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Journal of Bacteriology, August 2007, p. 5608-5616, Vol. 189, No. 15
0021-9193/07/$08.00+0 doi:10.1128/JB.00619-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Carles Úbeda,1,3,
María Ángeles Tormo,1,2
María Desamparados Ferrer,1,2
Íñigo Lasa,4
Richard P. Novick,3 and
José R. Penadés1,2*
Centro de Investigación y Tecnología Animal, Instituto Valenciano de Investigaciones Agrarias (CITA-IVIA), Apdo. 187, 12.400 Segorbe, Castellón, Spain,1 Departamento de Química, Bioquímica y Biología Molecular, CEU-Universidad Cardenal Herrera, 46113 Moncada, Valencia, Spain,2 Skirball Institute, New York University Medical Center, 540 First Avenue, New York, New York 10016,3 Instituto de Agrobiotecnología y Recursos Naturales, CSIC-Universidad Pública de Navarra, 31006 Pamplona, Navarra, Spain4
Received 21 April 2007/ Accepted 21 May 2007
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The SaPIs have a highly conserved genetic organization which parallels that of bacteriophages and clearly distinguishes them from all other horizontally acquired genomic islands (16). The SaPI1-encoded (17) and SaPIbov2-encoded (25) integrases are required for both excision and integration of the corresponding elements, and it is assumed that the same is true for the other SaPIs. The known SaPIs are mostly 14 to 17 kb long, and many carry superantigen or other virulence genes. An exception is SaPIbov2, carried by bovine mastitis isolates, which is 27 kb long and carries a transposon (6). This transposon, which is 12 kb long, contains bap, the gene for a
240-kDa adhesin that is involved in biofilm formation (5) and has a significant role in bovine mastitis (6). bap is common not only in bovine mastitis S. aureus strains but also in various non-S. aureus staphylococci of veterinary origin (22); although it does not seem to be part of any specific mobile element, it has almost certainly been horizontally transferred. Although the functionality of the SaPIbov2 transposon has not been demonstrated, it is likely to have been responsible for the insertion of bap into SaPIbov2.
Although the overall genetic organization of the SaPIs is largely conserved, there are significant differences in the details, which has led to the development of several individual SaPIs as prototypes for molecular genetic analyses. In addition to SaPI1 (11, 17), we have developed SaPIbov1 (7, 13, 23), the prototype for bovine strains, and SaPI2 (11, 21), the prototype for human toxic shock syndrome, and in this report we describe analysis of a fourth SaPI, SaPIbov2, that has previously been sequenced (25). SaPIbov2 is closely related to SaPIbov1 (7) and uses the same att site, and both are unusual among the SaPIs described thus far in that they show spontaneous integration and excision, similar to the SCCmec elements (9), which leads to a low level of hereditary instability. SaPIbov2 is included in our set of prototypes, although the closely related SaPIbov1 is better characterized (23), both because we have succeeded in obtaining a stable mutation of SaPIbov2 int but not of SaPIbov1 int and because SaPIbov2 lacks one of the genes that we have recently found to be required for SaPI capsid morphogenesis (24). Our present focus is on the role of SaPIbov2 int in the ERP cycle and on phage specificity in SaPIbov2 induction and transfer. Our results, obtained using SaPIbov2 as a model, suggest three possible modes of SaPI transfer: (i) typical high-frequency SPST accompanying induction of the ERP cycle; (ii) specific recA-independent transfer by phages that do not induce replication, which requires a functional SaPIbov2 int gene in the recipient strain but not in the donor; and (iii) standard, recA-dependent generalized transduction. Additionally, we found that SaPIbov2 can be transferred by several different phages to a variety of non-S. aureus staphylococci.
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TABLE 1. Strains used
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Staphylococcal chromosomal DNA was extracted using a Genelute bacterial genomic DNA kit (Sigma) according to the manufacturer's protocol, except that the bacterial cells were lysed by lysostaphin as described above.
For Southern blot hybridization, agarose gels containing electrophoretically separated DNA fragments were blotted onto nylon membranes (Hybond-N 0.45-µm-pore-size filters; Amersham Life Science) using standard methods (2, 18). Oligonucleotides SaPIbov-6c (5'-TAACGGCAAAACAAGCGCG-3') and SaPIbov-65mBg (5'-GGAAGATCTCTTATCTGTAAATAACTTATGG-3') were used to generate the specific SaPIbov2 probe. Labeling of the probes and DNA hybridization were performed according to the protocol supplied with a PCR-DIG DNA-labeling and chemiluminescence detection kit (Roche).
