mSystems (Jun 2021)

Evolutionary Trajectory of the Tet(X) Family: Critical Residue Changes towards High-Level Tigecycline Resistance

  • Chao-Yue Cui,
  • Qian He,
  • Qiu-Lin Jia,
  • Cang Li,
  • Chong Chen,
  • Xiao-Ting Wu,
  • Xiao-Jing Zhang,
  • Zhuo-Yu Lin,
  • Zi-Jian Zheng,
  • Xiao-Ping Liao,
  • Barry N. Kreiswirth,
  • Ya-Hong Liu,
  • Liang Chen,
  • Jian Sun

DOI
https://doi.org/10.1128/mSystems.00050-21
Journal volume & issue
Vol. 6, no. 3

Abstract

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The newly emerged tigecycline-inactivating enzymes Tet(X3) and Tet(X4), which are associated with high-level tigecycline resistance, demonstrated significantly higher activities in comparison to that of the prototypical Tet(X) enzyme, threatening the clinical efficacy of tigecycline as a last-resort antibiotic to treat multidrug-resistant (MDR) Gram-negative bacterial infections. However, the molecular mechanisms leading to high-level tigecycline resistance remain elusive.