id sid tid token lemma pos cord-016187-58rqc0cg 1 1 key key JJ cord-016187-58rqc0cg 1 2 : : : cord-016187-58rqc0cg 1 3 cord-016187 cord-016187 NNP cord-016187-58rqc0cg 1 4 - - HYPH cord-016187-58rqc0cg 1 5 58rqc0cg 58rqc0cg VBN cord-016187-58rqc0cg 1 6 authors author NNS cord-016187-58rqc0cg 1 7 : : : cord-016187-58rqc0cg 1 8 Opal Opal NNP cord-016187-58rqc0cg 1 9 , , , cord-016187-58rqc0cg 1 10 S. S. NNP cord-016187-58rqc0cg 1 11 M. M. NNP cord-016187-58rqc0cg 2 1 title title NN cord-016187-58rqc0cg 2 2 : : : cord-016187-58rqc0cg 3 1 The the DT cord-016187-58rqc0cg 3 2 Challenge Challenge NNP cord-016187-58rqc0cg 3 3 of of IN cord-016187-58rqc0cg 3 4 Emerging Emerging NNP cord-016187-58rqc0cg 3 5 Infections Infections NNPS cord-016187-58rqc0cg 3 6 and and CC cord-016187-58rqc0cg 3 7 Progressive Progressive NNP cord-016187-58rqc0cg 3 8 Antibiotic Antibiotic NNP cord-016187-58rqc0cg 3 9 Resistance Resistance NNP cord-016187-58rqc0cg 3 10 date date NN cord-016187-58rqc0cg 3 11 : : : cord-016187-58rqc0cg 3 12 2006 2006 CD cord-016187-58rqc0cg 3 13 journal journal NN cord-016187-58rqc0cg 3 14 : : : cord-016187-58rqc0cg 3 15 Intensive Intensive NNP cord-016187-58rqc0cg 3 16 Care Care NNP cord-016187-58rqc0cg 3 17 Medicine medicine NN cord-016187-58rqc0cg 3 18 in in IN cord-016187-58rqc0cg 3 19 10 10 CD cord-016187-58rqc0cg 3 20 Years year NNS cord-016187-58rqc0cg 4 1 DOI DOI NNP cord-016187-58rqc0cg 4 2 : : : cord-016187-58rqc0cg 5 1 10.1007/3 10.1007/3 CD cord-016187-58rqc0cg 5 2 - - HYPH cord-016187-58rqc0cg 5 3 540 540 CD cord-016187-58rqc0cg 5 4 - - HYPH cord-016187-58rqc0cg 5 5 29730 29730 CD cord-016187-58rqc0cg 5 6 - - HYPH cord-016187-58rqc0cg 5 7 8_6 8_6 CD cord-016187-58rqc0cg 6 1 sha sha NNP cord-016187-58rqc0cg 6 2 : : : cord-016187-58rqc0cg 6 3 938a619478f04fc715d5ac0c179ffedbec2e2511 938a619478f04fc715d5ac0c179ffedbec2e2511 CD cord-016187-58rqc0cg 6 4 doc_id doc_id CD cord-016187-58rqc0cg 6 5 : : : cord-016187-58rqc0cg 7 1 16187 16187 CD cord-016187-58rqc0cg 7 2 cord_uid cord_uid NN cord-016187-58rqc0cg 7 3 : : : cord-016187-58rqc0cg 8 1 58rqc0cg 58rqc0cg LS cord-016187-58rqc0cg 8 2 nan nan NNP cord-016187-58rqc0cg 8 3 Our -PRON- PRP$ cord-016187-58rqc0cg 8 4 collective collective JJ cord-016187-58rqc0cg 8 5 vulnerability vulnerability NN cord-016187-58rqc0cg 8 6 to to IN cord-016187-58rqc0cg 8 7 the the DT cord-016187-58rqc0cg 8 8 threat threat NN cord-016187-58rqc0cg 8 9 of of IN cord-016187-58rqc0cg 8 10 emerging emerge VBG cord-016187-58rqc0cg 8 11 microbial microbial JJ cord-016187-58rqc0cg 8 12 pathogens pathogen NNS cord-016187-58rqc0cg 8 13 remains remain VBZ cord-016187-58rqc0cg 8 14 disturbingly disturbingly RB cord-016187-58rqc0cg 8 15 evident evident JJ cord-016187-58rqc0cg 8 16 as as IN cord-016187-58rqc0cg 8 17 we -PRON- PRP cord-016187-58rqc0cg 8 18 enter enter VBP cord-016187-58rqc0cg 8 19 the the DT cord-016187-58rqc0cg 8 20 twenty twenty CD cord-016187-58rqc0cg 8 21 - - HYPH cord-016187-58rqc0cg 8 22 fi fi NN cord-016187-58rqc0cg 8 23 rst rst NN cord-016187-58rqc0cg 8 24 century century NN cord-016187-58rqc0cg 8 25 . . . cord-016187-58rqc0cg 9 1 Despite despite IN cord-016187-58rqc0cg 9 2 two two CD cord-016187-58rqc0cg 9 3 centuries century NNS cord-016187-58rqc0cg 9 4 of of IN cord-016187-58rqc0cg 9 5 knowledge knowledge NN cord-016187-58rqc0cg 9 6 about about IN cord-016187-58rqc0cg 9 7 the the DT cord-016187-58rqc0cg 9 8 germ germ NN cord-016187-58rqc0cg 9 9 theory theory NN cord-016187-58rqc0cg 9 10 of of IN cord-016187-58rqc0cg 9 11 disease disease NN cord-016187-58rqc0cg 9 12 , , , cord-016187-58rqc0cg 9 13 breaking break VBG cord-016187-58rqc0cg 9 14 the the DT cord-016187-58rqc0cg 9 15 genetic genetic JJ cord-016187-58rqc0cg 9 16 code code NN cord-016187-58rqc0cg 9 17 , , , cord-016187-58rqc0cg 9 18 and and CC cord-016187-58rqc0cg 9 19 sequencing sequence VBG cord-016187-58rqc0cg 9 20 the the DT cord-016187-58rqc0cg 9 21 genomes genome NNS cord-016187-58rqc0cg 9 22 of of IN cord-016187-58rqc0cg 9 23 virtually virtually RB cord-016187-58rqc0cg 9 24 every every DT cord-016187-58rqc0cg 9 25 major major JJ cord-016187-58rqc0cg 9 26 bacterial bacterial JJ cord-016187-58rqc0cg 9 27 and and CC cord-016187-58rqc0cg 9 28 viral viral JJ cord-016187-58rqc0cg 9 29 pathogen pathogen NN cord-016187-58rqc0cg 9 30 capable capable JJ cord-016187-58rqc0cg 9 31 of of IN cord-016187-58rqc0cg 9 32 causing cause VBG cord-016187-58rqc0cg 9 33 disease disease NN cord-016187-58rqc0cg 9 34 in in IN cord-016187-58rqc0cg 9 35 humankind humankind NN cord-016187-58rqc0cg 9 36 , , , cord-016187-58rqc0cg 9 37 we -PRON- PRP cord-016187-58rqc0cg 9 38 still still RB cord-016187-58rqc0cg 9 39 fi fi VBP cord-016187-58rqc0cg 9 40 nd nd NNP cord-016187-58rqc0cg 9 41 ourselves -PRON- PRP cord-016187-58rqc0cg 9 42 susceptible susceptible JJ cord-016187-58rqc0cg 9 43 to to IN cord-016187-58rqc0cg 9 44 infectious infectious JJ cord-016187-58rqc0cg 9 45 diseases disease NNS cord-016187-58rqc0cg 9 46 . . . cord-016187-58rqc0cg 10 1 Densely densely RB cord-016187-58rqc0cg 10 2 concentrated concentrated JJ cord-016187-58rqc0cg 10 3 cities city NNS cord-016187-58rqc0cg 10 4 with with IN cord-016187-58rqc0cg 10 5 interconnected interconnected JJ cord-016187-58rqc0cg 10 6 human human JJ cord-016187-58rqc0cg 10 7 societies society NNS cord-016187-58rqc0cg 10 8 linked link VBN cord-016187-58rqc0cg 10 9 by by IN cord-016187-58rqc0cg 10 10 international international JJ cord-016187-58rqc0cg 10 11 aviation aviation NN cord-016187-58rqc0cg 10 12 put put VBD cord-016187-58rqc0cg 10 13 us -PRON- PRP cord-016187-58rqc0cg 10 14 at at IN cord-016187-58rqc0cg 10 15 continued continued JJ cord-016187-58rqc0cg 10 16 risk risk NN cord-016187-58rqc0cg 10 17 from from IN cord-016187-58rqc0cg 10 18 future future JJ cord-016187-58rqc0cg 10 19 epidemics epidemic NNS cord-016187-58rqc0cg 10 20 that that WDT cord-016187-58rqc0cg 10 21 will will MD cord-016187-58rqc0cg 10 22 inevitably inevitably RB cord-016187-58rqc0cg 10 23 occur occur VB cord-016187-58rqc0cg 10 24 [ [ -LRB- cord-016187-58rqc0cg 10 25 1 1 CD cord-016187-58rqc0cg 10 26 ] ] -RRB- cord-016187-58rqc0cg 10 27 . . . cord-016187-58rqc0cg 11 1 The the DT cord-016187-58rqc0cg 11 2 ever ever RB cord-016187-58rqc0cg 11 3 expanding expand VBG cord-016187-58rqc0cg 11 4 population population NN cord-016187-58rqc0cg 11 5 growth growth NN cord-016187-58rqc0cg 11 6 of of IN cord-016187-58rqc0cg 11 7 our -PRON- PRP$ cord-016187-58rqc0cg 11 8 species specie NNS cord-016187-58rqc0cg 11 9 will will MD cord-016187-58rqc0cg 11 10 force force VB cord-016187-58rqc0cg 11 11 environmental environmental JJ cord-016187-58rqc0cg 11 12 change change NN cord-016187-58rqc0cg 11 13 as as IN cord-016187-58rqc0cg 11 14 we -PRON- PRP cord-016187-58rqc0cg 11 15 venture venture VBP cord-016187-58rqc0cg 11 16 into into IN cord-016187-58rqc0cg 11 17 sparsely sparsely RB cord-016187-58rqc0cg 11 18 inhabited inhabit VBN cord-016187-58rqc0cg 11 19 rainforests rainforest NNS cord-016187-58rqc0cg 11 20 , , , cord-016187-58rqc0cg 11 21 populate populate VB cord-016187-58rqc0cg 11 22 remote remote JJ cord-016187-58rqc0cg 11 23 ecosystems ecosystem NNS cord-016187-58rqc0cg 11 24 and and CC cord-016187-58rqc0cg 11 25 cultivate cultivate VB cord-016187-58rqc0cg 11 26 natural natural JJ cord-016187-58rqc0cg 11 27 habitats habitat NNS cord-016187-58rqc0cg 11 28 to to TO cord-016187-58rqc0cg 11 29 support support VB cord-016187-58rqc0cg 11 30 our -PRON- PRP$ cord-016187-58rqc0cg 11 31 voracious voracious JJ cord-016187-58rqc0cg 11 32 human human JJ cord-016187-58rqc0cg 11 33 appetite appetite NN cord-016187-58rqc0cg 11 34 for for IN cord-016187-58rqc0cg 11 35 goods good NNS cord-016187-58rqc0cg 11 36 and and CC cord-016187-58rqc0cg 11 37 services service NNS cord-016187-58rqc0cg 11 38 . . . cord-016187-58rqc0cg 12 1 Global global JJ cord-016187-58rqc0cg 12 2 warming warming NN cord-016187-58rqc0cg 12 3 , , , cord-016187-58rqc0cg 12 4 environmental environmental JJ cord-016187-58rqc0cg 12 5 degradation degradation NN cord-016187-58rqc0cg 12 6 and and CC cord-016187-58rqc0cg 12 7 land land NN cord-016187-58rqc0cg 12 8 development development NN cord-016187-58rqc0cg 12 9 along along IN cord-016187-58rqc0cg 12 10 with with IN cord-016187-58rqc0cg 12 11 human human JJ cord-016187-58rqc0cg 12 12 upheavals upheaval NNS cord-016187-58rqc0cg 12 13 and and CC cord-016187-58rqc0cg 12 14 natural natural JJ cord-016187-58rqc0cg 12 15 calamities calamity NNS cord-016187-58rqc0cg 12 16 will will MD cord-016187-58rqc0cg 12 17 create create VB cord-016187-58rqc0cg 12 18 new new JJ cord-016187-58rqc0cg 12 19 outbreaks outbreak NNS cord-016187-58rqc0cg 12 20 with with IN cord-016187-58rqc0cg 12 21 novel novel JJ cord-016187-58rqc0cg 12 22 pathogens pathogen NNS cord-016187-58rqc0cg 12 23 and and CC cord-016187-58rqc0cg 12 24 renew renew VB cord-016187-58rqc0cg 12 25 the the DT cord-016187-58rqc0cg 12 26 spread spread NN cord-016187-58rqc0cg 12 27 of of IN cord-016187-58rqc0cg 12 28 ancient ancient JJ cord-016187-58rqc0cg 12 29 scourges scourge NNS cord-016187-58rqc0cg 12 30 like like IN cord-016187-58rqc0cg 12 31 cholera cholera NN cord-016187-58rqc0cg 12 32 [ [ -LRB- cord-016187-58rqc0cg 12 33 2 2 CD cord-016187-58rqc0cg 12 34 ] ] -RRB- cord-016187-58rqc0cg 12 35 and and CC cord-016187-58rqc0cg 12 36 plague plague NN cord-016187-58rqc0cg 12 37 [ [ -LRB- cord-016187-58rqc0cg 12 38 3 3 CD cord-016187-58rqc0cg 12 39 ] ] -RRB- cord-016187-58rqc0cg 12 40 . . . cord-016187-58rqc0cg 13 1 Numerous numerous JJ cord-016187-58rqc0cg 13 2 examples example NNS cord-016187-58rqc0cg 13 3 of of IN cord-016187-58rqc0cg 13 4 intercontinental intercontinental JJ cord-016187-58rqc0cg 13 5 spread spread NN cord-016187-58rqc0cg 13 6 of of IN cord-016187-58rqc0cg 13 7 microbial microbial JJ cord-016187-58rqc0cg 13 8 pathogens pathogen NNS cord-016187-58rqc0cg 13 9 within within IN cord-016187-58rqc0cg 13 10 the the DT cord-016187-58rqc0cg 13 11 last last JJ cord-016187-58rqc0cg 13 12 fi fi NN cord-016187-58rqc0cg 13 13 ve ve VBD cord-016187-58rqc0cg 13 14 years year NNS cord-016187-58rqc0cg 13 15 alone alone RB cord-016187-58rqc0cg 13 16 give give VB cord-016187-58rqc0cg 13 17 notice notice NN cord-016187-58rqc0cg 13 18 of of IN cord-016187-58rqc0cg 13 19 the the DT cord-016187-58rqc0cg 13 20 susceptibility susceptibility NN cord-016187-58rqc0cg 13 21 of of IN cord-016187-58rqc0cg 13 22 human human JJ cord-016187-58rqc0cg 13 23 populations population NNS cord-016187-58rqc0cg 13 24 to to IN cord-016187-58rqc0cg 13 25 emerging emerge VBG cord-016187-58rqc0cg 13 26 infectious infectious JJ cord-016187-58rqc0cg 13 27 diseases disease NNS cord-016187-58rqc0cg 13 28 ( ( -LRB- cord-016187-58rqc0cg 13 29 Table table NN cord-016187-58rqc0cg 13 30 1 1 CD cord-016187-58rqc0cg 13 31 ) ) -RRB- cord-016187-58rqc0cg 13 32 [ [ -LRB- cord-016187-58rqc0cg 13 33 4 4 LS cord-016187-58rqc0cg 13 34 ] ] -RRB- cord-016187-58rqc0cg 13 35 [ [ -LRB- cord-016187-58rqc0cg 13 36 5 5 CD cord-016187-58rqc0cg 13 37 ] ] -RRB- cord-016187-58rqc0cg 13 38 [ [ -LRB- cord-016187-58rqc0cg 13 39 6 6 CD cord-016187-58rqc0cg 13 40 ] ] -RRB- cord-016187-58rqc0cg 13 41 [ [ -LRB- cord-016187-58rqc0cg 13 42 7 7 CD cord-016187-58rqc0cg 13 43 ] ] -RRB- cord-016187-58rqc0cg 13 44 [ [ -LRB- cord-016187-58rqc0cg 13 45 8 8 CD cord-016187-58rqc0cg 13 46 ] ] -RRB- cord-016187-58rqc0cg 13 47 [ [ -LRB- cord-016187-58rqc0cg 13 48 9 9 CD cord-016187-58rqc0cg 13 49 ] ] -RRB- cord-016187-58rqc0cg 13 50 [ [ -LRB- cord-016187-58rqc0cg 13 51 10 10 CD cord-016187-58rqc0cg 13 52 ] ] -RRB- cord-016187-58rqc0cg 13 53 [ [ -LRB- cord-016187-58rqc0cg 13 54 11 11 CD cord-016187-58rqc0cg 13 55 ] ] -RRB- cord-016187-58rqc0cg 13 56 [ [ -LRB- cord-016187-58rqc0cg 13 57 12 12 CD cord-016187-58rqc0cg 13 58 ] ] -RRB- cord-016187-58rqc0cg 13 59 [ [ -LRB- cord-016187-58rqc0cg 13 60 13 13 CD cord-016187-58rqc0cg 13 61 ] ] -RRB- cord-016187-58rqc0cg 13 62 [ [ -LRB- cord-016187-58rqc0cg 13 63 14 14 CD cord-016187-58rqc0cg 13 64 ] ] -RRB- cord-016187-58rqc0cg 13 65 [ [ -LRB- cord-016187-58rqc0cg 13 66 15 15 CD cord-016187-58rqc0cg 13 67 ] ] -RRB- cord-016187-58rqc0cg 13 68 [ [ -LRB- cord-016187-58rqc0cg 13 69 16 16 CD cord-016187-58rqc0cg 13 70 ] ] -RRB- cord-016187-58rqc0cg 13 71 [ [ -LRB- cord-016187-58rqc0cg 13 72 17 17 CD cord-016187-58rqc0cg 13 73 ] ] -RRB- cord-016187-58rqc0cg 13 74 [ [ -LRB- cord-016187-58rqc0cg 13 75 18 18 CD cord-016187-58rqc0cg 13 76 ] ] -RRB- cord-016187-58rqc0cg 13 77 [ [ -LRB- cord-016187-58rqc0cg 13 78 19 19 CD cord-016187-58rqc0cg 13 79 ] ] -RRB- cord-016187-58rqc0cg 13 80 [ [ -LRB- cord-016187-58rqc0cg 13 81 20 20 CD cord-016187-58rqc0cg 13 82 ] ] -RRB- cord-016187-58rqc0cg 13 83 . . . cord-016187-58rqc0cg 14 1 This this DT cord-016187-58rqc0cg 14 2 is be VBZ cord-016187-58rqc0cg 14 3 perhaps perhaps RB cord-016187-58rqc0cg 14 4 best good JJS cord-016187-58rqc0cg 14 5 exemplifi exemplifi NN cord-016187-58rqc0cg 14 6 ed ed NN cord-016187-58rqc0cg 14 7 by by IN cord-016187-58rqc0cg 14 8 the the DT cord-016187-58rqc0cg 14 9 tragic tragic JJ cord-016187-58rqc0cg 14 10 events event NNS cord-016187-58rqc0cg 14 11 set set VBN cord-016187-58rqc0cg 14 12 into into IN cord-016187-58rqc0cg 14 13 motion motion NN cord-016187-58rqc0cg 14 14 in in IN cord-016187-58rqc0cg 14 15 late late JJ cord-016187-58rqc0cg 14 16 2002 2002 CD cord-016187-58rqc0cg 14 17 when when WRB cord-016187-58rqc0cg 14 18 a a DT cord-016187-58rqc0cg 14 19 previously previously RB cord-016187-58rqc0cg 14 20 unidentifi unidentifi JJ cord-016187-58rqc0cg 14 21 ed ed NN cord-016187-58rqc0cg 14 22 , , , cord-016187-58rqc0cg 14 23 obscure obscure JJ cord-016187-58rqc0cg 14 24 , , , cord-016187-58rqc0cg 14 25 animal animal NN cord-016187-58rqc0cg 14 26 coronavirus coronavirus NN cord-016187-58rqc0cg 14 27 ( ( -LRB- cord-016187-58rqc0cg 14 28 now now RB cord-016187-58rqc0cg 14 29 known know VBN cord-016187-58rqc0cg 14 30 as as IN cord-016187-58rqc0cg 14 31 severe severe JJ cord-016187-58rqc0cg 14 32 acute acute JJ cord-016187-58rqc0cg 14 33 respiratory respiratory JJ cord-016187-58rqc0cg 14 34 syndrome syndrome NN cord-016187-58rqc0cg 14 35 [ [ -LRB- cord-016187-58rqc0cg 14 36 SARS]-CoV sars]-cov NN cord-016187-58rqc0cg 14 37 ) ) -RRB- cord-016187-58rqc0cg 14 38 was be VBD cord-016187-58rqc0cg 14 39 fi fi NNP cord-016187-58rqc0cg 14 40 rst rst NNP cord-016187-58rqc0cg 14 41 introduced introduce VBD cord-016187-58rqc0cg 14 42 into into IN cord-016187-58rqc0cg 14 43 an an DT cord-016187-58rqc0cg 14 44 unsuspecting unsuspecting JJ cord-016187-58rqc0cg 14 45 human human JJ cord-016187-58rqc0cg 14 46 population population NN cord-016187-58rqc0cg 14 47 in in IN cord-016187-58rqc0cg 14 48 Southern Southern NNP cord-016187-58rqc0cg 14 49 China China NNP cord-016187-58rqc0cg 14 50 [ [ -LRB- cord-016187-58rqc0cg 14 51 9 9 CD cord-016187-58rqc0cg 14 52 ] ] -RRB- cord-016187-58rqc0cg 14 53 . . . cord-016187-58rqc0cg 15 1 Current current JJ cord-016187-58rqc0cg 15 2 molecular molecular