author_facet Su, Hsun-Cheng
Ramkissoon, Kevin
Doolittle, Janet
Clark, Martha
Khatun, Jainab
Secrest, Ashley
Wolfgang, Matthew C.
Giddings, Morgan C.
Su, Hsun-Cheng
Ramkissoon, Kevin
Doolittle, Janet
Clark, Martha
Khatun, Jainab
Secrest, Ashley
Wolfgang, Matthew C.
Giddings, Morgan C.
author Su, Hsun-Cheng
Ramkissoon, Kevin
Doolittle, Janet
Clark, Martha
Khatun, Jainab
Secrest, Ashley
Wolfgang, Matthew C.
Giddings, Morgan C.
spellingShingle Su, Hsun-Cheng
Ramkissoon, Kevin
Doolittle, Janet
Clark, Martha
Khatun, Jainab
Secrest, Ashley
Wolfgang, Matthew C.
Giddings, Morgan C.
Antimicrobial Agents and Chemotherapy
The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
Infectious Diseases
Pharmacology (medical)
Pharmacology
author_sort su, hsun-cheng
spelling Su, Hsun-Cheng Ramkissoon, Kevin Doolittle, Janet Clark, Martha Khatun, Jainab Secrest, Ashley Wolfgang, Matthew C. Giddings, Morgan C. 0066-4804 1098-6596 American Society for Microbiology Infectious Diseases Pharmacology (medical) Pharmacology http://dx.doi.org/10.1128/aac.00762-10 <jats:title>ABSTRACT</jats:title> <jats:p> Microbes have developed resistance to nearly every antibiotic, yet the steps leading to drug resistance remain unclear. Here we report a multistage process by which <jats:italic>Pseudomonas aeruginosa</jats:italic> acquires drug resistance following exposure to ciprofloxacin at levels ranging from 0.5× to 8× the initial MIC. In stage I, susceptible cells are killed <jats:italic>en masse</jats:italic> by the exposure. In stage II, a small, slow to nongrowing population survives antibiotic exposure that does not exhibit significantly increased resistance according to the MIC measure. In stage III, exhibited at 0.5× to 4× the MIC, a growing population emerges to reconstitute the population, and these cells display heritable increases in drug resistance of up to 50 times the original level. We studied the stage III cells by proteomic methods to uncover differences in the regulatory pathways that are involved in this phenotype, revealing upregulation of phosphorylation on two proteins, succinate-semialdehyde dehydrogenase (SSADH) and methylmalonate-semialdehyde dehydrogenase (MMSADH), and also revealing upregulation of a highly conserved protein of unknown function. Transposon disruption in the encoding genes for each of these targets substantially dampened the ability of cells to develop the stage III phenotype. Considering these results in combination with computational models of resistance and genomic sequencing results, we postulate that stage III heritable resistance develops from a combination of both genomic mutations and modulation of one or more preexisting cellular pathways. </jats:p> The Development of Ciprofloxacin Resistance in <i>Pseudomonas aeruginosa</i> Involves Multiple Response Stages and Multiple Proteins Antimicrobial Agents and Chemotherapy
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title The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_unstemmed The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_full The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_fullStr The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_full_unstemmed The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_short The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_sort the development of ciprofloxacin resistance in <i>pseudomonas aeruginosa</i> involves multiple response stages and multiple proteins
topic Infectious Diseases
Pharmacology (medical)
Pharmacology
url http://dx.doi.org/10.1128/aac.00762-10
publishDate 2010
physical 4626-4635
description <jats:title>ABSTRACT</jats:title> <jats:p> Microbes have developed resistance to nearly every antibiotic, yet the steps leading to drug resistance remain unclear. Here we report a multistage process by which <jats:italic>Pseudomonas aeruginosa</jats:italic> acquires drug resistance following exposure to ciprofloxacin at levels ranging from 0.5× to 8× the initial MIC. In stage I, susceptible cells are killed <jats:italic>en masse</jats:italic> by the exposure. In stage II, a small, slow to nongrowing population survives antibiotic exposure that does not exhibit significantly increased resistance according to the MIC measure. In stage III, exhibited at 0.5× to 4× the MIC, a growing population emerges to reconstitute the population, and these cells display heritable increases in drug resistance of up to 50 times the original level. We studied the stage III cells by proteomic methods to uncover differences in the regulatory pathways that are involved in this phenotype, revealing upregulation of phosphorylation on two proteins, succinate-semialdehyde dehydrogenase (SSADH) and methylmalonate-semialdehyde dehydrogenase (MMSADH), and also revealing upregulation of a highly conserved protein of unknown function. Transposon disruption in the encoding genes for each of these targets substantially dampened the ability of cells to develop the stage III phenotype. Considering these results in combination with computational models of resistance and genomic sequencing results, we postulate that stage III heritable resistance develops from a combination of both genomic mutations and modulation of one or more preexisting cellular pathways. </jats:p>
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author Su, Hsun-Cheng, Ramkissoon, Kevin, Doolittle, Janet, Clark, Martha, Khatun, Jainab, Secrest, Ashley, Wolfgang, Matthew C., Giddings, Morgan C.
author_facet Su, Hsun-Cheng, Ramkissoon, Kevin, Doolittle, Janet, Clark, Martha, Khatun, Jainab, Secrest, Ashley, Wolfgang, Matthew C., Giddings, Morgan C., Su, Hsun-Cheng, Ramkissoon, Kevin, Doolittle, Janet, Clark, Martha, Khatun, Jainab, Secrest, Ashley, Wolfgang, Matthew C., Giddings, Morgan C.
