Browse AMR Genes
Explore antimicrobial resistance genes from the literature
Explore antimicrobial resistance genes from the literature
penicillin-binding protein 2X
Overview
| Protein Change | Nucleotide Change | Mechanism | Organism | Resistance To | Database | Validation Status |
|---|---|---|---|---|---|---|
| T338P | - | decreased the affinity of the protein for a β-lactam | Streptococcus mitis, Streptococcus pneumoniae | beta lactamspenicillin|cefotaximepenicillin|oxacillin | Reslit | Candidate |
| T338A | - | Streptococcus pneumoniae, Streptococcus mitis | amoxicillinpenicillinpenicillin|cefotaxime+4 more | Reslit | Candidate | |
| Q633E | - | - | Streptococcus pneumoniae | amoxicillin | Reslit | Candidate |
| M339F | single resistance variant | Streptococcus pneumoniae | cefotaximepenicillin|oxacillinamoxicillin+1 more | ReslitCard Database | Candidate | |
| I366M | - | - | Streptococcus pneumoniae | cefotaxime | Reslit | Candidate |
| M400T | single resistance variant | Streptococcus pneumoniae | cefotaximepenicillin|oxacillinamoxicillin+1 more | ReslitCard Database | Candidate | |
| Q557E | - | substitutions in PBP2X are associated with penicillin non-susceptibility, penicillin-binding protein 2X | Streptococcus agalactiae | penicillin|cefotaxime|cefoxitin|cefazolinpenicillinbeta lactams | ReslitReference Gene Catalog | Candidate |
| F395L | - | reduced penicillin susceptibility, substitutions in PBP2X are associated with penicillin non-susceptibility | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| N278D | - | - | Streptococcus pneumoniae | penicillin|cefotaxime|piperacillin | Reslit | Candidate |
| L403F | - | reduced amount of PBP2x | Streptococcus pneumoniae | cefotaxime | Reslit | Candidate |
| G422D | - | reduced amount of PBP2x | Streptococcus pneumoniae | cefotaxime | Reslit | Candidate |
| R384G | - | decreased the affinity of the protein for a β-lactam, single resistance variant | Streptococcus pneumoniae | penicillinpenicillin|cefotaximemeropenem+1 more | ReslitCard Database | Candidate |
| V518I | - | - | Streptococcus pneumoniae | penicillin | Reslit | Candidate |
| Q552E | - | Streptococcus pneumoniae | penicillinpenicillin|cefotaxime | Reslit | Candidate | |
| L364F | - | decreased the affinity of the protein for a β-lactam | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| I371T | - | decreased the affinity of the protein for a β-lactam, single resistance variant | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaximeamoxicillin | ReslitCard Database | Candidate |
| S389L | - | - | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| N417K | - | - | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| N444S | - | - | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaximemeropenem | Reslit | Candidate |
| L510T | - | - | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| T513N | - | - | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| N605T | - | single resistance variant | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaximeamoxicillin | ReslitCard Database | Candidate |
| A369V | - | decreased the affinity of the protein for a β-lactam | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| Q405K | - | - | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| A446G | - | - | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| S531K | - | - | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| Y595F | - | decreased the affinity of the protein for a β-lactam | Streptococcus pneumoniae, Streptococcus mitis | penicillin|cefotaxime | Reslit | Candidate |
| T553K | - | reduced β-lactam susceptibility, single resistance variant | Streptococcus pyogenes | beta lactamspenicillin|ampicillin|cefotaximeampicillin|cefotaxime+1 more | ReslitCard Database | Candidate |
| A346S | - | - | Streptococcus pneumoniae | cefotaxime | Reslit | Candidate |
| A347S | - | - | Streptococcus pneumoniae | cefotaxime | Reslit | Candidate |
| Q281L | - | - | Streptococcus pneumoniae | cefotaxime | Reslit | Candidate |
| Q548E | - | confers resistance | Streptococcus gordonii | penicillin | Reslit | Candidate |
| E381K | - | - | Streptococcus uberis | penicillin | Reslit | Candidate |
| Q554E | - | - | Streptococcus uberis | penicillin | Reslit | Candidate |
| D524A | - | - | Streptococcus uberis | penicillin | Reslit | Candidate |
| N569Q | - | - | Streptococcus suis | cefuroxime | Reslit | Candidate |