JJ cord-016187-58rqc0cg 15 3 evidence evidence NN cord-016187-58rqc0cg 15 4 indicates indicate VBZ cord-016187-58rqc0cg 15 5 that that IN cord-016187-58rqc0cg 15 6 a a DT cord-016187-58rqc0cg 15 7 food food NN cord-016187-58rqc0cg 15 8 handler handler NN cord-016187-58rqc0cg 15 9 in in IN cord-016187-58rqc0cg 15 10 an an DT cord-016187-58rqc0cg 15 11 exotic exotic JJ cord-016187-58rqc0cg 15 12 food food NN cord-016187-58rqc0cg 15 13 ' ' POS cord-016187-58rqc0cg 15 14 wet wet JJ cord-016187-58rqc0cg 15 15 market market NN cord-016187-58rqc0cg 15 16 ' ' '' cord-016187-58rqc0cg 15 17 in in IN cord-016187-58rqc0cg 15 18 Guangdong Guangdong NNP cord-016187-58rqc0cg 15 19 Province Province NNP cord-016187-58rqc0cg 15 20 probably probably RB cord-016187-58rqc0cg 15 21 fi fi VBP cord-016187-58rqc0cg 15 22 rst rst NNP cord-016187-58rqc0cg 15 23 became become VBD cord-016187-58rqc0cg 15 24 infected infect VBN cord-016187-58rqc0cg 15 25 by by IN cord-016187-58rqc0cg 15 26 an an DT cord-016187-58rqc0cg 15 27 animal animal NN cord-016187-58rqc0cg 15 28 coronavirus coronavirus NN cord-016187-58rqc0cg 15 29 from from IN cord-016187-58rqc0cg 15 30 a a DT cord-016187-58rqc0cg 15 31 civet civet NN cord-016187-58rqc0cg 15 32 cat cat NN cord-016187-58rqc0cg 15 33 . . . cord-016187-58rqc0cg 16 1 This this DT cord-016187-58rqc0cg 16 2 newly newly RB cord-016187-58rqc0cg 16 3 derived derive VBN cord-016187-58rqc0cg 16 4 animal animal NN cord-016187-58rqc0cg 16 5 virus virus NN cord-016187-58rqc0cg 16 6 was be VBD cord-016187-58rqc0cg 16 7 adapt adapt VBN cord-016187-58rqc0cg 16 8 at at IN cord-016187-58rqc0cg 16 9 infecting infect VBG cord-016187-58rqc0cg 16 10 humans human NNS cord-016187-58rqc0cg 16 11 and and CC cord-016187-58rqc0cg 16 12 was be VBD cord-016187-58rqc0cg 16 13 effi effi NNP cord-016187-58rqc0cg 16 14 ciently ciently RB cord-016187-58rqc0cg 16 15 spread spread VBD cord-016187-58rqc0cg 16 16 person person NN cord-016187-58rqc0cg 16 17 - - HYPH cord-016187-58rqc0cg 16 18 to to IN cord-016187-58rqc0cg 16 19 - - HYPH cord-016187-58rqc0cg 16 20 person person NN cord-016187-58rqc0cg 16 21 by by IN cord-016187-58rqc0cg 16 22 infected infect VBN cord-016187-58rqc0cg 16 23 aerosol aerosol NN cord-016187-58rqc0cg 16 24 [ [ -LRB- cord-016187-58rqc0cg 16 25 10 10 CD cord-016187-58rqc0cg 16 26 ] ] -RRB- cord-016187-58rqc0cg 16 27 . . . cord-016187-58rqc0cg 17 1 An an DT cord-016187-58rqc0cg 17 2 ill ill JJ cord-016187-58rqc0cg 17 3 Chinese chinese JJ cord-016187-58rqc0cg 17 4 physician physician NN cord-016187-58rqc0cg 17 5 from from IN cord-016187-58rqc0cg 17 6 the the DT cord-016187-58rqc0cg 17 7 affected affected JJ cord-016187-58rqc0cg 17 8 region region NN cord-016187-58rqc0cg 17 9 traveled travel VBD cord-016187-58rqc0cg 17 10 to to IN cord-016187-58rqc0cg 17 11 Hong Hong NNP cord-016187-58rqc0cg 17 12 Kong Kong NNP cord-016187-58rqc0cg 17 13 to to TO cord-016187-58rqc0cg 17 14 attend attend VB cord-016187-58rqc0cg 17 15 a a DT cord-016187-58rqc0cg 17 16 wedding wedding NN cord-016187-58rqc0cg 17 17 . . . cord-016187-58rqc0cg 18 1 While while IN cord-016187-58rqc0cg 18 2 spending spend VBG cord-016187-58rqc0cg 18 3 a a DT cord-016187-58rqc0cg 18 4 single single JJ cord-016187-58rqc0cg 18 5 night night NN cord-016187-58rqc0cg 18 6 in in IN cord-016187-58rqc0cg 18 7 Amoy Amoy NNP cord-016187-58rqc0cg 18 8 Garden Garden NNP cord-016187-58rqc0cg 18 9 Hotel Hotel NNP cord-016187-58rqc0cg 18 10 in in IN cord-016187-58rqc0cg 18 11 the the DT cord-016187-58rqc0cg 18 12 city city NN cord-016187-58rqc0cg 18 13 , , , cord-016187-58rqc0cg 18 14 this this DT cord-016187-58rqc0cg 18 15 infected infected JJ cord-016187-58rqc0cg 18 16 individual individual NN cord-016187-58rqc0cg 18 17 appeared appear VBD cord-016187-58rqc0cg 18 18 to to TO cord-016187-58rqc0cg 18 19 spread spread VB cord-016187-58rqc0cg 18 20 the the DT cord-016187-58rqc0cg 18 21 virus virus NN cord-016187-58rqc0cg 18 22 to to IN cord-016187-58rqc0cg 18 23 at at RB cord-016187-58rqc0cg 18 24 least least RBS cord-016187-58rqc0cg 18 25 12 12 CD cord-016187-58rqc0cg 18 26 other other JJ cord-016187-58rqc0cg 18 27 hotel hotel NN cord-016187-58rqc0cg 18 28 guests guest NNS cord-016187-58rqc0cg 18 29 . . . cord-016187-58rqc0cg 19 1 Over over IN cord-016187-58rqc0cg 19 2 the the DT cord-016187-58rqc0cg 19 3 next next JJ cord-016187-58rqc0cg 19 4 several several JJ cord-016187-58rqc0cg 19 5 days day NNS cord-016187-58rqc0cg 19 6 these these DT cord-016187-58rqc0cg 19 7 people people NNS cord-016187-58rqc0cg 19 8 returned return VBD cord-016187-58rqc0cg 19 9 to to IN cord-016187-58rqc0cg 19 10 their -PRON- PRP$ cord-016187-58rqc0cg 19 11 homes home NNS cord-016187-58rqc0cg 19 12 in in IN cord-016187-58rqc0cg 19 13 fi fi NNP cord-016187-58rqc0cg 19 14 ve ve VBD cord-016187-58rqc0cg 19 15 different different JJ cord-016187-58rqc0cg 19 16 countries country NNS cord-016187-58rqc0cg 19 17 incubating incubate VBG cord-016187-58rqc0cg 19 18 the the DT cord-016187-58rqc0cg 19 19 SARS SARS NNP cord-016187-58rqc0cg 19 20 - - HYPH cord-016187-58rqc0cg 19 21 CoV cov NN cord-016187-58rqc0cg 19 22 pathogen pathogen NN cord-016187-58rqc0cg 19 23 in in IN cord-016187-58rqc0cg 19 24 their -PRON- PRP$ cord-016187-58rqc0cg 19 25 respiratory respiratory JJ cord-016187-58rqc0cg 19 26 secretions secretion NNS cord-016187-58rqc0cg 19 27 . . . cord-016187-58rqc0cg 20 1 Over over IN cord-016187-58rqc0cg 20 2 the the DT cord-016187-58rqc0cg 20 3 next next JJ cord-016187-58rqc0cg 20 4 3 3 CD cord-016187-58rqc0cg 20 5 - - SYM cord-016187-58rqc0cg 20 6 4 4 CD cord-016187-58rqc0cg 20 7 months month NNS cord-016187-58rqc0cg 20 8 , , , cord-016187-58rqc0cg 20 9 this this DT cord-016187-58rqc0cg 20 10 newly newly RB cord-016187-58rqc0cg 20 11 acquired acquire VBN cord-016187-58rqc0cg 20 12 coronavirus coronavirus NN cord-016187-58rqc0cg 20 13 spread spread VBD cord-016187-58rqc0cg 20 14 to to IN cord-016187-58rqc0cg 20 15 over over IN cord-016187-58rqc0cg 20 16 27 27 CD cord-016187-58rqc0cg 20 17 countries country NNS cord-016187-58rqc0cg 20 18 worldwide worldwide RB cord-016187-58rqc0cg 20 19 and and CC cord-016187-58rqc0cg 20 20 caused cause VBD cord-016187-58rqc0cg 20 21 over over IN cord-016187-58rqc0cg 20 22 8000 8000 CD cord-016187-58rqc0cg 20 23 cases case NNS cord-016187-58rqc0cg 20 24 of of IN cord-016187-58rqc0cg 20 25 SARS SARS NNP cord-016187-58rqc0cg 20 26 resulting result VBG cord-016187-58rqc0cg 20 27 in in IN cord-016187-58rqc0cg 20 28 nearly nearly RB cord-016187-58rqc0cg 20 29 800 800 CD cord-016187-58rqc0cg 20 30 deaths death NNS cord-016187-58rqc0cg 20 31 in in IN cord-016187-58rqc0cg 20 32 early early JJ cord-016187-58rqc0cg 20 33 2003 2003 CD cord-016187-58rqc0cg 20 34 [ [ -LRB- cord-016187-58rqc0cg 20 35 9 9 CD cord-016187-58rqc0cg 20 36 ] ] -RRB- cord-016187-58rqc0cg 20 37 . . . cord-016187-58rqc0cg 21 1 Through through IN cord-016187-58rqc0cg 21 2 a a DT cord-016187-58rqc0cg 21 3 global global JJ cord-016187-58rqc0cg 21 4 effort effort NN cord-016187-58rqc0cg 21 5 from from IN cord-016187-58rqc0cg 21 6 a a DT cord-016187-58rqc0cg 21 7 large large JJ cord-016187-58rqc0cg 21 8 number number NN cord-016187-58rqc0cg 21 9 of of IN cord-016187-58rqc0cg 21 10 very very RB cord-016187-58rqc0cg 21 11 diligent diligent JJ cord-016187-58rqc0cg 21 12 public public JJ cord-016187-58rqc0cg 21 13 health health NN cord-016187-58rqc0cg 21 14 offi offi NNP cord-016187-58rqc0cg 21 15 cials cials NNP cord-016187-58rqc0cg 21 16 and and CC cord-016187-58rqc0cg 21 17 laboratory laboratory NN cord-016187-58rqc0cg 21 18 scientists scientist NNS cord-016187-58rqc0cg 21 19 , , , cord-016187-58rqc0cg 21 20 the the DT cord-016187-58rqc0cg 21 21 outbreak outbreak NN cord-016187-58rqc0cg 21 22 ended end VBD cord-016187-58rqc0cg 21 23 within within IN cord-016187-58rqc0cg 21 24 a a DT cord-016187-58rqc0cg 21 25 year year NN cord-016187-58rqc0cg 21 26 and and CC cord-016187-58rqc0cg 21 27 has have VBZ cord-016187-58rqc0cg 21 28 yet yet RB cord-016187-58rqc0cg 21 29 to to TO cord-016187-58rqc0cg 21 30 be be VB cord-016187-58rqc0cg 21 31 seen see VBN cord-016187-58rqc0cg 21 32 again again RB cord-016187-58rqc0cg 21 33 , , , cord-016187-58rqc0cg 21 34 except except IN cord-016187-58rqc0cg 21 35 for for IN cord-016187-58rqc0cg 21 36 occasional occasional JJ cord-016187-58rqc0cg 21 37 laboratory laboratory NN cord-016187-58rqc0cg 21 38 - - HYPH cord-016187-58rqc0cg 21 39 acquired acquire VBN cord-016187-58rqc0cg 21 40 accidents accident NNS cord-016187-58rqc0cg 21 41 [ [ -LRB- cord-016187-58rqc0cg 21 42 9 9 CD cord-016187-58rqc0cg 21 43 ] ] -RRB- cord-016187-58rqc0cg 21 44 . . . cord-016187-58rqc0cg 22 1 A a DT cord-016187-58rqc0cg 22 2 diverse diverse JJ cord-016187-58rqc0cg 22 3 array array NN cord-016187-58rqc0cg 22 4 of of IN cord-016187-58rqc0cg 22 5 pathogens pathogen NNS cord-016187-58rqc0cg 22 6 has have VBZ cord-016187-58rqc0cg 22 7 produced produce VBN cord-016187-58rqc0cg 22 8 recent recent JJ cord-016187-58rqc0cg 22 9 outbreaks outbreak NNS cord-016187-58rqc0cg 22 10 and and CC cord-016187-58rqc0cg 22 11 concerns concern NNS cord-016187-58rqc0cg 22 12 for for IN cord-016187-58rqc0cg 22 13 our -PRON- PRP$ cord-016187-58rqc0cg 22 14 vulnerability vulnerability NN cord-016187-58rqc0cg 22 15 to to IN cord-016187-58rqc0cg 22 16 pathogens pathogen NNS cord-016187-58rqc0cg 22 17 within within IN cord-016187-58rqc0cg 22 18 the the DT cord-016187-58rqc0cg 22 19 global global JJ cord-016187-58rqc0cg 22 20 village village NN cord-016187-58rqc0cg 22 21 we -PRON- PRP cord-016187-58rqc0cg 22 22 occupy occupy VBP cord-016187-58rqc0cg 22 23 and and CC cord-016187-58rqc0cg 22 24 share share VBP cord-016187-58rqc0cg 22 25 with with IN cord-016187-58rqc0cg 22 26 other other JJ cord-016187-58rqc0cg 22 27 fl fl NNP cord-016187-58rqc0cg 22 28 ora ora NN cord-016187-58rqc0cg 22 29 , , , cord-016187-58rqc0cg 22 30 fauna fauna NNS cord-016187-58rqc0cg 22 31 and and CC cord-016187-58rqc0cg 22 32 microorganisms microorganism NNS cord-016187-58rqc0cg 22 33 ( ( -LRB- cord-016187-58rqc0cg 22 34 Table table NN cord-016187-58rqc0cg 22 35 1 1 CD cord-016187-58rqc0cg 22 36 ) ) -RRB- cord-016187-58rqc0cg 22 37 . . . cord-016187-58rqc0cg 23 1 The the DT cord-016187-58rqc0cg 23 2 spread spread NN cord-016187-58rqc0cg 23 3 of of IN cord-016187-58rqc0cg 23 4 mosquito- mosquito- JJ cord-016187-58rqc0cg 23 5 Avian avian JJ cord-016187-58rqc0cg 23 6 infl infl NN cord-016187-58rqc0cg 23 7 uenza uenza NN cord-016187-58rqc0cg 23 8 [ [ -LRB- cord-016187-58rqc0cg 23 9 4 4 CD cord-016187-58rqc0cg 23 10 ] ] -RRB- cord-016187-58rqc0cg 23 11 [ [ -LRB- cord-016187-58rqc0cg 23 12 5 5 CD cord-016187-58rqc0cg 23 13 ] ] -RRB- cord-016187-58rqc0cg 23 14 [ [ -LRB- cord-016187-58rqc0cg 23 15 6 6 CD cord-016187-58rqc0cg 23 16 ] ] -RRB- cord-016187-58rqc0cg 23 17 [ [ -LRB- cord-016187-58rqc0cg 23 18 7 7 CD cord-016187-58rqc0cg 23 19 ] ] -RRB- cord-016187-58rqc0cg 24 1 Infl Infl NNP cord-016187-58rqc0cg 24 2 uenza uenza NNP cord-016187-58rqc0cg 24 3 A a NN cord-016187-58rqc0cg 25 1 ( ( -LRB- cord-016187-58rqc0cg 25 2 H h NN cord-016187-58rqc0cg 25 3 5 5 CD cord-016187-58rqc0cg 25 4 N n CD cord-016187-58rqc0cg 25 5 1 1 CD cord-016187-58rqc0cg 25 6 ) ) -RRB- cord-016187-58rqc0cg 25 7 Risk risk NN cord-016187-58rqc0cg 25 8 of of IN cord-016187-58rqc0cg 25 9 pandemic pandemic NN cord-016187-58rqc0cg 25 10 infl infl XX cord-016187-58rqc0cg 25 11 uenza uenza NNP cord-016187-58rqc0cg 25 12 ; ; , cord-016187-58rqc0cg 25 13 sporadic sporadic JJ cord-016187-58rqc0cg 25 14 human human JJ cord-016187-58rqc0cg 25 15 cases case NNS cord-016187-58rqc0cg 25 16 of of IN cord-016187-58rqc0cg 25 17 avian avian JJ cord-016187-58rqc0cg 25 18 fl fl NNP cord-016187-58rqc0cg 25 19 u u NNP cord-016187-58rqc0cg 25 20 in in IN cord-016187-58rqc0cg 25 21 Asia Asia NNP cord-016187-58rqc0cg 26 1 -mortality -mortality : cord-016187-58rqc0cg 26 2 rates>70 rates>70 NNP cord-016187-58rqc0cg 26 3 % % NN cord-016187-58rqc0cg 26 4 Severe severe JJ cord-016187-58rqc0cg 26 5 acute acute JJ cord-016187-58rqc0cg 26 6 SARS SARS NNP cord-016187-58rqc0cg 26 7 associated associate VBD cord-016187-58rqc0cg 26 8 coronavirus coronavirus NN cord-016187-58rqc0cg 26 9 Risk risk NN cord-016187-58rqc0cg 26 10 of of IN cord-016187-58rqc0cg 26 11 spread spread NN cord-016187-58rqc0cg 26 12 of of IN cord-016187-58rqc0cg 26 13 zoonotic zoonotic JJ cord-016187-58rqc0cg 26 14 respiratory respiratory JJ cord-016187-58rqc0cg 26 15 syndrome syndrome NN cord-016187-58rqc0cg 26 16 viruses virus NNS cord-016187-58rqc0cg 26 17 ; ; : cord-016187-58rqc0cg 26 18 outbreak outbreak NN cord-016187-58rqc0cg 26 19 from from IN cord-016187-58rqc0cg 26 20 a a DT cord-016187-58rqc0cg 26 21 ( ( -LRB- cord-016187-58rqc0cg 26 22 SARS SARS NNP cord-016187-58rqc0cg 26 23 ) ) -RRB- cord-016187-58rqc0cg 26 24 [ [ -LRB- cord-016187-58rqc0cg 26 25 8 8 CD cord-016187-58rqc0cg 26 26 ] ] -RRB- cord-016187-58rqc0cg 26 27 [ [ -LRB- cord-016187-58rqc0cg 26 28 9 9 CD cord-016187-58rqc0cg 26 29 ] ] -RRB- cord-016187-58rqc0cg 26 30 [ [ -LRB- cord-016187-58rqc0cg 26 31 10 10 CD cord-016187-58rqc0cg 26 32 ] ] -RRB- cord-016187-58rqc0cg 26 33 southern southern JJ cord-016187-58rqc0cg 26 34 China China NNP cord-016187-58rqc0cg 26 35 to to IN cord-016187-58rqc0cg 26 36 worldwide worldwide JJ cord-016187-58rqc0cg 26 37 epidemic epidemic NN cord-016187-58rqc0cg 26 38 in in IN cord-016187-58rqc0cg 26 39 2003 2003 CD cord-016187-58rqc0cg 26 40 -8000 -8000 NN cord-016187-58rqc0cg 26 41 cases case NNS cord-016187-58rqc0cg 26 42 and and CC cord-016187-58rqc0cg 26 43 800 800 CD cord-016187-58rqc0cg 26 44 deaths death NNS cord-016187-58rqc0cg 26 45 Monkey Monkey NNP cord-016187-58rqc0cg 26 46 pox pox NN cord-016187-58rqc0cg 26 47 [ [ -LRB- cord-016187-58rqc0cg 26 48 11 11 CD cord-016187-58rqc0cg 26 49 ] ] -RRB- cord-016187-58rqc0cg 26 50 Orthopox Orthopox NNP cord-016187-58rqc0cg 26 51 virus virus NN cord-016187-58rqc0cg 26 52 Risk risk NN cord-016187-58rqc0cg 26 53 of of IN cord-016187-58rqc0cg 26 54 exotic exotic JJ cord-016187-58rqc0cg 26 55 pet pet JJ cord-016187-58rqc0cg 26 56 trade trade NN cord-016187-58rqc0cg 26 57 ; ; : cord-016187-58rqc0cg 26 58 outbreak outbreak NN cord-016187-58rqc0cg 26 59 in in IN cord-016187-58rqc0cg 26 60 wild wild JJ cord-016187-58rqc0cg 26 61 rodents rodent NNS cord-016187-58rqc0cg 26 62 and and CC cord-016187-58rqc0cg 26 63 humans human NNS cord-016187-58rqc0cg 26 64 in in IN cord-016187-58rqc0cg 26 65 Mid mid JJ cord-016187-58rqc0cg 26 66 - - JJ cord-016187-58rqc0cg 26 67 Western western JJ cord-016187-58rqc0cg 26 68 USA USA NNP cord-016187-58rqc0cg 26 69 from from IN cord-016187-58rqc0cg 26 70 sale sale NN cord-016187-58rqc0cg 26 71 of of IN cord-016187-58rqc0cg 26 72 Gambian gambian JJ cord-016187-58rqc0cg 26 73 Giant Giant NNP cord-016187-58rqc0cg 26 74 rats rat NNS cord-016187-58rqc0cg 26 75 from from IN cord-016187-58rqc0cg 26 76 Africa Africa NNP cord-016187-58rqc0cg 26 77 West West NNP cord-016187-58rqc0cg 26 78 Nile Nile NNP