Browse AMR Genes
Explore antimicrobial resistance genes from the literature
Explore antimicrobial resistance genes from the literature
outer membrane protein
Overview
| Protein Change | Nucleotide Change | Mechanism | Organism | Resistance To | Database | Validation Status |
|---|---|---|---|---|---|---|
| G112D | - | - | Klebsiella pneumoniae | ceftazidime|cefotaxime | Reslit | Candidate |
| G134D | - | - | Klebsiella pneumoniae | carbapenems|cephalosporins | Reslit | Candidate |
| A217S | - | - | Klebsiella pneumoniae | carbapenemscephalosporins|carbapenemscarbapenems|cephalosporins | ReslitResFinder Database | Candidate |
| N218H | - | - | Klebsiella pneumoniae | carbapenemscephalosporins|carbapenems | ReslitResFinder Database | Candidate |
| G580T | - | - | Klebsiella pneumoniae | tetracycline | Reslit | Candidate |
| N49S | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporinscarbapenems+1 more | Reslit | Candidate |
| L59V | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| T86V | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| S89T | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| D91K | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| A93S | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| L191Q | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| F207W | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| Q227N | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| L229V | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| E232R | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| H235D | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| T254S | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| T184P | - | - | - | cephalosporins|carbapenems | Reslit | Candidate |
| G189T | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| F198Y | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| F207Y | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| T222L | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| D223G | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| N304E | - | - | Klebsiella pneumoniae | cephalosporins|carbapenemscephalosporins | ReslitResFinder Database | Candidate |
| I128M | - | - | Klebsiella pneumoniae | carbapenems|cephalosporins | Reslit | Candidate |
| P170M | - | - | Klebsiella pneumoniae | carbapenems|cephalosporins | Reslit | Candidate |
| N230G | - | - | Klebsiella pneumoniae | carbapenems|cephalosporins | Reslit | Candidate |
| T136G | - | - | Klebsiella pneumoniae | ceftazidime avibactam | Reslit | Candidate |
| H349R | - | - | Klebsiella pneumoniae | ceftazidime avibactam | Reslit | Candidate |
| K2S | - | - | Klebsiella pneumoniae | ceftazidime avibactam | Reslit | Candidate |
| V3L | - | - | Klebsiella pneumoniae | ceftazidime avibactam | Reslit | Candidate |
| R146H | - | - | Klebsiella pneumoniae | ceftazidime avibactam | Reslit | Candidate |
| R357H | - | - | Klebsiella pneumoniae | cefepime|ceftazidime|ceftriaxone|cefoxitin | Reslit | Candidate |
| V164A | - | - | - | cephalosporins | Reslit | Candidate |
| G156D | - | - | - | cephalosporins | Reslit | Candidate |
| G133D | - | outer membrane porin OmpK36 | Klebsiella pneumoniae, Enterobacter cloacae, Providencia stuartii | carbapenems | ReslitReference Gene Catalog | Candidate |
| T258S | - | - | Klebsiella pneumoniae | carbapenems | Reslit | Candidate |
| L359R | - | deleterious | Klebsiella pneumoniae | ceftazidime avibactam | Reslit | Candidate |
| 134-135ins | - | pore constriction, reducing antibiotic permeation | Klebsiella pneumoniae | ceftazidime avibactam | Reslit | Candidate |
| D189G | - | - | - | carbapenems | Reslit | Candidate |
| E166K | - | - | Klebsiella pneumoniae | carbapenems | Reslit | Candidate |
| R75H | - | - | Klebsiella pneumoniae | nitrofurantoin | Reslit | Candidate |
| D198Y | - | - | Klebsiella pneumoniae | nitrofurantoin | Reslit | Candidate |
| K234R | - | - | Klebsiella pneumoniae | ceftazidime|avibactam | Reslit | Candidate |
| E240G | - | loss of function | Klebsiella aerogenes | cefepime|ceftazidime|cefotaxime | Reslit | Candidate |
| D49S | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| D51N | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| S88G | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| S90D | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| K103* | - | - | Klebsiella pneumoniae | carbapenems | ResFinder Database | Candidate |
| G183D | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| G183S | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| A184M | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| A184P | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| A190W | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| L191S | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| T200L | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| D224E | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| Q227S | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| L228K | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| L228V | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| L229A | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| A260V | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| S354N | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| ins131SG | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| ins131FGGD | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| ins184GAL | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| ins234L | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| ins234P | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| ins311R | - | - | Klebsiella pneumoniae | cephalosporins | ResFinder Database | Candidate |
