ruleID organism gene nodeID refseq accession GenBank accession HMM accession ARO accession mutation variation type context drug drug class phenotype clinical category breakpoint breakpoint standard PMID evidence code evidence grade evidence limitations rule curation note EFC0001 s__Enterococcus faecalis pbp4 - WP_070676928.1 - - - - Gene presence detected core ceftriaxone - wildtype R not applicable not applicable "32041714, 14973044" "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "The native pbp5 sequence in E. faecalis is responsible for intrinsic cephalosporin resistance, mutations in this protein are known to alter beta-lactam resistance profiles, e.g. increase resistance to ampicillin. In Enterococcus faecalis, class B PBP5 mediates intrinsic resistance to the cephalosporin class of _-lactam antibiotics. According to 32041714, ""As expected (15), the _pbp5 mutant exhibited a substantial loss of resistance to cephalosporins, including representative 2nd-, 3rd-, 4th-, and 5th-generation cephalosporins (cefuroxime, ceftriaxone, cefepime, and ceftaroline, respectively; Table 1)."" 14973044: ""E. faecalis JH2-2 was highly resistant to the expanded-spectrum cephalosporin ceftriaxone, and deletion of pbp5 led to a 4,000-fold reduction in the MIC of this drug (Table 2). [...] The pbp5 gene of E. faecalis JH2-2 cloned under the control of the aphA-3p promoter of the shuttle vector pNJ2 (Fig. 1B) restored wild-type _-lactam resistance in JH2-2 _pbp5.""" EFC0002 s__Enterococcus faecalis pbp4 - WP_070676928.1 - - - - Gene presence detected core cefuroxime - wildtype R not applicable not applicable "32041714, 14973044" "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "The native pbp5 sequence in E. faecalis is responsible for intrinsic cephalosporin resistance, mutations in this protein are known to alter beta-lactam resistance profiles, e.g. increase resistance to ampicillin. In Enterococcus faecalis, class B PBP5 mediates intrinsic resistance to the cephalosporin class of _-lactam antibiotics. According to 32041714, ""As expected (15), the _pbp5 mutant exhibited a substantial loss of resistance to cephalosporins, including representative 2nd-, 3rd-, 4th-, and 5th-generation cephalosporins (cefuroxime, ceftriaxone, cefepime, and ceftaroline, respectively; Table 1)."" 14973044: ""E. faecalis JH2-2 was highly resistant to the expanded-spectrum cephalosporin ceftriaxone, and deletion of pbp5 led to a 4,000-fold reduction in the MIC of this drug (Table 2). [...] The pbp5 gene of E. faecalis JH2-2 cloned under the control of the aphA-3p promoter of the shuttle vector pNJ2 (Fig. 1B) restored wild-type _-lactam resistance in JH2-2 _pbp5.""" EFC0003 s__Enterococcus faecalis pbp4 - WP_070676928.1 - - - - Gene presence detected core cefepime - wildtype R not applicable not applicable "32041714, 14973044" "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "The native pbp5 sequence in E. faecalis is responsible for intrinsic cephalosporin resistance, mutations in this protein are known to alter beta-lactam resistance profiles, e.g. increase resistance to ampicillin. In Enterococcus faecalis, class B PBP5 mediates intrinsic resistance to the cephalosporin class of _-lactam antibiotics. According to 32041714, ""As expected (15), the _pbp5 mutant exhibited a substantial loss of resistance to cephalosporins, including representative 2nd-, 3rd-, 4th-, and 5th-generation cephalosporins (cefuroxime, ceftriaxone, cefepime, and ceftaroline, respectively; Table 1)."" 14973044: ""E. faecalis JH2-2 was highly resistant to the expanded-spectrum cephalosporin ceftriaxone, and deletion of pbp5 led to a 4,000-fold reduction in the MIC of this drug (Table 2). [...] The pbp5 gene of E. faecalis JH2-2 cloned under the control of the aphA-3p promoter of the shuttle vector pNJ2 (Fig. 1B) restored wild-type _-lactam resistance in JH2-2 _pbp5.""" EFC0004 s__Enterococcus faecalis pbp4 - WP_070676928.1 - - - - Gene presence detected core ceftaroline - wildtype R not applicable not applicable "32041714, 14973044" "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "The native pbp5 sequence in E. faecalis is responsible for intrinsic cephalosporin resistance, mutations in this protein are known to alter beta-lactam resistance profiles, e.g. increase resistance to ampicillin. In Enterococcus faecalis, class B PBP5 mediates intrinsic resistance to the cephalosporin class of _-lactam antibiotics. According to 32041714, ""As expected (15), the _pbp5 mutant exhibited a substantial loss of resistance to cephalosporins, including representative 2nd-, 3rd-, 4th-, and 5th-generation cephalosporins (cefuroxime, ceftriaxone, cefepime, and ceftaroline, respectively; Table 1)."" 