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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2019.00015</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The IS<italic>Apl1</italic><sub>2</sub> Dimer Circular Intermediate Participates in <italic>mcr-1</italic> Transposition</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>He</surname> <given-names>Yu-Zhang</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Xing-Ping</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/539575/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Miao</surname> <given-names>Yuan-Yuan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Lin</surname> <given-names>Jun</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/23204/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Sun</surname> <given-names>Ruan-Yang</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/669234/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Xiao-Pei</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Guo</surname> <given-names>Ya-Ya</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Liao</surname> <given-names>Xiao-Ping</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/202327/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname> <given-names>Ya-Hong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/441990/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Feng</surname> <given-names>Youjun</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/402964/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Sun</surname> <given-names>Jian</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/176826/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>National Risk Assessment Laboratory for Antimicrobial Resistance of Animal Original Bacteria, South China Agricultural University</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Guangdong Provincial Key Laboratory of Veterinary Pharmaceutics Development and Safety Evaluation, South China Agricultural University</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Animal Science, The University of Tennessee, Knoxville</institution>, <addr-line>Knoxville, TN</addr-line>, <country>United States</country></aff>
<aff id="aff4"><sup>4</sup><institution>Department of Medical Microbiology and Parasitology, Zhejiang University School of Medicine</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<aff id="aff5"><sup>5</sup><institution>Department of General Intensive Care Unit of the Second Affiliated Hospital, Zhejiang University School of Medicine</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<aff id="aff6"><sup>6</sup><institution>College of Animal Sciences, Zhejiang University</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Yonghong Xiao, Zhejiang University, China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Beiwen Zheng, Zhejiang University, China; Zuowei Wu, Iowa State University, United States</p></fn>
<corresp id="c001">&#x002A;Correspondence: Youjun Feng, <email>fengyj@zju.edu.cn</email> Jian Sun, <email>jiansun@scau.edu.cn</email></corresp>
<fn fn-type="other" id="fn002"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
<fn fn-type="other" id="fn003"><p>This article was submitted to Antimicrobials, Resistance and Chemotherapy, a section of the journal Frontiers in Microbiology</p></fn></author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>01</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="collection">
<year>2019</year>
</pub-date>
<volume>10</volume>
<elocation-id>15</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>08</month>
<year>2018</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>01</month>
<year>2019</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2019 He, Li, Miao, Lin, Sun, Wang, Guo, Liao, Liu, Feng and Sun.</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>He, Li, Miao, Lin, Sun, Wang, Guo, Liao, Liu, Feng and Sun</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p><bold>Objectives:</bold> The mobile colistin resistance gene <italic>mcr-1</italic> is a serious threat to global human and animal health. The composite transposon Tn<italic>6330</italic> and its circular intermediate were proposed to be involved in the spread of <italic>mcr-1</italic> but their roles remain poorly understood.</p>
<p><bold>Methods:</bold> To further explore the intermediates during the transposition of Tn<italic>6330</italic>, we engineered <italic>Escherichia coli</italic> strains that carry an intact Tn<italic>6330</italic> transposon or its deletion derivatives. PCR assays were performed to detect IR-IR junctions and possible circular intermediates. We carried out transposition experiments to calculate transposition frequency. The transposition sites were characterized by whole genome sequence and ISMapper-based analyses.</p>
<p><bold>Results:</bold> The presence of an intact Tn<italic>6330</italic> was demonstrated to be essential for the successful transposition of <italic>mcr-1</italic>, although both Tn<italic>6330</italic> and Tn<italic>6330</italic>-&#x0394;IR could form circular intermediates. The insertion sequence junction structure was observed in all constructed plasmids but the IS<italic>Apl1</italic> dimer was only formed in one construct containing an intact Tn<italic>6330</italic>. The average frequency of <italic>mcr-1</italic> transposition in an <italic>E. coli</italic> strain possessing an intact Tn<italic>6330</italic> was &#x223C;10<sup>-6</sup> per transformed cell. We identified 27 integration sites for the Tn<italic>6330</italic> transposition event. All the transposition sites were flanked by 2 bp target duplications and preferentially occurred in AT-rich regions.</p>
<p><bold>Conclusion:</bold> These results indicate that <italic>mcr-1</italic> transposition relies on the presence of an intact Tn<italic>6330</italic>. In addition, formation of the tandem repeat IS<italic>Apl1</italic><sub>2</sub> could represent a crucial intermediate. Taken together, the current investigations provide mechanistic insights in the transposition of <italic>mcr-1</italic>.</p>
</abstract>
<kwd-group>
<kwd>transposition mechanism</kwd>
<kwd><italic>mcr-1</italic></kwd>
<kwd>circular intermediate</kwd>
<kwd>IS<italic>Apl1</italic></kwd>
<kwd>colistin resistance</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="29"/>
<page-count count="9"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec><title>Introduction</title>
<p>Polymyxins are cationic antimicrobial cyclic polypeptides that have been reintroduced as a final clinical option for carbapenem-resistant bacteria (<xref ref-type="bibr" rid="B8">Li et al., 2006</xref>; <xref ref-type="bibr" rid="B14">Poirel et al., 2017a</xref>). The mobilized colistin resistance <italic>mcr-1</italic> gene encodes a phosphoethanolamine (PEA) lipid A transferase that catalyzes PEA addition to the 4&#x2032;-phosphate of lipid A glucosamine moieties (<xref ref-type="bibr" rid="B4">Gao et al., 2016</xref>; <xref ref-type="bibr" rid="B3">Feng, 2018</xref>; <xref ref-type="bibr" rid="B26">Wei et al., 2018</xref>; <xref ref-type="bibr" rid="B27">Xu et al., 2018</xref>). This modification confers bacterial resistance to polymyxin (<xref ref-type="bibr" rid="B10">Liu et al., 2016</xref>). Since its discovery, <italic>mcr-1</italic> has been detected in over 50 countries and its reservoirs include humans, animals, and foods and associated environments (<xref ref-type="bibr" rid="B21">Sun et al., 2017b</xref>; <xref ref-type="bibr" rid="B17">Shen et al., 2018</xref>). The coexistence of MCR-1 and extended-spectrum beta-lactamases (ESBL) or carbapenemases poses a challenge to public health safety and clinical therapies (<xref ref-type="bibr" rid="B22">Sun et al., 2018</xref>).</p>
