INTRODUCTION
Novel functions in a microorganism often arise through conjugation mechanisms that mediate the horizontal transfer of genetic material between co-occurring microbes. Functional conjugative transposons (CTns) have the capacity to shuttle genetic information from a donor cell to a recipient under the control of genes for excision and conjugation necessary for insertion into chromosomal DNA (
1,
2). Once the genes are incorporated, the progeny of the transconjugant cell can leverage existing machinery to organize gene regulation and mobilization processes that control flanking or linked genes (
3,
4). Conjugative elements commonly carry genes conferring antibiotic protection that allows microbial cells to quickly evolve unique antibiotic resistance strategies (
5,
6). Subsequent mutations in these mobile genetic elements sometimes yield new functions that increase fitness (
7). Unlike plasmids and phages, which also mediate horizontal gene transfer, CTn elements only transiently exist as extrachromosomal elements during rolling circle replication (
8).
Most known CTns extend >60 kbp and carry antibiotic resistance genes (
1,
9). Multiple studies have characterized CTn transfer among
Bacteroidetes genomes. The well-studied CTnDOT occurs in 80% of
Bacteroides natural isolates where the tetracycline-induced tyrosine site-specific recombinase stimulates excision and transfer (
10–12). Tetracycline also stimulates the transcription of the
tetQ gene, which renders ribosomes tetracycline-resistant and stimulates the regulatory gene
rteA that activates
rteB, which triggers the regulatory protein RteC to activate several genes in the excision operon (
13,
14). Following excision from the genome, the CTnDOT forms a closed intermediate circular form that is subsequently nicked at the origin of transfer,
oriT, and then replicated as a double-stranded molecule prior to integrating into the donor or recipient chromosome.
Similar
tetQ genes occur in the CTns of some
Bacteroides,
Porphyromonas, and
Prevotella species (
15–17). Host inflammatory immune response can enhance the horizontal movement of these elements (
18) including the transfer of
tetQ between tetracycline-resistant clinical isolates of
Prevotella,
Porphyromonas, and other bacteria (
19–21). Comparisons of
tetQ genes within
Bacteroides or
Prevotella have reported high levels of DNA sequence conservation, while comparisons between
tetQ genes of
Bacteroides fragilis and
Prevotella intermedia revealed 99.7% identity (
22). Finally, hybrid CTns of diverse origins commonly occur among
Bacteroides (
23,
24).
Many CTns are capable of autonomous rolling circle amplification, which is an important step during the horizontal gene transfer of these elements (
25,
26). However, the circular form only exists for a short period of time before the integration into the linear chromosome. In a previous study, we identified a region of a
B. fragilis genome that contained genes indicative of a conjugative element. Read mapping of the metagenomes from the Human Microbiome Project Data Archive (
27) and patients with a history of ulcerative colitis revealed a previously unrecognized genomic architecture and high coverage of a plasmid or plasmid-like region contained within CTn214 (
27).
Here, we describe a recently identified conjugative transposon, CTn214, that we initially identified in a
B. fragilis metagenome-assembled genome (MAG) recovered from longitudinal samples from an inflammatory bowel disease patient with an ileal pouch (
27). The cultivation of
Bacteroides isolates and metagenomic analyses of samples collected from such pouchitis patients during inflamed and normal states offer a means to address several unresolved questions: (i) Which CTn214 genes autonomously amplify? (ii) Can horizontal transfer of CTn214 to other
Bacteroidetes occur within the same patient following inflammation? (iii) What are the common features shared between this CTn214 and CTns in other
Bacteroides and
Prevotella genomes?
DISCUSSION
The examination of the short-read mapping of metagenomic samples from patient 214 to CTn214 revealed two distinct genomic arrangements of this novel conjugative transposon. The first arrangement is a linear form integrated into the chromosome. The second form includes the linear integrated form and six copies of a 17,044-nt autonomously amplified region of CTn214 carrying the tetracycline resistance gene,
tetQ. CTn214 contains many of the same genes found in CTnDOT, suggesting that the excitation, excision, and transfer to other
Bacteroidetes likely occur through the same coordinated series of gene activity stimulated by the presence of tetracycline (
11). The occurrence of a linear integrated form combined with circularization and amplification of a subregion renders CTn214 a novel conjugative transposon.
Bacteroides fragilis isolates recovered from the same patient, at the same timepoint, contain either the linear integrated form alone or the integrated form and a multi-copy circular plasmid. The capacity to mobilize as a conjugative transposon and occur as a multi-copy circular element, carrying tetracycline resistance, represents an important development toward understanding the evolution of antibiotic resistance mechanisms.
