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The IS6 family, a clinically important group of insertion sequences including IS26
Mobile DNA volume 12, Article number: 11 (2021)
The IS6 family of bacterial and archaeal insertion sequences, first identified in the early 1980s, has proved to be instrumental in the rearrangement and spread of multiple antibiotic resistance. Two IS, IS26 (found in many enterobacterial clinical isolates as components of both chromosome and plasmids) and IS257 (identified in the plasmids and chromosomes of gram-positive bacteria), have received particular attention for their clinical impact. Although few biochemical data are available concerning the transposition mechanism of these elements, genetic studies have provided some interesting observations suggesting that members of the family might transpose using an unexpected mechanism. In this review, we present an overview of the family, the distribution and phylogenetic relationships of its members, their impact on their host genomes and analyse available data concerning the particular transposition pathways they may use. We also provide a mechanistic model that explains the recent observations on one of the IS6 family transposition pathways: targeted cointegrate formation between replicons.
The importance of insertion sequences (IS) in shaping prokaryotic genomes and in directing gene sequestration as a prologue to horizontal transfer in bacterial populations has been well documented (see [1, 2] and references therein for a detailed discussion). IS are small DNA segments generally less than 2.5 kb long encoding an enzyme, the transposase (Tnp), which catalyzes the DNA cleavage and strand-transfer reactions enabling movement from one location (the donor site) to another (the target site) in DNA molecules. Tnp acts on its cognate IS and is generally the only gene carried by the IS. IS are a diverse group of transposable elements (TE) which often include short imperfect terminal inverted repeat sequences (IR) and generate small flanking directly repeated target DNA sequences (DR) on insertion. There are at least 27 IS families [3, 4] defined by the chemistry used by their Tnp, the sequence relatedness of the Tnp as defined  by TRIBE-MCL which relies on the Markov cluster (MCL) algorithm  and the sequence of their ends. These families are listed in the ISfinder database (ISfinder, https://www-is.biotoul.fr/) and described in detail in TnPedia (https://tnpedia.fcav.unesp.br/index.php/Main_Page), a source of information on prokaryotic TE which is integrated into the transposon database, TnCentral (https://tncentral.proteininformationresource.org/).
Here we present an overview of one of these IS families, IS6, whose importance in generating clusters of clinically important antibiotic resistance genes is becoming increasingly clear  and whose members may use an unusual transposition pathway.
IS6 nomenclature and initial identification
There are at present (December 2020) nearly 160 IS6 family members in ISfinder (https://www-is.biotoul.fr/scripts/search-db.php) from nearly 80 bacterial and archaeal species, although this represents only a fraction of those present in the public databases. The family was named  after the directly repeated insertion sequences in transposon Tn6  to standardize the various names that had been attributed to identical elements (e.g. IS15, IS26, IS46, IS140, IS160, IS176) [10,11,12,13,14,15,16,17,18,19,20,21,22] including one isolate, IS15, corresponding to an insertion of one iso-IS6 (IS15Δ) into another . More recently, there has been some attempt to rename the family as the IS26 family (see ) because of accumulating experimental data from IS26 itself, and the importance of this IS in accumulation and transmission of multiple antibiotic resistance, although this might potentially introduce confusion in the literature. IS6 family members have a simple organization (Fig. 1) and generate 8 bp direct target repeats on insertion. This family is very homogenous with an average length of about 800 bp for the majority (between 700 and 890 bp) and highly conserved short, generally perfect, IRs (Fig. 2a). There are two examples of MITES (Miniature Inverted repeat Transposable Elements composed of both IS ends and no intervening orfs ; of 227 and 336 bp), 7 members between 1230 and 1460 bp and three members between 1710 and 1760 bp. One member, IS15, of 1648 bp represents and insertion of one IS into another [10, 12]. Many members are found as part of compound transposons (called pseudo-compound transposons  (Fig. 1) described below ) invariably as flanking direct repeats (Fig. 1), a consequence of their transposition mechanism [14, 16, 20, 21, 27,28,29,30,31,32,33,34,35,36,37,38,39].