<p>The <italic>mcr-1</italic>-bearing plasmids are diverse although the <italic>mcr-1</italic> gene is often accompanied by a highly active 1,070 bp IS<italic>Apl1</italic> element (<xref ref-type="bibr" rid="B20">Sun et al., 2017a</xref>; <xref ref-type="bibr" rid="B25">Wang et al., 2018</xref>). IS<italic>Apl1</italic> belongs to the IS<italic>30</italic> family containing a 307-amino-acid-long DDE-type transposase surrounded by imperfect terminal inverted repeat sequences (21/27 nucleotide identity) (<xref ref-type="bibr" rid="B24">Tegetmeyer et al., 2008</xref>). In general, the <italic>mcr-1-pap2</italic> cassette lacks a flanking IS<italic>Apl1</italic>, possesses one IS<italic>Apl1</italic> immediately upstream or is flanked by two IS<italic>Apl1</italic> elements. The IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic>-IS<italic>Apl1</italic> transposable cassette was named Tn<italic>6330</italic> (<xref ref-type="bibr" rid="B9">Li et al., 2017</xref>).</p>
<p>The <italic>mcr-1</italic> gene was most likely mobilized by IS<italic>Apl1</italic> mediated composite transposon (Tn<italic>6330</italic>) (<xref ref-type="bibr" rid="B18">Snesrud et al., 2016</xref>, <xref ref-type="bibr" rid="B19">2018</xref>). To demonstrate the function of the composite transposon Tn<italic>6330</italic>, <xref ref-type="bibr" rid="B15">Poirel et al. (2017b)</xref> constructed Tn<italic>6330.2</italic> in which the <italic>mcr-1</italic> gene was inactivated with a <italic>bla</italic><sub>TEM-1</sub> insertion, and characterized Tn<italic>6330</italic> participating in the mobilization of <italic>mcr-1</italic> gene. A circular intermediate comprised of IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic> was identified as essential for <italic>mcr-1</italic> mobilization and was generated from the downstream IS<italic>Apl1</italic> (<xref ref-type="bibr" rid="B9">Li et al., 2017</xref>). However, a circular intermediate does not necessarily require the complete IS<italic>Apl1</italic>. A circular intermediate originating from a truncated IS<italic>Apl1</italic> immediately downstream of <italic>mcr-1</italic> could also be detected (<xref ref-type="bibr" rid="B29">Zhao et al., 2017</xref>). Therefore, the circular intermediate for <italic>mcr-1</italic> mobilization is unclear.</p>
<p>Insertion sequence (IS) dimers can be detected by the presence of an inverted repeat (IR) junction, a full copy IS adjacent to a truncated IS or a circular IS (<xref ref-type="bibr" rid="B13">Olasz et al., 1993</xref>; <xref ref-type="bibr" rid="B7">Kiss and Olasz, 1999</xref>). For example, this has found experimentally by the detection of IR-IR junctions formed by site specific dimerization in tandem IS<italic>30</italic> elements (<xref ref-type="bibr" rid="B7">Kiss and Olasz, 1999</xref>). However, it is not known whether an IS<italic>Apl1</italic> dimer is formed during Tn<italic>6330</italic> transposition. To address this issue, we engineered a collection of plasmids bearing Tn<italic>6330</italic> and its derivatives and demonstrated that transposition of <italic>mcr-1</italic> relied on intact Tn<italic>6330</italic> for efficient integration into the <italic>Escherichia coli</italic> genome. Additionally, we found a tandem IS<italic>Apl1</italic> repeat IS<italic>Apl1</italic><sub>2</sub>-<italic>mcr-1</italic>-<italic>pap2</italic> that could represent a crucial intermediate during Tn<italic>6330</italic> transposition.</p>
</sec>
<sec id="s1" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec><title>Strains</title>
<p><italic>Escherichia coli</italic> MG1655 (wild-type) and <italic>E. coli</italic> MG1655 (<italic>recA</italic>::Km) strains were used as host strains in the transposition experiments (Table <xref ref-type="table" rid="T1">1</xref>; <xref ref-type="bibr" rid="B5">Gerdes et al., 2003</xref>). <italic>E. coli</italic> strain BW25141 strain contained the <italic>pir</italic> gene possessing an R6K replication origin (<xref ref-type="bibr" rid="B2">Datsenko and Wanner, 2000</xref>) and was used as a host to construct suicide plasmids bearing Tn<italic>6330</italic> and derivatives (Table <xref ref-type="table" rid="T1">1</xref>). The <italic>E. coli</italic> swine strain CBJ3C was used as a template to amplify Tn6330 (Table <xref ref-type="table" rid="T1">1</xref>). The Tn<italic>6330</italic> upstream IS<italic>Apl1</italic> (5&#x2032;-<underline>T</underline>TTCCAA-3&#x2032;) and downstream IS<italic>Apl1</italic> (5&#x2032;-<underline>C</underline>TTCCAA-3&#x2032;) differed by only one bp (underlined) (Figure <xref ref-type="fig" rid="F1">1</xref>).</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Strains and plasmids used in this study.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Strain</th>
<th valign="top" align="left">Description</th>
<th valign="top" align="left">Reference</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> MG1655 (wild-type)</td>
<td valign="top" align="left">K-12 strain F<sup>-</sup> &#x03BB;<sup>-</sup> <italic>ilvG rfb-50 rph-1</italic></td>
<td valign="top" align="left"><xref ref-type="bibr" rid="B5">Gerdes et al., 2003</xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> MG1655 (<italic>recA</italic>::Km)</td>
<td valign="top" align="left">K-12 strain F<sup>-</sup> &#x03BB;<sup>-</sup> <italic>ilvG rfb-50 rph-1 recA</italic></td>
<td valign="top" align="left"><xref ref-type="bibr" rid="B5">Gerdes et al., 2003</xref></td>
</tr>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> BW25141</td>
<td valign="top" align="left">F-, <italic>&#x0394;araDB567, &#x0394;lacZ<sub>4787</sub></italic>(::<italic>rrnB3</italic>), <italic>&#x0394;phoBR580, &#x03BB;-, galU95</italic>,&#x0394;<italic>uidA3</italic>::<italic>pir</italic>+, <italic>recA1, endA9</italic>(del-<italic>ins</italic>)::FRT, <italic>rph-1, &#x0394;rhaDB568, hsdR514</italic></td>
<td valign="top" align="left"></td>
</tr>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> CBJ3C</td>
<td valign="top" align="left">Clinical isolate carrying Tn<italic>6330</italic></td>
<td valign="top" align="left"></td>
</tr>
<tr>
<td valign="top" align="left">pSV03</td>
<td valign="top" align="left">Cm<sup>R</sup>, replication origin from <italic>E. coli</italic> plasmid R6K; requires the R6K initiator protein <italic>pir</italic> for replication</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">pKD4</td>
<td valign="top" align="left">Lambda red recombinase system template plasmid</td>
<td valign="top" align="left"></td>
</tr>
<tr>
<td valign="top" align="left">pKD46</td>
<td valign="top" align="left">Lambda red recombinase system template plasmid</td>
<td valign="top" align="left"></td>
</tr>
<tr>
<td valign="top" align="left">pJS01</td>
<td valign="top" align="left">Suicide plasmid (R6K replication origin) contains IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic>-IS<italic>Apl1</italic></td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">pJS02</td>
<td valign="top" align="left">Suicide plasmid (R6K replication origin) contains Tn<italic>6330</italic> (IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic>-IS<italic>Apl1</italic>) without upstream IRL and downstream IRR</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">pJS03</td>
<td valign="top" align="left">Suicide plasmid (R6K replication origin) contains IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic></td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">pJS04</td>
<td valign="top" align="left">Suicide plasmid (R6K replication origin) contains <italic>mcr-1</italic>-<italic>pap2-</italic> IS<italic>Apl1</italic></td>
<td valign="top" align="left">This study</td></tr>
</tbody>
</table>