| A121V | - | - | - | penicillin | Reslit | Candidate |
| V405A | - | substitutions in PBP2X are associated with penicillin non-susceptibility | Streptococcus agalactiae | penicillin|clarithromycin|levofloxacinpenicillin | Reslit | Candidate |
| E552K | - | - | - | penicillin|cefotaxime | Reslit | Candidate |
| T371A | - | - | - | penicillin|cefotaxime | Reslit | Candidate |
| T605A | - | - | - | penicillin|cefotaxime | Reslit | Candidate |
| H394L | - | - | Streptococcus pneumoniae | penicillin | Reslit | Candidate |
| R551C | - | - | Streptococcus suis | penicillin|ceftiofur | Reslit | Candidate |
| A397V | - | - | Streptococcus pyogenes, Streptococcus mitis | cefotaxime | Reslit | Candidate |
| T341A | - | - | - | beta lactams | Reslit | Candidate |
| M342I | - | - | - | beta lactams | Reslit | Candidate |
| S400R | - | - | - | beta lactams | Reslit | Candidate |
| P160S | - | - | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| Y331H | - | - | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| P410L | - | - | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| N540D | - | - | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| I343V | - | - | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| V374I | - | - | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| M346T | - | - | Enterococcus cecorum | amoxicillin|trimethoprim sulfamethoxazoleampicillin|ceftiofur | Reslit | Candidate |
| W377S | - | - | Enterococcus cecorum | amoxicillin|trimethoprim sulfamethoxazoleampicillin|ceftiofur | Reslit | Candidate |
| L382I | - | - | Enterococcus cecorum | amoxicillin|trimethoprim sulfamethoxazoleampicillin|ceftiofur | Reslit | Candidate |
| T338G | - | - | - | penicillin|oxacillin | Reslit | Candidate |
| M339L | - | - | - | penicillin|oxacillin | Reslit | Candidate |
| T550A | - | - | Streptococcus pneumoniae | ceftriaxone | Reslit | Candidate |
| I377V | - | substitutions in PBP2X are associated with penicillin non-susceptibility | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| H438Y | - | substitutions in PBP2X are associated with penicillin non-susceptibility | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| V510I | - | substitutions in PBP2X are associated with penicillin non-susceptibility | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| L546V | - | single resistance variant | Streptococcus pneumoniae | penicillinamoxicillin | ReslitCard Database | Candidate |
| L547V | - | - | Streptococcus mitis/oralis | meropenem | Reslit | Candidate |
| T335I | - | - | Enterococcus cecorum | ampicillin|ceftiofur | Reslit | Candidate |
| Q366K | - | - | Enterococcus cecorum | ampicillin|ceftiofur | Reslit | Candidate |
| A707D | - | reduces its functionality and increases susceptibility | Streptococcus pneumoniae | beta lactams | Reslit | Candidate |
| G398A | - | - | Streptococcus agalactiae | penicillin | Reslit | Candidate |
| M341I | - | - | Streptococcus suis | penicillin | Reslit | Candidate |
| T467S | - | - | Streptococcus suis | ampicillin | Reslit | Candidate |
| Q405E | - | - | Streptococcus suis | amoxicillin clavulanic acidampicillin | Reslit | Candidate |
| Q453H | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| T551S | - | - | Streptococcus suis | penicillin | Reslit | Candidate |
| A627S | - | - | Streptococcus suis | penicillin | Reslit | Candidate |
| A627T | - | - | Streptococcus suis | penicillin | Reslit | Candidate |
| V257I | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| N284T | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| A380E | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| Y382K | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| M437L | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| S445T | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| Y525F | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| D541E | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| V547M | - | - | Streptococcus suis | ceftiofur | Reslit | Candidate |
| N595S | - | - | Streptococcus suis | ampicillin | Reslit | Candidate |
| N569K | - | - | Streptococcus suis | ampicillin | Reslit | Candidate |
| D567N | - | - | Streptococcus pneumoniae | meropenem | Reslit | Candidate |
