Chin Chui-Yoke, Gregg Kelsey A, Napier Brooke A, Ernst Robert K, Weiss David S
Emory Antibiotic Resistance Center, Emory University School of Medicine, Atlanta, Georgia, USA Emory Vaccine Center, Emory University School of Medicine, Atlanta, Georgia, USA Yerkes National Primate Research Center, Emory University School of Medicine, Atlanta, Georgia, USA Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Department of Microbial Pathogenesis, University of Maryland School of Dentistry, Baltimore, Maryland, USA.
Antimicrob Agents Chemother. 2015 Dec;59(12):7911-4. doi: 10.1128/AAC.00515-15. Epub 2015 Oct 12.
Emerging resistance to "last-resort" polymyxin antibiotics in Gram-negative bacteria is a significant threat to public health. We identified the Acinetobacter baumannii NaxD deacetylase as a critical mediator of lipid A modification resulting in polymyxin resistance and demonstrated that naxD is regulated by the sensor kinase PmrB. This represents the first description of a specific PmrB-regulated gene contributing to polymyxin resistance in A. baumannii and highlights NaxD as a putative drug target to reverse polymyxin resistance.
革兰氏阴性菌对“最后一道防线”多粘菌素类抗生素产生的新耐药性对公众健康构成了重大威胁。我们确定鲍曼不动杆菌NaxD脱乙酰酶是导致多粘菌素耐药性的脂多糖A修饰的关键介质,并证明naxD受传感激酶PmrB调控。这是首次描述鲍曼不动杆菌中一个特定的受PmrB调控的基因对多粘菌素耐药性的作用,并突出了NaxD作为逆转多粘菌素耐药性的潜在药物靶点。