title: [The correlation between expression level of femB and resistance phenotype of methicillin-resistant Staphylococcus aureus (MRSA)].
abstract: OBJECTIVE
  To investigate the correlation between the phenotype and expression level of femB of Staphylococcus aureus (MRSA), to discuss the mechanism of different phenotypes in methicillin-resistant Staphylococcus aureus.
  
  
  METHODS
  The minimal inhibitory concentrations (MICs) of oxacillin against 71 clinical isolates of Staphylococcus aureus were determined by agar dilution method according to NCCLS. The production of beta-lactamase was identified by Cefinase paper strip method. The isolation rate of beta-lactamase-producing strains was counted and the correlation between the resistance phenotype and isolation rate of beta-lactamase was analysed by statistics. Real time fluorescent quantitative PCR was used to quantify the mRNA expression of femB of non-beta-lactamase-producing strains.
  
  
  RESULTS
  The resistance rate of 71 Staphylococcus aureus to oxacillin was 66.20% (47/71), the isolation rate of beta-lactamase-producing MSSA strains was 58.3%,and that of strains of high- and low-level resistance to oxacillin were 63.15% and 55.56%. The standard curve was performed by series dilution of the heterogeneous resistant strain BB270, and the amount of femB-specific mRNA in strain BB270 was set to be 1. The calculated femB amounts in MSSA strains were from 0.4830-3.3636, while the amounts were from 0.4204-3.3636 in low-level MRSA strains, and 0.0718-16.0000 in high-level MRSA strains. There were no difference in the level of femB among MSSA, high-level MRSA and low-level MRSA.
  
  
  CONCLUSIONS
  The expression level of femB may not be related to the resistance of non-beta-lactamase-producting Staphylococcus aureus to methicillin.
authors: Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu 610041, China.
authors: Zhen-Zhen
authors: ZZ
authors: Liu
authors: Ya-Li
authors: YL
authors: Xiong
authors: Xin-Jian
authors: XJ
authors: Fan
authors: Yan-Yu
authors: YY
authors: Gao
authors: Ru-Jia
authors: RJ
authors: Yu
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001426:Bacterial Proteins / Q000235:genetics / Q000378:metabolism*; D001483:Base Sequence; D004352:Drug Resistance, Microbial / Q000235:genetics*; D055624:Methicillin-Resistant Staphylococcus aureus / Q000235:genetics* / Q000378:metabolism; D008969:Molecular Sequence Data; D010068:Oxacillin / Q000494:pharmacology*; D010641:Phenotype; D001618:beta-Lactamases / Q000378:metabolism
chemical_list: D000900:Anti-Bacterial Agents; D001426:Bacterial Proteins; C102928:FemB protein, Staphylococcus epidermidis; D001618:beta-Lactamases; D010068:Oxacillin