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Journal of Bacteriology, May 2005, p. 3455-3464, Vol. 187, No. 10
0021-9193/05/$08.00+0 doi:10.1128/JB.187.10.3455-3464.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Role of mutS and mutL Genes in Hypermutability and Recombination in Staphylococcus aureus
Anne-Laure Prunier and
Roland Leclercq*
Service de Microbiologie and EA 2128 Relations hôte et microorganismes des épithéliums, Hôpital Côte de Nacre, Université de Caen, 14033 Caen cedex, France
Received 8 December 2004/
Accepted 11 February 2005

ABSTRACT
The mutator phenotype has been linked in several bacterial genera
to a defect in the methyl-mismatch repair system, in which the
major components are MutS and MutL. This system is involved
both in mismatch repair and in prevention of recombination between
homeologous fragments in
Escherichia coli and has been shown
to play an important role in the adaptation of bacterial populations
in changing and stressful environments. In this report we describe
the molecular analysis of the
mutS and
mutL genes of
Staphylococcus aureus. A genetic analysis of the
mutSL region was performed
in
S. aureus RN4220. Reverse transcriptase PCR experiments confirmed
the operon structure already reported in other gram-positive
organisms. Insertional inactivation of
mutS and
mutL genes and
complementation showed the role of both genes in hypermutability
in this species. We also designed an in vitro model to study
the role of MutS and MutL in homeologous recombination in
S. aureus. For this purpose, we constructed a bank of
S. aureus RN4220 and
mutS and
mutL mutants containing the integrative
thermosensitive vector pBT1 in which fragments with various
levels of identity (74% to 100%) to the
S. aureus sodA gene
were cloned. MutS and MutL proteins seemed to have a limited
effect on the control of homeologous recombination. Sequence
of
mutS and
mutL genes was analyzed in 11 hypermutable
S. aureus clinical isolates. In four of five isolates with mutated or
deleted
mutS or
mutL genes, a relationship between alterations
and mutator phenotypes could be established by negative complementation
of the
mutS or
mutL mutants.

INTRODUCTION
Hypermutable strains display higher mutation frequencies than
their wild-type (wt) counterparts (
22). They have been shown
to play an important role in the adaptation of bacterial populations
in changing and stressful environments (
42). Adaptation abilities
are particularly relevant in the case of pathogenic bacteria
like
Staphylococcus aureus, for which conditions inside the
host can be extreme and subjected to rapid changes. The mutator
phenotype has been linked in several bacterial genera to a defect
in the methyl-mismatch repair (MMR) system (
9). The primary
role of this system is to correct mismatched or unpaired bases
that escaped the proofreading exonuclease of the replicating
DNA polymerase (
16). In
Escherichia coli, initiation of mismatch
repair requires MutS, MutL, and MutH, which are able to recognize
the mismatch and to cleave the transiently unmethylated lagging
strand of DNA immediately after replication, allowing the classical
DNA repair enzymes (helicase, exonucleases, DNA polymerase,
and ligase) to fix the mismatch (
18). Gram-positive bacteria
and eukaryotes have an MMR system that is functionally equivalent
to that of
E. coli, although there are some differences. First,
they lack a MutH equivalent; furthermore, the discrimination
between the leading strand and lagging strand that needs to
be repaired is not based on the transient state of DNA hemimethylation
but probably on the presence of single-strand breaks in the
newly synthesized strand (
23).
Previous work with E. coli and Salmonella proved that the MMR system acts as a barrier to the recombination between divergent sequences which occurs during genetic exchanges, such as conjugational crosses, transduction with phages, or transformation (19, 35): recombination between DNA substrates containing mismatches occurs much less frequently than between identical sequences. The frequency of recombination between homeologous sequences (partially divergent DNA sequences) is often dramatically increased in MMR-defective bacteria (50-52). In fact, recombination frequency decreases exponentially with increasing sequence divergence (46). This observation holds true in Streptococcus pneumoniae, where the hexAB system is functionally equivalent to the MMR system in E. coli (15).
