Browse AMR Genes
Explore antimicrobial resistance genes from the literature
Explore antimicrobial resistance genes from the literature
resistance-nodulation-cell division (RND) antibiotic efflux pump
Overview
| Protein Change | Nucleotide Change | Mechanism | Organism | Resistance To | Database | Validation Status |
|---|---|---|---|---|---|---|
| H263ins | - | - | Francisella novicida, Francisella tularensis | ciprofloxacin|doxycycline|phenicols | Reslit | Candidate |
| G363F | - | - | Salmonella enterica | aztreonam|carbenicillin|cloxacillin|fusidic acid|nafcillin|novobiocin|oxacillin|ticarcillin | Reslit | Candidate |
| T188A | - | - | Klebsiella pneumoniae | ceftazidime avibactam | Reslit | Candidate |
| G240S | - | - | Escherichia coli | novobiocin|lincomycin | Reslit | Candidate |
| V244M | - | - | Escherichia coli | novobiocin|lincomycin|erythromycin | Reslit | Candidate |
| S249N | - | - | Escherichia coli | novobiocin|lincomycin | Reslit | Candidate |
| H137Y | - | - | Escherichia coli, Klebsiella pneumoniae | tigecycline | Reslit | Candidate |
| M36V | - | - | - | imipenem | Reslit | Candidate |
| S114N | - | - | - | imipenem | Reslit | Candidate |
| S115F | - | - | - | imipenem | Reslit | Candidate |
| S326L | - | - | - | imipenem | Reslit | Candidate |
| S83G | - | Escherichia coli | vancomycin | Reslit | Candidate | |
| T104A | contributes to tigecycline resistance | Escherichia coli | tigecycline | Reslit | Candidate | |
| - | - | Escherichia coli | phenicols | Reslit | Candidate | |
| - | - | Escherichia coli | fluoroquinolones | Reslit | Candidate | |
| - | - | E. coli | norfloxacin | Reslit | Candidate |
| Allele | Database | Papers | Drug Classes | Organisms | Countries | Years | Sequence Accession | Protein Accession |
|---|---|---|---|---|---|---|---|---|
| Eclo_acrA | Card Database | 1 | - | Enterobacter cloacae | - | - | DQ679966.1 | ABG77965.1 |
| Ecol_acrA | Card Database | 1 | - | Escherichia coli str. K-12 substr. MG1655 | - | - | U00096.3 | AAC73565.1 |
| Kpne_acrA | Card Database | 1 | - | Klebsiella pneumoniae | - | - | AJ318073.1 | CAC41008.1 |
| Sfle_acrA | Card Database | 1 | - | Shigella flexneri 2a str. 301 | - | - | NC_004337.2 | NP_706356.2 |
| acrA | Reslit | 49 | ampicillin, penicillin +65 | Enterobacter cloacae +27 | Maine|New Hampshire, China, Taiwan, South Brazil, Northern California|USA, Korea, Saudi Arabia, Europe, Norway|China, India|Malaysia|South China, Canada, Shanghai, China, Lebanon, Sichuan, China, Brazil, Bangladesh, Ghana, India, South Africa, Global, Denmark, Guizhou, China, Thailand | 2007, 2011, 2014, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2024, 2025 | EF627524|AM287288 | - |
| acra | Reslit | 1 | aminoglycosides | Escherichia coli | China | 2020 | MT820501|PRJNA668015 | - |
| AcrA | Reslit | 3 | amikacin, carbapenems +4 | Proteus mirabilis +3 | Poland, Iran, Nepal | 2021, 2025 | - | - |
Cloning, nucleotide sequencing, and analysis of the AcrAB-TolC efflux pump of Enterobacter cloacae and determination of its involvement in antibiotic resistance in a clinical isolate.
The AcrAB-TolC efflux pump was identified as a key contributor to multidrug resistance in the clinical isolate Enterobacter cloacae EcDC64. Deletion of the acrA gene resulted in increased susceptibility to multiple antibiotics, confirming the role of this efflux pump in resistance.
