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JAC Advance Access originally published online on October 25, 2006
Journal of Antimicrobial Chemotherapy 2006 58(6):1133-1138; doi:10.1093/jac/dkl423
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Diverse class 2 integrons in bacteria from beef cattle sources

Robert S. Barlow* and Kari S. Gobius

Food Science Australia, PO Box 3312 Tingalpa DC, Queensland 4173, Australia


*Correspondence address. Food Science Australia, Cnr Wynnum and Creek Roads, Cannon Hill, QLD 4170, Australia. Tel: +61-7-3214-2035; Fax: +61-7-3214-2062; E-mail: Robert.Barlow{at}csiro.au

Received 24 July 2006; returned 12 September 2006; revised 20 September 2006; accepted 25 September 2006


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Objectives: The purpose of this study was to determine the diversity of class 2 integrons in bacteria isolated from beef cattle sources.

Methods: The variable regions of a subset of 11 class 2 integron-containing bacteria were analysed by PCR and DNA sequencing for the presence of novel rearrangements.

Results: A total of six different class 2 integron arrays were identified and four of these were fully characterized. Three of the four arrays characterized have been previously described; however the remaining array is unlike previously described class 2 integrons. The novel class 2 integron was found in Providencia stuartii and contains an apparently functional class 2 integrase. Examination of the variable region of the P. stuartii integron identified nine open reading frames, mostly of unknown function, and represents the first report of a class 2 integron without inserted antibiotic resistance gene cassettes.

Conclusions: This study has identified a novel class 2 integron found in P. stuartii that contains an apparently functional naturally occurring class 2 integrase. Further investigation of this novel class 2 integron is required to determine the impact of a functional class 2 integrase upon the evolution of class 2 integrons.

Keywords: Providencia , functional integrase , integron evolution


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Integrons are mobile genetic elements capable of gene capture and expression via site-specific recombination and the action of a promoter. The site-specific recombination reaction is catalysed by an integrase that is encoded within the 5'-conserved segment (5'-CS) of integrons. Numerous classes of integrase have been described with the type of integrase present lending itself to the class of integron i.e. class 1 integrase (intI1) defines class 1 integrons.1,2 However, the presence of antibiotic resistance genes within integrons is predominantly confined to class 1, 2 and 3 integrons with class 1 integrons having the greatest diversity of antibiotic resistance genes. In fact, genes encoding resistance to almost every class of antibiotic have been found associated with class 1 integrons.3 Class 2 and 3 integrons also possess antibiotic resistance genes; however the diversity of antibiotic resistance encoded by genes within these integrons is limited. The limited diversity observed with class 3 integrons is a representation of their low prevalence throughout the world with few examples reported in the literature or GenBank database.1,4

Class 2 integrons exhibit decreased diversity, primarily because of the presence of a stop codon at amino acid 179 in the class 2 integrase (intI2). It is believed that the stop codon results in the production of a shorter and probably inactive polypeptide that is unable to catalyse the recombination reaction observed in other classes of integrons.5 Class 2 integrons are most often found on transposon Tn7 and its relatives and commonly carry the three antibiotic resistance genes dfrA1, sat2 and aadA1. However, studies into the variability of class 2 integrons have identified a number of novel rearrangements within class 2 integrons.68 Antibiotic resistance genes previously unassociated with class 2 integrons such as ereA9 and estX (GenBank accession no. AB161462 [GenBank] ) have been shown to be associated with Tn7-related class 2 integrons. Furthermore, Ramirez et al.6 recently described a novel rearrangement of a class 2 integron from non-epidemiologically related Acinetobacter baumannii isolates. This class 2 integron has the genes sat2, aadB and catB2 inserted upstream of the three conventional antibiotic resistance genes of Tn7 class 2 integrons. The resulting structure is a class 2 integron with a variable region comprising six antibiotic resistance genes and represents the first description of aadB and catB2 within a class 2 integron.

