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Mechanisms of Resistance to Macrolide Antibiotics among Staphylococcus aureus
Abstract
Methicillin resistant Staphylococcus aureus strains pose a serious treatment problem because of their multi-drug resistance (MDR). In staphylococcal strains, resistance to macrolides, lincosamides, and streptogramin B (MLSB) correlates with resistance to methicillin. The rapid transmission of erm genes responsible for MLSB resistance has strongly limited the clinical application of traditional macrolides such as erythromycin. On the other hand, in the age of increasing insensitivity to antibiotics the idea of implementing a therapy based on older generation drugs brings hope that the spread of antibiotic resistance will be limited. A thorough understanding of the resistance mechanisms contributes to design of antibiotics that avoid bacterial insensitivity. This review highlights the mechanisms of action of macrolides and mechanism of resistance to these antibiotics among Staphylococcus aureus.
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“The most common resistance mechanism involves methylation of the 23S rRNA component of the 50S ribosome, encoded by the erm(A) and erm(C) genes, which confer resistance to macrolides, lincosamides, and streptogramin B (MLS_B resistance) by preventing macrolide binding [262,263,264,265,266].”
From Staphylococcus aureus: A Review of the Pathogenesis and Virulence Mechanisms (2025) · cites this paper as [265]
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Translation and Protein Synthesis: Macrolides
Katz, L., & Ashley, G. W. (2005) · Chemical Reviews · doi:10.1021/cr030107f · Cited by 177
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Cited by
Staphylococcus aureus: A Review of the Pathogenesis and Virulence Mechanisms
Touaitia, R., Mairi, A., Ibrahim, N. A., Basher, N. S., Idres, T., & Touati, A. (2025) · Antibiotics · doi:10.3390/antibiotics14050470 · Cited by 273
Metadata
- Authors
- Miklasińska-Majdanik, M.
- Venue
- Antibiotics
- Publisher
- MDPI AG
- Published
- 2021-11-17
- Volume
- 10
- Issue
- 11
- Pages
- 1406
- ISSN
- 2079-6382
- Cited by
- 122
- References
- 2
- Language
- en
- Funders
- Medical University of Silesia (PCN-1-058/N/0/I)
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