Colistin Resistance Mechanisms in Klebsiella pneumoniae Strains from Taiwan
Author(s) -
Yi-Hsiang Cheng,
Tzu-Lung Lin,
YiJiun Pan,
YuPing Wang,
Yi-Tsung Lin,
Jin-Town Wang
Publication year - 2015
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.04763-14
Subject(s) - colistin , klebsiella pneumoniae , microbiology and biotechnology , antibiotics , biology , enterobacteriaceae , escherichia coli , gene , genetics
Colistin is one of the antibiotics of last resort for the treatment of carbapenem-resistant Klebsiella pneumoniae infection. This study showed that capsular type K64 (50%) and ST11 (53.9%) are the prevalent capsular and sequence types in the colistin-resistant strains in Taiwan. The interruption of transcripts (38.5%) and amino acid mutation (15.4%) in mgrB are the major mechanisms contributing to colistin resistance. In addition, novel single amino acid changes in MgrB (Stop48Tyr) and PhoQ (Leu26Pro) were observed to contribute to colistin resistance.
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