Distribution and phylogenetic Transposase tree
A phylogenetic tree based on the transposase amino acid sequence of the ISfinder collection (Fig. 3) shows that the IS6 family members fall into a number of well-defined clades. This slightly more extensive set of IS corresponds well to the results of another wide-ranging phylogenetic analysis . These clades include one which groups all archaeal IS6 family members composed mainly of Euryarchaeota (Halobacteria; Fig. 3 Ai-iii). Group Aiv includes both Euryarchaeota (Thermococcales and Methanococcales) and Crenarchaeota (Sulfolobales). Of the nine clades containing bacterial IS: clade b includes some Actinobacteria, Alpha-, Beta-, and Gamma-proteobacteria; clade c is more homogenous and is composed of Alphaproteobacteria (Rhizobiaceae and Methylobacteriaceae); clade d includes examples from the Alpha-, Beta-, and Gamma-proteobacteria, Firmicutes, Cyanobacteria, Acidobacteriia and Bacteroidetes; clades e and f are composed exclusively of Firmicutes (almost exclusively Lactococci in the case of clade e); clades g and h are more mixed and clade I contains only three examples. As might be expected, transposase length is approximately correlated with the clades. For example, family members from the archaea tend to be slightly smaller, in the range of 700–750 for clades Ai and Aii while members of clades h and i all carry the longest transposase genes (1230 to 1460 bp and 1710 to 1760 bp respectively). The division into clades is also underlined to some extent by the IR sequences where the sequence motifs are more pronounced when each clade is considered separately (Fig. S1) (see “Organization” below).
Clearly, the ISfinder collection does not necessarily accurately reflect the IS6 family distribution and these groupings should be interpreted with care. For example, although many are not included in the ISfinder database, IS6 family elements are abundant in archaea and cover almost all of the traditionally recognized archaeal lineages (methanogens, halophiles, thermoacidophiles, and hyperthermophiles  (Fig. 3).
MCL analysis  for the entire group of transposases using the criteria of ISfinder for classification  showed that all members fell within the definition of a single family (Inflation factor 1.2, score > 30) and fell into 3 groups: clades b-I; clades Ai-Aiii; and clade Aiv using the appropriate filter (Inflation factor 2, score > 140). The answer to the recent question “An analysis of the IS6/IS26 family of insertion sequences: is it a single family?”  is therefore, “Probably, yes” according to the ISfinder definition.
A recent study  identified a number of IS26 variants with specific mutations in their Tpases. In particular one variant, originally called IS15Δ [11, 43] was observed to exhibit enhanced activity and it was suggested that such mutants, even though they satisfy ISfinder criteria attributing a new name for an IS (< 95% nucleotide identity and/or < 98% amino acid identity). It has been suggested that such variant should be suffixed as IS26.v1, .v2 etc. . This makes sense if the mutation is not functionally neutral and results in a change IS properties or behavior.
Finding new family members: the strategy
As for all insertion sequences, there are no fully automated methods for identification of IS6 family members in the public databases and ISfinder has not undertaken an extensive database survey. As a general strategy, potential IS sequences can be compared to those in the ISfinder database using the online BLAST tool (https://www-is.biotoul.fr/blast.php) or TnCentral (https://tncentral.proteininformationresource.org/tn_blast.html). For genome or plasmid analysis the semiautomatic genome annotation tool (Varani et al. 2011) (ISsaga: http://issaga.biotoul.fr/issaga_index.php) can be used. This is integrated into ISfinder and compares sequences with those in the ISfinder database. There are number of other software tools available, showing different funcionalities, sensivity and precision that can be used for ab initio IS identification. We highlight some of these, such as OASIS , ISEScan ,and ISQuest . However, no software performs better than the classic and manual annotation based on strucutural features and genetic characterisitiscs present in each IS family. In fact, there are still many bioinformatic challenges in obtaining a complete and proper IS identification in a given bacterial genome. For instance, it is important to ascertain manually whether the potential IS includes both terminal inverted repeats (IR; see Organization: Terminal Inverted Repeats below) and whether or not the IS is flanked by direct target repeats (DR). This will indicate whether the IS is functional (complete IR) and how it may have moved to its present position (presence or absence of DR; see Mechanism: the state of play below).
