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Antimicrob Agents Chemother. 2004 Jul; 48(7): 2637–2651.
PMCID: PMC434217

Novel Type V Staphylococcal Cassette Chromosome mec Driven by a Novel Cassette Chromosome Recombinase, ccrC


Staphylococcal cassette chromosome mec (SCCmec) is a mobile genetic element composed of the mec gene complex, which encodes methicillin resistance, and the ccr gene complex, which encodes the recombinases responsible for its mobility. The mec gene complex has been classified into four classes, and the ccr gene complex has been classified into three allotypes. Different combinations of mec gene complex classes and ccr gene complex types have so far defined four types of SCCmec elements. Now we introduce the fifth allotype of SCCmec, which was found on the chromosome of a community-acquired methicillin-resistant Staphylococcus aureus strain (strain WIS [WBG8318]) isolated in Australia. The element shared the same chromosomal integration site with the four extant types of SCCmec and the characteristic nucleotide sequences at the chromosome-SCCmec junction regions. The novel SCCmec carried mecA bracketed by IS431 (IS431-mecAmecR1-IS431), which is designated the class C2 mec gene complex; and instead of ccrA and ccrB genes, it carried a single copy of a gene homologue that encoded cassette chromosome recombinase. Since the open reading frame (ORF) was found to encode an enzyme which catalyzes the precise excision as well as site- and orientation-specific integration of the element, we designated the ORF cassette chromosome recombinase C (ccrC), and we designated the element type V SCCmec. Type V SCCmec is a small SCCmec element (28 kb) and does not carry any antibiotic resistance genes besides mecA. Unlike the extant SCCmec types, it carries a set of foreign genes encoding a restriction-modification system that might play a role in the stabilization of the element on the chromosome.

The spread of antibiotic resistance among Staphylococcus aureus strains is of great concern in the treatment of staphylococcal infections, since S. aureus has quickly acquired resistance to all antibiotics introduced for clinical use. The first clinical isolate of methicillin-resistant S. aureus (MRSA) was reported in 1961, only 1 year after the introduction of methicillin (18). MRSA produces penicillin-binding protein 2′ (PBP 2′), which has a reduced affinity for β-lactam antibiotics (11, 34, 42). The mecA gene, which encodes PBP 2′, and its regulatory genes, mecI and mecR1, were cloned and sequenced in the 1980s (27, 38). Those genes are located on the chromosome, and they have become widely distributed among many staphylococcal species (1, 12, 14, 23, 35, 37, 40, 41).

In the last few years, understanding of the genetic basis for methicillin resistance has advanced significantly. MRSA is produced when methicillin-susceptible S. aureus (MSSA) acquires a genetic element called staphylococcal cassette chromosome mec (SCCmec).

SCCmec is a genomic island (Gisland) that is inserted at the 3′ end of orfX and that is located near the replication origin of S. aureus (3, 24). Since our discovery of the first SCCmec element from pre-MRSA strain N315 in 1999, several types of SCCmec elements have been identified by determining their entire nucleotide sequences (16, 17, 26, 39). Pre-MRSA is a mecA gene-carrying MSSA strain in which mecA gene expression is strongly repressed by the presence of an intact mecI gene. The SCCmec element contains the mec gene complex (the mecA gene and its regulators) and the ccr gene complex, which encodes site-specific recombinases responsible for the mobility of SCCmec (22).

Four classes of the mec gene complex have been identified by PCR, using chromosomal DNA from methicillin-resistant coagulase-negative staphylococci as templates. The different mec gene complexes are structured as follows: class A, IS431-mecA-mecR1-mecI; class B, IS431-mecAmecR1-IS1272; class C, IS431-mecAmecR1-IS431; and class D, IS431-mecAmecR1 (21).

The ccr gene complex contains two site-specific recombinase genes, ccrA and ccrB, which are responsible for the mobility of SCCmec (16, 22). There are four allotypes in each of the ccrA and ccrB genes: ccrA1, ccrA2, ccrA3, and ccrA4 for ccrA and ccrB1, ccrB2, ccrB3, and ccrB4 for ccrB. SCCmec is classified into allotypes according to the combination of the mec gene complex class and the ccr gene complex type that it possesses (16, 26), as follows: type I SCCmec, class B mec gene complex and type 1 ccr gene complex; type II SCCmec, class A mec gene complex and type 2 ccr gene complex; type III SCCmec, class A mec gene complex and type 3 ccr gene complex; and type IV SCCmec, class B mec gene complex and type 2 ccr gene complex. The region other than the mec and ccr gene complexes is designated the J (junkyard) region. Each SCCmec type is further classified into subtypes on the basis of the J-region sequence (13).

SCC is a basic mobile genetic element that serves as the vehicle for gene exchange among staphylococcal species; it has been reported in some coagulase-negative staphylococci as well as in S. aureus (15, 20, 25). SCCmec is a member of the SCC family, the members of which specialize as carriers of methicillin resistance.

Both SCC12263 (found in S. hominis GIFU12263) and SCC476 (found in MSSA strain 476 [the seventh S. aureus strain whose whole genome sequence is being determined]) carried ccrA and ccrB genes, but they did not carry mecA or any other antibiotic resistance gene (20) (http://www.sanger.ac.uk/Projects/S_aureus/). SCCcap1 encodes a capsule gene cluster that confers a mucoid appearance because of overexpression of the capsule in S. aureus and is also a member of the SCC family (25).