</table-wrap>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Schematic representation of <italic>mcr</italic>-bearing transposons and verification of the presence of an IS<italic>Apl1-</italic> mediated circular intermediate. <bold>(A)</bold> Structures of Tn<italic>6330</italic> derivatives and plasmid hosts. <bold>(B)</bold> A circular intermediate and <bold>(C)</bold> An IS<italic>Apl1</italic> dimer circular intermediate. <bold>(D,E)</bold> Agarose gel electrophoresis of PCR products generated from screening assays using <italic>Escherichia coli</italic> strains containing the indicated Tn constructs. <bold>(D)</bold> Reverse PCR assay using primers CTI test U and CTI test D to identify IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic> intermediates. CM-L (circular form) represents the remnants of the <italic>pap2</italic>, IS<italic>Apl1</italic> backbone of the suicide plasmid, IS<italic>Apl1</italic> and part of <italic>mcr-1.</italic> <bold>(E)</bold> PCR products generated using primers MISF and MISR to screen for the presence of IR-IR junctions.</p></caption>
<graphic xlink:href="fmicb-10-00015-g001.tif"/>
</fig>
</sec>
<sec><title>Plasmid Construction</title>
<p>Tn<italic>6330</italic>, Tn<italic>6330</italic>-&#x0394;IR, Tn<italic>6330</italic>-&#x0394;IS<italic>Apl1</italic>(DO) (downstream) and Tn<italic>6330</italic>-&#x0394;IS<italic>Apl1</italic>(UP) (upstream) were cloned into suicide plasmid pSV03 (<xref ref-type="bibr" rid="B16">Rakowski and Filutowicz, 2013</xref>) and were named pJS01, pJS02, pJS03, and pJS04, respectively (Table <xref ref-type="table" rid="T1">1</xref>, Figure <xref ref-type="fig" rid="F1">1A</xref>, and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S1</xref>). Primers used for plasmid constructions are listed in Table <xref ref-type="table" rid="T2">2</xref>.</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Primers used for plasmid construction.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Primer</th>
<th valign="top" align="left">Sequence ( 5&#x2032; &#x2192; 3&#x2032;)<sup>a</sup></th>
<th valign="top" align="center">Reference</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">TUtestF-BglII</td>
<td valign="top" align="left">TACGC<underline>AGATCT</underline>ACTACTGTGGCTAAGCCTCAAC</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">TUtestR-XhoI</td>
<td valign="top" align="left">TACGC<underline>CTCGAG</underline>ACGGAGAGTAACAACACGATGC</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">R6K-BglII</td>
<td valign="top" align="left">TACGC<underline>AGATCT</underline>CCATGTCAGCCGTTAAGTGT</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">R6K-XhoI</td>
<td valign="top" align="left">TACGC<underline>CTCGAG</underline>GTTGATCGGCACGTAAGAGG</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">R6K-BamHI</td>
<td valign="top" align="left">TACGC<underline>GGATCC</underline>GTTGATCGGCACGTAAGAGG</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">R6K-EcoRI</td>
<td valign="top" align="left">TACGC<underline>GAATTC</underline>CCATGTCAGCCGTTAAGTGT</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">P1</td>
<td valign="top" align="left">GG<underline>CTGCAG</underline>ACGCACAGCA</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">IR-F</td>
<td valign="top" align="left">TTTTTTGAAGTAAACTTCATAAGGTGTTTTCCAACC</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">CmR-F</td>
<td valign="top" align="left">ACCTTATGAAGTTTACTTCAAAAAAAGACTAAAAGAGAAGGGAGT</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">Sac-R</td>
<td valign="top" align="left">CCAAGC<underline>GAGCTC</underline>GATATCAA</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">Sac-F</td>
<td valign="top" align="left">TTGATATC<underline>GAGCTC</underline>GCTTGG</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">CmR-R</td>
<td valign="top" align="left">ATTATATTCTAGTTGATGAGTACTTCTTTTTCTCTTTAAGTTGAGGCTTAGCC</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">IR-R</td>
<td valign="top" align="left">AAAAAGAAGTACTCATCAACTAGAATATAATTTTGTTTCCACAC</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">P2</td>
<td valign="top" align="left">ATTGCTGTGCGT<underline>CTGCAG</underline>CCA</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">UP-TF</td>
<td valign="top" align="left">AGACTAAAAGAGAAGGGAGTG</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">UP-TR</td>
<td valign="top" align="left">CGATTAAACTTGTTCACCCTTC</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">DO-F</td>
<td valign="top" align="left">CTCTCAAGTGTATATTCAGTATGGG</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">DO-R</td>
<td valign="top" align="left">CTCTTTAAGTTGAGGCTTAGCC</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">CTItestU</td>
<td valign="top" align="left">CGATGATAACAGCGTGGTGATC</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">CTItestD</td>
<td valign="top" align="left">TTGCCGATGCTTGATAGTATGC</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">MIS-F</td>
<td valign="top" align="left">CAATCAGTGGAGCGAAGTTG</td>
<td valign="top" align="center">This study</td>
</tr>
<tr>
<td valign="top" align="left">MIS-R</td>
<td valign="top" align="left">CTGTTTTGTGCGTTCGTTGC</td>
<td valign="top" align="center">This study</td></tr>
</tbody></table>
<table-wrap-foot>
<attrib><italic><sup><italic>a</italic></sup>Restriction sites are underlined.</italic></attrib>
</table-wrap-foot>
</table-wrap>
<p>In pJS01, the structure of IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic>-IS<italic>Apl1</italic> and flanking sequences were amplified by PCR using primers TUtestF-BglII and TUtestR-XhoI with <italic>E. coli</italic> CBJ3C template DNA. Primers R6K-BglII and R6K-XhoI were used to amplify the backbone of pSV03, which includes the conditional replication origin R6K and chloramphenicol resistance gene (CmR). A ligation was performed giving rise to recombinant plasmid pJS01. The plasmid was transformed into <italic>E. coli</italic> BW25141 and selected on Luria-Bertani (LB) agar plates supplemented with 25 &#x03BC;g/ml chloramphenicol (Cm). The integrity of both IS<italic>Apl1</italic> elements and <italic>mcr-1</italic> was confirmed by PCR and sequence analysis.</p>
<p>The plasmid pJS02 was used to amplify a partial <italic>mcr-1, pap2</italic>, and IS<italic>Apl1</italic>-&#x0394;IRR (IR right) fragment using primers P1 and IR-F. It was constructed using a fragment containing Cm<sup>R</sup> that was amplified using primers CmR-F that lacked the 27 bp IRR and SacR containing a <italic>SacI</italic> site. The amplicons were connected by overlapping PCR resulting in a DNA fragment of the downstream IS<italic>Apl1</italic> lacking the 27 bp IRR that was bounded by <italic>PstI</italic> and <italic>SacI</italic> restriction enzyme sites. The sequence containing a fragment of the upstream IS<italic>Apl1</italic> without a 27bp IRL (IR left) containing <italic>PstI</italic> and <italic>SacI</italic> restriction sites at the ends was obtained in the same manner using primers Sac-F, CmR-R, IR-R and P2. The amplified fragments were digested with <italic>PstI</italic> and <italic>SacI</italic> and joined using T4 ligase. Plasmid pJS02 was confirmed as described above for pJS01.</p>
<p>Plasmids pJS03 and pJS04 were derived using primers UP-TR, UP-TF and DO-F and DO-R to amplify DNA fragments lacking the downstream copy of IS<italic>Apl1</italic> or upstream copy of IS<italic>Apl1</italic>, respectively. After self-ligation, the plasmids were screened and confirmed as for pJS01 above.</p>
</sec>
<sec><title>The Detection of Circular Intermediate and IR-IR Junction</title>
<p>All constructed plasmids carrying Tn<italic>6330</italic> or its derivatives were tested for the ability of IS<italic>Apl1-mcr-1</italic> to generate circular forms using reverse PCR with primers CTItestU and CTItestD that targeted <italic>mcr-1</italic> and <italic>pap2</italic>, respectively. To identify IR-IR junctions, PCR and Sanger sequencing were performed using primers MIS-F and MIS-R which were directed outward from IS<italic>Apl1</italic> (Table <xref ref-type="table" rid="T2">2</xref>).</p>