Functional metagenomics reveals previously unrecognized diversity of antibiotic resistance genes in gulls.
The study identified numerous antibiotic resistance (AR) genes in gulls, including both known and previously undescribed ones. It highlights the significant diversity of AR genes in gulls, emphasizing their potential role in spreading resistance genes between human and environmental habitats.
First emergence of acrAB and oqxAB mediated tigecycline resistance in clinical isolates of Klebsiella pneumoniae pre-dating the use of tigecycline in a Chinese hospital.
The study identifies the role of AcrAB-TolC and OqxAB efflux pumps in tigecycline resistance in Klebsiella pneumoniae, highlighting the importance of their overexpression in resistance mechanisms.
Enhanced Efflux Activity Facilitates Drug Tolerance in Dormant Bacterial Cells.
The study identifies multiple multi-drug efflux genes, including tolC, acrA, acrB, acrD, acrF, emrA, emrB, macA, and macB, which are significantly upregulated in persister cells, contributing to reduced antibiotic accumulation and increased drug tolerance.
Risk Factors, Outcomes, and Mechanisms of Tigecycline-Nonsusceptible Klebsiella pneumoniae Bacteremia.
The study identified the overexpression of AcrAB and/or OqxAB efflux pumps, along with the upregulation of RamA and/or RarA, as key mechanisms contributing to tigecycline nonsusceptibility in Klebsiella pneumoniae. Additionally, overexpression of kpgA was noted in some isolates.
The polymyxin B-induced transcriptomic response of a clinical, multidrug-resistant Klebsiella pneumoniae involves multiple regulatory elements and intracellular targets.
The study identified a truncated mgrB gene as a potential mechanism for polymyxin B resistance in a multidrug-resistant Klebsiella pneumoniae strain.
TCDD influences reservoir of antibiotic resistance genes in murine gut microbiome.
TCDD exposure leads to an increase in antibiotic resistance genes (ARGs) and mobile genetic elements (MGEs) in the murine gut microbiome, particularly in Enterobacteriaceae, with specific genes like blaCMY2, ampC, and various MDR genes being significantly enriched.
DNA Damage Repair and Drug Efflux as Potential Targets for Reversing Low or Intermediate Ciprofloxacin Resistance in E. coli K-12.
The study identifies the AcrAB-TolC efflux pump and the SOS response proteins RecA and RecC as potential targets for reversing ciprofloxacin resistance in E. coli strains with intermediate susceptibility.
Characterizing active transportation mechanisms for free fatty acids and antibiotics in Synechocystis sp. PCC 6803.
The study identifies sll0180 and slr2131 as genes involved in antibiotic resistance and free fatty acid efflux in Synechocystis sp. PCC 6803. Their deletion leads to decreased antibiotic tolerance and altered FFA concentrations, which can be partially restored by complementation with E. coli acrA or acrB.
Early-life gut microbiome modulation reduces the abundance of antibiotic-resistant bacteria.
The study shows that colonization of the gut of breastfed infants by B. infantis EVC001 leads to a significant reduction in antibiotic resistance genes (ARGs) compared to controls. The ARGs identified were mainly associated with Escherichia, Clostridium, and Staphylococcus, and conferred resistance to beta-lactams, fluoroquinolones, and multiple drug classes.
Development of Tigecycline Resistance in Carbapenemase-Producing Klebsiella pneumoniae Sequence Type 147 via AcrAB Overproduction Mediated by Replacement of the ramA Promoter.
Tigecycline resistance in K. pneumoniae ST147 was linked to AcrAB efflux pump overproduction due to a promoter replacement in the ramA gene, leading to increased expression of acrA and ramA.
Identification of Salmonella Bredeney Resistant to Third-Generation Cephalosporins in Saudi Arabia.
The study identified Salmonella Bredeney resistant to third-generation cephalosporins in Saudi Arabia, highlighting the presence of 13 cephalosporin resistance-associated genes, including a novel gene LEN-23.
