Analysis by PCR and direct DNA sequencing of gyrA mutations associated with fluoroquinolone resistance in Enterococcus faecalis

Antimicrob Agents Chemother. 1994 Sep;38(9):2091-4. doi: 10.1128/AAC.38.9.2091.

Abstract

A region of gyrA, the gene encoding subunit A of DNA gyrase, that is known to be associated with resistance was amplified and sequenced from 16 Enterococcus faecalis and Enterococcus faecium isolates. Six ciprofloxacin-resistant clinical isolates (MICs of ciprofloxacin, 32 to 64 micrograms/ml) and one multistep resistant laboratory mutant of E. faecalis (MIC of ciprofloxacin, 128 micrograms/ml) contained a change from serine to arginine or to isoleucine at codon 83 or a change from glutamic acid to lysine or to glycine at codon 87 (Escherichia coli GyrA coordinates); these changes have been associated with fluoroquinolone resistance in other species. No difference in the region studied was found in two ciprofloxacin-resistant E. faecium isolates (MICs, 32 micrograms/ml) or in four laboratory derived, spontaneous ciprofloxacin-resistant mutants of E. faecalis (MICs, 8 to 16 micrograms/ml), suggesting that other mechanisms may be responsible for fluoroquinolone resistance in some enterococci.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Sequence
  • Anti-Infective Agents / pharmacology*
  • Base Sequence
  • Ciprofloxacin / pharmacology
  • DNA Gyrase
  • DNA Topoisomerases, Type II / genetics*
  • DNA, Bacterial / genetics*
  • Drug Resistance, Microbial / genetics
  • Enterococcus faecalis / drug effects*
  • Enterococcus faecalis / genetics*
  • Microbial Sensitivity Tests
  • Molecular Sequence Data
  • Mutation*
  • Polymerase Chain Reaction
  • Sequence Analysis, DNA / methods
  • Sequence Homology, Nucleic Acid

Substances

  • Anti-Infective Agents
  • DNA, Bacterial
  • Ciprofloxacin
  • DNA Gyrase
  • DNA Topoisomerases, Type II