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Antimicrobial Agents and Chemotherapy, July 1998, p. 1778-1782, Vol. 42, No. 7
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

NorM, a Putative Multidrug Efflux Protein, of Vibrio parahaemolyticus and Its Homolog in Escherichia coli

Yuji Morita,1 Kazuyo Kodama,1 Sumiko Shiota,1 Tomoyuki Mine,1 Atsuko Kataoka,1 Tohru Mizushima,1 and Tomofusa Tsuchiya1,2,*

Department of Microbiology, Faculty of Pharmaceutical Sciences,1 and Gene Research Center,2 Okayama University, Tsushima, Okayama 700-8530, Japan

Received 17 February 1998/Returned for modification 27 March 1998/Accepted 6 May 1998

    ABSTRACT
Top
Abstract
Introduction
Materials & Methods
Results & Discussion
References

We found that cells of Vibrio parahaemolyticus possess an energy-dependent efflux system for norfloxacin. We cloned a gene for a putative norfloxacin efflux protein from the chromosomal DNA of V. parahaemolyticus by using an Escherichia coli mutant lacking the major multidrug efflux system AcrAB as the host and sequenced the gene (norM). Cells of E. coli transformed with a plasmid carrying the norM gene showed elevated energy-dependent efflux of norfloxacin. The transformants showed elevated resistance not only to norfloxacin and ciprofloxacin but also to the structurally unrelated compounds ethidium, kanamycin, and streptomycin. These results suggest that this is a multidrug efflux system. The hydropathy pattern of the deduced amino acid sequence of NorM suggested the presence of 12 transmembrane domains. The deduced primary structure of NorM showed 57% identity and 88% similarity with that of a hypothetical E. coli membrane protein, YdhE. No reported drug efflux protein in the sequence databases showed significant sequence similarity with NorM. Thus, NorM seems to be a novel type of multidrug efflux protein. We cloned the ydhE gene from E. coli. Cells of E. coli transformed with the cloned ydhE gene showed elevated resistance to norfloxacin, ciprofloxacin, acriflavine, and tetraphenylphosphonium ion, but not to ethidium, when MICs were measured. Thus, it seems that NorM and YdhE differ somehow in substrate specificity.

    INTRODUCTION
Top
Abstract
Introduction
Materials & Methods
Results & Discussion
References

Drug efflux from cells is one of the major mechanisms of drug resistance in bacteria. Many drug efflux systems are known in many bacteria (4, 22, 31). Four major groups of drug extrusion systems are known (4, 22, 31), i.e., the MF (major facilitator) family, the SMR (small multidrug resistance) family, the RND (resistance nodulation cell division) family, and the ABC (ATP binding cassette) family. Membrane transporters of the MF family possess 12 to 14 transmembrane domains. For example, Bcr (Escherichia coli) (1), EmrB (E. coli) (14), EmrD (E. coli) (20), NorA (Staphylococcus aureus) (34), QacA (S. aureus) (26), and Bmr (Bacillus subtilis) (21) are members of this family, and these systems mediate drug extrusion with different specificities. Transporters of the SMR family are rather small and usually possess four transmembrane domains. Smr (or QacC) (S. aureus) (8, 13), QacE (Klebsiella aerogenes) (23), and EmrE (E. coli) (33) belong to this family. An electrochemical potential of H+ across cell membranes seems to be the driving force for drug efflux by the MF and SMR family transporters. Transporters of the RND family consist of several subunits (usually three), and an outer membrane protein(s) is involved in the drug transport. AcrAB (E. coli) (16) and MexAB (Pseudomonas aeruginosa) (24) are examples of members of this family. Energy coupling in this family is not very clear. However, it is clear that at least an electrochemical potential of H+ across cell membranes is involved in driving the drug efflux (16). Transporters of the ABC family utilize ATP as the energy source. LmrA (Lactococcus lactis) (32) and MsrA (S. aureus) (25) are members of this family.

