2002
DOI: 10.1007/s000180200002
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Association of different mobile elements to generate novel integrative elements

Abstract: Among the more important problems in modern hospitals is the prevalence of bacterial pathogens expressing resistance to multiple antimicrobial agents. The frequency of multiresistance suggests mechanisms by which bacterial species can concentrate and efficiently exchange a variety of resistance determinants. Mechanisms by which this occurs include insertion of transposons within transposons, coalescence through the activity of insertion sequences and the employment of integrons. In some instances, more than on… Show more

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Cited by 31 publications
(15 citation statements)
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“…Additionally, they can incorporate into each other, which is an efficient method for accumulating resistance genes and improving their characteristics (122). Integration of an IS into a transposon may change the expression of genes in this transposon, and recombination at IS sites within or between transposons creates new elements.…”
Section: Mobile Elementsmentioning
confidence: 99%
“…Additionally, they can incorporate into each other, which is an efficient method for accumulating resistance genes and improving their characteristics (122). Integration of an IS into a transposon may change the expression of genes in this transposon, and recombination at IS sites within or between transposons creates new elements.…”
Section: Mobile Elementsmentioning
confidence: 99%
“…Besides the considerable impact that they have on the mobility and spread of antibiotic resistance genes when they make up composite transposons (31,81,146,219), insertion sequences (ISs) as single elements may also exert noticeable effects on the expression of these genes either directly, by influencing the level of their transcription, or in various ways indirectly, by affecting genes involved in their regulation or in the modulation of resistance levels. Together with the integrons, which are natural expression vectors with the capacity to capture resistance genes (95, 227), they constitute two groups of genetic elements with the potential to contribute much to high-level and multiple-antibiotic resistance in clinical isolates.…”
Section: Role Of Is Elements and Integrons In The Modulation Of Resismentioning
confidence: 99%
“…[1] These elements provide an efficient mechanism for rapid horizontal and vertical dissemination of antibiotic resistance determinants among bacterial species. [2][3][4] Quinolones and fluoroquinolones are among the most extensively used drugs for the treatment of bacterial infections both in human and veterinary medicine. Such wide use has led to rapidly increasing bacterial resistance to this kind of antibiotics.…”
Section: Introductionmentioning
confidence: 99%