Table 4. Different OprD types and mechanisms of imipenem resistance detected among the P. aeruginosa isolates.
Imipenem resistance phenotype | Isolates | Alteration(s) of oprD nucleic sequence | Alteration(s) or amino acidic substitution(s) of OprD sequencea | Effect on OprD protein |
---|---|---|---|---|
Susceptible strains | 4/PN/12, 25/PN/12, 33/PN/12, 37/PN/13 | Several polymorphisms |
D43N, S57E, S59R, E202Q, I210A, E230K, S240T, N262T, A267S, A281G, K296Q, Q301E, R310G, V359L, 372(VDSSSS-YAGL)383 |
Full length type |
10/PN/14 | Several polymorphisms | T103S, K115T, F170L |
Full length type | |
7/PN/15 | Several polymorphisms | S57E, S59R, V127L, E185Q, P186G, V189T, E202Q, I210A, E230K, S240T, N262T, T276A, A281G, K296Q, Q301E, R310E, A315G, L347M, 372(VDSSSS-YAGL)383, S403A, Q424E | Full length type | |
Resistant strains |
10/PN/12, 13/PN/12 | Several polymorphisms Deletion of 37 nt at position 1046 nt |
D43N, T103S, K115T, F170L |
Frameshift mutation, premature stop codon (shorter, nonfunctional protein) |
16/PN/12, 53/PN/13 | Insertion of 1239 nt at position 215 nt | Premature stop codon and porin loss | ||
482/PA/15 | Several polymorphisms Insertion of 1337 nt at position 428 nt |
S57E, S59R, V127L |
Premature stop codon and porin loss |
aIn bold, mutations which determine a charge change
+/-: K115T, V127L, V189T, A267S, V359L, Q424E
-/+: S59R, E185Q, E202Q, E230K, T276A, S403A
+/neutral: P186G, A281G, R310G, A315G