Genomic impact and clinical importance
Activity resulting in horizontal dissemination is suggested, for example, by the observation that copies identical to IS6100 originally identified in Mycobacterium fortuitum (Fig. 3, clade b) occur in other bacteria: as part of a plasmid-associated catabolic transposon carrying genes for nylon degradation in Arthrobacter sp. ; in the Pseudomonas aeruginosa plasmid R1003 ; and in integrons of the In4-type from transposons such as Tn1696 [50, 51] and Xanthomonas campestris transposon Tn5393b . Similar copies have also been reported in Salmonella enterica (typhimurium) , and on plasmid pACM1 from Klebsiella oxytoca (AF107205) .
A number of IS families contain members, called tIS which carry passenger genes. A single member of the family, ISDsp3, present in a single copy in Dehalococcoides sp. BAV1 carries a passenger gene annotated as a hypothetical protein.
Expression of neighboring genes
The formation of hybrid promoters on insertion, where the inserted element provides a − 35 promoter component and the flanking sequence carries a − 10 promoter component, is clearly a general property of members of the IS6 family [31, 55,56,57,58,59] and occurs frequently.
IS257  (Fig. 3, clade f) (also known as IS431), which plays an important role in sequestering a variety of antibiotic resistance genes in clinical isolates of methicillin-resistant Staphylococcus aureus (MRSA) (e.g. [7, 55, 56, 61, 62], provides an outward-oriented promoter which drives expression of genes located proximal to the left end. Moreover, both left and right ends appear to carry a − 35 promoter component which would permit the formation of hybrid promoters on insertion of the IS next to a resident − 10 element [56, 62, 63]. Insertion can result in activation of a neighboring gene using both a hybrid promoter and an indigenous promoter . IS257 is also involved in expression of tetA  and dfrA  in S. aureus. This is also true of IS26 which forms hybrid promoters shown to drive antibiotic resistance genes such as aphA7 (Pasteurella piscicida  Klebsiella pneumoniae ), blaSHV-2a (Pseudomonas aeruginosa ) and wide spectrum beta-lactam resistance gene blaKPC [2, 4]. While IS6100  (Fig. 3, clade b), often used as an aid in classifying mycobacterial isolates [66,67,68], drives strA strB expression in X. campestris pv. vesicatoria .
This IS family is able to form transposons which resemble compound transposons with the flanking IS in direct repeat but, because of the particular transposition mechanism of IS6 family members which involves the formation of cointegrates (see below), these were called pseudo-compound transposons [8, 23]. They include Tn610 (flanked by IS6100 ), Tn4003 and others (flanked by IS257 [7, 61, 69]), Tn2680  and Tn6023 (flanked by IS26 ).
IS26 and the clinical landscape
In view of the particular importance of IS26 in clinical settings it is worthwhile devoting a separate section to the contribution of this IS to the clinical landscape. IS26 [13,14,15](Fig. 3, clade b) is encountered with increasing frequency in plasmids of clinical importance where it is involved in: sequestering antibiotic resistance genes and generating arrays of these genes in clinically important conjugative plasmids and in the host chromosome; expression of antibiotic resistance genes; and other plasmid rearrangements (see [7, 37, 71,72,73,74,75,76]).
Recognition of its place as an important player has derived from the large number of sequences now available of multiple antibiotic resistance plasmids and chromosomal segments such as Genomic Resistance Islands (GRI). It is now no longer practical to provide a complete analysis of the literature (A PubMed search (19th November 2020) using IS26 as the search term yielded nearly 450 citations). The references in the following are not exhaustive but simply provide examples.
IS6 family members are often found in arrays (Fig. 4) in direct and inverted repeat in multiple drug resistant plasmids (e.g. Salmonella typhimurium [37, 70, 77], Klebsiella quasipneumoniae , Acinetobacter baumannii [74, 79], Proteus mirabilis  and uncultured sewage bacteria  among many others). These are often intercalated in or next to other transposable elements rather than neatly flanking antibiotic resistance genes and can form units able to undergo tandem amplification.
