Browse AMR Genes
Explore antimicrobial resistance genes from the literature
Explore antimicrobial resistance genes from the literature
penicillin-binding protein 2
Overview
| Protein Change | Nucleotide Change | Mechanism | Organism | Resistance To | Database | Validation Status |
|---|---|---|---|---|---|---|
| A501V | - | increased resistance, reduced reactivity for β-lactams, decreased susceptibility to cefixime and ceftriaxone, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | cefixime|ceftriaxoneceftriaxone|cefiximeceftriaxone|cefotaxime+6 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| I312M | - | decreased susceptibility, reduced reactivity for β-lactams, decreased susceptibility to cefixime and ceftriaxone, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefiximecephalosporinscefixime+5 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| V316T | - | decreased susceptibility, reduced reactivity for β-lactams, decreased susceptibility to cefixime and ceftriaxone, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefiximecefiximecephalosporins+5 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| G545S | - | decreased susceptibility, reduced reactivity for β-lactams, decreased susceptibility to cefixime and ceftriaxone, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefiximecefixime|ceftibuten|cefepime|ceftriaxonecefixime+6 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| N512Y | - | decreased susceptibility, reduced reactivity for β-lactams, decreased susceptibility to cefixime and ceftriaxone, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefiximecefiximeceftriaxone+3 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| A311V | - | confers high-level resistance to expanded-spectrum cephalosporins, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae | ceftizoxime|ceftriaxonecefiximeceftriaxone+7 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| T316P | - | confers high-level resistance to expanded-spectrum cephalosporins | Neisseria gonorrhoeae | ceftizoxime|ceftriaxonecefixime | Reslit | Candidate |
| T483S | - | confers high-level resistance to expanded-spectrum cephalosporins, reduced reactivity for β-lactams, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftizoxime|ceftriaxoneceftriaxone|cefiximecefixime+7 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| F504L | reduced reactivity for β-lactams, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefiximecefiximeceftriaxone+5 more | ReslitReference Gene Catalog | Candidate | |
| A510V | reduced reactivity for β-lactams, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefiximepenicillincefixime+5 more | ReslitReference Gene Catalog | Candidate | |
| I515V | - | reduced reactivity for β-lactams, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | penicillinbeta lactams | ReslitReference Gene Catalog | Candidate |
| H541N | - | reduced reactivity for β-lactams, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | penicillincefiximecephalosporins+2 more | ReslitReference Gene Catalog | Candidate |
| A501P | - | reduced reactivity for β-lactams, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefiximecefixime|ceftriaxonecefixime+3 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| P551S | - | reduced reactivity for β-lactams, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefiximecefiximecephalosporins+4 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| G482S | - | reduced reactivity for β-lactams | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefixime | Reslit | Candidate |
| V316P | - | reduced reactivity for β-lactams, penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | ceftriaxone|cefiximecefiximeceftazidime|ceftriaxone+3 more | ReslitReference Gene Catalog | Candidate |
| A501T | - | penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae, Neisseria meningitidis | cefixime|ceftriaxoneceftriaxone|cefotaximeceftriaxone|cefixime+6 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| A501S | - | - | Neisseria gonorrhoeae | cefixime|ceftriaxone | Reslit | Candidate |
| A501R | - | - | Neisseria gonorrhoeae | cefixime|ceftriaxone | Reslit | Candidate |
| G542S | - | penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae | ceftriaxoneceftriaxone|cefiximeceftriaxone|ceftizoxime+2 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| C69Y | - | increased resistance, altered substrate specificity | Burkholderia pseudomallei | ceftazidime | Reslit | Candidate |
| C75Y | - | - | Burkholderia pseudomallei | ceftazidime | Reslit | Candidate |
