title: Sensitization of Campylobacter jejuni to fluoroquinolone and macrolide antibiotics by antisense inhibition of the CmeABC multidrug efflux transporter.
abstract: OBJECTIVE
  The aim of this study was to investigate the feasibility and efficacy of antisense-mediated gene silencing by peptide nucleic acid (PNA) for specific inactivation of the CmeABC multidrug efflux transporter in Campylobacter jejuni.
  
  
  METHODS
  PNA was designed to bind to the cmeA transcript and to inhibit the translation of CmeA, the periplasmic component of the RND-type CmeABC efflux transporter of C. jejuni. Inhibition of CmeA production was determined by western blotting. MICs of clinically important antibiotics, including ciprofloxacin and erythromycin, were measured in the presence of the CmeA-specific PNA (CmeA-PNA).
  
  
  RESULTS
  CmeA-PNA greatly reduced the expression level of CmeA. Consistent with the reduced CmeA production, CmeA-PNA rendered C. jejuni strains more susceptible to ciprofloxacin and erythromycin. At a concentration of 2 microM, CmeA-PNA resulted in 8- and 4-fold reductions in the MICs of ciprofloxacin and erythromycin, respectively, in C. jejuni NCTC 11168. CmeA-PNA also increased the susceptibility to the antibiotics in C. jejuni strains that were resistant to ciprofloxacin or erythromycin.
  
  
  CONCLUSIONS
  Antisense technology is a feasible method to suppress the function of the CmeABC multidrug efflux transporter, which may be further exploited to control antibiotic-resistant Campylobacter.
authors.affiliation: Department of Veterinary Microbiology and Preventive Medicine, Iowa State University, Ames, 50011, USA.
authors.forename: Byeonghwa
authors.initials: B
authors.lastname: Jeon
authors.forename: Qijing
authors.initials: Q
authors.lastname: Zhang
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001426:Bacterial Proteins / Q000037:antagonists & inhibitors* / Q000235:genetics; D016123:Campylobacter jejuni / Q000187:drug effects* / Q000235:genetics; D002939:Ciprofloxacin / Q000494:pharmacology*; D004917:Erythromycin / Q000494:pharmacology*; D020869:Gene Expression Profiling; D020868:Gene Silencing; D026901:Membrane Transport Proteins / Q000096:biosynthesis* / Q000235:genetics; D008826:Microbial Sensitivity Tests; D020135:Peptide Nucleic Acids / Q000235:genetics
chemical_list: D000900:Anti-Bacterial Agents; D001426:Bacterial Proteins; D026901:Membrane Transport Proteins; D020135:Peptide Nucleic Acids; D002939:Ciprofloxacin; D004917:Erythromycin