Conjugative Transfer Pathways of High-Level Mupirocin Resistance and Conjugative Transfer Genes in Staphylococcus
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East Tennessee State University Digital Commons @ East Tennessee State University Electronic Theses and Dissertations Student Works 5-2006 Conjugative Transfer Pathways of High-Level Mupirocin Resistance and Conjugative Transfer Genes in Staphylococcus. Danielle Barnard East Tennessee State University Follow this and additional works at: https://dc.etsu.edu/etd Part of the Bacteriology Commons Recommended Citation Barnard, Danielle, "Conjugative Transfer Pathways of High-Level Mupirocin Resistance and Conjugative Transfer Genes in Staphylococcus." (2006). Electronic Theses and Dissertations. Paper 2188. https://dc.etsu.edu/etd/2188 This Thesis - Open Access is brought to you for free and open access by the Student Works at Digital Commons @ East Tennessee State University. It has been accepted for inclusion in Electronic Theses and Dissertations by an authorized administrator of Digital Commons @ East Tennessee State University. For more information, please contact [email protected]. Conjugative Transfer Pathways of High-level Mupirocin Resistance and Conjugative Transfer Genes in Staphylococcus A thesis presented to the faculty of the Department of Biological Sciences East Tennessee State University In partial fulfillment of the requirements for the degree Masters of Science in Biological Sciences by Danielle Barnard May 2006 Foster Levy Ph.D., Co-Chair Elaine Walker Ph.D., Co-Chair Scott Champney Ph.D. Keywords: Antibiotic Resistance, Conjugative Transfer, Staphylococcus, Mupirocin, tra Genes ABSTRACT Conjugative Transfer Pathways of High-level Mupirocin Resistance and Conjugative Transfer Genes in Staphylococcus by Danielle Barnard To combat widespread infections caused by Staphylococcus aureus, mupirocin was introduced at the Veterans Affairs Medical Center, Mountain Home, Tennessee. Soon after introduction, high- level mupirocin-resistance emerged. The rapid emergence was hypothesized to be due to conjugative transfer of the mupA resistance gene from S. epidermidis to S. aureus. Results have shown that transfer of high-level mupirocin-resistance from S. aureus donors commonly occurs. However, transfer from naturally-occurring S. epidermidis donors was not attainable. Staphylococcus epidermidis transconjugants, however, were capable of serving as donors. Further examination of non-transmissibility included PCR analysis of conjugative transfer genes (tra genes) in capable and non-capable donors. Results confirmed that capable donors possess full-length copies of selected transfer genes. Non-capable donors varied in the presence/absence of full-length copies of transfer genes, but none had all three genes. The genetic differences among non-capable donors suggest that non-transmissibility has arisen independently in different strains via gene deletions and recombinations. 2 DEDICATION In Loving Memory of Agnes Bailey, my “Granny”, 1925-2004. “One In A Million” 3 ACKNOWLEDGMENTS I would like to acknowledge the two wonderful co-chairs of my thesis committee, Dr. Foster Levy and Dr. Elaine Walker. I would like to thank them for introducing me to the world of basis science research. Dr. Levy and Dr. Walker have provided their expertise and insight concerning the field of antibiotic resistance as they have so capably served as my mentors during this thesis research. I am forever indebted to them for their countless hours of supervision, guidance, and support throughout my research. I would also like to thank Dr. Scott Champney, committee member, for all of his advice and comments on my research project. Dr. Champney’s suggestions concerning the molecular component of my research were most helpful. I would like to thank the ETSU Department of Biological Sciences for the opportunity to conduct research for my Masters of Science degree and for affording me the opportunity to serve as a graduate assistant during my master’s degree program. I would like to acknowledge the following entities for their financial support of my research: GlaxoSmithKline and ETSU’s School of Graduate Studies for the Research Award. Many thanks to others who have provided me with support and encouragement during my research including: Scott Reynolds, Susan Reynolds, Brandi Earp, Samara Miller, and Kristi Tipton. Lastly, I would like to acknowledge my parents, Lynn and Janet Barnard, for their continuous love, support, and patience during my educational endeavors. 4 CONTENTS Page ABSTRACT ........................................................................................................................ 2 DEDICATION....................................................................................................................... 3 ACKNOWLEDGMENTS ..................................................................................................... 4 LIST OF TABLES................................................................................................................. 7 LIST OF FIGURES ............................................................................................................... 8 Chapter 1. INTRODUCTION ........................................................................................................ 9 Pathogenic Bacteria and Antibiotic Resistance ......................................................... 9 Staphylococcus........................................................................................................... 10 MRSA and Nosocomial Infections………………………………………………… 11 Mupirocin................................................................................................................... 12 Horizontal Gene Exchange........................................................................................ 14 Conjugative Transfer Genes...................................................................................... 15 Resistance Reservoirs................................................................................................ 16 Research Approach.................................................................................................... 18 2. MATERIAL AND METHODS .................................................................................... 19 Bacterial Samples ...................................................................................................... 19 Conjugative Transfer Assays .................................................................................... 21 Restriction-Deficient Recipient................................................................................. 24 Pre-exposure to a β-lactam Agent………………………………………………….. 25 PCR DNA Preparations……………………………………………………………. 25 5 Chapter Page PCR Primers............................................................................................................... 26 PCR Reactions and Conditions.................................................................................. 27 3. RESULTS...................................................................................................................... 29 Conjugations Involving S. aureus and S. epidermidis .............................................. 29 Conjugations Involving non-S. epidermidis CNS...................................................... 34 Restriction-Deficient Recipient................................................................................. 36 Pre-exposure of Recipients to a β-lactam agent......................................................... 37 PCR Analyses of mupA and Conjugative Transfer Genes......................................... 38 4. DISCUSSION................................................................................................................ 43 Interspecific Transfer from S. epidermidis Donors .................................................. 43 Transfer of Mupirocin Resistance Interspecifically................................................... 44 Explanations for Non-transmissibility....................................................................... 45 Conjugative Transfer Genes...................................................................................... 46 Conclusions................................................................................................................ 47 REFERENCES ..................................................................................................................... 49 APPENDIX: Conjugative Transfer Rates............................................................................. 52 VITA ………........................................................................................................................ 53 6 LIST OF TABLES Table Page 1. Characteristics of Staphylococcal Strains Used in Conjugative Transfer Assays and PCR Analyses.......................................................................................................... 20 2. Number of Staphylococcal Tested as Donors and Recipients in Filter Mating Experiments ............................................................................................................ 24 3. Primers Used in PCR Analysis ................................................................................... 28 4. Intra- and Interspecific Conjugative Transfer of Mupirocin Resistance .................... 30 5. Summary of Conjugative Transfers for Donor and Recipient Combinations Involving S. aureus and S. epidermidis .................................................................. 31 6. 2x2 Contingency Table Showing Similar Frequency of Successful Conjugative Transfer of High-level Mupirocin Resistance