Cited by 1Mycobacterium research and diagnosisTuberculosis Research and EpidemiologyAntibiotic Resistance in Bacteria

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Ribosomal protection as a linezolid resistance mechanism in Mycobacterium abscessus

Open access

Published version of a preprint

Abstract

Mycobacterium abscessus has emerged as a significant pulmonary pathogen characterized by its resistance to most first-line antimycobacterial drugs. Recent investigations have highlighted the clinical efficacy of including the oxazolidinone antibiotic linezolid in M. abscessus combination therapies, despite moderate resistance frequently being observed in patient isolates. Even with the potential usefulness of linezolid, the mechanisms that drive linezolid resistance in M. abscessus remain poorly understood. In several bacterial pathogens, including Mycobacterium tuberculosis , ATP-binding cassette (ABC) family proteins of the F subtype (ABC-F) have been found to confer antibiotic resistance to ribosome-targeting antibiotics, including linezolid. Here, we identified an M. abscessus ABC-F protein, MAB_2736c, that causes specific resistance to antibiotics that bind the 50S ribosomal subunit, including linezolid, macrolides, and chloramphenicol. These results demonstrate that targeting ABC-F proteins could help combat intrinsic resistance to several ribosome-targeting antibiotics in mycobacteria.

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Metadata

Authors
Funck, T., McGowen, K., Sullivan, M. R., Zinga, S., Wolf, I. D., Nurjadi, D., Denkinger, C. M., & Rubin, E. J.
Affiliations
  • Harvard University (US)
  • University Hospital Schleswig-Holstein (DE)
  • University Hospital Heidelberg (DE)
Corresponding author
Rubin, Eric J.
Venue
Antimicrobial Agents and Chemotherapy
Published
2026-04-01
Volume
70
Issue
4
Pages
e0160525-e0160525
ISSN
  • 0066-4804 (ISSN-L)
  • 1098-6596
OpenAlex
W7133187841
Cited by
1
References
3
Citations by year
2026: 1
FWCI
4.63
Type
journal article
Language
en
Open access
Locations
  • Antimicrobial Agents and Chemotherapy (publishedVersion, cc-by)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • National Institutes of Health (R01AI179642)
  • National Institute of General Medical Sciences (T32GM145407, T32GM007753, T32GM144273)
  • Damon Runyon Cancer Research Foundation (DRG-2415-20)
  • Boehringer Ingelheim Fonds (MD Fellowship)
Topics
  • Health Sciences › Medicine › Epidemiology › Mycobacterium research and diagnosis
  • Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
  • Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
Keywords
Mycobacterium abscessus, linezolid resistance, ribosome-targeting antibiotics, 50S ribosomal subunit, macrolides, chloramphenicol, intrinsic antibiotic resistance, oxazolidinones

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