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邵圣文. 内膜泵蛋白影响淋球菌对环丙沙星的耐药水平[J]. 中国公共卫生, 2005, 21(4): 425-426. DOI: 10.11847/zgggws2005-21-04-25
引用本文: 邵圣文. 内膜泵蛋白影响淋球菌对环丙沙星的耐药水平[J]. 中国公共卫生, 2005, 21(4): 425-426. DOI: 10.11847/zgggws2005-21-04-25
SHAO Shengwen. Effects of efflux pump proteins in inner membrane of gonococci on ciprofloxacin resistance level[J]. Chinese Journal of Public Health, 2005, 21(4): 425-426. DOI: 10.11847/zgggws2005-21-04-25
Citation: SHAO Shengwen. Effects of efflux pump proteins in inner membrane of gonococci on ciprofloxacin resistance level[J]. Chinese Journal of Public Health, 2005, 21(4): 425-426. DOI: 10.11847/zgggws2005-21-04-25

内膜泵蛋白影响淋球菌对环丙沙星的耐药水平

Effects of efflux pump proteins in inner membrane of gonococci on ciprofloxacin resistance level

  • 摘要:
      目的   探讨淋球菌内膜泵蛋白同环丙沙星(CIP)耐药的关系.
      方法   利用NaN3阻断泵蛋白, 分别测定未加入NaN3时和加入NaN3后淋球菌对环丙沙星的吸收和积累量.
      结果   淋球菌对CIP的吸收有一定的极限, 敏感组和耐药组的吸收极限分别介于70~110ng和20~55ng之间.未加入NaN3时, 敏感组CIP积累量为94.2ng, 明显高于耐药组的39.4ng(P < 0.01).加入NaN3后, 耐药组CIP积累量由394ng上升到78ng(P < 0.05), 该水平与未加入NaN3时敏感组比差异无统计学意义(P > 0.05).加入NaN3后, 敏感组CIP积累量为95ng, 与未加入NaN3时比较无明显改变(P > 0.05).6株敏感菌内膜上均没有泵蛋白, 4株高水平耐药菌有泵蛋白, 2株低水平耐药菌没有泵蛋白.
      结论   淋球菌内膜泵蛋白主动泵出CIP, 导致菌体内CIP积累量不足, 这是引起淋球菌对CIP高水平耐药的重要因素; NaN3可以阻断泵蛋白泵出CIP.

     

    Abstract:
      Objective   Tofind the relationship betw een effluxpump proteins in the inner membrane and gonoco cci resis tance to ciprofloxacin.
      Methods   NaN3 was used as an inhibitor to effluxpump proteins, and the quantity of ciprofloxacin up take and accumulation in gonococci were determined under twokinds of situation, with NaN3 and without NaN3, respectively.
      Results   The quantity of ciprofloxacin uptake in gonococci was limited, and the limitation of ciprofloxacin-susceptible and ciprofloxacin-resistant gonococci were 70-110ng and 20-55ng, respectively.Without NaN3, the quantity of ciprofloxacin accumulation in ciprofloxacin-suscept ible gonococci was 94.2ng, which was sig nificiently more than 39.4ng in ciprofloxacin-resistant g onococci(P < 0.01);After NaN3 was added, the former was 95ng, nodifferent from that without NaN3(P > 0.05), but the latter increased to 78ng, obviously more than that without NaN3(P < 0.05), and it was no different from that in ciprofloxacin-susceptible gonococci without NaN3(P > 0.05).There were no effluxpump proteins in the inner membrane among 6 strains ciprofloxacin-susceptible gonococci and among 2 strains lo wlevel ciprofloxacin-resistant gonococci.Effluxpump proteins exsited in the inner membrane among 4 strains high level ciprofloxacin-resistant gonococci.
      Conclusion   The effluxpump could actively tranfer ciprofloxacin out of gonococci cytoplasm, the quantity of ciprofloxacin accumulation in cytoplasm reduced, which was an impor tant factorof gonococci high level resistance to ciprofloxacin.NaN3 could inhibit those function of effluxpump.

     

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