Antimicrobial Agents and Chemotherapy, December 2001, p. 3422-3426, Vol. 45, No. 12
0066-4804/01/$04.00+0 DOI: 10.1128/AAC.45.12.3422-3426.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Procter & Gamble Pharmaceuticals, Mason, Ohio 45040
Received 16 May 2001/Returned for modification 9 July 2001/Accepted 7 September 2001
The in vitro development of resistance to the new nonfluorinated
quinolones (NFQs; PGE 9262932, PGE 4175997, and PGE 9509924) was
investigated in Staphylococcus aureus. At concentrations
two times the MIC, step 1 mutants were isolated more frequently with ciprofloxacin and trovafloxacin (9.1 × 10
8 and
5.7 × 10
9, respectively) than with the NFQs,
gatifloxacin, or clinafloxacin (<5.7 × 10
10). Step
2 and step 3 mutants were selected via exposure of a step 1 mutant
(selected with trovafloxacin) to four times the MICs of trovafloxacin
and PGE 9262932. The step 1 mutant contained the known Ser80-Phe
mutation in GrlA, and the step 2 and step 3 mutants contained the known
Ser80-Phe and Ser84-Leu mutations in GrlA and GyrA, respectively.
Compared to ciprofloxacin, the NFQs were 8-fold more potent against the
parent and 16- to 128-fold more potent against the step 3 mutants.
Mutants with high-level NFQ resistance (MIC, 32 µg/ml) were isolated
by the spiral plater-based serial passage technique. DNA sequence
analysis of three such mutants revealed the following mutations: (i)
Ser84-Leu in GyrA and Glu84-Lys and His103-Tyr in GrlA; (ii) Ser-84Leu
in GyrA, Ser52-Arg in GrlA, and Glu472-Val in GrlB; and (iii) Ser84-Leu in GyrA, Glu477-Val in GyrB, and Glu84-Lys and His103-Tyr in GrlA. Addition of the efflux pump inhibitor reserpine (10 µg/ml) resulted in 4- to 16-fold increases in the potencies of the NFQs against these
mutants, whereas it resulted in 2-fold increases in the potencies of
the NFQs against the parent.
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