cord-016187-58rqc0cg 26 79 Virus Virus NNP cord-016187-58rqc0cg 26 80 Mosquito Mosquito NNP cord-016187-58rqc0cg 26 81 - - : cord-016187-58rqc0cg 26 82 borne bear VBN cord-016187-58rqc0cg 26 83 fl fl NNP cord-016187-58rqc0cg 26 84 avivirus avivirus NNP cord-016187-58rqc0cg 26 85 Risk Risk NNP cord-016187-58rqc0cg 26 86 of of IN cord-016187-58rqc0cg 26 87 international international JJ cord-016187-58rqc0cg 26 88 spread spread NN cord-016187-58rqc0cg 26 89 ; ; : cord-016187-58rqc0cg 26 90 ( ( -LRB- cord-016187-58rqc0cg 26 91 WNV WNV NNP cord-016187-58rqc0cg 26 92 ) ) -RRB- cord-016187-58rqc0cg 27 1 [ [ -LRB- cord-016187-58rqc0cg 27 2 12 12 CD cord-016187-58rqc0cg 27 3 , , , cord-016187-58rqc0cg 27 4 13 13 CD cord-016187-58rqc0cg 27 5 ] ] -RRB- cord-016187-58rqc0cg 27 6 WNV WNV NNP cord-016187-58rqc0cg 27 7 from from IN cord-016187-58rqc0cg 27 8 Africa Africa NNP cord-016187-58rqc0cg 27 9 to to IN cord-016187-58rqc0cg 27 10 New New NNP cord-016187-58rqc0cg 27 11 York York NNP cord-016187-58rqc0cg 27 12 in in IN cord-016187-58rqc0cg 27 13 1999 1999 CD cord-016187-58rqc0cg 27 14 , , , cord-016187-58rqc0cg 27 15 thousands thousand NNS cord-016187-58rqc0cg 27 16 of of IN cord-016187-58rqc0cg 27 17 cases case NNS cord-016187-58rqc0cg 27 18 and and CC cord-016187-58rqc0cg 27 19 hundreds hundred NNS cord-016187-58rqc0cg 27 20 of of IN cord-016187-58rqc0cg 27 21 deaths death NNS cord-016187-58rqc0cg 27 22 in in IN cord-016187-58rqc0cg 27 23 North North NNP cord-016187-58rqc0cg 27 24 America America NNP cord-016187-58rqc0cg 27 25 over over IN cord-016187-58rqc0cg 27 26 next next JJ cord-016187-58rqc0cg 27 27 5 5 CD cord-016187-58rqc0cg 27 28 years year NNS cord-016187-58rqc0cg 27 29 Inhalational Inhalational NNP cord-016187-58rqc0cg 27 30 anthrax anthrax NN cord-016187-58rqc0cg 27 31 Intentional intentional JJ cord-016187-58rqc0cg 27 32 release release NN cord-016187-58rqc0cg 27 33 of of IN cord-016187-58rqc0cg 27 34 Vulnerability vulnerability NN cord-016187-58rqc0cg 27 35 to to IN cord-016187-58rqc0cg 27 36 [ [ -LRB- cord-016187-58rqc0cg 27 37 14 14 CD cord-016187-58rqc0cg 27 38 , , , cord-016187-58rqc0cg 27 39 15 15 CD cord-016187-58rqc0cg 27 40 ] ] -RRB- cord-016187-58rqc0cg 28 1 Bacillus bacillus NN cord-016187-58rqc0cg 28 2 anthracis anthracis NN cord-016187-58rqc0cg 28 3 spores spore VBZ cord-016187-58rqc0cg 28 4 bioterrorism bioterrorism NN cord-016187-58rqc0cg 28 5 ; ; : cord-016187-58rqc0cg 28 6 11 11 CD cord-016187-58rqc0cg 28 7 cases case NNS cord-016187-58rqc0cg 28 8 , , , cord-016187-58rqc0cg 28 9 in in IN cord-016187-58rqc0cg 28 10 USA USA NNP cord-016187-58rqc0cg 28 11 mail mail NN cord-016187-58rqc0cg 28 12 system system NN cord-016187-58rqc0cg 28 13 5 5 CD cord-016187-58rqc0cg 28 14 [ [ -LRB- cord-016187-58rqc0cg 28 15 17 17 CD cord-016187-58rqc0cg 28 16 ] ] -RRB- cord-016187-58rqc0cg 28 17 [ [ -LRB- cord-016187-58rqc0cg 28 18 18 18 CD cord-016187-58rqc0cg 28 19 ] ] -RRB- cord-016187-58rqc0cg 28 20 [ [ -LRB- cord-016187-58rqc0cg 28 21 19 19 CD cord-016187-58rqc0cg 28 22 ] ] -RRB- cord-016187-58rqc0cg 28 23 [ [ -LRB- cord-016187-58rqc0cg 28 24 20 20 CD cord-016187-58rqc0cg 28 25 ] ] -RRB- cord-016187-58rqc0cg 28 26 Oseltamivir Oseltamivir NNP cord-016187-58rqc0cg 28 27 - - HYPH cord-016187-58rqc0cg 28 28 resistant resistant JJ cord-016187-58rqc0cg 28 29 infl infl NN cord-016187-58rqc0cg 28 30 uenza uenza NN cord-016187-58rqc0cg 28 31 genes gene NNS cord-016187-58rqc0cg 29 1 -community -community : cord-016187-58rqc0cg 30 1 Azole Azole NNP cord-016187-58rqc0cg 30 2 - - HYPH cord-016187-58rqc0cg 30 3 resistant resistant JJ cord-016187-58rqc0cg 30 4 outbreaks outbreak NNS cord-016187-58rqc0cg 30 5 now now RB cord-016187-58rqc0cg 30 6 occur occur VBP cord-016187-58rqc0cg 30 7 Candida Candida NNP cord-016187-58rqc0cg 30 8 spp spp NNS cord-016187-58rqc0cg 30 9 . . . cord-016187-58rqc0cg 31 1 borne borne NNP cord-016187-58rqc0cg 31 2 West West NNP cord-016187-58rqc0cg 31 3 Nile Nile NNP cord-016187-58rqc0cg 31 4 virus virus NN cord-016187-58rqc0cg 31 5 in in IN cord-016187-58rqc0cg 31 6 North North NNP cord-016187-58rqc0cg 31 7 America America NNP cord-016187-58rqc0cg 31 8 [ [ -LRB- cord-016187-58rqc0cg 31 9 12 12 CD cord-016187-58rqc0cg 31 10 , , , cord-016187-58rqc0cg 31 11 13 13 CD cord-016187-58rqc0cg 31 12 ] ] -RRB- cord-016187-58rqc0cg 32 1 , , , cord-016187-58rqc0cg 32 2 prion prion NN cord-016187-58rqc0cg 32 3 - - HYPH cord-016187-58rqc0cg 32 4 related relate VBN cord-016187-58rqc0cg 32 5 food food NN cord-016187-58rqc0cg 32 6 - - HYPH cord-016187-58rqc0cg 32 7 borne bear VBN cord-016187-58rqc0cg 32 8 variant variant NN cord-016187-58rqc0cg 32 9 Creutzfeldt Creutzfeldt NNP cord-016187-58rqc0cg 32 10 - - HYPH cord-016187-58rqc0cg 32 11 Jakob Jakob NNP cord-016187-58rqc0cg 32 12 Disease Disease NNP cord-016187-58rqc0cg 32 13 [ [ -LRB- cord-016187-58rqc0cg 32 14 21 21 CD cord-016187-58rqc0cg 32 15 ] ] -RRB- cord-016187-58rqc0cg 32 16 , , , cord-016187-58rqc0cg 32 17 and and CC cord-016187-58rqc0cg 32 18 hemorrhagic hemorrhagic JJ cord-016187-58rqc0cg 32 19 fever fever NN cord-016187-58rqc0cg 32 20 viruses virus NNS cord-016187-58rqc0cg 32 21 [ [ -LRB- cord-016187-58rqc0cg 32 22 16 16 CD cord-016187-58rqc0cg 32 23 ] ] -RRB- cord-016187-58rqc0cg 32 24 are be VBP cord-016187-58rqc0cg 32 25 a a DT cord-016187-58rqc0cg 32 26 constant constant JJ cord-016187-58rqc0cg 32 27 reminder reminder NN cord-016187-58rqc0cg 32 28 of of IN cord-016187-58rqc0cg 32 29 our -PRON- PRP$ cord-016187-58rqc0cg 32 30 susceptibility susceptibility NN cord-016187-58rqc0cg 32 31 to to IN cord-016187-58rqc0cg 32 32 pathogens pathogen NNS cord-016187-58rqc0cg 32 33 that that WDT cord-016187-58rqc0cg 32 34 naturally naturally RB cord-016187-58rqc0cg 32 35 reside reside VBP cord-016187-58rqc0cg 32 36 in in IN cord-016187-58rqc0cg 32 37 other other JJ cord-016187-58rqc0cg 32 38 animal animal NN cord-016187-58rqc0cg 32 39 species specie NNS cord-016187-58rqc0cg 32 40 . . . cord-016187-58rqc0cg 33 1 The the DT cord-016187-58rqc0cg 33 2 omnipresent omnipresent JJ cord-016187-58rqc0cg 33 3 fear fear NN cord-016187-58rqc0cg 33 4 of of IN cord-016187-58rqc0cg 33 5 the the DT cord-016187-58rqc0cg 33 6 next next JJ cord-016187-58rqc0cg 33 7 pandemic pandemic NN cord-016187-58rqc0cg 33 8 of of IN cord-016187-58rqc0cg 33 9 infl infl NN cord-016187-58rqc0cg 33 10 uenza uenza NNP cord-016187-58rqc0cg 33 11 has have VBZ cord-016187-58rqc0cg 33 12 been be VBN cord-016187-58rqc0cg 33 13 heightened heighten VBN cord-016187-58rqc0cg 33 14 by by IN cord-016187-58rqc0cg 33 15 recent recent JJ cord-016187-58rqc0cg 33 16 evolutionary evolutionary JJ cord-016187-58rqc0cg 33 17 changes change NNS cord-016187-58rqc0cg 33 18 in in IN cord-016187-58rqc0cg 33 19 virulence virulence NN cord-016187-58rqc0cg 33 20 and and CC cord-016187-58rqc0cg 33 21 transmissibility transmissibility NN cord-016187-58rqc0cg 33 22 of of IN cord-016187-58rqc0cg 33 23 avian avian JJ cord-016187-58rqc0cg 33 24 fl fl NNP cord-016187-58rqc0cg 33 25 u u NNP cord-016187-58rqc0cg 33 26 viruses virus NNS cord-016187-58rqc0cg 33 27 [ [ -LRB- cord-016187-58rqc0cg 33 28 22 22 CD cord-016187-58rqc0cg 33 29 ] ] -RRB- cord-016187-58rqc0cg 33 30 . . . cord-016187-58rqc0cg 34 1 Standard standard JJ cord-016187-58rqc0cg 34 2 chemotherapeutic chemotherapeutic JJ cord-016187-58rqc0cg 34 3 regimens regimen NNS cord-016187-58rqc0cg 34 4 for for IN cord-016187-58rqc0cg 34 5 infectious infectious JJ cord-016187-58rqc0cg 34 6 diseases disease NNS cord-016187-58rqc0cg 34 7 may may MD cord-016187-58rqc0cg 34 8 not not RB cord-016187-58rqc0cg 34 9 reliably reliably RB cord-016187-58rqc0cg 34 10 rescue rescue VB cord-016187-58rqc0cg 34 11 persons person NNS cord-016187-58rqc0cg 34 12 with with IN cord-016187-58rqc0cg 34 13 severe severe JJ cord-016187-58rqc0cg 34 14 infections infection NNS cord-016187-58rqc0cg 34 15 in in IN cord-016187-58rqc0cg 34 16 the the DT cord-016187-58rqc0cg 34 17 new new JJ cord-016187-58rqc0cg 34 18 millennium millennium NN cord-016187-58rqc0cg 34 19 . . . cord-016187-58rqc0cg 35 1 Community community NN cord-016187-58rqc0cg 35 2 and and CC cord-016187-58rqc0cg 35 3 nosocomial nosocomial JJ cord-016187-58rqc0cg 35 4 outbreaks outbreak NNS cord-016187-58rqc0cg 35 5 of of IN cord-016187-58rqc0cg 35 6 multidrug multidrug NN cord-016187-58rqc0cg 35 7 resistant resistant JJ cord-016187-58rqc0cg 35 8 pathogens pathogen NNS cord-016187-58rqc0cg 35 9 as as IN cord-016187-58rqc0cg 35 10 evidenced evidence VBN cord-016187-58rqc0cg 35 11 by by IN cord-016187-58rqc0cg 35 12 methicillin methicillin NN cord-016187-58rqc0cg 35 13 and and CC cord-016187-58rqc0cg 35 14 vancomycin vancomycin NN cord-016187-58rqc0cg 35 15 resistance resistance NN cord-016187-58rqc0cg 35 16 [ [ -LRB- cord-016187-58rqc0cg 35 17 17 17 CD cord-016187-58rqc0cg 35 18 ] ] -RRB- cord-016187-58rqc0cg 35 19 in in IN cord-016187-58rqc0cg 35 20 Staphylococcus Staphylococcus NNP cord-016187-58rqc0cg 35 21 aureus aureus NN cord-016187-58rqc0cg 35 22 and and CC cord-016187-58rqc0cg 35 23 resistance resistance NN cord-016187-58rqc0cg 35 24 to to IN cord-016187-58rqc0cg 35 25 the the DT cord-016187-58rqc0cg 35 26 new new JJ cord-016187-58rqc0cg 35 27 anti anti JJ cord-016187-58rqc0cg 35 28 - - JJ cord-016187-58rqc0cg 35 29 viral viral JJ cord-016187-58rqc0cg 35 30 neuraminidase neuraminidase NN cord-016187-58rqc0cg 35 31 inhibitors inhibitor NNS cord-016187-58rqc0cg 35 32 [ [ -LRB- cord-016187-58rqc0cg 35 33 18 18 CD cord-016187-58rqc0cg 35 34 , , , cord-016187-58rqc0cg 35 35 19 19 CD cord-016187-58rqc0cg 35 36 ] ] -RRB- cord-016187-58rqc0cg 35 37 by by IN cord-016187-58rqc0cg 35 38 recent recent JJ cord-016187-58rqc0cg 35 39 infl infl NN cord-016187-58rqc0cg 35 40 uenza uenza NN cord-016187-58rqc0cg 35 41 isolates isolate NNS cord-016187-58rqc0cg 35 42 are be VBP cord-016187-58rqc0cg 35 43 cause cause NN cord-016187-58rqc0cg 35 44 for for IN cord-016187-58rqc0cg 35 45 real real JJ cord-016187-58rqc0cg 35 46 concern concern NN cord-016187-58rqc0cg 35 47 . . . cord-016187-58rqc0cg 36 1 The the DT cord-016187-58rqc0cg 36 2 care care NN cord-016187-58rqc0cg 36 3 of of IN cord-016187-58rqc0cg 36 4 hospitalized hospitalize VBN cord-016187-58rqc0cg 36 5 , , , cord-016187-58rqc0cg 36 6 critically critically RB cord-016187-58rqc0cg 36 7 ill ill JJ cord-016187-58rqc0cg 36 8 patients patient NNS cord-016187-58rqc0cg 36 9 is be VBZ cord-016187-58rqc0cg 36 10 likely likely JJ cord-016187-58rqc0cg 36 11 to to TO cord-016187-58rqc0cg 36 12 fundamentally fundamentally RB cord-016187-58rqc0cg 36 13 change change VB cord-016187-58rqc0cg 36 14 if if IN cord-016187-58rqc0cg 36 15 current current JJ cord-016187-58rqc0cg 36 16 trends trend NNS cord-016187-58rqc0cg 36 17 in in IN cord-016187-58rqc0cg 36 18 the the DT cord-016187-58rqc0cg 36 19 progressive progressive JJ cord-016187-58rqc0cg 36 20 emergence emergence NN cord-016187-58rqc0cg 36 21 of of IN cord-016187-58rqc0cg 36 22 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 36 23 resistance resistance NN cord-016187-58rqc0cg 36 24 to to TO cord-016187-58rqc0cg 36 25 commonly commonly RB cord-016187-58rqc0cg 36 26 prescribed prescribe VBN cord-016187-58rqc0cg 36 27 antibiotics antibiotic NNS cord-016187-58rqc0cg 36 28 are be VBP cord-016187-58rqc0cg 36 29 not not RB cord-016187-58rqc0cg 36 30 signifi signifi NNP cord-016187-58rqc0cg 36 31 cantly cantly RB cord-016187-58rqc0cg 36 32 altered alter VBN cord-016187-58rqc0cg 36 33 in in IN cord-016187-58rqc0cg 36 34 the the DT cord-016187-58rqc0cg 36 35 near near JJ cord-016187-58rqc0cg 36 36 future future NN cord-016187-58rqc0cg 36 37 . . . cord-016187-58rqc0cg 37 1 Regrettably regrettably RB cord-016187-58rqc0cg 37 2 , , , cord-016187-58rqc0cg 37 3 there there EX cord-016187-58rqc0cg 37 4 is be VBZ cord-016187-58rqc0cg 37 5 little little JJ cord-016187-58rqc0cg 37 6 evidence evidence NN cord-016187-58rqc0cg 37 7 that that IN cord-016187-58rqc0cg 37 8 the the DT cord-016187-58rqc0cg 37 9 situation situation NN cord-016187-58rqc0cg 37 10 is be VBZ cord-016187-58rqc0cg 37 11 likely likely JJ cord-016187-58rqc0cg 37 12 to to TO cord-016187-58rqc0cg 37 13 change change VB cord-016187-58rqc0cg 37 14 unless unless IN cord-016187-58rqc0cg 37 15 concerted concerted JJ cord-016187-58rqc0cg 37 16 efforts effort NNS cord-016187-58rqc0cg 37 17 are be VBP cord-016187-58rqc0cg 37 18 taken take VBN cord-016187-58rqc0cg 37 19 on on IN cord-016187-58rqc0cg 37 20 several several JJ cord-016187-58rqc0cg 37 21 fronts front NNS cord-016187-58rqc0cg 37 22 to to TO cord-016187-58rqc0cg 37 23 reverse reverse VB cord-016187-58rqc0cg 37 24 the the DT cord-016187-58rqc0cg 37 25 current current JJ cord-016187-58rqc0cg 37 26 trajectory trajectory NN cord-016187-58rqc0cg 37 27 of of IN cord-016187-58rqc0cg 37 28 increasing increase VBG cord-016187-58rqc0cg 37 29 antibiotic antibiotic JJ cord-016187-58rqc0cg 37 30 resistance resistance NN cord-016187-58rqc0cg 37 31 [ [ -LRB- cord-016187-58rqc0cg 37 32 17 17 CD cord-016187-58rqc0cg 37 33 , , , cord-016187-58rqc0cg 37 34 20 20 CD cord-016187-58rqc0cg 37 35 ] ] -RRB- cord-016187-58rqc0cg 37 36 . . . cord-016187-58rqc0cg 38 1 The the DT cord-016187-58rqc0cg 38 2 fi fi NN cord-016187-58rqc0cg 38 3 tness tness NN cord-016187-58rqc0cg 38 4 of of IN cord-016187-58rqc0cg 38 5 a a DT cord-016187-58rqc0cg 38 6 microorganism microorganism NN cord-016187-58rqc0cg 38 7 is be VBZ cord-016187-58rqc0cg 38 8 dependent dependent JJ cord-016187-58rqc0cg 38 9 upon upon IN cord-016187-58rqc0cg 38 10 its -PRON- PRP$ cord-016187-58rqc0cg 38 11 capacity capacity NN cord-016187-58rqc0cg 38 12 to to TO cord-016187-58rqc0cg 38 13 genetically genetically RB cord-016187-58rqc0cg 38 14 adapt adapt VB cord-016187-58rqc0cg 38 15 to to TO cord-016187-58rqc0cg 38 16 rapidly rapidly RB cord-016187-58rqc0cg 38 17 changing change VBG cord-016187-58rqc0cg 38 18 environmental environmental JJ cord-016187-58rqc0cg 38 19 conditions condition NNS cord-016187-58rqc0cg 38 20 . . . cord-016187-58rqc0cg 39 1 Antimicrobial antimicrobial JJ cord-016187-58rqc0cg 39 2 agents agent NNS cord-016187-58rqc0cg 39 3 exert exert VBP cord-016187-58rqc0cg 39 4 strong strong JJ cord-016187-58rqc0cg 39 5 selective selective JJ cord-016187-58rqc0cg 39 6 pressures pressure NNS cord-016187-58rqc0cg 39 7 on on IN cord-016187-58rqc0cg 39 8 microbial microbial JJ cord-016187-58rqc0cg 39 9 populations population NNS cord-016187-58rqc0cg 39 10 , , , cord-016187-58rqc0cg 39 11 favoring favor VBG cord-016187-58rqc0cg 39 12 those those DT cord-016187-58rqc0cg 39 13 organisms organism NNS cord-016187-58rqc0cg 39 14 that that WDT cord-016187-58rqc0cg 39 15 are be VBP cord-016187-58rqc0cg 39 16 capable capable JJ cord-016187-58rqc0cg 39 17 of of IN cord-016187-58rqc0cg 39 18 resisting resist VBG cord-016187-58rqc0cg 39 19 them -PRON- PRP cord-016187-58rqc0cg 39 20 . . . cord-016187-58rqc0cg 40 1 Genetic genetic JJ cord-016187-58rqc0cg 40 2 variability variability NN cord-016187-58rqc0cg 40 3 may may MD cord-016187-58rqc0cg 