For S. aureus, little is known about the genetic basis of hypermutability. A previous study has shown that inactivation of mutS in S. aureus RN4220 led to a hypermutator phenotype (28). It has also been suggested that hypermutable S. aureus might exist in naturally occurring populations (5, 40). Although the study by O'Neill and Chopra (28) failed to detect any strong mutator strain in a large collection of clinical isolates, we recently detected a high proportion of hypermutable S. aureus among strains isolated from cystic fibrosis (CF) patients (33).
In this report we describe the molecular analysis of mutS and mutL genes in S. aureus. A genetic analysis of the mutSL region was performed, confirming the operon structure already reported in other gram-positive organisms (6, 21, 47). Sequence of both genes was analyzed in hypermutable S. aureus clinical strains isolated in our previous study. Implication of the mutS and mutL mutations in hypermutability of the strains was investigated. We also designed an in vitro model to study the role of MutS and MutL in homeologous recombination in S. aureus.

MATERIALS AND METHODS
Bacterial strains and plasmids.
E. coli DH10B and
S. aureus RN4220 were used as hosts for cloning
of the different plasmids, listed in Table
1.
Transformation procedures.
Electrocompetent cells were prepared as described by Schenk
and Laddaga (
39) and Sambrook and Russel (
36) for
S. aureus and
E. coli, respectively. Plasmid transformants were selected
on brain heart infusion (BHI) agar medium (Difco Laboratories,
Detroit, MI) supplemented with antibiotics at the following
concentrations: amoxicillin, 100 µg/ml; chloramphenicol,
20 µg/ml; erythromycin, 500 µg/ml for
E. coli and
5 µg/ml for
S. aureus; gentamicin, 10 µg/ml for
E. coli and 30 µg/ml for
S. aureus; kanamycin, 50 µg/ml.
DNA techniques.
PCRs were performed with the primers listed in Table 2, generally using EurobioTaqII (Eurobio, Les Ulis, France). Plasmids were extracted from E. coli transformants with the Sigma GenElute plasmid miniprep kit (St. Louis, MO).
For sequencing, fragments obtained from PCR with specific primers
were purified using ExoSAP-IT (USB, Cleveland, OH), labeled
with the DNA sequencing kit from Applied Biosystems (Foster
City, CA), and sequenced in an ABI Prism 377 automated device
(Applied Biosystems).
Reverse transcriptase PCR (RT-PCR) was performed on S. aureus RN4220 and mutS1 (RN4220 inactivated in the mutS gene by insertion of the whole pBT1 plasmid; see below). Total RNA of the strains was extracted from overnight cultures in BHI broth at 37°C using the High Pure RNA isolation kit (Roche, Indianapolis, IN), which includes a DNase treatment. A control PCR was performed on RNA extracts to control the absence of DNA, and a second DNase treatment was performed on extracts when necessary, followed by the subsequent steps of the High Pure RNA isolation kit protocol. The QIAGEN OneStep RT-PCR kit (Valencia, CA) was used, using primers shown in Fig. 1A.
Construction of strains disrupted for the mutS or mutL gene.
A strain disrupted for the
mutS gene (
S. aureus mutS1) was constructed
by insertional inactivation of the gene using the pBT1 thermosensitive
shuttle plasmid (
4). A 278-bp
mutS fragment was amplified using
the SBamHI- and SEcoRI-modified primers (Table
2) and subsequently
cloned into the corresponding sites of the pBT1 plasmid. The
resulting plasmid was electroporated into
S. aureus RN4220,
and the recombination between the construct and the homologous
fragment in the chromosome was forced by submitting the strains
to three successive subcultures at 42°C in BHI broth containing
chloramphenicol.
The S. aureus mutS2 strain was obtained as shown in Fig. 2. Basically, a kanamycin resistance cassette was cloned between two adjacent fragments of the mutS gene in the pBT1 thermosensitive shuttle plasmid. The construct was then introduced into S. aureus RN4220, and the double-recombination event was obtained by submitting the strain to several subcultures at 42°C with the selective pressure of kanamycin, as previously described (4). The recombinant S. aureus mutS2 strain was finally retrieved among Kanr Chls colonies (recognized by counterselection), indicating successful replacement recombination. Construction of the S. aureus mutL strain was performed following the same procedure with the mutL gene inactivation primers (Table 2), resulting in the construction of the pBT1mutL inactivation vector. Efficient insertions were verified by PCR.
