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Gene Review

mexB  -  resistance-nodulation-cell division (RND)...

Pseudomonas aeruginosa PAO1

 
 
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Disease relevance of mexB

  • A Pseudomonas aeruginosa strain carrying an insertion of an omega Hg interposon in the mexB gene (mexB::omega Hg; strain K879) produced markedly reduced but still detectable levels of OprM, the product of the third gene of the mexAB-oprM multidrug efflux operon [1].
  • A homologue of the mexAB-oprM multidrug efflux operon of Pseudomonas aeruginosa, smeABC, was cloned from Stenotrophomonas maltophilia by using, as a probe, a PCR product amplified from this organism with primers based on the mexB sequence [2].
 

High impact information on mexB

  • One of these disruption mutants (in bmeB, the mexB homolog) was more susceptible than the parental strain to certain cephems, polypeptide antibiotics, fusidic acid, novobiocin, and puromycin [3].
  • When two halves of MexB were coexpressed from independent open reading frames, the cells lacking chromosomal mexB exhibited restored antibiotic resistance at a level close to that in the cells producing a full-length MexB [4].
  • Using isogenic emrE(Pae), mexAB-oprM, and/or mexB deletion mutants, the contributions of the EmrE protein and the MexAB-OprM efflux system to drug resistance in P. aeruginosa were assessed by a drug susceptibility test carried out in a low-ionic-strength medium, Difco nutrient broth [5].
  • Of 100 mutants that expressed wild-type levels of MexB and showed increased susceptibility to one or more of carbenicillin, chloramphenicol, nalidixic acid, and novobiocin, the mexB genes of a representative 46 were sequenced, and 19 unique single mutations were identified [6].
  • In nalB mutants, which overexpress OprM, we observed a four- to eightfold increase in the expression of mexA, mexB, and oprM genes [7].
 

Chemical compound and disease context of mexB

 

Biological context of mexB

 

Associations of mexB with chemical compounds

  • Increased transcription of mexB generally correlated well with meropenem resistance [10].
 

Other interactions of mexB

  • Furthermore, one meropenem-susceptible isolate showed significant increase in mexB transcription, but no mexR mutations [10].
 

Analytical, diagnostic and therapeutic context of mexB

  • RT-PCR showed that 10 and five isolates over-expressed mexB and mexY, respectively [11].

References

  1. Contribution of outer membrane efflux protein OprM to antibiotic resistance in Pseudomonas aeruginosa independent of MexAB. Zhao, Q., Li, X.Z., Srikumar, R., Poole, K. Antimicrob. Agents Chemother. (1998) [Pubmed]
  2. SmeC, an outer membrane multidrug efflux protein of Stenotrophomonas maltophilia. Li, X.Z., Zhang, L., Poole, K. Antimicrob. Agents Chemother. (2002) [Pubmed]
  3. Sixteen homologs of the mex-type multidrug resistance efflux pump in Bacteroides fragilis. Ueda, O., Wexler, H.M., Hirai, K., Shibata, Y., Yoshimura, F., Fujimura, S. Antimicrob. Agents Chemother. (2005) [Pubmed]
  4. Function of the MexB efflux-transporter divided into two halves. Eda, S., Yoneyama, H., Nakae, T. Biochemistry (2003) [Pubmed]
  5. Contributions of MexAB-OprM and an EmrE homolog to intrinsic resistance of Pseudomonas aeruginosa to aminoglycosides and dyes. Li, X.Z., Poole, K., Nikaido, H. Antimicrob. Agents Chemother. (2003) [Pubmed]
  6. Differential impact of MexB mutations on substrate selectivity of the MexAB-OprM multidrug efflux pump of Pseudomonas aeruginosa. Middlemiss, J.K., Poole, K. J. Bacteriol. (2004) [Pubmed]
  7. Analysis of antibiotic resistance gene expression in Pseudomonas aeruginosa by quantitative real-time-PCR. Dumas, J.L., van Delden, C., Perron, K., Köhler, T. FEMS Microbiol. Lett. (2006) [Pubmed]
  8. Meropenem susceptibility breakpoint for Pseudomonas aeruginosa strains hyperproducing mexB mRNA. Giske, C.G., Borén, C., Wretlind, B., Kronvall, G. Clin. Microbiol. Infect. (2005) [Pubmed]
  9. Nucleotide sequence analysis of a gene from Burkholderia (Pseudomonas) cepacia encoding an outer membrane lipoprotein involved in multiple antibiotic resistance. Burns, J.L., Wadsworth, C.D., Barry, J.J., Goodall, C.P. Antimicrob. Agents Chemother. (1996) [Pubmed]
  10. Carbapenem resistance mechanisms in Pseudomonas aeruginosa: alterations of porin OprD and efflux proteins do not fully explain resistance patterns observed in clinical isolates. El Amin, N., Giske, C.G., Jalal, S., Keijser, B., Kronvall, G., Wretlind, B. APMIS (2005) [Pubmed]
  11. Spread of efflux pump-overexpressing, non-metallo-beta-lactamase-producing, meropenem-resistant but ceftazidime-susceptible Pseudomonas aeruginosa in a region with blaVIM endemicity. Pournaras, S., Maniati, M., Spanakis, N., Ikonomidis, A., Tassios, P.T., Tsakris, A., Legakis, N.J., Maniatis, A.N. J. Antimicrob. Chemother. (2005) [Pubmed]
 
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