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. 2020 May 21;64(6):e00552-20. doi: 10.1128/AAC.00552-20

TABLE 5.

Effects of various concentrations of QPX7728 on biapenem MICs in isogenic OXA-23-producing strains of Acinetobacter baumannii overexpressing efflux pumps

Straina Description Antibiotic Antibiotic MIC (μg/ml) in the presence of the following QPX7728 concn (mg/ml)b:
MIC (μg/ml) for recipient PVmaxc (μg/ml)
0 0.25 0.5 1 2 4 8
ACM1565 Wild type Biapenem 32 32 16 2 1 0.06 0.016 0.125 4
ACM1566 AdeIJK overexpressed Biapenem 16 16 4 2 0.5 0.06 0.06 0.125 4
ACM1567 AdeABC overexpressed Biapenem 32 32 16 8 0.5 0.06 0.016 0.125 4
ACM1565 Wild type Meropenem 32 32 16 4 4 0.25 0.03 0.5 4
ACM1566 AdeIJK overexpressed Meropenem 32 32 32 4 2 2 1 2 2
ACM1567 AdeABC overexpressed Meropenem 64 64 64 32 1 0.25 0.016 0.5 4
a

All strains produced OXA-23, the gene for which was carried on a plasmid. Strains ACM1565, ACM1566, and ACM1567 were constructed by conjugating an OXA-producing plasmid from clinical strain AB1387 into rifampin-resistant derivatives of AB1007 (ACM1139, which is a wild-type strain), ACM1027 (ACM1494, which is an adeN mutant overexpressing AdeIJK), and ACM1030 (ACM1495, which is an adeS mutant overexpressing AdeABC), respectively.

b

Biapenem and meropenem MICs in the presence of QPX7728 at PVmax are in boldface.

c

PVmax, maximal potentiating value, which is the concentration of QPX7728 that reduces the biapenem or meropenem MIC to the level seen in the parent strain that lacks OXA-23 (corresponding to the complete inhibition of OXA-23).