Development of Resistance during Antimicrobial Therapy Caused by Insertion Sequence Interruption of Porin Genes

Author:

Hernández-Allés Santiago1,Benedí Vicente J.1,Martínez-Martínez Luis2,Pascual Álvaro2,Aguilar Alicia3,Tomás Juan M.3,Albertí Sebastián1

Affiliation:

1. Área de Microbiologı́a, Departamento de Biologı́a, Universidad de las Islas Baleares and IMEDEA (CSIC-UIB), Palma de Mallorca,1

2. Departamento de Microbiologı́a, Universidad de Sevilla, Seville,2 and

3. Departamento de Microbiologı́a, Universidad de Barcelona, Barcelona,3 Spain

Abstract

ABSTRACT We have demonstrated by using an in vitro approach that interruption of the OmpK36 porin gene by insertion sequences (ISs) is a common type of mutation that causes loss of porin expression and increased resistance to cefoxitin in Klebsiella pneumoniae . This mechanism also operates in vivo: of 13 porin-deficient cefoxitin-resistant clinical isolates of K. pneumoniae , 4 presented ISs in their ompK36 gene.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference20 articles.

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4. Ausubel F. M. Brent R. Kingston R. E. Moore D. D. Seidman J. G. Smith J. A. Struhl K. Current protocols in molecular biology. 1997 Wiley Interscience New York N.Y

5. Solubilization of the Cytoplasmic Membrane of Escherichia coli by the Ionic Detergent Sodium-Lauryl Sarcosinate

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