Integrative Conjugative Elements

One-Sentence Definition

Integrative conjugative elements (ICEs) are self-transmissible mobile genetic elements that reside in the chromosome like a prophage/lysogen but excise and transfer by conjugation like a plasmid.

Simple Explanation

An ICE is a hybrid: it parks in the chromosome most of the time, then cuts itself out and conjugatively jumps to a new bacterium when conditions favor transfer.

Detailed Scientific Explanation

FeatureICEClassical plasmidProphage
Main residenceChromosome (integrated)ExtrachromosomalChromosome
TransferConjugation (tra)Conjugation / mobilizationTransduction
IntegrationSite-specific recombinaseUsually noneIntegrase
CargoAMR, virulence, metabolismSameMostly phage genes

Well-studied families: SXT/R391 (Vibrionaceae and beyond), ICEBs1 (Bacillus), Tn916/Tn1545 family (Gram-positive; tetracycline tetM), ICEKp lineages in Klebsiella.

ICEs can mobilize co-resident genomic islands or plasmids in cis/trans helper roles.

Mechanism

Integrase maintains chromosomal state → excision as circular intermediate → type IV secretion / mating pair formation → single-strand transfer → re-integration in recipient (often at tRNA or other attB sites).

Clinical Importance

  • Spreads MDR and virulence without a stable free plasmid — harder to spot by plasmid typing alone.
  • Tn916-like ICEs move tetracycline and sometimes other resistances among streptococci/enterococci/anaerobes.

Research Importance

  • Blurs plasmid–chromosome dichotomy; requires specialized detection (conjugation genes + integrase + excision assays).

Diagnostic Relevance

AMR Relevance

High for Gram-positives (tet, erm contexts) and emerging Gram-negative ICE-borne resistances; contributes to Horizontal Gene Transfer beyond classic Inc plasmids.

Learning Aids

Clinical Example

Example

Case: Streptococcus isolate acquires tetM without a detectable plasmid replicon.
Question: What vehicle should you suspect?
Answer: A Tn916-family ICE integrated in the chromosome — conjugative but not a classic plasmid.

Active Recall Questions

  1. How does an ICE differ from a conjugative plasmid?
  2. Why might PlasmidFinder miss an ICE?
  3. Name one ICE family important in Vibrio/Enterobacterales surveillance.

Connections