cThe In70.2 integron platform appears to be a conserved structure involved in the dissemination of the bla VIM-1 metallo--lactamase gene in Pseudomonas aeruginosa. The genetic context of the In70.2 integron platform from P. aeruginosa VR-143/97, the VIM-1-producing index strain isolated in Italy in 1997, was fully characterized by a next-generation sequencing approach refined by conventional sequencing. The In70.2 integron platform from VR-143/97 was found to be associated with a defective Tn402-like transposon inserted into the urf2 gene of a Tn3 family transposon of an original structure, named Tn6249, which also carried a partially deleted mer operon and an In90 integron platform in a tail-to-tail orientation. Tn6249 was inserted into a PACS171b-like genomic island, which was in turn inserted into the endA gene of the Pseudomonas chromosomal backbone. Tn6249 showed a similar structure and a conserved location with respect to that of Tn6060, a Tn3 family transposon associated with In70.2 and carrying a double-integron platform, which was detected in a VIM-1-producing P. aeruginosa strain isolated in Australia in 2008. Both Tn6249 and Tn6060 are apparently derived from Tn6162, a mercury resistance transposon carrying an integron platform, which was found in P. aeruginosa isolates from different geographic locations. The conservation of the genetic context of Tn6249 and Tn6060 suggests an in situ evolution of these elements after the insertion of a Tn6162-like ancestor into the PACS171b-like genomic island (GI) present in the genome of a successful widespread P. aeruginosa clonal lineage.
Metallo--lactamases (MBLs) have emerged as a major threat to antimicrobial chemotherapy due to their extended-spectrum activity against most -lactams, including carbapenems, and their resistance to -lactamase inhibitors, such as clavulanate, sulbactam, tazobactam, and avibactam (1). Among the several acquired MBLs reported in Gram-negative pathogens, the VIM-type enzymes have been detected worldwide in a large number of species, including Pseudomonas aeruginosa, other Gram-negative nonfermenters (GNNFs), and Enterobacteriaceae, and together with the IMP and NDM types, they are currently the MBLs with the greatest epidemiological and clinical impact (1-3). In P. aeruginosa, VIM-type enzymes are overall the most widespread and prevalent acquired MBLs (1, 4-7).Genes encoding VIM-type MBLs are usually carried on mobile gene cassettes associated with class 1 integron platforms (8), and integron-mediated cassette mobility has contributed to their dissemination, as indicated by the finding of bla VIM gene cassettes as part of different cassette arrays (9, 10). On the other hand, class 1 integron platforms are associated with functional or defective Tn402-like transposons, which preferentially target the res sites of plasmids and transposons of the Tn3 family (11-13), thus establishing genetic linkages that may further contribute to the mobility of the integron platforms (8).In P. aeruginosa VR-143/97, the bla VIM-1 index strain is...