Ar. Brown et al., Diversity of Tn1546 elements in clinical isolates of glycopeptide-resistant enterococci from Scottish hospitals, ANTIM AG CH, 45(4), 2001, pp. 1309-1311
The Tn1546-related elements of 48 Van glycopetide-resistant enterococci wer
e compared. Ten distinct Tn1546 types were identified with variation primar
ily due to IS1542 and IS1216V-like insertions. Clonal isolates frequently d
iffered in their Tn1546 type, indicating instability of Tn1546-related elem
ents. A putative hybrid promoter was identified, generated upstream of vanR
by the insertion of IS1542, The presence of this hybrid promoter was assoc
iated with constitutive expression of the van genes and elevated teicoplani
n resistance.