title: [Emergence of arbekacin resistant strains among methicillin-resistant Staphylococcus aureus].
abstract: We studied the efficacy of arbekacin (ABK) against MRSA that were resistant to gentamicin (GM). ABK was fairly active against most of the GM-resistant MRSA strains. Against highly GM-resistant strains, however, ABK was slightly less active than it was against the low level GM-resistant strains. ABK-resistant mutants were isolated from GM-resistant MRSA at a frequency of 10(-4) to 10(-5) when the selection was made with MIC of ABK. But the frequency decreased with higher concentration of ABK or with a use of 1/2 MIC of beta-lactam antibiotics, such as cefazolin, cefotiam, cefamandole or flomoxef, together with ABK. We isolated a ABK-resistant mutant from a laboratory strain MS353/pMS91 which possess a GM-resistant gene on a plasmid. The gene encodes a modifying enzyme, AAC-6'/APH-2". We compared the enzyme activities between the mutant MS353/pMS91M and MS353/pMS91. The mutant strain showed enzyme activity six times as much as the primary strain. This result suggests that the increase of AGs-modifying enzymes was responsible for the ABK-resistance of MRSA.
authors.affiliation: First Department of Surgery, Gunma University School of Medicine.
authors.forename: T
authors.initials: T
authors.lastname: Suzuki
authors.forename: K
authors.initials: K
authors.lastname: Fujita
authors.forename: Y
authors.initials: Y
authors.lastname: Nagamachi
authors.forename: T
authors.initials: T
authors.lastname: Okubo
mesh_terms: D000123:Acetyltransferases / Q000235:genetics; D000617:Aminoglycosides; D000900:Anti-Bacterial Agents; D003982:Dibekacin / Q000031:analogs & derivatives* / Q000494:pharmacology; D004352:Drug Resistance, Microbial / Q000235:genetics; D005798:Genes, Bacterial; D005839:Gentamicins / Q000494:pharmacology; D016106:Methicillin Resistance; D009154:Mutation; D010770:Phosphotransferases / Q000235:genetics; D013211:Staphylococcus aureus / Q000187:drug effects* / Q000201:enzymology / Q000235:genetics
chemical_list: D000617:Aminoglycosides; D000900:Anti-Bacterial Agents; D005839:Gentamicins; D003982:Dibekacin; D000123:Acetyltransferases; D010770:Phosphotransferases; C031986:arbekacin