IS26-mediated gene amplification
Early studies with Tn1525 (from Salmonella enterica serovar Panama), in which an aphA1 (aph (3′) (5″)-I) gene is flanked by two directly repeated copies of the IS6 family member, IS15, reported tandem amplification of aphA1 when the host was challenged by kanamycin . Restriction enzyme mapping was used to demonstrate that the amplified segments were of the type IS-aph-IS-aph-IS-aph-IS but no direct sequence data is available. Amplification was thought to occur by homologous recombination between two flanking IS15 copies since it occurred in a wildtype host but the transposon was stable in a recA− genetic background. Another example was observed in clinical isolates of Acinetobacter baumannii following continuous antibiotic treatment treatment of a single patient with Tobramycin over a period of days. Amplification occurred with Tn6020, an IS26-based transposon in which the flanking IS bracket a similar aphA1 gene and could also be reproduced in bacterial culture . It should be noted that the left hand IS26 includes an additional abutting 175 bp IS26 fragment (partial sequence JF343535). In this case, the amplified unit was proposed to be IS-aph-IS-IS-aph-IS-IS-aph-IS. This structure would clearly be unusual but may be due to a misinterpretation of the depth of coverage of the region or to the unusual structure of the transposon. In addition, the amplified transposon had inserted into a known target prior to amplification generating the expected eight base pair target repeat but an 8 bp segment between the first DR and the first IS end (DR-8 bp-IS-aph-IS-IS-aph-IS-IS-aph-IS … DR). A third example  was identified during a study of clinical isolates of non-carbapenemase-producing Carbapenem-Resistant Enterobacteria, non-CP-CRE, isolated from several patients with recurrent bacteraemia. An increase in carbapenem resistance occurred partially due to IS26-mediated amplification up to 10 fold of a DNA segment carrying blaOXA-1 and blaCTX-M-1 genes. These form part of a larger chromosomal structure of IS26 arrays which they call TnMB1860 (Fig. 4). It was unclear whether this cassette amplification was due to transposition activity or, gene amplifications such as those observed with IS1 [85,86,87,88,89,90] which may occur by replication slippage between direct repeats or by unequal crossing-over [91, 92].
Another example has been revealed by Hastak et al.  who analysed a multi resistant derivative of the clinically important, globally dispersed pathogenic, Escherichia coli ST131 subclade H30Rx, isolated from a number of bacteraemic patients and revealed that increased piperacillin/tazobactam resistance was due to IS26-mediated amplification of blaTEM-1B. A similar type of limited (tandem dimer) amplification of an IS26-flanked blaSHV-5-carrying DNA segment found in plasmids from a number of geographically diverse enteric species was identified in a nosocomial Enterobacter cloacae strain . A more extensive amplification (> 10 fold) was observed with the same DNA segment located in a different plasmid in a well-characterised laboratory strain of Escherichia coli and occurred in a recA-independent manner . While even higher levels of tandem amplification (~ 65 fold) of the aphA1 gene were identified in the IS26-based Tn6020 in Acinetobacter baumannii .
IS26-mediated plasmid Cointegration
Several studies have now demonstrated that this can occur in a clinical setting. For example, plasmid pBK32533 (KP345882) , carried by E. coli BK32533 isolated from a patient with a urinary tract infection is an IS26-mediated cointegrate between Klebsiella pneumoniae BK30661 plasmid pBK30661 (KF954759)  and a relative of Salmonella enterica p1643_10 (KF056330) . Interestingly, the flanks of the IS26 copies at the junction of the two plasmids are TGTTTTTT-IS-TTATTAAT and TTATTAAT-IS-TGTTTTTT. The most parsimonious explanation would be that pBK32533 was generated in a multi-step inter-molecular transposition event: in one step, an IS26 copy from an unknown source used a TTATTAAT target sequence in pBK30661 and this cointegrate was then resolved resulting in pBK30661 containing an IS26 copy flanked by the target repeat (TTATTAAT-IS26-TTATTAAT) and, in a second step, a TGTTTTTT sequence in p1643_10 was targeted by the pBK30661 IS26 to generate the final cointegrate in which the two IS26 copies are flanked by the observed target sequences. Additional examples have been identified in KPC-producing Proteus mirabilis  and in Klebsiella pneumoniae also involving inversions [76, 98].
A single transposase orf is transcribed from a promoter at the left end and stretches across almost the entire IS. The putative transposases (Tpases) are between 213 (IS15) and 254 (IS6100) amino acids long with a majority in the 220–250 amino acid range. They are very closely related and show identity levels ranging from 40 to 94% with a helix-turn-helix (HTH) and a typical catalytic motif (DDE) (Fig. 2b, c, Fig. S2). Translation products of this frame have been demonstrated for IS240 . However, the 7 members of clade h, all from Clostridia, are somewhat larger (340–350 amino acids) as a consequence of an N-terminal extension in the transposases with a predicted Zinc Finger (ZF) composed of several CxxC motifs (Fig. 2b; Fig. S2). A Blast analysis of the non-redundant protein database at NCBI revealed a large number of IS6 family transposases of this type (data not shown). The vast majority of these were from Clostridial species. In addition, the transposases of members of clade i (450 amino acids) have both the ZF domain and a supplementary N-terminal extension (Fig. 2b).
