2016
DOI: 10.3390/antibiotics5040035
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Resistance to β-Lactams in Neisseria ssp Due to Chromosomally Encoded Penicillin-Binding Proteins

Abstract: Neisseria meningitidis and Neisseria gonorrhoeae are human pathogens that cause a variety of life-threatening systemic and local infections, such as meningitis or gonorrhoea. The treatment of such infection is becoming more difficult due to antibiotic resistance. The focus of this review is on the mechanism of reduced susceptibility to penicillin and other β-lactams due to the modification of chromosomally encoded penicillin-binding proteins (PBP), in particular PBP2 encoded by the penA gene. The variety of pe… Show more

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Cited by 50 publications
(48 citation statements)
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“…To conclude, from this study, we show that for the meningococcus Lnt is a promising drug target and for the gonococcus we highlight the importance of targeting enzymes that act earlier in the lipoprotein processing pathway, such as Lgt, to prevent any sorting of diacylated lipoproteins to the cell surface. Our study is very timely given the continuing rise in antibiotic resistance in both N. meningitidis and N. gonorrhoeae and the ever increasing need to develop new antimicrobials against these organisms (Zapun et al, ).…”
Section: Discussionmentioning
confidence: 98%
“…To conclude, from this study, we show that for the meningococcus Lnt is a promising drug target and for the gonococcus we highlight the importance of targeting enzymes that act earlier in the lipoprotein processing pathway, such as Lgt, to prevent any sorting of diacylated lipoproteins to the cell surface. Our study is very timely given the continuing rise in antibiotic resistance in both N. meningitidis and N. gonorrhoeae and the ever increasing need to develop new antimicrobials against these organisms (Zapun et al, ).…”
Section: Discussionmentioning
confidence: 98%
“…gonorrhoeae might determine a genetic exchange between the two Neisseria spp. in the urethra (4, 9). …”
Section: Textmentioning
confidence: 99%
“…Pneumococcus and related oral streptococci resist ␤-lactams by expression of altered PBPs (5) encoded by mosaic genes that result from multiple events of homologous recombination with genes from close species combined with additional point mutations (6). A similar mechanism of ␤-lactam resistance operates in Neisseria species (7). Mosaic PBPs from resistant strains typically harbor tens of amino acid substitutions amounting to more than 10% of the primary sequence in some instances (5).…”
mentioning
confidence: 99%