2013
DOI: 10.1371/journal.pone.0071151
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Emergence of Daptomycin Resistance in Daptomycin-Naïve Rabbits with Methicillin-Resistant Staphylococcus aureus Prosthetic Joint Infection Is Associated with Resistance to Host Defense Cationic Peptides and mprF Polymorphisms

Abstract: BackgroundPrevious studies of both clinically-derived and in vitro passage-derived daptomycin–resistant (DAP-R) Staphylococcus aureus strains demonstrated the coincident emergence of increased DAP MICs and resistance to host defense cationic peptides (HDP-R).MethodsIn the present investigation, we studied a parental DAP-susceptible (DAP-S) methicillin-resistant Staphylococcus aureus (MRSA) strain and three isogenic variants with increased DAP MICs which were isolated from both DAP-treated and DAP-untreated rab… Show more

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Cited by 77 publications
(67 citation statements)
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“…However, SNPs in mprF were the most frequently encountered, and were accompanied by an increase in resistance to daptomycin and other CAMPs (nisin and human CAMPs e.g., [75,79]). Most mprF gain-of-function SNPs are located in the flippase domain, and they generally increase the total amount of Lys-PG in the membrane as well as the amount of Lys-PG translocated to the outer surface of the cytoplasmic membrane (e.g., [77,78]). Interestingly, SNPs in the lysX gene in M. tuberculosis were recently discovered; this finding further supports the hypothesis that this system plays a role in virulence.…”
Section: Single Nucleotide Polymorphisms: Gain Of Function Mutations mentioning
confidence: 99%
“…However, SNPs in mprF were the most frequently encountered, and were accompanied by an increase in resistance to daptomycin and other CAMPs (nisin and human CAMPs e.g., [75,79]). Most mprF gain-of-function SNPs are located in the flippase domain, and they generally increase the total amount of Lys-PG in the membrane as well as the amount of Lys-PG translocated to the outer surface of the cytoplasmic membrane (e.g., [77,78]). Interestingly, SNPs in the lysX gene in M. tuberculosis were recently discovered; this finding further supports the hypothesis that this system plays a role in virulence.…”
Section: Single Nucleotide Polymorphisms: Gain Of Function Mutations mentioning
confidence: 99%
“…Esta es una enzima bifuncional que se encarga de la adición de lisina (aminoácido de carga positiva) a residuos de fosfatidilglicerol en la capa interna de la membrana celular, formando lisilfosfatidilglicerol (L-FG), y de la translocación de L-FG desde la capa interna hacia la capa externa de la membrana (actividad de flipasa) (93)(94)(95). En cepas de S. aureus resistentes a la daptomicina se han descrito diversas mutaciones en el mprF (94) que parecen incrementar la actividad de esta enzima, contribuyendo al incremento de la carga positiva de la superficie celular (94)(95)(96). El operón dltABC, responsable de la adición de D-alanina a los ácidos teicoicos (lo que aumenta la carga positiva de la membrana), también se ha relacionado con la reducción de la sensibilidad a la daptomicina (97) y, por último, las mutaciones puntuales en los genes rpoB y rpoC (que codifican para las subunidades ß y ß' de la ARN polimerasa, respectivamente), se han asociado, igualmente, con la aparición de la resistencia a la daptomicina en S. aureus (92,98).…”
Section: Resistencia a La Daptomicina En Staphylococcus Aureusunclassified
“…A hot spot for genetic changes that decrease susceptibility to daptomycin is the mprF (multipeptide resistance factor) gene (4,6). MprF is a bifunctional membrane protein responsible for adding lysine to phosphatidylglycerol (PG) and for flipping the positively charged lysyl-PG product to the outer leaflet of the cytoplasmic membrane (7).…”
mentioning
confidence: 99%