A SaPIbov2 derivative with tetM inserted into bap was constructed by PCR amplification of the 5' and 3' parts of the bap gene, including the promoter region. Oligonucleotides Bap-25mE (5'-CCGGAATTCGTTCATATTAATTAAACCATTCGCTAATC-3') and Bap-26cP (5'-AAACTGCAGTATAGCTAACCACTAATATATCATGTC-3') were used for the 5' region of the gene, and oligonucleotides Bap-27mB (5'-CGCGGATCCTTGACGAGGTTGGTAATGGCAC-3') and Bap-28cX (5'-CTAGTCTAGAGATACATCACTTGTTTTGCCGTC-3') were used for the 3' region. These primers contained 5' EcoRI, PstI, BamHI, and XbaI restriction sites (underlined). The PCR products were inserted into either side of the tetM gene of plasmid pRN6680 (20). The resulting plasmid was cut at native EcoRI and HindIII sites internal to the 5' and 3' ends of the cloned bap fragments and ligated into the multiple cloning site of the temperature-sensitive plasmid vector pBT2 (3), generating pJP188.
Plasmid pJP188 was introduced by electroporation into S. aureus strain RN4220 (5). Once in strain RN4220, the plasmid was transduced into strain c104 using phage 80
. Allele replacement was carried out as described previously (15). The temperature-sensitive phenotype of the plasmid-facilitated integration by homologous recombination, and a double-crossover event was detected by plating on suitable antibiotics, through which a stable mutant was obtained. Bap loss was confirmed by loss of biofilm formation by Western blot (5) and Southern blot analyses.
A SaPIbov2 int mutant was constructed by combining two separate PCR products with overlapping sequences including the targeted sequence. The oligonucleotide pairs used were Sip-13mB (5'-CGCGGATCCCTAAGCATAAAAAGAGACTAAC)/Sip-14c (5'-CTCTCTTTCTGTTTTAAAGCC-3') and Sip-15m (5'-GGCTTTAAAACAGAAAGAGAGCATTGTTCTTTACTTTTTGAG-3')/IPR-2c (5'-TTGGTGGATTACCAGAAGACATGG-3'). Sip-14c and Sip-15m were complementary to enable the products of the first PCR to anneal. A second PCR was performed with primers Sip-13mB and Ipr-2c to obtain a single fragment. Specifically, 1 µl of each of the first PCR mixtures was mixed with 10 pM of the outside primers and PCR amplified. The fusion products were purified and cloned in the pGEM-T Easy vector (Promega). The fragment was then cloned into the BamHI/EcoRI sites of the shuttle plasmid pMAD (1), and the resulting plasmid, pJP378, was transformed into S. aureus RN4220 SaPIbov1 positive by electroporation. pMAD has a temperature-sensitive origin of replication and an erythromycin resistance gene. The plasmid was integrated into the chromosome through homologous recombination at the nonpermissive temperature (43.5°C). From the 43.5°C plate, one to five colonies were picked into 10 ml of TSB and incubated for 24 h at 30°C. Tenfold serial dilutions of this culture in sterile TSB were plated on tryptic soy agar containing X-Gal (5-bromo-4-chloro-3-indolyl-ß-D-galactopyranoside) (150 µg/ml). White colonies, which did not contain the pMAD plasmid, were tested to confirm replacement by DNA sequencing. Primers were obtained from Invitrogen Life Technologies.
An int clone was constructed by amplifying the int gene from S. aureus c104 with high-fidelity thermophilic DNA polymerase (Dynazyme Ext; Finnzymes) and with primers sip-16mB (5'-CGGGATCCCAATCCAATCAAACGCATGCG-3') and sip-17cE (5'-CGGAATTCGTCTTGAATACGTTTTGAATACG-3'). The PCR product was cloned into the BamHI/EcoRI sites of pCN51 (4), and the resulting plasmid, pJP433, was transformed by electroporation into S. aureus RN4220. Phage 80
was used to transduce pJP433 from RN4220 to other S. aureus strains (15).
SaPIbov2 excision and circularization were analyzed using primers Ipl-1m and Ipr-2c (excision) and primers Ipl-16cB and Ipr-28m (circularization), as previously described (25).
