Journal Article

Overexpression of the multidrug efflux pump SmeDEF impairs <i>Stenotrophomonas maltophilia</i> physiology

Ana Alonso, Gracia Morales, Ricardo Escalante, Ester Campanario, Leandro Sastre and Jose L. Martinez

in Journal of Antimicrobial Chemotherapy

Published on behalf of British Society for Antimicrobial Chemotherapy

Volume 53, issue 3, pages 432-434
Published in print March 2004 | ISSN: 0305-7453
Published online March 2004 | e-ISSN: 1460-2091 | DOI:
Overexpression of the multidrug efflux pump SmeDEF impairs Stenotrophomonas maltophilia physiology

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  • Medical Oncology
  • Critical Care


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Objectives: The use of antibiotics for the treatment of infectious diseases has led to important changes in the structure of pathogenic bacterial populations. However, these changes could be buffered if the expression of antibiotic resistance genes were to lead to the counter-selection of antibiotic-resistant strains in antibiotic-free environments. To test the effect of antibiotic resistance on bacterial fitness, we analysed the effect of the overproduction of the multidrug efflux pump SmeDEF on the physiology of Stenotrophomonas maltophilia. SmeDEF confers resistance to antibiotics belonging to different structural families, and its overexpression is associated with an antibiotic resistance phenotype in clinical isolates of S. maltophilia.

Results: Two S. maltophilia isogenic strains were analysed: the wild-type strain D457 and strain D457R, which is a SmeDEF overproducer. In co-culture experiments, under non-selective pressure the wild-type strain displaced the mutant strain D457R. Metabolic profiling showed that SmeDEF overproduction leads to several changes in S. maltophilia metabolism. Using a Dictyostelium discoideum model of bacterial virulence, we found overexpression of SmeDEF to be associated with a reduction in S. maltophilia virulence.

Conclusions: Together, these data indicate that overexpression of the multidrug efflux pump SmeDEF causes a metabolic burden for S. maltophilia.

Keywords: Keywords: antibiotic resistance, S. maltophilia, MDR, bacterial fitness, metabolic profiling, virulence

Journal Article.  2205 words.  Illustrated.

Subjects: Medical Oncology ; Critical Care

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