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description <jats:title>ABSTRACT</jats:title> <jats:p> Microbes have developed resistance to nearly every antibiotic, yet the steps leading to drug resistance remain unclear. Here we report a multistage process by which <jats:italic>Pseudomonas aeruginosa</jats:italic> acquires drug resistance following exposure to ciprofloxacin at levels ranging from 0.5× to 8× the initial MIC. In stage I, susceptible cells are killed <jats:italic>en masse</jats:italic> by the exposure. In stage II, a small, slow to nongrowing population survives antibiotic exposure that does not exhibit significantly increased resistance according to the MIC measure. In stage III, exhibited at 0.5× to 4× the MIC, a growing population emerges to reconstitute the population, and these cells display heritable increases in drug resistance of up to 50 times the original level. We studied the stage III cells by proteomic methods to uncover differences in the regulatory pathways that are involved in this phenotype, revealing upregulation of phosphorylation on two proteins, succinate-semialdehyde dehydrogenase (SSADH) and methylmalonate-semialdehyde dehydrogenase (MMSADH), and also revealing upregulation of a highly conserved protein of unknown function. Transposon disruption in the encoding genes for each of these targets substantially dampened the ability of cells to develop the stage III phenotype. Considering these results in combination with computational models of resistance and genomic sequencing results, we postulate that stage III heritable resistance develops from a combination of both genomic mutations and modulation of one or more preexisting cellular pathways. </jats:p>
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spelling Su, Hsun-Cheng Ramkissoon, Kevin Doolittle, Janet Clark, Martha Khatun, Jainab Secrest, Ashley Wolfgang, Matthew C. Giddings, Morgan C. 0066-4804 1098-6596 American Society for Microbiology Infectious Diseases Pharmacology (medical) Pharmacology http://dx.doi.org/10.1128/aac.00762-10 <jats:title>ABSTRACT</jats:title> <jats:p> Microbes have developed resistance to nearly every antibiotic, yet the steps leading to drug resistance remain unclear. Here we report a multistage process by which <jats:italic>Pseudomonas aeruginosa</jats:italic> acquires drug resistance following exposure to ciprofloxacin at levels ranging from 0.5× to 8× the initial MIC. In stage I, susceptible cells are killed <jats:italic>en masse</jats:italic> by the exposure. In stage II, a small, slow to nongrowing population survives antibiotic exposure that does not exhibit significantly increased resistance according to the MIC measure. In stage III, exhibited at 0.5× to 4× the MIC, a growing population emerges to reconstitute the population, and these cells display heritable increases in drug resistance of up to 50 times the original level. We studied the stage III cells by proteomic methods to uncover differences in the regulatory pathways that are involved in this phenotype, revealing upregulation of phosphorylation on two proteins, succinate-semialdehyde dehydrogenase (SSADH) and methylmalonate-semialdehyde dehydrogenase (MMSADH), and also revealing upregulation of a highly conserved protein of unknown function. Transposon disruption in the encoding genes for each of these targets substantially dampened the ability of cells to develop the stage III phenotype. Considering these results in combination with computational models of resistance and genomic sequencing results, we postulate that stage III heritable resistance develops from a combination of both genomic mutations and modulation of one or more preexisting cellular pathways. </jats:p> The Development of Ciprofloxacin Resistance in <i>Pseudomonas aeruginosa</i> Involves Multiple Response Stages and Multiple Proteins Antimicrobial Agents and Chemotherapy
spellingShingle Su, Hsun-Cheng, Ramkissoon, Kevin, Doolittle, Janet, Clark, Martha, Khatun, Jainab, Secrest, Ashley, Wolfgang, Matthew C., Giddings, Morgan C., Antimicrobial Agents and Chemotherapy, The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins, Infectious Diseases, Pharmacology (medical), Pharmacology
title The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_full The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_fullStr The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_full_unstemmed The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_short The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
title_sort the development of ciprofloxacin resistance in <i>pseudomonas aeruginosa</i> involves multiple response stages and multiple proteins
title_unstemmed The Development of Ciprofloxacin Resistance in Pseudomonas aeruginosa Involves Multiple Response Stages and Multiple Proteins
topic Infectious Diseases, Pharmacology (medical), Pharmacology
url http://dx.doi.org/10.1128/aac.00762-10