Vibrio parahaemolyticus, a slightly halophilic marine bacterium, is one of the major causes of food poisoning in Japan (18). Energy metabolism and energy coupling in membranes of this microorganism are unique (11). Cells of V. parahaemolyticus show some natural resistance to some antimicrobial agents. Thus, we were interested in drug efflux systems of V. parahaemolyticus. Cells of V. parahaemolyticus may possess unique drug efflux systems. During the course of our studies, we found that cells of V. parahaemolyticus possess an energy-dependent efflux system for norfloxacin, a widely used new quinolone antimicrobial agent. Here we report the cloning and sequencing of the gene for and characterization of a putative norfloxacin efflux protein of V. parahaemolyticus and the cloning and characterization of the homolog gene found in E. coli.

    MATERIALS AND METHODS
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Abstract
Introduction
Materials & Methods
Results & Discussion
References

Bacteria and growth. V. parahaemolyticus AQ3334 (30) and E. coli TG1 [Delta (lac-pro) supE thi hsdDelta 5/F'traD36 proA+B+ lacIq lacZDelta M15], a derivative of K-12, and KAM2 and KAM3, derivatives of TG1, were used in this study. Cells of V. parahaemolyticus AQ3334 were grown in LB medium (17) under aerobic conditions at 37°C, and E. coli cells were grown in L medium (12) under aerobic conditions at 37°C. Where indicated, drugs were added to the medium. Cell growth was monitored turbidimetrically at 650 nm.

Isolation of mutants. KAM3, which has a deletion in the chromosomal acrAB genes, was obtained as follows. We tried to disrupt the acrAB genes, which code for the major multidrug efflux system of E. coli, by inserting the Mu phage. Cells of E. coli TG1 were infected with the Mud(Apr lac)I phage (5, 29). Cells were diluted with L broth and spread onto an agar plate containing L broth and 40-µg/ml ampicillin. After incubation at 37°C for 12 h, colonies were picked up and replica plated by using (i) an agar plate containing L broth and 40-µg/ml ampicillin and (ii) an agar plate containing L broth, 40-µg/ml ampicillin, and 50-µg/ml methylene blue, an antimicrobial basic dye and substrate for the AcrAB system (16). We obtained two colonies which grew in the presence of methylene blue. One of them was designated KAM2. Thereafter, the Mu phage region was removed from the chromosome of KAM2 cells by heat induction at 42°C (5, 29), and colonies that were sensitive to both ampicillin and methylene blue were obtained. One of the colonies was designated KAM3. The KAM3 cells, as well as the KAM2 cells, were sensitive to many drugs that are known as substrates of the AcrAB system, although TG1 cells were resistant. The deletion in the acrAB region in KAM3 was confirmed by Southern blot analysis (data not shown).

Assay of norfloxacin accumulation in cells. V. parahaemolyticus cells were grown in the LB broth supplemented with 40 mM potassium lactate. The cells were harvested at the exponential phase of growth, washed with 0.2 M MOPS-Tris buffer (pH 7.0) containing 10 mM MgSO4, and suspended in the same buffer to 50 mg (wet weight)/ml. The assay mixture contained cells (10 mg [wet weight]/ml) in the same buffer and 10 mM potassium lactate. After incubation at 25°C for 5 min, norfloxacin (100 µM, final concentration) was added to initiate the assay. Samples (1 ml each) were taken at intervals, centrifuged at 7,000 × g for 30 s at 4°C, and washed once with the same buffer. Where indicated, carbonyl cyanide m-chlorophenylhydrazone (CCCP) was added to the assay mixture at 100 µM. The pellet was suspended in 1 ml of 100 mM glycine-HCl (pH 3.0). The suspension was shaken vigorously for 1 h at room temperature and then centrifuged at 7,000 × g for 5 min at room temperature. The supernatant was diluted twofold with the same buffer, and the fluorescence was measured with excitation at 277 nm and emission at 448 nm (10, 19) with a Hitachi F2000 fluorescence spectrophotometer.

