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Updated: Jul 4, 2026

Testing the Role of Multicopy Plasmids in the Evolution of Antibiotic Resistance
Published on: May 2, 2018
Key role of Mfd in the development of fluoroquinolone resistance in Campylobacter jejuni
Jing Han1, Orhan Sahin, Yi-Wen Barton
1Department of Veterinary Microbiology and Preventive Medicine, College of Veterinary Medicine, Iowa State University, Ames, Iowa, United States of America.
Abstract:
Campylobacter jejuni is a major food-borne pathogen and a common causative agent of human enterocolitis. Fluoroquinolones are a key class of antibiotics prescribed for clinical treatment of enteric infections including campylobacteriosis, but fluoroquinolone-resistant Campylobacter readily emerges under the antibiotic selection pressure. To understand the mechanisms involved in the development of fluoroquinolone-resistant Campylobacter, we compared the gene expression profiles of C. jejuni in the presence and absence of ciprofloxacin using DNA microarray. Our analysis revealed that multiple genes showed significant changes in expression in the presence of a suprainhibitory concentration of ciprofloxacin. Most importantly, ciprofloxacin induced the expression of mfd, which encodes a transcription-repair coupling factor involved in strand-specific DNA repair. Mutation of the mfd gene resulted in an approximately 100-fold reduction in the rate of spontaneous mutation to ciprofloxacin resistance, while overexpression of mfd elevated the mutation frequency. In addition, loss of mfd in C. jejuni significantly reduced the development of fluoroquinolone-resistant Campylobacter in culture media or chickens treated with fluoroquinolones. These findings indicate that Mfd is important for the development of fluoroquinolone resistance in Campylobacter, reveal a previously unrecognized function of Mfd in promoting mutation frequencies, and identify a potential molecular target for reducing the emergence of fluoroquinolone-resistant Campylobacter.
Insights
The Mfd protein promotes the development of fluoroquinolone resistance in Campylobacter jejuni by increasing mutation rates. Inhibiting Mfd may reduce the emergence of antibiotic-resistant Campylobacter infections.
Area of Science:
- Microbiology
- Genetics
- Molecular Biology
Background:
- Campylobacter jejuni is a significant foodborne pathogen causing human enterocolitis.
- Fluoroquinolone antibiotics are crucial for treating campylobacteriosis, but resistance is a growing concern.
- Understanding resistance mechanisms is vital for effective treatment strategies.
Purpose of the Study:
- To investigate the molecular mechanisms underlying fluoroquinolone resistance in Campylobacter jejuni.
- To identify specific genes and pathways involved in the development of antibiotic resistance.
Main Methods:
- Comparative gene expression profiling of C. jejuni using DNA microarrays in the presence and absence of ciprofloxacin.
- Mutation analysis of the mfd gene to assess its role in spontaneous mutation rates.
- In vivo and in vitro studies evaluating the impact of mfd gene alterations on fluoroquinolone resistance development.
Main Results:
- Ciprofloxacin significantly altered the expression of multiple genes in C. jejuni.
- The mfd gene, encoding a transcription-repair coupling factor, was notably upregulated by ciprofloxacin.
- Loss of mfd function reduced spontaneous mutation rates and fluoroquinolone resistance development in C. jejuni.
- Overexpression of mfd increased mutation frequency, highlighting its role in promoting genetic variation.
Conclusions:
- Mfd plays a critical role in the emergence of fluoroquinolone resistance in Campylobacter.
- Mfd possesses a previously unrecognized function in elevating mutation frequencies.
- Targeting Mfd presents a potential strategy to mitigate the spread of fluoroquinolone-resistant Campylobacter infections.
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