1. In-vitro selection of porin-deficient mutants of two strains of Klebsiella pneumoniae with reduced susceptibilities to meropenem, but not to imipenem.
- Author
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Pragai, Z and Nagy, E
- Subjects
DRUG resistance in microorganisms ,ELECTROPHORESIS ,HYDROLASES ,KLEBSIELLA ,MEMBRANE proteins ,MICROBIAL sensitivity tests ,GENETIC mutation ,POLYMERASE chain reaction ,CARBAPENEMS ,KLEBSIELLA infections ,IMIPENEM ,PHARMACODYNAMICS - Abstract
We have evaluated the ability of imipenem and meropenem to select, in vitro, resistant mutants of two clinical isolates of Klebsiella pneumoniae producing both SHV and TEM β-lactamases. Only meropenem selected mutants of both isolates for which the MICs of meropenem, but not imipenem, were markedly higher than those for the parent strains; the MICs of several other β-lactam antibiotics, including β-lactam/β-lactamase inhibitor combinations, for these mutants were also higher than those for the parent strains. In contrast, the MICs for the imipenem-selected mutants were the same as, or similar to, those for the parent strains. Sodium dodecyl sulphate-polyacrylamide gel electrophoresis analysis revealed that an outer membrane protein in both parent strains was absent in the meropenem-selected mutants, but not in the imipenem-selected mutants. This protein is likely to be a porin, the absence of which is presumably associated with impaired β-lactam permeability and, therefore, the reduced susceptibilities to these antibiotics exhibited by the mutant strains. We believe that this is the first report of the in-vitro selection of porin-deficient mutants of K. pneumoniae following exposure to meropenem. [ABSTRACT FROM PUBLISHER]
- Published
- 1998
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