Mechanism of Resistance to Antibiotic Synergism in Enterococci

Author:

Zimmermann Robert A.1,Moellering Robert C.1,Weinberg Arnold N.1

Affiliation:

1. Department of Bacteriology, Harvard Medical School and Department of Medicine (Infectious Disease Unit), Massachusetts General Hospital, Boston, Massachusetts 02114

Abstract

Enterococci exhibit two types of resistance to streptomycin. Moderately high-level resistance is observed in most naturally occurring strains and can be overcome by simultaneous exposure to penicillin. In addition, very high-level resistance is found in those strains against which penicillin plus streptomycin fail to produce synergism in vitro. To study the mechanism of streptomycin resistance in enterococci, ribosomes from a wild-type strain and from a highly streptomycin-resistant mutant were isolated, characterized, and studied in an in vitro amino acid incorporation system. The ribosomes from the organism with moderately high-level streptomycin resistance were sensitive to streptomycin in vitro, suggesting that this type of resistance is caused by failure of streptomycin to reach the ribosomes. Very high-level resistance (and lack of penicillin-streptomycin synergism), on the other hand, appears to be due to ribosomally mediated streptomycin resistance.

Publisher

American Society for Microbiology

Subject

Molecular Biology,Microbiology

Reference24 articles.

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2. Streptomycin action and the ribosome;Cox E. C.;Proc. Nat. Acad. Sci. U.S.A.,1964

3. Studies on the ribosomes of streptomycinsensitive and resistant strains of Escherichia coli;Davies J.;Proc. Nat. Acad. Sci. U.S.A.,1964

4. Streptomycin, suppression and the code;Davies J.;Proc. Nat. Acad. Sci. U.S.A.,1964

5. Misreading of RNA codewords induced by aminoglycoside antibiotics;Davies J.;J. Mol. Pharmacol.,1965

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