erm(A)

erythromycin resistance methylase

Overview

Drug Classes
erythromycin, clindamycin, azithromycin, spiramycin, macrolides, lincosamides, streptogramin b
Organisms
Streptococcus pyogenes, Enterococcus faecium, Staphylococcus aureus +2 more
Alleles
3
Papers
7
Mutations
1
Mutations1
Nucleotide ChangeProtein ChangeTypeEffect on FunctionResistance ToYearPaperStatus
A2058G---
azithromycin|clarithromycin
2003

Effects of an Efflux Mechanism and Ribosomal Mutations on Macrolide Susceptibility of Haemophilus influenzae Clinical Isolates.

PMID: 12604536
Not Validated
Allele Variants3
AllelePapersDrug ClassesOrganismsCountriesYearsStatus
erm1erythromycin, clindamycinStreptococcus pyogenesSan Francisco Bay area|Northern California1999Not Validated
ErmA4erythromycin, azithromycin +5Enterococcus faecium +4Spain, Europe|North America|Asia2000, 2003, 2005, 2023Not Validated
Erm(A)2macrolides, erythromycinStreptococcus pyogenes +1Pennsylvania2002, 2004Not Validated
Papers8
1

Characterization of antimicrobial resistance in Streptococcus pyogenes isolates from the San Francisco Bay area of northern California.

PMID 10325315 · 1999

The study identifies the presence of erm genes in erythromycin-resistant Streptococcus pyogenes isolates, which confer resistance to erythromycin and clindamycin through target site modification.

Gene Information

Gene Name
erm(A)
Allele
erm
Encodes
erythromycin resistance methylase
Validation Method
double-disk diffusion test

Mechanism

target site modification

Confers Resistance To

erythromycinclindamycin

Organisms Tested In

Streptococcus pyogenes

Isolation Details

Country
San Francisco Bay area|Northern California
2

Macrolide Resistance Genes in Enterococcus spp.

PMID 10722498 · 2000

The study identified the presence of ermB and ermA genes in various Enterococcus species, which confer resistance to macrolides, lincosamides, and streptogramins. Additionally, a novel gene, msrC, was discovered in Enterococcus faecium, which is proposed to encode a putative ABC transporter involved in macrolide resistance.

Gene Information

Gene Name
erm(A)
Allele
ErmA
Encodes
erythromycin ribosomal methylase
Validation Method
PCR amplification and sequencing

Confers Resistance To

erythromycinazithromycinspiramycin

Organisms Tested In

Enterococcus faecium

Isolation Details

Country
Spain
3

Antimicrobial Resistance Mechanisms and Molecular Detection Techniques

PMID 11585788 · 2023

The paper discusses molecular detection methods for antimicrobial resistance, focusing on genes like mecA and blaZ, which confer resistance to beta-lactam antibiotics in staphylococci.

Gene Information

Gene Name
erm(A)
Allele
ErmA
Encodes
erythromycin ribosome methylase
Validation Method
PCR and sequencing

Confers Resistance To

macrolideslincosamidesstreptogramin b

Organisms Tested In

Staphylococcus aureus
Streptococcus pneumoniae
Streptococcus pyogenes

Isolation Details

Country
Europe|North America|Asia
4

Antistreptococcal activity of telithromycin compared with seven other drugs in relation to macrolide resistance mechanisms in Russia.

PMID 12183254 · 2002

Gene Information

Gene Name
erm(A)
Allele
Erm(A)
Encodes
ribosomal methylase
Validation Method
PCR and sequencing

Mechanism

ribosomal methylation

Confers Resistance To

macrolides

Organisms Tested In

Streptococcus pyogenes
5

Practical disk diffusion method for detection of inducible clindamycin resistance in Staphylococcus aureus and coagulase-negative staphylococci.

PMID 14532213 · 2003

The study identifies and characterizes the genes ermA, ermC, and msrA responsible for inducible and constitutive clindamycin resistance in Staphylococcus aureus and coagulase-negative staphylococci using PCR and disk diffusion testing.

Gene Information

Gene Name
erm(A)
Allele
ErmA
Encodes
ribosomal methylase
Validation Method
PCR and disk diffusion testing

Mechanism

methylation of 23S rRNA

Confers Resistance To

macrolideslincosamidesstreptogramin b

Organisms Tested In

Staphylococcus aureus
coagulase-negative staphylococci
6

Vancomycin-resistant Staphylococcus aureus isolate from a patient in Pennsylvania.

PMID 14693550 · 2004

The study reports the second VRSA isolate in the United States, which contains the vanA gene responsible for vancomycin resistance and other resistance genes such as mecA, erm(A), and aac(6')-aph(2").

Gene Information

Gene Name
erm(A)
Allele
Erm(A)
Encodes
erythromycin resistance determinant
Validation Method
PCR and DNA sequence analysis

Confers Resistance To

erythromycin

Organisms Tested In

Staphylococcus aureus

Isolation Details

Country
Pennsylvania
7

Testing for induction of clindamycin resistance in erythromycin-resistant isolates of Staphylococcus aureus.

PMID 15814990 · 2005

The study identifies ermA, ermC, and msrA as genes responsible for clindamycin resistance in erythromycin-resistant Staphylococcus aureus isolates, with distinct phenotypes observed in disk diffusion testing.

Gene Information

Gene Name
erm(A)
Allele
ErmA
Encodes
ribosomal RNA methylase
Validation Method
PCR and disk diffusion testing

Confers Resistance To

erythromycinclindamycin

Organisms Tested In

Staphylococcus aureus
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