Cloning of the different mutS and mutL genes.
PCR was performed with specific oligonucleotides (modified to
contain restriction sites) using the Platinum
Pfx DNA polymerase
(Invitrogen, Carlsbad, CA) in a final volume of 50 µl
containing 5 µl of DNA template extracted with Instagene
Matrix (Bio-Rad, Marne-La-Coquette, France), 10 pmol of deoxynucleoside
triphosphates, 20 pmol of each primer, 1 µl of supplied
MgSO
4, 10 µl of supplied 10
x buffer, 5 µl of supplied
PCR Enhancer 10X, and 0.5 µl of the
Pfx DNA polymerase.
The PCR mixture was denatured (5 min at 94°C) and then subjected
to 40 cycles of amplification (30 s of denaturation at 94°C,
30 s of annealing at 40°C, 3 min of elongation at 68°C).
The fragments obtained were purified using the MicroSpin S-400
HR columns (Amersham Biosciences, Piscataway, NJ) and restricted
with the appropriate enzymes (Table
2) from New England Biolabs
(Beverly, MA). The T4 DNA ligase from New England Biolabs was
used for ligations. Effectiveness of the cloning was checked
by determining the sequence of the cloned fragments. Constructs
were finally electroporated into electrocompetent
E. coli cells.
Determination of mutation frequencies.
Mutation frequencies were determined as previously described (28) on BHI agar plates supplemented with 100 µg/ml of rifampin. For every strain, the experiment was repeated at least four times, and results are indicated as a mean with calculated standard deviation.
Determination of recombination frequencies.
sodA fragments with various percentages of identity with the corresponding S. aureus RN4220 sodA fragment were amplified from S. aureus RN4220 (100% identity), Staphylococcus epidermidis RP62A (87.5% identity), Staphylococcus auricularis UCN44 (82.3% identity), and Staphylococcus sciuri UCN45 (74% identity) with the degenerated staphylococcal sodA primers (Table 2), as described previously (30). The nucleotide substitutions observed in these fragments were homogeneously distributed within the DNA sequences compared to the S. aureus RN4220 sodA fragment. To obtain additional DNA fragments displaying 95 and 93% identity with the wt S. aureus sodA gene with a random distribution of the mutations, MgCl2 was replaced by 400 µM MnCl2 in PCR experiments (denaturation: 5 min at 94°C, 50 cycles of amplification [30 s of denaturation at 94°C, 30 s of annealing at 50°C, 5 min of elongation at 72°C]; final elongation, 10 min at 72°C) using specific S. aureus sodA primers (Table 2). The resulting fragments were directly cloned into pGEM-T Easy vector system I (Promega, Madison, WI) before sequencing with the universal M13 primers and subcloning into pBT1. The recombinant plasmids were introduced into S. aureus RN4220, mutS2, and mutL strains by electroporation as previously described (39).
To estimate the frequency at which the different pBT1SodA plasmids recombine with the wt chromosomal sodA in the S. aureus RN4220, mutS2, and mutL strains, each strain was submitted to a first overnight culture at 37°C. Then, three subsequent overnight subcultures inoculated with 1/100 dilutions were carried out at 42°C in a shacked water bath under the selective pressure of chloramphenicol (and kanamycin for the mutS2 and mutL strains), so that only the recombinant derivatives can survive. These conditions were chosen since after three subcultures at 42°C with chloramphenicol, S. aureus RN4220 containing the pBT1 thermosensitive plasmid did not survive. The initial inoculum for each strain was measured by plating dilutions of an overnight 37°C culture on BHI plates containing chloramphenicol (and kanamycin for the mutS2 and mutL strains). The 42°C subcultures were numbered each day by the same technique. For every strain, the experiment was repeated between three and six times, and results are indicated as the mean ratio of the logarithm of survival after three subcultures (total count at the third day) to the logarithm of the corresponding initial inoculum with calculated standard deviation. Variance analysis was carried out using the F test.
