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Human Antimicrobial Peptide LL-37 Induces MefE/Mel-mediated Macrolide Resistance in Streptococcus Pneumoniae

Overview
Specialty Pharmacology
Date 2010 May 26
PMID 20498319
Citations 33
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Abstract

Macrolide resistance is a major concern in the treatment of Streptococcus pneumoniae. Inducible macrolide resistance in this pneumococcus is mediated by the efflux pump MefE/Mel. We show here that the human antimicrobial peptide LL-37 induces the mefE promoter and confers resistance to erythromycin and LL-37. Such induction may impact the efficacy of host defenses and of macrolide-based treatment of pneumococcal disease.

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References
1.
Lai Y, Gallo R . AMPed up immunity: how antimicrobial peptides have multiple roles in immune defense. Trends Immunol. 2009; 30(3):131-41. PMC: 2765035. DOI: 10.1016/j.it.2008.12.003. View

2.
Fogarty C, Goldschmidt R, Bush K . Bacteremic pneumonia due to multidrug-resistant pneumococci in 3 patients treated unsuccessfully with azithromycin and successfully with levofloxacin. Clin Infect Dis. 2000; 31(2):613-5. DOI: 10.1086/313976. View

3.
Daneman N, McGeer A, Green K, Low D . Macrolide resistance in bacteremic pneumococcal disease: implications for patient management. Clin Infect Dis. 2006; 43(4):432-8. DOI: 10.1086/505871. View

4.
Kelley M, Weber D, Gilligan P, Cohen M . Breakthrough pneumococcal bacteremia in patients being treated with azithromycin and clarithromycin. Clin Infect Dis. 2000; 31(4):1008-11. DOI: 10.1086/318157. View

5.
Lee H, Andalibi A, Webster P, Moon S, Teufert K, Kang S . Antimicrobial activity of innate immune molecules against Streptococcus pneumoniae, Moraxella catarrhalis and nontypeable Haemophilus influenzae. BMC Infect Dis. 2004; 4:12. PMC: 428576. DOI: 10.1186/1471-2334-4-12. View