erm(A)

erythromycin resistance methylase

Overview

Mechanism
target site modification
Validation Method
double-disk diffusion test
Drug Classes
erythromycin, clindamycin, azithromycin, spiramycin, macrolides, lincosamides, streptogramin b
Organisms
Streptococcus pyogenes, Enterococcus faecium, Staphylococcus aureus, Streptococcus pneumoniae, coagulase-negative staphylococci
Geographic Location
Europe|North America|Asia, Pennsylvania, San Francisco Bay area|Northern California, Spain
Alleles
3
Papers
8
Databases
Reslit
Mutations
1

Mutations

Protein ChangeNucleotide ChangeMechanismOrganismResistance ToDatabaseValidation Status
--Haemophilus influenzae
azithromycin|clarithromycin
Reslit
Candidate
Allele Variants3
AlleleDatabasePapersDrug ClassesOrganismsCountriesYearsSequence AccessionProtein Accession
erm
Reslit
1erythromycin, clindamycinStreptococcus pyogenesSan Francisco Bay area|Northern California1999--
ErmA
Reslit
4erythromycin, azithromycin +5Enterococcus faecium +4Spain, Europe|North America|Asia2000, 2003, 2005, 2023AJ243209-
Erm(A)
Reslit
2macrolides, erythromycinStreptococcus pyogenes +1Pennsylvania2002, 2004NCBI:NC_002976-
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
Source Database
Reslit
Mechanism
target site modification
Confers Resistance To
erythromycinclindamycin
Organisms Tested In
Streptococcus pyogenes
Geographic Location
San Francisco Bay area|Northern California
Validation Method
double-disk diffusion test
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
Source Database
Reslit
Confers Resistance To
erythromycinazithromycinspiramycin
Organisms Tested In
Enterococcus faecium
Geographic Location
Spain
Validation Method
PCR amplification and sequencing
Sequence Accession
AJ243209
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
Source Database
Reslit
Confers Resistance To
macrolideslincosamidesstreptogramin b
Organisms Tested In
Staphylococcus aureus
Streptococcus pneumoniae
Streptococcus pyogenes
Geographic Location
Europe|North America|Asia
Validation Method
PCR and sequencing
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
Source Database
Reslit
Mechanism
ribosomal methylation
Confers Resistance To
macrolides
Organisms Tested In
Streptococcus pyogenes
Validation Method
PCR and sequencing
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
Source Database
Reslit
Mechanism
methylation of 23S rRNA
Confers Resistance To
macrolideslincosamidesstreptogramin b
Organisms Tested In
Staphylococcus aureus
coagulase-negative staphylococci
Validation Method
PCR and disk diffusion testing
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
Source Database
Reslit
Confers Resistance To
erythromycin
Organisms Tested In
Staphylococcus aureus
Geographic Location
Pennsylvania
Validation Method
PCR and DNA sequence analysis
Sequence Accession
NCBI:NC_002976
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
Source Database
Reslit
Confers Resistance To
erythromycinclindamycin
Organisms Tested In
Staphylococcus aureus
Validation Method
PCR and disk diffusion testing
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