Homology searches, genome analysis, and multiple sequence alignments.
Sequences of the mutS, mutL, and sodA genes of S. aureus were retrieved from the NIH GenBank database (www.ncbi.nlm.nih.gov). Alignments were performed using the Clustalw program (43), and identity percentages were retrieved using the Align program (24).

RESULTS
Genetic organization of the mutSL region.
The in silico analysis of the seven
S. aureus genomic complete
sequences available at the NIH website (
www.ncbi.nlm.nih.gov)
revealed that, as already described for
Bacillus subtilis (
6),
Listeria monocytogenes (
21), and
Enterococcus faecium (
47),
mutS and
mutL are adjacent and in the same orientation in the
S. aureus chromosome (Fig.
1A). The 302-bp intergenic region
which precedes the
mutS gene comprises a putative transcription
terminator for the open reading frame (ORF) SA1136, forming
a hairpin loop (

G = 17.3 kJ/mol) and a potential transcription
initiation sequence. The
mutL gene starts 12 bp after the stop
codon of
mutS. As in
L. monocytogenes,
mutL is immediately followed
(14 bp after the stop codon) by a third ORF putatively encoding
a GlpP protein (regulator for the glycerol uptake operon). The
downstream sequence differs in
S. aureus by the presence 36
bp downstream of
glpP of a fourth 90-bp ORF encoding a hypothetical
protein, followed by a large 348-bp non coding region containing
another putative transcription terminator (

G = 22.4 kJ/mol)
and another ORF which encodes GlpF (glycerol uptake facilitator).
Deduced amino acid sequences of mutSL genes in the seven S. aureus genomic complete sequences were submitted to multiple alignments. We found that the MutS and MutL sequences were well conserved. There is one amino acid exchange in the mutS gene of S. aureus 8325 (E840K), and there are five exchanges in the mutS gene of S. aureus MRSA252 (N181H, V239A, T415M, Q431H, and L811S). There are also several substitutions in the central part of MutL in some strains. On the basis of these alignments, we designed 10 pairs of deoxynucleotide primers that allowed amplification of overlapping fragments in mutS/L genes. The sequence of the genes was determined in S. aureus RN4220 and did not reveal any additional substitution.
We performed a transcriptional analysis of the mutSL locus by RT-PCR on the wt strain (RN4220) and on the mutS strain in order to confirm the hypothesis of an operon structure for mutSL and to rule out the possibility that the mutS gene insertional inactivation could generate a polarity effect on mutL and glpP gene expression. Using primers designed to amplify overlapping fragments of mutS, mutL, and glpP genes, we found that the mutS, mutL, and glpP genes were cotranscribed, confirming that the three genes belong to the same operon (Fig. 1). Moreover, the mutL and glpP genes were transcribed in the S. aureus mutS1 strain, demonstrating that insertional inactivation of mutS with pBT1 had no major polarity effect on their transcription.
Role of MutS and MutL in hypermutability.
We used the mutS and mutL primers to determine the totality of mutS and mutL sequence for 11 of the hypermutable strains reported in reference 33. We confirmed the absence of mutations in the deduced MutS/L amino acid sequences in four strains; in addition, we could not confirm mutations that we previously reported in UCN28 and UCN31. For five other strains, mutations were found in MutS, MutL, or both (Table 3). The mutSL genes of the hypermutable strain UCN22 could be only partially amplified, which was explained after further analysis by inverse PCR by a large 5,060-bp deletion (including 1,900 bp in the 3' end of the mutS gene, the totality of the mutL and glpP genes, and 107 bp in the beginning of the glpF gene). Strain 1A had a large 41-amino-acid deletion, from F488 to R528, in the middle part of the protein, which has been shown in E. coli to participate in the mismatch binding and in the interaction between the two monomers (clamp domain) (11, 48), and a point T192A mutation of unknown significance. In UCN29, various mutations of unknown significance were found. N373D and T415M are located in the central part responsible for the mismatch binding of the protein (48). N588D is in a key region, the ATPase domain of the protein, implicated in interaction with MutL and dimerization (11, 48). Finally, L811S and S814C are located in the C-terminal region of MutS, which is also important for dimerization (48). A clinical S. aureus small-colony variant mutator strain was reported previously to bear exactly the same substitutions (38). Intriguingly, three of these exchanges (N181H, T415M, and L811S) are also found in the sequence of S. aureus MRSA252 available in the databases. Four strains displayed mutations in MutL. As already mentioned, UCN22 had a total deletion of the mutL gene. UCN27 had a small five-amino-acid deletion, not located in a particularly conserved region of the protein, although altering the N-terminal fragment described in E. coli as the most functionally relevant part of the protein (ATPase domain) (2, 3). In UCN28 and UCN29, various mutations of unknown significance were found, located in the very middle of the protein sequence, on well-conserved amino acids, but not known to have a particular importance for the functions of the protein.