Assay of ethidium accumulation in cells. Cells were prepared and suspended as described above for the norfloxacin accumulation assay. Potassium lactate (final concentration 20 mM) was added to the cell suspension (0.5 mg of protein/ml), and the cell suspension was kept at 25°C for 5 min with gentle stirring. Ethidium bromide was added at 10 µM to the cell suspension to initiate the assay. CCCP was added at 100 µM where indicated. The fluorescence of the assay mixture was measured with excitation and emission wavelengths of 500 and 580 nm (3), respectively.

Gene cloning and sequencing. The gene responsible for norfloxacin efflux was cloned from V. parahaemolyticus cells as follows. Chromosomal DNA was prepared from cells of V. parahaemolyticus by the method of Berns and Thomas (2). The DNA was partially digested with Sau3AI, and fragments of 4 to 10 kbp were separated by sucrose density gradient centrifugation. The DNA fragments were ligated into pBR322 (which had been digested with BamHI and dephosphorylated with bacterial alkaline phosphatase) by using T4 DNA ligase. Competent cells of E. coli KAM3 were transformed with the ligated hybrid plasmids and were spread on agar plates containing L broth, 0.05-µg/ml norfloxacin, 60-µg/ml ampicillin, and 1.5% agar. The plates were incubated at 37°C for 24 h, and the clones formed were picked up. Plasmids contained in the transformants were isolated, reintroduced into KAM3 cells, and spread on the plates again. The plates were incubated at 37°C for 24 h. Plasmids contained in the retransformants were prepared. One of the resulting hybrid plasmids that carried a gene for the norfloxacin efflux system was designated pMVP3.

The DNA insert in pMVP3 was digested with several restriction endonucleases and subcloned into pBR322. The resulting hybrid plasmids were introduced into KAM3 cells, and the transformants were tested for sensitivity or resistance to norfloxacin.

The nucleotide sequence was determined by the dideoxy chain termination method (27) with a DNA sequencer (ALF Express, Pharmacia Biotech).

The ydhE gene of E. coli was cloned as follows. Chromosomal DNA was prepared from cells of E. coli KAM3 by the method of Berns and Thomas (2). The DNA was digested with SspI and SphI, which should cut out the whole ydhE gene (EMBL nucleotide sequence database accession no. AE000261), judging from the DNA sequence of the E. coli genome. The SspI-SphI fragments were ligated into pBR322 (which had been digested with EcoRV and SphI and dephosphorylated with bacterial alkaline phosphatase) by using T4 DNA ligase. Competent cells of E. coli KAM3, which are very sensitive to norfloxacin, were transformed with the ligated hybrid plasmids and spread on plates containing L broth, 0.05-µg/ml norfloxacin, 60-µg/ml ampicillin, and 1.5% agar. The plates were incubated at 37°C for 24 h, and the clones formed were picked up. Plasmids contained in the transformants were checked for whether they contained the expected SspI-SphI fragment. One of the resulting hybrid plasmids that carried the ydhE gene was designated pMEC2.

Sequence data were analyzed with GENETYX sequence analysis software (Software Development Co.). The SwissProt and GenBank databases were screened for sequence similarities.

Southern blot analysis. Chromosomal DNAs were prepare from cells of E. coli, V. parahaemolyticus, V. alginolyticus, P. aeruginosa, and S. aureus as described above. The DNAs were digested with several restriction enzymes and subjected to agarose gel electrophoresis. DNA fragments were blotted onto a Hybond-N (Amersham Co.) nylon membrane by the capillary blotting method as suggested by the manufacturer. The probes used were three DNA fragments derived from the acrRAB genes of E. coli, which are shown below. Southern blot analysis was performed with the enhanced-chemiluminescence detection system (Amersham Co.) as suggested by the manufacturer.