</sec>
<sec><title>Transposition Assays</title>
<p>Transposition assays were performed as previously described (<xref ref-type="bibr" rid="B1">Bontron et al., 2016</xref>). In brief, suicide plasmids pJS01, pJS02, pJS03, and pJS04 were electroporated into <italic>E. coli</italic> MG1655 (wild-type) and <italic>E. coli</italic> MG1655 (<italic>recA</italic>::Km) using a Biorad MicroPulser (Hercules, CA, United States) and the protocol supplied by the manufacturer. The bacteria were suspended in 1ml LB and incubated for 1 h at 37&#x00B0;C with agitation and serially diluted onto LB-agar containing 2 &#x03BC;g/ml colistin to select for transposition events. The presence of the full-length transposon Tn<italic>6330</italic> was confirmed using PCR with primers in Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S1</xref>. The transposition frequencies were calculated by dividing the number of transposition events by the number of transformed cells in triplicate (<xref ref-type="bibr" rid="B12">Milewska et al., 2015</xref>).</p>
</sec>
<sec><title>Mapping of Transposon Insertion Sites</title>
<p>Transposon insertion sites in <italic>E. coli</italic> MG1655 (<italic>recA</italic>::Km) were identified from random genomic DNA samples of each confirmed transposant prepared from overnight cultures using the TIANamp Bacteria DNA Kit (Tiangen, Dalian, China). The DNA of all the transposants was then mixed together into a single pool and a 300-bp library was constructed for Illumina paired-end sequencing (Illumina, San Diego, CA, United States). Illumina sequences were assembled <italic>de novo</italic> using SOAP software (<xref ref-type="bibr" rid="B11">Luo et al., 2012</xref>). The contigs carrying <italic>mcr-1</italic> and IS<italic>Apl1</italic> fragments were concatenated through the ISmapper analysis (<xref ref-type="bibr" rid="B6">Hawkey et al., 2015</xref>). Then the gaps were closed using PCR mapping and Sanger sequencing as shown in Figure <xref ref-type="fig" rid="F2">2</xref>. The primers targeted in the sequences of chromosome and <italic>mcr-1-pap2</italic> was designed in different insert regions (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S1</xref> and Table <xref ref-type="table" rid="T1">1</xref>) to determine transposition sites.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Schematic for determination of the transposition site by WGS and PCR. Sequences of <italic>E. coli</italic> MG1655 are shown as rectangles in light gray. The inverted repeats (IRL and IRR) are represented as blue vertical bars and DRs as black ovals.</p></caption>
<graphic xlink:href="fmicb-10-00015-g002.tif"/>
</fig>
<p>To characterize the genetic context of Tn<italic>6330</italic> in clinical strains, the sequences carrying Tn<italic>6330</italic> in GenBank were collected. For each transposition event, the relative frequencies of each A and T, and G and C of the region extending from 50 nucleotides upstream to 50 nucleotides downstream from the insert target were calculated and plotted on a line graph (<xref ref-type="bibr" rid="B23">Tang et al., 2017</xref>). The pictures of the relative frequencies of the bases at each position were generated with the Pictogram program<sup><xref ref-type="fn" rid="fn01">1</xref></sup>.</p>
</sec>
</sec>
<sec><title>Results</title>
<sec><title>Transposition of the Composite Transposon</title>
<p>We identified the transposition abilities of the Tn<italic>6330</italic> derivatives by cloning into suicide plasmids that were then electroporated into strain BW25141 (<italic>pir</italic><sup>+</sup>). These suicide plasmids were transformed into two <italic>E. coli</italic> recipient strains MG1655 (wild-type) and MG1655 <italic>(recA</italic>::Km). Survival was contingent upon transposition of the selectable markers into the host genome. The transposition frequencies of pJS01 into both <italic>E. coli</italic> strains occurred at 2.7 &#x00D7; 10<sup>-6</sup> per transformed cell. PCR and Sanger sequencing results showed that the downstream (5&#x2032;-<underline>C</underline>TTCCAA-3&#x2032;) and upstream (5&#x2032;-<underline>T</underline>TTCCAA-3&#x2032;) of IS<italic>Apl1</italic> in Tn<italic>6330</italic> in the insertion sites were different, indicating complex transposition events (data not shown). In contrast, all other constructs failed to generate cell survival in the presence of colistin (2 &#x03BC;g/ml). This indicated that Tn<italic>6330</italic>-&#x0394;IR, Tn<italic>6330</italic>-&#x0394;IS<italic>Apl1</italic>(DO), and Tn<italic>6330</italic>-&#x0394;IS<italic>Apl1</italic>(up) could not transpose successfully.</p>
<p>Interestingly, we found evidence for the formation of circular intermediates containing the IS<italic>Apl1-mcr-1-pap2</italic> structure (CM-S) from plasmids harboring Tn<italic>6330</italic> and Tn<italic>6330</italic>-&#x0394;IR. However, if the upstream or downstream IS<italic>Apl1</italic> was removed, no circular form could be detected (Figures <xref ref-type="fig" rid="F1">1B,D</xref> and Table <xref ref-type="table" rid="T3">3</xref>).</p>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Transposition frequencies of suicide plasmids bearing <italic>mcr-1</italic> genes.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Plasmid</th>
<th valign="top" align="center">Transposase</th>
<th valign="top" align="center">Reverse PCR</th>
<th valign="top" align="center">IR-IR junction</th>
<th valign="top" align="center">Transposition frequency (wild type)<sup>a</sup></th>
<th valign="top" align="center">Transposition frequency (recA::Km)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">pJS01</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">2.78 &#x00D7; 10<sup>-6</sup></td>
<td valign="top" align="center">2.71 &#x00D7; 10<sup>-6</sup></td>
</tr>
<tr>
<td valign="top" align="left">pJS02</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="top" align="left">pJS03</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="top" align="left">pJS04</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">+</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td></tr>
</tbody>
</table>
</table-wrap>
<p>All these transposition events generated IR-IR junctions were separated by 2 bp spacers (Figures <xref ref-type="fig" rid="F1">1C,E</xref>, <xref ref-type="fig" rid="F3">3</xref>). This would be possible through the formation of IS<italic>Apl1</italic> dimers (pJS01, Figure <xref ref-type="fig" rid="F1">1C</xref>), a truncated IS<italic>Apl1</italic> next to a truncated IS<italic>Apl1</italic> (pJS02) or a circularized IS<italic>Apl1</italic> that was possible with all constructs (<xref ref-type="bibr" rid="B7">Kiss and Olasz, 1999</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Target site analyses of Tn<italic>6330</italic> transposons. <bold>(A)</bold> Molecular characterization of 27 transposition events of Tn<italic>6330</italic> transposons in <italic>E. coli</italic> MG1655 (<italic>recA</italic>::Km). The duplicated 2-bp target site is underlined in the context of the surrounding 48 nucleotides upstream and downstream of the target sites. <bold>(B)</bold> Statistical<italic>( analyses of the 27 transposition sites. The percentage of AT and GC at each position from 48 nucleotides upstream to 48 nucleotides downstream of the target site are shown. The 2-bp duplicated target site (c1 and c2) are indicated by black bars. The AT and GC percentages of regions spanning positions &#x2013;48 to &#x2013;3 and positions +3 to +48 and that of the region spanning positions &#x2013;2 to 2 are indicated in the upper and lower graphs, respectively. Relative nucleotide frequencies at each target site deduced from the <bold>(C)</bold> 27 experimental transposition events shown in <bold>(A)</bold> and <bold>(D)</bold> from 26 Tn<italic>6330</italic> transposons in clinical isolates obtained from GenBank (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S2</xref>).)</italic></p></caption>
