9The gastrointestinal colonizer Enterococcus faecium is a leading cause of hospital-acquired 10 infections. Multidrug-resistant (MDR) E. faecium are particularly concerning for infection 11 treatment. Previous comparative genomic studies revealed that subspecies referred to as Clade 12A and Clade B exist within E. faecium. MDR E. faecium belong to Clade A, while Clade B 13 consists of drug-susceptible fecal commensal E. faecium. Isolates from Clade A are further 14 grouped into two sub-clades, A1 and A2. In general, Clade A1 isolates are hospital epidemic 15 isolates whereas Clade A2 isolates are isolates from animals and sporadic human infections. 16Such phylogenetic separation indicates that reduced gene exchange occurs between the 17 clades. We hypothesize that endogenous barriers to gene exchange exist between E. faecium 18 clades. Restriction-modification (R-M) systems are such barriers in other microbes. We utilized 19 bioinformatics analysis coupled with second generation and third generation deep sequencing 20 platforms to characterize the methylome of two representative E. faecium strains, one from 21Clade A1 and one from Clade B. We identified a Type I R-M system that is Clade A1-specific, is 22 active for DNA methylation, and significantly reduces transformability of Clade A1 E. faecium. 23Based on our results, we conclude that R-M systems act as barriers to horizontal gene 24 exchange in E. faecium and propose that R-M systems contribute to E. faecium subspecies 25 separation. 26
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IMPORTANCE 28Enterococcus faecium is a leading cause of hospital-acquired infections around the world. 29Rising antibiotic resistance in certain E. faecium lineages leaves fewer treatment options. The 30 overarching aim of the attached work was to determine whether restriction-modification (R-M) 31 systems contribute to the structure of the E. faecium species, wherein hospital-epidemic and 32 non-hospital-epidemic isolates have distinct evolutionary histories and highly resolved clade 33 structures. R-M provides bacteria with a type of innate immunity to horizontal gene transfer 34 (HGT). We identified a Type I R-M system that is enriched in the hospital-epidemic clade and 35 determined that it is active for DNA modification activity and significantly impacts HGT. Overall, 36 this work is important because it provides a mechanism for the observed clade structure of E. 37 faecium as well as a mechanism for facilitated gene exchange among hospital-epidemic E. 38 faecium. 39 40 immune system that utilizes sequence complementarity between self (CRISPR RNAs) and 67 foreign nucleic acid to carry out its restrictive function, whereas R-M discriminates self from 68 foreign DNA by DNA methylation patterns. If the E. faecium clades encode different defense 69 mechanisms, they may not exchange genetic information freely, thereby facilitating and 70 maintaining phylogenetic separation. However, little is known about CRISPR-Cas and R-M in E. 71 faecium. Genomic analysis suggests that these systems could contribute to the observed clade...