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