| A21V | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | ceftibuten|ceftibuten avibactam | Reference Gene Catalog | Candidate |
| Q66Ter | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| Q70Ter | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| E78Ter | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| E87Ter | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| W125Ter | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| T126Ter | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| D135DD | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| D135DGD | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| T136TDT | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| T192del | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| T261Ter | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| L307Ter | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| Q313Ter | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| T333N | - | outer membrane porin OmpK36 | Klebsiella pneumoniae | carbapenems | Reference Gene Catalog | Candidate |
| I337fs | frameshift | Klebsiella pneumoniae | ertapenem | Reslit | Candidate | |
| - | premature stop codon | Klebsiella pneumoniae | ertapenem | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | meropenem | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | cephalosporins | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | cephalosporins | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | cephalosporins | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | carbapenems | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | meropenem|ertapenem|imipenem | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | carbapenems | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | carbapenems | Reslit | Candidate | |
| - | amino acid substitution | Klebsiella pneumoniae | ertapenem | Reslit | Candidate | |
| Q170* | premature stop codon | Klebsiella pneumoniae | ertapenem | Reslit | Candidate | |
| - | amino acid substitution | Klebsiella pneumoniae | ertapenem | Reslit | Candidate | |
| W125* | premature stop codon | Klebsiella pneumoniae | ertapenem | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | carbapenems | Reslit | Candidate | |
| - | - | Proteus mirabilis, Klebsiella quasipneumoniae | ceftazidime|cefotaxime|ceftriaxone | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | cephalosporins | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | cephalosporins | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | cephalosporins | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | cephalosporins | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | cephalosporins | Reslit | Candidate | |
| - | - | Klebsiella pneumoniae | cephalosporins | Reslit | Candidate |
| Allele | Database | Papers | Drug Classes | Organisms | Countries | Years | Sequence Accession | Protein Accession |
|---|---|---|---|---|---|---|---|---|
| ompK36 | Reslit | 23 | carbapenems, ampicillin +16 | Klebsiella pneumoniae +1 | Israel, Pakistan, Italy, Tunisia, Egypt, Europe, Romania, Central Texas|Texas, China, Armenia, Europe|United States | 2009, 2016, 2017, 2020, 2021, 2022, 2023, 2024, 2025 | CP009208 | - |
| OmpK36 | Reslit | 5 | carbapenems, quinolones +6 | Klebsiella pneumoniae | Egypt, South Korea, Pakistan, Europe|China|India|Pakistan|Switzerland|Thailand|USA|global | 2016, 2017, 2020, 2021 | LYPQ00000000|LYPS00000000|LDWV00000000|LYPU00000000|LYPT00000000|LYPV00000000|LYPW00000000 | - |
Ertapenem resistance among extended-spectrum-beta-lactamase-producing Klebsiella pneumoniae isolates.
The study identifies several extended-spectrum beta-lactamase (ESBL) genes, including blaCTX-M-2, blaCTX-M-10, blaSHV-12, and blaSHV-28, along with the loss of the outer membrane protein OmpK36, as mechanisms contributing to ertapenem resistance in Klebsiella pneumoniae isolates.
Klebsiella pneumoniae Major Porins OmpK35 and OmpK36 Allow More Efficient Diffusion of β-Lactams than Their Escherichia coli Homologs OmpF and OmpC.
The study identifies OmpK35 and OmpK36 as major porins in Klebsiella pneumoniae that facilitate the efficient diffusion of β-lactams, with OmpK35 showing higher permeability compared to its E. coli homologs OmpF and OmpC. Deletion of ompK35 significantly increased MICs of various β-lactams, highlighting its critical role in drug entry.
Molecular typing and virulence analysis of multidrug resistant Klebsiella pneumoniae clinical isolates recovered from Egyptian hospitals.
The study identified the presence of multidrug resistance genes such as AcrAB, mdtK, OmpK35, and OmpK36 in Klebsiella pneumoniae isolates. Additionally, virulence genes like fimH-1, mrkD, traT, entB, IucC, and irP-1 were detected, highlighting the complex nature of resistance and virulence in these isolates.
Panel strain of Klebsiella pneumoniae for beta-lactam antibiotic evaluation: their phenotypic and genotypic characterization.
The study characterizes various AMR genes and mutations in K. pneumoniae panel strains, including beta-lactamases (bla SHV-11, bla TEM-1, bla CTX-M15, bla OXA-1, bla SHV-12, bla SHV-187, bla SHV-158, bla DHA-1, bla CMY-2), aminoglycoside modifying enzymes (aac(6')-Ib, strA, strB, aadA1, aadA2), quinolone resistance genes (qnrB66, qnrB4, oqxA, oqxB), tetracycline resistance (tet(A)), trimethoprim resistance (dfrA14), sulfonamide resistance (sul1, sul2), and porin genes (OmpK35, OmpK36).
Vaborbactam: Spectrum of Beta-Lactamase Inhibition and Impact of Resistance Mechanisms on Activity in Enterobacteriaceae.
