Assessing the role of the RND efflux pump in metronidazole resistance of Helicobacter pylori by RT-PCR assay

Metronidazole is a significant antibiotic used for eradication of Helicobacter pylori infections and it is of notice that metronidazole-resistant clinical isolates have been found in high rates worldwide. While the RND family of efflux pumps plays a central role in drug resistance among Gram-negativ...

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Veröffentlicht in:Journal of infection in developing countries 2011-02, Vol.5 (2), p.88-93
Hauptverfasser: Mehrabadi, Jalil Fallah, Sirous, Mehrandokht, Daryani, Naser Ebrahimi, Eshraghi, Saeed, Akbari, Bahram, Shirazi, Mohammad Hasan
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container_end_page 93
container_issue 2
container_start_page 88
container_title Journal of infection in developing countries
container_volume 5
creator Mehrabadi, Jalil Fallah
Sirous, Mehrandokht
Daryani, Naser Ebrahimi
Eshraghi, Saeed
Akbari, Bahram
Shirazi, Mohammad Hasan
description Metronidazole is a significant antibiotic used for eradication of Helicobacter pylori infections and it is of notice that metronidazole-resistant clinical isolates have been found in high rates worldwide. While the RND family of efflux pumps plays a central role in drug resistance among Gram-negative bacteria, this is questionable for H. pylori. To understand whether TolC homologues of RND pumps contribute to metronidazole resistance in H. pylori isolates, expression of four TolC homologous genes of five resistant clinical isolates exposed to varying concentrations of metronidazole were evaluated by RT-PCR and transcriptional analysis. The results indicate that excess amounts of metronidazole are able to increase the expression level of these genes at the transcriptional stage. Therefore, it may be hypothesized that use of metronidazole in H. pyori infection can induce metronidazole resistance. Furthermore, the RND family of efflux pumps may contribute to metronidazole resistance in clinical isolates of H. pylori.
doi_str_mv 10.3855/jidc.1187
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subjects Anti-Bacterial Agents - pharmacology
Bacterial Outer Membrane Proteins - genetics
Bacterial Outer Membrane Proteins - metabolism
Drug Resistance, Bacterial
Helicobacter Infections - microbiology
Helicobacter pylori - drug effects
Helicobacter pylori - genetics
Helicobacter pylori - growth & development
Helicobacter pylori - metabolism
Humans
Membrane Transport Proteins - genetics
Membrane Transport Proteins - metabolism
Metronidazole - metabolism
Metronidazole - pharmacology
Microbial Sensitivity Tests
Reverse Transcriptase Polymerase Chain Reaction
Transcription, Genetic
title Assessing the role of the RND efflux pump in metronidazole resistance of Helicobacter pylori by RT-PCR assay
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