Identification of binding residues between periplasmic adapter protein (PAP) and RND efflux pumps explains PAP-pump promiscuity and roles in antimicrobial resistance.
The study identifies the critical residues in AcrA and AcrE that enable their interaction with the RND efflux pump AcrB, explaining their functional promiscuity and role in antimicrobial resistance. Mutations in these binding sites significantly affect efflux function and antimicrobial susceptibility.
Associations between sensitivity to antibiotics, disinfectants and heavy metals in natural, clinical and laboratory isolates of Escherichia coli.
The study identified that mutations in acrA, acrB, marR, acrR, and fabI contribute to cross-resistance to benzalkonium chloride, chloramphenicol, and triclosan in E. coli. These findings highlight the role of efflux pumps and regulatory mutations in mediating resistance across different antibacterial agents.
Metagenomic Diagnosis for a Culture-Negative Sample From a Patient With Severe Pneumonia by Nanopore and Next-Generation Sequencing.
The study identified several AMR genes in a culture-negative sample from a patient with severe pneumonia, including bla SHV-12, bla KPC-2, bla TEM-1, bla CTX-M-65, aac(3)-IIa, aadA1, dfrA1, sul1, aph(3')-Ia, catA1, fosA, acrA, and rmtB, which confer resistance to various antibiotics.
A whole-genome screen identifies Salmonella enterica serovar Typhi genes involved in fluoroquinolone susceptibility.
The study identified several genes involved in fluoroquinolone susceptibility in Salmonella enterica serovar Typhi, including efflux pumps (acrA, acrB, tolC), regulatory genes (marA, phoP), and DNA repair genes (uvrD, xseA).
Dead cells release a 'necrosignal' that activates antibiotic survival pathways in bacterial swarms.
The study identifies AcrA, a periplasmic component of the RND efflux pump, as a necrosignal that enhances antibiotic resistance in bacterial swarms by binding to TolC on live cells and stimulating efflux mechanisms.
Isolation and characterization of Uropathogenic Escherichia coli (UPEC) from red panda (Ailurus fulgens).
The study identified a Uropathogenic Escherichia coli (UPEC) strain isolated from a red panda that exhibited resistance to multiple antibiotics, including aminoglycosides, beta-lactams, and macrolides. The strain possessed 20 resistance genes, such as acra, acrb, mdte, mdtf, mdtn, mdto, mdtp, tolc, arna, baca, bcr, bl1_ec, emre, ksga, macb, mdfa, mdtg, mdth, mdtk, and mdtl, which contribute to multidrug resistance.
Identification of Novel Genes Involved in Escherichia coli Persistence to Tosufloxacin.
The study identifies 18 genes involved in E. coli persistence to tosufloxacin, including surA and lpcA, which show significant defects in persistence. These genes are periplasmic proteins and enzymes, and their mutants exhibit increased susceptibility to tosufloxacin and other stresses.
Oxidative stress antagonizes fluoroquinolone drug sensitivity via the SoxR-SUF Fe-S cluster homeostatic axis.
The study shows that the SUF machinery is required for E. coli to resist PMS stress and that SoxR maturation under PMS stress is primarily mediated by the SUF system. Additionally, the study identifies the role of the AcrAB efflux pump in PMS-mediated protection against fluoroquinolones.
Fecal Klebsiella pneumoniae Carriage Is Intermittent and of High Clonal Diversity.
The study identified 25 antibiotic resistance genes in 80 Klebsiella pneumoniae isolates, primarily encoding efflux pumps and inactivating enzymes. Notably, blaSHV, emrB, emrR, marA, marR, msbA, ompK37, oqxA, oqxB, acrA, vgaC, fosA, tet(D), APH(3")-Ib, APH(6)-Id, aadA, qnrS2, rpoB2, mexF, and oprN were found to confer resistance to various antibiotics.
Biofilms as Promoters of Bacterial Antibiotic Resistance and Tolerance.
