Table 1.
Multidrug Efflux Pumps Described for Staphylococcus aureus
| Efflux Pump | Familya | Regulator(s)b | Substrate Specificity | References |
|---|---|---|---|---|
| Chromosomally-encoded Efflux Systems | ||||
| NorA | MFS | MgrA, NorG(?) | Hydrophilic fluoroquinolones (ciprofloxacin, norfloxacin) QACs (tetraphenylphosphonium, benzalkonium chloride) Dyes (e.g. ethidium bromide, rhodamine) | [16,18,19] |
| NorB | MFS | MgrA, NorG | Fluoroquinolones (e.g. hydrophilic: ciprofloxacin, norfloxacin and hydrophobic: moxifloxacin, sparfloxacin) Tetracycline QACs (e.g. tetraphenylphosphonium, cetrimide) Dyes (e.g. ethidium bromide) | [31] |
| NorC | MFS | MgrA(?), NorG | Fluoroquinolones (e.g. hydrophilic: ciprofloxacin and hydrophobic: moxifloxacin) Dyes (e.g. rhodamine) | [35,36] |
| MepA | MATE | MepR | Fluoroquinolones (e.g. hydrophilic: ciprofloxacin, norfloxacin and hydrophobic: moxifloxacin, sparfloxacin) Glycylcyclines (e.g. tigecycline) QACs (e.g. tetraphenylphosphonium, cetrimide, benzalkonium chloride) Dyes (e.g. ethidium bromide) | [37,38] |
| MdeA | MFS | n.i. | Hydrophilic fluoroquinolones (e.g. ciprofloxacin, norfloxacin) Virginiamycin, novobiocin, mupirocin, fusidic acid QACs (e.g. tetraphenylphosphonium, benzalkonium chloride, dequalinium) Dyes (e.g. ethidium bromide) | [39,40] |
| SepA | n.d. | n.i. | QACs (e.g. benzalkonium chloride) Biguanidines (e.g. chlorhexidine) Dyes (e.g. acriflavine) | [41] |
| SdrM | MFS | n.i. | Hydrophilic fluoroquinolones (e.g. norfloxacin) Dyes (e.g. ethidium bromide, acriflavine) | [42] |
| LmrS | MFS | n.i. | Oxazolidinone (linezolid) Phenicols (e.g. choramphenicol, florfenicol) Trimethoprim, erythromycin, kanamycin, fusidic acid QACs (e.g. tetraphenylphosphonium) Detergents (e.g. sodium docecyl sulphate) Dyes (e.g. ethidium bromide) | [43] |
| Plasmid-encoded Efflux Systems | ||||
| QacA | MFS | QacR | QACs (e.g. tetraphenylphosphonium, benzalkonium chloride, dequalinium) Biguanidines (e.g. chlorhexidine) Diamidines (e.g. pentamidine) Dyes (e.g. ethidium bromide, rhodamine, acriflavine) | [45,49] |
| QacB | MFS | QacR | QACs (e.g. tetraphenylphosphonium, benzalkonium chloride) Dyes (e.g. ethidium bromide, rhodamine, acriflavine) | [53] |
| Smr | SMR | n.i. | QACs (e.g. benzalkonium chloride, cetrimide) Dyes (e.g. ethidium bromide) | [58,61] |
| QacG | SMR | n.i. | QACs (e.g. benzalkonium chloride, cetyltrymethylammonium) Dyes (e.g. ethidium bromide) | [67] |
| QacH | SMR | n.i. | QACs (e.g. benzalkonium chloride, cetyltrymethylammonium) Dyes (e.g. ethidium bromide) | [68] |
| QacJ | SMR | n.i. | QACs (e.g. benzalkonium chloride, cetyltrymethylammonium) Dyes (e.g. ethidium bromide) | [69] |
n.d.: The family of transporters to which SepA belongs is not elucidated to date.
n.i.: The transporter has no regulator identified to date.
QACs: quaternary ammonium compounds