| P601L | - | decreased in vitro susceptibility to β-lactam antibiotics, significantly decreases susceptibility to beta-lactam antibiotics in vitro and increases GAS fitness in vivo, reduced β-lactam susceptibility, single resistance variant, penicillin-binding protein 2X | Streptococcus pyogenes | beta lactamspenicillin|ampicillin|amoxicillin|cefazolin|cefoxitin|ceftazidime|meropenem|oxacillinampicillin|amoxicillin | ReslitCard DatabaseReference Gene Catalog | Candidate |
| M593T | - | reduced β-lactam susceptibility, single resistance variant | Streptococcus pyogenes | ampicillin|amoxicillinbeta lactams | ReslitCard Database | Candidate |
| N514H | - | single resistance variant | Streptococcus pneumoniae | amoxicillin | Card Database | Candidate |
| T489S | - | - | ampicillin|penicillin|cefotaxime|ceftriaxone|cefuroxime|cefaclor | Reslit | Candidate | |
| T491S | - | - | ampicillin|penicillin|cefotaxime|ceftriaxone|cefuroxime|cefaclor | Reslit | Candidate | |
| - | - | - | cefotaxime | Reslit | Candidate | |
| A492V | - | - | ampicillin|penicillin|cefotaxime|ceftriaxone|cefuroxime|cefaclor | Reslit | Candidate | |
| E232K | - | - | ampicillin|penicillin|cefotaxime|ceftriaxone|cefuroxime|cefaclor | Reslit | Candidate | |
| S394A | - | - | ampicillin|penicillin|cefotaxime|ceftriaxone|cefuroxime|cefaclor | Reslit | Candidate |
| Allele | Database | Papers | Drug Classes | Organisms | Countries | Years | Sequence Accession | Protein Accession |
|---|---|---|---|---|---|---|---|---|
| pbp2x | Reslit | 24 | amoxicillin, penicillin +13 | Streptococcus pneumoniae +6 | France|Hungary, Japan, Argentina, China, Thailand|USA, Taiwan, Myanmar, France, Bulgaria | 1995, 1998, 1999, 2002, 2004, 2008, 2011, 2014, 2015, 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2025 | AF468662|AF468663|AF468664|AF468665|AF468666|AF468667|AF467811|AF467812|AF467813|AF467814|AF467815|AF467816|AF467817|AF467818|AF467819|AF467820|AF467821|AF467822 | - |
| PBP2x-T553K | Reslit | 1 | ampicillin, amoxicillin | Streptococcus pyogenes | - | 2022 | - | - |
| PBP2x-M593T | Reslit | 1 | ampicillin, amoxicillin | Streptococcus pyogenes | - | 2022 | - | - |
| pbp2X | Reslit | 1 | penicillin | Streptococcus pneumoniae | - | 2022 | - | - |
| PBP2x | Reslit | 2 | penicillin, cefuroxime +4 | Streptococcus equi subsp. equi +1 | China, China|Xinjiang | 2023, 2025 | CP133957|CP133955|CP133956 | - |
Analysis of penicillin-binding protein genes of clinical isolates of Streptococcus pneumoniae with reduced susceptibility to amoxicillin.
The study identifies mutations in penicillin-binding protein genes (pbp2x, pbp2b, pbp1a) and the murMN resistance determinant as contributors to amoxicillin and penicillin resistance in Streptococcus pneumoniae isolates.
Single-step capsular transformation and acquisition of penicillin resistance in Streptococcus pneumoniae.
The study demonstrates that a single transformation event can lead to the acquisition of penicillin resistance and a new capsular type in Streptococcus pneumoniae, highlighting the role of pbp2x and pbp1a mutations in this process.
First molecular characterization of group B streptococci with reduced penicillin susceptibility.
The study characterizes the first strains of Group B streptococci (GBS) with reduced penicillin susceptibility (PRGBS) identified in Japan, identifying mutations in the pbp2x gene as the primary determinant of penicillin insusceptibility.
Point mutation in the group B streptococcal pbp2x gene conferring decreased susceptibility to beta-lactam antibiotics.
A point mutation (Q557E) in the pbp2x gene of Group B Streptococcus (GBS) was identified as the cause of decreased susceptibility to beta-lactam antibiotics, including penicillin, cefotaxime, cefoxitin, and cefazolin.
Compensatory evolution of pbp mutations restores the fitness cost imposed by β-lactam resistance in Streptococcus pneumoniae.
The study identifies pbp2b, pbp2x, and pbp1a mutations as conferring β-lactam resistance in Streptococcus pneumoniae, with compensatory mutations restoring fitness costs.
Comparative genomics study of multi-drug-resistance mechanisms in the antibiotic-resistant Streptococcus suis R61 strain.
The study identifies multiple AMR genes and mutations in the multidrug-resistant S. suis R61 strain, including pbp2x, pbp2b, gyrA, parC, tet(W), and mef(E), contributing to resistance against β-lactams, quinolones, tetracyclines, and macrolides.
Genomic analyses of DNA transformation and penicillin resistance in Streptococcus pneumoniae clinical isolates.