| L421P | - | - | Neisseria gonorrhoeae | penicillin | Reslit | Candidate |
| T32A | - | - | Burkholderia multivorans | ceftazidime|ceftazidime avibactam | Reslit | Candidate |
| P167S | - | increased resistance | Burkholderia pseudomallei | ceftazidime | Reslit | Candidate |
| S72F | - | increased resistance | Burkholderia pseudomallei | amoxicillin|clavulanic acidamoxicillin clavulanic acid | Reslit | Candidate |
| R7K | - | no effect on PenA activity | Burkholderia pseudomallei | ceftazidime|amoxicillin clavulanic acid | Reslit | Candidate |
| C69F | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| R164H | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| R164S | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| E166K | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| L169Q | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| N170H | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| N170G | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| N170K | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| A172T | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| A172V | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179N | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179Q | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179G | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179A | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179R | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179S | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179T | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179M | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179L | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| D179P | - | - | Burkholderia thailandensis | ceftazidime | Reslit | Candidate |
| A516G | penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae | cefiximeceftriaxonecephalosporins+3 more | ReslitReference Gene Catalog | Candidate | |
| P551L | - | penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae | cefiximepenicillin|cephalosporinscephalosporins+4 more | ReslitResFinder DatabaseReference Gene Catalog | Candidate |
| P552V | - | - | Neisseria gonorrhoeae | cefiximeceftriaxone | Reslit | Candidate |
| K555Q | - | - | Neisseria gonorrhoeae | cefiximeceftriaxone | Reslit | Candidate |
| I556V | - | - | Neisseria gonorrhoeae | cefiximeceftriaxone | Reslit | Candidate |
| I566V | - | penicillin-binding protein PBP2 PenA | Neisseria meningitidis | cefiximepenicillinbeta lactams | ReslitReference Gene Catalog | Candidate |
| A574V | - | - | - | cefixime | Reslit | Candidate |
| I517V | - | - | Neisseria gonorrhoeae | ceftriaxone|cefixime | Reslit | Candidate |
| G120K | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| H514A | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| D511V | - | - | Neisseria meningitidis | penicillin|cefotaxime | Reslit | Candidate |
| G375T | - | - | Neisseria gonorrhoeae | cephalosporins | Reslit | Candidate |
| A376P | - | - | Neisseria gonorrhoeae | cephalosporins | Reslit | Candidate |
| E377K | - | - | Neisseria gonorrhoeae | cephalosporins | Reslit | Candidate |
| V279A | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| E285D | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| K288R | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| Q291R | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| A328P | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| S341P | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| T485I | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| A549T | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| N513Y | - | - | Neisseria gonorrhoeae | ceftriaxone|cefixime | Reslit | Candidate |
| A517G | - | - | - | ceftriaxone|cefixime | Reslit | Candidate |
| G543S | - | - | - | ceftriaxone|cefixime | Reslit | Candidate |
| E101D | - | - | Neisseria gonorrhoeae | cefixime | Reslit | Candidate |
| G546S | - | - | Neisseria gonorrhoeae | ceftriaxone|cefiximecefiximecephalosporins | ReslitResFinder Database | Candidate |
| D86N | - | - | Neisseria gonorrhoeae | ciprofloxacin | Reslit | Candidate |
| A60G | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| T147A | - | - | Burkholderia pseudomallei | ceftazidime | Reslit | Candidate |
| S363C | - | had only a minor effect on acylation (1.5-fold decrease) | Neisseria gonorrhoeae | penicillin | Reslit | Candidate |
| S363D | - | lowered the acylation rate of penicillin G by 7-fold | Neisseria gonorrhoeae | penicillin | Reslit | Candidate |
| D346A | - | lowered the acylation rate of penicillin G by 5-fold | Neisseria gonorrhoeae | penicillin | Reslit | Candidate |
