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. 2021 May 2;10(5):522. doi: 10.3390/antibiotics10050522

Table 3.

Role of different two-component systems involved in mediating antibiotic resistance in response to acid stress. All abbreviations are listed at the end of the manuscript.

Treatment under
Acid Stress
Two-Component
Systems Involved
Acquired Antibiotic
Resistance/Tolerance
Phenotypic
Expression 1
Reference
ΔtatC, over-expressed nlpE CpxRA Cationic antimicrobial peptides (CAPs) Increased tolerance [145]
ΔrcsF, ΔrcsB, ΔcpxR RcsCB, CpxRA Mecillinam and cefsulodin Increased tolerance [139]
ΔcpxR CpxRA Cephalexin Increased tolerance [156]
W3110 tolC732::kan, W3110 acrB747::kan, W3110 mdtB774::kan, W3110 mdtF769::kan,
W3110 emrY776::kan, W3110 emrB767::kan, W3110 marR751::kan
MarRAB, AcrAB, EmrKY, MdtABC
and TolC
Extended-spectrum β-lactamases (ESBLs) Increased tolerance [152]
Δmar MarRAB, AcrAB
and TolC
Beta-lactamase, rifampicin, spectinomycin, streptomycin, tetracycline, nalidixic acid Increased resistance [157]
ΔrcsF and ΔrcsB RcsBC Cefsulodin Increased tolerance [139]
RcsBC, CpxRA,
BaeSR
Mecillinam and cefsulodin
baeR cloned pTrc99A plasmid BaeRS, MdtABC,
ArcAB
Ceftriaxone, 8 fold increased resistance [158,159]
novobiocin,
deoxycholate
pH stress only ArcAB, MarRAB Ceftriaxone, Presence ofhyper-resistantcolonies [60]
amikacin,
nalidixic acid
ArcAB, MarRAB, MdtABC Multidrugresistance [144,160]
RcsCB Cationic antimicrobial peptides (CAPs) Intrinsic resistance [161]
Aztreonam [162]
Beta-lactams [161]
Daptomycin [96,163,164]
ΔdpiA, ΔcpxR RcsBC, CpxRA Ampicillin Increased tolerance [165]
ΔpmrA, ΔpmrB PmrAB, arn operon PolymyxinB Increased tolerance [137]
ΔacrB BaeSR, RcsBC, CpxRA, EvgAS,
ArcAB
Multidrug
resistance
16- to 32-fold increased resistance [166]
ΔmarR MarRAB Norfloxacin Increased tolerance [44].
ΔacrBΔevgAS, ΔacrBΔemrKY, ΔacrBΔyhiUVΔemrKY, ΔacrBΔyhiUVΔemrKY/pUCevgA ArcAB, EvgAS, EmrKY Multidrug
resistance
4 fold increased resistance [167,168]
Overexpression of baeR, evgA, rcsB BaeSR, RcsBC, CpxRA, EvgAS,
ArcAB
Multidrug
resistance
16- to 32-fold increased resistance [166]

1 Resistance is an increase in MIC above the breakpoint; tolerance is the loss of killing with no change in MIC.