The study identifies mosaic alleles of pbp2x, pbp2b, pbp1a, and pbp2a as critical contributors to penicillin resistance in Streptococcus pneumoniae through genomic transformation and sequencing.
A Low-Affinity Penicillin-Binding Protein 2x Variant Is Required for Heteroresistance in Streptococcus pneumoniae.
The study identifies a low-affinity variant of penicillin-binding protein 2x (PBP2x) as essential for heteroresistance to penicillin in Streptococcus pneumoniae. This variant allows certain pneumococcal colonies to survive in the presence of β-lactams.
Comprehensive identification of single nucleotide polymorphisms associated with beta-lactam resistance within pneumococcal mosaic genes.
The study identifies 51 loci, including 301 SNPs, associated with beta-lactam non-susceptibility in Streptococcus pneumoniae, focusing on genes involved in peptidoglycan biosynthesis and other pathways.
Mechanism of β-Lactam Action in Streptococcus pneumoniae: the Piperacillin Paradox.
The study identifies PBP2b and PBP2x as targets of piperacillin, with PBP2b variants conferring resistance through reduced drug affinity.
Genomic insights into the pathogenicity and environmental adaptability of Enterococcus hirae R17 isolated from pork offered for retail sale.
The study identified multiple antimicrobial resistance genes in Enterococcus hirae R17, including genes conferring resistance to beta-lactam antibiotics, lincosamides, streptogramins, pleuromutilins, polymyxins, tetracyclines, and others. Notably, the strain exhibited resistance to bacitracin, ciprofloxacin, daptomycin, erythromycin, and tetracycline.
Invasive bacterial disease trends and characterization of group B streptococcal isolates among young infants in southern Mozambique, 2001-2015.
Prevalence of Various Vaccine Candidate Proteins in Clinical Isolates of Streptococcus pneumoniae: Characterization of the Novel Pht Fusion Proteins PhtA/B and PhtA/D.
The study identified the prevalence of various vaccine candidate proteins in clinical isolates of Streptococcus pneumoniae, including the novel Pht fusion proteins PhtA/B and PhtA/D. It also characterized resistance mechanisms such as erm(B), mef(A/E), tet(M), and mutations in pbp1a, pbp2x, and pbp2b contributing to macrolide, tetracycline, and penicillin resistance.
Genomic Insight into the Spread of Meropenem-Resistant Streptococcus pneumoniae Spain(23F)-ST81, Taiwan.
The study identifies pbp2b, pbp2x, and pbp1a as key genes contributing to meropenem resistance in Streptococcus pneumoniae, along with ermB, tetM, and cat as resistance genes. Mutations in PBP2b, PBP2x, and PBP1a were linked to increased meropenem resistance.
Transformation of nonencapsulated Streptococcus pneumoniae during systemic infection.
The study identified that nonencapsulated Streptococcus pneumoniae (NESp) strains can acquire capsule and become more virulent during systemic infection. It also showed that recombination events in NESp strains can lead to the acquisition of beta-lactam resistance genes such as pbp1a and pbp2x.
Epidemiological analysis of pneumococcal strains isolated at Yangon Children's Hospital in Myanmar via whole-genome sequencing-based methods.
The study identified multiple AMR genes and mutations in pneumococcal strains from Myanmar, including genes conferring resistance to azithromycin, tetracycline, chloramphenicol, and quinolones, as well as mutations in penicillin-binding proteins and DNA gyrase. These findings highlight the spread of AMR in pneumococcal strains in Myanmar.
Integrative Reverse Genetic Analysis Identifies Polymorphisms Contributing to Decreased Antimicrobial Agent Susceptibility in Streptococcus pyogenes.
The study identifies amino acid substitutions in penicillin-binding protein 2X (PBP2X) that decrease susceptibility to β-lactam antibiotics in Streptococcus pyogenes. Specifically, the substitutions M593T and P601L were experimentally shown to increase penicillin MICs.
The acquisition of clinically relevant amoxicillin resistance in Streptococcus pneumoniae requires ordered horizontal gene transfer of four loci.
The study identifies pbp2x, pbp2b, pbp1a, and murM as the main resistance determinants for amoxicillin resistance in Streptococcus pneumoniae, demonstrating that the order of allele uptake is important for successful resistance evolution.
Invasive Group A Streptococcal Penicillin Binding Protein 2× Variants Associated with Reduced Susceptibility to β-Lactam Antibiotics in the United States, 2015-2021.