MRSA has been a major causative agent of nosocomial infections (2). Recently, however, MRSA has become increasingly isolated from patients with community-acquired infections (4, 5, 9, 28, 30, 31). The SCCmec typing system that we described above has turned out to be an important marker for distinguishing these two categories of MRSA. Namely, by using the SCCmec typing system, we have provided strong evidence for the independent derivation of health care-associated MRSA (H-MRSA) and community-acquired MRSA (C-MRSA) clones (32).

The majority of H-MRSA strains carry one of the three types of SCCmec (type I, II, or III) (6, 16), whereas well-defined American C-MRSA and nonmultiresistant oxacillin-resistant S. aureus (NORSA) strains carry type IV SCCmec (32). Then, Vandenesch et al. (43) reported that majority of C-MRSA strains in France also carry type IV SCCmec. Type IV SCCmec is a small element that does not carry antibiotic resistance genes other than mecA and has multiple subtypes. The extreme heterogeneity of the chromosome genotypes in C-MRSA strains suggests that type IV SCCmec is highly transmissible. However, we have also noted several strains whose SCCmec elements are nontypeable (32). We propose that clarifying the unknown structures of these SCCmec elements is indispensable for increasing the typeability of strains for SCCmec-based epidemiology and, most importantly, for obtaining a better understanding of the role of SCC in the evolution of S. aureus, including the acquisition of multidrug resistance.

In this study, we determined the entire nucleotide sequence of the unknown element found in Australian C-MRSA strain WIS to characterize this SCCmec element and to relate it phylogenetically to other known SCCmec types. It turned out to be a distinct type of SCCmec with a distinct ccr gene homologue and with the mecA gene characteristically bracketed by two insertion sequences.


Bacterial strains and growth conditions.

The bacterial strains used in the experiments described here are shown in Table Table1.1. Brain heart infusion (BHI) broth and agar (Becton Dickinson, Sparks, Md.) were used as culture media for S. aureus. Tetracycline (Sigma Chemical Co., St. Louis, Mo.), tobramycin (Shionogi Co., Osaka, Japan), and ceftizoxime (Fujisawa Pharmaceutical Co. Ltd, Osaka, Japan) were used where appropriate at the concentrations indicated in the text.

Bacterial strains and plasmids used in this study

DNA manipulation and nucleotide sequencing.

The DNA fragments encompassing the entire SCCmec nucleotide sequence of strain WIS were amplified by long-range PCR with several sets of primers, as follows: the region from the orfX gene to the mecA gene was covered by primers cR1 and mA3, and the region from the mecA gene to the chromosomal region flanked to the left end of SCCmec was amplified by PCR with primers is1 and cLs1. The latter region was later amplified by PCR with primer sets mA2 and V3, is1 and V2, and V1 and cLs1, as indicated in Fig. Fig.1.1. The PCR products were purified with a QIAquick PCR purification kit (Qiagen, Hilden, Germany), and their nucleotide sequences were determined. The amplification steps for PCR, long-range PCR, and nested PCR were performed as described previously (17).

FIG. 1.
Genetic structure of the type V SCCmec element of strain WIS. The structure of the type V SCCmec element illustrated is based on the nucleotide sequence deposited in the DDBJ/EMBL/GenBank databases under accession no. ...

Construction of recombinant plasmids and excision assay.

The DNA fragments containing the ccrC gene of strain WIS (ccrCWIS) and the ccrC gene of strain 81/0342 (ccrC0342) were amplified by PCR with primers Vcc1 and Vcc2 and digested with BamHI. The fragments were cloned into the BamHI site of temperature-sensitive shuttle vector pYT3 to construct recombinant plasmids pSR5W and pSR5E, respectively. The fidelity of the cloning was ascertained by determining the nucleotide sequence of the cloned DNA fragment. Recombinant plasmids were introduced into S. aureus cells by electroporation, as described previously (22).

For the excision assay, approximately 103 cells of transformants and their parent strains were inoculated into 10 ml of BHI broth containing tetracycline (10 mg/liter), and the culture was incubated at 30°C with shaking. After 20 h, an aliquot of 0.8 ml was transferred to an Eppendorf tube and cells were collected by centrifugation. DNAs were extracted from the cells and used as templates for subsequent PCR experiments to identify the attBscc and attSCC sequences generated in the cells with the primer sets listed in Table Table22.

Primers used in this study

To investigate the strains from which DNA was excised for the generation of SCCmec, cells were further cultivated in BHI broth with tetracycline at 30°C, with one passage per day for 10 days. The cultures were diluted, and approximately 103 cells were inoculated for each passage. The cells were evaluated for the loss of SCCmec by replicating them onto agar plates with and without tobramycin at 10 mg/liter (for strain N315) and ceftizoxime at 5 mg/liter (for strain WIS).

Construction of a recombinant plasmid carrying the ccrC gene and attSCC formed in WIS(pSR5E) and integration assay.