14973044: ""E. faecalis JH2-2 was highly resistant to the expanded-spectrum cephalosporin ceftriaxone, and deletion of pbp5 led to a 4,000-fold reduction in the MIC of this drug (Table 2). [...] The pbp5 gene of E. faecalis JH2-2 cloned under the control of the aphA-3p promoter of the shuttle vector pNJ2 (Fig. 1B) restored wild-type _-lactam resistance in JH2-2 _pbp5.""" EFC0005 s__Enterococcus faecalis pbpA - - AEA94845.1 - - - Gene presence detected core ceftriaxone - wildtype R not applicable not applicable 32041714 ECO:0001091 knockout phenotypic evidence strong "32041714: ""Analysis of the _pbpA mutants from both lineages of E. faecalis revealed a substantial loss of resistance to representative 2nd-, 3rd-, 4th-, and 5th-generation cephalosporins, similar to the phenotype of the _pbp5 mutant, that was complemented by ectopic expression of pbpA (Table 1). Immunoblotting verified that the defect of the _pbpA mutant is not due to loss of Pbp5(4) expression in the _pbpA mutant (Fig. S4), indicating that both bPBPs are therefore required for enterococcal cephalosporin resistance. As with the _pbp5 mutant, the defects of the _pbpA mutant were largely specific to cephalosporins, as no changes in resistance were observed for ampicillin, bacitracin, or gentamicin.""" EFC0006 s__Enterococcus faecalis pbpA - - AEA94845.1 - - - Gene presence detected core cefuroxime - wildtype R not applicable not applicable 32041714 ECO:0001091 knockout phenotypic evidence strong "32041714: ""Analysis of the _pbpA mutants from both lineages of E. faecalis revealed a substantial loss of resistance to representative 2nd-, 3rd-, 4th-, and 5th-generation cephalosporins, similar to the phenotype of the _pbp5 mutant, that was complemented by ectopic expression of pbpA (Table 1). Immunoblotting verified that the defect of the _pbpA mutant is not due to loss of Pbp5(4) expression in the _pbpA mutant (Fig. S4), indicating that both bPBPs are therefore required for enterococcal cephalosporin resistance. As with the _pbp5 mutant, the defects of the _pbpA mutant were largely specific to cephalosporins, as no changes in resistance were observed for ampicillin, bacitracin, or gentamicin.""" EFC0007 s__Enterococcus faecalis pbpA - - AEA94845.1 - - - Gene presence detected core cefepime - wildtype R not applicable not applicable 32041714 ECO:0001091 knockout phenotypic evidence strong "32041714: ""Analysis of the _pbpA mutants from both lineages of E. faecalis revealed a substantial loss of resistance to representative 2nd-, 3rd-, 4th-, and 5th-generation cephalosporins, similar to the phenotype of the _pbp5 mutant, that was complemented by ectopic expression of pbpA (Table 1). Immunoblotting verified that the defect of the _pbpA mutant is not due to loss of Pbp5(4) expression in the _pbpA mutant (Fig. S4), indicating that both bPBPs are therefore required for enterococcal cephalosporin resistance. As with the _pbp5 mutant, the defects of the _pbpA mutant were largely specific to cephalosporins, as no changes in resistance were observed for ampicillin, bacitracin, or gentamicin.""" EFC0008 s__Enterococcus faecalis pbpA - - AEA94845.1 - - - Gene presence detected core ceftaroline - wildtype R not applicable not applicable 32041714 ECO:0001091 knockout phenotypic evidence strong "32041714: ""Analysis of the _pbpA mutants from both lineages of E. faecalis revealed a substantial loss of resistance to representative 2nd-, 3rd-, 4th-, and 5th-generation cephalosporins, similar to the phenotype of the _pbp5 mutant, that was complemented by ectopic expression of pbpA (Table 1). Immunoblotting verified that the defect of the _pbpA mutant is not due to loss of Pbp5(4) expression in the _pbpA mutant (Fig. S4), indicating that both bPBPs are therefore required for enterococcal cephalosporin resistance. As with the _pbp5 mutant, the defects of the _pbpA mutant were largely specific to cephalosporins, as no changes in resistance were observed for ampicillin, bacitracin, or gentamicin.""" EFC0009 s__Enterococcus faecalis pbpF - - AAO80501.1 - - - Gene presence detected core ceftriaxone - wildtype R not applicable not applicable 19304851 ECO:0001091 knockout phenotypic evidence strong "Pbp5 is the main determinant of cephalosporin resistance in E. faecalis but it needs to cooperate with the glycosyltransferase domain of specific class A PBPs (PbpF or PonA) for peptidoglycan polymerization in the presence of cephalosporins (i.e. resistance phenotype). 