The
mutS or
mutL gene was amplified from four strains,
S. aureus RN4220, 1A, UCN27, and UCN29, with specific primers modified
to contain restriction sites (Table
2). The various
mutL and
mutS genes were cloned into pAT392 and pORI23, respectively.
The roles of MutS and MutL in mutation avoidance were evaluated
by comparing the spontaneous mutation frequencies of
S. aureus RN4220 with those of the
S. aureus mutS2 and
mutL strains complemented
or not with the wt
mutS and
mutL genes or their mutated counterparts.
The growth curves of
S. aureus RN4220 and the
mutS2,
mutL,
mutS2/pORI23S,
and
mutL/pAT392L strains were similar, showing that
mutS or
mutL gene inactivation or introduction of exogenous plasmids
into the strains did not result in lower fitness (data not shown).
Mutation frequencies are shown in Table
4. The wt strains, containing
or not containing the different plasmid vectors, displayed mutation
frequencies around 10
7 to 10
8, which is similar
to those previously reported (
29). Alteration of MutS is responsible
for hypermutability in
S. aureus, since the
S. aureus mutS2
strain showed a higher mutation frequency than
S. aureus RN4220,
whereas complementation of the strain (
mutS2/pORI23S) restored
a low mutation frequency. These results confirmed those reported
by O'Neill and Chopra using another integrative vector (
28).
Introduction of plasmids with the mutated
mutS genes from strains
1A and UCN29 in
S. aureus mutS2 (
mutS2/pORI23S1A and
mutS2/pORI23S29)
failed to restore a low mutation frequency, which suggested
that these mutations are responsible for the hypermutability
of the clinical strains (upper part of Table
4).
MutL also seems to be involved in hypermutability, since the
S. aureus mutL strain showed a higher mutation frequency than
S. aureus RN4220. The increase in frequency was much greater
than that observed with
mutS2. We have no explanation for this
observation. However, after introduction of the control plasmid
pAT392 (
mutL/pAT392), the mutation frequencies were similar
to that of
mutS2/pORI23. As expected, mutation frequencies were
markedly reduced after complementation with the wt
mutL gene
borne by pAT392 (
mutL/pAT392L). Analysis of the effects of MutL
mutants showed that UCN29 mutations did not seem to account
for hypermutability of the strain, while the five-amino-acid
deletion identified in UCN27 could be responsible for the elevated
mutation frequency of the strain (lower part of Table
4).
Unfortunately, we failed to complement clinical strains by electroporation, which is consistent with the notion that the presence of a restriction system (which is absent in S. aureus RN4220 but present in S. aureus clinical strains) in the recipient is a major barrier to plasmid transfer from E. coli to S. aureus, both by mobilization (45) and by electroporation (44). The experiments failed even after introduction of plasmids into S. aureus RN4220 as an intermediate host.
Role of mutS and mutL in recombination.