Induction of prophages. Bacteria were grown in TSB to an optical density at 540 nm of 0.4 and induced by adding mitomycin C (MC) (2 µg/ml). Cultures were grown at 32°C with slow shaking (80 rpm). Lysis usually occurred within 3 h. Samples were removed at various time points after phage induction, and standard sodium dodecyl sulfate minilysates were prepared and separated on 0.7% agarose gels, as previously described (11).
Procedures for preparation and analysis of phages lysates, lysogens, and transduction in S. aureus were performed essentially as previously described (15). Experiments were performed at least five times. Similar results were obtained in all cases.
Real-time quantitative PCR.
Total S. aureus DNA was prepared as described above and analyzed by real-time quantitative PCR using an iCycler machine (Bio-Rad) and the LC-DNA master SYBR green I mixture (Bio-Rad). The SaPIbov2 DNA was amplified using primers bap-6m and bap-7c (5). The gyrB DNA was amplified as an endogenous control using primers gyr-L (5'-CACCATGTAAACCACCAGATA-3') and gyr-U (5'-TTATGGTGCTGGGCAAATACA-3'). The level of SaPIbov2 DNA was normalized with respect to gyr DNA. Specificity was confirmed by determining melting curves and by electrophoresis of the final PCR products. In each experiment, all the reactions were performed in triplicate. The relative DNA levels in the different experiments were determined by using the
method (12).
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An important question for understanding SaPI mobility is the relationship between a temperate phage and a SaPI that it induces. This question has several parts: (i) how commonly is a SaPI induced by an endogenous prophage in its native host strain; (ii) how common, in general, are phages that can induce at least one SaPI; (iii) what are the specific mechanisms of SaPI transfer; and (iv) what is the specific phage gene(s) that is involved in induction of the SaPI ERP cycle? In this study, we address primarily the second and third questions. It is already known that phage 80
, which is very closely related to phage 53 of the international typing set (A. Matthews and R. P. Novick, unpublished data) can induce several different SaPIs, including SaPI1, SaPI2, and SaPIbov1, whereas
11 can induce SaPIbov1 but neither of the other two SaPIs (11, 23).
Induction by 80
.
In the first part of this study, we surveyed several temperate staphylococcal phages for the ability to induce SaPIbov2, using tetracycline resistance (Tcr) as a marker, starting with 80
. To do this, strain JP2025 was infected with 80
, SaPIbov2::tetM was transduced to RN27, an 80
lysogen, and the resulting strain, JP2130, was induced with MC and tested for induction of the SaPIbov2 ERP cycle. Although the typical SaPI-specific band was not seen on a stained agarose gel containing cellular DNA isolated 90 min after MC induction, a Southern blot of this gel, obtained using a bap-specific probe, revealed dramatic amplification of the SaPIbov2 signal comigrating with the bulk (sheared chromosomal and phage) DNA (Fig. 1). Similar results were obtained using an int-specific probe (not shown). This amplification was confirmed using real-time quantitative PCR to determine the number of SaPIbov2 copies present in the bacteria after induction. In one representative experiment, after 90 min of exposure to MC the relative increase in the amount of DNA for wild-type strain JP2130 was 10.2-fold, whereas the relative increase for
int strain JP2487 was 6-fold. The resulting lysate showed very-high-frequency SPST, with 5.7 transductants/PFU (Table 2); these results show that SaPIbov2 is strongly induced by 80
. SaPIbov2 does not give rise to the typical SaPI band following induction because it lacks a gene (corresponding to SaPIbov1 orf8) required for the formation of specific small SaPI particles (24). Note that SaPIbov1 with a mutation in orf8 very efficiently packages SaPIbov1 DNA in normal-size phage particles (24), and we assume that the same is true for SaPIbov2. Since RN27 is lysogenic for
13 as well as for 80
, we repeated the induction experiment with JP2523 (RN4220 80
), which contains no second prophage, and obtained similar results (Fig. 1 and Table 2), except that RN27 seemed to show a greater level of replicating SaPIbov2 DNA and a higher transduction frequency than the RN4220 derivative, possibly owing to the presence of
13 in the former.
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FIG. 1. Induction of SaPIbov2 replication by MC exposure. Bacterial cultures were exposed to MC and then incubated in broth at 32°C. Samples were removed at the indicated time points and used to prepare minilysates. Lysates were separated by agarose gel electrophoresis and transferred. The Southern blot hybridization pattern of the samples analyzed, obtained using a SaPIbov2-specific probe, is shown.
