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
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作者:
Niga, T
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机构:Dainippon Pharmaceut Co Ltd, Pharmacol & Microbiol Res Labs, Osaka 5640053, Japan
Niga, T
Ito, H
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机构:Dainippon Pharmaceut Co Ltd, Pharmacol & Microbiol Res Labs, Osaka 5640053, Japan
Ito, H
Oyamada, Y
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机构:Dainippon Pharmaceut Co Ltd, Pharmacol & Microbiol Res Labs, Osaka 5640053, Japan
Oyamada, Y
Yamagishi, J
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机构:Dainippon Pharmaceut Co Ltd, Pharmacol & Microbiol Res Labs, Osaka 5640053, Japan
Yamagishi, J
Kadono, M
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机构:Dainippon Pharmaceut Co Ltd, Pharmacol & Microbiol Res Labs, Osaka 5640053, Japan
Kadono, M
Nishino, T
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机构:Dainippon Pharmaceut Co Ltd, Pharmacol & Microbiol Res Labs, Osaka 5640053, Japan
Nishino, T
Gotoh, N
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机构:Dainippon Pharmaceut Co Ltd, Pharmacol & Microbiol Res Labs, Osaka 5640053, Japan
Gotoh, N
Inoue, M
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机构:Dainippon Pharmaceut Co Ltd, Pharmacol & Microbiol Res Labs, Osaka 5640053, Japan
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
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.