| L447V | - | - | Neisseria gonorrhoeae | ceftiofur|ceftriaxone | Reslit | Candidate |
| T483P | - | - | Neisseria gonorrhoeae | ceftiofur|ceftriaxone | Reslit | Candidate |
| A121D | - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate |
| A318V | - | - | Neisseria gonorrhoeae | cefixime | Reslit | Candidate |
| R356H | - | - | Neisseria gonorrhoeae | cefixime | Reslit | Candidate |
| N506H | - | - | Neisseria gonorrhoeae | cefixime | Reslit | Candidate |
| G546A | - | - | Neisseria gonorrhoeae | cefixime | Reslit | Candidate |
| A488V | - | - | Neisseria gonorrhoeae | cefixime | Reslit | Candidate |
| T534A | - | - | Neisseria gonorrhoeae | cephalosporins | Reslit | Candidate |
| ins346D | - | - | Neisseria gonorrhoeae | cephalosporins | ResFinder Database | Candidate |
| D346DD | - | penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae | beta lactams | Reference Gene Catalog | Candidate |
| A501AA | - | penicillin-binding protein PBP2 PenA | Neisseria gonorrhoeae | cephalosporins | Reference Gene Catalog | Candidate |
| - | - | Neisseria gonorrhoeae | penicillin | Reslit | Candidate | |
| - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate | |
| - | - | Neisseria gonorrhoeae | ceftriaxone | Reslit | Candidate | |
| - | - | Burkholderia pseudomallei | ceftazidime | Reslit | Candidate | |
| - | - | Burkholderia pseudomallei | - | Reslit | Candidate | |
| - | - | Neisseria gonorrhoeae | penicillin | Reslit | Candidate | |
| - | - | Neisseria gonorrhoeae | cephalosporins | ResFinder Database | Candidate | |
| - | - | Neisseria gonorrhoeae | cephalosporins | ResFinder Database | Candidate |
| Allele | Database | Papers | Drug Classes | Organisms | Countries | Years | Sequence Accession | Protein Accession |
|---|---|---|---|---|---|---|---|---|
| penA | ResFinder DatabaseReslit | 58 | cephalosporins, penicillin +15 | Neisseria gonorrhoeae +12 | Japan, Italy, Central Japan, United States|Australia|Spain|France|Argentina, Sweden, Japan|Hawaii, Hong Kong, Korea, Thailand, China, Netherlands|USA|Thailand, England|USA|Canada, Northern Territory, Australia, Canada|Japan, Australia, Europe, Japan|Denmark|Canada|Australia|Queensland, Australia, United Kingdom|Australia, Vietnam, Russia, Canada|United Kingdom|United States, Denmark, China|Japan|Australia|Denmark|Canada|Ireland|UK|France, Australia|Malaysia|Southeast Asia, Europe|Switzerland, Kenya, New Zealand, Northeastern Ohio, the United States|Northeastern Ohio, United States|Canada|Europe|Asia, North America|Europe, Casablanca|Marrakech, Europe|Spain|USA, Spain | 2002, 2003, 2005, 2006, 2007, 2008, 2010, 2011, 2012, 2014, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2024, 2025 | AB071984 | - |
| penA-CI | Reslit | 1 | ceftriaxone, cefixime | Neisseria gonorrhoeae | France | 2012 | JQ073701 | - |
| pen | Reslit | 2 | penicillin | Staphylococcus aureus +2 | Zoba Anseba, Eritrea | 2017, 2025 | HM134859.1 | - |
| penA_G545S | Reslit | 1 | cefixime, ceftriaxone | Neisseria gonorrhoeae | South Africa | 2022 | PRJNA681740 | - |
| penA-237.001 | Reslit | 2 | ceftriaxone, cefixime +3 | Neisseria gonorrhoeae | France, England | 2022, 2024 | JAPIVM000000000 | - |
| penA-60.001 | Reslit | 2 | cefixime, ceftriaxone | Neisseria gonorrhoeae | Canada|Cambodia|France|United Kingdom|Austria | 2024, 2025 | PRJNA415047|SRR33123384 | - |
Mosaic-Like Structure of Penicillin-Binding Protein 2 Gene (penA) in Clinical Isolates of Neisseria gonorrhoeae with Reduced Susceptibility to Cefixime.
The study identifies a mosaic-like structure in the penA gene of Neisseria gonorrhoeae isolates with reduced susceptibility to cefixime, which contributes to resistance against cephalosporins and penicillins.
Prediction of decreased susceptibility to penicillin of Neisseria meningitidis strains by real-time PCR.
The study identifies a specific mutation in the penA gene of Neisseria meningitidis that correlates with decreased susceptibility to penicillin, enabling the development of a real-time PCR assay for rapid detection of penicillin-intermediate strains.
Emergence and Spread of Neisseria gonorrhoeae Clinical Isolates Harboring Mosaic-Like Structure of Penicillin-Binding Protein 2 in Central Japan.
The study identifies a mosaic-like structure of the penicillin-binding protein 2 (PBP 2) gene in Neisseria gonorrhoeae clinical isolates, which is associated with decreased susceptibility to penicillin and cephalosporins.
Susceptibility of Neisseria meningitidis to 16 antimicrobial agents and characterization of resistance mechanisms affecting some agents.
