大肠杆菌多重药物外排转运蛋白 AcrAB-TolC 对青霉素外排的动力学参数。

Kinetic parameters of efflux of penicillins by the multidrug efflux transporter AcrAB-TolC of Escherichia coli.

机构信息

Department of Molecular and Cell Biology, University of California, Berkeley, CA 94720-3202, USA.

出版信息

Antimicrob Agents Chemother. 2010 May;54(5):1800-6. doi: 10.1128/AAC.01714-09. Epub 2010 Feb 16.

Abstract

The multidrug efflux transporter AcrAB-TolC is known to pump out a diverse range of antibiotics, including beta-lactams. However, the kinetic constants of the efflux process, needed for the quantitative understanding of resistance, were not available until those accompanying the efflux of some cephalosporins were recently determined by combining efflux with the hydrolysis of drugs by the periplasmic beta-lactamase. In the present study we extended this approach to the study of a wide range of penicillins, from ampicillin and penicillin V to ureidopenicillins and isoxazolylpenicillins, by combining efflux with hydrolysis with the OXA-7 penicillinase. We found that the penicillins had a much stronger apparent affinity to AcrB and higher maximum rates of efflux than the cephalosporins. All penicillins showed strong positive cooperativity kinetics for export. The kinetic constants obtained were validated, as the MICs theoretically predicted on the basis of efflux and hydrolysis kinetics were remarkably similar to the observed MICs (except for the isoxazolylpenicillins). Surprisingly, however, the efflux kinetics of cloxacillin, for example, whose MIC decreased 512-fold in Escherichia coli upon the genetic deletion of the acrB gene, were quite similar to those of ampicillin, whose MIC decreased only 2-fold with the same treatment. Analysis of this phenomenon showed that the extensive decrease in the MIC for the acrB mutant is primarily due to the low permeation of the drug and that comparison of the MICs between the parent and the acrB strains is a very poor measure of the ability of AcrB to pump a drug out.

摘要

多药外排转运蛋白 AcrAB-TolC 已知可泵出多种抗生素,包括β-内酰胺类抗生素。然而,直到最近,通过将外排与周质内β-内酰胺酶对药物的水解相结合,确定了一些头孢菌素的外排伴随的动力学常数,这些常数才可用于定量理解耐药性。在本研究中,我们通过将外排与 OXA-7 青霉素酶的水解相结合,将这种方法扩展到对氨苄西林和青霉素 V 等广泛的青霉素类药物的研究,从脲基青霉素和异噁唑基青霉素。我们发现,与头孢菌素相比,青霉素对 AcrB 的表观亲和力更强,外排的最大速率更高。所有青霉素均表现出强烈的正向协同出口动力学。获得的动力学常数是经过验证的,因为根据外排和水解动力学理论预测的 MIC 与观察到的 MIC 非常相似(异噁唑基青霉素除外)。然而,令人惊讶的是,例如,在大肠杆菌中,当 acrB 基因缺失时,其 MIC 降低了 512 倍的氯唑西林的外排动力学与氨苄西林的外排动力学非常相似,而氨苄西林在相同的处理下仅降低了 2 倍。对这种现象的分析表明,acrB 突变体的 MIC 广泛降低主要是由于药物的渗透性低,并且比较亲本菌株和 acrB 菌株之间的 MIC 是衡量 AcrB 外排药物能力的非常差的指标。

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