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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.

Staphylococcus aureus Mutants Isolated via Exposure to Nonfluorinated Quinolones: Detection of Known and Unique Mutations

Siddhartha Roychoudhury,* Tracy L. Twinem, Kelly M. Makin, Mark A. Nienaber, Chuiying Li, Timothy W. Morris, Benoit Ledoussal, and Carl E. Catrenich

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.


* Corresponding author. Mailing address: Health Care Research Center, Procter & Gamble Pharmaceuticals, 8700 Mason-Montgomery Rd., Mason, OH 45040. Phone: (513) 622-3928. Fax: (513) 622-0085. E-mail: roychoudhury.s{at}pg.com.


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.



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