The study identified resistance mechanisms in Neisseria meningitidis, including penA gene polymorphisms associated with penicillin and ampicillin resistance, catP gene-mediated chloramphenicol resistance, folP gene mutations linked to sulfisoxazole and trimethoprim-sulfamethoxazole resistance, tet(B) efflux pump contributing to tetracycline resistance, and rpoB gene mutations causing rifampin resistance. Additionally, gyrA mutations were associated with reduced fluoroquinolone susceptibility.
Total variation in the penA gene of Neisseria meningitidis: correlation between susceptibility to beta-lactam antibiotics and penA gene heterogeneity.
The study identifies that mosaic structures in the penA gene of Neisseria meningitidis correlate with reduced susceptibility to beta-lactam antibiotics, particularly penicillin G and ampicillin.
Threat to cefixime treatment for gonorrhea.
The study identifies mosaic alterations in the penA gene of Neisseria gonorrhoeae isolates, leading to reduced susceptibility to cefixime and treatment failure.
Ceftibuten resistance and treatment failure of Neisseria gonorrhoeae infection.
The study identifies the mosaic penA gene as a cause of ceftibuten resistance in Neisseria gonorrhoeae, leading to treatment failure.
Various penA mutations together with mtrR, porB and ponA mutations in Neisseria gonorrhoeae isolates with reduced susceptibility to cefixime or ceftriaxone.
The study identifies various penA mutations, along with mtrR, porB, and ponA mutations, associated with reduced susceptibility to cefixime and ceftriaxone in Neisseria gonorrhoeae isolates.
Molecular Investigations of PenA-mediated β-lactam Resistance in Burkholderia pseudomallei.
PenA is a beta-lactamase that contributes to resistance against multiple β-lactam antibiotics. Specific mutations in PenA, including C69Y, P167S, S72F, R7K, and R8A, enhance resistance to certain β-lactams.
High-level cefixime- and ceftriaxone-resistant Neisseria gonorrhoeae in France: novel penA mosaic allele in a successful international clone causes treatment failure.
The study identifies a novel penA mosaic allele, penA-CI, which confers high-level resistance to ceftriaxone and cefixime in Neisseria gonorrhoeae strain F89. This allele was experimentally validated through transformation and MIC testing.
Clonally related Neisseria gonorrhoeae isolates with decreased susceptibility to the extended-spectrum cephalosporin cefotaxime in Amsterdam, the Netherlands.
A highly conserved interaction involving the middle residue of the SXN active-site motif is crucial for function of class B penicillin-binding proteins: mutational and computational analysis of PBP 2 from N. gonorrhoeae.
The study identifies specific mutations in the penA gene of Neisseria gonorrhoeae that affect the interaction between Asp346 and Ser363, influencing penicillin resistance and TPase activity.
Twelve positions in a beta-lactamase that can expand its substrate spectrum with a single amino acid substitution.
The study identifies twelve amino acid positions in the beta-lactamase PenA of Burkholderia thailandensis that can expand its substrate spectrum with single amino acid substitutions, leading to ceftazidime resistance.
Development of ceftazidime resistance in an acute Burkholderia pseudomallei infection.
The study identifies a P167S mutation in the beta-lactamase gene penA as the cause of ceftazidime resistance in Burkholderia pseudomallei isolates from a patient who developed treatment failure despite ceftazidime therapy.
The tandem repeats enabling reversible switching between the two phases of beta-lactamase substrate spectrum.
The study characterizes two substitution mutations in the penA gene within a common SCS element, which contribute to ceftazidime resistance in Burkholderia thailandensis.
New Clinical Strain of Neisseria gonorrhoeae with Decreased Susceptibility to Ceftriaxone, Japan.
A new clinical strain of Neisseria gonorrhoeae (GU140106) with decreased susceptibility to ceftriaxone was identified. The strain exhibited substitutions in the penA gene encoding penicillin-binding protein 2, namely A311V, V316T, and T483S, which are associated with reduced susceptibility to ceftriaxone.
Novel Genes Related to Ceftriaxone Resistance Found among Ceftriaxone-Resistant Neisseria gonorrhoeae Strains Selected In Vitro.
