Paper I
2013 April (2010 Scheme) · 40 marks · 120 min

Question

R plasmid

Q42 marksShort Notes

Answer

R (resistance) plasmids are extrachromosomal, self-replicating, double-stranded circular DNA elements found in bacteria that carry genes conferring resistance to one or more antimicrobial agents (and sometimes heavy metals).

Structure: an R plasmid typically has two components — the Resistance Transfer Factor (RTF), which carries genes for plasmid replication and conjugative transfer (including the tra genes and sex pilus formation in Gram-negative bacteria), and the r-determinant, which carries the actual antibiotic-resistance genes (often clustered as transposons, so multiple resistance genes can be acquired/lost together).

Significance:

  • R plasmids are transferable between bacteria (even across species/genera) by conjugation, transformation, or transduction, allowing rapid horizontal spread of multidrug resistance through a bacterial population — a major mechanism behind the emergence of multidrug-resistant Enterobacteriaceae.
  • Resistance genes commonly carried include those conferring resistance to ampicillin, chloramphenicol, tetracycline, streptomycin, and sulfonamides.
  • Because r-determinants often reside on transposons (“jumping genes”), they can move between plasmids and the chromosome, further amplifying the spread and persistence of resistance.
  • Clinically important in nosocomial infections and in the rise of extended-spectrum beta-lactamase (ESBL)-producing organisms.

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