Evolved resistance to colistin and its loss due to genetic reversion in Pseudomonas aeruginosa

被引:59
作者
Lee, Ji-Young [1 ]
Park, Young Kyoung [1 ]
Chung, Eun Seon [1 ]
Na, In Young [1 ]
Ko, Kwan Soo [1 ]
机构
[1] Sungkyunkwan Univ, Sch Med, Dept Mol Cell Biol, Suwon 16419, South Korea
来源
SCIENTIFIC REPORTS | 2016年 / 6卷
关键词
2-COMPONENT REGULATORY SYSTEM; ACINETOBACTER-BAUMANNII; ADAPTIVE RESISTANCE; POLYMYXIN-B; ESCHERICHIA-COLI; KLEBSIELLA-PNEUMONIAE; LIPOPOLYSACCHARIDE; MECHANISMS; MUTANTS; PEPTIDE;
D O I
10.1038/srep25543
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The increased reliance on colistin for treating multidrug-resistant Gram-negative bacterial infections has resulted in the emergence of colistin-resistant Pseudomonas aeruginosa. We attempted to identify genetic contributors to colistin resistance in vitro evolved isogenic colistin-resistant and -susceptible strains of two P. aeruginosa lineages (P5 and P155). Their evolutionary paths to acquisition and loss of colistin resistance were also tracked. Comparative genomic analysis revealed 13 and five colistin resistance determinants in the P5 and P155 lineages, respectively. Lipid A in colistin-resistant mutants was modified through the addition of 4-amino-L-arabinose; this modification was absent in colistin-susceptible revertant strains. Many amino acid substitutions that emerged during the acquisition of colistin resistance were reversed in colistin-susceptible revertants. We demonstrated that evolved colistin resistance in P. aeruginosa was mediated by a complicated regulatory network that likely emerges through diverse genetic alterations. Colistin-resistant P. aeruginosa became susceptible to the colistin upon its withdrawal because of genetic reversion. The mechanisms through which P. aeruginosa acquires and loses colistin resistance have implications on the treatment options that can be applied against P. aeruginosa infections, with respect to improving bactericidal efficacy and preventing further resistance to antibiotics.
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页数:12
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