MupB, a new high-level mupirocin resistance mechanism in Staphylococcus aureus

Antimicrob Agents Chemother. 2012 Apr;56(4):1916-20. doi: 10.1128/AAC.05325-11. Epub 2012 Jan 17.

Abstract

Mupirocin is a topical antibiotic used for the treatment of skin infections and the eradication of methicillin-resistant Staphylococcus aureus carriage. It inhibits bacterial protein synthesis by interfering with isoleucyl-tRNA synthetase activity. High-level mupirocin resistance (MIC of ≥ 512 μg/ml) is mediated by the expression of mupA (ileS2), which encodes an alternate isoleucyl-tRNA synthetase. In this study, we describe high-level mupirocin resistance mediated by a novel locus, mupB. The mupB gene (3,102 bp) shares 65.5% sequence identity with mupA but only 45.5% identity with ileS. The deduced MupB protein shares 58.1% identity (72.3% similarity) and 25.4% identity (41.8% similarity) with MupA and IleS, respectively. Despite this limited homology, MupB contains conserved motifs found in class I tRNA synthetases. Attempts to transfer high-level mupirocin resistance via conjugation or transformation (using plasmid extracts from an mupB-containing strain) were unsuccessful. However, by cloning the mupB gene into a shuttle vector, it was possible to transfer the resistance phenotype to susceptible S. aureus by electroporation, proving that mupB was responsible for the high-level mupirocin resistance. Further studies need to be done to determine the prevalence of mupB and to understand risk factors and outcomes associated with resistance mediated by this gene.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Amino Acid Sequence
  • Bacterial Proteins / genetics
  • Base Sequence
  • Cloning, Molecular
  • Conjugation, Genetic
  • DNA, Bacterial / biosynthesis
  • DNA, Bacterial / genetics
  • Drug Resistance, Bacterial / genetics*
  • Electrophoresis, Gel, Pulsed-Field
  • Electroporation
  • Genome, Bacterial / genetics
  • Isoleucine-tRNA Ligase / biosynthesis
  • Isoleucine-tRNA Ligase / genetics
  • Methicillin-Resistant Staphylococcus aureus / drug effects
  • Methicillin-Resistant Staphylococcus aureus / genetics
  • Microbial Sensitivity Tests
  • Molecular Sequence Data
  • Mupirocin / pharmacology*
  • Mutation, Missense / genetics
  • Plasmids / genetics
  • Polymerase Chain Reaction
  • Staphylococcus aureus / drug effects*
  • Staphylococcus aureus / genetics*
  • Transformation, Bacterial

Substances

  • Bacterial Proteins
  • DNA, Bacterial
  • MupB protein, Staphylococcus aureus
  • Mupirocin
  • Isoleucine-tRNA Ligase