The study identified mutations in the penA and ftsX genes that contribute to ceftriaxone resistance in Neisseria gonorrhoeae. The A501V mutation in penA and the T31P mutation in ftsX were shown to increase the MIC of ceftriaxone.
Antibiotic resistance in Burkholderia species.
The paper discusses the mechanisms of antibiotic resistance in Burkholderia species, focusing on β-lactam resistance mediated by penA, penB, and ampC beta-lactamases, as well as efflux pumps like AmrAB-OprA, BpeAB-OprB, and BpeEF-OprC. It also highlights mutations in penA and gyrA that contribute to resistance against β-lactam and fluoroquinolone antibiotics.
Antimicrobial and antioxidant activities of Saccharomyces cerevisiae IFST062013, a potential probiotic.
The study identifies Saccharomyces cerevisiae IFST 062013 as a potential probiotic with resistance to tetracycline, ampicillin, gentamicin, penicillin, polymyxin B, and nalidixic acid.
Deciphering the distance to antibiotic resistance for the pneumococcus using genome sequencing data.
The study identifies numerous genes and mutations associated with antibiotic resistance in Streptococcus pneumoniae through genome-wide association studies, highlighting the genetic basis of resistance to penicillin, trimethoprim, cotrimoxazole, erythromycin, and fluoroquinolones.
WGS to predict antibiotic MICs for Neisseria gonorrhoeae.
The study identifies various AMR genes and mutations in Neisseria gonorrhoeae that contribute to resistance against multiple antibiotics, including cefixime, penicillin, azithromycin, ciprofloxacin, and tetracycline. These findings are supported by WGS and multivariate linear regression models.
Conjunctivitis Caused by a Strain of Neisseria gonorrhoeae That Was Less Susceptible to Ceftriaxone.
A strain of Neisseria gonorrhoeae with reduced susceptibility to ceftriaxone was identified, and the penA X gene was associated with this resistance.
Molecular Antimicrobial Resistance Surveillance for Neisseria gonorrhoeae, Northern Territory, Australia.
The study identified low levels of azithromycin resistance (0.2%) and no ceftriaxone resistance in Neisseria gonorrhoeae in the Northern Territory of Australia. It also found that ciprofloxacin resistance was significantly lower by PCR than by bacterial culture.
Ceftriaxone-Resistant Neisseria gonorrhoeae, Canada, 2017.
The study identifies a ceftriaxone-resistant Neisseria gonorrhoeae isolate carrying the penA-60 allele, which includes two key mutations (A311V and T483S) that confer ceftriaxone resistance.
Whole-genome sequencing reveals transmission of gonococcal antibiotic resistance among men who have sex with men: an observational study.
The study identified the transmission of antibiotic-resistant Neisseria gonorrhoeae strains between men who have sex with men, highlighting the role of specific genes and mutations in conferring resistance to various antibiotics.
treeWAS: A Phylogenetic Approach to Microbial Genome-Wide Association Studies
The study identifies the penA gene as significantly associated with penicillin resistance in Neisseria meningitidis through association analysis of core SNPs.
Multidrug-resistant Neisseria gonorrhoeae failing treatment with ceftriaxone and doxycycline in France, November 2017.
Transcriptomic analysis of longitudinal Burkholderia pseudomallei infecting the cystic fibrosis lung.
The study identifies upregulation of the RND efflux pumps bpeEF-oprC, amrAB-oprA, and penA duplication as mechanisms of resistance to ceftazidime, trimethoprim/sulfamethoxazole, and doxycycline/meropenem in Burkholderia pseudomallei isolates from cystic fibrosis patients.
Transcriptional and post-transcriptional regulation of PenA beta-lactamase in acquired Burkholderia pseudomallei β-lactam resistance.
Direct Detection of penA Gene Associated with Ceftriaxone-Resistant Neisseria gonorrhoeae FC428 Strain by Using PCR.
The study describes a PCR assay for detecting the penA gene variant associated with ceftriaxone-resistant Neisseria gonorrhoeae FC428 strain, highlighting the importance of monitoring this resistant clone through molecular techniques.
Genetic relatedness of ceftriaxone-resistant and high-level azithromycin resistant Neisseria gonorrhoeae cases, United Kingdom and Australia, February to April 2018.
The study identifies the A2543 clone of Neisseria gonorrhoeae, which exhibits resistance to ceftriaxone and high-level resistance to azithromycin, highlighting the emergence of multidrug-resistant strains.