Vaborbactam is a broad-spectrum beta-lactamase inhibitor that effectively restores the activity of meropenem against KPC-producing Enterobacteriaceae. It inhibits class A carbapenemases such as KPC-2 and KPC-3, as well as other class A and class C beta-lactamases.
Global Trends in Proteome Remodeling of the Outer Membrane Modulate Antimicrobial Permeability in Klebsiella pneumoniae.
Loss of OmpK35 and OmpK36 porins significantly increases resistance to β-lactam antibiotics in Klebsiella pneumoniae. The study identifies OmpK38 as a new member of the general bacterial porin family and demonstrates that porin remodeling plays a critical role in antimicrobial resistance.
Global Trends in Proteome Remodeling of the Outer Membrane Modulate Antimicrobial Permeability in Klebsiella pneumoniae.
Loss of OmpK35 and OmpK36 porins significantly increases resistance to β-lactam antibiotics in Klebsiella pneumoniae. The study identifies OmpK38 as a new member of the general bacterial porin family and demonstrates that porin remodeling plays a critical role in antimicrobial resistance.
Reduced Susceptibility to Carbapenems in a Klebsiella pneumoniae Clinical Isolate Producing SCO-1 and CTX-M-15 β-Lactamases Together with OmpK35 and OmpK36 Porin Deficiency.
The study identifies a carbapenem-resistant Klebsiella pneumoniae isolate producing blaSCO-1 and blaCTX-M-15 beta-lactamases along with deficiencies in OmpK35 and OmpK36 porins, highlighting the complexity of carbapenem resistance mechanisms.
Emerging Transcriptional and Genomic Mechanisms Mediating Carbapenem and Polymyxin Resistance in Enterobacteriaceae: a Systematic Review of Current Reports.
The paper discusses the mechanisms of carbapenem and polymyxin resistance in Enterobacteriaceae, highlighting the role of beta-lactamases such as blaKPC, blaNDM, and blaOXA-48, as well as mcr-1, mcr-2, mcr-3, mcr-5, and mcr-9 genes. It also identifies mutations in envZ, ompR, pmrAB, and phoPQ that contribute to resistance.
β-lactam resistance associated with β-lactamase production and porin alteration in clinical isolates of E. coli and K. pneumoniae.
The study identifies several β-lactam resistance genes, including bla TEM-1, bla SHV-1, bla CTX-M-15, bla NDM-1, bla VIM-1, and bla OXA-48, as well as porin alterations in E. coli and K. pneumoniae isolates. These genes and mutations contribute to β-lactam resistance through enzymatic degradation and reduced membrane permeability.
A genomic surveillance framework and genotyping tool for Klebsiella pneumoniae and its related species complex.
The study introduces Kleborate, a tool for analyzing genomes of Klebsiella pneumoniae and its related species complex, focusing on AMR and virulence determinants. Key findings include the identification of SHV beta-lactamase, OmpK35 and OmpK36 porins, and MgrB/PmrB regulators as critical factors in carbapenem and colistin resistance.
Genomic Features Associated with the Degree of Phenotypic Resistance to Carbapenems in Carbapenem-Resistant Klebsiella pneumoniae.
The study identifies bla KPC-3, bla KPC-2, bla OXA-232, and mutations in ompK35, ompK36, and ompK37 as significant contributors to carbapenem resistance in Klebsiella pneumoniae isolates.
Activity of imipenem/relebactam on Klebsiella pneumoniae with different mechanisms of imipenem non-susceptibility.
Relebactam restored imipenem susceptibility in K. pneumoniae isolates with bla KPC and AmpC but not in those with MBLs. Impaired porin expression and efflux pump activity contributed to imipenem resistance.
Increased bla(KPC) Copy Number and OmpK35 and OmpK36 Porins Disruption Mediated Resistance to Imipenem/Relebactam and Meropenem/Vaborbactam in a KPC-Producing Klebsiella pneumoniae Clinical Isolate.
The study identifies increased blaKPC copy number and truncation of OmpK35 and OmpK36 porins as mechanisms of resistance to Imipenem/Relebactam and Meropenem/Vaborbactam in a KPC-producing Klebsiella pneumoniae clinical isolate.
Characterization of Carbapenemase-Producing Klebsiella pneumoniae Isolates from Two Romanian Hospitals Co-Presenting Resistance and Heteroresistance to Colistin.
The study identifies multiple AMR genes and mutations in carbapenemase-producing Klebsiella pneumoniae isolates, including bla NDM-1, bla OXA-48, and various aminoglycoside-modifying enzymes, as well as mutations in mgrB, gyrA, parC, and porin genes associated with colistin and fluoroquinolone resistance.
In Vitro Mechanisms of Resistance Development to Imipenem-Relebactam in KPC-Producing Klebsiella pneumoniae.
The study identifies mutations in ompK36 and blaKPC as key mechanisms of resistance to imipenem-relebactam in KPC-producing Klebsiella pneumoniae, highlighting the potential for cross-resistance to other β-lactam/β-lactamase inhibitor combinations.