This review discusses how biofilms contribute to bacterial antibiotic resistance and tolerance through mechanisms such as the extracellular matrix (ECM) barrier, physiological heterogeneity, and efflux pumps. It highlights the role of biofilms in protecting bacteria from antibiotics by creating heterogeneous environments and facilitating horizontal gene transfer.
Amikacin and bacteriophage treatment modulates outer membrane proteins composition in Proteus mirabilis biofilm.
The study identifies membrane fusion protein AcrA and glutamyl-tRNA synthetase as potentially involved in amikacin resistance in Proteus mirabilis through proteomic analysis of outer membrane proteins in resistant variants.
Antibiotic Resistance and Phylogeny of Pseudomonas spp. Isolated over Three Decades from Chicken Meat in the Norwegian Food Chain.
The study identified several AMR genes and mutations in Pseudomonas spp. isolated from chicken meat in Norway, including beta-lactamases, efflux pumps, and genes involved in resistance to aminoglycosides, fluoroquinolones, and colistin.
Biocide-tolerance and antibiotic-resistance in community environments and risk of direct transfers to humans: Unintended consequences of community-wide surface disinfecting during COVID-19?
The paper discusses the mechanisms of biocide tolerance and antibiotic resistance in bacteria, highlighting the role of mutations, horizontal gene transfer, efflux pumps, membrane alterations, and biofilms in developing resistance to disinfectants and antibiotics. It emphasizes the risks posed by the extensive use of disinfectants during the COVID-19 pandemic and the potential for increased antimicrobial resistance.
Multicentre study of the main carbapenem resistance mechanisms in important members of the Enterobacteriaceae family in Iran.
The study identified OXA-48 and NDM-1 as the most prevalent carbapenemase genes, and highlighted the role of AcrA/B and OqxAB efflux pumps in carbapenem resistance among Enterobacteriaceae in Iran.
Foodborne Pathogenic Vibrios: Antimicrobial Resistance.
The paper discusses the presence of various antibiotic resistance genes in Vibrio species, including strB, sul2, tetA, blaTEM, qnrA, ermB, floR, aac(3)-IIa, blaNDM-1, blaCMY, blaP1, catB3, and others, which confer resistance to antibiotics such as streptomycin, sulfamethoxazole, tetracycline, ampicillin, fluoroquinolones, erythromycin, florfenicol, gentamicin, carbapenems, chloramphenicol, and trimethoprim.
Interchangeability of periplasmic adaptor proteins AcrA and AcrE in forming functional efflux pumps with AcrD in Salmonella enterica serovar Typhimurium.
The study shows that AcrE can form a functional complex with AcrD, indicating interchangeability between AcrA and AcrE in forming efflux pumps. Mutations in specific residues of AcrA and AcrE impair AcrD-mediated efflux.
Prevalence and mechanisms of antibiotic resistance in Escherichia coli isolated from mastitic dairy cattle in Canada.
The study identified several AMR genes in E. coli isolates from bovine mastitis, including beta-lactamases (blaTEM-1, blaCARB-3, blaCMY-59), tetracycline resistance genes (tetA, tetB, tetC), aminoglycoside resistance genes (aph(3')-Ia, aph(3'')-Ib, aph(6)-Id, aadA2), and multidrug efflux pump genes (acrA, acrB, acrD, tolC, baeR, emrA, emrB).
Potentiating antibiotic efficacy via perturbation of non-essential gene expression.
The study identifies genes such as acrA, tolC, recA, and fnr that, when knocked out or inhibited, potentiate the efficacy of antibiotics like ampicillin, erythromycin, tetracycline, ciprofloxacin, and trimethoprim in E. coli and Salmonella enterica.
The Genomic Characterization of KPC-Producing Klebsiella pneumoniae from the ICU of a Teaching Hospital in Shanghai, China.
The study identified the carbapenemase gene blaKPC-2 and blaKPC-24, along with fosfomycin resistance gene fosA6, and various extended-spectrum beta-lactamase genes such as blaCTX-M-15, blaCTX-M-65, and blaCTX-M-27 in KPC-producing Klebsiella pneumoniae strains. Additionally, genes associated with fluoroquinolone, macrolide, aminoglycoside, and sulfonamide resistance were also characterized.