Whole-genome sequencing and characterization of an antibiotic resistant Neisseria meningitidis B isolate from a military unit in Vietnam.
The study identified the presence of the penA gene, which confers resistance to ampicillin, and the catP/D gene, which confers resistance to chloramphenicol, in an antibiotic-resistant Neisseria meningitidis B isolate from a military unit in Vietnam.
Resistance of Neisseria gonorrhoeae isolates to beta-lactam antibiotics (benzylpenicillin and ceftriaxone) in Russia, 2015-2017.
The study identified mutations in penA, ponA, mtrR, and porB genes, as well as the presence of bla TEM plasmids, which contribute to benzylpenicillin resistance in Neisseria gonorrhoeae isolates from Russia.
Equations To Predict Antimicrobial MICs in Neisseria gonorrhoeae Using Molecular Antimicrobial Resistance Determinants.
The study identifies several genes and mutations associated with antimicrobial resistance in Neisseria gonorrhoeae, including PenA, mtrR, 23S rRNA, rpsJ, PorB, PonA, GyrA, ParC, and bla. These genetic elements contribute to resistance against various antibiotics such as ceftriaxone, cefixime, azithromycin, tetracycline, ciprofloxacin, and penicillin.
Genomic evolution of Neisseria gonorrhoeae since the preantibiotic era (1928-2013): antimicrobial use/misuse selects for resistance and drives evolution.
The study characterizes various AMR genes and mutations in Neisseria gonorrhoeae, highlighting the emergence of resistance to multiple antimicrobials over time, including penicillin, fluoroquinolones, macrolides, tetracyclines, and sulfonamides. Key findings include the identification of penB, mtrR, penA, gyrA, parC, folP, rpsJ, tetM, and blaTEM as critical AMR genes, along with mutations in penB, mtrR, gyrA, parC, penA, and ponA that contribute to resistance mechanisms.
Impact of the gonococcal FC428 penA allele 60.001 on ceftriaxone resistance and biological fitness.
The penA allele 60.001 contributes to ceftriaxone and cefixime resistance in Neisseria gonorrhoeae, with strains carrying this allele showing 8- to 16-fold higher MIC values compared to those with penA allele 10.001. Additionally, penA allele 60.001 negatively affects in vivo biological fitness in a mouse vaginal tract model.
Taking the next-gen step: Comprehensive antimicrobial resistance detection from Burkholderia pseudomallei.
The study presents ARDaP, a new tool for comprehensive antimicrobial resistance (AMR) detection in Burkholderia pseudomallei. ARDaP accurately identifies various AMR determinants, including mutations in genes such as penA, bpeT, ptr1, metF, dut, bpsl3085, and amrR, which confer resistance to antibiotics like ceftazidime, meropenem, co-trimoxazole, and doxycycline.
Antibiotic Cycling Reverts Extensive Drug Resistance in Burkholderia multivorans.
The study identifies mutations in the class A beta-lactamase gene penA and efflux pump regulators bpeR and bpeT that contribute to extensive drug resistance in Burkholderia multivorans, and shows that antibiotic cycling can reverse this resistance.
Molecular characterization of a ceftriaxone-resistant Neisseria gonorrhoeae strain found in Switzerland: a case report.
The study identifies several mutations in genes associated with resistance to ceftriaxone and ciprofloxacin in a Neisseria gonorrhoeae strain from Switzerland, including mutations in penA, porinB, ponA, gyrA, parC, and the 23S rRNA gene.
Antimicrobial Resistance Profiling and Phylogenetic Analysis of Neisseria gonorrhoeae Clinical Isolates From Kenya in a Resource-Limited Setting.
The study identified multiple AMR genes and mutations in Neisseria gonorrhoeae isolates from Kenya, including mutations in gyrA, parC, penA, ponA1, rpsJ, folP, mtrR, rpoB, pilQ, porB1b, and rplD, which confer resistance to fluoroquinolones, penicillins, cephalosporins, tetracyclines, sulfonamides, rifampicin, and macrolides.
Mutations in PBP2 from ceftriaxone-resistant Neisseria gonorrhoeae alter the dynamics of the β3-β4 loop to favor a low-affinity drug-binding state.