<graphic xlink:href="fmicb-10-00015-g003.tif"/>
</fig>
</sec>
<sec><title>Target Site Specificity</title>
<p>Whole genome sequence (WGS) and ISMapper-based analyses revealed 27 integration sites. The Illumina reads have been deposited in GenBank under accession no. SRR8365224. The insert locations of the <italic>mcr-1</italic> gene were further confirmed by PCR and Sanger sequencing. The majority of these events (24/27) generated 2-bp duplications and occurred in AT-rich regions with a high preference for insertion between T and A. The mean AT content extending in each direction from the 2-bp target sites (&#x2013;50 to &#x2013;2 bp and +2 to +50 bp) were 52 and 50%, respectively (Figure <xref ref-type="fig" rid="F3">3</xref>). In addition, the AT content increased nearer the target site and was 100% at positions &#x2013;4, +3 and +4 and 74 to 96% at positions &#x2013;7, &#x2013;6, &#x2013;5, &#x2013;2, +1, +2, +5, +6 and +7. At the duplicated target site positions (c1 and c2) the AT content was lower (26 to 41%) (Figure <xref ref-type="fig" rid="F3">3B</xref>).</p>
</sec>
<sec><title>Distribution of Tn<italic>6330</italic>-Like Transposons in Enterobacteriaceae</title>
<p>To further characterize the transposon events in clinical strains, we collected sequences harboring the Tn<italic>6330</italic>-like structures from GenBank in isolates from more than ten regions including China, Hong Kong, Taiwan, Japan, Malaysia, Thailand, United States, Italy, Germany, Switzerland, Argentina, and Canada (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S2</xref>). We found that 47 sequences had 2-bp target directed repeats, a characteristic signature of transposition events of Tn<italic>6330</italic>-like transposons. The AT preferences of Tn<italic>6330</italic> insertions were similar to that <italic>in vitro</italic> mobilization assays presented above (Figure <xref ref-type="fig" rid="F3">3D</xref>).</p>
</sec>
</sec>
<sec><title>Discussion</title>
<p>In this study we demonstrated the functionality of Tn<italic>6330</italic> transposition from plasmids where cell survival was dependent on transposition of the <italic>mcr-1</italic> selective marker. The intact Tn<italic>6330</italic> in plasmid pJS01 transposed efficiently into the <italic>E. coli</italic> chromosome. Transposition occurs <italic>via</italic> a highly reactive intermediate such as IS<italic>30</italic><sub>2</sub> and provides a molecular model for IS<italic>30</italic>-like transposition. This also relied on a circular intermediate carrying an active IR-IR junction (<xref ref-type="bibr" rid="B13">Olasz et al., 1993</xref>; <xref ref-type="bibr" rid="B7">Kiss and Olasz, 1999</xref>). The IS<italic>Apl1</italic> element in Tn<italic>6330</italic> belongs to the IS<italic>30</italic> family so we examined the role of IS<italic>Apl1</italic><sub>2</sub> carrying joined IRs in IS<italic>Apl1-</italic> mediated transposon. Previous studies provided evidence that the reverse PCR amplicon IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic> acted as a circular intermediate (<xref ref-type="bibr" rid="B9">Li et al., 2017</xref>; <xref ref-type="bibr" rid="B29">Zhao et al., 2017</xref>). However, this could not distinguish between that structure and (IS<italic>Apl1</italic>)<sub>2</sub>-<italic>mcr-1</italic>-<italic>pap2</italic>. All four of our plasmid constructs generated IR-IR junctions.</p>
<p>The genuine IS<italic>30</italic>-like circular intermediate of Tn<italic>6330</italic> composed of (IS<italic>Apl1</italic>)<sub>2</sub>-<italic>mcr-1</italic>-<italic>pap2</italic> was only formed from pJS01 (Figure <xref ref-type="fig" rid="F1">1C</xref>). This was dependent upon the IS<italic>Apl1</italic> IR-IR junction and the production of the transposase for successful transposition into the <italic>E. coli</italic> chromosome (<xref ref-type="bibr" rid="B7">Kiss and Olasz, 1999</xref>). Plasmids pJS02, pJS03 and pJS04 could not form the IS<italic>Apl1</italic><sub>2</sub>-<italic>mcr-1</italic>-<italic>pap2</italic> circular intermediates and failed to transpose. This would also explain that <italic>mcr-1</italic> in the absence of flanked copies of IS<italic>Apl1</italic> or just one copy of IS<italic>Apl1</italic> originated from an ancestral Tn<italic>6330</italic> (<xref ref-type="bibr" rid="B19">Snesrud et al., 2018</xref>). The transposition of <italic>mcr-1</italic> relied on an intact Tn<italic>6330</italic>.</p>
<p>Transposition frequencies of suicide plasmids carrying Tn<italic>6330</italic> were high at rates of 10<sup>-6</sup> per transformed cell both in wild type and <italic>recA</italic> mutant MG1655 strain. The relatively high Tn<italic>6330</italic> transposition frequency together with frequent insertion into transmissible plasmid targets might explain why the <italic>mcr-1</italic> gene is globally prevalent. Tn<italic>6330</italic> has been found in <italic>E. coli, Salmonella enterica, Klebsiella pneumoniae, Citrobacter freundii</italic>, and <italic>Citrobacter braakii</italic> (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S2</xref>). The composite transposon Tn<italic>6330</italic> might lose one or both copies of IS<italic>Apl1</italic> through illegitimate recombination giving rise to different types of genetic contexts such as IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2, mcr-1</italic>-<italic>pap2</italic>, &#x0394;Tn<italic>6330</italic> and others (<xref ref-type="bibr" rid="B18">Snesrud et al., 2016</xref>). Loss of IS<italic>Apl1</italic> seems to be conducive to <italic>mcr-1</italic> maintenance increasing the stability of this gene in the host genome or plasmids and raising the risk of <italic>mcr-1</italic> dissemination.</p>
<p>The target site of Tn<italic>6330</italic> was AT rich in the 6 bp surrounding the duplicated target site. In <italic>E. coli</italic> clinical isolates, the same features were present both in plasmids and chromosomal regions consistent with previous works (<xref ref-type="bibr" rid="B18">Snesrud et al., 2016</xref>, <xref ref-type="bibr" rid="B19">2018</xref>; <xref ref-type="bibr" rid="B15">Poirel et al., 2017b</xref>). Both the experimental transposants and <italic>E. coli</italic> clinical isolates showed a high frequency of T on the upstream and A on the downstream sides of the Tn<italic>6330</italic> target site. These findings contrast with previous descriptions that indicated target site duplication always carried a C or a G or both suggesting a relatively even distribution of A, T, G and C.</p>
<p>Though <xref ref-type="bibr" rid="B15">Poirel et al. (2017b)</xref> have demonstrated the mobility of the <italic>mcr-1</italic> gene by transposition, some differences exist in our study: (1) we found the suicide plasmids harboring <italic>mcr-1</italic> could successfully transpose into the bacterial chromosome using the colistin resistant phenotype during the process of transposition. We found no visible toxic effects to the presence of MCR-1. Toxic effects of MCR-1 that limited colonization of <italic>mcr-1</italic> in regular bacterial cells might be caused by high plasmid copy number (<xref ref-type="bibr" rid="B28">Yang et al., 2017</xref>). (2) We characterized 27 transposon sites using WGS and ISMapper. Compared with previous digestion and inverse PCR strategies, the ISMapper method might be more convenient and efficient (<xref ref-type="bibr" rid="B15">Poirel et al., 2017b</xref>). (3) The regions of the downstream IS<italic>Apl1</italic> (<underline>C</underline>TTCCAA) were different from the upstream IS<italic>Apl1</italic> (<underline>T</underline>TTCCAA) in all the transposants; the same as initial Tn<italic>6330</italic> in pJS01. This result suggested that the transposition events were not from the IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic> circular form. This was further evidence for an IS<italic>Apl1</italic> dimer-mediated composite transposon (<xref ref-type="bibr" rid="B19">Snesrud et al., 2018</xref>). In addition, our study for the first time indicates that an IS<italic>Apl1</italic> dimer plays a crucial role as a genuine circular intermediate. This contrasts with previous studies indicating that the IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic> circular form results in the transposition of <italic>mcr-1</italic> (<xref ref-type="bibr" rid="B9">Li et al., 2017</xref>; <xref ref-type="bibr" rid="B29">Zhao et al., 2017</xref>). A reverse PCR amplicon does not completely characterize a circular intermediate since it cannot identify the IS-IS junction.</p>