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TABLE 2. Transduction frequencies for MC-induced SaPIbov2-containing lysogensa
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. All of these derivative strains were tested for lysogeny with 80
and found to be negative, and they were then tested with MC for the induction of SaPIbov2 replication and transfer. SaPIbov2 replication was tested by preparing whole-cell lysates of the lysogens and propagating strains before and 90 min after MC induction. These lysates were separated on agarose and Southern blotted with an SaPIbov2-specific probe. We interpret the results, shown in Fig. 1, as follows. If there was no clear difference in intensity between the two samples, we concluded that SaPIbov2 replication was not significantly induced by the resident prophage. If the induced sample showed greater intensity than the uninduced sample, we concluded that SaPIbov2 replication was induced and we determined the apparent degree of induction as shown in Table 2. For most of the SaPIbov2-containing lysogens, SaPIbov2 replication was undetectable by this method. Since all phages that have been found to promote SPST are known to be generalized transducing phages (14), we began with the assumption that SaPIbov2 transfer could occur either by SPST or by CGT and that the transfer frequencies would reveal clear differentiation. Instead, as shown in Table 2, there was a wide range of transfer frequencies, and all of the phages that did not induce SaPIbov2 replication transferred the SaPI with frequencies of >106, which is higher than the frequencies usually seen with classical CGT (generally <107). We therefore considered the possibility that in strains where SaPIbov2 replication was not induced, the island was transferred by a mechanism distinct from CGT. To address this possibility, we analyzed the SaPIbov2-phage combinations for the effects of recA (required for CGT) and SaPIbov2 integrase (required for SPST).
Effect of recA.
To determine whether these results simply represented higher-than-usual frequencies of CGT, we tested for the effects of recA by repeating the transduction experiments with a recA mutant strain, RN981, as a recipient. As shown in Table 2, there was a modest reduction in SPST to recA mutant strains compared to SPST to recA+ lysates. Nevertheless, apparently significant recA-independent transfer was observed with all of the lysates. The frequencies were then compared with the transduction frequencies for a marker known to require recA, an ermB insert in the aureolysin (aur) gene. The transduction of this marker to the recA mutant recipient was below the level of detection (<109 transductants/PFU) (Table 3). Even with
11 (JP2131), however, which does not induce SaPIbov2 replication, SaPIbov2 was readily transferred to recA, with a frequency between 60- and 300-fold lower than the frequency of transfer to recA+ (Tables 2 and 3), suggesting that pure CGT is not seen in this system.
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TABLE 3. Transfer of SaPIbov2-tetM and chromosomal aur::ermBa
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int) caused a 103- to 106-fold reduction in SaPIbov2 transfer to the recA+ recipient for each of the phages tested (Table 2), including the intermediate frequency nonreplicative transfer, as well as standard SPST. Also as expected, the
int mutation blocked excision and circularization, either spontaneously or following MC induction of a lysogen, as revealed by a PCR test for the circular form of SaPIbov2 (Fig. 2). Remarkably, the
int mutant showed only a modest decrease in replication following MC induction, as revealed by real-time quantitative PCR (see above), suggesting replication in situ.
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FIG. 2. Precise excision and circularization of SaPIbov2 mediated by the Int protein. (A) Detection of Int mediated SaPIbov2 excision and formation of attB. DNA from MC-induced strains were extracted (at 0 and 90 min) and PCR amplified using specific primers Ipl-1m and Ipr-2c recognizing the flanking sequence of the SaPIbov2 island. (B) Detection of int-mediated SaPIbov2 circularization. Samples obtained as previously described were PCR amplified with a pair of primers used divergently at both termini of the SaPIbov2 island (primers Ipl-16cB and Ipr-28m). JP2130 is a wild-type strain, and JP2487 is an int mutant strain.
