TABLE 1.
Strain | Resistance phenotype | Serotype | MICb | Amino acid substitutions in PBP2B at position:
|
No. of amino acid substitutions in PBP2B:
|
Amino acid substitutions in PBP2X at position:
|
No. of amino acid substitutions in PBP2X:
|
Amino acid substitutions in PBP1A at position:
|
No. of amino acid substitutions in PBP1A:
|
Total amino acid substitutionsc | ||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
443 | 451 | 481 | 485 | 488 | 494 | 614 | 624 | 629 | 630 | 633 | 635 | DM | TP | ORF | 338 | 339 | 343 | 346 | 347 | 364 | 369 | 371 | 384 | 394 | 400 | 546 | 550 | 552 | 595 | 605 | DM | TP | PASTA | ORF | 371 | 388 | 432 | 546 | 574 | 575 | 576 | 577 | 606 | 609 | 611 | 612 | TG | TP | ORF | |||||
R6 | S | 0.0125 | Q | T | E | S | G | T | L | A | A | D | Q | T | T | M | M | A | A | L | A | I | R | H | M | L | T | Q | Y | N | T | E | P | N | T | S | Q | F | L | N | L | T | ||||||||||||
ATCC BAA-334 | S | 4 | 0.0125 | . | . | . | . | . | . | . | . | . | . | . | . | 0 | 0 | 0 | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | 0 | 1 | 0 | 1 | . | D | . | . | . | . | . | . | . | . | . | . | 1 | 2 | 8 | 9 |
URA4929 | S | 9V | 0.0125 | . | . | . | . | . | . | . | . | . | . | . | . | 0 | 0 | 0 | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | 0 | 2 | 0 | 2 | . | D | . | . | . | . | . | . | . | . | . | . | 1 | 2 | 7 | 9 |
URA4376 | T, E, C | 6B | 0.0125 | . | . | . | . | . | . | . | . | . | . | . | . | 1 | 0 | 1 | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | 0 | 1 | 0 | 1 | . | D | . | . | . | . | . | . | . | . | . | . | 1 | 2 | 8 | 10 |
URA3537 | S | 3 | 0.0125 | . | . | . | . | . | . | . | . | . | . | . | . | 1 | 1 | 2 | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | 0 | 1 | 0 | 2 | . | D | . | . | . | . | . | . | . | . | . | . | 1 | 2 | 7 | 11 |
URA2543 | S | NT | 0.025 | . | . | . | . | . | . | . | . | . | . | . | . | 2 | 0 | 2 | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | . | 0 | 1 | 0 | 1 | . | D | . | . | . | . | . | . | . | . | . | . | 4 | 1 | 10 | 13 |
URA4933 | E | 14 | 0.0125 | . | . | . | . | . | . | . | . | . | . | . | . | 3 | 0 | 3 | . | . | T | . | . | . | . | . | . | . | . | . | . | . | . | . | 0 | 1 | 0 | 2 | . | D | . | . | . | . | . | . | . | . | . | . | 1 | 1 | 9 | 14 |
URA3558 | P, T, E, C | 23 | 0.2 | . | . | . | . | . | . | . | . | . | . | . | . | 3 | 1 | 4 | . | . | T | . | . | . | V | . | . | L | . | . | . | . | . | . | 16 | 12 | 3 | 37 | . | D | . | . | . | . | . | . | . | . | . | . | 1 | 4 | 56 | 97 |
URA4087 | S | 19F | 0.025 | . | . | . | . | . | . | . | . | . | . | . | . | 0 | 0 | 0 | . | . | . | . | . | . | . | . | G | . | . | . | . | E | . | . | 0 | 13 | 3 | 26 | . | D | . | . | . | . | . | . | . | . | . | . | 2 | 3 | 11 | 37 |
URA4566 | P, T, E, C | 6B | 0.1 | . | A | G | . | . | S | . | . | . | G | E | N | 0 | 13 | 18 | A | . | T | . | . | . | V | . | G | . | . | . | . | . | . | . | 3 | 8 | 1 | 17 | . | D | . | . | . | . | . | . | . | . | . | . | 1 | 1 | 7 | 42 |
URA2542 | S | 22 | 0.05 | . | A | G | . | . | S | S | . | E | G | E | N | 1 | 12 | 17 | . | . | T | . | . | . | . | . | G | . | . | . | . | E | . | . | 0 | 10 | 0 | 10 | . | D | . | . | . | . | . | . | . | . | . | . | 1 | 1 | 7 | 34 |
URA3635 | P | 19A | 0.1 | . | A | G | . | . | S | . | . | . | . | . | . | 6 | 6 | 13 | A | . | T | . | S | . | V | . | G | . | . | . | . | . | . | . | 1 | 9 | 4 | 19 | . | D | . | . | . | . | . | . | . | . | . | . | 1 | 2 | 8 | 40 |
URA4731 | P | 14 | 0.1 | E | A | G | . | A | A | A | . | E | G | E | N | 1 | 32 | 37 | . | . | . | . | . | . | . | . | G | . | . | . | . | E | . | . | 2 | 24 | 5 | 44 | . | D | . | . | N | T | G | Y | . | D | . | . | 1 | 11 | 19 | 100 |
URA5391 | P | 23F | 0.1 | E | A | G | . | A | A | S | . | E | G | E | N | 1 | 34 | 40 | . | . | T | . | . | . | . | . | G | . | . | . | . | E | . | . | 4 | 23 | 15 | 54 | . | D | . | . | . | . | . | . | . | . | . | . | 2 | 2 | 9 | 103 |