<p>In summary, our results further verified that the transposition of <italic>mcr-1</italic> is only mediated by an intact Tn<italic>6330</italic> but not the amplicon identified by reverse PCR, the IS<italic>Apl1</italic>-<italic>mcr-1</italic>-<italic>pap2</italic> circular form. In addition, the IS<italic>Apl1</italic> dimer IS<italic>Apl1</italic><sub>2</sub>-<italic>mcr-1</italic>-<italic>pap2</italic> represents a crucial intermediate in <italic>mcr-1</italic> transmission. Future studies will focus on the regulatory mechanisms of Tn<italic>6330</italic> transposition in the search for a viable path to block the spread of the colistin resistance gene <italic>mcr-1</italic>.</p>
</sec>
<sec><title>Author Contributions</title>
<p>JS designed this project. Y-ZH, Y-YM, X-PW, and Y-YG performed the experiments. Y-ZH, X-PLi, YF, and JS analyzed the data. X-PLi and R-YS made the figures. X-PLi wrote this manuscript. JL, X-PLiao, YF, and JS edited and revised the manuscript. Y-HL coordinated the whole project.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer BZ declared a shared affiliation, with no collaboration, with one of the authors, YF to the handling Editor at the time of review.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This work was supported by the National Key R&#x0026;D Program of China (2016YFD0501300), the Program of Changjiang Scholars and Innovative Research Team in University of Ministry of Education of China (IRT13063), and Pearl River S&#x0026;T Nova Program of Guangzhou (Grant No. 201610010036).</p>
</fn>
</fn-group>
<sec sec-type="supplementary material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2019.00015/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fmicb.2019.00015/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bontron</surname> <given-names>S.</given-names></name> <name><surname>Nordmann</surname> <given-names>P.</given-names></name> <name><surname>Poirel</surname> <given-names>L.</given-names></name></person-group> (<year>2016</year>). <article-title>Transposition of Tn<italic>125</italic> encoding the NDM-1 carbapenemase in <italic>Acinetobacter baumannii</italic>.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>60</volume> <fpage>7245</fpage>&#x2013;<lpage>7251</lpage>. <pub-id pub-id-type="doi">10.1128/AAC.01755-16</pub-id> <pub-id pub-id-type="pmid">27671058</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Datsenko</surname> <given-names>K. A.</given-names></name> <name><surname>Wanner</surname> <given-names>B. L.</given-names></name></person-group> (<year>2000</year>). <article-title>One-step inactivation of chromosomal genes in <italic>Escherichia coli</italic> K-12 using PCR products.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>97</volume> <fpage>6640</fpage>&#x2013;<lpage>6645</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.120163297</pub-id> <pub-id pub-id-type="pmid">10829079</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Feng</surname> <given-names>Y.</given-names></name></person-group> (<year>2018</year>). <article-title>Transferability of MCR-1/2 polymyxin resistance: complex dissemination and genetic mechanism.</article-title> <source><italic>ACS Infect. Dis.</italic></source> <volume>4</volume> <fpage>291</fpage>&#x2013;<lpage>300</lpage>. <pub-id pub-id-type="doi">10.1021/acsinfecdis.7b00201</pub-id> <pub-id pub-id-type="pmid">29397687</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gao</surname> <given-names>R.</given-names></name> <name><surname>Hu</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>Z.</given-names></name> <name><surname>Sun</surname> <given-names>J.</given-names></name> <name><surname>Wang</surname> <given-names>Q.</given-names></name> <name><surname>Lin</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Dissemination and mechanism for the MCR-1 colistin resistance.</article-title> <source><italic>PLoS Pathog.</italic></source> <volume>12</volume>:<issue>e1005957</issue>. <pub-id pub-id-type="doi">10.1371/journal.ppat.1005957</pub-id> <pub-id pub-id-type="pmid">27893854</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gerdes</surname> <given-names>S. Y.</given-names></name> <name><surname>Scholle</surname> <given-names>M. D.</given-names></name> <name><surname>Campbell</surname> <given-names>J. W.</given-names></name> <name><surname>Bal&#x00E1;zsi</surname> <given-names>G.</given-names></name> <name><surname>Ravasz</surname> <given-names>E.</given-names></name> <name><surname>Daugherty</surname> <given-names>M. D.</given-names></name><etal/></person-group> (<year>2003</year>). <article-title>Experimental determination and system level analysis of essential genes in <italic>Escherichia coli</italic> MG1655.</article-title> <source><italic>J. Bacteriol.</italic></source> <volume>185</volume> <fpage>5673</fpage>&#x2013;<lpage>5684</lpage>. <pub-id pub-id-type="doi">10.1128/jb.185.19.5673-5684.2003</pub-id> <pub-id pub-id-type="pmid">13129938</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hawkey</surname> <given-names>J.</given-names></name> <name><surname>Hamidian</surname> <given-names>M.</given-names></name> <name><surname>Wick</surname> <given-names>R. R.</given-names></name> <name><surname>Edwards</surname> <given-names>D. J.</given-names></name> <name><surname>Billman-Jacobe</surname> <given-names>H.</given-names></name> <name><surname>Hall</surname> <given-names>R. M.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>ISMapper: identifying transposase insertion sites in bacterial genomes from short read sequence data.</article-title> <source><italic>BMC Genomics</italic></source> <volume>16</volume>:<issue>667</issue>. <pub-id pub-id-type="doi">10.1186/s12864-015-1860-2</pub-id> <pub-id pub-id-type="pmid">26336060</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kiss</surname> <given-names>J.</given-names></name> <name><surname>Olasz</surname> <given-names>F.</given-names></name></person-group> (<year>1999</year>). <article-title>Formation and transposition of the covalently closed IS<italic>30</italic> circle: the relation between tandem dimers and monomeric circles.</article-title> <source><italic>Mol. Microbiol.</italic></source> <volume>34</volume> <fpage>37</fpage>&#x2013;<lpage>52</lpage>. <pub-id pub-id-type="doi">10.1046/j.1365-2958.1999.01567.x</pub-id> <pub-id pub-id-type="pmid">10540284</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>J.</given-names></name> <name><surname>Nation</surname> <given-names>R. L.</given-names></name> <name><surname>Turnidge</surname> <given-names>J. D.</given-names></name> <name><surname>Milne</surname> <given-names>R. W.</given-names></name> <name><surname>Coulthard</surname> <given-names>K.</given-names></name> <name><surname>Rayner</surname> <given-names>C. R.