14973044: ""Single deletion of any of the three class A PBP genes of E. faecalis (ponA, pbpF, or pbpZ) had no impact on the MICs of _-lactam antibiotics (Table 2). Among the three combinations of double deletions, only the deletion of ponA and pbpF resulted in a large decrease (1,000-fold) in ceftriaxone resistance. Thus, either ponA or pbpF was required for intrinsic ceftriaxone resistance mediated by PBP5.""" EFC0010 s__Enterococcus faecalis ponA - - AAO80948.1 - - - Gene presence detected core ceftriaxone - wildtype R not applicable not applicable 19304851 ECO:0001091 knockout phenotypic evidence strong "Pbp5 is the main determinant of cephalosporin resistance in E. faecalis but it needs to cooperate with the glycosyltransferase domain of specific class A PBPs (PbpF or PonA) for peptidoglycan polymerization in the presence of cephalosporins (i.e. resistance phenotype). 14973044: ""Single deletion of any of the three class A PBP genes of E. faecalis (ponA, pbpF, or pbpZ) had no impact on the MICs of _-lactam antibiotics (Table 2). Among the three combinations of double deletions, only the deletion of ponA and pbpF resulted in a large decrease (1,000-fold) in ceftriaxone resistance. Thus, either ponA or pbpF was required for intrinsic ceftriaxone resistance mediated by PBP5.""" EFC0011 s__Enterococcus faecalis IreK - - AAO82800.1 - ARO:3007678 - Gene presence detected core ceftriaxone - wildtype R not applicable not applicable 34672600 ECO:0001091 knockout phenotypic evidence strong "34672600: The absence of IreK leads to cell envelope defects and increased susceptibility to a variety of cephalosporins, including ceftriaxone (21,23,24). Increased IreK phosphorylation in response to ceftriaxone treatment has been shown to correlate with antimicrobial resistance, (21) and three conserved sites on the activation loop (T163, T166, and T168) are essential for IreK autophosphorylation and activation, and increase antibiotic resistance when phosphorylated. " EFC0012 s__Enterococcus faecalis lsa(A) lsa(A) WP_002365053.1 AY225127.1 - ARO:3000300 - Gene presence detected core clindamycin - wildtype R not applicable not applicable 12019099 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "12019099: ""Disruption of lsa(A) gene of E. faecalis was associated with a > or =40-fold decrease in MICs of Q-D (to 0.75 microg/ml), CLI (to 0.12 to 0.5 microg/ml), and dalfopristin (DAL) (to 4 to 8 microg/ml) for the wild-type E. faecalis parental strain (Q-D MIC, 32 microg/ml; CLI MIC, 32 to 48 microg/ml; DAL MIC, 512 microg/ml). Complementation of the disruption mutant with lsa on a shuttle plasmid resulted in restoration of the MICs of CLI, Q-D, and DAL to wild-type levels.""" EFC0013 s__Enterococcus faecalis lsa(A) lsa(A) WP_002365053.1 AY225127.1 - ARO:3000300 - Gene presence detected core dalfopristin - wildtype R not applicable not applicable 12019099 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "12019099: ""Disruption of lsa(A) gene of E. faecalis was associated with a > or =40-fold decrease in MICs of Q-D (to 0.75 microg/ml), CLI (to 0.12 to 0.5 microg/ml), and dalfopristin (DAL) (to 4 to 8 microg/ml) for the wild-type E. faecalis parental strain (Q-D MIC, 32 microg/ml; CLI MIC, 32 to 48 microg/ml; DAL MIC, 512 microg/ml). Complementation of the disruption mutant with lsa on a shuttle plasmid resulted in restoration of the MICs of CLI, Q-D, and DAL to wild-type levels.""" EFC0014 s__Enterococcus faecalis lsa(A) lsa(A) WP_002365053.1 AY225127.1 - ARO:3000300 - Gene presence detected core quinupristin-dalfopristin - wildtype R not applicable not applicable 12019099 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "12019099: ""Disruption of lsa(A) gene of E. faecalis was associated with a > or =40-fold decrease in MICs of Q-D (to 0.75 microg/ml), CLI (to 0.12 to 0.5 microg/ml), and dalfopristin (DAL) (to 4 to 8 microg/ml) for the wild-type E. faecalis parental strain (Q-D MIC, 32 microg/ml; CLI MIC, 32 to 48 microg/ml; DAL MIC, 512 microg/ml). Complementation of the