Genetic Determinants of High-Level Oxacillin Resistance in Methicillin-Resistant Staphylococcus aureus

Methicillin-resistant (MRSA) strains carry either a - or a -mediated mechanism of resistance to beta-lactam antibiotics, and the phenotypic expression of resistance shows extensive strain-to-strain variation. In recent communications, we identified the genetic determinants associated with the string...

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Veröffentlicht in:Antimicrobial agents and chemotherapy 2018-06, Vol.62 (6), p.e00206-18
Hauptverfasser: Pardos de la Gandara, Maria, Borges, Vitor, Chung, Marilyn, Milheiriço, Catarina, Gomes, João Paulo, de Lencastre, Herminia, Tomasz, Alexander
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container_end_page 18
container_issue 6
container_start_page e00206
container_title Antimicrobial agents and chemotherapy
container_volume 62
creator Pardos de la Gandara, Maria
Borges, Vitor
Chung, Marilyn
Milheiriço, Catarina
Gomes, João Paulo
de Lencastre, Herminia
Tomasz, Alexander
description Methicillin-resistant (MRSA) strains carry either a - or a -mediated mechanism of resistance to beta-lactam antibiotics, and the phenotypic expression of resistance shows extensive strain-to-strain variation. In recent communications, we identified the genetic determinants associated with the stringent stress response that play a major role in the antibiotic resistant phenotype of the historically earliest "archaic" clone of MRSA and in the -carrying MRSA strain LGA251. Here, we sought to test whether or not the same genetic determinants also contribute to the resistant phenotype of highly and homogeneously resistant (H*R) derivatives of a major contemporary MRSA clone, USA300. We found that the resistance phenotype was linked to six genes ( , , , , , and ), which were most frequently targeted among the analyzed 20 H*R strains (one mutation per clone in 19 of the 20 H*R strains). Besides the strong parallels with our previous findings (five of the six genes matched), all but one of the repeatedly targeted genes were found to be linked to guanine metabolism, pointing to the key role that this pathway plays in defining the level of antibiotic resistance independent of the clonal type of MRSA.
doi_str_mv 10.1128/AAC.00206-18
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Anti-Bacterial Agents
Anti-Bacterial Agents - pharmacology
Bacterial Proteins
Bacterial Proteins - genetics
Bacteriology
Biochemistry, Molecular Biology
Denmark
Genomics
Guanine
Guanine - metabolism
Humans
Life Sciences
Mechanisms of Resistance
Methicillin Resistance
Methicillin Resistance - genetics
Methicillin-Resistant Staphylococcus aureus
Methicillin-Resistant Staphylococcus aureus - drug effects
Methicillin-Resistant Staphylococcus aureus - genetics
Methicillin-Resistant Staphylococcus aureus - isolation & purification
Microbial Sensitivity Tests
Microbiology and Parasitology
Molecular biology
Oxacillin
Oxacillin - pharmacology
Penicillin-Binding Proteins
Penicillin-Binding Proteins - genetics
United Kingdom
Whole Genome Sequencing
title Genetic Determinants of High-Level Oxacillin Resistance in Methicillin-Resistant Staphylococcus aureus
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