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Published on: May 23, 2021
Genetic characterization of Vga ABC proteins conferring reduced susceptibility to pleuromutilins in Staphylococcus
Daniel R Gentry1, Lynn McCloskey, Michael N Gwynn
1Department of Microbiology, ID-CEDD, GlaxoSmithKline, Collegeville, Pennsylvania 19426, USA. dan.r.gentry@gsk.com
Abstract:
Retapamulin MICs of > or =2 microg/ml were noted for 6 of 5,676 S. aureus recent clinical isolates evaluated. The ABC proteins VgaAv and VgaA were found to be responsible for the reduced susceptibility to pleuromutilins exhibited by these six isolates.
Insights
Six Staphylococcus aureus isolates showed reduced susceptibility to the antibiotic retapamulin. This resistance was linked to specific ABC proteins, VgaAv and VgaA, impacting pleuromutilin effectiveness.
Area of Science:
- Microbiology
- Molecular Biology
- Antimicrobial Resistance
Background:
- Staphylococcus aureus is a significant human pathogen.
- Pleuromutilins are a class of antibiotics used to treat bacterial infections.
- Monitoring antibiotic susceptibility is crucial for effective treatment.
Purpose of the Study:
- To investigate the prevalence of reduced susceptibility to retapamulin in recent clinical isolates of Staphylococcus aureus.
- To identify the genetic mechanisms responsible for this reduced susceptibility.
Main Methods:
- Minimum Inhibitory Concentration (MIC) testing was performed on 5,676 clinical isolates of Staphylococcus aureus.
- Isolates exhibiting reduced susceptibility were further analyzed to identify resistance genes.
Main Results:
- Six out of 5,676 S. aureus isolates displayed Minimum Inhibitory Concentrations (MICs) of >= 2 microg/ml for retapamulin.
- The ATP-binding cassette (ABC) proteins, VgaAv and VgaA, were identified as the cause of reduced susceptibility to pleuromutilins in these isolates.
Conclusions:
- The ABC proteins VgaAv and VgaA confer reduced susceptibility to pleuromutilins in Staphylococcus aureus.
- These findings highlight the importance of monitoring for resistance mechanisms to ensure the continued efficacy of retapamulin.
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