2022
DOI: 10.3390/antibiotics11101378
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Molecular Basis of Non-β-Lactam Antibiotics Resistance in Staphylococcus aureus

Abstract: Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most successful human pathogens with the potential to cause significant morbidity and mortality. MRSA has acquired resistance to almost all β-lactam antibiotics, including the new-generation cephalosporins, and is often also resistant to multiple other antibiotic classes. The expression of penicillin-binding protein 2a (PBP2a) is the primary basis for β-lactams resistance by MRSA, but it is coupled with other resistance mechanisms, conferring res… Show more

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Cited by 13 publications
(8 citation statements)
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References 276 publications
(281 reference statements)
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“…Collectively, the drug resistance genes identified from our WGS results are consistent with various reported MDR-MRSA isolates that harbored determinants that enhanced their ability to resist antimicrobials [ 63 , 64 ]. These MDR-MRSA harbored blaZ -encoded β-lactamase to disrupt the amide bond of β-lactam ring and different families of exporters including efflux pumps such as NorA, SdrM, and LmrS to extrude drugs (e.g., macrolides, aminoglycosides, oxazolidinones, diaminopyrimidines, and phenicols) from the interior to the external environment, thus lowering their intracellular concentration [ 65 ].…”
Section: Discussionsupporting
confidence: 87%
“…Collectively, the drug resistance genes identified from our WGS results are consistent with various reported MDR-MRSA isolates that harbored determinants that enhanced their ability to resist antimicrobials [ 63 , 64 ]. These MDR-MRSA harbored blaZ -encoded β-lactamase to disrupt the amide bond of β-lactam ring and different families of exporters including efflux pumps such as NorA, SdrM, and LmrS to extrude drugs (e.g., macrolides, aminoglycosides, oxazolidinones, diaminopyrimidines, and phenicols) from the interior to the external environment, thus lowering their intracellular concentration [ 65 ].…”
Section: Discussionsupporting
confidence: 87%
“…Staphylococcus aureus is a widespread bacterium found in humans and animals [ 12 ], in S. aureus, the gene activity that encodes penicillin-binding proteins causes a resistance reaction to beta-lactam antibiotics we know as MRSA [ 13 ], additionally resistant to non-beta-lactam medicines are MRSA strains. At first, MRSA was thought to cause nosocomial infections [ 14 ]. Nonetheless, MRSA colonization and infection have recently been found in a lot of people and animals who are not in clinical settings [ 15 ].…”
Section: Mrsa In Pet Animalsmentioning
confidence: 99%
“…Although HA-MRSA and CA-MRSA strains may have different antimicrobial susceptibility patterns [ 15 ], both are now considered significant hazards to human health in the context of infectious diseases [ 16 ]. Understanding their respective distribution in the population is crucial for their treatment and management.…”
Section: Introductionmentioning
confidence: 99%