Step 1 β Evidence baseline. The population-scale observation is that blaNDM-5 occurs consistently in an IS26-flanked context adjacent to a class 1 integron in ST405, with 29 genomes providing intact 20 kb flanks and 564 providing only partial flanks for context comparison via CD-HIT clustering and maximum-likelihood context phylogeny . Mechanistic grounding comes from the IS6 family review: IS26 is 789 bp with 15β20 bp inverted repeats, generates 8 bp direct target repeats on insertion, carries promoter elements that can drive neighboring gene expression, and mobilizes resistance genes via cointegration, tandem amplification, and circular translocatable units .
Step 2 β Computational workflow. (a) Retrieve complete plasmid sequences (long-read/hybrid assemblies only); (b) extract Β±20 kb around blaNDM-5; (c) detect IS26 copies (ISfinder BLAST; expect the 789 bp element and 8 bp DRs); (d) confirm both flanking IS26 copies with correct orientation and intact IRs; (e) cluster contexts (CD-HIT) against the known NDM-5 context clusters; (f) assign confidence tiers: High = closed plasmid, two intact IS26 ends, 8 bp DRs, context matching a known cluster; Moderate = complete flanks on a closed genome but atypical arrangement; Low = draft assembly or one partial flank β analogous to the 564 partial-flank genomes, which should not be called composite transposons without long-read support .
Step 3 β Validation anchors. IS26 copy number varies widely even within one plasmid system (8, 4, and 3 copies on the K. pneumoniae pTGC plasmids), so count alone is not diagnostic; IS26-mediated homologous recombination generates hybrid plasmids detectable by comparing transconjugant vs parental plasmid maps . Experimental validation via RecA-dependence shows that tandem amplification and circular TU formation are largely RecA-dependent homologous recombination events, not solely transposase-driven, meaning genomic adjacency alone does not prove recent composite-transposon mobilization .
Step 4 β Blind spots. TU intermediacy rests mainly on one well-studied case and lacks general biochemical proof . Disagreement also exists over whether targeted conservative cointegration extends beyond IS26 within the IS6 family, a live dispute that affects how confidently composite-transposon labels generalize . Falsifiers: a blaNDM-5 context lacking both IS26 ends on a closed plasmid; DR sequences inconsistent with IS26 insertion; or demonstration that flanking IS26 copies predate blaNDM-5 acquisition.
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