Mechanism of metronidazole-resistance by isolates of nitroreductase-producing Enterococcus gallinarum and Enterococcus casseliflavus from the human intestinal tract

Enterococcus casseliflavus and Enterococcus gallinarum strains resistant to metronidazole, nitrofurantoin and nitrofurazone were isolated from fecal samples of a patient with recurrent ulcerative colitis treated with metronidazole. Unlike other metronidazole-resistant bacteria, these strains produce...

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Veröffentlicht in:FEMS microbiology letters 2003-08, Vol.225 (2), p.195-200
Hauptverfasser: Rafii, Fatemeh, Wynne, Rebecca, Heinze, Thomas M., Paine, Donald D.
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Wynne, Rebecca
Heinze, Thomas M.
Paine, Donald D.
description Enterococcus casseliflavus and Enterococcus gallinarum strains resistant to metronidazole, nitrofurantoin and nitrofurazone were isolated from fecal samples of a patient with recurrent ulcerative colitis treated with metronidazole. Unlike other metronidazole-resistant bacteria, these strains produced nitroreductase but metabolized metronidazole to compounds that could not be detected by liquid chromatography with UV or mass spectral analysis. Metronidazole-susceptible Clostridium perfringens grew equally well in spent cultures of Enterococcus spp. incubated with or without metronidazole. These data indicate that the nitroreductases produced by these Enterococcus strains did not activate metronidazole to bactericidal metabolites and these bacteria may reduce the effectiveness of metronidazole. We have indirect evidence for an alternative pathway that results in metronidazole resistance. These strains of enterococcus had nitroreductase so resistance should not have occurred.
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source MEDLINE; Access via Wiley Online Library; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Bacteriology
Biological and medical sciences
Chromatography, High Pressure Liquid
Clostridium perfringens - growth & development
Drug Resistance, Bacterial
Enterococcus
Enterococcus - drug effects
Enterococcus - growth & development
Enterococcus - isolation & purification
Enterococcus - metabolism
Feces - microbiology
Fundamental and applied biological sciences. Psychology
Humans
Intestinal bacteria
Intestines - microbiology
Metronidazole
Metronidazole - metabolism
Metronidazole - pharmacology
Microbiology
Nitroreductase
Nitroreductases - biosynthesis
Pathogenicity, virulence, toxins, bacteriocins, pyrogens, host-bacteria relations, miscellaneous strains
Spectrometry, Mass, Electrospray Ionization
title Mechanism of metronidazole-resistance by isolates of nitroreductase-producing Enterococcus gallinarum and Enterococcus casseliflavus from the human intestinal tract
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