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A Fluorescence-based Method to Study Bacterial Gene Regulation in Infected Tissues
Published on: February 19, 2019
Constitutive expression of the ileS-2 gene responsible for high-level mupirocin resistance in Staphylococcus aureus
Naira Elane Moreira de Oliveira1, Elisa D'Avila Costa Cavalcanti2, Marinella Silva Laport1
1Instituto de Microbiologia Prof. Paulo de Góes, Bloco I, Centro de Ciências da Saúde, Universidade Federal do Rio de Janeiro, Cidade Universitária, 21491-590 Rio de Janeiro, RJ, Brazil.
Abstract:
Mupirocin is a topical antimicrobial agent that is used for the treatment of skin and postoperative wound infections, and the prevention of nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA). However, the prevalence of mupirocin resistance in S. aureus, particularly in MRSA, has increased. High-level mupirocin resistance, with MICs >or=512 microg ml(-1), is mediated by the ileS-2 gene, which is located on conjugative plasmids. In the present study, we investigated whether mupirocin influences the expression of the ileS-2 gene responsible for high-level mupirocin resistance, and we present some evidence that this gene is not upregulated but constitutively expressed in S. aureus.
Insights
Mupirocin resistance in Staphylococcus aureus is increasing. This study found that the ileS-2 gene, responsible for high-level resistance, is constitutively expressed, not upregulated by mupirocin.
Area of Science:
- Microbiology
- Molecular Biology
- Antimicrobial Resistance
Background:
- Mupirocin is a crucial topical antimicrobial for treating skin infections and preventing methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage.
- Increasing prevalence of mupirocin resistance in S. aureus, especially MRSA, poses a significant clinical challenge.
- High-level mupirocin resistance is primarily mediated by the ileS-2 gene, often located on conjugative plasmids.
Purpose of the Study:
- To investigate the regulatory mechanism of the ileS-2 gene in S. aureus.
- To determine if mupirocin exposure influences the expression of the ileS-2 gene.
- To elucidate the basis of constitutive high-level mupirocin resistance.
Main Methods:
- Investigated gene expression levels of ileS-2 in S. aureus.
- Utilized molecular techniques to assess gene regulation.
- Analyzed the role of constitutive expression in mupirocin resistance.
Main Results:
- Evidence suggests that the ileS-2 gene is constitutively expressed in S. aureus.
- Mupirocin does not appear to upregulate the expression of the ileS-2 gene.
- Constitutive expression of ileS-2 is a key factor in high-level mupirocin resistance.
Conclusions:
- The ileS-2 gene's constitutive expression, rather than upregulation by mupirocin, underlies high-level resistance in S. aureus.
- Understanding this mechanism is vital for managing mupirocin resistance.
- Further research into resistance mechanisms can inform treatment strategies.
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