pACM1 is a conjugative multiresistance plasmid from Klebsiella oxytoca that
encodes SHV-5 extended-spectrum beta-lactamase (ESBL) and has two integron
s. The first is a type I (sul type); the second, detected by hybridization
with an intI gene probe, has been putatively identified as a defective type
I integron. The cassette region of the first integron has now been fully s
equenced and contains three aminoglycoside resistance determinants (aac(6')
-Ib, aac(3)-Ia, and ant(3 ")-Ia) and two open reading frames of unknown fun
ction. In addition, sequencing of a region downstream from the qacE Delta 1
-sul1-ORF 5 gene cluster of the first integron revealed a copy of insertion
sequence IS6100 flanked by inverted copies of sequence from the 11.2-kb in
sert (In2) of Tn21. This arrangement is similar to that found in In4 of Tn1
696. The coincidence of an ESBL gene and mobile elements on a conjugative p
lasmid has potential implications for the spread of ESBL-mediated drug resi
stance, though evidence of bla((SHV-5)) movement mediated by these elements
has not been found. (C) 1999 Academic Press.