Draft Genome Sequences of Multidrug-Resistant Escherichia coli Isolated from River Water.
The study reports the draft genome sequences of seven multidrug-resistant Escherichia coli strains isolated from river water, identifying various antibiotic resistance genes and mutations associated with resistance to multiple antibiotics.
Phenotypic and genotypic characterization of antimicrobial resistance profiles in Salmonella isolated from waterfowl in 2002-2005 and 2018-2020 in Sichuan, China.
The study identified multiple AMR genes and mutations in Salmonella isolates from waterfowl in Sichuan, China, including beta-lactamases, aminoglycoside-modifying enzymes, tetracycline efflux pumps, and quinolone resistance genes. Mutations in gyrA and gyrB were associated with nalidixic acid resistance.
Sequence-Specific Gene Silencing of acrA in the Multi-drug Efflux System AcrAB Induces Sensitivity in Drug-Resistant Klebsiella pneumoniae.
The study demonstrates that sequence-specific gene silencing of acrA in the AcrAB efflux system induces sensitivity in drug-resistant Klebsiella pneumoniae towards ciprofloxacin and co-trimoxazole.
Dynamics of Microbial Community and Potential Microbial Pollutants in Shopping Malls.
The study identified several antimicrobial resistance genes, including CRP, ACT-1, baeR, acrA, H-NS, and oqxB, in Enterobacteriaceae isolates from shopping mall surfaces, highlighting the presence of multidrug efflux systems and antibiotic target alterations as key resistance mechanisms.
Genome-wide analysis of genes involved in efflux function and regulation within Escherichia coli and Salmonella enterica serovar Typhimurium.
A novel approach for combining the metagenome, metaresistome, metareplicome and causal inference to determine the microbes and their antibiotic resistance gene repertoire that contribute to dysbiosis.
The study identifies specific antibacterial resistance (ABR) genes that may contribute to exponential cell division in the presence of antibiotics for various pathogens, including Klebsiella pneumoniae, Citrobacter freundii, Staphylococcus epidermidis, Veillonella parvula, and Clostridium perfringens.
Antibiotic Resistance Diagnosis in ESKAPE Pathogens-A Review on Proteomic Perspective.
This review discusses proteomic approaches for diagnosing antibiotic resistance in ESKAPE pathogens, highlighting the importance of proteomic techniques in understanding resistance mechanisms and improving diagnostic accuracy.
Brevundimonas brasiliensis sp. nov.: a New Multidrug-Resistant Species Isolated from a Patient in Brazil.
The study characterizes Brevundimonas brasiliensis sp. nov., a novel species isolated from a neonatal intensive care unit, and identifies several antimicrobial resistance genes and mutations associated with resistance to β-lactams, aminoglycosides, fluoroquinolones, and colistin.
Better together-Salmonella biofilm-associated antibiotic resistance.
The study identifies several genes involved in Salmonella biofilm-associated antibiotic resistance, including efflux pumps, porins, and stress response proteins, highlighting their role in multidrug resistance and biofilm formation.
Case report: A successfully treated case of community-acquired urinary tract infection due to Klebsiella aerogenes in Bangladesh.
The study identifies several AMR genes in a multidrug-resistant Klebsiella aerogenes strain, including genes conferring resistance to aminoglycosides, beta-lactams, fluoroquinolones, and others. The strain was found to be susceptible to carbapenems and polymyxins.
Dynamics of antimicrobial resistance and virulence of staphylococcal species isolated from foods traded in the Cape Coast metropolitan and Elmina municipality of Ghana.
The study identified multiple antimicrobial resistance genes in staphylococcal isolates from food samples, including genes conferring resistance to tetracycline, gentamicin, methicillin, erythromycin, and vancomycin. High prevalence of multidrug resistance was observed, highlighting the potential health risks associated with food-borne staphylococci.