Recombinant plasmid pSR5EattV, which carried ccrC0342 and attSCC formed in WIS(pSR5E), was constructed as a model of the closed circular form of type V SCCmec (mini-SCC). Briefly, the DNA fragment containing attSCC of type V SCCmec was amplified by PCR with primers mVR2 and mVL2 (Table (Table2).2). DNA extracted from WIS(pSR5E) was used as the template for the amplification of type V attSCC. A SalI-digested DNA fragment carrying attSCC type V was cloned into pYT3 to produce pYT3attV. Plasmid pSR5EattV was constructed by cloning a BamHI-digested DNA fragment carrying ccrC0342 into pYT3attV.

For the integration assay, recombinant plasmids and control plasmids were introduced into N315 by electroporation, and the cells were grown on BHI agar plates containing tetracycline at a concentration of 10 mg/liter at 30°C for 46 to 47 h. The colonies that grew on each tetracycline plate were resuspended in 0.5 ml of BHI broth, spread onto the BHI agar plates with or without tetracycline (10 mg/liter), and incubated at 30°C (permissive temperature for the replication of plasmid pYT3) and 43°C (a temperature nonpermissive for the replication of plasmid pYT3) for 18 h.

Computer analysis.

Open reading frames (ORFs) of more than 100 bp were identified with the GAMBLER software, and their functions were predicted by a search homology with the BLAST program. All the ORFs in and around type V SCCmec were compared to those of the four known types of SCCmec (type I in strain NCTC10442 [DDBJ/EMBL/GenBank accession no. AB033763], type II in strain N315 [DDBJ/EMBL/GenBank accession no. D86934], type III in strain 85/2082 [DDBJ/EMBL/GenBank accession no. AB037671], and type IVa in strain CA05 [DDBJ/EMBL/GenBank accession no. AB063172]). The homologies between the nucleotide sequence of the type V SCCmec element of strain WIS and those of the type I, II, III, and IVa SCCmec elements were studied as described previously (20).

Several types of analyses were carried out with the BLAST program at the website of the National Center for Biotechnology Information (http://www3.ncbi.nlm.nih.gov/BLAST/). The codon usage values for prokaryotes were taken from a database (http:www.kazusa.or.jp/codon). Codon usage was tabulated from international DNA sequence databases (sequence status for the year 2000) (29). The similarity of codon usage was evaluated by codon bias analysis (19).

Nucleotide sequence accession number.

The sequence of the type V SCCmec element of strain WIS has been deposited in the DDBJ/EMBL/GenBank databases under accession no. AB121219.


Type V SCCmec as a new member of the SCCmec family.

Our purpose was to investigate the genetic organization of the unknown element carrying the class C mec gene complex that was found in three strains, a C-MRSA strain (strain WIS) and two NORSA strains (strains 81/0342 and 91/2574). For that reason, we selected strain WIS and determined the nucleotide sequence of the region in and around the mec gene complex. The overall organization of the element and the strategy used to amplify the DNA fragment by long-range PCR with different sets of primers are shown in Fig. Fig.1a1a.

The element carried the class C mec gene complex, which is composed of a copy of insertion sequence IS431, mecA, truncated mecR1mecR1), and another copy of IS431 inserted in the opposite direction (21). From the size of ΔmecR1 and the direction of another copy of IS431, it was judged that the element carried the class C2 mec gene complex (21).

Neither the ccrA gene nor the ccrB gene, both of which are responsible for the mobility of SCCmec, was found in the element. Instead, a novel ORF sequence, V15, encoding a protein similar to site-specific recombinases was found. The deduced amino acid sequence of V15 showed the highest degree of similarity to that of a type III SCCmec ORF, CZ072, with sequence identity of 93.2%.

We examined by PCR whether the novel ORF is commonly found in the other two NORSA strains. By amplifying DNA fragments with the primer set listed in Table Table22 and determining the nucleotide sequences of the two DNA fragments, we found that the other two strains also carried identical ORFs. These ORFs were actually highly similar to that of WIS (ORF V15), with a nucleotide sequence identity of 91.4%.

The deduced amino acid sequences of the four ORFs, ORF V15 of strain WIS, the corresponding ORFs of strains 81/0342 and 91/2574, and ORF CZ072 of strain 85/2082, showed high degrees of similarity, with identities of 93.2 to 96.9%, although their C-terminal portions were dissimilar. Figure Figure2a2a shows the alignments of the deduced amino acid sequences of four ORFs: ORF V15, the corresponding ORF of 81/0342, CZ072 of 85/2082, and ccrB of N315. All four ORFs have a catalytic motif at the N-terminal domain, which is characteristic of recombinases of the invertase-resolvase family. They were basic proteins with pI values of 9.68 to 9.85. These features are similar to those of the CcrA and CcrB proteins that have been reported previously. We tried to relate the newly found ccrC genes phylogenetically to previously reported ccr genes: the three types of each of the ccrA and ccrB genes and another set of ccrA and ccrB genes (16, 33). In order to investigate the phylogenetic relations of those ccr genes, we reconstituted the putative ccrB1 (ccrB1*) and ccrB4 (ccrB4*) genes of 1626 and 1,629 bp, respectively, by adding back an adenine to the deleted point of the truncated ccrB1 and ccrB4 genes, since ccrB1 of NCTC10442 and ccrB4 of HDE288 are truncated. Figure Figure2b2b illustrates the phylogenetic relations of those ORFs, extant Ccr proteins, and other site-specific recombinases such as the integrase of Enterococcus faecalis bacteriophage φ FC1 and the site-specific recombinase of Clostridium acetobutylicum ATCC 824 (Fig. (Fig.2b).2b). A phylogenetic tree showed that the four ORFs constitute a novel group of ccr genes distinct from the ccrA and ccrB genes. Accordingly, we designated the ORFs cassette chromosome recombinase C (ccrC) as a new putative site-specific recombinase and the elements as type V SCCmec. Type V SCCmec is defined by the carriage of the class C2 mec gene complex and the ccrC gene, which is located in the type 5 ccr gene complex, as described below.

