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10.15252/emmm.201607336

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suck abstract from ncbi


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pmid28202493
      EMBO+Mol+Med 2017 ; 9 (4 ): 430-447
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  • A Klebsiella pneumoniae antibiotic resistance mechanism that subdues host defences and promotes virulence #MMPMID28202493
  • Kidd TJ ; Mills G ; Sá-Pessoa J ; Dumigan A ; Frank CG ; Insua JL ; Ingram R ; Hobley L ; Bengoechea JA
  • EMBO Mol Med 2017[Apr]; 9 (4 ): 430-447 PMID28202493 show ga
  • Klebsiella pneumoniae is an important cause of multidrug-resistant infections worldwide. Recent studies highlight the emergence of multidrug-resistant K. pneumoniae strains which show resistance to colistin, a last-line antibiotic, arising from mutational inactivation of the mgrB regulatory gene. However, the precise molecular resistance mechanisms of mgrB-associated colistin resistance and its impact on virulence remain unclear. Here, we constructed an mgrB gene K. pneumoniae mutant and performed characterisation of its lipid A structure, polymyxin and antimicrobial peptide resistance, virulence and inflammatory responses upon infection. Our data reveal that mgrB mutation induces PhoPQ-governed lipid A remodelling which confers not only resistance to polymyxins, but also enhances K. pneumoniae virulence by decreasing antimicrobial peptide susceptibility and attenuating early host defence response activation. Overall, our findings have important implications for patient management and antimicrobial stewardship, while also stressing antibiotic resistance development is not inexorably linked with subdued bacterial fitness and virulence.
  • |*Drug Resistance, Bacterial [MESH]
  • |Animals [MESH]
  • |Anti-Bacterial Agents/pharmacology [MESH]
  • |Antimicrobial Cationic Peptides/pharmacology [MESH]
  • |Bacterial Load [MESH]
  • |Bacterial Proteins/genetics/metabolism [MESH]
  • |Colistin/pharmacology [MESH]
  • |Disease Models, Animal [MESH]
  • |Humans [MESH]
  • |Klebsiella Infections/microbiology/pathology [MESH]
  • |Klebsiella pneumoniae/*drug effects/*pathogenicity [MESH]
  • |Lepidoptera [MESH]
  • |Lipid A/chemistry [MESH]
  • |Lung/microbiology [MESH]
  • |Membrane Proteins/genetics/metabolism [MESH]
  • |Mice, Inbred C57BL [MESH]
  • |Polymyxins/pharmacology [MESH]
  • |Survival Analysis [MESH]


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