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Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
Molecular analysis of fusidic acid resistance in Staphylococcus aureus
Silke Besier1, Albrecht Ludwig, Volker Brade
1Institut für Medizinische Mikrobiologie, Klinikum der J.W. Goethe-Universität, Paul-Ehrlich-Str. 40, 60596 Frankfurt am Main, Germany.
Abstract:
Fusidic acid is a potent antibiotic against severe Gram-positive infections that interferes with the function of elongation factor G (EF-G), thereby leading to the inhibition of bacterial protein synthesis. In this study, we demonstrate that fusidic acid resistance in Staphylococcus aureus results from point mutations within the chromosomal fusA gene encoding EF-G. Sequence analysis of fusA revealed mutational changes that cause amino acid substitutions in 10 fusidic acid-resistant clinical S. aureus strains as well as in 10 fusidic acid-resistant S. aureus mutants isolated under fusidic acid selective pressure in vitro. Fourteen different amino acid exchanges were identified that were restricted to 13 amino acid residues within EF-G. To confirm the importance of observed amino acid exchanges in EF-G for the generation of fusidic acid resistance in S. aureus, three mutant fusA alleles encoding EF-G derivatives with the exchanges P406L, H457Y and L461K were constructed by site-directed mutagenesis. In each case, introduction of the mutant fusA alleles on plasmids into the fusidic acid-susceptible S. aureus strain RN4220 caused a fusidic acid-resistant phenotype. The elevated minimal inhibitory concentrations of fusidic acid determined for the recombinant bacteria were analogous to those observed for the fusidic acid-resistant clinical S. aureus isolates and the in vitro mutants containing the same chromosomal mutations. Thus, the data presented provide evidence for the crucial importance of individual amino acid exchanges within EF-G for the generation of fusidic acid resistance in S. aureus.
Insights
Fusidic acid resistance in Staphylococcus aureus arises from specific mutations in the fusA gene, which encodes elongation factor G (EF-G). These genetic changes alter EF-G, leading to antibiotic resistance in bacteria.
Area of Science:
- Microbiology
- Molecular Biology
- Genetics
Background:
- Fusidic acid is a critical antibiotic for treating Gram-positive infections.
- It functions by inhibiting bacterial protein synthesis via elongation factor G (EF-G).
- Understanding resistance mechanisms is vital for effective antibiotic use.
Purpose of the Study:
- To identify the genetic basis of fusidic acid resistance in Staphylococcus aureus.
- To elucidate the role of elongation factor G (EF-G) mutations in conferring resistance.
- To confirm the functional impact of specific EF-G alterations on fusidic acid susceptibility.
Main Methods:
- Sequence analysis of the fusA gene in clinical and laboratory-generated resistant strains.
- Site-directed mutagenesis to create specific EF-G variants.
- Phenotypic analysis of bacterial strains with engineered fusA alleles.
Main Results:
- Point mutations in the fusA gene were identified as the cause of fusidic acid resistance.
- Fourteen distinct amino acid substitutions within EF-G were found in resistant strains.
- Engineered mutations (P406L, H457Y, L461K) conferred a resistant phenotype in susceptible S. aureus.
Conclusions:
- Individual amino acid exchanges in EF-G are crucial for developing fusidic acid resistance in S. aureus.
- The fusA gene is a primary target for resistance development.
- These findings deepen our understanding of antibiotic resistance mechanisms.
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