FIG. 2.FIG. 2.
Characteristics of deduced amino acid sequences of CcrC. (a) The deduced amino acid sequences of the three ccr genes were aligned with that of ccrB2 of strain N315. The alignment was performed by using ClustalX software with the protein weight matrix ...

The boundaries of type V SCCmec.

Both the left and right boundaries of type V SCCmec were determined by comparing their nucleotide sequences with those of previously reported SCCmec and SCC elements. Determination of the nucleotide sequence of attBscc on the chromosome and attSCC on closed circular SCC, generated by precise excision of the element, supported the predicted positions of the boundaries. Type V SCCmec was integrated at exactly the same nucleotide position at the 3′ end of orfX (shown as a yellow square in Fig. Fig.3),3), where the four types of SCCmec were integrated (Fig. (Fig.3).3). Two SCC elements which did not carry the mecA gene, SCCcap1 and SCC12263, were also integrated at the same position. SCCcap1, which is found in S. aureus M, is an element that carries a capsule gene cluster (25). SCC12263 was found in S. hominis GIFU12263, and it is an element that carries active ccrA1 and ccrB1 genes (20). Previously, we could not judge the exact extremities of the SCCmec elements only by comparison of the nucleotide sequences of SCCmec elements found in S. aureus strains. This was possible because of the availability of new data from the nucleotide sequences of the attBscc elements from strains M and GIFU12263, generated by precise excision of the SCC element, and they were estimated to be at the positions shown in Fig. Fig.33 (20, 25). The integration site sequence for SCC (ISS), which is uniquely present at the 3′ end of orfX in MSSA NCTC8325, is conserved in all strains examined so far. The ISS contains the consensus sequence 5′-BGA(A/G)GC(A/G/T)TATCA(C/T)AA(A/G)T(A/G)(A/G)-3′ (where the cutting site is between the B [B signifies A, C, or G] and the G at the 5′ end). The nucleotide sequences of the ISSs and the nucleotide sequences of the left extremities of the elements were nearly identical and constitute directly repeated sequences. These directly repeated sequences at the chromosome-SCC junction were found in all the elements, as shown in Fig. Fig.3.3. In contrast, the degenerate inverted repeats found at both extremities of the four types of SCCmec and SCC12263 were not found at the extremities of type V SCCmec or SCCcap1 (Fig. (Fig.33).

FIG. 3.
Chromosome-SCC junction sequences. The nucleotide sequences at the left and right boundaries of the SCCmec element of strain WIS are aligned with those of six previously reported SCC elements: type I SCCmec of S. aureus NCTC10442 (DDBJ/EMBL/GenBank databases ...

Structure of type V SCCmec.

Judging from the nucleotide sequences at both extremities of the type V SCCmec shown in Fig. Fig.3,3, type V SCCmec was estimated to be 27,624 bp. This is slightly larger than the type IV SCCmec elements (21 to 25 kb) but smaller than the type I SCCmec element of NCTC10442 (34 kb), the type II SCCmec element of N315 (53 kb), and the type III SCCmec element of 85/2082 (67 kb).

A total of 23 ORFs larger than 100 bp were found in the type V SCCmec element (Fig. (Fig.1b1b and Table Table3).3). No antibiotic resistance gene other than mecA was found in the element. Figure Figure44 compares the nucleotide sequences of the five types of SCCmec elements obtained with the BLAST program. Type V SCCmec is composed of the regions conserved in other types of SCCmec and the regions unique to type V SCCmec. The regions in type V SCCmec similar to extant SCCmec elements are denoted A, B, and C in Fig. Fig.4.4. Region A contained seven ORFs conserved in all five types of SCCmec elements with very high degrees of identity. The identities between region A1 of type V SCCmec and the corresponding regions in other SCCmec elements were more than 99.7%. Region A1 contained six ORFs in the mec gene complex, a transposase for IS431 (V03), a glycerophosphoryldiester phophodiesterase homologue (V04), a hypothetical protein (V05), mecA (V06), and ΔmecR1 (V07) (shown in light gray in Fig. Fig.1b).1b). ΔmecR1 (V07) was smaller than ΔmecR in the class B mec gene complex. Region A2 corresponded to IS431, which was found to be closely associated with the deletion point of ΔmecR1. This insertion of a copy of IS431 whose direction is opposite that of IS431 mec is characteristic of the class C2 mec gene complex. The transposases V03 and V08 encoded by two IS431 copies were not identical. The transposase V03 was nearly identical to that of IS431mec elements of four other types of SCCmec elements, whereas the transposase V08 showed slightly lower identity to that of IS431mec elements.

