2014
DOI: 10.1128/mbio.01356-14
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Acquisition and Evolution of SXT-R391 Integrative Conjugative Elements in the Seventh-Pandemic Vibrio cholerae Lineage

Abstract: SXT-R391 Integrative conjugative elements (ICEs) are self-transmissible mobile genetic elements able to confer multidrug resistance and other adaptive features to bacterial hosts, including Vibrio cholerae, the causative agent of cholera. ICEs are arranged in a mosaic genetic structure composed of a conserved backbone interspersed with variable DNA clusters located in conserved hot spots. In this study, we investigated ICE acquisition and subsequent microevolution in pandemic V. cholerae. Ninety-six ICEs were … Show more

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Cited by 82 publications
(76 citation statements)
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“…SXT/R391 ICEs are major vectors of multidrug resistance dissemination across a plethora of bacterial genera encountered in clinical and environmental settings (7)(8)(9). Their highly conserved regulatory region governs the transition between the ICE quiescent and conjugative states (24,29,30).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…SXT/R391 ICEs are major vectors of multidrug resistance dissemination across a plethora of bacterial genera encountered in clinical and environmental settings (7)(8)(9). Their highly conserved regulatory region governs the transition between the ICE quiescent and conjugative states (24,29,30).…”
Section: Discussionmentioning
confidence: 99%
“…SXT integrates itself into the chromosome of V. cholerae in a site-specific manner at the 5= end of prfC, a gene coding for the peptide release factor RF3 (6). Since the discovery of SXT, SXT or related ICEs have been found to be prevalent in the seventh pandemic isolates of V. cholerae and sporadically present in other Vibrio species (7)(8)(9) and other Gammaproteobacteria of clinical origin or isolated from the aquatic environment, such as Photobacterium (10), Proteus (11), Alteromonas (12), Marinomonas (13), and Shewanella (9,14) species. SXT is closely related to R391, an ICE conferring resistance to kanamycin and mercury, originally detected in a 1967 South African isolate of Providencia rettgeri (15,16).…”
mentioning
confidence: 99%
“…These elements can range from ∼80 to 110 Kb in size and contain all of the genes required for conjugative transfer into naive hosts (10,11); they integrate in a site-specific manner into the 5′ end of the highly conserved prfC (peptide-chain-release factor C) gene (10)(11)(12). The first natural transfer of an ICE into V. cholerae likely occurred between 1980 and 1985 (10,13) and, by the 1990s, virtually all clinical isolates of V. cholerae contained an ICE (13). These elements confer resistance to multiple antibiotics, and it is likely that widespread use of antibiotics has rapidly selected for strains containing ICEs.…”
mentioning
confidence: 99%
“…These ICEs share a core set of genes, but have varied gene content at distinct sites. The most common ICE in V. cholerae is VchInd5, which is present in ∼77% of currently sequenced clinical isolates (10,11). It is hypothesized that the current (seventh) pandemic of cholera originated in the Bay of Bengal, and strains have spread globally from this region in three overlapping waves of transmission (13,14).…”
mentioning
confidence: 99%
“…It has been estimated that conjugative systems of ICEs are more abundant among bacteria than those of plasmids (7), yet we know far less about ICE behavior because they are difficult to follow and isolate. ICEs have attracted interest because they can transmit antibiotic resistance genes (8) and suspected virulence factors (9)(10)(11), but also genes for toxic compound degradation (12,13) and heavy metal resistance (14). Several evolutionary distinct families of ICEs have been described, which have a mechanistically similar lifestyle (4,6,15).…”
mentioning
confidence: 99%