“…Upon integration IS elements may modulate the expression of neighbouring genes and, thereby, influence the phenotype of a bacterium. This phenomenon is of particular medical interest when it involves antibiotic resistance or pathogenic potential (Granlund et al, 1998 ;He et al, 1999 ;Hernandez-Alles et al, 1999 ;Preston et al, 1999 ;Sawada et al, 1999 ;Simpson et al, 1999 ;Ziebuhr et al, 1999). Furthermore, two copies of an IS element may act in concert, rendering the intervening region mobile as has been found for certain pathogenicity islands (Hacker et al, 1997).…”