The ability of the two genes to prevent recombination between partially divergent sequences was investigated. We designed a bank of S. aureus RN4220, mutS2, and mutL strains containing integrative thermosensitive vectors in which fragments with various levels of identity to the S. aureus sodA gene were cloned. The survival of each strain after three consecutive subcultures at 42°C with chloramphenicol was taken as an estimation of the recombination frequency. Figure 3 shows the results obtained after calculating the mean ratio of the logarithm of survival after three subcultures (total count at the third day) to the logarithm of the corresponding initial inoculum with calculated standard deviation. Survival of the control strains containing only the pBT1 plasmid without an inserted sodA fragment was either nil (for RN4220/pBT1) or markedly reduced (8% and 13% of the initial inoculum for the mutS2/pBT1 and mutL/pBT1 strains, respectively). Overall, survival of bacteria was directly affected by sequence divergence: the less divergent was the insert, the more the strain survived. This observation can be correlated with previous work, as it has been shown in E. coli and in B. subtilis that the frequency of recombination decreases exponentially with the degree of DNA sequence divergence between donor and recipient, which leads to a log-linear relationship between the two parameters (46, 53). Inactivation of the mutS and mutL genes did not seem to have any significant effect on the recombination process, since the variance analysis for each pair of strains did not show any statistical significant difference using the F test. Of note, for some strains, mostly S. aureus RN4220 wt, mutS, and mutL strains containing pBT1SodA93 and for S. aureus RN4220 wt and mutS strains containing pBT1SodA87, the experiment had to be repeated six times and showed a great heterogeneity in the results obtained: the strains could fully survive or die independently of the initial inoculum size, resulting in the large error bars shown in the graph. This could be related to the implication of the SOS system in homeologous recombination in bacteria. Indeed, it is known that a randomly limited fraction of a population submitted to interspecies recombination activates this system (20). The lower correlation coefficients observed in the graphs in Fig. 3B and C could account for a partial effect of MutS and MutL in preventing recombination between nonhomologous DNA fragments. This effect was particularly noticed for MutL, since bacterial survival was consistently observed with the pBT1Sod87 strain compared to that for the S. aureus RN4220 and mutS2 strains.

DISCUSSION
The MMR system has been extensively studied with bacteria, particularly
with gram-negative bacteria, such as
E. coli, but very little
is known about the role of this system in gram-positive organisms.
The
hexAB system in
S. pneumoniae has been shown to be implicated
in mutation avoidance and control of the recombination rate
(
10,
32), the
mutSL operon has been studied with
B. subtilis (
6,
41),
L. monocytogenes (
21), and
E. faecium (
47), and the
implication of the
mutS gene in the
S. aureus mutator phenotype
has already been reported (
28). We have reported the first hypermutable
S. aureus clinical strains with alterations of the
mutS gene
(
33). Here we report the complete analysis of the
mutSL operon
in these strains. Alterations of the
mutS or
mutL gene were
found in 5 out of 11 hypermutable strains studied. Interestingly,
the 123-bp deletion resulting in a 41-amino-acid deletion in
the MutS protein of strain 1A occurred between two 10-bp direct
repeats that are also present in the wt
mutS gene, suggesting
the existence of a possible recombinational "hot spot" inside
the gene. Similar observations have already been reported in
mutS mutator
P. aeruginosa (
27) and
E. coli (
12) natural isolates.
The fact that we found exactly the same alterations in UCN29
as those reported previously by Schaaff et al. in another clinical
S. aureus mutator isolate (
38) reinforces the notion that these
mutations are important for hypermutability. The functionality
of the gene products was tested for the three strains containing
the most altered structures. The 41-amino-acid deletion in strain
1A and the five-amino-acid deletion in strain UCN27 accounted
for hypermutability of the strains, since the mutated MutS and
MutL alleles failed to restore a low mutation frequency in the
S. aureus mutS2 and
mutL strains, respectively. In
S. aureus UCN29, it seemed that the amino acid substitutions in MutS were
also responsible for the mutator phenotype of the strain, while
the amino acid substitutions in MutL seemed to be unrelated
to the hypermutability of the strain, since the MutL allele
successfully complemented the
S. aureus mutL strain. These MutL
mutations could only be a consequence of the hypermutable phenotype
of the strain. These results are consistent with the structure-function
relationship established in previous studies on the MutS enzymes
of
E. coli (
11) and
Thermus aquaticus (
26) and on the 40-kDa
N-terminal fragment (designed LN40) of
E. coli MutL (
3). However,
the significance of the amino acid substitutions or deletions
remains speculative, since, as yet, no structure-function relationship
has been identified for MutS or MutL homologues in gram-positive
bacteria.