40 4 occur occur VB cord-016187-58rqc0cg 40 5 by by IN cord-016187-58rqc0cg 40 6 a a DT cord-016187-58rqc0cg 40 7 variety variety NN cord-016187-58rqc0cg 40 8 of of IN cord-016187-58rqc0cg 40 9 mechanisms mechanism NNS cord-016187-58rqc0cg 40 10 . . . cord-016187-58rqc0cg 41 1 Point point NN cord-016187-58rqc0cg 41 2 mutations mutation NNS cord-016187-58rqc0cg 41 3 may may MD cord-016187-58rqc0cg 41 4 occur occur VB cord-016187-58rqc0cg 41 5 in in IN cord-016187-58rqc0cg 41 6 a a DT cord-016187-58rqc0cg 41 7 nucleotide nucleotide JJ cord-016187-58rqc0cg 41 8 base base NN cord-016187-58rqc0cg 41 9 pair pair NN cord-016187-58rqc0cg 41 10 , , , cord-016187-58rqc0cg 41 11 which which WDT cord-016187-58rqc0cg 41 12 is be VBZ cord-016187-58rqc0cg 41 13 referred refer VBN cord-016187-58rqc0cg 41 14 to to IN cord-016187-58rqc0cg 41 15 as as IN cord-016187-58rqc0cg 41 16 micro micro JJ cord-016187-58rqc0cg 41 17 - - JJ cord-016187-58rqc0cg 41 18 evolutionary evolutionary JJ cord-016187-58rqc0cg 41 19 change change NN cord-016187-58rqc0cg 41 20 [ [ -LRB- cord-016187-58rqc0cg 41 21 23 23 CD cord-016187-58rqc0cg 41 22 ] ] -RRB- cord-016187-58rqc0cg 41 23 . . . cord-016187-58rqc0cg 42 1 These these DT cord-016187-58rqc0cg 42 2 mutations mutation NNS cord-016187-58rqc0cg 42 3 may may MD cord-016187-58rqc0cg 42 4 alter alter VB cord-016187-58rqc0cg 42 5 the the DT cord-016187-58rqc0cg 42 6 target target NN cord-016187-58rqc0cg 42 7 site site NN cord-016187-58rqc0cg 42 8 of of IN cord-016187-58rqc0cg 42 9 an an DT cord-016187-58rqc0cg 42 10 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 42 11 agent agent NN cord-016187-58rqc0cg 42 12 , , , cord-016187-58rqc0cg 42 13 altering alter VBG cord-016187-58rqc0cg 42 14 with with IN cord-016187-58rqc0cg 42 15 its -PRON- PRP$ cord-016187-58rqc0cg 42 16 inhibitory inhibitory JJ cord-016187-58rqc0cg 42 17 capacity capacity NN cord-016187-58rqc0cg 42 18 . . . cord-016187-58rqc0cg 43 1 Point point NN cord-016187-58rqc0cg 43 2 mutations mutation NNS cord-016187-58rqc0cg 43 3 inside inside IN cord-016187-58rqc0cg 43 4 or or CC cord-016187-58rqc0cg 43 5 adjacent adjacent JJ cord-016187-58rqc0cg 43 6 to to IN cord-016187-58rqc0cg 43 7 the the DT cord-016187-58rqc0cg 43 8 active active JJ cord-016187-58rqc0cg 43 9 sites site NNS cord-016187-58rqc0cg 43 10 of of IN cord-016187-58rqc0cg 43 11 existing exist VBG cord-016187-58rqc0cg 43 12 beta beta NN cord-016187-58rqc0cg 43 13 - - HYPH cord-016187-58rqc0cg 43 14 lactamase lactamase NN cord-016187-58rqc0cg 43 15 genes gene NNS cord-016187-58rqc0cg 43 16 ( ( -LRB- cord-016187-58rqc0cg 43 17 e.g. e.g. RB cord-016187-58rqc0cg 43 18 , , , cord-016187-58rqc0cg 43 19 genes gene NNS cord-016187-58rqc0cg 43 20 for for IN cord-016187-58rqc0cg 43 21 TEM-1 TEM-1 NNP cord-016187-58rqc0cg 43 22 , , , cord-016187-58rqc0cg 43 23 SHV-1 SHV-1 NNP cord-016187-58rqc0cg 43 24 ) ) -RRB- cord-016187-58rqc0cg 43 25 have have VBP cord-016187-58rqc0cg 43 26 generated generate VBN cord-016187-58rqc0cg 43 27 a a DT cord-016187-58rqc0cg 43 28 remarkable remarkable JJ cord-016187-58rqc0cg 43 29 array array NN cord-016187-58rqc0cg 43 30 of of IN cord-016187-58rqc0cg 43 31 newly newly RB cord-016187-58rqc0cg 43 32 recognized recognize VBN cord-016187-58rqc0cg 43 33 extended extend VBN cord-016187-58rqc0cg 43 34 - - HYPH cord-016187-58rqc0cg 43 35 spectrum spectrum NN cord-016187-58rqc0cg 43 36 beta beta NN cord-016187-58rqc0cg 43 37 - - HYPH cord-016187-58rqc0cg 43 38 lactamases lactamase NNS cord-016187-58rqc0cg 43 39 [ [ -LRB- cord-016187-58rqc0cg 43 40 23 23 CD cord-016187-58rqc0cg 43 41 ] ] -RRB- cord-016187-58rqc0cg 43 42 . . . cord-016187-58rqc0cg 44 1 Beta beta NN cord-016187-58rqc0cg 44 2 - - HYPH cord-016187-58rqc0cg 44 3 lactam lactam NN cord-016187-58rqc0cg 44 4 antibiotics antibiotic NNS cord-016187-58rqc0cg 44 5 have have VBP cord-016187-58rqc0cg 44 6 been be VBN cord-016187-58rqc0cg 44 7 known know VBN cord-016187-58rqc0cg 44 8 for for IN cord-016187-58rqc0cg 44 9 almost almost RB cord-016187-58rqc0cg 44 10 80 80 CD cord-016187-58rqc0cg 44 11 years year NNS cord-016187-58rqc0cg 44 12 and and CC cord-016187-58rqc0cg 44 13 their -PRON- PRP$ cord-016187-58rqc0cg 44 14 widespread widespread JJ cord-016187-58rqc0cg 44 15 use use NN cord-016187-58rqc0cg 44 16 has have VBZ cord-016187-58rqc0cg 44 17 created create VBN cord-016187-58rqc0cg 44 18 selection selection NN cord-016187-58rqc0cg 44 19 pressures pressure NNS cord-016187-58rqc0cg 44 20 on on IN cord-016187-58rqc0cg 44 21 bacterial bacterial JJ cord-016187-58rqc0cg 44 22 pathogens pathogen NNS cord-016187-58rqc0cg 44 23 to to TO cord-016187-58rqc0cg 44 24 resist resist VB cord-016187-58rqc0cg 44 25 their -PRON- PRP$ cord-016187-58rqc0cg 44 26 inhibitory inhibitory JJ cord-016187-58rqc0cg 44 27 actions action NNS cord-016187-58rqc0cg 44 28 . . . cord-016187-58rqc0cg 45 1 At at RB cord-016187-58rqc0cg 45 2 least least RBS cord-016187-58rqc0cg 45 3 267 267 CD cord-016187-58rqc0cg 45 4 different different JJ cord-016187-58rqc0cg 45 5 bacterial bacterial JJ cord-016187-58rqc0cg 45 6 enzymes enzyme NNS cord-016187-58rqc0cg 45 7 have have VBP cord-016187-58rqc0cg 45 8 now now RB cord-016187-58rqc0cg 45 9 been be VBN cord-016187-58rqc0cg 45 10 characterized characterize VBN cord-016187-58rqc0cg 46 1 that that IN cord-016187-58rqc0cg 46 2 hydrolyze hydrolyze VB cord-016187-58rqc0cg 46 3 beta beta NN cord-016187-58rqc0cg 46 4 - - HYPH cord-016187-58rqc0cg 46 5 lactam lactam NN cord-016187-58rqc0cg 46 6 antibiotics antibiotic NNS cord-016187-58rqc0cg 46 7 [ [ -LRB- cord-016187-58rqc0cg 46 8 24 24 CD cord-016187-58rqc0cg 46 9 ] ] -RRB- cord-016187-58rqc0cg 46 10 . . . cord-016187-58rqc0cg 47 1 The the DT cord-016187-58rqc0cg 47 2 hydrolyzing hydrolyzing NN cord-016187-58rqc0cg 47 3 enzymes enzyme NNS cord-016187-58rqc0cg 47 4 exist exist VBP cord-016187-58rqc0cg 47 5 in in IN cord-016187-58rqc0cg 47 6 four four CD cord-016187-58rqc0cg 47 7 basic basic JJ cord-016187-58rqc0cg 47 8 molecular molecular JJ cord-016187-58rqc0cg 47 9 classes class NNS cord-016187-58rqc0cg 47 10 and and CC cord-016187-58rqc0cg 47 11 are be VBP cord-016187-58rqc0cg 47 12 classifi classifi NNP cord-016187-58rqc0cg 47 13 ed ed NNP cord-016187-58rqc0cg 47 14 as as IN cord-016187-58rqc0cg 47 15 listed list VBN cord-016187-58rqc0cg 47 16 in in IN cord-016187-58rqc0cg 47 17 Table Table NNP cord-016187-58rqc0cg 47 18 2 2 CD cord-016187-58rqc0cg 47 19 . . . cord-016187-58rqc0cg 48 1 The the DT cord-016187-58rqc0cg 48 2 enzymes enzyme NNS cord-016187-58rqc0cg 48 3 are be VBP cord-016187-58rqc0cg 48 4 either either CC cord-016187-58rqc0cg 48 5 serine serine NN cord-016187-58rqc0cg 48 6 hydrolases hydrolase NNS cord-016187-58rqc0cg 48 7 ( ( -LRB- cord-016187-58rqc0cg 48 8 class class NN cord-016187-58rqc0cg 48 9 A A NNP cord-016187-58rqc0cg 48 10 , , , cord-016187-58rqc0cg 48 11 C C NNP cord-016187-58rqc0cg 48 12 , , , cord-016187-58rqc0cg 48 13 and and CC cord-016187-58rqc0cg 48 14 D D NNP cord-016187-58rqc0cg 48 15 ) ) -RRB- cord-016187-58rqc0cg 48 16 or or CC cord-016187-58rqc0cg 48 17 zinc zinc NN cord-016187-58rqc0cg 48 18 containing contain VBG cord-016187-58rqc0cg 48 19 metalloenzymes metalloenzyme NNS cord-016187-58rqc0cg 48 20 with with IN cord-016187-58rqc0cg 48 21 a a DT cord-016187-58rqc0cg 48 22 zinc zinc NN cord-016187-58rqc0cg 48 23 - - HYPH cord-016187-58rqc0cg 48 24 binding bind VBG cord-016187-58rqc0cg 48 25 thiol thiol NN cord-016187-58rqc0cg 48 26 group group NN cord-016187-58rqc0cg 48 27 its -PRON- PRP$ cord-016187-58rqc0cg 48 28 active active JJ cord-016187-58rqc0cg 48 29 site site NN cord-016187-58rqc0cg 48 30 ( ( -LRB- cord-016187-58rqc0cg 48 31 class class NN cord-016187-58rqc0cg 48 32 B b NN cord-016187-58rqc0cg 48 33 enzymes enzyme NNS cord-016187-58rqc0cg 48 34 ) ) -RRB- cord-016187-58rqc0cg 48 35 . . . cord-016187-58rqc0cg 49 1 The the DT cord-016187-58rqc0cg 49 2 microevolutionary microevolutionary JJ cord-016187-58rqc0cg 49 3 events event NNS cord-016187-58rqc0cg 49 4 that that WDT cord-016187-58rqc0cg 49 5 account account VBP cord-016187-58rqc0cg 49 6 for for IN cord-016187-58rqc0cg 49 7 the the DT cord-016187-58rqc0cg 49 8 differential differential JJ cord-016187-58rqc0cg 49 9 activities activity NNS cord-016187-58rqc0cg 49 10 of of IN cord-016187-58rqc0cg 49 11 this this DT cord-016187-58rqc0cg 49 12 array array NN cord-016187-58rqc0cg 49 13 of of IN cord-016187-58rqc0cg 49 14 beta beta NN cord-016187-58rqc0cg 49 15 - - HYPH cord-016187-58rqc0cg 49 16 lactamases lactamase NNS cord-016187-58rqc0cg 49 17 have have VBP cord-016187-58rqc0cg 49 18 been be VBN cord-016187-58rqc0cg 49 19 carefully carefully RB cord-016187-58rqc0cg 49 20 studied study VBN cord-016187-58rqc0cg 49 21 , , , cord-016187-58rqc0cg 49 22 and and CC cord-016187-58rqc0cg 49 23 these these DT cord-016187-58rqc0cg 49 24 bacterial bacterial JJ cord-016187-58rqc0cg 49 25 enzymes enzyme NNS cord-016187-58rqc0cg 49 26 now now RB cord-016187-58rqc0cg 49 27 even even RB cord-016187-58rqc0cg 49 28 have have VBP cord-016187-58rqc0cg 49 29 their -PRON- PRP$ cord-016187-58rqc0cg 49 30 own own JJ cord-016187-58rqc0cg 49 31 internet internet NN cord-016187-58rqc0cg 49 32 website website NN cord-016187-58rqc0cg 49 33 devoted devote VBN cord-016187-58rqc0cg 49 34 specifi specifi NN cord-016187-58rqc0cg 49 35 cally cally RB cord-016187-58rqc0cg 49 36 to to IN cord-016187-58rqc0cg 49 37 their -PRON- PRP$ cord-016187-58rqc0cg 49 38 molecular molecular JJ cord-016187-58rqc0cg 49 39 properties property NNS cord-016187-58rqc0cg 49 40 ( ( -LRB- cord-016187-58rqc0cg 49 41 http:// http:// NNP cord-016187-58rqc0cg 49 42 www.lahey.org/studies/webt.htm www.lahey.org/studies/webt.htm NNP cord-016187-58rqc0cg 49 43 ) ) -RRB- cord-016187-58rqc0cg 49 44 . . . cord-016187-58rqc0cg 50 1 Beta beta NN cord-016187-58rqc0cg 50 2 - - HYPH cord-016187-58rqc0cg 50 3 lactamase lactamase NN cord-016187-58rqc0cg 50 4 activity activity NN cord-016187-58rqc0cg 50 5 has have VBZ cord-016187-58rqc0cg 50 6 become become VBN cord-016187-58rqc0cg 50 7 so so RB cord-016187-58rqc0cg 50 8 ubiquitous ubiquitous JJ cord-016187-58rqc0cg 50 9 among among IN cord-016187-58rqc0cg 50 10 bacterial bacterial JJ cord-016187-58rqc0cg 50 11 populations population NNS cord-016187-58rqc0cg 50 12 that that IN cord-016187-58rqc0cg 50 13 it -PRON- PRP cord-016187-58rqc0cg 50 14 has have VBZ cord-016187-58rqc0cg 50 15 prompted prompt VBN cord-016187-58rqc0cg 50 16 the the DT cord-016187-58rqc0cg 50 17 development development NN cord-016187-58rqc0cg 50 18 of of IN cord-016187-58rqc0cg 50 19 specifi specifi NNP cord-016187-58rqc0cg 50 20 c c NN cord-016187-58rqc0cg 50 21 beta beta NN cord-016187-58rqc0cg 50 22 - - HYPH cord-016187-58rqc0cg 50 23 lactamase lactamase NN cord-016187-58rqc0cg 50 24 inhibitor inhibitor NN cord-016187-58rqc0cg 50 25 compounds compound NNS cord-016187-58rqc0cg 50 26 ( ( -LRB- cord-016187-58rqc0cg 50 27 clavulanate clavulanate NNP cord-016187-58rqc0cg 50 28 , , , cord-016187-58rqc0cg 50 29 tazobactam tazobactam NNP cord-016187-58rqc0cg 50 30 and and CC cord-016187-58rqc0cg 50 31 sulbactam sulbactam NNP cord-016187-58rqc0cg 50 32 ) ) -RRB- cord-016187-58rqc0cg 50 33 in in IN cord-016187-58rqc0cg 50 34 an an DT cord-016187-58rqc0cg 50 35 effort effort NN cord-016187-58rqc0cg 50 36 to to TO cord-016187-58rqc0cg 50 37 combat combat VB cord-016187-58rqc0cg 50 38 this this DT cord-016187-58rqc0cg 50 39 common common JJ cord-016187-58rqc0cg 50 40 bacterial bacterial JJ cord-016187-58rqc0cg 50 41 resistance resistance NN cord-016187-58rqc0cg 50 42 mechanism mechanism NN cord-016187-58rqc0cg 50 43 . . . cord-016187-58rqc0cg 51 1 This this DT cord-016187-58rqc0cg 51 2 has have VBZ cord-016187-58rqc0cg 51 3 been be VBN cord-016187-58rqc0cg 51 4 countered counter VBN cord-016187-58rqc0cg 51 5 by by IN cord-016187-58rqc0cg 51 6 the the DT cord-016187-58rqc0cg 51 7 generation generation NN cord-016187-58rqc0cg 51 8 of of IN cord-016187-58rqc0cg 51 9 inhibitors inhibitor NNS cord-016187-58rqc0cg 51 10 of of IN cord-016187-58rqc0cg 51 11 these these DT cord-016187-58rqc0cg 51 12 beta beta NN cord-016187-58rqc0cg 51 13 - - HYPH cord-016187-58rqc0cg 51 14 lactamase lactamase NN cord-016187-58rqc0cg 51 15 inhibitors inhibitor NNS cord-016187-58rqc0cg 51 16 by by IN cord-016187-58rqc0cg 51 17 multidrug multidrug NN cord-016187-58rqc0cg 51 18 - - HYPH cord-016187-58rqc0cg 51 19 resistant resistant JJ cord-016187-58rqc0cg 51 20 bacteria bacteria NNS cord-016187-58rqc0cg 51 21 [ [ -LRB- cord-016187-58rqc0cg 51 22 23 23 CD cord-016187-58rqc0cg 51 23 ] ] -RRB- cord-016187-58rqc0cg 51 24 in in IN cord-016187-58rqc0cg 51 25 the the DT cord-016187-58rqc0cg 51 26 ongoing ongoing JJ cord-016187-58rqc0cg 51 27 confl confl NN cord-016187-58rqc0cg 51 28 ict ict NN cord-016187-58rqc0cg 51 29 between between IN cord-016187-58rqc0cg 51 30 pathogens pathogen NNS cord-016187-58rqc0cg 51 31 and and CC cord-016187-58rqc0cg 51 32 chemotherapeutic chemotherapeutic JJ cord-016187-58rqc0cg 51 33 strategies strategy NNS cord-016187-58rqc0cg 51 34 to to TO cord-016187-58rqc0cg 51 35 eradicate eradicate VB cord-016187-58rqc0cg 51 36 these these DT cord-016187-58rqc0cg 51 37 microorganisms microorganism NNS cord-016187-58rqc0cg 51 38 . . . cord-016187-58rqc0cg 52 1 Recently recently RB cord-016187-58rqc0cg 52 2 it -PRON- PRP cord-016187-58rqc0cg 52 3 has have VBZ cord-016187-58rqc0cg 52 4 been be VBN cord-016187-58rqc0cg 52 5 demonstrated demonstrate VBN cord-016187-58rqc0cg 52 6 that that IN cord-016187-58rqc0cg 52 7 at at IN cord-016187-58rqc0cg 52 8 least least JJS cord-016187-58rqc0cg 52 9 some some DT cord-016187-58rqc0cg 52 10 bacterial bacterial JJ cord-016187-58rqc0cg 52 11 populations population NNS cord-016187-58rqc0cg 52 12 have have VBP cord-016187-58rqc0cg 52 13 the the DT cord-016187-58rqc0cg 52 14 capacity capacity NN cord-016187-58rqc0cg 52 15 to to TO cord-016187-58rqc0cg 52 16 increase increase VB cord-016187-58rqc0cg 52 17 their -PRON- PRP$ cord-016187-58rqc0cg 52 18 mutation mutation NN cord-016187-58rqc0cg 52 19 rates rate NNS cord-016187-58rqc0cg 52 20 during during IN cord-016187-58rqc0cg 52 21 times time NNS cord-016187-58rqc0cg 52 22 of of IN cord-016187-58rqc0cg 52 23 environmental environmental JJ cord-016187-58rqc0cg 52 24 stress stress NN cord-016187-58rqc0cg 52 25 such such JJ cord-016187-58rqc0cg 52 26 as as IN cord-016187-58rqc0cg 52 27 exposure exposure NN cord-016187-58rqc0cg 52 28 to to IN cord-016187-58rqc0cg 52 29 an an DT cord-016187-58rqc0cg 52 30 antibiotic antibiotic NN cord-016187-58rqc0cg 52 31 . . . cord-016187-58rqc0cg 53 1 This this DT cord-016187-58rqc0cg 53 2 stress stress NN cord-016187-58rqc0cg 53 3 response response NN cord-016187-58rqc0cg 53 4 is be VBZ cord-016187-58rqc0cg 53 5 known know VBN cord-016187-58rqc0cg 53 6 as as IN cord-016187-58rqc0cg 53 7 the the DT cord-016187-58rqc0cg 53 8 ' ' `` cord-016187-58rqc0cg 53 9 SOS SOS NNP cord-016187-58rqc0cg 53 10 ' ' POS cord-016187-58rqc0cg 53 11 