The interest in integron-associated antibiotic resistance has continued to escalate since they were first described in 1989.10 The procession of studies identifying novel antibiotic resistance genes harboured by integrons has confirmed initial suggestions that they play a major role in the development of antibiotic resistance in clinical settings. Integrons are also being used as a way of investigating the potential link between antibiotic resistance development in food production animals and the subsequent clinical treatment failure caused by exposure to humans of antibiotic-resistant bacteria in the food chain. A number of studies have determined the prevalence of class 1 and 2 integrons in food production systems as well as the antibiotic resistance genes that are carried by the integrons.1114 In particular, surveys investigating class 2 integrons in Escherichia coli from meat and meat products, and class 2 integrons from poultry environments, have both identified class 2 integrons with novel variable regions suggesting that class 2 integrons with novel rearrangements may be more prevalent than first thought.11,13

We recently described a novel method suitable for the identification, isolation and characterization of integron-containing bacteria from a variety of environments without antibiotic selection.15 This method has been used successfully to isolate class 1 and class 2 integron-containing bacteria from faeces, soil, retail meats and abattoir environments. We now report the characterization of a selection of class 2 integron-containing bacteria isolated from cattle faeces, cattle hides and retail ground beef.


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Bacterial strains

The bacterial strains used in this study were selected from a collection of class 2 integron-containing bacteria in the Food Science Australia culture collection. All strains had been isolated from beef cattle sources such as faeces and hides using the method of Barlow et al.15 The identity of bacterial isolates was determined using the VITEK Junior system (BioMerieux, Hazelwood, USA). The size of the class 2 integron variable region of each isolate was determined using the PCR primers hep74 and hep51.16 A subset of 11 isolates from the initial collection was chosen for more detailed comparison of their class 2 integron properties with that of Tn7. Within this subset, six isolates did not produce variable region amplicons, three isolates produced variable region amplicons of different size to Tn7 and two isolates produced variable region amplicons of similar size to Tn7. The characteristics of each isolate are shown in Table 1. A strain of E. coli carrying the class 2 integron containing transposon Tn7 (GenBank accession no. NC_002525 [GenBank] ) was used as a positive control in all PCRs. Bacterial isolate E. coli ATCC 25922 was used as a control organism for antibiotic susceptibility testing.


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Table 1. Characteristics of class 2 integron carrying strains

 
PCR

Class 2 integron variable regions were amplified using primers hep74 and hep51.16 Isolates that produced an amplicon of any size were further tested using primers specific for dfrA1 (D1 & D2),17 sat2 (sat top1 5'-GGAAACATTGGATGCTGAGAA-3' and sat bot1 5'-CATCAGAGTCATCATCCGAGA-3') and aadA1 (aadA1-F 5'-TATCCAGCTAAGCGCGAACT-3' and aadA1-R 5'-ATTTGCCGACTACCTTGGTG-3'). PCR cartography, using a series of seven PCRs using combinations of the above-mentioned primers, was conducted on all amplicon-producing isolates. Isolates that failed to produce an amplicon by conventional PCR were further tested by long PCR for novel cassette arrangements using the attI2-specific primer RB 201 (5'-GCAAACGCAAGCATTCATTA-3') and the tnsE-specific primer tnsE-r (5'-GTTAGAGCAGTCGGCCGTAG-3'). Purified genomic DNA was prepared using the Wizard Genomic DNA purification kit (Promega, USA) and 200 ng was added to each long PCR. Long PCR was performed in 50 µL reaction mixtures containing 1x reaction buffer (ABgene, UK), 2 mM MgCl2, 400 µM dNTP mix (Finnzymes, Finland), 25 pmol of each primer, 400 µg/mL BSA and 2 U of Red Hot DNA polymerase (ABgene). Distilled water was added to adjust the volume to 45 µL prior to the addition of DNA template. PCR was performed for 35 cycles of denaturation at 94°C for 30 s, annealing at 58°C for 30 s and extension at 68°C for 12 min. A final extension step of 68°C for 15 min was performed to complete the reaction. In addition to characterization of the variable region, each isolate was tested by PCR for the presence of tnsD (primers tnsD-f 5'-TGCACAGACTGGCTAACAGG-3' and tnsD-r 5'-CGACATCAATTTTGGGCTTT-3') and tnsE [primers tnsE-f (5'-GTCGGCTCAGCCTCTATGAC-3') and tnsE-r (as above)]. PCR was performed for 30 cycles of denaturation at 94°C for 30 s, annealing at 60°C for 30 s and extension at 72°C for 40 s. A final extension step of 72°C for 7 min was performed to complete the reaction. The PCR products were visualized by ethidium bromide staining after agarose gel electrophoresis.

