TABLE 2.
In vitro activities of trovafloxacin and three other fluoroquinolones against 12 fluoroquinolone-resistant mutants of M. hominis and one fluoroquinolone-resistant mutant of U. urealyticum
| Organism | Amino acid change in QRDR ofa:
|
MIC (μg/ml)b
|
|||||
|---|---|---|---|---|---|---|---|
| GyrA | ParC | ParE | TVA | SPX | OFX | CIP | |
| M. hominis | |||||||
| PG21 | None | None | None | 0.03 | 0.06 | 1 | 1 |
| Clinical isolatesc | |||||||
| MHa | Glu-87→Lys | Glu-84→Gly | None | 0.5 | 2 | 8 | 16 |
| MHb1 | Ser-83→Leu | Ser-81→Pro | None | 0.5 | 4 | 16 | 16 |
| MHb2 | Ser-83→Leu | Ser-81→Pro | None | 0.5 | 4 | 16 | 16 |
| MHc1 | Ser-83→Leu | None | Asp-420→Asn | 0.5 | 2 | 32 | 32 |
| MHc2 | Ser-83→Leu | None | Asp-420→Asn | 0.5 | 2 | 32 | 32 |
| In vitro mutantsd | |||||||
| IS1 | Ser-83→Leu | None | None | 0.12 | 0.5 | 2 | 4 |
| P4 | None | Ser-80→Ile | None | 0.12 | 0.12 | 16 | 16 |
| C1 | None | None | Asp-420→Asn | 0.12 | 0.12 | 16 | 16 |
| N7 | Ser-83→Leu | None | Asp-420→Asn | 1 | 2 | 32 | 32 |
| IIS1 | Ser-83→Leu | Glu-84→Lys | None | 2 | 16 | 32 | 32 |
| IIS3A | Ser-83→Leu, Ser-84→Trp | None | None | 4 | 16 | 64 | 32 |
| IIIS3A1 | Ser-83→Leu, Ser-84→Trp | Glu-84→Lys | None | 8 | 32 | >64 | >64 |
| U. urealyticum | |||||||
| Reference strain | None | None | None | 0.12 | 0.25 | 1 | 2 |
| Clinical isolate | |||||||
| UUa | Gln-83→Arg, Asp-95→Glu | Thr-122→Ala, Thr-133→Ala | None | 4 | 32 | 64 | >128 |
M. hominis and U. urealyticum GyrA, ParC, and ParE residues are numbered according to the coordinates for Escherichia coli GyrA, ParC, and ParE.
TVA, trovafloxacin; SPX, sparfloxacin, CIP; ciprofloxacin, OFX; ofloxacin.
From reference 5; the QRDRs of gyrA, gyrB, parC, and parE were sequenced for all clinical isolates.