response response NN cord-016187-58rqc0cg 53 12 or or CC cord-016187-58rqc0cg 53 13 transient transient JJ cord-016187-58rqc0cg 53 14 hypermutation hypermutation NN cord-016187-58rqc0cg 53 15 [ [ -LRB- cord-016187-58rqc0cg 53 16 25 25 CD cord-016187-58rqc0cg 53 17 ] ] -RRB- cord-016187-58rqc0cg 53 18 . . . cord-016187-58rqc0cg 54 1 It -PRON- PRP cord-016187-58rqc0cg 54 2 is be VBZ cord-016187-58rqc0cg 54 3 highly highly RB cord-016187-58rqc0cg 54 4 advantageous advantageous JJ cord-016187-58rqc0cg 54 5 for for IN cord-016187-58rqc0cg 54 6 the the DT cord-016187-58rqc0cg 54 7 organism organism NN cord-016187-58rqc0cg 54 8 to to TO cord-016187-58rqc0cg 54 9 increase increase VB cord-016187-58rqc0cg 54 10 the the DT cord-016187-58rqc0cg 54 11 rate rate NN cord-016187-58rqc0cg 54 12 of of IN cord-016187-58rqc0cg 54 13 genetic genetic JJ cord-016187-58rqc0cg 54 14 variation variation NN cord-016187-58rqc0cg 54 15 at at IN cord-016187-58rqc0cg 54 16 times time NNS cord-016187-58rqc0cg 54 17 of of IN cord-016187-58rqc0cg 54 18 unfavorable unfavorable JJ cord-016187-58rqc0cg 54 19 environmental environmental JJ cord-016187-58rqc0cg 54 20 conditions condition NNS cord-016187-58rqc0cg 54 21 . . . cord-016187-58rqc0cg 55 1 It -PRON- PRP cord-016187-58rqc0cg 55 2 is be VBZ cord-016187-58rqc0cg 55 3 possible possible JJ cord-016187-58rqc0cg 55 4 for for IN cord-016187-58rqc0cg 55 5 bacteria bacteria NNS cord-016187-58rqc0cg 55 6 to to TO cord-016187-58rqc0cg 55 7 upregulate upregulate VB cord-016187-58rqc0cg 55 8 the the DT cord-016187-58rqc0cg 55 9 pace pace NN cord-016187-58rqc0cg 55 10 of of IN cord-016187-58rqc0cg 55 11 evolution evolution NN cord-016187-58rqc0cg 55 12 in in IN cord-016187-58rqc0cg 55 13 an an DT cord-016187-58rqc0cg 55 14 attempt attempt NN cord-016187-58rqc0cg 55 15 to to TO cord-016187-58rqc0cg 55 16 develop develop VB cord-016187-58rqc0cg 55 17 a a DT cord-016187-58rqc0cg 55 18 clone clone NN cord-016187-58rqc0cg 55 19 that that WDT cord-016187-58rqc0cg 55 20 can can MD cord-016187-58rqc0cg 55 21 resist resist VB cord-016187-58rqc0cg 55 22 the the DT cord-016187-58rqc0cg 55 23 action action NN cord-016187-58rqc0cg 55 24 of of IN cord-016187-58rqc0cg 55 25 an an DT cord-016187-58rqc0cg 55 26 antibiotic antibiotic NN cord-016187-58rqc0cg 55 27 . . . cord-016187-58rqc0cg 56 1 The the DT cord-016187-58rqc0cg 56 2 DNA dna NN cord-016187-58rqc0cg 56 3 polymerase polymerase NN cord-016187-58rqc0cg 56 4 in in IN cord-016187-58rqc0cg 56 5 such such JJ cord-016187-58rqc0cg 56 6 organisms organism NNS cord-016187-58rqc0cg 56 7 has have VBZ cord-016187-58rqc0cg 56 8 reduced reduce VBN cord-016187-58rqc0cg 56 9 fi fi NN cord-016187-58rqc0cg 56 10 delity delity NN cord-016187-58rqc0cg 56 11 of of IN cord-016187-58rqc0cg 56 12 replication replication NN cord-016187-58rqc0cg 56 13 and and CC cord-016187-58rqc0cg 56 14 subsequently subsequently RB cord-016187-58rqc0cg 56 15 an an DT cord-016187-58rqc0cg 56 16 increased increase VBN cord-016187-58rqc0cg 56 17 rate rate NN cord-016187-58rqc0cg 56 18 in in IN cord-016187-58rqc0cg 56 19 the the DT cord-016187-58rqc0cg 56 20 mutational mutational JJ cord-016187-58rqc0cg 56 21 occurrences occurrence NNS cord-016187-58rqc0cg 56 22 as as IN cord-016187-58rqc0cg 56 23 a a DT cord-016187-58rqc0cg 56 24 result result NN cord-016187-58rqc0cg 56 25 of of IN cord-016187-58rqc0cg 56 26 excess excess JJ cord-016187-58rqc0cg 56 27 nucleotide nucleotide JJ cord-016187-58rqc0cg 56 28 mispairing mispairing NN cord-016187-58rqc0cg 56 29 . . . cord-016187-58rqc0cg 57 1 The the DT cord-016187-58rqc0cg 57 2 recombination recombination NN cord-016187-58rqc0cg 57 3 system system NN cord-016187-58rqc0cg 57 4 of of IN cord-016187-58rqc0cg 57 5 bacteria bacteria NNS cord-016187-58rqc0cg 57 6 ( ( -LRB- cord-016187-58rqc0cg 57 7 the the DT cord-016187-58rqc0cg 57 8 recA recA NNP cord-016187-58rqc0cg 57 9 system system NN cord-016187-58rqc0cg 57 10 ) ) -RRB- cord-016187-58rqc0cg 57 11 becomes become VBZ cord-016187-58rqc0cg 57 12 less less RBR cord-016187-58rqc0cg 57 13 restrictive restrictive JJ cord-016187-58rqc0cg 57 14 in in IN cord-016187-58rqc0cg 57 15 the the DT cord-016187-58rqc0cg 57 16 degree degree NN cord-016187-58rqc0cg 57 17 homology homology NN cord-016187-58rqc0cg 57 18 between between IN cord-016187-58rqc0cg 57 19 DNA dna NN cord-016187-58rqc0cg 57 20 sequences sequence NNS cord-016187-58rqc0cg 57 21 before before IN cord-016187-58rqc0cg 57 22 a a DT cord-016187-58rqc0cg 57 23 crossover crossover NN cord-016187-58rqc0cg 57 24 event event NN cord-016187-58rqc0cg 57 25 is be VBZ cord-016187-58rqc0cg 57 26 permitted permit VBN cord-016187-58rqc0cg 57 27 to to TO cord-016187-58rqc0cg 57 28 occur occur VB cord-016187-58rqc0cg 57 29 . . . cord-016187-58rqc0cg 58 1 A a DT cord-016187-58rqc0cg 58 2 fl fl NNP cord-016187-58rqc0cg 58 3 urry urry NN cord-016187-58rqc0cg 58 4 of of IN cord-016187-58rqc0cg 58 5 mutational mutational JJ cord-016187-58rqc0cg 58 6 events event NNS cord-016187-58rqc0cg 58 7 occur occur VBP cord-016187-58rqc0cg 58 8 in in IN cord-016187-58rqc0cg 58 9 stressed stress VBN cord-016187-58rqc0cg 58 10 bacteria bacteria NNS cord-016187-58rqc0cg 58 11 in in IN cord-016187-58rqc0cg 58 12 a a DT cord-016187-58rqc0cg 58 13 fi fi NN cord-016187-58rqc0cg 58 14 nal nal FW cord-016187-58rqc0cg 58 15 attempt attempt NN cord-016187-58rqc0cg 58 16 to to TO cord-016187-58rqc0cg 58 17 generate generate VB cord-016187-58rqc0cg 58 18 a a DT cord-016187-58rqc0cg 58 19 resistant resistant JJ cord-016187-58rqc0cg 58 20 subpopulation subpopulation NN cord-016187-58rqc0cg 58 21 of of IN cord-016187-58rqc0cg 58 22 bacteria bacteria NNS cord-016187-58rqc0cg 58 23 in in IN cord-016187-58rqc0cg 58 24 the the DT cord-016187-58rqc0cg 58 25 presence presence NN cord-016187-58rqc0cg 58 26 of of IN cord-016187-58rqc0cg 58 27 an an DT cord-016187-58rqc0cg 58 28 environmental environmental JJ cord-016187-58rqc0cg 58 29 challenge challenge NN cord-016187-58rqc0cg 58 30 such such JJ cord-016187-58rqc0cg 58 31 as as IN cord-016187-58rqc0cg 58 32 the the DT cord-016187-58rqc0cg 58 33 presence presence NN cord-016187-58rqc0cg 58 34 of of IN cord-016187-58rqc0cg 58 35 a a DT cord-016187-58rqc0cg 58 36 new new JJ cord-016187-58rqc0cg 58 37 antibiotic antibiotic NN cord-016187-58rqc0cg 58 38 . . . cord-016187-58rqc0cg 59 1 This this DT cord-016187-58rqc0cg 59 2 process process NN cord-016187-58rqc0cg 59 3 has have VBZ cord-016187-58rqc0cg 59 4 even even RB cord-016187-58rqc0cg 59 5 been be VBN cord-016187-58rqc0cg 59 6 phenotypically phenotypically RB cord-016187-58rqc0cg 59 7 linked link VBN cord-016187-58rqc0cg 59 8 with with IN cord-016187-58rqc0cg 59 9 alterations alteration NNS cord-016187-58rqc0cg 59 10 in in IN cord-016187-58rqc0cg 59 11 growth growth NN cord-016187-58rqc0cg 59 12 rate rate NN cord-016187-58rqc0cg 59 13 and and CC cord-016187-58rqc0cg 59 14 biofi biofi NNP cord-016187-58rqc0cg 59 15 lm lm NNP cord-016187-58rqc0cg 59 16 formation formation NN cord-016187-58rqc0cg 59 17 in in IN cord-016187-58rqc0cg 59 18 some some DT cord-016187-58rqc0cg 59 19 strains strain NNS cord-016187-58rqc0cg 59 20 of of IN cord-016187-58rqc0cg 59 21 Pseudomonas Pseudomonas NNP cord-016187-58rqc0cg 59 22 aeruginosa aeruginosa VBZ cord-016187-58rqc0cg 59 23 [ [ -LRB- cord-016187-58rqc0cg 59 24 26 26 CD cord-016187-58rqc0cg 59 25 ] ] -RRB- cord-016187-58rqc0cg 59 26 . . . cord-016187-58rqc0cg 60 1 A a DT cord-016187-58rqc0cg 60 2 second second JJ cord-016187-58rqc0cg 60 3 level level NN cord-016187-58rqc0cg 60 4 of of IN cord-016187-58rqc0cg 60 5 genomic genomic JJ cord-016187-58rqc0cg 60 6 variability variability NN cord-016187-58rqc0cg 60 7 in in IN cord-016187-58rqc0cg 60 8 bacteria bacteria NNS cord-016187-58rqc0cg 60 9 is be VBZ cord-016187-58rqc0cg 60 10 referred refer VBN cord-016187-58rqc0cg 60 11 to to IN cord-016187-58rqc0cg 60 12 as as IN cord-016187-58rqc0cg 60 13 a a DT cord-016187-58rqc0cg 60 14 macro macro JJ cord-016187-58rqc0cg 60 15 - - HYPH cord-016187-58rqc0cg 60 16 evolutionary evolutionary JJ cord-016187-58rqc0cg 60 17 change change NN cord-016187-58rqc0cg 60 18 and and CC cord-016187-58rqc0cg 60 19 results result NNS cord-016187-58rqc0cg 60 20 in in IN cord-016187-58rqc0cg 60 21 whole whole JJ cord-016187-58rqc0cg 60 22 - - HYPH cord-016187-58rqc0cg 60 23 scale scale NN cord-016187-58rqc0cg 60 24 rearrangements rearrangement NNS cord-016187-58rqc0cg 60 25 of of IN cord-016187-58rqc0cg 60 26 large large JJ cord-016187-58rqc0cg 60 27 segments segment NNS cord-016187-58rqc0cg 60 28 of of IN cord-016187-58rqc0cg 60 29 DNA DNA NNP cord-016187-58rqc0cg 60 30 as as IN cord-016187-58rqc0cg 60 31 a a DT cord-016187-58rqc0cg 60 32 single single JJ cord-016187-58rqc0cg 60 33 event event NN cord-016187-58rqc0cg 60 34 . . . cord-016187-58rqc0cg 61 1 Such such JJ cord-016187-58rqc0cg 61 2 rearrangements rearrangement NNS cord-016187-58rqc0cg 61 3 may may MD cord-016187-58rqc0cg 61 4 include include VB cord-016187-58rqc0cg 61 5 inversions inversion NNS cord-016187-58rqc0cg 61 6 , , , cord-016187-58rqc0cg 61 7 duplica- duplica- JJ cord-016187-58rqc0cg 61 8 tions tion NNS cord-016187-58rqc0cg 61 9 , , , cord-016187-58rqc0cg 61 10 insertions insertion NNS cord-016187-58rqc0cg 61 11 , , , cord-016187-58rqc0cg 61 12 deletions deletion NNS cord-016187-58rqc0cg 61 13 , , , cord-016187-58rqc0cg 61 14 or or CC cord-016187-58rqc0cg 61 15 transposition transposition NN cord-016187-58rqc0cg 61 16 of of IN cord-016187-58rqc0cg 61 17 large large JJ cord-016187-58rqc0cg 61 18 sequences sequence NNS cord-016187-58rqc0cg 61 19 of of IN cord-016187-58rqc0cg 61 20 DNA DNA NNP cord-016187-58rqc0cg 61 21 from from IN cord-016187-58rqc0cg 61 22 one one CD cord-016187-58rqc0cg 61 23 location location NN cord-016187-58rqc0cg 61 24 of of IN cord-016187-58rqc0cg 61 25 a a DT cord-016187-58rqc0cg 61 26 bacterial bacterial JJ cord-016187-58rqc0cg 61 27 chromosome chromosome NN cord-016187-58rqc0cg 61 28 or or CC cord-016187-58rqc0cg 61 29 plasmid plasmid NN cord-016187-58rqc0cg 61 30 to to IN cord-016187-58rqc0cg 61 31 another another DT cord-016187-58rqc0cg 61 32 . . . cord-016187-58rqc0cg 62 1 These these DT cord-016187-58rqc0cg 62 2 whole whole JJ cord-016187-58rqc0cg 62 3 - - HYPH cord-016187-58rqc0cg 62 4 scale scale NN cord-016187-58rqc0cg 62 5 rearrangements rearrangement NNS cord-016187-58rqc0cg 62 6 of of IN cord-016187-58rqc0cg 62 7 large large JJ cord-016187-58rqc0cg 62 8 segments segment NNS cord-016187-58rqc0cg 62 9 of of IN cord-016187-58rqc0cg 62 10 the the DT cord-016187-58rqc0cg 62 11 bacterial bacterial JJ cord-016187-58rqc0cg 62 12 genome genome NN cord-016187-58rqc0cg 62 13 are be VBP cord-016187-58rqc0cg 62 14 frequently frequently RB cord-016187-58rqc0cg 62 15 created create VBN cord-016187-58rqc0cg 62 16 by by IN cord-016187-58rqc0cg 62 17 specialized specialized JJ cord-016187-58rqc0cg 62 18 genetic genetic JJ cord-016187-58rqc0cg 62 19 elements element NNS cord-016187-58rqc0cg 62 20 known know VBN cord-016187-58rqc0cg 62 21 as as IN cord-016187-58rqc0cg 62 22 transposons transposon NNS cord-016187-58rqc0cg 62 23 or or CC cord-016187-58rqc0cg 62 24 insertion insertion NN cord-016187-58rqc0cg 62 25 sequences sequence NNS cord-016187-58rqc0cg 62 26 , , , cord-016187-58rqc0cg 62 27 which which WDT cord-016187-58rqc0cg 62 28 have have VBP cord-016187-58rqc0cg 62 29 the the DT cord-016187-58rqc0cg 62 30 capacity capacity NN cord-016187-58rqc0cg 62 31 to to TO cord-016187-58rqc0cg 62 32 move move VB cord-016187-58rqc0cg 62 33 independently independently RB cord-016187-58rqc0cg 62 34 as as IN cord-016187-58rqc0cg 62 35 a a DT cord-016187-58rqc0cg 62 36 unit unit NN cord-016187-58rqc0cg 62 37 from from IN cord-016187-58rqc0cg 62 38 the the DT cord-016187-58rqc0cg 62 39 rest rest NN cord-016187-58rqc0cg 62 40 of of IN cord-016187-58rqc0cg 62 41 the the DT cord-016187-58rqc0cg 62 42 bacterial bacterial JJ cord-016187-58rqc0cg 62 43 genome genome NN cord-016187-58rqc0cg 62 44 [ [ -LRB- cord-016187-58rqc0cg 62 45 23 23 CD cord-016187-58rqc0cg 62 46 ] ] -RRB- cord-016187-58rqc0cg 62 47 . . . cord-016187-58rqc0cg 63 1 Acquisition acquisition NN cord-016187-58rqc0cg 63 2 of of IN cord-016187-58rqc0cg 63 3 foreign foreign JJ cord-016187-58rqc0cg 63 4 DNA dna NN cord-016187-58rqc0cg 63 5 sequences sequence NNS cord-016187-58rqc0cg 63 6 from from IN cord-016187-58rqc0cg 63 7 the the DT cord-016187-58rqc0cg 63 8 extracellular extracellular JJ cord-016187-58rqc0cg 63 9 environment environment NN cord-016187-58rqc0cg 63 10 may may MD cord-016187-58rqc0cg 63 11 be be VB cord-016187-58rqc0cg 63 12 taken take VBN cord-016187-58rqc0cg 63 13 up up RP cord-016187-58rqc0cg 63 14 by by IN cord-016187-58rqc0cg 63 15 naturally naturally RB cord-016187-58rqc0cg 63 16 competent competent JJ cord-016187-58rqc0cg 63 17 bacteria bacteria NNS cord-016187-58rqc0cg 63 18 ( ( -LRB- cord-016187-58rqc0cg 63 19 e.g. e.g. RB cord-016187-58rqc0cg 63 20 , , , cord-016187-58rqc0cg 63 21 some some DT cord-016187-58rqc0cg 63 22 streptococci streptococcus NNS cord-016187-58rqc0cg 63 23 and and CC cord-016187-58rqc0cg 63 24 neisserial neisserial JJ cord-016187-58rqc0cg 63 25 organisms organism NNS cord-016187-58rqc0cg 63 26 ) ) -RRB- cord-016187-58rqc0cg 63 27 by by IN cord-016187-58rqc0cg 63 28 transformation transformation NN cord-016187-58rqc0cg 63 29 . . . cord-016187-58rqc0cg 64 1 These these DT cord-016187-58rqc0cg 64 2 sequences sequence NNS cord-016187-58rqc0cg 64 3 can can MD cord-016187-58rqc0cg 64 4 then then RB cord-016187-58rqc0cg 64 5 become become VB cord-016187-58rqc0cg 64 6 integrated integrate VBN cord-016187-58rqc0cg 64 7 into into IN cord-016187-58rqc0cg 64 8 the the DT cord-016187-58rqc0cg 64 9 host host NN cord-016187-58rqc0cg 64 10 genome genome NN cord-016187-58rqc0cg 64 11 into into IN cord-016187-58rqc0cg 64 12 homologous homologous JJ cord-016187-58rqc0cg 64 13 sequences sequence NNS cord-016187-58rqc0cg 64 14 by by IN cord-016187-58rqc0cg 64 15 the the DT cord-016187-58rqc0cg 64 16 generalized generalized JJ cord-016187-58rqc0cg 64 17 recombination recombination NN cord-016187-58rqc0cg 64 18 and and CC cord-016187-58rqc0cg 64 19 DNA dna NN cord-016187-58rqc0cg 64 20 repair repair NN cord-016187-58rqc0cg 64 21 system system NN cord-016187-58rqc0cg 64 22 bacteria bacteria NNS cord-016187-58rqc0cg 64 23 . . . cord-016187-58rqc0cg 65 1 Inheritance inheritance NN cord-016187-58rqc0cg 65 2 of of IN cord-016187-58rqc0cg 65 3 these these DT cord-016187-58rqc0cg 65 4 foreign foreign JJ cord-016187-58rqc0cg 65 5 DNA dna NN cord-016187-58rqc0cg 65 6 elements element NNS cord-016187-58rqc0cg 65 7 further further RB cord-016187-58rqc0cg 65 8 contributes contribute VBZ cord-016187-58rqc0cg 65 9 to to IN cord-016187-58rqc0cg 65 10 the the DT cord-016187-58rqc0cg 65 11 organism organism NN cord-016187-58rqc0cg 65 12 's 's POS cord-016187-58rqc0cg 65 13 ability ability NN cord-016187-58rqc0cg 65 14 to to TO cord-016187-58rqc0cg 65 15 cope cope VB