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两类DNA促旋酶抑制剂在革兰氏阴性病原体中引发了针对耐药性的不同进化轨迹。

Two classes of DNA gyrase inhibitors elicit distinct evolutionary trajectories toward resistance in gram-negative pathogens.

作者信息

Leyn Semen A, Kent James E, Zlamal Jaime E, Elane Marinela L, Vercruysse Maarten, Osterman Andrei L

机构信息

Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA, USA.

Roche Pharma Research and Early Development, Immunology, Inflammation, and Infectious Diseases, Basel, Switzerland.

出版信息

NPJ Antimicrob Resist. 2024 Mar 2;2(1):5. doi: 10.1038/s44259-024-00021-y.

Abstract

Comprehensive knowledge of mechanisms driving the acquisition of antimicrobial resistance is essential for the development of new drugs with minimized resistibility. To gain this knowledge, we combine experimental evolution in a continuous culturing device, the morbidostat, with whole genome sequencing of evolving cultures followed by characterization of drug-resistant isolates. Here, this approach was used to assess evolutionary dynamics of resistance acquisition against DNA gyrase/topoisomerase TriBE inhibitor GP6 in Escherichia coli and Acinetobacter baumannii. The evolution of GP6 resistance in both species was driven by a combination of two classes of mutational events: (i) amino acid substitutions near the ATP-binding site of the GyrB subunit of the DNA gyrase target; and (ii) various mutations and genomic rearrangements leading to upregulation of efflux pumps, species-specific (AcrAB/TolC in E. coli and AdeIJK in A. baumannii) and shared by both species (MdtK). A comparison with the experimental evolution of resistance to ciprofloxacin (CIP), previously performed using the same workflow and strains, revealed fundamental differences between these two distinct classes of compounds. Most notable were non-overlapping spectra of target mutations and distinct evolutionary trajectories that, in the case of GP6, were dominated by upregulation of efflux machinery prior to (or even in lieu) of target modification. Most of the efflux-driven GP6-resistant isolates of both species displayed a robust cross-resistance to CIP, while CIP-resistant clones showed no appreciable increase in GP6-resistance.

摘要

全面了解驱动获得抗微生物耐药性的机制对于开发具有最小耐药性的新药至关重要。为了获得这方面的知识,我们将连续培养装置(病态稳定器)中的实验进化与进化培养物的全基因组测序相结合,随后对耐药菌株进行表征。在这里,这种方法被用于评估大肠杆菌和鲍曼不动杆菌对DNA促旋酶/拓扑异构酶TriBE抑制剂GP6的耐药性进化动态。这两个物种中GP6耐药性的进化是由两类突变事件共同驱动的:(i)DNA促旋酶靶点GyrB亚基的ATP结合位点附近的氨基酸取代;(ii)导致外排泵上调的各种突变和基因组重排,物种特异性的(大肠杆菌中的AcrAB/TolC和鲍曼不动杆菌中的AdeIJK)以及两个物种共有的(MdtK)。与之前使用相同工作流程和菌株进行的对环丙沙星(CIP)耐药性的实验进化进行比较,揭示了这两类不同化合物之间的根本差异。最显著的是靶标突变的非重叠谱和不同的进化轨迹,就GP6而言,在靶标修饰之前(甚至代替靶标修饰),外排机制的上调占主导。两个物种中大多数由外排驱动的GP6耐药菌株对CIP表现出强烈的交叉耐药性,而CIP耐药克隆在GP6耐药性方面没有明显增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5ee/11702832/d45f07fe161b/44259_2024_21_Fig1_HTML.jpg

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