JAC Advance Access originally published online on June 6, 2006
Journal of Antimicrobial Chemotherapy 2006 58(1):37-46; doi:10.1093/jac/dkl202
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Bacteroides fragilis BmeABC efflux systems additively confer intrinsic antimicrobial resistance
1 Greater Los Angeles Veterans Administration Healthcare Systems Los Angeles, CA, USA 2 Department of Medicine, University of California Los Angeles, CA, USA 3 Department of Oral Microbiology, Matsumoto Dental University Shiojiri, Japan 4 Department of Microbiology, School of Dentistry, Aichi-Gakuin University Nagoya, Japan
Received 16 December 2005; returned 22 February 2006; revised 16 April 2006; accepted 26 April 2006
*Corresponding author. Tel: +1-310-268-3404; Fax: +1-310-268-4458; E-mail: hwexler{at}ucla.edu
Objectives: To determine the prevalence of expression and function(s) of Bacteroides fragilis RND family efflux transport systems (bmeABC1-16).
Methods: The mRNA transcripts of bmeB efflux pump genes were detected in a wild-type strain ADB77 by RTPCR and expression in different strains was quantified by comparative quantitative real-time RTPCR. In order to determine independent or additive functions, BmeB 1, 3, 12 and 15 (the first efflux pumps identified) were deleted as singles, doubles, triples or quadruples by the double cross-over technique with pADB242 and antimicrobial susceptibility was assayed by the spiral gradient endpoint technique.
Results: All efflux pumps except bmeB9 were expressed in the wild-type parental strain. Susceptibility to ß-lactams, fluoroquinolones, ethidium bromide, SDS and triclosan was increased in ADB77
bmeB3 (up to 3-fold) and ADB77
bmeB1
bmeB3
bmeB12 (up to 5-fold). Expression of bmeB9 was increased and that of bmeB11 repressed in the latter deletant. A quadruple deletant (ADB77
bmeB1
bmeB3
bmeB12
bmeB15) had similar changes as well as a 2-fold increase in expression of bmeB16 and norfloxacin resistance. Expression of bmeB3 was increased in two triple deletants ADB77
bmeB1
bmeB12
bmeB15-type I (2-fold) and ADB77
bmeB1
bmeB12
bmeB15-type II (5.8-fold). Antimicrobial MICs were also increased in the latter deletant; ampicillin (2.6-fold), cefoperazone (3.4-fold), cefoxitin (1.8-fold), tetracycline (36.4-fold), SDS (1.7-fold) and triclosan (2-fold).
Conclusions: These data demonstrate that constitutive bmeB expression is prevalent in B. fragilis. At least seven BmeB efflux pumps are functional in transporting antimicrobials and have overlapping substrate profiles, and at least four confer intrinsic resistance.
Keywords: membrane proteins , co-expression , susceptibility
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