Drugs susceptibility test. The MICs of drugs were determined in Mueller-Hinton broth (Difco) containing various drugs at various concentrations. Cells in the test medium were incubated at 37°C for 24 h, and growth was judged thereafter.

Other. Protein contents were determined by the method of Lowry et al. (15). The chemicals and enzymes used in this study were from commercial sources.

Nucleotide sequence accession number. The nucleotide sequence data reported in this paper have been deposited in the DDBJ, EMBL, and GenBank nucleotide sequence databases under accession no. AB010463.

    RESULTS AND DISCUSSION
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Abstract
Introduction
Materials & Methods
Results & Discussion
References

Norfloxacin efflux in cells of V. parahaemolyticus. We measured norfloxacin accumulation and tested the effect of an H+ conductor, CCCP, on the accumulation in cells of V. parahaemolyticus. A certain level of norfloxacin accumulation in the cells was observed, and the accumulation level increased after addition of CCCP (Fig. 1), suggesting the existence of a norfloxacin efflux system in V. parahaemolyticus that is driven by an electrochemical potential of H+. It is not clear whether H+ is directly or indirectly coupled to the drug efflux.


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  		FIG. 1.   Accumulation of norfloxacin in cells of V. parahaemolyticus. V. parahaemolyticus cells were grown in LB medium supplemented with 40 mM potassium lactate. Norfloxacin was added to the cell suspensions at a final concentration of 100 µM. After 15 min, CCCP was added to the suspensions at a final concentration of 100 µM. Portions were removed at the times shown, and the concentration of norfloxacin extracted from the cells was determined with a fluorescence spectrophotometer.

Cloning of the gene for a putative norfloxacin efflux protein. We cloned a fragment of the chromosomal DNA of V. parahaemolyticus, which enabled norfloxacin-hypersensitive E. coli KAM3 cells to grow in the presence of norfloxacin. We obtained about 40 candidate hybrid plasmids. However, it seemed that the DNA inserts in all of the candidate plasmids contained the same DNA portion, judging from restriction maps of those plasmids. We tested whether the plasmids carry a gene(s) responsible for norfloxacin efflux or not by measuring norfloxacin accumulation and the effect of CCCP in E. coli cells transformed with the plasmids. A considerable level of norfloxacin accumulation was observed with the host cells (E. coli KAM3). Addition of CCCP increased the accumulation level to some extent, supporting the presence of some norfloxacin efflux system(s) in E. coli KAM3 (6). Cells harboring the plasmids showed very low levels of norfloxacin accumulation compared with those of the host cells. The norfloxacin accumulation in cells harboring one of the plasmids, pMVP3, is shown in Fig. 2. Addition of CCCP to the assay mixture greatly increased the accumulation level (Fig. 2). The norfloxacin accumulation level after the addition of CCCP was very similar in the host cells and the transformed cells. Thus, we conclude that the elevated norfloxacin efflux is due to the gene(s) carried on plasmid pMVP3.


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  		FIG. 2.   Accumulation of norfloxacin in host and transformant cells. Cells of E. coli KAM3 and KAM3/pMVP3 were grown in L medium supplemented with 40 mM potassium lactate. Norfloxacin was added to the cell suspensions at a final concentration of 100 µM. After 15 min, CCCP was added to the suspensions at a final concentration of 100 µM. Portions were removed at the times shown, and the concentration of norfloxacin extracted from the cells was determined with a fluorescence spectrophotometer. Symbols: open circle , KAM3; bullet , KAM3/pMVP3.

