug-susceptible strain S. sciuri K1.
Yet another similar feature of the drug-resistant phenotype in MRSA
strains and in the S. sciuri strain K1M200 as well as its
transductant derivative in S. aureus was the broad range of resistance to structurally different
-lactam antibiotics.
Transductants that received the activated mecA homologue from the drug-resistant mutant K1M200 (but not transductants that received the "silent" mecA homologue from the drug-susceptible strain K1) produced a single low-affinity PBP detectable both by fluorography run under conditions of a competition assay and by Western blotting (Fig. 4 and 5). These observations confirm and extend the validity of the conclusions derived from similar experiments done in the S. sciuri background: it seems that the S. sciuri mecA homologue encodes a protein that is similar both in antigenicity and in penicillin-binding properties to PBP2A, i.e., the gene product of the S. aureus methicillin resistance determinant.
Interestingly, the molecular size of this PBP2-like protein was greater than what would be predicted from the size of the gene and also greater than the size of PBP2A encoded by the S. aureus mecA gene. Similar apparent molecular size differences have already been observed in mutant proteins, and they may be related to altered detergent binding properties or incomplete denaturation under the conditions of the sodium dodecyl sulfate-polyacrylamide gel electrophoresis (16, 28).
Together, the observations described in this communication provide experimental evidence that the mecA homologue which is a native gene in S. sciuri with an as yet undefined domestic function can be recruited to become an antibiotic resistance determinant under conditions of drug selection. The critical alteration that makes the silent mecA homologue of a drug-susceptible S. sciuri strain an effective drug resistance determinant appears to be the replacement of a single nucleotide within the promoter sequence, which results in a drastic increase in the rate of transcription of the gene into a protein that closely resembles the gene product of the S. aureus mecA determinant.
The additional observation, namely, that the activated form of the
S. sciuri mecA gene can replace the S. aureus
mecA determinant producing a PBP2A-like protein and providing a
significant level of broad-range
-lactam resistance to S. aureus, supports the proposal that the mecA homologue
ubiquitous in the animal species of S. sciuri may be the
evolutionary precursor of the methicillin resistance determinant of MRSA.
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ACKNOWLEDGMENTS |
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Partial support for these investigations came from a grant from the U.S. Public Health Service (1 RO1 AI45738) and from the Lounsbery Foundation.
The help of Isabel Couto (ITQB/UNL) in the isolation of strain K1M200 is gratefully acknowledged. Monoclonal antibody prepared against PBP2A of S. aureus was provided by Paul Skatrud of Eli Lilly & Co.
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FOOTNOTES |
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* Corresponding author. Mailing address: Laboratory of Microbiology, The Rockefeller University, 1230 York Ave., New York, NY 10021. Phone: (212) 327-8278. Fax: (212) 327-8688. E-mail: tomasz{at}mail.rockefeller.edu.
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