From high-level methicillin-resistant Staphylococcus aureus SRM551, the low-level heterogeneously resistant mutant, SRM563, was isolated by transposon mutagenesis. The transposon insertion occurred in the 3 region of the llm gene in the mutant (H. Maki, T. Yamaguchi, and K. Murakami, J. Bacteriol. 176:4993-5000, 1994). Resistant revertants were generated from the mutant strain SRM563 on the plate containing methicillin at a concentration of 12.5 g/ml or more. In some revertants, the insertion sequence IS256 was observed to be transposed into one of five sites localized 88 to 212 bp upstream of the mutant llm at a frequency of 2.8 ؋ 10
؊7in the bacterial population. The IS256 transposition created a new hybrid promoter in which the ؊35 region at the end of IS256 was properly arranged in relation to the ؊10-like sequence upstream of llm. The new promoters greatly enhanced the transcription of the mutant llm, as judged by blotting analysis of llm mRNA, with concomitant elevation of the methicillin resistance. Involvement of the insertion sequence in the heteroresistance characteristics of methicillin-resistant S. aureus was suggested.Various insertion sequences (ISs) are widely distributed among bacteria. They can be transposed to various loci in chromosomal DNA, which sometimes results not only in disruption of genes but also in activation of downstream genes (5). With some IS elements, such as IS10 in Escherichia coli, the activation is caused by a promoter located within the element and directed outward into the adjacent gene (3). On the other hand, some elements, such as IS1 (19) or IS2 (10), can activate the downstream genes via the formation of a hybrid promoter in which the Ϫ35 region at the end of the element is properly positioned close to the Ϫ10 region in the host DNA. Many IS elements have been shown to contain the Ϫ35-like sequence of the promoter in their terminals (5), although not all elements have been demonstrated to be involved in the formation of functional promoters. In Staphylococcus aureus, IS256 and IS257, which compose both ends of Tn4001 (14) and Tn4003 (15), respectively, belong to this category of IS elements. These elements appear to construct the hybrid promoter for the aminoglycoside resistance gene, aacA-aphD, in Tn4001 (23), and that for the trimethoprim resistance gene, dfrA, in Tn4003 (24), respectively. However, their transposition with concomitant activation of adjacent genes has not been observed.Previous studies have shown that S. aureus became methicillin resistant via the production of a low-affinity penicillinbinding protein, designated PBP2Ј or PBP2a, encoded by mecA of foreign origin (7, 30). The MIC of methicillin, however, varied from 3.1 g/ml for some strains to more than 800 g/ml for others; thus, in addition to mecA, other, unknown genetic factors seem to determine the resistance level (18, 25). We introduced transposon Tn918 with a tetracycline resistance marker into the chromosome of high-level methicillin-resistant S. aureus (MRSA) and isolated an insertional muta...