Inhibition of the drug efflux in KAM3/pMVP3 cells by CCCP indicates that an electrochemical potential of H+ is the driving force for the drug extrusion. Some drug/H+ antiporters, such as the tetracycline/H+ antiporter (9), are known in microbial cells. It is very likely that the norfloxacin extrusion system in KAM3/pMVP3 is a drug/ion antiporter. However, it is not clear whether this system utilizes H+ as the counterion for the antiport. Many ion-coupled systems in membranes of vibrios utilize Na+ instead of H+ (28). Although cells of V. parahaemolyticus possess a primary respiratory Na+ pump (30), Na+-coupled membrane processes, such as Na+/solute symport, are sensitive to an H+ conductor (unpublished results). Therefore, we cannot distinguish between an H+-coupled system and an Na+-coupled system from the effects of an H+ conductor. We tested the effect of Na+ on the activity of norfloxacin extrusion in cells of both V. parahaemolyticus and E. coli transformed with pMVP3. However, no clear effect was observed (data not shown). We also tried to detect norfloxacin/H+ antiport by the quinacrine fluorescence quenching method with everted membrane vesicles prepared from cells of KAM3/pMVP3. However, we were unable to detect H+ efflux due to norfloxacin influx (data not shown).

Several plasmids carrying different portions of pMVP3 were constructed, and the ability to confer norfloxacin resistance on E. coli KAM3 was tested (Fig. 3). Among the plasmids that conferred norfloxacin resistance, plasmid pMVP36 possessed the shortest DNA insert derived from V. parahaemolyticus DNA (Fig. 3).


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  		FIG. 3.   Restriction maps of pMVP3 and its deletion derivatives. DNA regions derived from V. parahaemolyticus chromosomal DNA and carried by each plasmid are shown. Growth of E. coli KAM3 cells harboring each plasmid on an agar plate containing L broth, 0.05-µg/ml norfloxacin, and 60-µg/ml ampicillin is shown on the right. Plus signs indicate that cells grew, and minus signs indicate that cells did not grow. The arrow shows the position and direction of the norM gene. ORF, open reading frame.

We tested the susceptibility of cells of KAM3/pMVP36 to many drugs (Table 1). pMVP36 made KAM3 cells resistant to rather hydrophilic new quinolones, such as norfloxacin and ciprofloxacin, but not to hydrophobic quinolones, such as spafloxacin and nalidixic acid. Cells harboring pMVP36 were also resistant to structurally different antimicrobial agents, such as ethidium and streptomycin (and kanamycin). Thus, it seems that pMVP36 carries a gene for multidrug resistance. Our results are consistent with the idea that the gene encodes a protein mediating the extrusion of norfloxacin and ethidium from cells. In fact, we observed elevated ethidium efflux in cells of KAM3/pMVP36 compared with cells of KAM3 (data not shown).

                              
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  		TABLE 1.   Susceptibilities of study strains to different compounds

We checked whether the cloned DNA fragment is really from V. parahaemolyticus, and whether a similar gene is present in other bacteria, by Southern blot analysis. A DNA fragment derived from pMVP36 was used as a probe. We detected a dense hybridized band with chromosomal DNA of V. parahaemolyticus (data not shown). The position of the band was exactly the same as that of the control (pMVP36). Thus, we believe that the DNA insert in pMVP36 is from the chromosomal DNA of V. parahaemolyticus. We also detected a less dense band with chromosomal DNA of V. alginolyticus. Thus, it seems that cells of V. alginolyticus possess a similar gene. Chromosomal DNAs from other bacteria tested, P. aeruginosa and S. aureus, showed no hybridized band under our experimental conditions.

Gene and protein sequences. We determined the sequence of 2,243 nucleotides of the DNA insert in pMVP36. We found only one open reading frame, which was preceded by a Shine-Dalgarno sequence in this region, which is likely to be the gene (which we designated norM) encoding the norfloxacin efflux protein (NorM). Several promoterlike sequences were present upstream of norM. The amino acid sequence deduced from the norM gene revealed that NorM consists of 456 amino acid residues (Fig. 4) with a molecular mass of 49,422 Da and is very rich in hydrophobic residues, indicating that the protein is a membrane protein. A hydropathy analysis done by the method of Eisenberg et al. (7) revealed that NorM possesses 12 hydrophobic regions which may be transmembrane domains (data not shown). Therefore, it is likely that NorM is a member of the MF family.