Several members (e.g. ISRle39a, ISRle39b and ISEnfa1) apparently require a frameshift for Tpase expression. It is at present unclear whether this is biologically relevant. However, alignment with similar sequences in the public databases suggests that ISEnfa1 itself has an insertion of 10 nucleotides and is therefore unlikely to be active.
In the case of IS26, the promoter is located within the first 82 bp of the left end and the intact orf is required for transposition activity , Little is known concerning the control of transposase expression although transposition activity of IS6100 in Streptomyces lividans  is significantly increased when the element is placed downstream from a strong promoter. This is surprising since IS generally incorporate mechanisms to restrict transposition induced by insertion into highly transcribed genes (e.g.  and references therein).
Terminal inverted repeats
All carry short related (15–20 bp) terminal IR. As shown in Fig. 2d, in spite of the wide range of bacterial and archaeal species in which family members are found, there is a surprising sequence conservation. In particular, the presence of a G dinucleotide at the IS tips and cTGTt and caaa internal motifs (where uppercase letters are fully conserved and lowercase letters are strongly conserved nucleotides). Sequence motifs are more pronounced when each clade is considered separately (Fig. S1).
Mechanism: the state of play
Early studies suggested that IS6 family members give rise exclusively to replicon fusions (cointegrates) in which the donor and target replicons are separated by two directly repeated IS copies (e.g. IS15D, IS26, IS257, IS1936) [12, 14, 16, 20, 101]. More recent results principally with IS26 have suggested that, perhaps like IS1 (IS1 family)  and IS903 (IS5 family) [103, 104], members of this IS family may be able to transpose using alternative pathways [23, 105,106,107].
Transposition of IS6 family elements to generate cointegrates [12, 16, 18, 19] presumably occurs in a replicative manner. As shown in Fig. 5 (top), intermolecular replicative transposition of this type generates fused donor and target replicons which are separated by two copies of the IS in direct repeat at the replicon boundaries. The initial direct repeats (DR) flanking the donor IS are distributed between each daughter IS in the cointegrate as is the DR generated in the target site. Recombination between the two IS then regenerates the donor molecule with the original DRs and a target molecule in which the IS is flanked by new DR. No known specific resolvase system such as that found in Tn3-related elements has been identified in this family but “Resolution” of IS6-mediated cointegrates was observed to depend on a functional recA gene in several cases and therefore occurs using the host homologous recombination pathway [12, 16].
While the intermolecular cointegrate pathway leads to replicon fusion, transposition can also occur within the same replicon. Intramolecular transposition using the replicative mechanism gives rise to deletion or inversion of DNA located between the IS and its target site. The outcome depends on the orientation of the two attacking IS ends (Fig. 6). Intramolecular transposition of this type can explain the assembly of antibiotic resistance gene clusters (e.g. ).
IS6 family members are known to generate structures that resemble composite transposons in which a passenger gene (such as a gene specifying antibiotic resistance) is flanked by two IS copies. Generally, the flanking IS in these compound structures can occur as direct or inverted repeat copies. However, in the case of IS6 functional “compound transposons”, the flanking IS are always found as direct repeats. This is a direct consequence of the (homologous) recombination event required to resolve the cointegrate structure [12, 16]. As shown in Fig. 5 (bottom) , transposition is initiated by one of the flanking IS to generate a cointegrate structure with three IS copies. “Resolution” resulting in transfer of the transposon passenger gene requires recombination between the “new” IS copy and the copy which was not involved in generating the cointegrate. The implications of this model [1, 8] are that the transposon passenger gene(s) are simply transferred from donor to target molecules in the “resolution” event and are therefore lost from the donor “transposon”. Clearly this pathway could initiate from a donor in which the flanking IS6 family members were inverted with respect to each other. However, transposition would be arrested at the cointegrate stage because there is no suitable second IS to participate in recombination. It is for this reason that compound IS6-based transposons carry directly repeated flanking IS copies. These previously published models (e.g. [1, 8, 76, 98] have recently been revisited and it has been recently proposed  that the term pseudo-compound transposons first used over 30 years ago  should be resurrected to describe these IS6 family structures.
