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Antimicrobial Agents and Chemotherapy, November 1999, p. 2624-2628, Vol. 43, No. 11
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Involvement of an Active Efflux System in the
Natural Resistance of Pseudomonas aeruginosa to
Aminoglycosides
Julio Ramos
Aires,1
Thilo
Köhler,2
Hiroshi
Nikaido,3 and
Patrick
Plésiat1,*
Department of Bacteriology, Centre
Hospitalier Universitaire, F-25030 Besançon,
France1; Department of Genetics and
Microbiology, Centre Médical Universitaire, Geneva,
Switzerland2; and Department of
Molecular and Cell Biology, University of California, Berkeley,
California 947203
Received 26 April 1999/Returned for modification 18 June
1999/Accepted 18 August 1999
A mutant, named 11B, hypersusceptible to aminoglycosides,
tetracycline, and erythromycin was isolated after Tn501
insertion mutagenesis of Pseudomonas aeruginosa PAO1.
Cloning and sequencing experiments showed that 11B was deficient in an,
at that time, unknown active efflux system that contains homologs of
MexAB. This locus also contained a putative regulatory gene,
mexZ, transcribed divergently from the efflux operon.
Introduction of a recombinant plasmid that carries the genes of the
efflux system restored the resistance of 11B to parental levels,
whereas overexpression of these genes strongly increased the MICs of
substrate antibiotics for the PAO1 host. Antibiotic accumulation
studies confirmed that this new system is an energy-dependent active
efflux system that pumps out aminoglycosides. Furthermore, this system
appeared to function with an outer membrane protein, OprM. While the
present paper was being written and reviewed, genes with a sequence
identical to our pump genes, mexXY of P. aeruginosa, have been reported to increase resistance to
erythromycin, fluoroquinolones, and organic cations in
Escherichia coli hosts, although efflux of aminoglycosides
was not examined (Mine et al., Antimicrob. Agents Chemother.
43:415-417, 1999). Our study thus shows that the MexXY system plays an
important role in the intrinsic resistance of P. aeruginosa
to aminoglycosides. Although overexpression of MexXY increased the
level of resistance to fluoroquinolones, disruption of the
mexXY operon in P. aeruginosa had no detectable
effect on susceptibility to these agents.
*
Corresponding author. Mailing address: Laboratoire de
Bactériologie, Hôpital Jean Minjoz, 25030 Besançon
cedex, France. Phone: (33) 3 81 66 82 86. Fax: (33) 3 81 66 89 14. E-mail: patrick.plesiat{at}ufc-chu.univ-fcomte.fr.
Antimicrobial Agents and Chemotherapy, November 1999, p. 2624-2628, Vol. 43, No. 11
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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