TABLE 1.
Strain,a drug exposure | MIC ofb: |
Mutation(s)c in: |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
DAP | VAN | OXA | CLR | mprF | rpoB | rpoC | dltA | cls2 | yycF | yycG | |
Clinical isolates | |||||||||||
J01 | 0.5 | 2 | 32 | 256 | — | — | — | — | — | — | — |
J03 | 3 | 2 | 16 | 256 | T345X | S464P | — | — | — | — | — |
In vitro strains | |||||||||||
DAP | |||||||||||
D1 | 32 | 2 | 0.01 | 16 | L826F | — | N735K | — | R320L | — | — |
D2 | 32 | 2 | 0.01 | 32 | L826I | — | N735K | — | R320S | — | 369delQ |
D3 | 12 | 2 | 0.01 | 32 | L826I | — | N735K | — | R320S | — | 369delQ |
D4 | 8 | 2 | 0.01 | 8 | L826F | — | N735K | — | — | — | — |
D5 | 24 | 1.5 | 0.01 | 32 | P314L | — | — | — | F85X | — | — |
DAP+CLR | |||||||||||
DC1 | 3 | 2 | 0.01 | 64 | H376Y, W424C | — | — | — | — | — | — |
DC2 | 1.5 | 1.5 | 0.01 | 64 | A302V | — | — | — | — | — | — |
DC3 | 8 | 3 | 0.01 | 32 | P314L | — | — | — | — | — | — |
DC4 | 3 | 1.5 | 0.02 | 32 | M347R | — | — | — | — | — | — |
DC5 | 3 | 2 | 0.01 | 32 | S337L | — | — | — | — | — | — |
DAP+LZD | |||||||||||
DL1 | 32 | 2 | 0.01 | 32 | S337L | — | — | — | F85X | — | — |
DL2 | 64 | 4 | 0.01 | 0.03 | 41insN | — | — | — | — | — | — |
DL3 | 192 | 1.5 | 0.01 | 0.01 | L826F | — | — | — | L77F | — | G199E |
DL4 | 64 | 3 | 0.03 | 1 | S295L | — | — | — | — | — | — |
DL5 | 192 | 2 | 0.01 | 0.01 | L826F | — | — | — | L77F | — | G199E |
DAP+OXA | |||||||||||
DO1 | 0.02 | 1.5 | 256 | 2 | — | — | N735K | A426E | — | — | — |
DO2 | 1 | 3 | 64 | 4 | — | — | N735K | — | — | — | — |
DO3 | 3 | 3 | 128 | 4 | — | — | N735K | — | — | — | — |
DO4 | 0.05 | 2 | 128 | 4 | — | — | N735K | — | — | — | — |
DO5 | 3 | 3 | 128 | 0.06 | — | S366F | — | — | — | — | — |
DAP+SXT | |||||||||||
DS1 | 24 | 2 | 4 | 32 | L826I | — | N735K | — | — | — | — |
DS2 | 96 | 2 | 4 | 32 | L826I | — | N735K | — | — | — | — |
DS3 | 32 | 3 | 0.5 | 16 | L826I | — | N735K | — | R320L | — | — |
DS4 | 12 | 3 | 32 | 8 | S295L | — | N735K | — | — | K151N | — |
DS5 | 64 | 2 | 16 | 8 | L826I | V1130K, V1162I | — | — | A56G, T58N | — | — |
All in vitro strains were derived from J01 following 28 days of antibiotic exposure.
MICs to antibiotics are provided in mg/liter. Susceptibility breakpoints for S. aureus are as follows: DAP, ≤1 mg/liter; VAN, ≤2 mg/liter; OXA, ≤2 mg/liter; CLR, ≤2 mg/liter (17).
—, the strain has the wild-type sequence.