disruption mutant with lsa on a shuttle plasmid resulted in restoration of the MICs of CLI, Q-D, and DAL to wild-type levels.""" EFC0015 s__Enterococcus faecalis efrA - - HG970098.1 - ARO:3003948 - Gene presence detected core ciprofloxacin - wildtype S MIC <=4 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0016 s__Enterococcus faecalis efrB - - HG970103.1 - ARO:3003949 - Gene presence detected core ciprofloxacin - wildtype S MIC <=4 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0017 s__Enterococcus faecalis efrA - - HG970098.1 - ARO:3003948 - Gene presence detected core norfloxacin - wildtype S MIC <=8 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0018 s__Enterococcus faecalis efrB - - HG970103.1 - ARO:3003949 - Gene presence detected core norfloxacin - wildtype S MIC <=8 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0019 s__Enterococcus faecalis efrA - - HG970098.1 - ARO:3003948 - Gene presence detected core ofloxacin - wildtype S MIC <=4 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0020 s__Enterococcus faecalis efrB - - HG970103.1 - ARO:3003949 - Gene presence detected core ofloxacin - wildtype S MIC <=4 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0021 s__Enterococcus faecalis efrA - - HG970098.1 - ARO:3003948 - Gene presence detected core gentamicin - wildtype S MIC <=64 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0022 s__Enterococcus faecalis efrB - - HG970103.1 - ARO:3003949 - Gene presence detected core gentamicin - wildtype S MIC <=64 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0023 s__Enterococcus faecalis efrA - - HG970098.1 - ARO:3003948 - Gene presence detected core minocycline - wildtype S MIC <=0.5 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0024 s__Enterococcus faecalis efrB - - HG970103.1 - ARO:3003949 - Gene presence detected core minocycline - wildtype S MIC <=0.5 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0025 s__Enterococcus faecalis efrA - - HG970098.1 - ARO:3003948 - Gene presence detected core tetracycline - wildtype S MIC <=4 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0026 s__Enterococcus faecalis efrB - - HG970103.1 - ARO:3003949 - Gene presence detected core tetracycline - wildtype S MIC <=4 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0027 s__Enterococcus faecalis efrA - - HG970098.1 - ARO:3003948 - Gene presence detected core rifampin - wildtype S MIC <=8 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0028 s__Enterococcus faecalis efrB - - HG970103.1 - ARO:3003949 - Gene presence detected core rifampin - wildtype S MIC <=8 mg/L ECOFF "14638474, 25084670, 27381387" "ECO:0001091 knockout phenotypic evidence, ECO:0000154 heterologous protein expression evidence" strong "Originally, the evidence for the role of efrAB genes in antibiotic resistance in E. faecalis came from heterologous expression of these genes in a hypersensitive E. coli strain (PMID: 14638474), resulting in increased resistance to multiple antibiotics (including norfloxacin, ciprofloxacin, and doxycycline), and by the chemical inhibition if this efflux pump by EDTA resulting in reduced MIC to multiple antibiotics (PMID: 14638474), variable MIC fold reduction depending on strain and antibiotic, see Table 3 in paper. Later, 27381387 provided stronger evidence with a efrAB knockout mutant: ""Unexpectedly, E. faecalis 4205 _efrAB had a much less pronounced phenotype than E. faecalis 4205 _efrCD, exhibiting only 2-fold-reduced resistance to acriflavine and ethidium [and not affecting the MIC of clinically used antibiotics, see Table 1]."" efrAB knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0029 s__Enterococcus faecalis efrC - - AAO80603.1 - - - Gene presence detected core ciprofloxacin - wildtype S MIC <=4 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0030 s__Enterococcus faecalis efrD - - AAO80604.1 - - - Gene presence detected core ciprofloxacin - wildtype S MIC <=4 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0031 s__Enterococcus faecalis efrC - - AAO80603.1 - - - Gene presence detected core norfloxacin - wildtype S MIC <=8 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0032 s__Enterococcus faecalis efrD - - AAO80604.1 - - - Gene presence detected core norfloxacin - wildtype S MIC <=8 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0033 s__Enterococcus faecalis efrC - - AAO80603.1 - - - Gene presence detected core