FIG. 4.
Homologous regions in nucleotide sequences of the type V SCCmec and extant SCCmec elements. The nucleotide positions of the type V SCCmec element are indicated on the horizontal axes, and those of extant SCCmec elements (types I, II, III, and IVa) are ...
ORFs in and around type V SCCmec of WIS with deduced products showing similarities to extant proteins

Region B represents the region conserved in type I, II, and IV SCCmec elements, with nucleotide sequence identities of 79.7 to 82.6%. Two ORFs, V17 and V19, were located in this region of type V SCCmec (Table (Table3).3). Two ORFs showed high degrees of similarity to the ORFs in the ccr gene complex of type I, II, and IV SCCmec elements.

The sequence of region C of type V SCCmec was homologous only to the corresponding region of the type III SCCmec element of strain 85/2082. Two regions of the type V SCCmec sequence, C1 and C2, showed high degrees of similarity to the corresponding region of the type III SCCmec element of strain 85/2082, with nucleotide sequence identities of 86.6 and 94.4%, respectively. Region C1 contained four ORFs (V12 to V15) whose sequences showed high degrees of similarity to the sequences of CZ072 (ccrC), CZ073, CZ074, and CZ075 located downstream of orfX in 85/2082. Although the region corresponding to region B was not identified in the type III SCCmec element, two sets of three ORFs whose sequences were similar to those of V16, V17, and V19, respectively, and which had amino acid identities ranging from 48.1 to 67.1% were found in the element. The first set of three ORFs (Z011, Z013, and Z014) was located downstream of the ccrA3 and ccrB3 genes, and these three ORFs were constituents of the type 3 ccr gene complex. The other set of three ORFs (CZ070, CZ069, and CZ068) was located downstream of ccrC (CZ072). It was noted that seven ORFs (three ORFs upstream of ccrC, ccrC, and three ORFs downstream of ccrC) were conserved in type V SCCmec and the J region of the type III SCCmec of 85/2082 (the amino acid identities of the corresponding ORFs were greater than or equal to 48.1%).

Thus, they were unified as a ccr gene complex together with the ccr gene, similar to the constructions of the type I to IV SCCmec elements.

Region C2 of type V SCCmec contained two ORFs (V20 and V21) which showed high degrees of similarity to CZ053 and CZ059 (truncated hsdR), respectively, in type III SCCmec. Although two regions, C1 and C2, were located near each other in type V SCCmec, the regions homologous to C1 and C2 in type III SCCmec were separated (Fig. (Fig.44).

The deduced amino acid sequence of ORF V21 (hsdR) showed a high degree of similarity (identity, 98.0%) to that of ORF Z059 (truncated hsdR) in the type III SCCmec of 85/2082, whereas it showed a very low degree of similarity (identity, less than 21%) to HsdR proteins encoded by hsdR genes in the S. aureus genome (hsdRaur).

The regions other than those described above are unique in type V SCCmec. Two ORFs, V22 (hsdS) and V23 (hsdM), encoding the restriction-modification system were located at the right end of the element. Two type I restriction-modification DNA specificity domains, one of which is known as the target recognition domain and the other of which is the region conserved in the hsd subunit, were identified in ORF V22. The deduced amino acid sequence of ORF V23 showed the highest degree of similarity to the putative HsdM protein of Lactococcus sakei, with an identity of 65.3%. On the other hand, both the HsdS (V22) and the HsdM (V23) proteins showed low levels of similarity to the HsdS and HsdM proteins encoded by the corresponding genes in staphylococcal G islands, with identities of less than 26 and 29%, respectively (3, 24). Figure Figure55 shows the phylogenetic relationships of the HsdR proteins (Fig. (Fig.5a),5a), the HsdS proteins (Fig. (Fig.5b),5b), and the HsdM proteins (Fig. (Fig.5c).5c). Phylogenetic trees clearly showed that three ORFs, V21 (HsdR), V22 (HsdS), and V23 (HsdM), belonged to a group distinct from those found in the S. aureus genome or the G island.

FIG. 5.
Phylogenetic relations of the constituents of the hsd system. Type V SCCmec carries three genes, hsdR, hsdM, and hsdS, which encode a type I restriction-modification system. To look for the derivations of those genes, the phylogenetic relationships among ...

The G+C content of type V SCCmec was 30.5%. This value is lower than that for S. aureus (32.8 to 32.9%).

Further analysis of the G+C content of the third nucleotide in the codon (GC3) revealed that the GC3 values for the ORFs in the region unique to type V SCCmec were very low (range, 14.2 to 19.7%; average, 18.6%). When we applied the definition of the criteria that we used for S. aureus genome analysis, the ORFs were regarded as possible alien genes; i.e., their GC3 values differed by more than 1.5 standard deviations from the average GC3 values for all ORFs longer than 150 bp in the S. aureus genome (3, 24). They were transposases for IS431 (V02 and V08), mecA (V07), ΔmecR1 (V08), V12, V17, V18, V19, V20, and hsdS (V22).