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  		FIG. 4.   Amino acid sequence alignment. The deduced amino acid sequence of V. parahaemolyticus NorM (NorM VPARA) and the amino acid sequences of E. coli YdhE (YdhE ECOLI) and H. influenzae YdhE (YdhE HAEIN) are aligned. The numbers on both sides refer to the position of the nearest residue on each line. Asterisks and dots indicate residues in YdhE of E. coli that are identical and similar to those in NorM, respectively.

Homolog of NorM. We searched for amino acid sequence homology between NorM and the reported sequences in a protein sequence database (SwissProt). No sequence homology or similarity was observed between NorM and the reported members of the MF family. The first extrusion system for norfloxacin to be reported in microbial cells is the NorA system of S. aureus (34). We found no sequence similarity between NorM and NorA. However, two hypothetical proteins, YdhE of E. coli and that of Haemophilus influenzae, showed high sequence similarity with NorM. The sequence identity and similarity between NorM and YdhE of E. coli were 57 and 88%, respectively, and those between NorM and YdhE of H. influenzae were 43 and 85%, respectively. Figure 4 shows an alignment of the deduced amino acid sequences of NorM and these YdhE proteins. Judging from the high sequence identity and similarity, it seems that NorM and these two YdhE proteins are homologs.

We cloned the ydhE gene from the chromosomal DNA of E. coli KAM3. Cells of E. coli KAM3 harboring a hybrid plasmid carrying the ydhE gene, pMEC2, showed elevated resistance to several drugs, such as norfloxacin, ciprofloxacin, and acriflavine, and the tetraphenylphosphonium ion, judging from the MICs (Table 1). Some increase in the MICs of kanamycin and streptomycin was observed. Surprisingly, no MIC increase was observed with ethidium, which is a good substrate for the NorM system.

Another hypothetical protein (YojI) of B. subtilis (EMBL database accession no. Z99114) had an amino acid sequence that was similar to that of NorM (35% identity and 77% similarity).

    ACKNOWLEDGMENTS

This research was supported by a grant from the Ministry of Education, Science and Culture of Japan.

    FOOTNOTES

* Corresponding author. Mailing address: Department of Microbiology, Faculty of Pharmaceutical Sciences, Okayama University, Tsushima, Okayama 700-8530, Japan. Phone and Fax: 81-86-251-7957. E-mail: tsuchiya{at}pharm.okayama-u.ac.jp.

    REFERENCES
Top
Abstract
Introduction
Materials & Methods
Results & Discussion
References

