Conjugation is the primary route of broad host range DNA transfer betw
een different genera of bacteria. Plasmids are the most familiar conju
gative elements, but there are also self-transmissible integrated elem
ents called conjugative transposons. Conjugative transposons have been
found in many genera of gram-positive bacteria, in mycoplasmas and in
gram negative bacteria such as Bacteroides spp. and Moraxella spp., a
nd they have a very broad host range. The best-studied conjugative tra
nsposons are: the ones related to Tn916, a 16 kb conjugative transposo
n found originally in Gram-positive bacteria; Tn5276, a 70 kb conjugat
ive transposon from Lactococcus lactis; and a group of large (> 70 kb)
conjugative transposons found in Bacteroides spp. Transfer of conjuga
tive transposons takes place in three steps: excision to form a circul
ar intermediate, transfer of one strand of the circular intermediate t
o a recipient, and integration into the recipient genome. Some conjuga
tive transposons integrate almost randomly, whereas others integrate s
ite-specifically. Conjugative transposons not only transfer themselves
but also mobilize co-resident plasmids, either by providing transfer
functions in trans or by inserting themselves into the plasmid. In add
ition, the conjugative transposons found in Bacteroides spp. can excis
e and mobilize unlinked integrated elements, called NBUs. Transfer of
many of the Bacteroides conjugative transposons is regulated by tetrac
ycline, whereas transfer of Tn916 and other conjugative transposons ap
pears to be constitutive. The conjugative transposons are clearly wide
spread in clinical isolates, but their distribution in environmental i
solates remains to be determined.