mef(En2)

macrolide efflux pump

Overview

Drug Classes
macrolides, erythromycin
Organisms
Streptococcus pneumoniae, Bacteroides thetaiotaomicron
Alleles
3
Papers
9
Allele Variants3
AllelePapersDrug ClassesOrganismsCountriesYearsStatus
mefE3macrolidesStreptococcus pneumoniaeAlabama|South Carolina|Tennessee, Europe|North America|Asia2000, 2005, 2023Not Validated
mefE N21erythromycinBacteroides thetaiotaomicron-2000Not Validated
mef(E)5erythromycin, macrolidesStreptococcus pneumoniaeItaly, North America|Europe|Africa|Asia, Canada2003, 2004, 2005Not Validated
Papers9
1

Use of clindamycin disks To detect macrolide resistance mediated by ermB and mefE in Streptococcus pneumoniae isolates from adults and children.

PMID 10790089 · 2000

The study identified ermB and mefE as major mechanisms of macrolide resistance in Streptococcus pneumoniae, with ermB causing high-level resistance to clindamycin and macrolides, while mefE conferred lower-level resistance to macrolides but susceptibility to clindamycin.

Gene Information

Gene Name
mef(En2)
Allele
mefE
Encodes
macrolide efflux pump
Validation Method
PCR and MIC testing

Mechanism

efflux

Confers Resistance To

macrolides

Organisms Tested In

Streptococcus pneumoniae

Isolation Details

Country
Alabama|South Carolina|Tennessee
2

Characterization of a Bacteroides mobilizable transposon, NBU2, which carries a functional lincomycin resistance gene.

PMID 10852890 · 2000

The study identifies linA N2 and mefE N2 as functional lincomycin and macrolide resistance genes carried by the Bacteroides mobilizable transposon NBU2.

Gene Information

Gene Name
mef(En2)
Allele
mefE N2
Encodes
macrolide resistance protein
Validation Method
expression in Bacteroides thetaiotaomicron and MIC testing

Confers Resistance To

erythromycin

Organisms Tested In

Bacteroides thetaiotaomicron
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
mef(En2)
Allele
mefE
Encodes
macrolide efflux pump
Validation Method
PCR and sequencing

Confers Resistance To

macrolides

Organisms Tested In

Streptococcus pneumoniae

Isolation Details

Country
Europe|North America|Asia
4

Phenotypic and molecular characterization of tetracycline- and erythromycin-resistant strains of Streptococcus pneumoniae.

PMID 12821474 · 2003

The study identified tet(M), erm(B), mef(A), and mef(E) as the primary genes responsible for tetracycline and erythromycin resistance in Streptococcus pneumoniae strains.

Gene Information

Gene Name
mef(En2)
Allele
mef(E)
Encodes
macrolide efflux pump
Validation Method
PCR and MIC testing

Confers Resistance To

erythromycin

Organisms Tested In

Streptococcus pneumoniae

Isolation Details

Country
Italy
5

Tn2009, a Tn916-like element containing mef(E) in Streptococcus pneumoniae.

PMID 15155196 · 2004

The study identifies Tn2009, a composite transposon containing the macrolide efflux gene mef(E) and the tetracycline resistance gene tet(M) in Streptococcus pneumoniae.

Gene Information

Gene Name
mef(En2)
Allele
mef(E)
Encodes
macrolide efflux pump
Validation Method
PCR and sequencing

Confers Resistance To

erythromycin

Organisms Tested In

Streptococcus pneumoniae
6

Characterization and prevalence of MefA, MefE, and the associated msr(D) gene in Streptococcus pneumoniae clinical isolates.

PMID 15297499 · 2004

The study characterizes the MefA, MefE, and msr(D) genes in Streptococcus pneumoniae clinical isolates, demonstrating that these genes confer resistance to macrolides and ketolides. The msr(D) gene was shown to function independently as an efflux pump.

Gene Information

Gene Name
mef(En2)
Allele
mef(E)
Encodes
efflux pump
Validation Method
transformation into a susceptible strain and MIC testing

Confers Resistance To

erythromycin

Organisms Tested In

Streptococcus pneumoniae

Isolation Details

Country
North America|Europe|Africa|Asia
7

Pharmacodynamic activity of telithromycin at simulated clinically achievable free-drug concentrations in serum and epithelial lining fluid against efflux (mefE)-producing macrolide-resistant Streptococcus pneumoniae for which telithromycin MICs vary.

PMID 15855517 · 2005

The study characterizes the mefE gene, which encodes an efflux pump responsible for macrolide resistance in Streptococcus pneumoniae. Telithromycin was effective against mefE-producing strains with MICs up to 0.25 μg/ml in serum and 1 μg/ml in epithelial lining fluid.

Gene Information

Gene Name
mef(En2)
Allele
mefE
Encodes
efflux pump
Validation Method
PCR and MIC testing

Confers Resistance To

macrolides

Organisms Tested In

Streptococcus pneumoniae
8

Expression of the mef(E) Gene Encoding the Macrolide Efflux Pump Protein Increases in Streptococcus pneumoniae with Increasing Resistance to Macrolides.

PMID 16251306 · 2005

The study shows that increased expression of the mef(E) gene is associated with higher levels of macrolide resistance in Streptococcus pneumoniae.

Gene Information

Gene Name
mef(En2)
Allele
mef(E)
Encodes
macrolide efflux pump protein
Validation Method
expression analysis and MIC testing

Confers Resistance To

macrolides

Organisms Tested In

Streptococcus pneumoniae

Isolation Details

Country
Canada
9

Molecular characterization of pneumococci with efflux-mediated erythromycin resistance and identification of a novel mef gene subclass, mef(I).

PMID 16304164 · 2005

The study identified a novel mef gene subclass, mef(I), in pneumococci with efflux-mediated erythromycin resistance. It also characterized the presence of tet(M) and tet(O) genes contributing to tetracycline resistance in certain isolates.

Gene Information

Gene Name
mef(En2)
Allele
mef(E)
Encodes
efflux pump
Validation Method
PCR-RFLP analysis and sequencing

Confers Resistance To

erythromycin

Organisms Tested In

Streptococcus pneumoniae

Isolation Details

Country
Italy
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