1. Bentley, J., L. S. Hyatt, K. Ainley, J. H. Parish, R. B. Herbert, and G. R. White. 1993. Cloning and sequence analysis of an Escherichia coli gene conferring bicyclomycin resistance. Gene 127:117-120[Medline].
2. Berns, K. I., and C. A. J. Thomas. 1965. Isolation of high molecular weight DNA from Haemophilus influenzae. J. Mol. Biol. 11:476-490.
3. Bolhuis, H., D. Molenaar, G. Poelarends, H. W. van Veen, B. Poolman, A. J. M. Driessen, and W. N. Konings. 1994. Proton motive force-driven and ATP-dependent drug extrusion systems in multidrug-resistant Lactococcus lactis. J. Bacteriol. 176:6957-6964[Abstract/Free Full Text].
4. Bolhuis, H., H. W. van Veen, B. Poolman, A. J. Driessen, and W. N. Konings. 1997. Mechanisms of multidrug transporters. FEMS Microbiol. Rev. 21:55-84[Medline].
5. Casadaban, M. J., and S. N. Cohen. 1979. Lactose genes fused to exogenous promoters in one step using a Mu-lac bacteriophage: in vivo probe for transcriptional control sequences. Proc. Natl. Acad. Sci. USA 76:4530-4533[Abstract/Free Full Text].
6. Cohen, S. P., D. C. Hooper, J. S. Wolfson, K. S. Souza, L. M. McMurry, and S. B. Levy. 1988. Endogenous active efflux of norfloxacin in susceptible Escherichia coli. Antimicrob. Agents Chemother. 32:1187-1191[Abstract/Free Full Text].
7. Eisenberg, D., E. Schwarz, M. Komaromy, and R. Wall. 1984. Analysis of membrane and surface protein sequences with the hydrophobic moment plot. J. Mol. Biol. 179:125-142[Medline].
8. Grinius, L., G. Dreguniene, E. B. Goldberg, C. H. Liao, and S. J. Projan. 1992. A staphylococcal multidrug resistance gene product is a member of a new protein family. Plasmid 27:119-129[Medline].
9. Kaneko, M., A. Yamaguchi, and T. Sawai. 1985. Energetics of tetracycline efflux system encoded by Tn10 in Escherichia coli. FEBS Lett. 193:194-198[Medline].
10. Kotera, Y., M. Watanabe, S. Yoshida, M. Inoue, and S. Mitsuhashi. 1991. Factors influencing the uptake of norfloxacin by Escherichia coli. J. Antimicrob. Chemother. 27:733-739[Abstract/Free Full Text].
11. Kuroda, T., T. Shimamoto, K. Inaba, T. Kayahara, M. Tsuda, and T. Tsuchiya. 1994. Properties of the Na+/H+ antiporter in Vibrio parahaemolyticus. J. Biochem. 115:1162-1165[Abstract/Free Full Text].
12. Lennox, E. S. 1955. Transduction of linked genetic characters of host by bacteriophage P1. Virology 1:190-206[Medline].
13. Littlejohn, T. G., D. DiBerardino, L. J. Messerotti, S. J. Spiers, and R. A. Skurray. 1991. Structure and evolution of a family of genes encoding antiseptic and disinfectant resistance in Staphylococcus aureus. Gene 101:59-66[Medline].
14. Lomovskaya, O., and K. Lewis. 1992. Emr, an Escherichia coli locus for multidrug resistance. Proc. Natl. Acad. Sci. USA 89:8938-8942[Abstract/Free Full Text].
15. Lowry, O. H., N. J. Rosebrough, A. L. Farr, and R. J. Randall. 1951. Protein measurement with the Folin phenol reagent. J. Biol. Chem. 193:265-275[Free Full Text].
16. Ma, D., D. N. Cook, M. Alberti, N. G. Pon, H. Nikaido, and J. E. Hearst. 1993. Molecular cloning and characterization of acrA and acrE genes of Escherichia coli. J. Bacteriol. 175:6299-6313[Abstract/Free Full Text].
17. Maniatis, T., E. F. Fritsch, and J. Sambrook. 1982. Molecular cloning: a laboratory manual, p. 68. Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y.
18. Miwatani, T., and Y. Takeda. 1976. Food poisoning due to Vibrio parahaemolyticus in Japan, p. 22-25. In T. Miwatani, and Y. Takeda (ed.), Vibrio parahaemolyticus, a causative bacterium of food poisoning. Saikon Publishing Co., Tokyo, Japan.