DNA sequencing

DNA sequencing of both the sense and antisense strands was performed using the BigDye terminator kit (Version 3.1; Applied Biosystems, USA) and a 9700 thermal cycler (Perkin Elmer, Norwalk, USA). Sequencing reactions were prepared in accordance with the instructions provided by the Australian Genome Research Facility (AGRF; http://www.agrf.org.au). The sequencing products were purified using the magnesium sulphate cleanup method and submitted to AGRF for analysis using the AB3730xl DNA analyser (Applied Biosystems). The resulting sequences were analysed by BLAST searching the GenBank database of the National Center for Biotechnology Information via the BLAST network service.18 Sequence contigs were assembled using the ContigExpress component of the Vector NTI Advance software suite (version 10.0.1; Invitrogen, Australia). Additional primers required to complete DNA sequencing were designed using Primer3 (http://frodo.wi.mit.edu/cgi-bin/primer3/primer3_www.cgi).

Antibiotic susceptibility testing

MICs of various antibiotics for the integron-containing organisms were determined using the VITEK Junior system (BioMerieux, Hazelwood, USA). VITEK cards for antibiotic susceptibility testing (GNS-424 cards) were inoculated and incubated according to the recommendations of the manufacturer. The following antibiotics were tested: amikacin, amoxicillin/clavulanic acid, ampicillin, cefotaxime, ceftazidime, cefalotin, ciprofloxacin, gentamicin, imipenem, meropenem, nitrofurantoin, norfloxacin, ticarcillin/clavulanic acid, tobramycin, trimethoprim/sulfamethoxazole and trimethoprim. A test for the detection of extended-spectrum ß-lactamases (ESBLs) was also carried out, and interpretation of the results was based on comparison of the reduction in growth caused by cefotaxime/clavulanate and ceftazidime/clavulanate and that caused by cephalosporins alone. The outcome of the test was either ESBL positive or ESBL negative, as determined by the VITEK Junior.

Nucleotide sequence accession numbers

The nucleotide sequences reported in this study have been submitted to the EMBL/GenBank nucleotide sequence database under the accession numbers DQ286457 [GenBank] , DQ286458 [GenBank] , DQ286459 [GenBank] , DQ533990 [GenBank] and DQ533991 [GenBank] .


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PCR screening of class 2 integron-containing bacteria from the Food Science Australia culture collection identified a subset of 11 isolates that represented a variety of class 2 integrons warranting further investigation (data not shown). The isolates were selected based on the size of the variable region PCR amplicons they produced using the primers hep74 and hep51 or on the inability to produce a variable region PCR amplicon. The characterization of these isolates is described below.

