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  1. Dulyayangkul P, Wan Nur Ismah WAK, Douglas EJA, Avison MB
    Antimicrob Agents Chemother, 2020 06 23;64(7).
    PMID: 32312773 DOI: 10.1128/AAC.02208-19
    Meropenem-vaborbactam resistance in Klebsiella pneumoniae isolates is associated with loss-of-function mutations in the OmpK35 and OmpK36 porins. We identify two previously unknown loss-of-function mutations that confer cefuroxime resistance in K. pneumoniae isolates. The proteins lost were NlpD and KvrA; the latter is a transcriptional repressor that controls capsule production. We demonstrate that KvrA loss reduces OmpK35 and OmpK36 porin production, which confers reduced susceptibility to meropenem-vaborbactam in a KPC-3-producing K. pneumoniae isolate.
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