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Amikacin resistance associated with a plasmid-borne aminoglycoside phosphotransferase in Escherichia coli

Insights

Amikacin resistance in Escherichia coli is caused by an aminoglycoside phosphotransferase enzyme. This enzyme is encoded by a transferable plasmid gene, enabling resistance spread in gram-negative bacteria.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Biochemistry

Background:

  • Enzymatic phosphorylation of amikacin in gram-negative bacteria was previously unreported.
  • Amikacin is an important aminoglycoside antibiotic used to treat infections.

Purpose of the Study:

  • To investigate the mechanism of amikacin resistance in a mutant strain of Escherichia coli.
  • To identify the enzyme responsible for amikacin phosphorylation and its genetic basis.

Main Methods:

  • Comparative analysis of phosphotransferase activity in amikacin-resistant and susceptible E. coli strains.
  • Conjugal transfer experiments to assess the heritability of resistance and enzyme activity.
  • Enzyme purification using amikacin-Sepharose 4B chromatography.
  • Characterization of enzyme substrate specificity.

Main Results:

  • Amikacin-resistant E. coli extracts showed higher phosphotransferase activity compared to the parental strain.
  • Amikacin resistance and phosphotransferase activity were transferable via a 57-megadalton plasmid.
  • A partially purified enzyme exhibited phosphotransferase activity against amikacin, similar to known neomycin-kanamycin phosphotransferases but with broader substrate activity.
  • Mutations affecting amikacin susceptibility correlated with changes in phosphotransferase activity and were plasmid-associated.

Conclusions:

  • Amikacin resistance in this E. coli strain is mediated by an aminoglycoside phosphotransferase.
  • The gene encoding this enzyme is located on a transferable plasmid, suggesting a mechanism for the spread of amikacin resistance in gram-negative bacteria.

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