Variable region size determination

The variable region of each of the 11 class 2 integrons was amplified by PCR to determine their respective size. Variable regions of five of the 11 isolates were identified using the primers hep74 and hep51. Two of these five strains produced a 2200 bp PCR-generated amplicon, which is consistent with the size expected to be produced by Tn7-like class 2 integrons. Two of the remaining three isolates produced amplicons of ~1700 bp with the final isolate producing a 2500 bp amplicon. The remaining six isolates were tested by long PCR to determine if novel cassette arrangements were present that could not be amplified using conventional PCR. Of the six tested, only two produced an amplicon and both of these amplicons were ~12 kb in size. Additionally, both 12 kb amplicons were generated from class 2 integrons carried by Providencia stuartii U+ strains. The remaining four isolates failed to generate PCR amplicons of any size even when tested using alternative primers (data not shown). Two of the isolates that failed to produce variable region amplicons (ABR 106 and 325) also tested negative by PCR for the presence of tnsD and tnsE. All remaining isolates tested positive by PCR for the presence of tnsD and tnsE.

Characterization of class 2 integrons

Isolates ABR 224 and ABR 226 both produced a 2200 bp PCR-generated amplicon consistent with Tn7-like integrons. PCR cartography, using a series of seven PCRs, confirmed the presence of the three antibiotic resistance genes found in Tn7-like class 2 integrons and its organizational structure (Figure 1). Both strains produced the expected amplicons and are considered Tn7-like class 2 integrons. As many of the previously described novel class 2 integrons contain rearrangements of the classical Tn7 class 2 integron, all remaining strains were also tested by all seven PCRs. The strains possessing variable regions of 1700 or 2500 bp all tested positive for sat2 and aadA1 and it was confirmed that these genes were in the same configuration as observed in classical class 2 integrons. This suggested that only minor differences existed between these integrons and classical class 2 integrons. Sequencing of the 1700 bp amplicons from ABR 88 and ABR 128 identified a class 2 integron carrying the antibiotic resistance genes sat2 and aadA1. The structure of this integron is identical to that present in Tn1826.19 Sequencing of the variable region amplicon from ABR 228 identified a class 2 integron carrying the genes estX, sat2 and aadA1. This integron shares >99.6% nucleotide sequence identity with GenBank accession no AB161461 [GenBank] . Isolates ABR 88, ABR 128 and ABR 228 were further analysed to determine if the class 2 integrase gene of each integron contained the internal stop codon. The internal stop codon was present in each of the integrases examined.


Figure 1
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Figure 1. PCR targets used for the confirmation of Tn7-like class 2 integrons. The triangles represent primer location for each PCR. Large solid arrows indicate coding regions for the genes described. The arrowhead orientation indicates the direction of transcription for each gene. PCR amplicons are indicated by opposing arrowheads (representative of primers) joined by black lines.

 
Testing of the P. stuartii isolates ABR 23 and ABR 130 by PCR for the presence of genes common to the variable regions of Tn7-like class 2 integrons determined that the genes dfrA1, sat2 and aadA1 were not present in these isolates. Sequencing of the ~12 kb amplicons from upstream of intI2 to tnsD identified a novel putative class 2 integron structure containing intI2, nine open reading frames (ORFs) (eight forward and one reverse orientation), tnsE and tnsD (Figure 2). The size of the integrons (intI2 to tnsE inclusive) was 11 390 bp (ABR 23) and 11 354 bp (ABR 130), respectively. The 36 bp difference occurs at a single point in a non-coding region between attI2 and ORF1 with the remainder of the array sharing 100% nucleotide sequence identity. Analysis of P. stuartii intI2 revealed that it shares 99.4% identity with intI2 of pR721 (GenBank accession no. NC_002525 [GenBank] ) at the nucleotide level and 98.4% predicted amino acid identity. Most importantly, P. stuartii intI2 does not possess the internal stop codon at amino acid 179 as it has been replaced by glutamine as a result of a single base substitution (T->C) at nucleotide 444. The predicted translation of the P. stuartii intI2 ORF produces an uninterrupted full-length (325 amino acid) polypeptide.


Figure 2
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Figure 2. Schematic representation of a novel class 2 integron from Providencia stuartii isolates. Large solid arrows indicate coding regions for the genes described. The arrowhead orientation indicates the direction of transcription for each gene. The proposed gene cassettes (Table 2) and their associated 59-be are shown by solid black lines linking small black block arrows.

