Development of Resistance during Antimicrobial Therapy Caused by Insertion Sequence Interruption of Porin Genes
Author(s) -
Santiago Hernández-Allés,
Vicente J. Benedí,
Luis MartínezMartínez,
Álvaro Pascual,
Alicia Aguilar,
Juan M. Tomás,
Sebastián Albertí
Publication year - 1999
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.43.4.937
Subject(s) - porin , cefoxitin , klebsiella pneumoniae , gene , sequence (biology) , mutation , microbiology and biotechnology , biology , escherichia coli , genetics , bacteria , staphylococcus aureus , bacterial outer membrane
We have demonstrated by using an in vitro approach that interruption of the OmpK36 porin gene by insertion sequences (ISs) is a common type of mutation that causes loss of porin expression and increased resistance to cefoxitin in Klebsiella pneumoniae. This mechanism also operates in vivo: of 13 porin-deficient cefoxitin-resistant clinical isolates of K. pneumoniae, 4 presented ISs in their ompK36 gene.
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