The genetic support for tet(W), an emerging tetracycline resistance determinant, was studied in two strains of Streptococcus suis, SsCA and SsUD, both isolated in Italy from patients with meningitis. Two completely different tet(W)-carrying genetic elements, sharing only a tet(W)-containing segment barely larger than the gene, were found in the two strains. The one from strain SsCA was nontransferable, and aside from an erm(B)-containing insertion, it closely resembled a genomic island recently described in an S. suis Chinese human isolate in sequence, organization, and chromosomal location. The tet(W)-carrying genetic element from strain SsUD was transferable (at a low frequency) and, though apparently noninducible following mitomycin C treatment, displayed a typical phage organization and was named ⌽SsUD.1. Its full sequence was determined (60,711 bp), the highest BLASTN score being Streptococcus pyogenes ⌽m46.1. ⌽SsUD.1 exhibited a unique combination of antibiotic and heavy metal resistance genes. Besides tet(W), it contained a MAS (macrolide-aminoglycoside-streptothricin) fragment with an erm(B) gene having a deleted leader peptide and a cadC/cadA cadmium efflux cassette. The MAS fragment closely resembled the one recently described in pneumococcal transposons Tn6003 and Tn1545. These resistance genes found in the ⌽SsUD.1 phage scaffold differed from, but were in the same position as, cargo genes carried by other streptococcal phages. The chromosome integration site of ⌽SsUD.1 was at the 3 end of a conserved tRNA uracil methyltransferase (rum) gene. This site, known to be an insertional hot spot for mobile elements in S. pyogenes, might play a similar role in S. suis.
tet(W)is an emerging tetracycline resistance determinant whose host range, including Gram-positive, Gram-negative, aerobic, and anaerobic bacteria, is second only to that of tet(M) among ribosomal protection tet genes (26). tet(W) was first identified in the rumen anaerobe Butyrivibrio fibrisolvens (3), where it was associated with a transposable chromosomal element. It was subsequently detected in several other bacteria of the animal and human gastrointestinal tract, associated with either conjugative or nonconjugative elements (1, 5, 13, 14, 19, 29-31, 33, 37).In 2008 we first described tet(W) in Streptococcus suis, in a human isolate from a sporadic case of meningitis in Italy (23). S. suis, a major swine pathogen worldwide, is emerging as a zoonotic agent, the most common human clinical manifestations being meningitis and sepsis (20,39). Most cases of human S. suis infection have originated in Southeast Asia, where pig rearing is widespread, and large outbreaks have occurred in China (20). In industrialized countries human infections are rare, albeit probably underdiagnosed, and usually arise as sporadic cases. The growing interest in this emerging pathogen is reflected by recent whole-genome sequencing studies of selected isolates directed at elucidating the occurrence and evolution of the genetic determinants of its pathogenicity and dru...