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int to the recA mutant recipient could not be detected with any of the phages tested, indicating that int is required for even the low-level residual transfer to the recA mutant recipient observed with phages
11,
55, and
85 and therefore that pure CGT can account for only a fraction of the SaPIbov2 transductants obtained with nonmobilizing phages. Since int is required for SaPI integration into the recipient chromosome, we suggest that one possible explanation for these results is that phages unable to induce the SaPIbov2 ERP cycle encapsidate and transfer chromosomal fragments containing the SaPI as they would for any other chromosomal locus. In a recA mutant recipient, any gene thus transferred would be lost; with a fragment containing SaPIbov2, however, the integrase would be expressed and could catalyze excision of the element and insertion into its specific attC site. Alternatively, spontaneously excised SaPIbov2 circular monomers (25) could be the substrate for encapsidation and, following transfer, could circularize and integrate. Note that in the first mechanism proposed int would be necessary only in the recipient strain, while in the second int would be necessary in both the donor and recipient strains.
Int complementation.
To distinguish between these two possibilities, we cloned SaPIbov2 int into pCN51, generating plasmid pJP433, in which int is driven by a Cd-inducible promoter (4). As this promoter has considerable basal activity, cadmium induction is usually not required. As shown in Table 4, when a recA mutant recipient was used, int was required in the recipient but not in the donor for recA-independent SaPIbov2 transfer by phages such as
11 and
147 that do not induce the ERP cycle and do not induce SaPIbov2 excision and circularization (not shown). This result clearly supports the model shown in Fig. 3 and effectively rules out the possibility that excised circular molecules in the donor represent the substrate for this transfer. This mode of low-frequency transfer is referred to replication-independent SaPI transfer. It was noted that the frequencies of SaPIbov2 transfer by this intermediate mechanism vary over a very wide range (106 to 103) with the set of generalized transducing phages studied, as shown in Table 2. This could simply reflect differences in the intrinsic transducing activity of these phages, a possibility that has not been critically analyzed.
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TABLE 4. Complementation of the SaPIbov2 int mutanta
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FIG. 3. Int-mediated mechanism involved in SaPIbov2 transfer.
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int island to the coagulase-negative staphylococci, which indicates that the transfer was int mediated. In S. aureus, the 18-bp SaPIbov2 att gene is at the 3' end of the GMP synthase (gmpS) gene (25). To determine whether SaPIbov2 integrates at the same site in the S. epidermidis or S. xylosus chromosome, JP1522 (a SaPIbov2-containing S. xylosus strain) and JP2632, 2633, 2557, and 2558 (SaPIbov2-containing S. epidermidis strains) were analyzed by PCR using primers Ipr-13mP (specific for SaPIbov2) and Ipr2c (specific for the gmpS gene [25]), designed to amplify the right junction fragment of SaPIbov2. In all these strains, a 0.7-kb band comprising the right junction of SaPIbov2 and having the same mobility as the corresponding product from RN4220 containing SaPIbov2 (Fig. 4) was obtained. Sequence analysis of these PCR products confirmed the site-specific localization of SaPIbov2 in the attC site of the S. xylosus and S. epidermidis strains analyzed. It is additionally interesting that a BLAST search for the SaPIbov2 attC site revealed that each of the S. epidermidis sequenced genomes and the S. saprophyticus genome contain one copy of the site, at the 3' end of the gmpS gene, but no other copy, indicating that the site is unoccupied. It is also unoccupied in all of the sequenced S. aureus genomes (with the exception of the genome of RF122 [the native host for SaPIbov1]) and in all 43 toxic shock strains that we have analyzed independently (21). |
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TABLE 5. Transduction of SaPIbov2 to coagulase-negative staphylococcia
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FIG. 4. Integration-specific PCR: PCR analysis using primers Ipr-13mP and Ipr-2c to test the site-specific integration of the SaPIbov2 island in the coagulase-negative staphylococci mediated by Int activity. JP1522 is an S. xylosus SaPIbov2-positive strain, JP2632, JP2633, JP2557, and JP2558 are S. epidermidis SaPIbov2-positive strains, and JP2130 is an S. aureus positive control.