 
BLAST analysis of the nine ORFs comprising the novel variable region failed to identify genes in GenBank with significant homology at the nucleotide level. Analysis at the amino acid level identified a number of proteins that share homology with the ORFs from the novel variable region. The majority of the ORFs (CDS 1–6) are homologous (28–45%) to conserved hypothetical proteins with unknown functions. CDS 7 and 8 are homologous (41% and 54%) to the Type II SalI restriction-modification system of Streptomyces albus and CDS 9 is homologous (65%) to a putative transposase of E. coli. The ORF (CDS 1–9) homologues do not have any association with previously described super-integrons. The sequences of tnsE and tnsD from the P. stuartii class 2 integron were compared with those of pR721 (NC_002525 [GenBank] ) and share 90% and 92% homology, respectively. The class 2 integron from P. stuartii is the first example of a class 2 integron that does not harbour known antibiotic resistance genes.

P. stuartii 59-be recombination sites

Analysis of the P. stuartii integron array revealed a total of four complete 59-be recombination sites. The structure of the gene cassettes found in the P. stuartii integron is shown in Table 2. Despite there being only four recognizable 59-be within the array, they may account for the integration of six of the nine ORFs (ORFs 1–6). It appears that the proposed gene cassettes, PS01 and PS02 both contain two overlapping ORFs. Additionally, the sequences of the 59-be of PS01 and PS02 show significant homology (90.3%) with each other as well as a previously described 59-be from a class 1 integron in Pseudomonas stutzeri.20 The remaining 59-be of PS03 and PS04, respectively, do not match previously described 59-be. The remaining 3 ORFs (ORF 7–9) for which obvious 59-be sites were not determined were likely to have entered the integron array as a result of non-intI2 associated recombination event(s).


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Table 2. Structures of the gene cassettes found in P. stuartii class 2 integron

 
Antibiotic susceptibility testing

The antibiotic resistance phenotype of each isolate is shown in Table 1. Phenotypic resistance to amoxicillin/clavulanic acid, ampicillin, cefalotin and nitrofurantoin was observed in the P. stuartii strains; however, the nucleotide sequences indicated that genes encoding resistance to these antimicrobials were not associated with the novel integrons. The Tn7-like class 2 integrons of ABR 224 and 226 showed phenotypic resistance to trimethoprim and sulfamethoxazole/trimethoprim, respectively. The isolates lacking tnsD and tnsE (ABR 106 and 325) both showed resistance to trimethoprim and sulfamethoxazole/trimethoprim, suggesting that these isolates may carry a gene that confers resistance to trimethoprim other than dfrA1.


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The prevalence of antibiotic-resistant bacteria remains a major public health concern throughout the world. The role that integrons, particularly class 1 integrons, play in the development of antibiotic-resistant bacteria has been studied extensively during the last decade.3 Recent studies have demonstrated the presence of novel class 2 integrons in clinical settings6,8 and consequently the importance of this class of integron appears to be steadily increasing. Despite the increase in diversity of class 2 integrons, the presence of a stop codon at amino acid 179 of intI2 has remained consistent and lends support to the suggestion that novel rearrangements of class 2 integrons arise from the action of a class 1 integrase from another element in trans.5 Methods capable of rapidly detecting, isolating and characterizing class 2 integron-containing bacteria without antibiotic selection have been developed and are being used to determine the diversity of class 2 integrons within particular environments.

