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J.Health Sci., 53(6), 750-755, 2007

A Plasmidic Class 1 Integron from Five Pseudomonas aeruginosa Clinical Strains Harbored aacA4 and Nonsense-mutated cmlA1 Gene Cassettes

He Yan,a Lei Shi,a Shinji Yamasaki,a, b Xinhui Li,c Yicheng Cao,c Lin Li,a Liansheng Yang,a and Shin-ichi Miyoshi*, d

aCollege of Light Industry and Food Technology, South China University of Technology, 510640 Guangzhou, P.R. China, bOsaka Prefecture University, Sakai, Osaka 559-8531, Japan, cSchool of Biological Science and Bioengineering, South China University of Technology, 510640 Guangzhou, P.R. China, and dGraduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8530, Japan

Five strains of multidrug-resistant Pseudomonas aeruginosa (P. aeruginosa) were isolated from inpatients at a local hospital in China. The most frequent resistance was to cefoperazone, ciprofloxacin, ceftriaxone, cefotaxime, gentamicin, piperacillin, trimethoprim sulfamethoxazole, and tobramycin. These strains were found to contain the class 1 integron, in which the 2360-bp gene cassettes were flanked by 5'- and 3'-conserved segments. Sequence analysis revealed that the gene cassettes contained aacA4 and cmlA1 genes; however, the latter gene had a nonsense mutation resulting in the production of a truncated protein. To the best of our knowledge, this is the first report of a nonsense mutation in the cmlA1 gene. Moreover, the P. aeruginosa strains showed identical profiles in pulsed-field gel electrophoresis, suggesting that they were derived from the same clone. These results emphasize the importance of controlling the spread of multidrug-resistant pathogens in hospitals.