Circular transposon molecules: translocatable units (TU)
Although IS26 transposition appears to be replicative with formation of cointegrate molecules, results from in vivo experiments suggest that its transposition may be more complex . The idea that IS26 might mobilize DNA in an unusual way arose from the observation that IS6 family members can often be found in the form of arrays [106, 107] which could be interpreted as overlapping pseudo-compound transposons  (Figs. 4 and 5). Note that IS26 and potential IS26-based transposons do not necessarily carry flanking direct target repeats but, as is the case for other TE which transpose by replicative transposition such as members of the Tn3 family, intramolecular transposition would lead to loss of the flanking repeats (Fig. 6). This led to the suggestion that IS26 might be able to transpose via a novel circular form called translocatable units (TU) [106, 107] (not to be confused with those originally described in the sea urchin and other eukaryotes ) such as those shown in Fig. 7. These potential circular transposition intermediates which were proposed to include a single IS26 copy along with neighboring DNA are structurally similar to IS1-based circles observed in the 1970s (e.g. [85, 88]). Translocatable units differ from the transposon circles identified during copy-out-paste-in transposition by IS of the IS3 (see ), IS21 , IS30 , IS256 [113, 114] and ISL3  families where the circular IS transposition intermediate has abutted left and right ends separated by a few base pairs and is extremely reactive to the cognate transposase. In stark contrast, for IS26, the IS ends would be separated by the neighboring DNA sequence rather than by a few base pairs (Fig. 7).
Evidence for the excision step of translocatable units was obtained  from the study of the stability of two IS26-based pseudo-compound transposons, “wildtype” Tn4352  and “mutant” Tn4352B  which carry the aphA1 gene specifying resistance to kanamycin. Tn4352B is a special mutant derivative of Tn4352 including an additional GG dinucleotide at the left internal end of one of the component IS26 copies to generate a string of 5 G nucleotides at the IS tip which appears to render the transposon unstable. Cells carrying the plasmid lose the resistance gene from the mutant Tn4352B at an appreciable rate in the absence of selection. This generates a “donor” plasmid with one copy of IS26 flanked by the original Tn4352B-associated 8 bp direct repeats and an excision product with the size expected for a TU containing the second IS flanked by the sequences of the original central segment presumably including the additional GG dinucleotide together with the aphA1 gene. TU formation, as judged by a PCR reaction, appeared to be dependent on the GG insertion (since surprisingly, no TU could be detected from the wildtype Tn4352) but not on the surrounding sequence environment. Excision required an active transposase. In a test in which the target plasmid also carried an IS26 copy (a targeted integration reaction – see below), there appeared to be no difference in cointegrate formation frequencies between single IS26 copies with or without the additional GG dinucleotide. However, results from a standard integration test into a plasmid without a resident IS26 copy were not reported. The excision process occurs in a recA− background and therefore does not require the host homologous recombination system. Moreover frameshift mutations in both IS, which should produce severely truncated transposase, eliminated activity. This implies that the process is dependent on transposition. However, excision continued to occur if the transposase of the GG-IS copy was inactivated but was eliminated when the same transposase mutation was introduced into the” wildtype” IS copy. This is curious since it implies that the IS26 transposase must act exclusively in cis on the IS from which it is expressed.
A summary of these results is shown in Fig. 7. These data suggest that excision is driven by the wildtype IS26 (L), leaving the right hand IS in the excisant. At present, there is no obvious mechanistic explanation for this phenomenon. It should be noted that recombination between directly repeated copies of IS1 which flank the majority of antibiotic resistance genes in the plasmid R100.1 (NR1) generates a non-replicative circular molecule, the r-determinant (r-det), with a single IS1 copy. In this case too, this “constitutive” circle production is due to a (uncharacterized) mutation in the plasmid, although in this case, circle production requires recA .
