Home LiteratureArticle Details
PMID: 11158736 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.

Cross-resistance between triclosan and antibiotics in Pseudomonas aeruginosa is mediated by multidrug efflux pumps: exposure of a susceptible mutant strain to triclosan selects nfxB mutants overexpressing MexCD-OprJ.

Antimicrobial agents and chemotherapy ·Vol. 45 ·No. 2 ·2001-02-00 ·Pages 428-32

Chuanchuen R, Beinlich K, Hoang TT, Becher A, Karkhoff-Schweizer RR, Schweizer HP

Abstract

Triclosan is an antiseptic frequently added to items as diverse as soaps, lotions, toothpaste, and many commonly used household fabrics and plastics. Although wild-type Pseudomonas aeruginosa expresses the triclosan target enoyl-acyl carrier protein reductase, it is triclosan resistant due to expression of the MexAB-OprM efflux system. Exposure of a susceptible Delta(mexAB-oprM) strain to triclosan selected multidrug-resistant bacteria at high frequencies. These bacteria hyperexpressed the MexCD-OprJ efflux system due to mutations in its regulatory gene, nfxB. The MICs of several drugs for these mutants were increased up to 500-fold, including the MIC of ciprofloxacin, which was increased 94-fold. Whereas the MexEF-OprN efflux system also participated in triclosan efflux, this antimicrobial was not a substrate for MexXY-OprM.

