Expression of adeFGH was not the cause of resistance in the clinical isolates of MDR A. baumannii, DB and R2. This method allows the impact of each efflux system on antimicrobial resistance to be clearly defined. Methods Bacterial strains, plasmids and LY2603618 cost culture conditions Bacterial strains and plasmids used in this study are listed in Table  3. Acinetobacter baumannii R2 (TTSH6013 654325/06) and DB (DB15354/07) were clinical isolates from a collection by the Network for Antimicrobial Resistance Surveillance, Singapore. According to the interim standard find more definitions for acquired resistance, both DB and R2 are classified as MDR as they are

non-susceptible to ≥1 agent in ≥3 antimicrobial categories (aminoglycosides, fluoroquinolones, carbapenems, tetracycline, extended spectrum cephalosporins, folate pathway inhibitors) [17]. DB and R2 carry and express bla OXA-23-like and bla OXA-51-like, do not carry bla OXA-24-like and bla OXA-58-like (data not shown). A. baumannii and E. coli were cultured under aerobic conditions at 37°C in Luria-Bertani Miller (LB) agar or LB broth (Becton Dickinson, Cockeysville, U.S.A.). Antibiotics used were at the following concentrations for E. coli: kanamycin, 10 mg/L; tellurite

6 mg/L; and for A. baumannii: tellurite, 30 mg/L. Table 3 List of bacterial strains and plasmids used in this study Strain or plasmid Relevant characteristics Reference or source A. baumannii strains     R2 Wild-type clinical MDR isolate TTSH6013 624325/06 Network for Antimicrobial Resistance Surveillance (Singapore) Apoptosis Compound Library research buy DB Wild-type clinical MDR isolate DB15354/07 Network for Antimicrobial Resistance Surveillance (Singapore) R2ΔadeFGH Sucrase R2 with deletion in adeFGH operon This study R2ΔadeIJK R2 with deletion in adeIJK operon This study R2ΔadeFGHΔadeIJK R2 with deletion in adeFGH and adeIJK operons This study DBΔadeFGH DB with deletion in adeFGH operon This

study DBΔadeIJK DB with deletion in adeIJK operon This study DBΔadeFGHΔadeIJK DB with deletion in adeFGH and adeIJK operons This study E. coli strains     DH5α F– Φ80lacZΔM15 Δ(lacZYA-argF) U169 recA1 endA1 hsdR17 phoA supE44 λ– thi-1 gyrA96 relA1 Invitrogen S17-1 Genotype: recA pro hsdR RP4-2-Tc::Mu-Km::Tn7, GmS [16] Plasmids     pMo130 Suicide plasmid, xylE +, sacB +, KmR [8] pwFRT-TelR Donor of tellurite resistance cassette [10] pMo130-TelR pMo130 plasmid containing 3.26 kb XmaI-digested tellurite-resistance cassette from pwFRT-TelR This study pMo130-TelR-P8(UP/DWN) pMo130-TelR containing a 1 kb UP fragment (promoterless adeL) and 1 kb DOWN fragment (3’ partial adeH) This study pMo130-TelR-adeJ(Up/Down) pMo130-TelR containing a 1 kb UP fragment (5’ partial adeI) and 0.9 kb DOWN fragment (3’ partial adeK) This study DNA manipulations Bacterial genomic DNA was extracted using a rapid procedure described by Pitcher et al[18].