Cooperation between alteration of DNA gyrase genes and over-expression of MexB and MexX confers high-level fluoroquinolone resistance in Pseudomonas aeruginosa strains isolated from a patient who received a liver transplant followed by treatment with fluoroquinolones

被引:10
|
作者
Niga, T
Ito, H
Oyamada, Y
Yamagishi, J
Kadono, M
Nishino, T
Gotoh, N
Inoue, M
机构
[1] Dainippon Pharmaceut Co Ltd, Pharmacol & Microbiol Res Labs, Osaka 5640053, Japan
[2] Kyoto Pharmaceut Univ, Dept Microbiol, Kyoto 6078414, Japan
[3] Kitasato Univ, Sch Med, Dept Microbiol, Kanagawa 2288555, Japan
关键词
fluoroquinolone-resistance; Pseudomonas aeruginosa; DNA gyrase; efflux systems;
D O I
10.1111/j.1348-0421.2005.tb03748.x
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Clinical isolates of highly fluoroquinolone-resistant Pseudomonas aeruginosa had a mutation in either A or B subunit of DNA gyrase and over-expressed MexB and MexX, the efflux system proteins. Introduction of wild-type gyrase genes of Escherichia coli into the isolates made them as fluoroquinolone-susceptible as the moderately fluoroquinolone-resistant strains that only over-expressed efflux system proteins. These findings demonstrate that high fluoroquinolone-resistance in P. aeruginosa is attributed to cooperation between alteration in DNA gyrase genes and over-expression of efflux systems proteins.
引用
收藏
页码:443 / 446
页数:4
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