CcrC-mediated precise excision and closed circular SCCmec formation.

To investigate whether CcrC can catalyze the precise excision of type V SCCmec, we constructed two recombinant plasmids, pSR5W and pSR5E, which carried ccrCWIS and ccrC0342, respectively, and introduced them into WIS and N315, respectively, by electroporation.

As controls, plasmids pSR2 (a plasmid formerly called pSR that carries the ccrA2 and ccrB2 genes) and pYT3 were also each introduced into WIS and N315. After cultivation of the eight purified transformants, WIS(pSR5W), WIS(pSR5E), WIS(pSR2), WIS(pYT3), N315(pSR5W), N315(pSR5E), N315(pSR2), and N315(pYT3), as well as recipient strains, for 20 h at 30°C, the DNAs were extracted from the cultures. We tested by PCR whether attBscc was generated and whether the closed circular form of SCCmec was formed in each strain. The strategy and the primer sets used for the detection of attBscc and the closed circular form of SCCmec, which carries attSCC, are shown in Fig. Fig.6c6c and Table Table2,2, respectively.

FIG. 6.
Precise excision and site- and orientation-specific integration of SCCmec. (a) Detection of ccr-mediated SCCmec excision and appearance of attSCC. Template DNAs for PCR were extracted from a culture incubated in BHI broth with tetracycline (10 mg/liter) ...

When we used the chromosomal DNAs of WIS(pSR5W) and WIS(pSR5E) as templates, a 0.31-kb DNA fragment containing attBscc and a 0.29-kb DNA fragment containing attSCC were successfully amplified, whereas no DNA fragment was amplified with DNAs extracted from WIS and WIS(pYT3) (Fig. (Fig.6a).6a). By nucleotide sequencing of the amplified DNA fragments, we have verified that a novel nucleotide sequence, attSCC of type V SCCmec, is generated by the head-to-tail ligation of both termini and that attBscc is generated by the precise excision of type V SCCmec (Fig. (Fig.6b).6b). These results show that CcrC serves as a site-specific recombinase responsible for the precise excision and formation of the closed circular form of type V SCCmec. Since no visible DNA fragment was amplified with DNAs extracted from N315(pSR5W) and N315(pSR5E), we could not be certain whether CcrC works on other types of SCCmec elements.

In contrast, DNA fragments of 0.28 and 0. 31 kb containing attBscc were amplified with DNAs extracted from N315(pSR2) and WIS(pSR2), respectively. Furthermore, DNA fragments of 0.46 and 0.29 kb containing attSCC were amplified with DNAs extracted from the two strains, respectively. Subsequent nucleotide sequencing showed that the fragments contained attBscc and attSCC. The data indicate that the sets of ccrA and ccrB genes cause precise excision and formation of the closed circular forms of both type II SCCmec and type V SCCmec.

CcrC catalyzes site- and orientation-specific integration of type V SCCmec.

To examine whether the putative closed circular form of type V SCCmec serves as a substrate for integration similar to that of type II SCCmec, we constructed experimental plasmid pSR5EattV, in which ccrC0342 and the presumptive attachment sequence of type V SCCmec (attV) are subcloned, and used the plasmid as a model of the closed circular form of type V SCCmec (mini-SCC). Recombinant plasmids pSR2attII (a plasmid formerly called pSRatt that carries ccr2 genes and the presumptive attachment sequence of type II SCCmec [attSCC-II]), pYTattII (a plasmid carrying attSCC-II), pYTattV (a plasmid that carries the presumptive attachment sequence of type V SCCmec [attSCC-V]), pSR2, pSR5E, and pYT3 were used as controls. The recombinant plasmids were introduced into N315ex by electroporation, followed by selection on plates with tetracycline at 30°C. A colony of each transformant was respread onto BHI agar plates containing tetracycline (10 mg/liter) and incubated for 18 h at 30 and 43°C (the latter of which is nonpermissive for plasmid replication). The numbers of colonies that grew on each plate were counted. Two strains, N315ex(pSR5EattV) and N315ex(pSR2attII), generated significant number of colonies at 43°C compared with the numbers that grew at 30°C (2.2 and 4.4%, respectively), whereas the other strains did not generate colonies when they were grown at 43°C. The result shows that integration of the plasmids into the chromosome occurs when the attSCC and the ccr genes are present on the plasmids and that CcrC may mediate the integration of pSR5EattV (a model of the closed circular form of type V SCCmec) at an efficiency nearly equal to that for the integration of pSR2attII (a model of the closed circular form of type II SCCmec) mediated by a set of CcrA and CcrB proteins.

The integration sites of the plasmids and their directions in the chromosome were examined by PCR experiments with primers as follows: cL1 and cR1, whose sequences flank that of the attB region on the chromosome of N315ex; α (RV in pUC119) and β (in the ccrB gene), whose sequences flank that of the attSCC-II region of plasmid pSR2attII; and γ (in the ccrC gene), whose sequence flanks the attSCC-V region of plasmid pSR5EattV (Fig. (Fig.6d6d and Table Table2).2). The results show that two plasmids, pSR2attII and pSR5EattV, generated plasmid-chromosome integration junctions which were detected by two combinations of primers: primers cL1-β and cR1-α and primers cL1-γ and cR1-α, respectively. By determining the nucleotide sequences of the amplified DNA fragments, we found that the fragment contains sequences which are identical to those of the chromosome-SCCmec junction regions of N315 or artificially constructed chromosome (N315)-type V SCCmec junction regions.