The entire length of CTn214 is nearly identical to a conjugative transposon found in
Alloprevotella tannerae ATCC51259 except for an 11-gene CTn214 operon that includes
btgA, btgB, two tyrosine site-specific recombinase genes, and a TonB-dependent receptor. This 11-gene operon interrupts
traG, within the 17
traA-traQ genes that encode all the necessary proteins for conjugation. The insertion of the 11 genes at this position may interfere with the expected behavior of CTn214, which for CTnDOT includes excitation by tetracycline, excision, circularization, replication, and transfer from a donor to a recipient cell (
11). The
btgA and
btgB genes of the 11-gene operon are necessary for the transfer of the machinery for clindamycin resistance in plasmid pBFTM10, and
btgA binds to
oriT of plasmid pBFTM10, initiating replication (
40). It is possible that
btgA binds to additional inverted repeats located within CTn214, leading to the observed amplified plasmid-like form containing
tetQ. We found many potential inverted repeat regions that could serve as an
oriT site for BtgA binding, cleavage, and initiation of complementary strand synthesis. Additional approaches will be required to understand the role of
btgA in the amplification of the circular form and how it influences the mobilization of CTn214.
The cultivar isolated from visit 8 of patient 214 maintains six copies of the circular 17,044-nt region irrespective of the presence or absence of several different concentrations of tetracycline or ciprofloxacin. However, the
B. fragilis cultivar isolated from the previous visit (visit 7) contained only the integrated linear form of CTn214 at all antibiotic concentrations. According to our PCR assay, the visit 7 cultivar is negative for the circular autonomously amplified 17,044-nt fragment, but the genome contains an identical CTn214 found in strains recovered from visit 8. Tetracycline elicited an increase in the production of
tetQ,
rteB, and
rteC in the visit 7 strain, but these genes were nearly below detection when grown in the presence of ciprofloxacin. The activity of
tetQ in the visit 8 strain was high when grown in the presence of either antibiotic, and the expression of
rteB and r
teC was low in comparison to the response of the visit 7 strain. We conclude that there must be some other signals leading to the excision and autonomous amplification of the 17,044-nt plasmid-like form that remains stable in the absence of tetracycline. This observation is surprising, because we expect that cells without the plasmid-like form would grow at a faster rate leading to the eventual loss of the plasmid in the absence of tetracycline. Our observation of low
rteB and
rteC activity in the presence of the amplified 17,044-nt plasmid-like form indicates that the plasmid or the insertion between
traA-traQ may prevent CTn214 from behaving like CTnDOT and instead relies on the activity of the plasmid-like form for tetracycline protection. The interruption of the genes required for conjugation (traA-traQ) would slow or inhibit the transfer of CTn214 to the surrounding microbial community, which could explain why CTn214 may be limited to a single patient, undetectable in the HMPDAC (
27), and absent from NCBI reference collection. The ability of strains carrying CTn214 to produce
tetQ on a constant basis may promote fitness, and this represents an interesting aspect of this strain requiring further inquiry.
The plasmid-like form was not detected in any other MAGs derived from our pouchitis samples, which highlights the potential clinical irrelevance of CTn214. However, elements of CTn214 were common in the healthy patients of the Human Microbiome Project Data Coordination Center (
27). Indeed, the observed high-copy plasmid form of CTn214 is rare or specific to a single individual, but the diversity of conjugative elements in
Bacteroides (
2,
41) suggests that other forms have not yet been discovered possibly due to assembly artifacts or bias in metagenomic binning. The detection of circularized and amplified fragments of the genome is difficult because only a fraction of the cells may contain these elements, and they could be misinterpreted by genome assemblers and metagenomic binning algorithms as potential contamination. For example, during visit 6 of the longitudinal sampling of patient 214, we did not see any evidence of a potentially amplified fragment of CTn214 using metagenome mapping. However, PCR confirmed that one of the
B. fragilis cultivars isolated from this visit contained the circular form. Furthermore, the coverage of the CTn214 in the metagenome sample of visit 7 suggests a mixed population where some of the cells contain the 10-kbp fragment that interrupts the conjugative transposon operon and contains genes related to clindamycin resistance activation. The variable coverage of this region might represent chimeric assembled contigs generated from similar, co-existing strains. This suggests that while metagenomics is an important tool for the discovery of these elements, it may lack the sensitivity to detect low abundance strains containing the circular autonomously replicated 17,044-nt region. Our cultivation and PCR tests were critical to resolving the accuracy of the CTn214 in nature. Novel methods for the discovery of these elements represent a potentially important arena that could shed light on additional aspects of genome variants critically important to not only antibiotic resistance but also virulence (
41).
These observations are congruent with suggestions that the discovery of mobile elements providing tetracycline resistance is still in its infancy (
42,
43). The multiple forms and behavior of the genes contained in CTn214 represent a single new mechanism that we identified in a single human subject. Our inability to detect the 11 genes that comprise CTn214 within the microbiomes of otherwise healthy patients indicates that CTn214 is not very widespread within the human gut, maintains a low relative abundance, or could be more common within inflamed tissues. Inflammation can stimulate population blooms and the frequency of horizontal gene transfer (
18,
27). The description of this element is relevant because host inflammation coincided with a bloom of the
Bacteroides genome containing CTn214. While CTn214 is not directly involved in eliciting a host inflammatory response,
Bacteroides blooms are well documented during host inflammation, including pouchitis. Alternative genomic arrangements and mechanisms for antibiotic resistance that we identified in this study are important to the understanding of ecology and evolution of blooms during inflammation and their relevance to human health.