b Methicillin-resistant Staphylococcus aureus (MRSA) is a notorious human pathogen that can cause a broad spectrum of infections. MRSA strains are resistant to almost the entire family of -lactam antibiotics due to the acquisition of staphylococcal cassette chromosome mec (SCCmec). The chromosome cassette recombinases A and B, encoded by ccrAB genes located on SCCmec, play a key role in the excision of SCCmec. Studies have shown that ccrAB genes are expressed in only a minority of cells, suggesting the involvement of a subtle regulatory mechanism in ccrAB expression which has not been uncovered. Here, we found that an inverted repeat (IR) element, existing extensively and conservatively within the ccrAB promoter of different SCCmec types, played a repressive role in ccrAB expression and SCCmec excision in MRSA strain N315. Replacement of the IR sequence led to a significant increase in ccrAB expression and curing of SCCmec from strain N315 cells. In addition, we identified the transcriptional regulator SarS using DNA-affinity chromatography and further demonstrated that SarS can bind to the IR sequence and upregulate ccrAB expression and SCCmec excision. These findings reveal a molecular mechanism regulating ccrAB expression and SCCmec excision and may provide mechanic insights into the lateral transfer of SCCmec and spread of antibiotic resistance in S. aureus.
Staphylococcus aureus is a bacterial pathogen that can cause a variety of infectious diseases, ranging from superficial skin infections to life-threatening septicemia, osteomyelitis, and toxic shock syndrome (1). Worldwide emergence and spreading of antibiotic-resistant S. aureus pose serious challenges to chemotherapeutic treatment, which were emphasized for many years by methicillin-resistant Staphylococcus aureus (MRSA) strains. MRSA strains are resistant to almost the entire class of -lactam antibiotics due to the acquisition of the staphylococcal cassette chromosome mec (SCCmec) (2-4). As a mobile genetic element, SCCmec can be excised from and integrated into the bacterial chromosome (5), which may subsequently lead to the transfer of methicillin resistance among staphylococcal strains. The phenotype of MRSA is exerted by an alternative penicillin-binding protein, PBP2a, encoded by the mecA gene (6), which exhibits a much lower affinity to -lactam antibiotics than PBP2 (7). The mecA gene is located on SCCmec and is regulated by a three-component regulator system, mecR1-mecI-mecR2 (8), which is also located on SCCmec within the 3= end of the orfX gene coding for 23S rRNA methyltransferase (4, 9).Another important gene cluster located on SCCmec is cassette chromosome recombinase genes ccrAB or ccrC, which code for large serine recombinases of the resolvase/invertase family (5, 10). CcrA, CcrB, and CcrC are three phylogenetically distinct proteins and play a key role in the site-specific excision of SCCmec (11). While ccrAB are always present together and exist in most SCCmec types, ccrC exists in only a minority of SCCmec types. Interestingly, Ccr...