</given-names></name><etal/></person-group> (<year>2006</year>). <article-title>Colistin: the re-emerging antibiotic for multidrug-resistant gram-negative bacterial infections.</article-title> <source><italic>Lancet Infect. Dis.</italic></source> <volume>6</volume> <fpage>589</fpage>&#x2013;<lpage>601</lpage>. <pub-id pub-id-type="doi">10.1016/S1473-3099(06)70580-1</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>R.</given-names></name> <name><surname>Xie</surname> <given-names>M.</given-names></name> <name><surname>Zhang</surname> <given-names>J.</given-names></name> <name><surname>Yang</surname> <given-names>Z.</given-names></name> <name><surname>Liu</surname> <given-names>L.</given-names></name> <name><surname>Liu</surname> <given-names>X.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Genetic characterization of <italic>mcr-1</italic>-bearing plasmids to depict molecular mechanisms underlying dissemination of the colistin resistance determinant.</article-title> <source><italic>J. Antimicrob. Chemother.</italic></source> <volume>72</volume> <fpage>393</fpage>&#x2013;<lpage>401</lpage>. <pub-id pub-id-type="doi">10.1093/jac/dkw411</pub-id> <pub-id pub-id-type="pmid">28073961</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>Y. Y.</given-names></name> <name><surname>Wang</surname> <given-names>Y.</given-names></name> <name><surname>Walsh</surname> <given-names>T. R.</given-names></name> <name><surname>Yi</surname> <given-names>L. X.</given-names></name> <name><surname>Zhang</surname> <given-names>R.</given-names></name> <name><surname>Spencer</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: a microbiological and molecular biological study.</article-title> <source><italic>Lancet Infect. Dis.</italic></source> <volume>16</volume> <fpage>161</fpage>&#x2013;<lpage>168</lpage>. <pub-id pub-id-type="doi">10.1016/S1473-3099(15)00424-7</pub-id> <pub-id pub-id-type="pmid">26603172</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luo</surname> <given-names>R.</given-names></name> <name><surname>Liu</surname> <given-names>B.</given-names></name> <name><surname>Xie</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>Z.</given-names></name> <name><surname>Huang</surname> <given-names>W.</given-names></name> <name><surname>Yuan</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>SOAPdenovo2: an empirically improved memory-efficient short-read de novo assembler.</article-title> <source><italic>Gigascience</italic></source> <volume>1</volume>:<issue>18</issue>. <pub-id pub-id-type="doi">10.1186/2047-217X-1-18</pub-id> <pub-id pub-id-type="pmid">26161257</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Milewska</surname> <given-names>K.</given-names></name> <name><surname>Wegrzyn</surname> <given-names>G.</given-names></name> <name><surname>Szalewska-Palasz</surname> <given-names>A.</given-names></name></person-group> (<year>2015</year>). <article-title>Transformation of <italic>Shewanella baltica</italic> with ColE1-like and P1 plasmids and their maintenance during bacterial growth in cultures.</article-title> <source><italic>Plasmid</italic></source> <volume>81</volume> <fpage>42</fpage>&#x2013;<lpage>49</lpage>. <pub-id pub-id-type="doi">10.1016/j.plasmid.2015.07.001</pub-id> <pub-id pub-id-type="pmid">26170108</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Olasz</surname> <given-names>F.</given-names></name> <name><surname>Stalder</surname> <given-names>R.</given-names></name> <name><surname>Arber</surname> <given-names>W.</given-names></name></person-group> (<year>1993</year>). <article-title>Formation of the tandem repeat (IS30)2 and its role in IS30-mediated transpositional DNA rearrangements.</article-title> <source><italic>Mol. Gen. Genet.</italic></source> <volume>239</volume> <fpage>177</fpage>&#x2013;<lpage>187</lpage>. <pub-id pub-id-type="pmid">8389976</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Poirel</surname> <given-names>L.</given-names></name> <name><surname>Jayol</surname> <given-names>A.</given-names></name> <name><surname>Nordmann</surname> <given-names>P.</given-names></name></person-group> (<year>2017a</year>). <article-title>Polymyxins: antibacterial activity, susceptibility testing, and resistance mechanisms encoded by plasmids or chromosomes.</article-title> <source><italic>Clin. Microbiol. Rev.</italic></source> <volume>30</volume> <fpage>557</fpage>&#x2013;<lpage>596</lpage>. <pub-id pub-id-type="doi">10.1128/CMR.00064-16</pub-id> <pub-id pub-id-type="pmid">28275006</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Poirel</surname> <given-names>L.</given-names></name> <name><surname>Kieffer</surname> <given-names>N.</given-names></name> <name><surname>Nordmann</surname> <given-names>P.</given-names></name></person-group> (<year>2017b</year>). <article-title>In-vitro study of ISApl1-mediated mobilization of the colistin resistance gene mcr-1.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>61</volume>:<issue>e00127-17</issue>. <pub-id pub-id-type="doi">10.1128/AAC.00127-17</pub-id> <pub-id pub-id-type="pmid">28416554</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rakowski</surname> <given-names>S. A.</given-names></name> <name><surname>Filutowicz</surname> <given-names>M.</given-names></name></person-group> (<year>2013</year>). <article-title>Plasmid R6K replication control.</article-title> <source><italic>Plasmid</italic></source> <volume>69</volume> <fpage>231</fpage>&#x2013;<lpage>242</lpage>. <pub-id pub-id-type="doi">10.1016/j.plasmid.2013.02.003</pub-id> <pub-id pub-id-type="pmid">23474464</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shen</surname> <given-names>Y.</given-names></name> <name><surname>Zhou</surname> <given-names>H.</given-names></name> <name><surname>Xu</surname> <given-names>J.</given-names></name> <name><surname>Wang</surname> <given-names>Y.</given-names></name> <name><surname>Zhang</surname> <given-names>Q.</given-names></name> <name><surname>Walsh</surname> <given-names>T. R.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Anthropogenic and environmental factors associated with high incidence of mcr-1 carriage in humans across China.</article-title> <source><italic>Nat. Microbiol.</italic></source> <volume>3</volume> <fpage>1054</fpage>&#x2013;<lpage>1062</lpage>. <pub-id pub-id-type="doi">10.1038/s41564-018-0205-8</pub-id> <pub-id pub-id-type="pmid">30038311</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Snesrud</surname> <given-names>E.</given-names></name> <name><surname>He</surname> <given-names>S.</given-names></name> <name><surname>Chandler</surname> <given-names>M.</given-names></name> <name><surname>Dekker</surname> <given-names>J. P.</given-names></name> <name><surname>Hickman</surname> <given-names>A. B.</given-names></name> <name><surname>McGann</surname> <given-names>P.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>A model for transposition of the colistin resistance gene <italic>mcr-1</italic> by IS<italic>Apl1</italic>.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>60</volume> <fpage>6973</fpage>&#x2013;<lpage>6976</lpage>. <pub-id pub-id-type="doi">10.1128/AAC.01457-16</pub-id> <pub-id pub-id-type="pmid">27620479</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Snesrud</surname> <given-names>E.</given-names></name> <name><surname>McGann</surname> <given-names>P.</given-names></name> <name><surname>Chandler</surname> <given-names>M.</given-names></name></person-group> (<year>2018</year>). <article-title>The birth and demise of the IS<italic>Apl1</italic>-<italic>mcr-1</italic>-IS<italic>Apl1</italic> composite transposon: the vehicle for transferable colistin resistance.</article-title> <source><italic>MBio</italic></source> <volume>9</volume>:<issue>e02381</issue>-17. <pub-id pub-id-type="doi">10.1128/mBio.02381-17</pub-id> <pub-id pub-id-type="pmid">29440577</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname> <given-names>J.