Antibiotic Resistance as a Stress Response: Recovery of High-Level Oxacillin Resistance in Methicillin-Resistant Staphylococcus aureus “Auxiliary” ( fem ) Mutants by Induction of the Stringent Stress Response

Author:

Kim Choon Keun1,Milheiriço Catarina12ORCID,de Lencastre Hermínia12,Tomasz Alexander1

Affiliation:

1. Laboratory of Microbiology & Infectious Diseases, The Rockefeller University, New York, New York, USA

2. Laboratory of Molecular Genetics, Instituto de Tecnologia Química e Biológica (ITQB) da Universidade Nova de Lisboa, Oeiras, Portugal

Abstract

ABSTRACT Studies with methicillin-resistant Staphylococcus aureus (MRSA) strain COL have shown that the optimal resistance phenotype requires not only mecA but also a large number of “auxiliary genes” identified by Tn 551 mutagenesis. The majority of auxiliary mutants showed greatly increased levels of oxacillin resistance when grown in the presence of sub-MICs of mupirocin, suggesting that the mechanism of reduced resistance in the auxiliary mutants involved the interruption of a stringent stress response, causing reduced production of penicillin-binding protein 2A (PBP 2A).

Funder

COMPETE2020

Ministry of Education and Science | Fundação para a Ciência e a Tecnologia

HHS | NIH | National Institute of Allergy and Infectious Diseases

HHS | NIH | National Center for Advancing Translational Sciences

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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