MeSH Terms
Amino Acid Sequence Anti-Bacterial Agents/pharmacology Anti-Infective Agents, Local/pharmacology Bacterial Outer Membrane Proteins/analysis,genetics Bacterial Proteins/genetics Drug Resistance, Microbial/genetics Genes, MDR/genetics Microbial Sensitivity Tests Molecular Sequence Data Mutation Pseudomonas aeruginosa/drug effects,metabolism Triclosan/pharmacology
Chemicals
Anti-Bacterial Agents Anti-Infective Agents, Local Bacterial Outer Membrane Proteins Bacterial Proteins Triclosan
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Chuanchuen R
Department of Microbiology, Colorado State University, Fort Collins, Colorado 80523-1677, USA.
Beinlich K
Hoang T T
Becher A
Karkhoff-Schweizer R R
Schweizer H P
References (34)
34 references, click to expand
  1. Involvement of an active efflux system in the natural resistance of Pseudomonas aeruginosa to aminoglycosides.
    Antimicrob Agents Chemother. 1999 Nov;43(11):2624-8 PMID: 10543738
  2. Cell-to-cell signaling and Pseudomonas aeruginosa infections.
    Emerg Infect Dis. 1998 Oct-Dec;4(4):551-60 PMID: 9866731
  3. Bacterial resistance to disinfectants: present knowledge and future problems.
    J Hosp Infect. 1999 Dec;43 Suppl:S57-68 PMID: 10658759
  4. Inhibition of the Staphylococcus aureus NADPH-dependent enoyl-acyl carrier protein reductase by triclosan and hexachlorophene.
    J Biol Chem. 2000 Feb 18;275(7):4654-9 PMID: 10671494
  5. Antiseptics and disinfectants: activity, action, and resistance.
    Clin Microbiol Rev. 1999 Jan;12(1):147-79 PMID: 9880479
  6. In vivo emergence of multidrug-resistant mutants of Pseudomonas aeruginosa overexpressing the active efflux system MexA-MexB-OprM.
    Antimicrob Agents Chemother. 1999 Feb;43(2):287-91 PMID: 9925520
  7. Expression in Escherichia coli of a new multidrug efflux pump, MexXY, from Pseudomonas aeruginosa.
    Antimicrob Agents Chemother. 1999 Feb;43(2):415-7 PMID: 9925549
  8. Genetic evidence that InhA of Mycobacterium smegmatis is a target for triclosan.
    Antimicrob Agents Chemother. 1999 Mar;43(3):711-3 PMID: 10049298
  9. Mechanism of triclosan inhibition of bacterial fatty acid synthesis.
    J Biol Chem. 1999 Apr 16;274(16):11110-4 PMID: 10196195
  10. Characterization of Pseudomonas aeruginosa enoyl-acyl carrier protein reductase (FabI): a target for the antimicrobial triclosan and its role in acylated homoserine lactone synthesis.
    J Bacteriol. 1999 Sep;181(17):5489-97 PMID: 10464225
  11. A triclosan-resistant bacterial enzyme.
    Nature. 2000 Jul 13;406(6792):145-6 PMID: 10910344
  12. Contribution of the MexX-MexY-oprM efflux system to intrinsic resistance in Pseudomonas aeruginosa.
    Antimicrob Agents Chemother. 2000 Sep;44(9):2242-6 PMID: 10952562
  13. Complete genome sequence of Pseudomonas aeruginosa PAO1, an opportunistic pathogen.
    Nature. 2000 Aug 31;406(6799):959-64 PMID: 10984043
  14. Investigations on the mode of action of Triclosan, a broad spectrum antimicrobial agent.
    Zentralbl Bakteriol Orig A. 1974 Mar;226(3):390-401 PMID: 4151803
  15. Chromosome mapping in Pseudomonas aeruginosa PAT.
    J Bacteriol. 1978 Mar;133(3):1113-25 PMID: 417059
  16. Cloning and nucleotide sequence of the Pseudomonas aeruginosa nfxB gene, conferring resistance to new quinolones.
    FEMS Microbiol Lett. 1992 Oct 1;76(1-2):197-202 PMID: 1330820
  17. pH modification to enhance the molecular sieving properties of sodium dodecyl sulfate-10% polyacrylamide gels.
    Anal Biochem. 1993 Jul;212(1):283-5 PMID: 8368505
  18. Multiple antibiotic resistance in Pseudomonas aeruginosa: evidence for involvement of an efflux operon.
    J Bacteriol. 1993 Nov;175(22):7363-72 PMID: 8226684
  19. Inactivation of antibiotics and the dissemination of resistance genes.
    Science. 1994 Apr 15;264(5157):375-82 PMID: 8153624
  20. Role of mexA-mexB-oprM in antibiotic efflux in Pseudomonas aeruginosa.
    Antimicrob Agents Chemother. 1995 Sep;39(9):1948-53 PMID: 8540696
  21. Origins and evolution of antibiotic resistance.
    Microbiologia. 1996 Mar;12(1):9-16 PMID: 9019139
  22. Triclosan: applications and safety.
    Am J Infect Control. 1996 Jun;24(3):209-18 PMID: 8807001
  23. Multidrug efflux pumps of gram-negative bacteria.
    J Bacteriol. 1996 Oct;178(20):5853-9 PMID: 8830678
  24. Overexpression of the mexC-mexD-oprJ efflux operon in nfxB-type multidrug-resistant strains of Pseudomonas aeruginosa.
    Mol Microbiol. 1996 Aug;21(4):713-24 PMID: 8878035
  25. Expression of the multidrug resistance operon mexA-mexB-oprM in Pseudomonas aeruginosa: mexR encodes a regulator of operon expression.
    Antimicrob Agents Chemother. 1996 Sep;40(9):2021-8 PMID: 8878574
  26. Characterization of MexE-MexF-OprN, a positively regulated multidrug efflux system of Pseudomonas aeruginosa.
    Mol Microbiol. 1997 Jan;23(2):345-54 PMID: 9044268
  27. Expression of Pseudomonas aeruginosa multidrug efflux pumps MexA-MexB-OprM and MexC-MexD-OprJ in a multidrug-sensitive Escherichia coli strain.
    Antimicrob Agents Chemother. 1998 Jan;42(1):65-71 PMID: 9449262
  28. Intrinsic resistance to inhibitors of fatty acid biosynthesis in Pseudomonas aeruginosa is due to efflux: application of a novel technique for generation of unmarked chromosomal mutations for the study of efflux systems.
    Antimicrob Agents Chemother. 1998 Feb;42(2):394-8 PMID: 9527792
  29. A broad-host-range Flp-FRT recombination system for site-specific excision of chromosomally-located DNA sequences: application for isolation of unmarked Pseudomonas aeruginosa mutants.
    Gene. 1998 May 28;212(1):77-86 PMID: 9661666
  30. Characterization of the MexC-MexD-OprJ multidrug efflux system in DeltamexA-mexB-oprM mutants of Pseudomonas aeruginosa.
    Antimicrob Agents Chemother. 1998 Aug;42(8):1938-43 PMID: 9687387
  31. Triclosan targets lipid synthesis.
    Nature. 1998 Aug 6;394(6693):531-2 PMID: 9707111
  32. Overexpression of marA, soxS, or acrAB produces resistance to triclosan in laboratory and clinical strains of Escherichia coli.
    FEMS Microbiol Lett. 1998 Sep 15;166(2):305-9 PMID: 9770288
  33. Broad spectrum antimicrobial biocides target the FabI component of fatty acid synthesis.
    J Biol Chem. 1998 Nov 13;273(46):30316-20 PMID: 9804793
  34. Characterization of a Pseudomonas aeruginosa efflux pump contributing to aminoglycoside impermeability.
    Antimicrob Agents Chemother. 1999 Dec;43(12):2975-83 PMID: 10582892
Article Info
Journal
Antimicrobial agents and chemotherapy
Abbr.
Antimicrob Agents Chemother
ISSN
0066-4804
Published
2001-02-00
Pages
428-32
Language
English
Region
United States
NLM ID
0315061
PMCID
PMC90308
Subset
IM
Grants
NIGMS NIH HHS · GM56685 · United States
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: [email protected]