</given-names></name> <name><surname>Fang</surname> <given-names>L. X.</given-names></name> <name><surname>Wu</surname> <given-names>Z.</given-names></name> <name><surname>Deng</surname> <given-names>H.</given-names></name> <name><surname>Yang</surname> <given-names>R. S.</given-names></name> <name><surname>Li</surname> <given-names>X. P.</given-names></name><etal/></person-group> (<year>2017a</year>). <article-title>Genetic analysis of the IncX4 plasmids: Implications for a unique pattern in the <italic>mcr-1</italic> acquisition.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>7</volume>:<issue>424</issue>. <pub-id pub-id-type="doi">10.1038/s41598-017-00095-x</pub-id> <pub-id pub-id-type="pmid">28336940</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname> <given-names>J.</given-names></name> <name><surname>Zeng</surname> <given-names>X.</given-names></name> <name><surname>Li</surname> <given-names>X. P.</given-names></name> <name><surname>Liao</surname> <given-names>X. P.</given-names></name> <name><surname>Liu</surname> <given-names>Y. H.</given-names></name> <name><surname>Lin</surname> <given-names>J.</given-names></name></person-group> (<year>2017b</year>). <article-title>Plasmid-mediated colistin resistance in animals: current status and future directions.</article-title> <source><italic>Anim. Health Res. Rev.</italic></source> <volume>18</volume> <fpage>136</fpage>&#x2013;<lpage>152</lpage>. <pub-id pub-id-type="doi">10.1017/S1466252317000111</pub-id> <pub-id pub-id-type="pmid">29665883</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname> <given-names>J.</given-names></name> <name><surname>Zhang</surname> <given-names>H.</given-names></name> <name><surname>Liu</surname> <given-names>Y. H.</given-names></name> <name><surname>Feng</surname> <given-names>Y.</given-names></name></person-group> (<year>2018</year>). <article-title>Towards understanding MCR-like colistin resistance.</article-title> <source><italic>Trends Microbiol.</italic></source> <volume>26</volume> <fpage>794</fpage>&#x2013;<lpage>808</lpage>. <pub-id pub-id-type="doi">10.1016/j.tim.2018.02.006</pub-id> <pub-id pub-id-type="pmid">29525421</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>G.</given-names></name> <name><surname>Liang</surname> <given-names>W.</given-names></name> <name><surname>Shen</surname> <given-names>P.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name> <name><surname>Jiang</surname> <given-names>X.</given-names></name></person-group> (<year>2017</year>). <article-title>Translocation of carbapenemase gene <italic>bla</italic>KPC-2 both internal and external to transposons occurs via novel structures of Tn<italic>1721</italic> and exhibits distinct movement patterns.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>61</volume>:<issue>e01151-17</issue>. <pub-id pub-id-type="doi">10.1128/AAC.01151-17</pub-id> <pub-id pub-id-type="pmid">28784666</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tegetmeyer</surname> <given-names>H. E.</given-names></name> <name><surname>Jones</surname> <given-names>S. C.</given-names></name> <name><surname>Langford</surname> <given-names>P. R.</given-names></name> <name><surname>Baltes</surname> <given-names>N.</given-names></name></person-group> (<year>2008</year>). <article-title>IS<italic>Apl1</italic>, a novel insertion element of <italic>Actinobacillus pleuropneumoniae</italic>, prevents ApxIV-based serological detection of serotype 7 strain AP76.</article-title> <source><italic>Vet. Microbiol.</italic></source> <volume>128</volume> <fpage>342</fpage>&#x2013;<lpage>353</lpage>. <pub-id pub-id-type="doi">10.1016/j.vetmic.2007.10.025</pub-id> <pub-id pub-id-type="pmid">18065168</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>R.</given-names></name> <name><surname>van Dorp</surname> <given-names>L.</given-names></name> <name><surname>Shaw</surname> <given-names>L. P.</given-names></name> <name><surname>Bradley</surname> <given-names>P.</given-names></name> <name><surname>Wang</surname> <given-names>Q.</given-names></name> <name><surname>Wang</surname> <given-names>X.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>The global distribution and spread of the mobilized colistin resistance gene <italic>mcr-1</italic>.</article-title> <source><italic>Nat. Commun.</italic></source> <volume>9</volume>:<issue>1179</issue>. <pub-id pub-id-type="doi">10.1038/s41467-018-03205-z</pub-id> <pub-id pub-id-type="pmid">29563494</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wei</surname> <given-names>W.</given-names></name> <name><surname>Srinivas</surname> <given-names>S.</given-names></name> <name><surname>Lin</surname> <given-names>J.</given-names></name> <name><surname>Tang</surname> <given-names>Z.</given-names></name> <name><surname>Wang</surname> <given-names>S.</given-names></name> <name><surname>Ullah</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Defining ICR-Mo, an intrinsic colistin resistance determinant from <italic>Moraxella osloensis</italic>.</article-title> <source><italic>PLoS Genet.</italic></source> <volume>14</volume>:<issue>e1007389</issue>. <pub-id pub-id-type="doi">10.1371/journal.pgen.1007389</pub-id> <pub-id pub-id-type="pmid">29758020</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>Y.</given-names></name> <name><surname>Wei</surname> <given-names>W.</given-names></name> <name><surname>Lei</surname> <given-names>S.</given-names></name> <name><surname>Lin</surname> <given-names>J.</given-names></name> <name><surname>Srinivas</surname> <given-names>S.</given-names></name> <name><surname>Feng</surname> <given-names>Y.</given-names></name></person-group> (<year>2018</year>). <article-title>An evolutionarily conserved mechanism for intrinsic and transferable polymyxin resistance.</article-title> <source><italic>MBio</italic></source> <volume>9</volume>:<issue>e02317-17</issue>. <pub-id pub-id-type="doi">10.1128/mBio.02317-17</pub-id> <pub-id pub-id-type="pmid">29636432</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname> <given-names>Q.</given-names></name> <name><surname>Li</surname> <given-names>M.</given-names></name> <name><surname>Spiller</surname> <given-names>O. B.</given-names></name> <name><surname>Andrey</surname> <given-names>D. O.</given-names></name> <name><surname>Hinchliffe</surname> <given-names>P.</given-names></name> <name><surname>Li</surname> <given-names>H.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Balancing mcr-1 expression and bacterial survival is a delicate equilibrium between essential cellular defence mechanisms.</article-title> <source><italic>Nat. Commun.</italic></source> <volume>8</volume>:<issue>2054</issue>. <pub-id pub-id-type="doi">10.1038/s41467-017-02149-0</pub-id> <pub-id pub-id-type="pmid">29233990</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname> <given-names>F.</given-names></name> <name><surname>Feng</surname> <given-names>Y.</given-names></name> <name><surname>Lu</surname> <given-names>X.</given-names></name> <name><surname>McNally</surname> <given-names>A.</given-names></name> <name><surname>Zong</surname> <given-names>Z.</given-names></name></person-group> (<year>2017</year>). <article-title>Remarkable diversity of <italic>Escherichia coli</italic> carrying <italic>mcr-1</italic> from hospital sewage with the identification of two new <italic>mcr-1</italic> variants.</article-title> <source><italic>Front. Microbiol.</italic></source> <volume>8</volume>:<issue>2094</issue>. <pub-id pub-id-type="doi">10.3389/fmicb.2017.02094</pub-id> <pub-id pub-id-type="pmid">29118748</pub-id></citation></ref>
</ref-list>
<fn-group>
<fn id="fn01"><label>1</label><p><ext-link ext-link-type="uri" xlink:href="http://genes.mit.edu/pictogram.html">http://genes.mit.edu/pictogram.html</ext-link></p></fn>
</fn-group>
</back>
</article>