However, “Classical” recombination and transposition models do not fit the data. The results appear to rule out two obvious models (Fig. 8) since although both would generate the correct TU and “excisant”, the first (Fig. 8 top panel) requires homologous recombination between two directly repeated IS26 copies (mechanistically equivalent to the “resolution” step in intermolecular IS6 transposition) and the second (Fig. 8 bottom panel), which requires a functional transposase as observed [106, 107], would not generate the correct flanking sequences. Modification of the transposition model to take into account the entire transposon (Fig. 9) in which the active IS26L uses either of flanking sequences of IS26R does not generate the correct structures. Thus the observed structures must be generated by another, and at present unknown, pathway. One possibility is that TU are generated by reversing a non-replicative targeted insertion mechanism presented below (see Targeted Transposition).
To summarize: it has been clearly demonstrated that circular DNA species carrying a single IS26 copy together with flanking “passenger” DNA can be generated efficiently in vivo from a variant plasmid replicon  and also that replicons carrying a single IS26 copy are capable of integrating into a second replicon to form a cointegrate. This occurs at a frequency 102-fold higher if the target plasmid contains a single IS copy and in a targeted manner not involving IS duplication.
The TU insertion pathway was addressed by transforming TU, constructed in vitro taking advantage of a unique IS26 restriction site, into recombination deficient cells carrying an appropriate target plasmid . Establishment of the aphA1-carrying TU was dependent on the presence of a resident plasmid carrying an IS26 copy and occurred next to the resident IS26 copy. The DNA of two TU each with a different antibiotic resistance gene was shown to undergo this type of targeted integration and, moreover, were able to consecutively insert to generate a typical IS26 array. Therefore, artificially produced TU are capable of insertion.
Targeted IS26 transposition was also observed in intermolecular cointegrate formation where the cointegrate formation frequency was significantly increased (about 100 fold) if the target replicon also contained an IS26 copy . A similar result was obtained in Escherichia coli with a related IS, IS1216  whereas a third member of the family, IS257 (IS431) showed a much lower level of activity using the same assay. As for TU integration, this phenomenon does not appear to be the result of homologous recombination between the IS copies carried by donor and target molecules since the reaction was independent of RecA. Using a PCR-based assay to identify the replicon fusions between IS26-containing donor and target plasmids, it was observed that the resulting cointegrate (Fig. 10) did not contain an additional copy of IS26 which would be expected if replicative transposition were involved (Fig. 9). This suggests that the phenomenon results from a conservative recombination mechanism. Despite the absence of RecA, the observed cointegrate is structurally equivalent to the recombination product between the two IS26 copies in the donor and target plasmids. However, it indeed appears to be transposition related since the phenomenon requires an active transposase in both donor and target replicons . When each of the triad of conserved DDE residues were mutated individually in the donor plasmid, the targeted insertion frequency decreased significantly.
Another characteristic of the products was that the flanking 8 bp repeats carried by the donor and recipient IS26 copies are in some way exchanged  (Fig. 10). This suggests a model in which transposase might catalyze an exchange of flanking DNA during the fusion process.
A model for targeted integration
One possibility (Fig. 11) is that two IS ends from different IS copies in separate replicons are synapsed intermolecularly in the same transpososome (Fig. 11i). Strand exchange would then couple the donor and target replicons (Fig. 11 ii). A similar mechanism has been invoked to explain “targeted” insertion of IS3 and IS30 family members into TIRs [119, 120]. Branch migration (Fig. 11 iii) would lead to exchange of an entire IS strand (Fig. 11 iv) and cleavage at the distal IS end and strand transfer (Fig. 11v) would result in the observed cointegrate (Fig. 11 vi) containing a single strand nick on opposite strands at each end of the donor DNA molecule. These could be repaired or eliminated by plasmid replication. Each IS would be composed of complementary DNA strands from each of the original donor and target IS copies. This proposed mechanism would retain the DNA flanks of the IS in the original target replicon, be dependent on an active transposase and independent of the host recA system. It seems probable that mismatches between the two participant IS would inhibit the strand migration reaction. This may be the reason for the observation that introducing a frameshift mutation by insertion of additional bases into the transposase gene of either participating IS26 copy reduces the frequency of targeted cointegration  since, not only does this produce a truncated transposase but also introduces a mismatch. As in the case of intermolecular targeting of the IS3 family member, IS911 , might require the RecG helicase to promote strand migration.
