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Enne, Virve I., King, Anna, Livermore, David M. 
ORCID: https://orcid.org/0000-0002-9856-3703 and Hall, Lucinda M. C.
(2002)
Sulfonamide resistance in Haemophilus influenzae mediated by acquisition of sul2 or a short insertion in chromosomal folP.
Antimicrobial Agents and Chemotherapy, 46 (6).
pp. 1934-1939.
ISSN 0066-4804
Abstract
Determinants of sulfonamide resistance were investigated in clinical isolates of Haemophilus influenzae from the United Kingdom and Kenya. The mechanism of sulfonamide resistance in H. influenzae has not previously been reported. Eight isolates requiring at least 1,024 microg of sulfamethoxazole per ml for inhibition carried the sul2 gene, a common mediator of acquired sulfonamide resistance in enteric bacteria. In other isolates with similarly high levels of resistance, the chromosomal gene encoding dihydropteroate synthase, folP, was found to carry an insertion of 15 bp together with other missense mutations relative to folP of H. influenzae strain Rd RM118 (MIC, 8 microg/ml); the folP sequence was identical in all seven such isolates investigated, although they represented three different strains by restriction pattern analysis. The 15-bp insertion was absent in isolates inhibited by sulfamethoxazole at 2 to 64 microg/ml (although these exhibited considerable divergence in folP sequence) and in highly resistant isolates carrying sul2. Transformation with a 599-bp fragment of folP containing the insertion but no other differences conferred high-level resistance on a recipient strain, confirming the role of the insertion. Other amino acid substitutions in dihydropteroate synthase may modulate the level of sulfonamide inhibition in susceptible isolates and those with more moderate levels of resistance. The two mechanisms of resistance, mediated by sul2 and modified folP, were detected in isolates from both the United Kingdom and Kenya.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | anti-bacterial agents,bacterial proteins,carrier proteins,chromosomes, bacterial,dna, bacterial,dihydropteroate synthase,drug resistance, microbial,genome,haemophilus infections,haemophilus influenzae,humans,microbial sensitivity tests,reverse transcriptase polymerase chain reaction,sulfonamides,transformation, bacterial |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health |
| Depositing User: | Pure Connector |
| Date Deposited: | 24 Jan 2014 12:38 |
| Last Modified: | 10 Aug 2023 16:30 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/46756 |
| DOI: | 10.1128/aac.46.6.1934-1939.2002 |
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