In this study, we identified 11 class 2 integrons representing at least six different array arrangements. Of the six identified, only four distinct array arrangements could be completely determined. Three of these arrays, dfrA1-sat2-aadA1, estX-sat2-aadA1 and sat2-aadA1 have been described previously (GenBank accession no. AB161462 [GenBank] ).7 The designation of at least a further two distinct class 2 integrons in isolates ABR 106, ABR 325, ABR 127 and ABR 129 is supported by molecular evidence, which demonstrated the presence of unique albeit undescribed arrays. In particular, our data indicate that at least one of the undescribed arrays (from isolates ABR 106 and ABR 325) may not belong to the Tn7 family because of the absence of tnsE and tnsD. The remaining class 2 integron array characterized in this study was shown to be unlike previously described class 2 integrons. This novel class 2 integron from P. stuartii possesses a class 2 integrase that is predicted to be fully functional by virtue of a single base substitution at position 444, which ultimately encodes glutamine instead of the stop codon common to the Tn7-related integrases. Hansson et al.5 experimentally demonstrated the recombination activity of IntI2 using an altered form of IntI2 in which the termination codon had been changed to a triplet coding for glutamic acid. It is anticipated that the naturally occurring P. stuartii intI2 would facilitate recombination activity in class 2 integrons. This possibility now provides an alternative hypothesis to the previous proposal that trans action of intI1 leads to generation of novel rearrangements within Tn7-like class 2 integrons.5,7,8 It would now seem more likely that they would form by the trans action of a novel functional IntI2.

The uniqueness of the novel P. stuartii class 2 integron is further highlighted upon examination of its variable region, which comprised nine ORFs. However, none of the ORFs encode known antibiotic resistance genes and therefore represents the first report of a class 2 integron lacking at least one antibiotic resistance gene. Four 59-be were identified and may account for the integration of six of the nine ORFs. Interestingly two of the four 59-be are associated with dual overlapping ORFs. The relevance of this finding is unclear but it is logical to infer that the gene cassette formed via excision of either 59-be would contain both ORFs. The variable region does not appear to have been formed solely from integrase-associated site-specific recombination as obvious 59-be could not be located for ORFs 7–9. It is likely that the potential restriction/modification system and the putative transposase (ORFs 7–9) found at the 3' end of the array have been incorporated via an alternative recombination mechanism.

Sequence analysis of the transposition genes tnsE and tnsD identified considerable divergence from the published Tn7 transposition genes. This finding raises questions about the transposition capability of this integron, given that tnsE is required for random site transposition and tnsD for attTn7 transposition.21 It is possible that the presence of altered transposition genes may result in an integron that displays a high degree of host specificity due to an inability to transpose as readily as Tn7. Further investigation of this novel class 2 integron is required to demonstrate the functionality of the P. stuartii intI2 and to determine the impact of a functional class 2 integrase upon the evolution of class 2 integrons.


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None to declare.


    Acknowledgements
 
This work was supported by Meat and Livestock Australia and CSIRO.


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1 Correia M, Boavida F, Grosso F, et al. (2003) Molecular characterization of a new class 3 integron in Klebsiella pneumoniae. Antimicrob Agents Chemother 47:2838–43.[Abstract/Free Full Text]

2 Nield BS, Holmes AJ, Gillings MR, et al. (2001) Recovery of new integron classes from environmental DNA. FEMS Microbiol Lett 195:59–65.[CrossRef][Web of Science][Medline]

3 Rowe-Magnus DA and Mazel D. (2002) The role of integrons in antibiotic resistance gene capture. Int J Med Microbiol 292:115–25.[CrossRef][Web of Science][Medline]

4 Arakawa Y, Murakami M, Suzuki K, et al. (1995) A novel integron-like element carrying the metallo-ß-lactamase gene blaIMP. Antimicrob Agents Chemother 39:1612–5.[Abstract/Free Full Text]

5 Hansson K, Sundstrom L, Pelletier A, et al. (2002) IntI2 integron integrase in Tn7. J Bacteriol 184:1712–21.[Abstract/Free Full Text]

6 Ramirez MS, Quiroga C, Centron D. (2005) Novel rearrangement of a class 2 integron in two non-epidemiologically related isolates of Acinetobacter baumannii. Antimicrob Agents Chemother 49:5179–81.[Abstract/Free Full Text]