Mutations in the β3–β4 loop of PBP2 from ceftriaxone-resistant Neisseria gonorrhoeae, including F504L, N512Y, and G545S, alter the conformational dynamics of the protein, leading to reduced ceftriaxone binding affinity and resistance.
The antimicrobial resistance landscape of Neisseria gonorrhoeae in New Zealand from November 2018 to March 2019 and the role of sexual orientation in transmission.
The study identified several AMR genes and mutations in Neisseria gonorrhoeae isolates from New Zealand, including blaTEM-1, blaTEM-135, tetM, 23S C2611T, rpsJ V57M, mtrR A39T, mtrR G45D, penA mutations, penB mutations, ponA L421P, gyrA mutations, parC mutations, and norM promoter mutations, which contribute to resistance against various antibiotics such as penicillin, tetracycline, azithromycin, ciprofloxacin, ceftriaxone, and cefixime.
Prevalence and Antimicrobial Resistance Profiles of Foodborne Pathogens Isolated from Dairy Cattle and Poultry Manure Amended Farms in Northeastern Ohio, the United States.
The study identified several antimicrobial resistance genes in foodborne pathogens isolated from dairy cattle and poultry manure amended farms in Northeastern Ohio, including mphA, aadA, aphA1, tetA, aac(3)-IV, sulII, blaTEM, tetB, strA, aac(3)-Iva, ampC, lde, ermB, tet(O), aadB, penA, blaOXA-61, aadE, and aph-3-1.
Dissemination and genome analysis of high-level ceftriaxone-resistant penA 60.001 Neisseria gonorrhoeae strains from the Guangdong Gonococcal antibiotics susceptibility Programme (GD-GASP), 2016-2019.
The study identifies the penA 60.001 gene as a key factor in ceftriaxone and penicillin resistance in Neisseria gonorrhoeae strains, alongside the blaTEM-1B gene contributing to penicillin resistance.
High-Resolution Melting Analysis to Detect Antimicrobial Resistance Determinants in South African Neisseria gonorrhoeae Clinical Isolates and Specimens.
The study identified several AMR genes and mutations in N. gonorrhoeae, including bla TEM, tetM, rpsJ_V57M, gyrA_S91F, 16S_rRNA_C1192U, mtrR_G45D, penA_G545S, and penA_mosaic, which are associated with resistance to penicillin, tetracycline, ciprofloxacin, spectinomycin, azithromycin, cefixime, and ceftriaxone.
Resistance-Guided Therapy for Neisseria gonorrhoeae.
The paper discusses the identification of genetic markers associated with resistance to ciprofloxacin, cefixime, and ceftriaxone in Neisseria gonorrhoeae, highlighting the development of molecular assays for resistance-guided therapy.
Molecular Mechanisms of Drug Resistance and Epidemiology of Multidrug-Resistant Variants of Neisseria gonorrhoeae.
The paper discusses the development and evaluation of new antimicrobial agents against Neisseria gonorrhoeae, highlighting the importance of monitoring resistance mechanisms such as mutations in GyrA and ParC that confer resistance to fluoroquinolones.
Canary in the Coal Mine: How Resistance Surveillance in Commensals Could Help Curb the Spread of AMR in Pathogenic Neisseria.
Penicillin and Cefotaxime Resistance of Quinolone-Resistant Neisseria meningitidis Clonal Complex 4821, Shanghai, China, 1965-2020.
Ceftriaxone-resistant, multidrug-resistant Neisseria gonorrhoeae with a novel mosaic penA-237.001 gene, France, June 2022.
The study reports a ceftriaxone-resistant, multidrug-resistant Neisseria gonorrhoeae isolate (F92) with a novel mosaic penA-237.001 gene, which confers resistance to multiple beta-lactam antibiotics.
In vitro and in vivo activity of cefiderocol against Achromobacter spp. and Burkholderia cepacia complex, including carbapenem-non-susceptible isolates.
The study found that cefiderocol exhibited strong in vitro and in vivo activity against Achromobacter spp. and Burkholderia cepacia complex, including carbapenem-non-susceptible isolates. Whole-genome sequencing identified OXA-114, OXA-364, and PenA beta-lactamases as potential resistance mechanisms in some isolates.
