Dehydroepiandosterone induction of increased resistance to vancomycin in Staphylococcus aureus clinical isolates (MSSA, MRSA)

作者: B.J. Plotkin , A. Morejon , R.A. Laddaga , S.M. Viselli , J. Tjhio

DOI: 10.1111/J.1472-765X.2005.01665.X

关键词: Genotypic resistanceMicrococcaceaeVancomycinBacteriaDehydroepiandrosteroneAntibioticsAndrogenBiologyMicrobiologyStaphylococcus aureus

摘要: B.J. PLOTKIN, A. MOREJON, R.A. LADDAGA, S.M. VISELLI, J. TJHIO AND P. SCHRECKENBERGER. 2005. Aims: To investigate whether dehydroepiandosterone (DHEA), an androgen present throughout life, alters the response of Staphylococcus aureus clinical isolates to vancomycin. Methods and Results: DHEA in physiologically relevant concentrations (0AE1, 0AE5, 1AE0 5AE0 lmol l )1 ) was tested for its effect on methicillin-sensitive S. (MSSA, n ¼ 53) methicillin-resistant (MRSA, 73) vancomycin using standard protocols. Mutant selection determined by serial transfer selected (n 5). DHEA-mediated at least a fourfold increase MIC 42% MSSA 21% MRSA. For five (0AE1 0AE5 DHEA) increased levels (8 gm defined as vancomycin-intermediate resistance. Conclusion: Resistance detected only presence DHEA, not related altered generation time, indicating induction phenotypic Significance Impact Study: These findings require further investigation determine what role plays treatment failure that has been reported absence genotypic resistance or heteroresistance. 1

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