These results indicate that the recombinant plasmid is integrated in the chromosome only when it carries the ccrA and ccrB genes and attSCC-II or the ccrC gene and attSCC-attV and that ccrC mediates the site- and orientation-specific integration of type V SCCmec in a way similar to that for a set of ccrA and ccrB genes.


Characteristics of a new site-specific recombinase, CcrC.

We demonstrated in this study that type V SCCmec carries a recombinase gene, ccrC, which can mediate type V SCCmec recombination events (integration and excision), whereas a set of ccrA and ccrB genes was previously found to be required for this function in other types of SCCmec elements. It was curious that both ccrC gene variants, ccrCWIS (1,623 nucleotides) and ccrC0342 (1,680 nucleotides), have been demonstrated to be active in the precise excision function. Approximately one-fourth of the deduced amino acid sequence from the NH2 terminus, which contains the serine residue that catalyzes DNA strand exchange (36), was well conserved among the CcrB variant and two CcrC variants (Fig. (Fig.2a).2a). Therefore, a lack of some amino acids in the COOH-terminal domain may not much affect the activities of Ccr proteins. However, when we compared the frequency of precise excision by quantitative PCR, we observed that attBscc was present in slightly larger amounts in WIS(pSR5E) than in WIS(pSR5W) (X. X. Ma, unpublished data). That was why we used ccrC0342 to construct the recombinant plasmid used for the integration experiment.

Mini-SCC plasmid pSR5EattV was integrated in the N315ex chromosome at exactly the same nucleotide position at which pSR2attII integrated. The data indicate that CcrC recognizes the ISS in a way similar to that in which a set of CcrA and CcrB proteins in combination does.

Interestingly, when ccr genes were introduced into host cells carrying preexisting SCCmec to test ccr gene-mediated excision, the frequency of excision differed depending on the combination of the types of SCCmec elements and ccr genes. The types of SCCmec elements greatly influenced the efficiency of excision mediated by ccrC. The recombinase encoded by ccrC appeared to be inactive in excising type II SCCmec from the N315 chromosome, while it was active in the excision of type V SCCmec from the WIS chromosome. It is tempting to speculate that the difference resides in the nucleotide sequences at the extremities of SCCmec. Characteristic inverted repeat sequences were located at the extremities of the extant types of SCCmec carrying ccrA and ccrB genes, whereas they were not found at the extremities of type V SCCmec. They have also not been found in the extremities of SCCcap1, which carries a broken homologue of the ccrC gene (25). A similar preference between the types of ccr and SCCs was also observed in the integration experiment. The efficiency of integration decreased when the recombinant plasmids carried the attSCC sequences of different types of SCCmec elements. The efficiency of integration observed with N315ex(pSR5EattII) and N315ex(pSR2attV) was smaller than that observed with N315ex(pSR5EattV) and N315ex(pSR2attII). Those data suggest that both ccr proteins have specificity for the recognition of the nucleotides located at the extremities of the SCC elements.

Origin of hsd system and its role in maintenance of the element.

The restriction-modification system seems to play an important role in the stability of certain regions of the S. aureus chromosome (3, 24). A set of hsdS and hsdM genes is located in each of the two Gislands, vSaα and vSaβ, in the genomes of all seven S. aureus isolates that have been completely sequenced (isolates COL, MRSA 252, MSSA 476, MW2, Mu50, N315, and NCTC8325). The sequences of the HsdM proteins encoded by the two Gislands are nearly identical to each other, whereas those of the HsdS proteins in the target recognition domain regions differ significantly from each other. The hsdRaur gene (the hsdR gene commonly found on the genomes of the seven S. aureus strains) encodes the restriction function and is found on the S. aureus genome at the same locus, which is far from the two Gislands. The sequences of the HsdR proteins of the seven strains were nearly identical. It is speculated that the Gislands, which carry enterotoxins and exotoxin-like genes, are protected from deletional loss by the copresence of the modification function (3).

Unlike the other G islands, the type V SCCmec is unique in that it carries a complete set of the genes involved in the type I restriction-modification system, composed of hsdR, hsdS, and hsdM. A complete set of the genes involved in the restriction-modification system is also found on an SCC in MSSA strain476 (SCC476) (http://www.sanger.ac.uk/Projects/S_aureus/).The restriction-modification system encoded by those elements was judged to be distinct from that encoded by the hsdRaur, hsdM, and hsdS genes on the S. aureus chromosome, according to data from phylogenetic trees as well as codon usage patterns. This may signify that those mobile genetic elements were formed in a species different from S. aureus and that S. aureus acquired those elements by horizontal transfer. We tried to excise SCCmec elements from strain WIS. Although we could not obtain them from either WIS(pSR5E) or WIS(pSR5W), large amounts of DNA fragments containing attBscc and attSCC were amplified by PCR from cultures of both strains. It is reported that carriage of type II restriction-modification system genes contributes to plasmid stability (7, 8). Handa et al. (10) showed that Escherichia coli cells harboring a plasmid that carries the type II restriction-modification system die due to restriction cleavage of the chromosome after they lose the plasmid. This postsegregational killing phenomenon may explain why we could not excise SCCmec elements, despite the PCR amplification results indicating that an apparent excision event occurred in cultured cells of strain WIS. The restriction enzymes (encoded by either hsdRaur or hsdRscc) that remain in the cells after the loss of type V SCCmec might have cleaved the chromosome and killed the cells from which the element was excised. Thus, the type I restriction-modification system may serve as a stabilizer of the type V SCCmec element integrated in the S. aureus chromosome.

