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Antimicrobial Agents and Chemotherapy, June 2001, p. 1815-1822, Vol. 45, No. 6
Departamento de
Microbiología1 and Laboratorio
de Toxicología Experimental,2 Facultad
de Ciencias Bioquímicas y Farmacéuticas, Universidad
Nacional de Rosario, Argentina
Received 18 September 2000/Returned for modification 19 November
2000/Accepted 20 March 2001
Clofibric and ethacrynic acids are prototypical pharmacological
agents administered in the treatment of hypertrigliceridemia and as a
diuretic agent, respectively. They share with 2,4-dichlorophenoxyacetic acid (the widely used herbicide known as 2,4-D) a chlorinated phenoxy
structural moiety. These aryloxoalcanoic agents (AOAs) are mainly
excreted by the renal route as unaltered or conjugated active
compounds. The relatedness of these agents at the structural level and
their potential effect on therapeutically treated or occupationally
exposed individuals who are simultaneously undergoing a bacterial
urinary tract infection led us to analyze their action on
uropathogenic, clinically isolated Escherichia coli
strains. We found that exposure to these compounds increases the
bacterial resistance to an ample variety of antibiotics in clinical
isolates of both uropathogenic and nonpathogenic E. coli
strains. We demonstrate that the AOAs induce an alteration of the
bacterial outer membrane permeability properties by the repression of
the major porin OmpF in a micF-dependent process.
Furthermore, we establish that the antibiotic resistance phenotype is
primarily due to the induction of the MarRAB regulatory system by the
AOAs, while other regulatory pathways that also converge into
micF modulation (OmpR/EnvZ, SoxRS, and Lrp) remained
unaltered. The fact that AOAs give rise to uropathogenic strains with a
diminished susceptibility to antimicrobials highlights the impact of
frequently underestimated or ignored collateral effects of chemical agents.
0066-4804/01/$04.00+0 DOI: 10.1128/AAC.45.6.1815-1822.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Activation of Multiple Antibiotic Resistance in
Uropathogenic Escherichia coli Strains by Aryloxoalcanoic
Acid Compounds
*
Corresponding author. Mailing address: Facultad de
Ciencias Bioquímicas y Farmacéuticas, Universidad
Nacional de Rosario, Suipacha 531, (2000) Rosario, Argentina. Phone:
54-341-4370008. Fax: 54-341-4804598. E-mail:
pat-bact{at}citynet.net.ar.
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