The multidrug resistance plasmid pBWH301 was shown to contain a sulI-associated integron with five inserted gene cassettes, aacA7-catB3-aadB-oxa2-orfD, all of which can be mobilized by the integron-encoded DNA integrase. The aadB, oxa2, and orfD cassettes are identical to known cassettes. The aacA7 gene encodes a protein that is a member of one of the three known families of aminoglycoside acetyltransferases classified as AAC(6)-I. The chloramphenicol acetyltransferase encoded by the catB3 gene is closely related to members of a recently identified family of chloramphenicol acetyltransferases. The catB3 gene displays a relatively high degree of sequence identity to a chromosomally located open reading frame in Pseudomonas aeruginosa, and this may represent evidence for the acquisition by a cassette of a chromosomal gene.pBWH301 is a 69-kb multidrug-resistant conjugative plasmid isolated from two bacterial species, Enterobacter aerogenes and Enterobacter cloacae, during an outbreak of amikacin resistance in Hospital Vargas in Venezuela (19). Most of the drug resistance genes in pBWH301 were found clustered within a 6.0-kb BamHI fragment that confers resistance to the aminoglycosides amikacin (Ak . Two aminoglycoside resistance genes were identified on the basis of aminoglycoside resistance profiles: an aacA gene encoding a type I aminoglycoside acetyltransferase [AAC(6Ј)-I] that confers resistance to amikacin, netilmicin, and tobramycin and an aadB gene encoding an aminoglycoside adenylyltransferase [AAD(2Љ)] that confers resistance to gentamicin, kanamycin, and tobramycin (19). A chloramphenicol resistance gene and a sulfonamide resistance gene were also identified. The presence of the restriction sites characteristic of the sulI gene, which is normally found in the 3Ј-conserved segment of sulI-associated integrons (37), suggested that the resistance genes may be integron associated (19).The ability of bacteria to develop multiple-drug resistance is due in part to their ability to acquire new antibiotic resistance genes. Mobile elements called integrons determine a site-specific recombination system that is responsible for the acquisition of many antibiotic resistance determinants (14,15,37). A large number of antibiotic resistance genes (conferring resistance to aminoglycosides, -lactams, chloramphenicol, and trimethoprim), as well as several unidentified open reading frames, have been found as inserts in integrons (13). These genes are contained in individual mobile units called gene cassettes that can be inserted into and excised from an integron by site-specific recombination (3-5, 13). Gene cassettes consist of a gene coding region (or open reading frame) and a recombination site known as a 59-base element which is located 3Ј to the gene in the linear integrated form (4,13,14). The 59-base elements vary in sequence and length but are all imperfect inverted repeats and are related to a consensus sequence at their outer ends (1, 5, 13). The 59-base elements play an essential role in the process of gene acqui...