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[Pathogenecity of fosfomycin-resistant strains isolated from Escherichia coli]

T Kasai1, T Tsuruoka

  • 1Pharmaceutical Research Center, Meiji Seika Kaisha, Ltd., Yokohama, Japan.

Insights

Fosfomycin-resistant Escherichia coli strains showed reduced virulence in animal models. These resistant strains, FRC14 and FRK104, exhibited impaired pathogenesis compared to their susceptible parent strains.

Area of Science:

  • Microbiology
  • Bacterial Pathogenesis
  • Antimicrobial Resistance

Background:

  • Fosfomycin is a crucial antibiotic for treating bacterial infections.
  • Emergence of antibiotic resistance poses a significant threat to public health.
  • Understanding the characteristics of resistant bacterial strains is vital for developing effective treatment strategies.

Purpose of the Study:

  • To investigate the pathogenesis and characteristics of two fosfomycin-resistant Escherichia coli strains, FRC14 and FRK104.
  • To compare the virulence of these resistant strains with their susceptible parent strains in animal models.

Main Methods:

  • Isolation of fosfomycin-resistant strains (FRC14 and FRK104) from infected mice using a replica method.
  • Determination of fosfomycin Minimum Inhibitory Concentration (MIC) for resistant and parent strains.
  • Characterization of carbohydrate utilization and identification of potential mutations (e.g., glpT, ptsI).
  • Assessment of virulence by inoculating resistant and parent strains into mice and guinea pigs.

Main Results:

  • Fosfomycin-resistant strains FRC14 and FRK104 exhibited significantly higher MIC values compared to parent strains.
  • FRC14 demonstrated defective sn-glycerol 3-phosphate (G3P) utilization, suggesting a glpT mutation.
  • FRK104 showed impaired carbohydrate utilization, with G3P utilization restored by cAMP, indicating a ptsI mutation.
  • Both resistant strains displayed diminished killing activity in mice and reduced ability to cause keratoconjunctivitis in guinea pigs compared to parent strains.

Conclusions:

  • Fosfomycin resistance in E. coli can be associated with mutations affecting nutrient utilization.
  • The identified resistant strains (FRC14 and FRK104) exhibit reduced virulence and impaired pathogenesis.
  • These findings highlight a potential trade-off between antibiotic resistance and bacterial fitness/virulence.

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