Therefore, in 4 of the 11 hypermutator isolates that we have studied, hypermutability could be explained by alterations of mutSL, confirming the importance of this system in S. aureus. In the other hypermutable strains with no mutations in the mutSL operon, alteration of other mutator genes might occur. Other putative mutator genes have already been identified in the B. subtilis chromosome (37), and some have homologues in the S. aureus chromosome.
Interestingly, we showed that the mutS and mutL genes were cotranscribed, as in other gram-positive species (6, 21, 47), and contrary to the case with E. coli. The operon structure has been suggested to be advantageous to the cell, leading to the coordinate expression of the two proteins involved in mismatch repair (6). This seems also to be the case for S. pneumoniae, since although hexA and hexB are not adjacent, a similar putative regulatory sequence upstream from the genes might allow a coordinate expression (31).
In a previous study, we found that a majority of the macrolide-resistant S. aureus isolates from CF patients displayed ribosomal mutations, particularly in the rrl gene encoding the 23S rRNA. These results were probably related to the high proportion of hypermutable isolates in CF patients (33). The rrl gene can be found in five or six copies in the S. aureus chromosome, and a minimum of three copies need to be mutated to get a significant level of resistance to macrolides. We sequenced each copy of the rrl gene in macrolide-resistant mutated strains where a relevant mutation (A2058G) was associated with a mutation not known to confer macrolide resistance (A2207T), and we found that both were always associated (data not shown). Taken together, these data gave a relevant clue as to the link between hypermutability and hyperrecombination in S. aureus. The hypothesis was that in the presence of a macrolide, mutation of a first rrn operon in the rrl gene of the mutator strain conferred a low level of resistance to the antibiotic and that the mutation was then spread all over the chromosome in the other operons to get higher levels of resistance. It is known that rRNA operons can be homogenized by gene conversion (7), and this kind of phenomenon has already been hypothesized to account for linezolid resistance in Enterococcus faecium and Enterococcus faecalis (17). These observations lead us to design a model for the in vitro study of the role of mutSL in recombination in S. aureus. The results that we report here tend to suggest a more important role for MutL than for MutS in preventing homeologous recombination, although both displayed only a very limited effect. However, no known mechanism could account for this putative effect of MutL in preventing homeologous recombination. These results could therefore reflect only an experimental artifact and the weakness of our model to cope with subtle mechanisms implicated in the prevention of recombination in S. aureus. Our model studies bacterial populations rather than individual cells and therefore cannot identify genetic events at the cellular level.
However, it has been shown for B. subtilis that the mismatch repair is only marginally efficient in preventing homeologous recombination (14), and this seems to be also the case for S. aureus.
It was recently shown that S. aureus strains can display very high divergences and heterogeneity in their chromosomal structures, leading to the rise of particularly dangerous strains bearing multiple antibiotic resistances and virulence characteristics thanks to the high number of repeats that can generate genetic reorganizations (8, 13). This problem could be particularly relevant in a context of illegitimate recombination favored by a mutator phenotype. The study of the genomic evolution of pathogenic hypermutable and nonhypermutable strains could give more information on the possible relationship between the two phenomenons.

ACKNOWLEDGMENTS
This work was supported by grants from Conseil Régional
de Basse-Normandie and the association "Vaincre la Mucoviscidose."

FOOTNOTES
* Corresponding author. Mailing address: CHU de Caen, Service de Microbiologie, Avenue Côte de Nacre, 14033 Caen Cedex, France. Phone: (33) 02 31 06 45 72. Fax: (33) 02 31 06 45 73. E-mail:
leclercq-r{at}chu-caen.fr.


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Journal of Bacteriology, May 2005, p. 3455-3464, Vol. 187, No. 10
0021-9193/05/$08.00+0 doi:10.1128/JB.187.10.3455-3464.2005
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