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. 2017 Sep 22;61(10):e00272-17. doi: 10.1128/AAC.00272-17

TABLE 2.

Antibiotic resistance profiles and single nucleotide polymorphisms present in MRSA antiseptic-selected mutants compared to their corresponding wild-type strains

Strain Antiseptic selectiona MIC (μg/ml)
Antibiotic susceptibility pattern (MIC [μg/ml])b ST Gene name SNPc Amino acid change Gene function
Polyhex Chlorhex
COL 0.5 2 Penr, Oxar, ACr, Cefr, Vans (1.5), Tei (1.5), Dap (0.5) 250
COL P3 Polyhex 2 2 Penr, Oxar, ACr, Cefr, Vanr (3), Teir (3), Dapr (3) 250 mprF C1010T L337S Phosphatidylglycerol lysyltransferase
COL P5 Polyhex 4 2 Penr, Oxar, ACr, Cefr, Teir (4), Dapr (4) 250 mprF C1010T L337S Phosphatidylglycerol lysyltransferase
134947 1 4 Penr, Oxar, ACr, Cefr, Cipr, Clir, Eryr 228
134947 P6 Polyhex 8 4 Penr, Oxar, ACr, Cefr, Cipr, Clir, Eryr, Dapr (1.5–2) 228 purR T686G V229G Pur operon repressor
mprF C884T S295L Phosphatidylglycerol lysyltransferase
128822 1 8 Penr, Oxar, ACr, Cefr, Cipr, Clir, Eryr, Genr 228
128822 P6 Polyhex 1 8 Penr, Oxar, ACr, Cefr, Cipr, Clir, Eryr, Genr 228 NDd
COL 0.5 2 Penr, Oxar, ACr, Cefr 250
COL P10 Chlorhex 0.5 8 Penr, Oxar, ACr, Cefr, Cipr (D17) 250 T to A Intergenic region (position 775770) between SACOLSACOL_RS03870 and NorA
G to A Intergenic region (position 814686) between SACOL_RS04065 and NrdL
T to A Intergenic region (position 1227842) upstream SACOL_RS06240
G to A Intergenic region (position 1227910) upstream SACOL_RS06245SACOL_RS06245
COL P7 Chlorhex 0.5 8 Penr, Oxar, ACr, Cefr 250 mepA C127T T376I Multidrug export protein MepA
purR G403T V135F Pur operon repressor
134947 1 4 Penr, Oxar, ACr, Cefr, Cipr, Clir, Eryr 228
134947 P10 Chlorhex 1 8 Penr, Oxar, ACr, Cefr, Cipr, Clir, Eryr 228 ND
128822 1 8 Penr, Oxar, ACr, Cefr, Cipr, Clir, Eryr, Genr 228
128822 P10 Chlorhex 1 8 Penr, Oxar, ACr, Cefr, Cipr, Clir, Eryr, Genr, Dapr (2) 228 pldB G89T G30V Lysophospholipase L2
glpD C293A T98K Aerobic glycerol-3-phosphate dehydrogenase
mprF C1001T P334L Phosphatidylglycerol lysyltransferase
a

Polyhex, polyhexanide; Chlorhex, chlorhexidine.

b

Antibiotic susceptibility was measured by disc diffusion assays for all antibiotics except vancomycin, teicoplanin, and daptomycin (D corresponds to diameter size measurement; EUCAST ciprofloxacin susceptible diameter = 19–20). For vancomycin, teicoplanin, and daptomycin, MIC values were determined by Etest assays. EUCAST susceptibility breakpoints for are ≤2 μg/ml for vancomycin, ≤2 μg/ml for teicoplanin, and ≤1 μg/ml for daptomycin. Changes in antibiotic resistance patterns compared to those in wild-type strains are indicated by bold type. Pen, penicillin; Oxa, oxacillin; AC, amoxicillin-clavulanate; Cef, cefoxitine; Cip, ciprofloxacin; Cli, clindamycin; Ery, erythromycin; Gen, gentamicin; Van, vancomycin; Tei, teicoplanin; Dap, daptomycin; r, resistant; s, susceptible.

c

SNP, single-nucleotide polymorphism.

d

ND, not determined.