Abstract
Cefquinome (CEQ) is a novel β-lactam antibiotic that exhibits
excellent antibacterial activity against Staphylococcus aureus.
However, the bacterial protein targets of CEQ are unclear.
To evaluate the relationship between the pharmacokinetic/
pharmacodynamic (PK/PD) parameters of CEQ and strains
with varying degrees of resistance and to elucidate bacterial
protein responses to CEQ treatment, label-free quantitative
proteomics analysis was conducted. The sensitive S. aureus
ATCC6538 and the resistant 2MIC and 8MIC were tested for
differentially expressed proteins. An in vitro model was treated
with different concentrations of CEQ (3, 5, or 10 μg/ml) with
different terminal half-lives (2.5 or 5 h) at different intervals
(12 or 24 h). Differentially expressed proteins were evaluated
using Gene Ontology analysis followed by KEGG pathway enrichment
analysis and STRING network analysis. RT-qPCR
was performed to validate the differentially expressed proteins
at the molecular level. The results showed that the degree of
resistance increased in a cumulative manner and increased
gradually with the extension of administration time. The resistant
strain would not have appeared in the model only if
%T > mutant prevention concentration ≥ 50%. The expression
of 45 proteins significantly changed following CEQ treatment,
among which 42 proteins were obviously upregulated
and 3 were downregulated. GO analysis revealed that the differentially
expressed proteins were mainly present on cells and
the cell membrane, participated in metabolic and intracellular
processes, and had catalytic and binding activities. The RPSO,
SDHB, CITZ, ADK, and SAOUHSC 00113 genes in S. aureus
may play important roles in the development of resistance
to CEQ. These results provided important reference candidate
proteins as targets for overcoming S. aureus resistance
to CEQ.
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