Invasive Group A Streptococcal Penicillin Binding Protein 2× Variants Associated with Reduced Susceptibility to β-Lactam Antibiotics in the United States, 2015-2021.
Interspecies recombination, not de novo mutation, maintains virulence after β-lactam resistance acquisition in Streptococcus pneumoniae.
The study shows that β-lactam resistance in Streptococcus pneumoniae is mainly achieved through interspecies recombination rather than de novo mutations, maintaining virulence. Key genes involved include pbp2X, pbp2B, and murM, which contribute to resistance without significant fitness costs.
Complete genome sequencing and comparative genomic analysis of three donkey Streptococcus equi subsp. equi isolates.
The study identified multiple antibiotic resistance genes in three donkey-derived Streptococcus equi subsp. equi isolates, including genes conferring resistance to beta-lactams, tetracyclines, macrolides, fluoroquinolones, and others. Notably, the HT1112 isolate showed resistance to six antimicrobials, while HTP133 and HTP232 showed resistance to fewer drugs. Additionally, the study highlighted the role of biofilm formation in antimicrobial resistance.
Comparative genomics analysis of Streptococcus iniae isolated from Trachinotus ovatus: novel insight into antimicrobial resistance and virulence differentiation.
The study identifies several antibiotic resistance genes in the large inversion fragment of S.iniae BH16-24, contributing to its multidrug resistance. These genes include pbp2B, pbp1A, pbp2X, femA, gyrA, oppA, aph, dfrA, and macB, which confer resistance to beta-lactams, fluoroquinolones, aminoglycosides, trimethoprim, and macrolides.
Virulence and resistance gene analysis of Rothia nasimurium by whole gene sequencing.
The study identified multiple AMR genes in Rothia nasimurium Y1, including vanA, vanC, vanB, vanE, vanD, vanG, vanF, vanM, vanL, vanO, vanN, mtrA, vanRA, arlR, vanRI, vanRB, vanRC, vanRD, vanRF, vanRG, CpxR, kdpE, vanRM, vanRN, baeR, adeR, vanRL, smeR, gyrA, gyrB, parC, Mfd, mfd, PBP2, PBP2x, EF-Tu, dfrE, pncA, tetB(P), tetQ, tet44, tetT, tetW, tetS, tetM, tetO, otr(A), tet36, tet32, clbC, clbB, clbA, cipA, cfrA, cfrC, sul3, ParY, murA, cls, and ileS, which confer resistance to various antibiotics such as glycopeptides, beta-lactams, fluoroquinolones, tetracyclines, sulfonamides, aminoglycosides, lincosamides, phenicols, macrolides, and others.
Emergence of a piliated and multidrug-resistant Streptococcus pneumoniae serotype 35B-ST156 clone in Japan.
The study identifies the emergence of a multidrug-resistant Streptococcus pneumoniae serotype 35B-ST156 clone in Japan, characterized by resistance to beta-lactams, macrolides, and co-trimoxazole due to specific genetic mutations and gene acquisitions.
Target-mediated resistance to beta-lactam antibiotics.
The study identifies pbp2x and pbp2b as key genes involved in beta-lactam resistance in Streptococcus pneumoniae, with specific mutations contributing to resistance against cefotaxime and piperacillin.
Acquisition of five high-Mr penicillin-binding protein variants during transfer of high-level beta-lactam resistance from Streptococcus mitis to Streptococcus pneumoniae.
The study demonstrates the acquisition of five high-Mr penicillin-binding protein (PBPs) variants (PBP2x, PBP2a, PBP2b, PBP1a, and PBP1b) during the transfer of high-level beta-lactam resistance from Streptococcus mitis to Streptococcus pneumoniae. These PBPs confer resistance to cefotaxime, oxacillin, and benzylpenicillin.
Identification of a structural determinant for resistance to beta-lactam antibiotics in Gram-positive bacteria.
The study identifies specific amino acid substitutions in PBP2x that contribute to beta-lactam resistance in Streptococcus pneumoniae.
Molecular characterization of penicillin-resistant Streptococcus pneumoniae isolates from Bulgaria.
The study identified multiple penicillin-resistant Streptococcus pneumoniae isolates from Bulgaria, characterizing their resistance mechanisms through molecular techniques. Key findings include the identification of specific penicillin-binding protein genes (pbp1a, pbp2b, pbp2x) and resistance genes (ermB, mefE, tetM, cat) associated with resistance to penicillin, erythromycin, tetracycline, and chloramphenicol.
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