The model shown in Fig. 11 presents the transposition process as a progression involving two consecutive temporally separated strand cleavages separated by a strand migration. However, it seems equally probable that both cleavage reactions are coordinated within a single transpososome including both donor IS ends and the target IS ends. This would be compatible with the known properties of trans cleavage of several transposases in which a transposase molecule bound to one transposon end catalyzes cleavage of the opposite end. Recently, evidence has been presented supporting this type of model . Using two IS, IS1006 and IS1008  which have significant identity to IS26 their ends, together with a hybrid molecule IS1006/1008 constructed in vitro, it was shown that targeted integration required both identical transposases and identical DNA sequences at the reacting ends. The authors propose a model in which a single IS end is cleaved and transferred to the flank of the target IS end, an event which creates a Holliday junction which, on branch migration, is resolved. This differs from the model shown here (Fig. 11) since it does not involve transposase-mediated cleavage at the second IS end. It is similar to that proposed for targeted insertion of IS911 [119, 121, 124, 125] which requires the RecG helicase and, presumably, RuvC.
Conclusions and future directions
We have presented a survey of our present knowledge concerning the properties, distribution and activities of IS6 family members and their importance, in particular that of IS26, in gene acquisition and gene flow of antibacterial resistance in enterobacteria. There are many questions which remain to be answered and we feel that some care should be excersied in interpreting some of the very interesting results in the absence of formal proof. For example, the notion that the basic IS6 family transposition unit is a non-replicative circular DNA molecule carrying a single IS copy is attractive and would provide a nice parallel to the integron antibiotic resistance gene cassette intermediates [126,127,128] but such a molecule, a TU, has thus far been formally observed in only a single case. It was generated in vivo from an IS26-flanked peudo-transposon in which one of the two flanking IS involved included a mutation and rendered the transposon unstable. The “wildtype” transposon was stable . Since “TU” is now being used in the literature to describe IS26-flanked DNA segments in multimeric arrays (e.g. , it is essential to provide more formal evidence that these non-replicative DNA circles are indeed general intermediates in the IS26 transposition pathway and are not simply amplified units (AU). The fact that a replicating plasmid containing a single IS copy is able to form cointegrates does not a priori support a model for TU transposition and is not necessarily simply a TU that has the capacity to replicate  although the observation that artificially constructed TU can undergo targeted insertion when introduced into a suitable cell by transformation  supports the TU hypothesis. A second important question to be answered is how targeted integration occurs. We have suggested one model and suggested ways it might be tested (Fig. 11). The answers to many of these fascinating outstanding questions will be only be formally provided when the biochemistry of the reactions is known.
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We would like to thank Jian Zhang (Protein Information Resource PIR, Georgetown University), Hongzhan Huang (Protein Information Resource PIR, University of Delaware), Cathy Wu (Protein Information Resource, PIR Georgetown University and University of Delaware), Erik Snesrud and Patrick McGann (Walter Reed) Army Institute of Research) and Danillo Oliveira Alvarenga (Universidade Estadual Paulista, Jaboticabal, Sao Paulo, Brazil) for providing essential expert assistance and both conceptual and practical support for TnCentral, Fred Dyda and Alison Hickman (NIDDK, NIH, Bethesda, Maryland, USA) for reading the manuscript and for suggestions and Sally Partridge (The University of Sydney and Westmead Hospital, Australia) for critical comments.
This work was primarily funded by the Global Emerging Infections Surveillance (GEIS) and Response System (P0020_18_WR; awarded to Michael Chandler and Patrick McGann), the Jiangsu Natural Science Foundation (BK20200316, awarded to Susu He), and the Fundamental Research Funds for the Central Universities (14380470; awarded to Susu He).
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Left (IRL) and right IRR and a combined IRL + IRR inverted terminal repeats for each clade are shown in WebLogo format . Figure S1h. The last section shows an alignment of the ends of clade Aiv adjusted by hand.
Alignment of a representative sample of the transposases of IS6 family members including members of each major clade. Alignment was by Clustal  and the graphic output from SnapGene. The figure shows the probable zinc finger N-terminal extension (consecutive CxxC motifs), the helix-turn-helix domain (HTH) and the catalytic domain (DDE K/R).
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Varani, A., He, S., Siguier, P. et al. The IS6 family, a clinically important group of insertion sequences including IS26. Mobile DNA 12, 11 (2021). https://doi.org/10.1186/s13100-021-00239-x
- Insertion sequence
- Genome impact
- Transposition mechanisms
- Clinical importance
- Antibiotic resistance