PMID- 17634295 OWN - NLM STAT- MEDLINE DCOM- 20071106 LR - 20181113 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 45 IP - 9 DP - 2007 Sep TI - Molecular characterization of vancomycin-resistant enterococcus faecium isolates from mainland China. PG - 2813-8 AB - Little is known about vancomycin-resistant enterococci in China. Thirteen pulsed-field gel electrophoresis-confirmed heterogeneous VanA-type vancomycin-resistant Enterococcus faecium (VRE) isolates were obtained from five Chinese hospitals from 2001 to 2005. The isolates were typed by multilocus sequence typing into nine different sequence types (STs), including five new STs (ST18, ST25, ST78, ST203, ST320, ST321, ST322, ST323, and ST335). Vancomycin resistance in each isolate was encoded on conjugative plasmids; two of the plasmids, pZB18 (67 kbp) and pZB22 (200 kbp), were highly conjugative and were able to transfer at high frequencies of around 10(-4) and 10(-7) per donor cell in broth mating, respectively. None of the plasmids identified in these isolates carried traA, which is usually conserved in the pMG1-like highly conjugative plasmid for E. faecium, implying that pZB18 and pZB22 were novel types of a highly conjugative plasmid in enterococci. Thirteen Tn1546-like elements encoding VanA-type VRE on the conjugative plasmids were classified into six types (types I to VI), and most of them contained both IS1216V and IS1542 insertions. The isolates carrying the type II element were predominant. The six type elements were different from that of a VanA-type Enterococcus faecalis strain isolated from Chinese chicken meat. The results suggested that the disseminations of VRE in these areas were by Tn1546-like elements being acquired by the conjugative plasmids and transferred among E. faecium strains. FAU - Zheng, Bo AU - Zheng B AD - Department of Bacteriology and Bacterial Infection Control, Gunma University Graduate School of Medicine, Maebashi, Gunma 371-8511, Japan. FAU - Tomita, Haruyoshi AU - Tomita H FAU - Xiao, Yong Hong AU - Xiao YH FAU - Wang, Shan AU - Wang S FAU - Li, Yun AU - Li Y FAU - Ike, Yasuyoshi AU - Ike Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070718 PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (DNA Transposable Elements) RN - 0 (DNA, Bacterial) SB - IM MH - Bacterial Typing Techniques/methods MH - China/epidemiology MH - Conjugation, Genetic MH - DNA Transposable Elements/genetics MH - DNA, Bacterial/chemistry/genetics MH - Enterococcus faecium/*classification/drug effects/*genetics/isolation & purification MH - Gene Transfer, Horizontal MH - Genotype MH - Gram-Positive Bacterial Infections/epidemiology/*microbiology MH - Humans MH - Molecular Epidemiology MH - Plasmids/genetics MH - Sequence Analysis, DNA MH - Vancomycin Resistance/*genetics PMC - PMC2045241 EDAT- 2007/07/20 09:00 MHDA- 2007/11/07 09:00 PMCR- 2008/01/01 CRDT- 2007/07/20 09:00 PHST- 2007/07/20 09:00 [pubmed] PHST- 2007/11/07 09:00 [medline] PHST- 2007/07/20 09:00 [entrez] PHST- 2008/01/01 00:00 [pmc-release] AID - JCM.00457-07 [pii] AID - 0457-07 [pii] AID - 10.1128/JCM.00457-07 [doi] PST - ppublish SO - J Clin Microbiol. 2007 Sep;45(9):2813-8. doi: 10.1128/JCM.00457-07. Epub 2007 Jul 18.