cord-016187-58rqc0cg 65 16 with with IN cord-016187-58rqc0cg 65 17 selection selection NN cord-016187-58rqc0cg 65 18 pressures pressure NNS cord-016187-58rqc0cg 65 19 imposed impose VBN cord-016187-58rqc0cg 65 20 upon upon IN cord-016187-58rqc0cg 65 21 them -PRON- PRP cord-016187-58rqc0cg 65 22 by by IN cord-016187-58rqc0cg 65 23 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 65 24 agents agent NNS cord-016187-58rqc0cg 65 25 [ [ -LRB- cord-016187-58rqc0cg 65 26 23 23 CD cord-016187-58rqc0cg 65 27 ] ] -RRB- cord-016187-58rqc0cg 65 28 . . . cord-016187-58rqc0cg 66 1 A a DT cord-016187-58rqc0cg 66 2 third third JJ cord-016187-58rqc0cg 66 3 level level NN cord-016187-58rqc0cg 66 4 of of IN cord-016187-58rqc0cg 66 5 genetic genetic JJ cord-016187-58rqc0cg 66 6 variability variability NN cord-016187-58rqc0cg 66 7 in in IN cord-016187-58rqc0cg 66 8 bacteria bacteria NNS cord-016187-58rqc0cg 66 9 is be VBZ cord-016187-58rqc0cg 66 10 created create VBN cord-016187-58rqc0cg 66 11 by by IN cord-016187-58rqc0cg 66 12 the the DT cord-016187-58rqc0cg 66 13 acquisition acquisition NN cord-016187-58rqc0cg 66 14 of of IN cord-016187-58rqc0cg 66 15 foreign foreign JJ cord-016187-58rqc0cg 66 16 DNA dna NN cord-016187-58rqc0cg 66 17 carried carry VBN cord-016187-58rqc0cg 66 18 by by IN cord-016187-58rqc0cg 66 19 plasmids plasmid NNS cord-016187-58rqc0cg 66 20 and and CC cord-016187-58rqc0cg 66 21 bacteriophages bacteriophage NNS cord-016187-58rqc0cg 66 22 . . . cord-016187-58rqc0cg 67 1 These these DT cord-016187-58rqc0cg 67 2 extrachromosomal extrachromosomal VBN cord-016187-58rqc0cg 67 3 DNA dna NN cord-016187-58rqc0cg 67 4 elements element NNS cord-016187-58rqc0cg 67 5 provide provide VBP cord-016187-58rqc0cg 67 6 ready ready JJ cord-016187-58rqc0cg 67 7 access access NN cord-016187-58rqc0cg 67 8 to to IN cord-016187-58rqc0cg 67 9 disposable disposable JJ cord-016187-58rqc0cg 67 10 yet yet CC cord-016187-58rqc0cg 67 11 potentially potentially RB cord-016187-58rqc0cg 67 12 highly highly RB cord-016187-58rqc0cg 67 13 advantageous advantageous JJ cord-016187-58rqc0cg 67 14 genes gene NNS cord-016187-58rqc0cg 67 15 including include VBG cord-016187-58rqc0cg 67 16 antibiotic antibiotic JJ cord-016187-58rqc0cg 67 17 resistance resistance NN cord-016187-58rqc0cg 67 18 genes gene NNS cord-016187-58rqc0cg 67 19 from from IN cord-016187-58rqc0cg 67 20 plasmids plasmid NNS cord-016187-58rqc0cg 67 21 or or CC cord-016187-58rqc0cg 67 22 phage phage NN cord-016187-58rqc0cg 67 23 particles particle NNS cord-016187-58rqc0cg 67 24 . . . cord-016187-58rqc0cg 68 1 These these DT cord-016187-58rqc0cg 68 2 elements element NNS cord-016187-58rqc0cg 68 3 are be VBP cord-016187-58rqc0cg 68 4 autonomously autonomously RB cord-016187-58rqc0cg 68 5 self self NN cord-016187-58rqc0cg 68 6 - - HYPH cord-016187-58rqc0cg 68 7 replicating replicate VBG cord-016187-58rqc0cg 68 8 , , , cord-016187-58rqc0cg 68 9 and and CC cord-016187-58rqc0cg 68 10 they -PRON- PRP cord-016187-58rqc0cg 68 11 can can MD cord-016187-58rqc0cg 68 12 remain remain VB cord-016187-58rqc0cg 68 13 unattached unattached JJ cord-016187-58rqc0cg 68 14 in in IN cord-016187-58rqc0cg 68 15 the the DT cord-016187-58rqc0cg 68 16 cytoplasm cytoplasm NN cord-016187-58rqc0cg 68 17 of of IN cord-016187-58rqc0cg 68 18 bacterial bacterial JJ cord-016187-58rqc0cg 68 19 cells cell NNS cord-016187-58rqc0cg 68 20 or or CC cord-016187-58rqc0cg 68 21 integrate integrate VBP cord-016187-58rqc0cg 68 22 directly directly RB cord-016187-58rqc0cg 68 23 into into IN cord-016187-58rqc0cg 68 24 the the DT cord-016187-58rqc0cg 68 25 chromosome chromosome NN cord-016187-58rqc0cg 68 26 of of IN cord-016187-58rqc0cg 68 27 the the DT cord-016187-58rqc0cg 68 28 bacterial bacterial JJ cord-016187-58rqc0cg 68 29 host host NN cord-016187-58rqc0cg 68 30 . . . cord-016187-58rqc0cg 69 1 They -PRON- PRP cord-016187-58rqc0cg 69 2 have have VBP cord-016187-58rqc0cg 69 3 the the DT cord-016187-58rqc0cg 69 4 capacity capacity NN cord-016187-58rqc0cg 69 5 to to TO cord-016187-58rqc0cg 69 6 replicate replicate VB cord-016187-58rqc0cg 69 7 and and CC cord-016187-58rqc0cg 69 8 move move VB cord-016187-58rqc0cg 69 9 independently independently RB cord-016187-58rqc0cg 69 10 from from IN cord-016187-58rqc0cg 69 11 the the DT cord-016187-58rqc0cg 69 12 chromosome chromosome NN cord-016187-58rqc0cg 69 13 adding add VBG cord-016187-58rqc0cg 69 14 further further JJ cord-016187-58rqc0cg 69 15 variability variability NN cord-016187-58rqc0cg 69 16 to to IN cord-016187-58rqc0cg 69 17 the the DT cord-016187-58rqc0cg 69 18 entire entire JJ cord-016187-58rqc0cg 69 19 bacterial bacterial JJ cord-016187-58rqc0cg 69 20 genomic genomic JJ cord-016187-58rqc0cg 69 21 DNA dna NN cord-016187-58rqc0cg 69 22 . . . cord-016187-58rqc0cg 70 1 Evidence evidence NN cord-016187-58rqc0cg 70 2 from from IN cord-016187-58rqc0cg 70 3 whole whole JJ cord-016187-58rqc0cg 70 4 genome genome NN cord-016187-58rqc0cg 70 5 sequencing sequencing NN cord-016187-58rqc0cg 70 6 projects project NNS cord-016187-58rqc0cg 70 7 indicates indicate VBZ cord-016187-58rqc0cg 70 8 that that IN cord-016187-58rqc0cg 70 9 these these DT cord-016187-58rqc0cg 70 10 genomic genomic JJ cord-016187-58rqc0cg 70 11 rearrangements rearrangement NNS cord-016187-58rqc0cg 70 12 , , , cord-016187-58rqc0cg 70 13 bacteriophage bacteriophage NN cord-016187-58rqc0cg 70 14 sequences sequence NNS cord-016187-58rqc0cg 70 15 and and CC cord-016187-58rqc0cg 70 16 insertion insertion NN cord-016187-58rqc0cg 70 17 sequences sequence NNS cord-016187-58rqc0cg 70 18 are be VBP cord-016187-58rqc0cg 70 19 commonplace commonplace JJ cord-016187-58rqc0cg 70 20 in in IN cord-016187-58rqc0cg 70 21 bacterial bacterial JJ cord-016187-58rqc0cg 70 22 chromosomes chromosome NNS cord-016187-58rqc0cg 70 23 [ [ -LRB- cord-016187-58rqc0cg 70 24 27 27 CD cord-016187-58rqc0cg 70 25 ] ] -RRB- cord-016187-58rqc0cg 70 26 . . . cord-016187-58rqc0cg 71 1 These these DT cord-016187-58rqc0cg 71 2 genetic genetic JJ cord-016187-58rqc0cg 71 3 variations variation NNS cord-016187-58rqc0cg 71 4 provide provide VBP cord-016187-58rqc0cg 71 5 bacteria bacteria NNS cord-016187-58rqc0cg 71 6 with with IN cord-016187-58rqc0cg 71 7 the the DT cord-016187-58rqc0cg 71 8 seemingly seemingly RB cord-016187-58rqc0cg 71 9 limitless limitless JJ cord-016187-58rqc0cg 71 10 system system NN cord-016187-58rqc0cg 71 11 to to TO cord-016187-58rqc0cg 71 12 alter alter VB cord-016187-58rqc0cg 71 13 their -PRON- PRP$ cord-016187-58rqc0cg 71 14 genomes genome NNS cord-016187-58rqc0cg 71 15 , , , cord-016187-58rqc0cg 71 16 rapidly rapidly RB cord-016187-58rqc0cg 71 17 evolve evolve VB cord-016187-58rqc0cg 71 18 and and CC cord-016187-58rqc0cg 71 19 develop develop VB cord-016187-58rqc0cg 71 20 resistance resistance NN cord-016187-58rqc0cg 71 21 to to IN cord-016187-58rqc0cg 71 22 virtually virtually RB cord-016187-58rqc0cg 71 23 any any DT cord-016187-58rqc0cg 71 24 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 71 25 agent agent NN cord-016187-58rqc0cg 71 26 . . . cord-016187-58rqc0cg 72 1 Recent recent JJ cord-016187-58rqc0cg 72 2 examples example NNS cord-016187-58rqc0cg 72 3 of of IN cord-016187-58rqc0cg 72 4 vancomycin vancomycin NN cord-016187-58rqc0cg 72 5 - - HYPH cord-016187-58rqc0cg 72 6 resistance resistance NN cord-016187-58rqc0cg 72 7 in in IN cord-016187-58rqc0cg 72 8 enterococci enterococci NNP cord-016187-58rqc0cg 72 9 [ [ -LRB- cord-016187-58rqc0cg 72 10 23 23 CD cord-016187-58rqc0cg 72 11 ] ] -RRB- cord-016187-58rqc0cg 73 1 , , , cord-016187-58rqc0cg 73 2 S. S. NNP cord-016187-58rqc0cg 73 3 aureus aureus NN cord-016187-58rqc0cg 73 4 [ [ -LRB- cord-016187-58rqc0cg 73 5 27 27 CD cord-016187-58rqc0cg 73 6 ] ] -RRB- cord-016187-58rqc0cg 73 7 , , , cord-016187-58rqc0cg 73 8 and and CC cord-016187-58rqc0cg 73 9 extended extended JJ cord-016187-58rqc0cg 73 10 spectrum spectrum NN cord-016187-58rqc0cg 73 11 beta beta NN cord-016187-58rqc0cg 73 12 - - HYPH cord-016187-58rqc0cg 73 13 lactamases lactamase NNS cord-016187-58rqc0cg 73 14 [ [ -LRB- cord-016187-58rqc0cg 73 15 23 23 CD cord-016187-58rqc0cg 73 16 ] ] -RRB- cord-016187-58rqc0cg 73 17 , , , cord-016187-58rqc0cg 73 18 carbapenemase carbapenemase NN cord-016187-58rqc0cg 73 19 production production NN cord-016187-58rqc0cg 73 20 [ [ -LRB- cord-016187-58rqc0cg 73 21 28 28 CD cord-016187-58rqc0cg 73 22 ] ] -RRB- cord-016187-58rqc0cg 73 23 and and CC cord-016187-58rqc0cg 73 24 transferable transferable JJ cord-016187-58rqc0cg 73 25 quinolone quinolone NNP cord-016187-58rqc0cg 73 26 resistance resistance NN cord-016187-58rqc0cg 73 27 in in IN cord-016187-58rqc0cg 73 28 P. P. NNP cord-016187-58rqc0cg 73 29 aeruginosa aeruginosa NNP cord-016187-58rqc0cg 73 30 and and CC cord-016187-58rqc0cg 73 31 enterobacteria enterobacteria NNP cord-016187-58rqc0cg 73 32 [ [ -LRB- cord-016187-58rqc0cg 73 33 23 23 CD cord-016187-58rqc0cg 73 34 ] ] -RRB- cord-016187-58rqc0cg 73 35 attest attest VBP cord-016187-58rqc0cg 73 36 to to IN cord-016187-58rqc0cg 73 37 the the DT cord-016187-58rqc0cg 73 38 capacity capacity NN cord-016187-58rqc0cg 73 39 of of IN cord-016187-58rqc0cg 73 40 microorganisms microorganism NNS cord-016187-58rqc0cg 73 41 to to TO cord-016187-58rqc0cg 73 42 adapt adapt VB cord-016187-58rqc0cg 73 43 to to IN cord-016187-58rqc0cg 73 44 environmental environmental JJ cord-016187-58rqc0cg 73 45 stresses stress NNS cord-016187-58rqc0cg 73 46 induced induce VBN cord-016187-58rqc0cg 73 47 by by IN cord-016187-58rqc0cg 73 48 antibiotic antibiotic JJ cord-016187-58rqc0cg 73 49 exposure exposure NN cord-016187-58rqc0cg 73 50 . . . cord-016187-58rqc0cg 74 1 Viruses virus NNS cord-016187-58rqc0cg 74 2 [ [ -LRB- cord-016187-58rqc0cg 74 3 19 19 CD cord-016187-58rqc0cg 74 4 ] ] -RRB- cord-016187-58rqc0cg 74 5 and and CC cord-016187-58rqc0cg 74 6 fungi fungus NNS cord-016187-58rqc0cg 74 7 [ [ -LRB- cord-016187-58rqc0cg 74 8 20 20 CD cord-016187-58rqc0cg 74 9 ] ] -RRB- cord-016187-58rqc0cg 74 10 are be VBP cord-016187-58rqc0cg 74 11 also also RB cord-016187-58rqc0cg 74 12 quite quite RB cord-016187-58rqc0cg 74 13 capable capable JJ cord-016187-58rqc0cg 74 14 of of IN cord-016187-58rqc0cg 74 15 rapid rapid JJ cord-016187-58rqc0cg 74 16 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 74 17 resistance resistance NN cord-016187-58rqc0cg 74 18 development development NN cord-016187-58rqc0cg 74 19 and and CC cord-016187-58rqc0cg 75 1 these these DT cord-016187-58rqc0cg 75 2 resistance resistance NN cord-016187-58rqc0cg 75 3 capacities capacity NNS cord-016187-58rqc0cg 75 4 pose pose VBP cord-016187-58rqc0cg 75 5 additional additional JJ cord-016187-58rqc0cg 75 6 threats threat NNS cord-016187-58rqc0cg 75 7 in in IN cord-016187-58rqc0cg 75 8 the the DT cord-016187-58rqc0cg 75 9 management management NN cord-016187-58rqc0cg 75 10 of of IN cord-016187-58rqc0cg 75 11 ICU ICU NNP cord-016187-58rqc0cg 75 12 patients patient NNS cord-016187-58rqc0cg 75 13 with with IN cord-016187-58rqc0cg 75 14 serious serious JJ cord-016187-58rqc0cg 75 15 infections infection NNS cord-016187-58rqc0cg 75 16 from from IN cord-016187-58rqc0cg 75 17 a a DT cord-016187-58rqc0cg 75 18 variety variety NN cord-016187-58rqc0cg 75 19 of of IN cord-016187-58rqc0cg 75 20 potential potential JJ cord-016187-58rqc0cg 75 21 pathogens pathogen NNS cord-016187-58rqc0cg 75 22 [ [ -LRB- cord-016187-58rqc0cg 75 23 29 29 CD cord-016187-58rqc0cg 75 24 ] ] -RRB- cord-016187-58rqc0cg 75 25 . . . cord-016187-58rqc0cg 76 1 Antibiotic antibiotic JJ cord-016187-58rqc0cg 76 2 resistance resistance NN cord-016187-58rqc0cg 76 3 genes gene NNS cord-016187-58rqc0cg 76 4 probably probably RB cord-016187-58rqc0cg 76 5 arose arise VBD cord-016187-58rqc0cg 76 6 from from IN cord-016187-58rqc0cg 76 7 detoxifying detoxify VBG cord-016187-58rqc0cg 76 8 enzymes enzyme NNS cord-016187-58rqc0cg 76 9 or or CC cord-016187-58rqc0cg 76 10 synthetic synthetic JJ cord-016187-58rqc0cg 76 11 enzymes enzyme NNS cord-016187-58rqc0cg 76 12 with with IN cord-016187-58rqc0cg 76 13 altered alter VBN cord-016187-58rqc0cg 76 14 substrate substrate NN cord-016187-58rqc0cg 76 15 specifi specifi NN cord-016187-58rqc0cg 76 16 city city NN cord-016187-58rqc0cg 76 17 by by IN cord-016187-58rqc0cg 76 18 critical critical JJ cord-016187-58rqc0cg 76 19 mutations mutation NNS cord-016187-58rqc0cg 76 20 or or CC cord-016187-58rqc0cg 76 21 recombination recombination NN cord-016187-58rqc0cg 76 22 events event NNS cord-016187-58rqc0cg 76 23 resulting result VBG cord-016187-58rqc0cg 76 24 in in IN cord-016187-58rqc0cg 76 25 the the DT cord-016187-58rqc0cg 76 26 formation formation NN cord-016187-58rqc0cg 76 27 of of IN cord-016187-58rqc0cg 76 28 mosaic mosaic JJ cord-016187-58rqc0cg 76 29 genes gene NNS cord-016187-58rqc0cg 76 30 with with IN cord-016187-58rqc0cg 76 31 entirely entirely RB cord-016187-58rqc0cg 76 32 new new JJ cord-016187-58rqc0cg 76 33 functions function NNS cord-016187-58rqc0cg 76 34 [ [ -LRB- cord-016187-58rqc0cg 76 35 30 30 CD cord-016187-58rqc0cg 76 36 ] ] -RRB- cord-016187-58rqc0cg 76 37 . . . cord-016187-58rqc0cg 77 1 Altered altered JJ cord-016187-58rqc0cg 77 2 penicillin penicillin NN cord-016187-58rqc0cg 77 3 binding bind VBG cord-016187-58rqc0cg 77 4 proteins protein NNS cord-016187-58rqc0cg 77 5 that that WDT cord-016187-58rqc0cg 77 6 mediate mediate VBP cord-016187-58rqc0cg 77 7 beta beta NN cord-016187-58rqc0cg 77 8 - - HYPH cord-016187-58rqc0cg 77 9 lactam lactam NN cord-016187-58rqc0cg 77 10 resistance resistance NN cord-016187-58rqc0cg 77 11 in in IN cord-016187-58rqc0cg 77 12 multiple multiple JJ cord-016187-58rqc0cg 77 13 bacterial bacterial JJ cord-016187-58rqc0cg 77 14 genera genus NNS cord-016187-58rqc0cg 77 15 ( ( -LRB- cord-016187-58rqc0cg 77 16 e.g. e.g. RB cord-016187-58rqc0cg 77 17 , , , cord-016187-58rqc0cg 77 18 methicillin methicillin NN cord-016187-58rqc0cg 77 19 - - HYPH cord-016187-58rqc0cg 77 20 resistant resistant JJ cord-016187-58rqc0cg 77 21 S. S. NNP cord-016187-58rqc0cg 77 22 aureus aureus NN cord-016187-58rqc0cg 77 23 [ [ -LRB- cord-016187-58rqc0cg 77 24 MRSA MRSA NNP cord-016187-58rqc0cg 77 25 ] ] -RRB- cord-016187-58rqc0cg 77 26 , , , cord-016187-58rqc0cg 77 27 penicillin penicillin NN cord-016187-58rqc0cg 77 28 - - HYPH cord-016187-58rqc0cg 77 29 resistant resistant JJ cord-016187-58rqc0cg 77 30 streptococci streptococcus NNS cord-016187-58rqc0cg 77 31 and and CC cord-016187-58rqc0cg 77 32 pneumococci pneumococcus NNS cord-016187-58rqc0cg 77 33 , , , cord-016187-58rqc0cg 77 34 chromosomal chromosomal JJ cord-016187-58rqc0cg 77 35 resistance resistance NN cord-016187-58rqc0cg 77 36 in in IN cord-016187-58rqc0cg 77 37 gonococci gonococci NNP cord-016187-58rqc0cg 77 38 ) ) -RRB- cord-016187-58rqc0cg 77 39 may may MD cord-016187-58rqc0cg 77 40 have have VB cord-016187-58rqc0cg 77 41 evolved evolve VBN cord-016187-58rqc0cg 77 42 from from IN cord-016187-58rqc0cg 77 43 gene gene NN cord-016187-58rqc0cg 77 44 fusions fusion NNS cord-016187-58rqc0cg 77 45 for for IN