19. Mortimer, P. G., and L. J. Piddock. 1991. A comparison of methods used for measuring the accumulation of quinolones by Enterobacteriaceae, Pseudomonas aeruginosa and Staphylococcus aureus. J. Antimicrob. Chemother. 28:639-653[Abstract/Free Full Text].
20. Naroditskaya, V., M. J. Schlosser, N. Y. Fang, and K. Lewis. 1993. An E. coli gene emrD is involved in adaptation to low energy shock. Biochem. Biophys. Res. Commun. 196:803-809[Medline].
21. Neyfakh, A. A., V. E. Bidnenko, and L. B. Chen. 1991. Efflux-mediated multidrug resistance in Bacillus subtilis: similarities and dissimilarities with the mammalian system. Proc. Natl. Acad. Sci. USA 88:4781-4785[Abstract/Free Full Text].
22. Nikaido, H. 1996. Multidrug efflux pumps of gram-negative bacteria. J. Bacteriol. 178:5853-5859[Free Full Text].
23. Paulsen, I. T., T. G. Littlejohn, P. Rådström, L. Sundström, O. Sköld, G. Swedberg, and R. A. Skurray. 1993. The 3' conserved segment of integrons contains a gene associated with multidrug resistance to antiseptics and disinfectants. Antimicrob. Agents Chemother. 37:761-768[Abstract/Free Full Text].
24. Poole, K., D. E. Heinrichs, and S. Neshat. 1993. Cloning and sequence analysis of an EnvCD homologue in Pseudomonas aeruginosa: regulation by iron and possible involvement in the secretion of the siderophore pyoverdine. Mol. Microbiol. 10:529-544[Medline].
25. Ross, J. I., E. A. Eady, J. H. Cove, W. J. Cunliffe, S. Baumberg, and J. C. Wootton. 1990. Inducible erythromycin resistance in staphylococci is encoded by a member of the ATP-binding transport super-gene family. Mol. Microbiol. 4:1207-1214[Medline].
26. Rouch, D. A., D. S. Cram, D. DiBerardino, T. G. Littlejohn, and R. A. Skurray. 1990. Efflux-mediated antiseptic resistance gene qacA from Staphylococcus aureus: common ancestry with tetracycline- and sugar-transport proteins. Mol. Microbiol. 4:2051-2062[Medline].
27. Sanger, F., S. Nicklen, and A. R. Coulson. 1977. DNA sequencing with chain-terminating inhibitors. Proc. Natl. Acad. Sci. USA 74:5463-5467[Abstract/Free Full Text].
28. Skulachev, V. P. 1989. The sodium cycle: a novel type of bacterial energetics. J. Bioenerg. Biomembr. 21:635-647[Medline].
29. Tate, C. G., J. A. Muiry, and P. J. Henderson. 1992. Mapping, cloning, expression, and sequencing of the rhaT gene, which encodes a novel L-rhamnose-H+ transport protein in Salmonella typhimurium and Escherichia coli. J. Biol. Chem. 267:6923-6932[Abstract/Free Full Text].
30. Tsuchiya, T., and S. Shinoda. 1985. Respiration-driven Na+ pump and Na+ circulation in Vibrio parahaemolyticus. J. Bacteriol. 162:794-798[Abstract/Free Full Text].
31. van Veen, H. W., and W. N. Konings. 1997. Drug efflux proteins in multidrug resistant bacteria. Biol. Chem. 378:769-777[Medline].
32. van Veen, H. W., K. Venema, H. Bolhuis, I. Oussenko, J. Kok, B. Poolman, A. J. Driessen, and W. N. Konings. 1996. Multidrug resistance mediated by a bacterial homolog of the human multidrug transporter MDR1. Proc. Natl. Acad. Sci. USA 93:10668-10672[Abstract/Free Full Text].
33. Yerushalmi, H., M. Lebendiker, and S. Schuldiner. 1995. EmrE, an Escherichia coli 12-kDa multidrug transporter, exchanges toxic cations and H+ and is soluble in organic solvents. J. Biol. Chem. 270:6856-6863[Abstract/Free Full Text].
34. Yoshida, H., M. Bogaki, S. Nakamura, K. Ubukata, and M. Konno. 1990. Nucleotide sequence and characterization of the Staphylococcus aureus norA gene, which confers resistance to quinolones. J. Bacteriol. 172:6942-6949[Abstract/Free Full Text].

Antimicrobial Agents and Chemotherapy, July 1998, p. 1778-1782, Vol. 42, No. 7
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.


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