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Collateral Sensitivity to Fosfomycin of Tobramycin-Resistant Mutants of Is Contingent on Bacterial Genomic Background. | LitMetric

AI Article Synopsis

Article Abstract

Understanding the consequences in bacterial physiology of the acquisition of drug resistance is needed to identify and exploit the weaknesses derived from it. One of them is collateral sensitivity, a potentially exploitable phenotype that, unfortunately, is not always conserved among different isolates. The identification of robust, conserved collateral sensitivity patterns is then relevant for the translation of this knowledge into clinical practice. We have previously identified a robust fosfomycin collateral sensitivity pattern of that emerged in different tobramycin-resistant clones. To go one step further, here, we studied if the acquisition of resistance to tobramycin is associated with robust collateral sensitivity to fosfomycin among isolates. To that aim, we analyzed, using adaptive laboratory evolution approaches, 23 different clinical isolates of presenting diverse mutational resistomes. Nine of them showed collateral sensitivity to fosfomycin, indicating that this phenotype is contingent on the genetic background. Interestingly, collateral sensitivity to fosfomycin was linked to a larger increase in tobramycin minimal inhibitory concentration. Further, we unveiled that low expression, rendering a higher intracellular accumulation of fosfomycin, and a reduction in the expression of the alternative peptidoglycan-recycling pathway enzymes, might be on the basis of the collateral sensitivity phenotype.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10138353PMC
http://dx.doi.org/10.3390/ijms24086892DOI Listing

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