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prophage, except that the typical SaPI-specific monomer band is not seen in an agarose gel. This is because SaPIbov2 completely lacks one of the genes, corresponding to SaPIbov1 ORF8, that we have shown to be required for the formation of the typical small-headed SaPI particles (24). Since this band is derived from disruption of mature SaPI particles during the preparation of DNA samples for electrophoretic analysis (24), this is not surprising because the 27-kb SaPIbov2 genome is too large to be encapsidated in such particles. This finding raises a number of interesting questions. First, since SaPIbov2 is about 12 kb larger than any of the 16 other known SaPIs (16), owing to the insertion of a 12-kb transposon, did it "lose" the ORF8 homolog after acquisition of the transposon, or did the transposon insert into a SaPI genome that was already missing this gene? Since SaPIbov2 is stably maintained as a chromosomal element, selection for transferability could account for the evolutionary loss of the ORF8 homolog. Alternatively, since at least two of the known SaPIs, SaPI5 and SaPImw2, are missing all or part of the capsid morphogenetic system (16), the transposon could have inserted into an element lacking this system. Second, since SaPIbov2 is transferred at the same high frequency as other SaPIs and possesses the typical phage terminase small subunit required for SaPI-specific packaging, it must package its DNA in standard phage heads, as an ORF8 mutant of SaPIbov1 does (24). What, then, is the biological advantage of SaPI-specific capsid morphogenesis? One possibility is that since the small-headed SaPI particles can encapsidate only about one-third of the inducing phage genome, coinfection with a SaPI-containing particle and a small-headed particle containing phage DNA will result only in SaPI transfer. Third, why is there no SaPIbov2-specific band in lysates of cells in which SaPIbov2 is replicating? Presumably this material would consist of
40 kb, representing about 1.5 SaPIbov2 genomes, and would comigrate with the bulk DNA in the gel. Experiments to demonstrate it are in progress.
Among the known phages tested, only 80
could induce the SaPIbov2 ERP cycle. Examination of several uncharacterized strains to which SaPIbov2 had been transferred suggested that at least one strain, the propagating strain for typing phage X2, contained a prophage that could induce the SaPIbov2 ERP cycle. Experiments to characterize this phage are in progress. recA-independent transfer was observed with all five of the noninducing phages and with at least one of the uncharacterized phages carried by PS77, whereas recA-independent transfer was not detectable with a standard chromosomal gene. This suggested that there was a SaPI-specific transfer mechanism that was not dependent on the replication-induced formation of the multimeric substrates required for the standard headful packaging mechanism. One possibility was that the spontaneously excised circular SaPIbov2 monomers, previously shown to be present (25), could have been encapsidated and transferred. This was unlikely because such monomers would be too small to fill a phage head and, therefore, some secondary mechanism, such as recombination between two monomeric circles, would have been required. A second possibility was that phage-genome-size chromosomal fragments containing the intact SaPIbov2 genome were generated by the usual mechanism for the formation of generalized transducing fragments and that following transfer, SaPIbov2 was excised, circularized, and inserted into its attC site by the SaPIbov2-encoded integrase, as shown in Fig. 3. In the first mechanism, a functional int (and possibly also a functional recA) would have to be present in the donor strain, whereas in the second scenario, int would be required only in the recipient. Using an int-defective mutant of SaPIbov2, we demonstrated that int was required for replication-independent transfer as well as for classical SPST. The key finding was that a cloned int was required in the recipient but not in the donor for the replication-independent transfer of SaPIbov2, strongly supporting the second of the possibilities described above. We note, incidentally, that int is predictably required in both the donor and the recipient for classical SPST (P. Barry and R. P. Novick, submitted); an experiment to confirm this with SaPIbov2 could not be interpreted owing to the occurrence of SaPI-plasmid recombinants, and correction of this problem is currently in progress. We note also that the replication-independent transfer of SaPIbov2 is decreased to a greater or lesser extent with a recA mutant recipient, suggesting that CGT accounts for some of the transductants and therefore that the int-dependent mechanism is less than 100% efficient. We have no explanation at present for the apparently different frequencies of recA- and int-dependent transfer observed with different phages (Table 2). The three different SaPIbov2 transfer mechanisms are listed in Table 6.
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TABLE 6. Mechanisms of phage-mediated SaPI transfer
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This work was supported by grant BIO2005-08399-C02-02 from the Comisión Interministerial de Ciencia y Tecnología (C.I.C.Y.T.), by grants from the Cardenal Herrera-CEU University, from the Conselleria de Agricultura, Pesca i Alimentació (CAPiA), and from the Generalitat Valenciana (ACOMP06/235) to J.R.P., and by NIH grant R01-AI-22159 to R.P.N. Fellowship support for Carles Úbeda from CAPiA and for Elisa Maiques from the Cardenal Herrera-CEU University is gratefully acknowledged.
Published ahead of print on 1 June 2007. ![]()
E.M. and C.U. contributed equally to this work. ![]()
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