Molecular Mechanisms Mediating Ceftazidime/Avibactam Resistance Amongst Carbapenem-Resistant Klebsiella pneumoniae Isolates from Cancer Patients.
The study identified bla KPC, bla OXA-48, bla NDM-1, and bla IMP as the primary genes responsible for ceftazidime/avibactam resistance in carbapenem-resistant Klebsiella pneumoniae isolates from cancer patients. Additionally, the absence of ompK35 and ompK36 was associated with resistance.
Carbapenem-Resistant and ESBL-Producing Enterobacterales Emerging in Central Texas.
The study identifies various carbapenemase genes (blaKPC, blaNDM, blaOXA-48) and the CTX-M-15 beta-lactamase, as well as mutations in gyrA and ompK36 contributing to resistance in Enterobacterales isolates from Central Texas.
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.
In vivo adaptive antimicrobial resistance in Klebsiella pneumoniae during antibiotic therapy.
The study identifies several AMR genes and mutations in Klebsiella pneumoniae that contribute to resistance against carbapenems, ceftazidime/avibactam, tigecycline, and colistin. Key findings include the acquisition of blaKPC and blaNDM harboring plasmids, specific mutations in blaKPC, porin deficiencies (ompK35 and ompK36), overexpression of efflux pumps (acrAB, oqxAB), and mutations in rpsJ, ramR, tetA, mgrB, and pmrB.
Klebsiella pneumoniae TolC contributes to antimicrobial resistance, exopolysaccellar production, and virulence.
TolC is required for antimicrobial resistance, capsule production, and virulence in K. pneumoniae. Mutations in tolC lead to increased susceptibility to multiple antibiotics and impair capsule production and biofilm formation.
Patient outcomes by baseline pathogen resistance phenotype and genotype in CERTAIN-1, a Phase 3 study of cefepime-taniborbactam versus meropenem in adults with complicated urinary tract infection.
The study characterizes various AMR genes and mutations in Enterobacterales and Pseudomonas aeruginosa, including bla CTX-M-15, bla OXA-1, bla OXA-181, bla OXA-48, bla NDM-1, bla KPC-3, bla VIM-2, ampC, cmrA, mexAB-OprM, mexXY-OprM, oprD, ompK35, ompK36, and ftsI, which confer resistance to cefepime and carbapenems.
In vivo selection of carbapenem resistance during persistent Klebsiella pneumoniae sequence type 395 bloodstream infection due to OmpK36 deletion.
The study identifies a large deletion in the ompK36 gene in Klebsiella pneumoniae ST395, leading to carbapenem resistance during persistent bloodstream infection.
Molecular Epidemiology and In-Depth Characterization of Klebsiella pneumoniae Clinical Isolates from Armenia.
The study identifies multiple AMR genes and mutations in K. pneumoniae isolates from Armenia, highlighting the presence of XDR and MDR strains with resistance to various antibiotics, including carbapenems, aminoglycosides, and quinolones.
Impact of porin deletions on cefepime-taniborbactam activity against Klebsiella pneumoniae.
The study identifies blaNDM-1 as a gene conferring resistance to cefepime and meropenem, and highlights the role of ompK35 and ompK36 porin deletions in reducing susceptibility to these antibiotics in Klebsiella pneumoniae.
Molecular epidemiology and clinical characteristics of carbapenem-resistant Klebsiella pneumoniae bloodstream and pneumonia isolates.
The study identified various carbapenemase genes (blaKPC-2, blaKPC-3, blaOXA-181, blaOXA-232, blaOXA-48, blaNDM-1, blaNDM-4, blaNDM-7, blaIMP-1) and extended-spectrum beta-lactamase genes (ampC, ctx-M-15, shv-9) in carbapenem-resistant Klebsiella pneumoniae isolates. Additionally, mutations in porin genes ompK35 and ompK36 were found to contribute to carbapenem resistance in isolates lacking carbapenemases.
The Microbiological Characteristics and Genomic Surveillance of Carbapenem-Resistant Klebsiella pneumoniae Isolated from Clinical Samples.
The study identified multiple carbapenemase genes, including bla NDM-5, bla NDM-1, and bla OXA-232, as well as extended-spectrum beta-lactamases like bla CTX-M-15. Mutations in porin genes ompK36 and ompK37, and regulatory genes acrR and ramR, were associated with reduced susceptibility to carbapenems, cephalosporins, fluoroquinolones, and tigecycline.
Molecular resistance mechanisms to newly approved antibiotics (2017-2025) in WHO priority pathogens.
The paper reviews molecular resistance mechanisms to newly approved antibiotics in WHO priority pathogens, identifying various beta-lactamases, efflux pumps, and target site modifications that confer resistance.
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