Imipenem heteroresistance but not tolerance in Haemophilus influenzae during chronic lung infection associated with chronic obstructive pulmonary disease.
The study identified specific mutations in the ftsI, acrA, acrB, and acrR genes associated with imipenem heteroresistance in Haemophilus influenzae strains isolated from COPD patients.
Whole genome sequence-based molecular characterization of blood isolates of carbapenem-resistant Enterobacter cloacae complex from ICU patients in Kolkata, India, during 2017-2022: emergence of phylogenetically heterogeneous Enterobacter hormaechei subsp. xiangfangensis.
The study identified several carbapenemase and extended-spectrum beta-lactamase genes, including bla NDM-1, bla NDM-4, bla NDM-5, bla NDM-7, bla OXA-181, bla OXA-232, bla KPC-3, bla CTX-M-15, bla SFO-1, bla ACT, and bla CMH-3, in carbapenem-resistant Enterobacter cloacae complex isolates from Kolkata, India. Novel integrons (In180, In4874, In4887, and In4888) were also discovered.
Genome mining of Escherichia coli WG5D from drinking water source: unraveling antibiotic resistance genes, virulence factors, and pathogenicity.
The study identifies multiple antibiotic resistance genes in E. coli WG5D, including multidrug efflux pumps and genes conferring resistance to various antibiotics such as fluoroquinolones, cephalosporins, and glycopeptides.
A review of the mechanisms that confer antibiotic resistance in pathotypes of E. coli.
The review discusses the mechanisms of antibiotic resistance in pathotypes of E. coli, focusing on the role of beta-lactamases, carbapenemases, and other resistance genes. It highlights the importance of understanding these mechanisms to combat the growing problem of antibiotic resistance.
The intrinsic macrolide resistome of Escherichia coli.
The study identified several genes involved in intrinsic macrolide resistance in E. coli, including surA, waaG, acrA, acrB, tolC, lptC, bamB, lpp, tolA, tolB, tolR, waaQ, gmhB, galU, waaP, lapC, prc, nlpI, hrpA, and pgm. These genes are associated with outer membrane integrity, efflux pumps, LPS biosynthesis, and peptidoglycan metabolism.
Downregulation of Klebsiella pneumoniae RND efflux pump genes following indole signal produced by Escherichia coli.
The study found that indole produced by Escherichia coli downregulated the expression of RND efflux pump genes (acrA, acrB, oqxA, and oqxB) in Klebsiella pneumoniae, leading to reduced antibiotic resistance.
Genomic Dissection of an Enteroaggregative Escherichia coli Strain Isolated from Bacteremia Reveals Insights into Its Hybrid Pathogenic Potential.
The study identifies multiple efflux pump-encoding genes in the E. coli strain EC092, which contribute to its resistance against several antibiotics including tetracycline, trimethoprim, streptomycin, and sulfamethoxazole.
Genomic characterization and drug resistance of Bordetella pseudohinzii first isolated from wild niviventer.
The study identifies multiple antibiotic resistance genes in Bordetella pseudohinzii, including efflux pumps and inactivating enzymes, leading to resistance against several cephalosporins.
Mechanisms of fluoroquinolone resistance among Escherichia coli isolates from urinary tract infections in Thailand.
The study identified aac(6')-Ib-cr, qnrS, and the AcrAB efflux system as key contributors to fluoroquinolone resistance in E. coli isolates from Thai UTI patients, alongside specific mutations in gyrA and parC genes.
Detection of AcrAB efflux pump mediated ciprofloxacin resistance in Escherichia coli and Klebsiella pneumoniae in Nepal.
The study identified the AcrAB-TolC efflux pump genes as a significant contributor to ciprofloxacin resistance in E. coli and K. pneumoniae isolates in Nepal.
Resistance evolution under potentiated sulphonamide pressure in Escherichia coli.
The study identified multiple antimicrobial resistance genes and mutations in E. coli under potentiated sulphonamide pressure, highlighting the role of efflux pumps and folate pathway modifications in resistance development.
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