M07.15.015 Plasmid-Mediated Drug Resistance

Learning Objective

At the end of this section, the learner should be able to explain how plasmids and transposons contribute to antimicrobial resistance, including the structure of R-factors and common enzymatic mechanisms.


Plasmid-mediated resistance occurs when resistance genes are located on plasmids—mobile, extrachromosomal DNA elements that can move between bacteria.

Key Features

  • Resistance genes often encode enzymes that chemically modify or inactivate antibiotics.
  • These resistance plasmids are known as R factors.
    • Tra/oriT region: Enables conjugation (transfer between bacteria).
    • R-determinant region: Contains multiple resistance genes, often inserted through transposons or integrons.

Transposons (jumping genes)

Transposons are mobile DNA pieces responsible for creating multidrug resistance plasmids.

They:

  • Move themselves (or a copy) between DNA molecules.
  • They are found in bacteria, eukaryotes, and viruses.
  • Carry at least one transposase gene.
  • It can disrupt other genes when it inserts, causing mutations.


Common Plasmid-Mediated Resistance Mechanisms

Drug Class Mechanism
Penicillins & cephalosporins β-lactamase cleavage of the β-lactam ring
Aminoglycosides Drug inactivation by acetylation, adenylylation, or phosphorylation
Chloramphenicol Acetyltransferase inactivation
Tetracyclines Increased efflux pumps
Sulfonamides Efflux + reduced enzyme affinity
Vancomycin Modified D-Ala-D-Lac cell wall peptides preventing drug binding

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