cord-016187-58rqc0cg 77 46 penicillin penicillin NN cord-016187-58rqc0cg 77 47 binding bind VBG cord-016187-58rqc0cg 77 48 proteins protein NNS cord-016187-58rqc0cg 77 49 involved involve VBN cord-016187-58rqc0cg 77 50 in in IN cord-016187-58rqc0cg 77 51 bacterial bacterial JJ cord-016187-58rqc0cg 77 52 cell cell NN cord-016187-58rqc0cg 77 53 wall wall NN cord-016187-58rqc0cg 77 54 synthesis synthesis NN cord-016187-58rqc0cg 77 55 [ [ -LRB- cord-016187-58rqc0cg 77 56 23 23 CD cord-016187-58rqc0cg 77 57 ] ] -RRB- cord-016187-58rqc0cg 77 58 . . . cord-016187-58rqc0cg 78 1 Another another DT cord-016187-58rqc0cg 78 2 common common JJ cord-016187-58rqc0cg 78 3 resistance resistance NN cord-016187-58rqc0cg 78 4 strategy strategy NN cord-016187-58rqc0cg 78 5 is be VBZ cord-016187-58rqc0cg 78 6 a a DT cord-016187-58rqc0cg 78 7 change change NN cord-016187-58rqc0cg 78 8 in in IN cord-016187-58rqc0cg 78 9 the the DT cord-016187-58rqc0cg 78 10 regulation regulation NN cord-016187-58rqc0cg 78 11 of of IN cord-016187-58rqc0cg 78 12 metabolic metabolic JJ cord-016187-58rqc0cg 78 13 activity activity NN cord-016187-58rqc0cg 78 14 of of IN cord-016187-58rqc0cg 78 15 an an DT cord-016187-58rqc0cg 78 16 enzyme enzyme NN cord-016187-58rqc0cg 78 17 system system NN cord-016187-58rqc0cg 78 18 that that WDT cord-016187-58rqc0cg 78 19 is be VBZ cord-016187-58rqc0cg 78 20 affected affect VBN cord-016187-58rqc0cg 78 21 by by IN cord-016187-58rqc0cg 78 22 the the DT cord-016187-58rqc0cg 78 23 antibiotic antibiotic NN cord-016187-58rqc0cg 78 24 . . . cord-016187-58rqc0cg 79 1 Increasing increase VBG cord-016187-58rqc0cg 79 2 the the DT cord-016187-58rqc0cg 79 3 rate rate NN cord-016187-58rqc0cg 79 4 of of IN cord-016187-58rqc0cg 79 5 folate folate NN cord-016187-58rqc0cg 79 6 precursor precursor NN cord-016187-58rqc0cg 79 7 synthesis synthesis NN cord-016187-58rqc0cg 79 8 , , , cord-016187-58rqc0cg 79 9 for for IN cord-016187-58rqc0cg 79 10 example example NN cord-016187-58rqc0cg 79 11 , , , cord-016187-58rqc0cg 79 12 can can MD cord-016187-58rqc0cg 79 13 overcome overcome VB cord-016187-58rqc0cg 79 14 the the DT cord-016187-58rqc0cg 79 15 inhibitor inhibitor NN cord-016187-58rqc0cg 79 16 effects effect NNS cord-016187-58rqc0cg 79 17 of of IN cord-016187-58rqc0cg 79 18 sulfa sulfa NN cord-016187-58rqc0cg 79 19 drugs drug NNS cord-016187-58rqc0cg 79 20 and and CC cord-016187-58rqc0cg 79 21 trimethoprim trimethoprim NNP cord-016187-58rqc0cg 79 22 [ [ -LRB- cord-016187-58rqc0cg 79 23 30 30 CD cord-016187-58rqc0cg 79 24 ] ] -RRB- cord-016187-58rqc0cg 79 25 . . . cord-016187-58rqc0cg 80 1 Many many JJ cord-016187-58rqc0cg 80 2 common common JJ cord-016187-58rqc0cg 80 3 antibiotic antibiotic JJ cord-016187-58rqc0cg 80 4 resistance resistance NN cord-016187-58rqc0cg 80 5 genes gene NNS cord-016187-58rqc0cg 80 6 were be VBD cord-016187-58rqc0cg 80 7 accidentally accidentally RB cord-016187-58rqc0cg 80 8 acquired acquire VBN cord-016187-58rqc0cg 80 9 ( ( -LRB- cord-016187-58rqc0cg 80 10 ' ' `` cord-016187-58rqc0cg 80 11 stolen steal VBN cord-016187-58rqc0cg 80 12 ' ' '' cord-016187-58rqc0cg 80 13 ) ) -RRB- cord-016187-58rqc0cg 80 14 from from IN cord-016187-58rqc0cg 80 15 antibiotic antibiotic JJ cord-016187-58rqc0cg 80 16 producing produce VBG cord-016187-58rqc0cg 80 17 bacteria bacteria NNS cord-016187-58rqc0cg 80 18 . . . cord-016187-58rqc0cg 81 1 Streptomyces streptomyce NNS cord-016187-58rqc0cg 81 2 and and CC cord-016187-58rqc0cg 81 3 related relate VBN cord-016187-58rqc0cg 81 4 soil soil NN cord-016187-58rqc0cg 81 5 bacteria bacteria NNS cord-016187-58rqc0cg 81 6 are be VBP cord-016187-58rqc0cg 81 7 the the DT cord-016187-58rqc0cg 81 8 source source NN cord-016187-58rqc0cg 81 9 of of IN cord-016187-58rqc0cg 81 10 many many JJ cord-016187-58rqc0cg 81 11 standard standard JJ cord-016187-58rqc0cg 81 12 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 81 13 agents agent NNS cord-016187-58rqc0cg 81 14 in in IN cord-016187-58rqc0cg 81 15 use use NN cord-016187-58rqc0cg 81 16 in in IN cord-016187-58rqc0cg 81 17 clinical clinical JJ cord-016187-58rqc0cg 81 18 medicine medicine NN cord-016187-58rqc0cg 81 19 today today NN cord-016187-58rqc0cg 81 20 . . . cord-016187-58rqc0cg 82 1 These these DT cord-016187-58rqc0cg 82 2 bacteria bacteria NNS cord-016187-58rqc0cg 82 3 have have VBP cord-016187-58rqc0cg 82 4 co co VBN cord-016187-58rqc0cg 82 5 - - VBN cord-016187-58rqc0cg 82 6 evolved evolve VBD cord-016187-58rqc0cg 82 7 the the DT cord-016187-58rqc0cg 82 8 capacity capacity NN cord-016187-58rqc0cg 82 9 to to TO cord-016187-58rqc0cg 82 10 synthesize synthesize VB cord-016187-58rqc0cg 82 11 antibiotics antibiotic NNS cord-016187-58rqc0cg 82 12 along along IN cord-016187-58rqc0cg 82 13 with with IN cord-016187-58rqc0cg 82 14 the the DT cord-016187-58rqc0cg 82 15 necessary necessary JJ cord-016187-58rqc0cg 82 16 resistance resistance NN cord-016187-58rqc0cg 82 17 genes gene NNS cord-016187-58rqc0cg 82 18 to to TO cord-016187-58rqc0cg 82 19 protect protect VB cord-016187-58rqc0cg 82 20 their -PRON- PRP$ cord-016187-58rqc0cg 82 21 own own JJ cord-016187-58rqc0cg 82 22 metabolic metabolic JJ cord-016187-58rqc0cg 82 23 machinery machinery NN cord-016187-58rqc0cg 82 24 from from IN cord-016187-58rqc0cg 82 25 the the DT cord-016187-58rqc0cg 82 26 very very RB cord-016187-58rqc0cg 82 27 antibiotic antibiotic JJ cord-016187-58rqc0cg 82 28 they -PRON- PRP cord-016187-58rqc0cg 82 29 produce produce VBP cord-016187-58rqc0cg 82 30 . . . cord-016187-58rqc0cg 83 1 The the DT cord-016187-58rqc0cg 83 2 resistance resistance NN cord-016187-58rqc0cg 83 3 genes gene NNS cord-016187-58rqc0cg 83 4 from from IN cord-016187-58rqc0cg 83 5 these these DT cord-016187-58rqc0cg 83 6 antibiotic antibiotic JJ cord-016187-58rqc0cg 83 7 producing produce VBG cord-016187-58rqc0cg 83 8 bacteria bacteria NNS cord-016187-58rqc0cg 83 9 provide provide VBP cord-016187-58rqc0cg 83 10 a a DT cord-016187-58rqc0cg 83 11 ready ready JJ cord-016187-58rqc0cg 83 12 genetic genetic JJ cord-016187-58rqc0cg 83 13 blueprint blueprint NN cord-016187-58rqc0cg 83 14 to to TO cord-016187-58rqc0cg 83 15 resist resist VB cord-016187-58rqc0cg 83 16 the the DT cord-016187-58rqc0cg 83 17 target target NN cord-016187-58rqc0cg 83 18 antibiotic antibiotic JJ cord-016187-58rqc0cg 83 19 if if IN cord-016187-58rqc0cg 83 20 susceptible susceptible JJ cord-016187-58rqc0cg 83 21 bacteria bacteria NNS cord-016187-58rqc0cg 83 22 can can MD cord-016187-58rqc0cg 83 23 acquire acquire VB cord-016187-58rqc0cg 83 24 these these DT cord-016187-58rqc0cg 83 25 resistance resistance NN cord-016187-58rqc0cg 83 26 genes gene NNS cord-016187-58rqc0cg 83 27 . . . cord-016187-58rqc0cg 84 1 Recent recent JJ cord-016187-58rqc0cg 84 2 evidence evidence NN cord-016187-58rqc0cg 84 3 confi confi NN cord-016187-58rqc0cg 84 4 rming rme VBG cord-016187-58rqc0cg 84 5 that that IN cord-016187-58rqc0cg 84 6 this this DT cord-016187-58rqc0cg 84 7 does do VBZ cord-016187-58rqc0cg 84 8 indeed indeed RB cord-016187-58rqc0cg 84 9 occur occur VB cord-016187-58rqc0cg 84 10 was be VBD cord-016187-58rqc0cg 84 11 found find VBN cord-016187-58rqc0cg 84 12 by by IN cord-016187-58rqc0cg 84 13 Yokoyama Yokoyama NNP cord-016187-58rqc0cg 84 14 and and CC cord-016187-58rqc0cg 84 15 colleagues colleague NNS cord-016187-58rqc0cg 84 16 in in IN cord-016187-58rqc0cg 84 17 Japan Japan NNP cord-016187-58rqc0cg 84 18 during during IN cord-016187-58rqc0cg 84 19 an an DT cord-016187-58rqc0cg 84 20 investigation investigation NN cord-016187-58rqc0cg 84 21 of of IN cord-016187-58rqc0cg 84 22 a a DT cord-016187-58rqc0cg 84 23 sudden sudden JJ cord-016187-58rqc0cg 84 24 outbreak outbreak NN cord-016187-58rqc0cg 84 25 of of IN cord-016187-58rqc0cg 84 26 P. p. NN cord-016187-58rqc0cg 84 27 aeruginosa aeruginosa NN cord-016187-58rqc0cg 84 28 with with IN cord-016187-58rqc0cg 84 29 high high JJ cord-016187-58rqc0cg 84 30 - - HYPH cord-016187-58rqc0cg 84 31 level level NN cord-016187-58rqc0cg 84 32 resistance resistance NN cord-016187-58rqc0cg 84 33 to to IN cord-016187-58rqc0cg 84 34 essentially essentially RB cord-016187-58rqc0cg 84 35 all all PDT cord-016187-58rqc0cg 84 36 the the DT cord-016187-58rqc0cg 84 37 clinically clinically RB cord-016187-58rqc0cg 84 38 available available JJ cord-016187-58rqc0cg 84 39 aminoglycosides aminoglycoside NNS cord-016187-58rqc0cg 84 40 [ [ -LRB- cord-016187-58rqc0cg 84 41 31 31 CD cord-016187-58rqc0cg 84 42 ] ] -RRB- cord-016187-58rqc0cg 84 43 . . . cord-016187-58rqc0cg 85 1 These these DT cord-016187-58rqc0cg 85 2 investigators investigator NNS cord-016187-58rqc0cg 85 3 discovered discover VBD cord-016187-58rqc0cg 85 4 that that IN cord-016187-58rqc0cg 85 5 the the DT cord-016187-58rqc0cg 85 6 resistant resistant JJ cord-016187-58rqc0cg 85 7 strain strain NN cord-016187-58rqc0cg 85 8 had have VBD cord-016187-58rqc0cg 85 9 acquired acquire VBN cord-016187-58rqc0cg 85 10 a a DT cord-016187-58rqc0cg 85 11 new new JJ cord-016187-58rqc0cg 85 12 methylase methylase NN cord-016187-58rqc0cg 85 13 gene gene NN cord-016187-58rqc0cg 85 14 that that WDT cord-016187-58rqc0cg 85 15 blocked block VBD cord-016187-58rqc0cg 85 16 the the DT cord-016187-58rqc0cg 85 17 binding binding NN cord-016187-58rqc0cg 85 18 site site NN cord-016187-58rqc0cg 85 19 for for IN cord-016187-58rqc0cg 85 20 inhibition inhibition NN cord-016187-58rqc0cg 85 21 by by IN cord-016187-58rqc0cg 85 22 aminoglycosides aminoglycoside NNS cord-016187-58rqc0cg 85 23 on on IN cord-016187-58rqc0cg 85 24 a a DT cord-016187-58rqc0cg 85 25 specifi specifi NN cord-016187-58rqc0cg 85 26 c c NN cord-016187-58rqc0cg 85 27 sequence sequence NN cord-016187-58rqc0cg 85 28 on on IN cord-016187-58rqc0cg 85 29 16S 16S NNP cord-016187-58rqc0cg 85 30 ribosomal ribosomal NNP cord-016187-58rqc0cg 85 31 RNA RNA NNP cord-016187-58rqc0cg 85 32 . . . cord-016187-58rqc0cg 86 1 This this DT cord-016187-58rqc0cg 86 2 identical identical JJ cord-016187-58rqc0cg 86 3 mechanism mechanism NN cord-016187-58rqc0cg 86 4 and and CC cord-016187-58rqc0cg 86 5 highly highly RB cord-016187-58rqc0cg 86 6 homologous homologous JJ cord-016187-58rqc0cg 86 7 gene gene NN cord-016187-58rqc0cg 86 8 is be VBZ cord-016187-58rqc0cg 86 9 found find VBN cord-016187-58rqc0cg 86 10 in in IN cord-016187-58rqc0cg 86 11 aminoglycoside aminoglycoside RB cord-016187-58rqc0cg 86 12 - - HYPH cord-016187-58rqc0cg 86 13 producing produce VBG cord-016187-58rqc0cg 86 14 strains strain NNS cord-016187-58rqc0cg 86 15 of of IN cord-016187-58rqc0cg 86 16 Streptomyces Streptomyces NNP cord-016187-58rqc0cg 86 17 and and CC cord-016187-58rqc0cg 86 18 related relate VBN cord-016187-58rqc0cg 86 19 bacteria bacteria NNS cord-016187-58rqc0cg 86 20 . . . cord-016187-58rqc0cg 87 1 At at RB cord-016187-58rqc0cg 87 2 least least JJS cord-016187-58rqc0cg 87 3 seven seven CD cord-016187-58rqc0cg 87 4 distinctive distinctive JJ cord-016187-58rqc0cg 87 5 mechanisms mechanism NNS cord-016187-58rqc0cg 87 6 of of IN cord-016187-58rqc0cg 87 7 antibiotic antibiotic JJ cord-016187-58rqc0cg 87 8 resistance resistance NN cord-016187-58rqc0cg 87 9 have have VBP cord-016187-58rqc0cg 87 10 been be VBN cord-016187-58rqc0cg 87 11 described describe VBN cord-016187-58rqc0cg 87 12 in in IN cord-016187-58rqc0cg 87 13 bacteria bacteria NNS cord-016187-58rqc0cg 87 14 and and CC cord-016187-58rqc0cg 87 15 are be VBP cord-016187-58rqc0cg 87 16 summarized summarize VBN cord-016187-58rqc0cg 87 17 on on IN cord-016187-58rqc0cg 87 18 Table Table NNP cord-016187-58rqc0cg 87 19 3 3 CD cord-016187-58rqc0cg 87 20 . . . cord-016187-58rqc0cg 88 1 Detoxifying detoxify VBG cord-016187-58rqc0cg 88 2 enzymes enzyme NNS cord-016187-58rqc0cg 88 3 are be VBP cord-016187-58rqc0cg 88 4 used use VBN cord-016187-58rqc0cg 88 5 to to TO cord-016187-58rqc0cg 88 6 degrade degrade VB cord-016187-58rqc0cg 88 7 beta beta NN cord-016187-58rqc0cg 88 8 - - HYPH cord-016187-58rqc0cg 88 9 lactams lactam NNS cord-016187-58rqc0cg 88 10 [ [ -LRB- cord-016187-58rqc0cg 88 11 24 24 CD cord-016187-58rqc0cg 88 12 ] ] -RRB- cord-016187-58rqc0cg 88 13 , , , cord-016187-58rqc0cg 88 14 and and CC cord-016187-58rqc0cg 88 15 modify modify VB cord-016187-58rqc0cg 88 16 aminoglycosides aminoglycoside NNS cord-016187-58rqc0cg 88 17 so so IN cord-016187-58rqc0cg 88 18 they -PRON- PRP cord-016187-58rqc0cg 88 19 no no RB cord-016187-58rqc0cg 88 20 longer longer RB cord-016187-58rqc0cg 88 21 enter enter VBP cord-016187-58rqc0cg 88 22 bacterial bacterial JJ cord-016187-58rqc0cg 88 23 membranes membrane NNS cord-016187-58rqc0cg 88 24 and and CC cord-016187-58rqc0cg 88 25 attach attach VB cord-016187-58rqc0cg 88 26 to to IN cord-016187-58rqc0cg 88 27 their -PRON- PRP$ cord-016187-58rqc0cg 88 28 ribosomal ribosomal JJ cord-016187-58rqc0cg 88 29 target target NN cord-016187-58rqc0cg 88 30 . . . cord-016187-58rqc0cg 89 1 There there EX cord-016187-58rqc0cg 89 2 are be VBP cord-016187-58rqc0cg 89 3 over over IN cord-016187-58rqc0cg 89 4 30 30 CD cord-016187-58rqc0cg 89 5 such such JJ cord-016187-58rqc0cg 89 6 enzymes enzyme NNS cord-016187-58rqc0cg 89 7 identifi identifi NN cord-016187-58rqc0cg 89 8 ed ed NN cord-016187-58rqc0cg 89 9 that that WDT cord-016187-58rqc0cg 89 10 can can MD cord-016187-58rqc0cg 89 11 inhibit inhibit VB cord-016187-58rqc0cg 89 12 aminoglycosides aminoglycoside NNS cord-016187-58rqc0cg 89 13 by by IN cord-016187-58rqc0cg 89 14 one one CD cord-016187-58rqc0cg 89 15 of of IN cord-016187-58rqc0cg 89 16 three three CD cord-016187-58rqc0cg 89 17 general general JJ cord-016187-58rqc0cg 89 18 reactions reaction NNS cord-016187-58rqc0cg 89 19 : : : cord-016187-58rqc0cg 89 20 N n CD cord-016187-58rqc0cg 89 21 - - HYPH cord-016187-58rqc0cg 89 22 acetylation acetylation NN cord-016187-58rqc0cg 89 23 , , , cord-016187-58rqc0cg 89 24 O o NN cord-016187-58rqc0cg 89 25 - - HYPH cord-016187-58rqc0cg 89 26 nucleotidylation nucleotidylation NN cord-016187-58rqc0cg 89 27 , , , cord-016187-58rqc0cg 89 28 and and CC cord-016187-58rqc0cg 89 29 O o NN cord-016187-58rqc0cg 89 30 - - HYPH cord-016187-58rqc0cg 89 31 phosphorylation phosphorylation NN cord-016187-58rqc0cg 89 32 [ [ -LRB- cord-016187-58rqc0cg 89 33 23 23 CD cord-016187-58rqc0cg 89 34 ] ] -RRB- cord-016187-58rqc0cg 89 35 . . . cord-016187-58rqc0cg 90 1 Detoxifying detoxify VBG cord-016187-58rqc0cg 90 2 enzymes enzyme NNS cord-016187-58rqc0cg 90 3 are be VBP cord-016187-58rqc0cg 90 4 also also RB cord-016187-58rqc0cg 90 5 one one CD cord-016187-58rqc0cg 90 6 of of IN cord-016187-58rqc0cg 90 7 the the DT cord-016187-58rqc0cg 90 8 resistance resistance NN cord-016187-58rqc0cg 90 9 mechanisms mechanism NNS cord-016187-58rqc0cg 90 10 against against IN cord-016187-58rqc0cg 90 11 chloramphenicol chloramphenicol NN cord-016187-58rqc0cg 90 12 , , , cord-016187-58rqc0cg 90 13 and and CC cord-016187-58rqc0cg 90 14 are be VBP cord-016187-58rqc0cg 90 15 rarely rarely RB cord-016187-58rqc0cg 90 16 utilized utilize VBN cord-016187-58rqc0cg 90 17 by by IN cord-016187-58rqc0cg 90 18 certain certain