ofloxacin - wildtype S MIC <=4 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0034 s__Enterococcus faecalis efrD - - AAO80604.1 - - - Gene presence detected core ofloxacin - wildtype S MIC <=4 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0035 s__Enterococcus faecalis efrC - - AAO80603.1 - - - Gene presence detected core gentamicin - wildtype S MIC <=64 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0036 s__Enterococcus faecalis efrD - - AAO80604.1 - - - Gene presence detected core gentamicin - wildtype S MIC <=64 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0037 s__Enterococcus faecalis efrC - - AAO80603.1 - - - Gene presence detected core minocycline - wildtype S MIC <=0.5 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0038 s__Enterococcus faecalis efrD - - AAO80604.1 - - - Gene presence detected core minocycline - wildtype S MIC <=0.5 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0039 s__Enterococcus faecalis efrC - - AAO80603.1 - - - Gene presence detected core tetracycline - wildtype S MIC <=4 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0040 s__Enterococcus faecalis efrD - - AAO80604.1 - - - Gene presence detected core tetracycline - wildtype S MIC <=4 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0041 s__Enterococcus faecalis efrC - - AAO80603.1 - - - Gene presence detected core rifampin - wildtype S MIC <=8 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains" EFC0042 s__Enterococcus faecalis efrD - - AAO80604.1 - - - Gene presence detected core rifampin - wildtype S MIC <=8 mg/L ECOFF 27381387 "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "27381387: Deletion of EfrCD on the chromosome of E. faecalis resulted in increased susceptibility to daunorubicin, doxorubicin, ethidium, and Hoechst 33342 but not to clinically used antibiotics tested including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains (see Table 1). efrCD knockout evidence shows that this efflux pump does not contribute to resistance to antibiotics tested (including ciprofloxacin, norfloxacin, ofloxacin, gentamicin, kanamycin, minocycline, tetracycline, rifampin) in two different strains." EFC0043 s__Enterococcus faecalis emeA - - AB091338.1 - ARO:3003551 - Gene presence detected core norfloxacin - wildtype S MIC <=8 mg/L ECOFF "11709342, 11321571" "ECO:0001091 knockout phenotypic evidence, ECO:0000012 functional complementation evidence" strong "11709342: ""EmeA seems to have a modest but consistent effect on the susceptibility of E. faecalis to diverse compounds such as norfloxacin and EtBr."" 11321571: “In E. faecalis, the ∆norA strain was only 2 to 3-fold more susceptible to norfloxacin (Figure 2A) and it showed little increased sensitivity to ciprofloxacin.” Because of modest effect of EmeA on norfloxacin resistance (see 11709342), and because E. faecalis is not intrinsically resistance to fluoroquinolones, the phenotypic effect chosen is ""S""" EFC0044 s__Enterococcus faecalis emeA - - AB091338.1 - ARO:3003551 - Gene presence detected core ciprofloxacin - wildtype S MIC <=4 mg/L ECOFF 11321571 ECO:0001091 knockout phenotypic evidence strong "11321571: “In E. faecalis, the ∆norA strain was only 2 to 3-fold more susceptible to norfloxacin (Figure 2A) and it showed little increased sensitivity to ciprofloxacin.” Because of modest effect of EmeA on ciprofloxacin resistance (according to 11321571), and because E. faecalis is not intrinsically resistance to fluoroquinolones, the phenotypic effect chosen is ""S""" EFC0045 s__Enterococcus faecalis dfrE dfrE - AF028811.1 NF040541.1 ARO:3002875 - Gene presence detected core trimethoprim - wildtype S not available ECOFF ID 9869579 ECO:0000154 heterologous protein expression evidence weak lacks evidence for this species "dfrE is a chromosome-encoded dihydrofolate reductase found in Enterococcus faecalis. According to 9869579: “The dfrE gene that caused resistance in E. coli when it was cloned into a multicopy plasmid is believed to code for an intrinsic E. faecalis DHFR because it was found in all E. faecalis isolates studied, despite their level of susceptibility to trimethoprim.“ dfrE chromosomal gene on its own does not confer resistance to trimethoprim in E. faecalis, as E. faecalis is not intrinsically resistant to trimethoprim. Also, only evidence of heterologous expression of this gene in E. coli exist, no knockout evidence could be found."