Insertion sequence elements and unique symmetrical genomic regions mediate chromosomal inversions in <i>Streptococcus pyogenes</i>

Chromosomal inversions are a phenomenon in many bacterial species, often across the axis of replication. Inversions have been shown to alter gene expression, changing persistence of colonisation and infection following environmental stresses. In Streptococcus pyogenes, inversions have been reported. However, frequency and molecular markers of inversions have not been systematically examined. Here, 249 complete S.pyogenes genomes were analysed using a pangenomic core gene synteny framework to identify sequences associated with inversions. 47% of genomes (118/249) contained at least one inversion, from 23 unique inversion locations. Chromosomal locations enabling inversions were usually associated with mobile elements (insertion sequences n = 9 and prophages n = 7). Two insertion sequences, IS1548 and IS1239, accounted for >80% of insertion sequences and were the only insertion sequences associated with inversions. The most observed inversion location (n = 104 genomes, 88% of genomes with an inversion) occurs between two conserved regions encoding rRNAs, tRNAs and sigma factor genes. The regions are symmetrically placed around the origin of replication forming a unique chromosomal structure in S. pyogenes, relative to other streptococci. Cataloging of the chromosomal location and frequency of inversions can direct dissection of phenotypic changes following chromosomal inversions. The framework used here can be transferred to other bacterial species to characterise chromosomal inversions.