Ketolides lack inducibility properties of MLS(B) resistance phenotype

J Antimicrob Chemother. 1997 Jul;40(1):85-90. doi: 10.1093/jac/40.1.85.

Abstract

Ketolides belong to a new class of semi-synthetic 14-membered-ring macrolides, which differ from erythromycin A by having a 3-keto group instead of the neutral sugar L-cladinose. The ability of these molecules and their L-cladinose counterparts to induce MLS(B) resistance in staphylococci (one strain) and streptococci (two strains) was investigated using a disc agar susceptibility method as well as measuring induction kinetics. All 14- and 15-membered ring macrolides tested showed inducing activity. In contrast, ketolides were clearly unable to induce MLS(B) resistance, a result consistent with the high in-vitro activity of this new class of antibiotics against erythromycin A-inducible resistant bacteria.

Publication types

  • Comparative Study

MeSH terms

  • Anti-Bacterial Agents / chemistry
  • Anti-Bacterial Agents / pharmacology*
  • Drug Resistance, Microbial
  • Erythromycin / pharmacology
  • Ketolides*
  • Kinetics
  • Macrolides*
  • Microbial Sensitivity Tests / methods
  • Phenotype
  • Staphylococcus aureus / drug effects*
  • Streptococcus / drug effects*

Substances

  • Anti-Bacterial Agents
  • Ketolides
  • Macrolides
  • RU 64004
  • Erythromycin