Neisseria meningitidis with decreased susceptibility to penicillin G and molecular characterization of the penA gene in strains isolated at University Hospital Centers of Casablanca and Marrakech (Morocco).
The study identifies mutations in the penA gene of Neisseria meningitidis strains that are associated with reduced susceptibility to penicillin G. Specifically, five amino acid substitutions (F504L, A510V, I515V, G541N, and I566V) in the transpeptidase region of PBP2 were found in strains with decreased penicillin G susceptibility.
Emergence of Extensively Drug-Resistant Neisseria gonorrhoeae, France, 2023.
Ceftriaxone-resistant Neisseria gonorrhoeae detected in England, 2015-24: an observational analysis.
The study identifies the penA-60.001 and penA-237.001 alleles as the primary mechanisms of ceftriaxone resistance in Neisseria gonorrhoeae isolates in England. These alleles encode altered penicillin-binding protein 2 (PBP2), leading to reduced susceptibility to ceftriaxone.
Multigeographic clinical assessment of a molecular diagnostic assay for detection of key codons to predict decreased susceptibility or resistance to cephalosporins in Neisseria gonorrhoeae.
Arginine impacts aggregation, biofilm formation, and antibiotic susceptibility in Enterococcus faecalis.
Arginine metabolism in Enterococcus faecalis leads to increased aggregation, decreased biofilm formation, and altered antibiotic susceptibility, particularly to ampicillin and ceftriaxone.
Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae.
The study identifies penA, mtrR, and porB as key genes involved in β-lactam resistance in Neisseria gonorrhoeae. Mutations in penA, mtrR, and porB contribute to reduced susceptibility to cephalosporins, beta-lactams, macrolides, and tetracyclines.
Genomic characterization of invasive Neisseria meningitidis in Spain (2011/12-2022/23): expansion of clonal complex 213 and the potential threat to 4CMenB vaccine strain coverage.
The study identified penA alleles associated with penicillin resistance, gyrA alleles linked to ciprofloxacin resistance, and rpoB alleles related to rifampicin resistance in Neisseria meningitidis isolates.
Evolutionary Dynamics and Functional Differences in Clinically Relevant Pen beta-lactamases from Burkholderia spp.
The study characterizes the dynamic differences among four Pen beta-lactamases (PenA, PenI, PenL, and PenP) from Burkholderia spp., highlighting their roles in conferring resistance to β-lactam antibiotics through structural and functional analysis.
Extensively Drug-Resistant Neisseria gonorrhoeae Strain, Canada.
The study identifies a ceftriaxone-resistant and high-level azithromycin-resistant Neisseria gonorrhoeae strain carrying the penA-60.001 allele with the A311V mutation and the 23S rRNA A2059G single-nucleotide polymorphism.
Pulmonary microbial spectrum of Burkholderia multivorans infection identified by metagenomic sequencing.
Prevalence, aetiology and host and management factors associated with bovine mastitis in dairy cows in Zoba Anseba, Eritrea: a cross-sectional study.
The study identified tetracycline, sulfonamide, and penicillin resistance in Staphylococcus aureus, Enterococcus faecium, and Streptococcus agalactiae isolates from dairy cows in Eritrea.
Genomic insights into ceftazidime resistance in Burkholderia pseudomallei: discovery of A172T mutation and palindromic GC-rich repeat sequences facilitating penA duplication and amplification.
The study identifies a novel A172T mutation in the penA gene, along with other known penA mutations, as critical contributors to ceftazidime resistance in Burkholderia pseudomallei. It also highlights the role of penA gene duplication and amplification facilitated by palindromic GC-rich repeat sequences.
Burkholderia pseudomallei PenI β-lactamase and variants are potently inhibited by taniborbactam.
Taniborbactam effectively inhibits the β-lactamase PenI and its variants C69Y and P167S, reducing the MIC of cefepime in E. coli strains expressing these enzymes.
Antibiotic-resistance mutations in penicillin-binding protein 2 from the ceftriaxone-resistant Neisseria gonorrhoeae strain H041 strike a delicate balance between increasing resistance and maintaining transpeptidase activity.
The study characterizes various mutant forms of the penA gene, which encodes penicillin-binding protein 2 (PBP2), and their impact on resistance to ceftriaxone, cefixime, and penicillin G in Neisseria gonorrhoeae.
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