4.7 Article

Novel Plasmid-Mediated tet(X5) Gene Conferring Resistance to Tigecycline, Eravacycline, and Omadacycline in a Clinical Acinetobacter baumannii Isolate

Journal

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY
Volume 64, Issue 1, Pages -

Publisher

AMER SOC MICROBIOLOGY
DOI: 10.1128/AAC.01326-19

Keywords

tigecycline; tet(X5); Acinetobacter baumannii

Funding

  1. National Key Research and Development Program of China [2018YFD0500300]
  2. National Natural Science Foundation of China [81572033, 31930110, 81661138002]
  3. Medical Research Council [MR/P007295/1, DETER-XDRE-CHINA-HUB (MRC MR/S013768/1)]
  4. BBSRC [BB/R012776/1] Funding Source: UKRI
  5. MRC [G1100135, MR/N028317/1, MR/P007295/1, MR/S013768/1] Funding Source: UKRI

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A novel, plasmid-mediated, high-level tigecycline resistance tet(X) gene variant, tet(X5), was detected in a clinical Acinetobacter baumannii isolate from China in 2017. Tet(X5) shows 84.5% and 90.5% amino acid identity to Tet(X3) and Tet(X4), respectively, with similar binding sites and a comparable affinity for tetracyclines. The tet(X5)-containing plasmid could only be transferred to A. baumannii via electro-transformation. This report follows the recent study describing the identification of tet(X3) and tet(X4).

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