RT Journal Article T1 Cellular Response to Ciprofloxacin in Low-Level Quinolone-Resistant Escherichia coli. A1 Machuca, Jesus A1 Recacha, Esther A1 Briales, Alejandra A1 Díaz-de-Alba, Paula A1 Blazquez, Jesus A1 Pascual, Alvaro A1 Rodriguez-Martinez, Jose-Manuel K1 ciprofloxacin K1 global response K1 low-level quinolone resistance K1 sensitization K1 survival K1 transcriptomic AB Bactericidal activity of quinolones has been related to a combination of DNA fragmentation, reactive oxygen species (ROS) production and programmed cell death (PCD) systems. The underlying molecular systems responsible for reducing bactericidal effect during antimicrobial therapy in low-level quinolone resistance (LLQR) phenotypes need to be clarified. To do this and also define possible new antimicrobial targets, the transcriptome profile of isogenic Escherichia coli harboring quinolone resistance mechanisms in the presence of a clinical relevant concentration of ciprofloxacin was evaluated. A marked differential response to ciprofloxacin of either up- or downregulation was observed in LLQR strains. Multiple genes implicated in ROS modulation (related to the TCA cycle, aerobic respiration and detoxification systems) were upregulated (sdhC up to 63.5-fold) in mutants with LLQR. SOS system components were downregulated (recA up to 30.7-fold). yihE, a protective kinase coding for PCD, was also upregulated (up to 5.2-fold). SdhC inhibition sensitized LLQR phenotypes (up to ΔLog = 2.3 after 24 h). At clinically relevant concentrations of ciprofloxacin, gene expression patterns in critical systems to bacterial survival and mutant development were significantly modified in LLQR phenotypes. Chemical inhibition of SdhC (succinate dehydrogenase) validated modulation of ROS as an interesting target for bacterial sensitization. PB Frontiers Research Foundation SN 1664-302X YR 2017 FD 2017-07-19 LK http://hdl.handle.net/10668/11468 UL http://hdl.handle.net/10668/11468 LA en NO Machuca J, Recacha E, Briales A, Díaz-de-Alba P, Blazquez J, Pascual Á, et al. Cellular Response to Ciprofloxacin in Low-Level Quinolone-Resistant Escherichia coli. Front Microbiol. 2017 Jul 19;8:1370. DS RISalud RD Apr 7, 2025