7 Ramirez MS, Vargas LJ, Cagnoni V, et al. (2005) Class 2 integron with a novel cassette array in a Burkholderia cenocepacia isolate. Antimicrob Agents Chemother 49:4418–20.[Free Full Text]

8 Ahmed AM, Nakano H, Shimamoto T. (2005) Molecular characterization of integrons in non-typhoid Salmonella serovars isolated in Japan: description of an unusual class 2 integron. J Antimicrob Chemother 55:371–4.[Abstract/Free Full Text]

9 Biskri L and Mazel D. (2003) Erythromycin esterase gene ere(A) is located in a functional gene cassette in an unusual class 2 integron. Antimicrob Agents Chemother 47:3326–31.[Abstract/Free Full Text]

10 Stokes HW and Hall RM. (1989) A novel family of potentially mobile DNA elements encoding site-specific gene-integration functions: integrons. Mol Microbiol 3:1669–83.[Web of Science][Medline]

11 Sunde M. (2005) Prevalence and characterization of class 1 and class 2 integrons in Escherichia coli isolated from meat and meat products of Norwegian origin. J Antimicrob Chemother 56:1019–24.[Abstract/Free Full Text]

12 Goldstein C, Lee MD, Sanchez S, et al. (2001) Incidence of class 1 and 2 integrases in clinical and commensal bacteria from livestock, companion animals, and exotics. Antimicrob Agents Chemother 45:723–6.[Abstract/Free Full Text]

13 Roe MT, Vega E, Pillai SD. (2003) Antimicrobial resistance markers of class 1 and class 2 integron-bearing Escherichia coli from irrigation water and sediments. Emerg Infect Dis 9:822–6.[Web of Science][Medline]

14 Campbell LD, Scott HM, Bischoff KM, et al. (2005) Prevalence of class 1 integrons and antimicrobial resistance gene cassettes among enteric bacteria found in multisite group-level cohorts of humans and swine. J Food Prot 68:2693–7.[Web of Science][Medline]

15 Barlow RS, Pemberton JM, Desmarchelier PM, et al. (2004) Isolation and characterization of integron-containing bacteria without antibiotic selection. Antimicrob Agents Chemother 48:838–42.[Abstract/Free Full Text]

16 White PA, McIver CJ, Rawlinson WD. (2001) Integrons and gene cassettes in the Enterobacteriaceae. Antimicrob Agents Chemother 45:2658–61.[Abstract/Free Full Text]

17 Lee JC, Oh JY, Cho JW, et al. (2001) The prevalence of trimethoprim-resistance-conferring dihydrofolate reductase genes in urinary isolates of Escherichia coli in Korea. J Antimicrob Chemother 47:599–604.[Abstract/Free Full Text]

18 Altschul SF, Madden TL, Schaffer AA, et al. (1997) Gapped BLAST and PSI-BLAST: a new generation of protein database search programs. Nucleic Acids Res 25:3389–402.[Abstract/Free Full Text]

19 Sundstrom L, Roy PH, Skold O. (1991) Site-specific insertion of three structural gene cassettes in transposon Tn7. J Bacteriol 173:3025–8.[Abstract/Free Full Text]

20 Holmes AJ, Holley MP, Mahon A, et al. (2003) Recombination activity of a distinctive integron-gene cassette system associated with Pseudomonas stutzeri populations in soil. J Bacteriol 185:918–28.[Abstract/Free Full Text]

21 Flores C, Qadri MI, Lichtenstein C. (1990) DNA sequence analysis of five genes; tnsA, B, C, D and E, required for Tn7 transposition. Nucleic Acids Res 18:901–11.[Abstract/Free Full Text]


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Antimicrob. Agents Chemother., June 1, 2007; 51(6): 2201 - 2204.
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