4.4 Article

Genetic factors involved in fosfomycin resistance of multidrug-resistant Acinetobacter baumannii

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INFECTION GENETICS AND EVOLUTION
卷 93, 期 -, 页码 -

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ELSEVIER
DOI: 10.1016/j.meegid.2021.104943

关键词

Acinetobacter baumannii; Fosfomycin; Multidrug-resistant; Fosfomycin-resistance

资金

  1. Conselho Nacional de Desenvolvi-mento Cientifico e Tecnologico (CNPq)
  2. Coordenacao de Aperfeicoa-mento de Pessoal de Nivel Superior (CAPES)

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This study evaluated fosfomycin susceptibility in multi-resistant A. baumannii isolates and characterized fosfomycin resistance mechanisms. The analysis revealed different pathways that may contribute to the intrinsic fosfomycin-resistance of A. baumannii.
The treatment of infections caused by A. baumannii is a challenge and fosfomycin has been used as a combination therapy. Moreover, data regarding the fosfomycin resistance mechanism is scarce. The goals of this study were to evaluate fosfomycin susceptibility in polyclonal multi-resistant A. baumannii isolates and characterize the fos-fomycin resistance. We analyzed 32 A. baumannii isolates from a Brazilian bacterial collection, followed by their minimum inhibitory concentration (MIC), and whole-genome sequence to detect fosfomycin resistance genes. The isolates showed a fosfomycin MIC ranging from 32 to >= 256 mg/L. All isolates were negative for fosA and fosB genes, and four isolates carried the fosX gene. Two different metabolic pathways that form peptidoglycan precursors were identified. Mutations were observed in the adenylate cyclase gene. All A. baumannii isolates studied showed Val132Ala substitutions in MurA. The analysis showed different ways that may lead to the intrinsic fosfomycin-resistance of A. baumannii, such as alterations on the glycerol-3-phosphate transporter system caused by adenylate cyclase mutations; and a possible connection of cell wall recycling by different metabolic pathways.

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