Type V SCCmec as an element found in C-MRSA.

MRSA clones are defined by the types of SCCmec and the genotypes of the MSSA chromosomes into which the SCCmec element is integrated. Multiple MRSA clones carrying type IV SCCmec were identified in C-MRSA strains from both the United States and Australia by multilocus sequence typing for chromosome genotyping and the PCR technique for SCCmec typing (32). On the basis of that observation, it was proposed that C-MRSA strains have been generated de novo from S. aureus populations more diverse than H-MRSA strains (32). The identification of a new type of SCCmec in C-MRSA strains in the present study further supports that proposal. Type V SCCmec was structurally similar to type IV SCCmec, in that it contains mecA as the only gene encoding antibiotic resistance. Its size (28 kb) was also comparable to that of type IV SCCmec and was much smaller than those of the type I to III SCCmec elements (34 to 67 kb) found in H-MRSA strains. Although the type V SCCmec element was slightly larger than the smallest subtype of type IV SCCmec (type IVb; 21 kb), the only difference was the presence of a restriction-modification system in type V SCCmec.

The most unique feature of type V SCCmec is the carriage of a type 5 ccr gene complex composed of the ccrC gene and its surrounding ORFs (Fig. (Fig.1).1). After sequence determination, we realized that the type 5 ccr gene complex is also found in SCC elements other than the type V SCCmec. SCCcap1, which encodes capsule formation but which has no mec gene, carried a gene complex similar to the type 5 ccr gene complex, although most of the ORFs in SCCcap1 were truncated. In addition, the Ψccr gene complex that we previously reported in the type III SCCmec element was closely related to the type 5 ccr gene complex: ORF CZ072 was a ccrC gene homologue, and the sequences of the surrounding ORFs were highly homologous to those of the corresponding ORFs in the type 5 ccr gene complex (Table (Table3).3). A copy of type 3 ccr gene complex and three ISS copies, in addition to a copy of type 5 ccr gene complex, are present in the type III SCCmec element (13, 15). This configuration now indicates that the long DNA region downstream of orfX, previously designated the J3 region of type III SCCmec, is in fact an SCC element independent of the rest of the region. We now consider the latter region to constitute a true type III SCCmec. If this is the case, the SCC—in which a truncated copy of hsdR, the mercury resistance operon, and Tn554, in addition to the type 5 ccr gene complex, are carried—must have been integrated prior to or in succession with the type III SCCmec element.

The class C2 mec gene complex, which, along with the type 5 ccr gene complex, defines the type V SCCmec element, is distributed among coagulase-negative staphylococcal species, especially S. haemolyticus. Among 38 S. haemolyticus strains tested, 30 strains carried the class C2 mec gene complex and the other 8 strains carried mec gene complexes of class A (5 strain), class B (2 strain), or class C1 (1 strain) (21). The deletion point of ΔmecR1 in the class C2 mec gene complex of the type V SCCmec element was identical to that in the class C2 mec gene complex found in S. haemolyticus strain JB16 and S. epidermidis strain JK8 (21). The data suggest the horizontal transfer of a certain molecular version of the class C2 mec gene complex among staphylococcal species. On the other hand, only 20 of 30 S. haemolyticus strains carrying the class C2 mec gene complex had the ccrC gene. Three other strains carried ccrA2 and ccrB2 genes, and the remaining seven did not carry any of the type 1 to 4 ccr genes (X. X. Ma, H. Yuzawa, and M. Kapi, unpublished observations). Thus, class C2 may not always be linked with the type 5 ccr gene complex, and additional types of SCCmec elements may be existent in coagulase-negative staphylococci. We have also reported that many subtypes defined by J1-region polymorphisms exist in the type IV SCCmec elements prevalent in C-MRSA strains. Type IV SCCmec elements with diverse J1 regions are distributed in more than 30% of community-acquired S. epidermidis isolates in Japan (K. Hisata, K. Hiramatsu et al., unpublished data). We think that it is quite likely that the mec gene complex and the ccr gene complexes (of diverse SCC elements) go through complex recombination and rearrangement processes in the genomes of coagulase-negative staphylococci; thus, novel types of SCCmec elements are incessantly generated, and only a fraction of them are transferred to S. aureus strains in the community. Thus, we may be witnessing only the tip of the iceberg of the SCCmec element diversity displayed by C-MRSA isolates. The type IV and type V SCCmec elements that have come onto the scene, however, may be the most refined molecular products and may have high competitive capabilities in terms of their transferability among the cells of staphylococcal species and strains.


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