Universidad Peruana Cayetano Heredia

Which mechanisms of azithromycin resistance are selected when efflux pumps are inhibited?

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dc.contributor.author Gomes, Cláudia
dc.contributor.author Martínez-Puchol, Sandra
dc.contributor.author Durand Vara, David Percy
dc.contributor.author Lluque, Angela
dc.contributor.author Mosquito, Susan
dc.contributor.author Ochoa Woodell, Theresa Jean
dc.contributor.author Ruiz, Joaquim
dc.date.accessioned 2022-01-04T20:30:00Z
dc.date.available 2022-01-04T20:30:00Z
dc.date.issued 2013
dc.identifier.uri https://hdl.handle.net/20.500.12866/10508
dc.description.abstract The aim of this study was to develop in vitro azithromycin (AZM)-resistant mutants of Escherichia coli and Shigella spp. in the presence of Phe-Arg β-naphthylamide (PAβN) and to observe which AZM resistance mechanisms other than efflux pumps were inhibited by PAβN emerge. The frequency of mutation ranged between <6.32 × 10^−10 and 5.22 × 10^−7 for E. coli and between <5.32 × 10^−10 and 1.69 × 10^−7 for Shigella spp. The E. coli mutants showed an increase in the AZM minimum inhibitory concentration (MIC) up to 128-fold, whilst the Shigella spp. mutants presented increases in MIC levels of up to 8-fold. In one mutant, the insertion of nucleotides encoding the amino acid sequence IMPRAS was found in the rplV gene. Increases in OmpW expression were observed in all E. coli mutants compared with their respective parental isolates. The combination of antibiotics and efflux pump inhibitors appears to be a good option to reduce the frequency of mutation in clinical isolates. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries International Journal of Antimicrobial Agents
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Azithromycin en_US
dc.subject Enterobacteriaceae en_US
dc.subject Efflux pumps en_US
dc.title Which mechanisms of azithromycin resistance are selected when efflux pumps are inhibited? en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.ijantimicag.2013.05.012
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.01
dc.relation.issn 1872-7913


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