URA5779 | P, T, E, C | 15A | 0.1 | . | A | G | . | . | S | A | . | E | G | E | N | 1 | 10 | 16 | . | . | . | . | . | . | . | . | . | . | . | . | . | E | . | . | 1 | 21 | 2 | 27 | . | D | . | . | . | . | . | . | . | . | . | . | 3 | 28 | 43 | 86 |
ATCC 700670 | P, X, R, T, F | 6B | 2 | E | A | G | . | . | S | A | . | . | G | E | N | 2 | 11 | 14 | A | . | T | S | S | F | . | T | G | . | . | V | . | . | . | T | 2 | 37 | 1 | 45 | A | D | T | G | N | T | G | Y | I | D | F | L | 2 | 44 | 60 | 119 |
ATCC700673 | P, T, E, C | 19A | 2 | . | A | G | . | . | S | . | . | . | . | . | . | 2 | 15 | 18 | A | . | T | S | S | S | V | T | G | . | . | . | . | . | . | . | 3 | 28 | 20 | 65 | . | D | . | G | N | T | G | Y | V | D | . | . | 13 | 44 | 90 | 173 |
URA5805 | P, X, R, T, E, C | 19A | 1.6 | E | A | G | A | . | A | T | G | . | G | E | N | 9 | 31 | 50 | A | . | T | S | S | F | . | T | G | . | . | V | . | . | . | T | 3 | 34 | 18 | 70 | S | D | T | G | N | T | G | Y | I | D | F | L | 12 | 43 | 80 | 200 |
ATCC 51916 | P, X, R, E | 23F | 0.1 | . | . | . | . | . | . | . | G | . | G | E | N | 2 | 3 | 14 | A | F | . | S | S | F | . | T | G | . | T | V | A | . | . | T | 2 | 37 | 21 | 74 | S | D | T | G | N | T | G | Y | I | D | F | L | 1 | 47 | 60 | 148 |
URA3543 | P, X, R | 14 | 2 | E | A | G | A | . | A | T | G | . | G | E | N | 5 | 21 | 37 | A | . | T | S | S | F | . | T | G | . | . | V | . | . | . | T | 8 | 35 | 21 | 79 | A | D | T | G | N | T | G | Y | I | D | F | L | 2 | 44 | 52 | 168 |
URA6056 | P, X, R | ND | 3.2 | E | A | G | . | . | S | T | G | . | G | E | N | 6 | 33 | 50 | A | F | . | S | S | F | V | T | G | . | T | V | . | . | F | T | 3 | 42 | 23 | 82 | A | D | T | G | N | T | G | Y | I | D | F | L | 2 | 37 | 52 | 184 |
URA3043 | P, X, R | 14 | 2 | E | A | G | A | . | A | . | . | . | . | . | . | 7 | 12 | 20 | A | . | T | S | S | F | . | T | G | . | . | V | . | . | . | T | 2 | 37 | 21 | 73 | A | D | T | G | N | T | G | Y | I | D | F | L | 2 | 47 | 55 | 148 |
URA4203 | P, X, R, T, E, C | 14 | 1.6 | E | A | G | A | . | A | . | . | . | . | . | . | 7 | 12 | 20 | A | . | T | S | S | F | . | T | G | . | . | V | . | . | . | T | 3 | 37 | 21 | 75 | A | D | T | G | N | T | G | Y | I | D | F | L | 2 | 36 | 43 | 138 |
URA5128 | P | 14 | 0.5 | E | A | G | A | . | A | . | . | . | . | . | . | 7 | 12 | 20 | A | . | T | S | S | F | . | T | G | . | . | V | . | . | . | T | 3 | 37 | 21 | 75 | A | D | T | G | N | T | G | Y | I | D | F | L | 2 | 37 | 52 | 147 |
URA3699 | P, T, E, C | 19F | 0.5 | E | . | G | . | A | A | A | . | . | G | K | N | 37 | 33 | 83 | A | . | T | S | S | F | . | T | G | . | . | . | . | . | . | . | 18 | 32 | 20 | 104 | A | D | T | G | N | T | G | Y | I | D | F | Y | 1 | 42 | 70 | 257 |
URA5450 | P, T, E, C | 24F | 0.5 | . | A | G | . | . | S | . | . | . | . | . | . | 4 | 12 | 17 | . | . | . | . | . | . | . | . | G | . | . | . | . | E | . | . | 1 | 20 | 3 | 25 | A | D | T | G | N | T | G | Y | I | D | F | Y | 1 | 42 | 70 | 112 |
The main motifs in the transpeptidase domain in PBP2B are 391SVVK, 448SSN, and 619KTG; in PBP2X are 337STMK, 395SSN, and 547KSG; and in PBP1A are 370STMK, 428SRN, and 557KTG. The amino acid positions of strain R6 were used as reference. The positions within or close to conserved motifs in the PBPs are shown. The dots indicate homologous amino acids. DM, dimerization domain; TP, transpeptidase domain; ORF, signifies amino acid substitutions encoded in the open reading frame; PASTA, penicillin-binding protein and serine/threonine kinase-associated domain; TG, transglycosylase domain; S, susceptible; T, tetracycline; E, erythromycin; C, clindamycin; F, chloramphenicol; P, penicillin; X, cefotaxime; R, ceftriaxone; ND, not determined.
MIC values are against penicillin (μg/ml); strains were considered penicillin susceptible for MICs ≤0.06 μg/ml, intermediate for MICs of 0.1 to 1 μg/ml, and resistant for MICs ≥1.6 μg/ml.
Total number of amino acid substitutions in PBP2B, PBP2X, and PBP1A.