Genomic Islands as minimal hitchers of conjugative elements

Bacterial chromosomes contain Genomic Islands carrying genes involved in virulence, mutualism, and resistance to antibiotics that are transferred horizontally. Some of them conjugate autonomously (Integrative Conjugative Elements, ICEs), while others use relaxases to hitch on the former's conjugation machinery (Integrative Mobilizable Elements, IMEs). Yet, the mobility mechanism of most Genomic Islands remains elusive. Here, we explore the hypothesis that many carry origins of transfer (oriTs) by conjugation. Since very few known oriTs were found in ICEs and IMEs, we identified 52 novel families of oriTs that cover most integrative elements in six major nosocomial species. Most of these oriTs are specific to integrative elements, suggesting a clear split in the targets of hitchers of conjugative elements between plasmids and integrative elements. Among 7,363 Genomic Islands, we discovered more than 1,500 IMEs carrying an oriT and lacking relaxases and MPF systems. These elements, coined iOriTs, form diverse large ancient families that can be found in different species. These hitchers are genetically unrelated to the putative helpers, beyond the similarity at the oriT sequence, and often outnumber them. They include well-known pathogenicity islands, for which the mechanisms of mobility remained unknown. Unlike plasmids, iOriTs have few antibiotic resistance genes, but high density of virulence factors. Like plasmids, the vicinity of oriTs concentrates defense and counter-defense systems potentially favoring Genomic Islands dissemination. Hence, iOriTs are frequent integrative mobile genetic elements that evolved to transfer horizontally by hitching on other elements while contributing to bacterial genetic adaptation.