JJ cord-016187-58rqc0cg 90 19 bacterial bacterial JJ cord-016187-58rqc0cg 90 20 strains strain NNS cord-016187-58rqc0cg 90 21 to to TO cord-016187-58rqc0cg 90 22 inactivate inactivate VB cord-016187-58rqc0cg 90 23 macrolides macrolide NNS cord-016187-58rqc0cg 90 24 , , , cord-016187-58rqc0cg 90 25 lincosamides lincosamide NNS cord-016187-58rqc0cg 90 26 , , , cord-016187-58rqc0cg 90 27 tetracyclines tetracycline NNS cord-016187-58rqc0cg 90 28 and and CC cord-016187-58rqc0cg 90 29 streptogramins streptogramin NNS cord-016187-58rqc0cg 90 30 . . . cord-016187-58rqc0cg 91 1 It -PRON- PRP cord-016187-58rqc0cg 91 2 was be VBD cord-016187-58rqc0cg 91 3 recognized recognize VBN cord-016187-58rqc0cg 91 4 early early RB cord-016187-58rqc0cg 91 5 in in IN cord-016187-58rqc0cg 91 6 the the DT cord-016187-58rqc0cg 91 7 history history NN cord-016187-58rqc0cg 91 8 of of IN cord-016187-58rqc0cg 91 9 antibiotic antibiotic JJ cord-016187-58rqc0cg 91 10 development development NN cord-016187-58rqc0cg 91 11 that that WDT cord-016187-58rqc0cg 91 12 penicillin penicillin NN cord-016187-58rqc0cg 91 13 is be VBZ cord-016187-58rqc0cg 91 14 effective effective JJ cord-016187-58rqc0cg 91 15 against against IN cord-016187-58rqc0cg 91 16 Gram gram NN cord-016187-58rqc0cg 91 17 - - HYPH cord-016187-58rqc0cg 91 18 positive positive JJ cord-016187-58rqc0cg 91 19 bacteria bacteria NNS cord-016187-58rqc0cg 91 20 but but CC cord-016187-58rqc0cg 91 21 not not RB cord-016187-58rqc0cg 91 22 against against IN cord-016187-58rqc0cg 91 23 Gram gram NN cord-016187-58rqc0cg 91 24 - - HYPH cord-016187-58rqc0cg 91 25 negative negative JJ cord-016187-58rqc0cg 91 26 bacteria bacteria NNS cord-016187-58rqc0cg 91 27 [ [ -LRB- cord-016187-58rqc0cg 91 28 23 23 CD cord-016187-58rqc0cg 91 29 ] ] -RRB- cord-016187-58rqc0cg 91 30 . . . cord-016187-58rqc0cg 92 1 This this DT cord-016187-58rqc0cg 92 2 difference difference NN cord-016187-58rqc0cg 92 3 in in IN cord-016187-58rqc0cg 92 4 susceptibility susceptibility NN cord-016187-58rqc0cg 92 5 to to IN cord-016187-58rqc0cg 92 6 penicillin penicillin NN cord-016187-58rqc0cg 92 7 is be VBZ cord-016187-58rqc0cg 92 8 due due JJ cord-016187-58rqc0cg 92 9 in in IN cord-016187-58rqc0cg 92 10 large large JJ cord-016187-58rqc0cg 92 11 part part NN cord-016187-58rqc0cg 92 12 to to IN cord-016187-58rqc0cg 92 13 the the DT cord-016187-58rqc0cg 92 14 outer outer JJ cord-016187-58rqc0cg 92 15 membrane membrane NN cord-016187-58rqc0cg 92 16 , , , cord-016187-58rqc0cg 92 17 a a DT cord-016187-58rqc0cg 92 18 lipid lipid NN cord-016187-58rqc0cg 92 19 bilayer bilayer NN cord-016187-58rqc0cg 92 20 that that WDT cord-016187-58rqc0cg 92 21 acts act VBZ cord-016187-58rqc0cg 92 22 as as IN cord-016187-58rqc0cg 92 23 a a DT cord-016187-58rqc0cg 92 24 barrier barrier NN cord-016187-58rqc0cg 92 25 to to IN cord-016187-58rqc0cg 92 26 the the DT cord-016187-58rqc0cg 92 27 penetration penetration NN cord-016187-58rqc0cg 92 28 of of IN cord-016187-58rqc0cg 92 29 antibiotics antibiotic NNS cord-016187-58rqc0cg 92 30 into into IN cord-016187-58rqc0cg 92 31 the the DT cord-016187-58rqc0cg 92 32 cell cell NN cord-016187-58rqc0cg 92 33 . . . cord-016187-58rqc0cg 93 1 Situated situate VBN cord-016187-58rqc0cg 93 2 outside outside IN cord-016187-58rqc0cg 93 3 the the DT cord-016187-58rqc0cg 93 4 peptidoglycan peptidoglycan JJ cord-016187-58rqc0cg 93 5 cell cell NN cord-016187-58rqc0cg 93 6 wall wall NN cord-016187-58rqc0cg 93 7 of of IN cord-016187-58rqc0cg 93 8 Gramnegative Gramnegative NNP cord-016187-58rqc0cg 93 9 bacteria bacteria NNS cord-016187-58rqc0cg 93 10 , , , cord-016187-58rqc0cg 93 11 this this DT cord-016187-58rqc0cg 93 12 outer outer JJ cord-016187-58rqc0cg 93 13 membrane membrane NN cord-016187-58rqc0cg 93 14 is be VBZ cord-016187-58rqc0cg 93 15 absent absent JJ cord-016187-58rqc0cg 93 16 in in IN cord-016187-58rqc0cg 93 17 Gram gram NN cord-016187-58rqc0cg 93 18 - - HYPH cord-016187-58rqc0cg 93 19 positive positive JJ cord-016187-58rqc0cg 93 20 bacteria bacteria NNS cord-016187-58rqc0cg 93 21 . . . cord-016187-58rqc0cg 94 1 The the DT cord-016187-58rqc0cg 94 2 outer outer JJ cord-016187-58rqc0cg 94 3 portion portion NN cord-016187-58rqc0cg 94 4 of of IN cord-016187-58rqc0cg 94 5 this this DT cord-016187-58rqc0cg 94 6 lipid lipid NN cord-016187-58rqc0cg 94 7 bilayer bilayer NN cord-016187-58rqc0cg 94 8 is be VBZ cord-016187-58rqc0cg 94 9 composed compose VBN cord-016187-58rqc0cg 94 10 principally principally RB cord-016187-58rqc0cg 94 11 of of IN cord-016187-58rqc0cg 94 12 lipopolysaccharide lipopolysaccharide NN cord-016187-58rqc0cg 94 13 ( ( -LRB- cord-016187-58rqc0cg 94 14 LPS LPS NNP cord-016187-58rqc0cg 94 15 ) ) -RRB- cord-016187-58rqc0cg 94 16 made make VBD cord-016187-58rqc0cg 94 17 up up RP cord-016187-58rqc0cg 94 18 of of IN cord-016187-58rqc0cg 94 19 tightly tightly RB cord-016187-58rqc0cg 94 20 bound bind VBN cord-016187-58rqc0cg 94 21 hydrocarbon hydrocarbon NN cord-016187-58rqc0cg 94 22 molecules molecule NNS cord-016187-58rqc0cg 94 23 that that WDT cord-016187-58rqc0cg 94 24 impede impede VBP cord-016187-58rqc0cg 94 25 the the DT cord-016187-58rqc0cg 94 26 entry entry NN cord-016187-58rqc0cg 94 27 of of IN cord-016187-58rqc0cg 94 28 hydrophobic hydrophobic JJ cord-016187-58rqc0cg 94 29 antibiotics antibiotic NNS cord-016187-58rqc0cg 94 30 , , , cord-016187-58rqc0cg 94 31 such such JJ cord-016187-58rqc0cg 94 32 as as IN cord-016187-58rqc0cg 94 33 penicillins penicillin NNS cord-016187-58rqc0cg 94 34 or or CC cord-016187-58rqc0cg 94 35 macrolides macrolide NNS cord-016187-58rqc0cg 94 36 . . . cord-016187-58rqc0cg 95 1 The the DT cord-016187-58rqc0cg 95 2 passage passage NN cord-016187-58rqc0cg 95 3 of of IN cord-016187-58rqc0cg 95 4 hydrophilic hydrophilic JJ cord-016187-58rqc0cg 95 5 antibiotics antibiotic NNS cord-016187-58rqc0cg 95 6 through through IN cord-016187-58rqc0cg 95 7 this this DT cord-016187-58rqc0cg 95 8 outer outer JJ cord-016187-58rqc0cg 95 9 membrane membrane NN cord-016187-58rqc0cg 95 10 is be VBZ cord-016187-58rqc0cg 95 11 facilitated facilitate VBN cord-016187-58rqc0cg 95 12 by by IN cord-016187-58rqc0cg 95 13 the the DT cord-016187-58rqc0cg 95 14 presence presence NN cord-016187-58rqc0cg 95 15 of of IN cord-016187-58rqc0cg 95 16 porins porins NNP cord-016187-58rqc0cg 95 17 , , , cord-016187-58rqc0cg 95 18 proteins protein NNS cord-016187-58rqc0cg 95 19 that that WDT cord-016187-58rqc0cg 95 20 are be VBP cord-016187-58rqc0cg 95 21 arranged arrange VBN cord-016187-58rqc0cg 95 22 so so IN cord-016187-58rqc0cg 95 23 as as IN cord-016187-58rqc0cg 95 24 to to TO cord-016187-58rqc0cg 95 25 form form VB cord-016187-58rqc0cg 95 26 water water NN cord-016187-58rqc0cg 95 27 - - HYPH cord-016187-58rqc0cg 95 28 fi fi NN cord-016187-58rqc0cg 95 29 lled lled JJ cord-016187-58rqc0cg 95 30 diffusion diffusion NN cord-016187-58rqc0cg 95 31 channels channel NNS cord-016187-58rqc0cg 95 32 through through IN cord-016187-58rqc0cg 95 33 which which WDT cord-016187-58rqc0cg 95 34 antibiotics antibiotic NNS cord-016187-58rqc0cg 95 35 may may MD cord-016187-58rqc0cg 95 36 traverse traverse VB cord-016187-58rqc0cg 95 37 [ [ -LRB- cord-016187-58rqc0cg 95 38 23 23 CD cord-016187-58rqc0cg 95 39 ] ] -RRB- cord-016187-58rqc0cg 95 40 . . . cord-016187-58rqc0cg 96 1 Bacteria Bacteria NNS cord-016187-58rqc0cg 96 2 usually usually RB cord-016187-58rqc0cg 96 3 produce produce VBP cord-016187-58rqc0cg 96 4 a a DT cord-016187-58rqc0cg 96 5 large large JJ cord-016187-58rqc0cg 96 6 number number NN cord-016187-58rqc0cg 96 7 of of IN cord-016187-58rqc0cg 96 8 porins porin NNS cord-016187-58rqc0cg 96 9 with with IN cord-016187-58rqc0cg 96 10 differing differ VBG cord-016187-58rqc0cg 96 11 physiochemical physiochemical JJ cord-016187-58rqc0cg 96 12 properties property NNS cord-016187-58rqc0cg 96 13 , , , cord-016187-58rqc0cg 96 14 permeability permeability NN cord-016187-58rqc0cg 96 15 characteristics characteristic NNS cord-016187-58rqc0cg 96 16 and and CC cord-016187-58rqc0cg 96 17 size size NN cord-016187-58rqc0cg 96 18 ; ; : cord-016187-58rqc0cg 96 19 approximately approximately RB cord-016187-58rqc0cg 96 20 10 10 CD cord-016187-58rqc0cg 96 21 5 5 CD cord-016187-58rqc0cg 96 22 porin porin NNS cord-016187-58rqc0cg 96 23 molecules/ molecules/ CD cord-016187-58rqc0cg 96 24 cell cell NN cord-016187-58rqc0cg 96 25 for for IN cord-016187-58rqc0cg 96 26 Escherichia escherichia NN cord-016187-58rqc0cg 96 27 coli coli NNS cord-016187-58rqc0cg 96 28 . . . cord-016187-58rqc0cg 97 1 Bacteria Bacteria NNS cord-016187-58rqc0cg 97 2 are be VBP cord-016187-58rqc0cg 97 3 able able JJ cord-016187-58rqc0cg 97 4 to to TO cord-016187-58rqc0cg 97 5 regulate regulate VB cord-016187-58rqc0cg 97 6 the the DT cord-016187-58rqc0cg 97 7 relative relative JJ cord-016187-58rqc0cg 97 8 number number NN cord-016187-58rqc0cg 97 9 of of IN cord-016187-58rqc0cg 97 10 different different JJ cord-016187-58rqc0cg 97 11 porins porin NNS cord-016187-58rqc0cg 97 12 in in IN cord-016187-58rqc0cg 97 13 response response NN cord-016187-58rqc0cg 97 14 to to IN cord-016187-58rqc0cg 97 15 the the DT cord-016187-58rqc0cg 97 16 osmolarity osmolarity NN cord-016187-58rqc0cg 97 17 of of IN cord-016187-58rqc0cg 97 18 their -PRON- PRP$ cord-016187-58rqc0cg 97 19 microenvironment microenvironment NN cord-016187-58rqc0cg 97 20 . . . cord-016187-58rqc0cg 98 1 In in IN cord-016187-58rqc0cg 98 2 hyperosmolar hyperosmolar JJ cord-016187-58rqc0cg 98 3 conditions condition NNS cord-016187-58rqc0cg 98 4 , , , cord-016187-58rqc0cg 98 5 E. E. NNP cord-016187-58rqc0cg 98 6 coli coli NNS cord-016187-58rqc0cg 98 7 represses repress VBZ cord-016187-58rqc0cg 98 8 the the DT cord-016187-58rqc0cg 98 9 synthesis synthesis NN cord-016187-58rqc0cg 98 10 of of IN cord-016187-58rqc0cg 98 11 larger large JJR cord-016187-58rqc0cg 98 12 porins porin NNS cord-016187-58rqc0cg 98 13 ( ( -LRB- cord-016187-58rqc0cg 98 14 OmpF OmpF NNP cord-016187-58rqc0cg 98 15 ) ) -RRB- cord-016187-58rqc0cg 98 16 while while IN cord-016187-58rqc0cg 98 17 continuing continue VBG cord-016187-58rqc0cg 98 18 to to TO cord-016187-58rqc0cg 98 19 express express VB cord-016187-58rqc0cg 98 20 smaller small JJR cord-016187-58rqc0cg 98 21 ones one NNS cord-016187-58rqc0cg 98 22 ( ( -LRB- cord-016187-58rqc0cg 98 23 OmpC OmpC NNP cord-016187-58rqc0cg 98 24 ) ) -RRB- cord-016187-58rqc0cg 98 25 [ [ -LRB- cord-016187-58rqc0cg 98 26 32 32 CD cord-016187-58rqc0cg 98 27 ] ] -RRB- cord-016187-58rqc0cg 98 28 . . . cord-016187-58rqc0cg 99 1 Mutations mutation NNS cord-016187-58rqc0cg 99 2 resulting result VBG cord-016187-58rqc0cg 99 3 in in IN cord-016187-58rqc0cg 99 4 the the DT cord-016187-58rqc0cg 99 5 loss loss NN cord-016187-58rqc0cg 99 6 of of IN cord-016187-58rqc0cg 99 7 specifi specifi NNP cord-016187-58rqc0cg 99 8 c c NN cord-016187-58rqc0cg 99 9 porins porins NNP cord-016187-58rqc0cg 99 10 can can MD cord-016187-58rqc0cg 99 11 occur occur VB cord-016187-58rqc0cg 99 12 in in IN cord-016187-58rqc0cg 99 13 clinical clinical JJ cord-016187-58rqc0cg 99 14 isolates isolate NNS cord-016187-58rqc0cg 99 15 and and CC cord-016187-58rqc0cg 99 16 determine determine VB cord-016187-58rqc0cg 99 17 increased increase VBN cord-016187-58rqc0cg 99 18 resistance resistance NN cord-016187-58rqc0cg 99 19 to to IN cord-016187-58rqc0cg 99 20 beta beta NN cord-016187-58rqc0cg 99 21 - - HYPH cord-016187-58rqc0cg 99 22 lactam lactam NN cord-016187-58rqc0cg 99 23 antibiotics antibiotic NNS cord-016187-58rqc0cg 99 24 . . . cord-016187-58rqc0cg 100 1 Resistance resistance NN cord-016187-58rqc0cg 100 2 to to IN cord-016187-58rqc0cg 100 3 aminoglycosides aminoglycoside NNS cord-016187-58rqc0cg 100 4 and and CC cord-016187-58rqc0cg 100 5 carbapenems carbapenem NNS cord-016187-58rqc0cg 100 6 emerging emerge VBG cord-016187-58rqc0cg 100 7 during during IN cord-016187-58rqc0cg 100 8 therapy therapy NN cord-016187-58rqc0cg 100 9 has have VBZ cord-016187-58rqc0cg 100 10 also also RB cord-016187-58rqc0cg 100 11 been be VBN cord-016187-58rqc0cg 100 12 associated associate VBN cord-016187-58rqc0cg 100 13 with with IN cord-016187-58rqc0cg 100 14 a a DT cord-016187-58rqc0cg 100 15 lack lack NN cord-016187-58rqc0cg 100 16 of of IN cord-016187-58rqc0cg 100 17 production production NN cord-016187-58rqc0cg 100 18 of of IN cord-016187-58rqc0cg 100 19 outer outer JJ cord-016187-58rqc0cg 100 20 membrane membrane NN cord-016187-58rqc0cg 100 21 proteins protein NNS cord-016187-58rqc0cg 100 22 . . . cord-016187-58rqc0cg 101 1 In in IN cord-016187-58rqc0cg 101 2 P. P. NNP cord-016187-58rqc0cg 101 3 aeruginosa aeruginosa NN cord-016187-58rqc0cg 101 4 , , , cord-016187-58rqc0cg 101 5 resistance resistance NN cord-016187-58rqc0cg 101 6 to to IN cord-016187-58rqc0cg 101 7 imipenem imipenem NNP cord-016187-58rqc0cg 101 8 appears appear VBZ cord-016187-58rqc0cg 101 9 to to TO cord-016187-58rqc0cg 101 10 be be VB cord-016187-58rqc0cg 101 11 due due JJ cord-016187-58rqc0cg 101 12 to to IN cord-016187-58rqc0cg 101 13 an an DT cord-016187-58rqc0cg 101 14 interaction interaction NN cord-016187-58rqc0cg 101 15 between between IN cord-016187-58rqc0cg 101 16 chromosomal chromosomal JJ cord-016187-58rqc0cg 101 17 beta beta NN cord-016187-58rqc0cg 101 18 - - HYPH cord-016187-58rqc0cg 101 19 lactamase lactamase NN cord-016187-58rqc0cg 101 20 activity activity NN cord-016187-58rqc0cg 101 21 and and CC cord-016187-58rqc0cg 101 22 a a DT cord-016187-58rqc0cg 101 23 loss loss NN cord-016187-58rqc0cg 101 24 of of IN cord-016187-58rqc0cg 101 25 a a DT cord-016187-58rqc0cg 101 26 specifi specifi NN cord-016187-58rqc0cg 101 27 c c NN cord-016187-58rqc0cg 101 28 entry entry NN cord-016187-58rqc0cg 101 29 channel channel NN cord-016187-58rqc0cg 101 30 , , , cord-016187-58rqc0cg 101 31 the the DT cord-016187-58rqc0cg 101 32 D2 D2 NNP cord-016187-58rqc0cg 101 33 porin porin NN cord-016187-58rqc0cg 101 34 [ [ -LRB- cord-016187-58rqc0cg 101 35 33 33 CD cord-016187-58rqc0cg 101 36 ] ] -RRB- cord-016187-58rqc0cg 101 37 . . . cord-016187-58rqc0cg 102 1 The the DT cord-016187-58rqc0cg 102 2 rate rate NN cord-016187-58rqc0cg 102 3 of of IN cord-016187-58rqc0cg 102 4 entry entry NN cord-016187-58rqc0cg 102 5 of of IN cord-016187-58rqc0cg 102 6 aminoglycoside aminoglycoside JJ cord-016187-58rqc0cg 102 7 molecules molecule NNS cord-016187-58rqc0cg 102 8 into into IN cord-016187-58rqc0cg 102 9 bacterial bacterial JJ cord-016187-58rqc0cg 102 10 cells cell NNS cord-016187-58rqc0cg 102 11 is be VBZ cord-016187-58rqc0cg 102 12 a a DT cord-016187-58rqc0cg 102 13 function function NN cord-016187-58rqc0cg 102 14 of of IN cord-016187-58rqc0cg 102 15 their -PRON- PRP$ cord-016187-58rqc0cg 102 16 binding binding NN cord-016187-58rqc0cg 102 17 to to IN cord-016187-58rqc0cg 102 18 a a DT cord-016187-58rqc0cg 102 19 usually usually RB cord-016187-58rqc0cg 102 20 non non JJ cord-016187-58rqc0cg 102 21 - - JJ cord-016187-58rqc0cg 102 22 saturable saturable JJ cord-016187-58rqc0cg 102 23 anionic anionic JJ cord-016187-58rqc0cg 102 24 transporter transporter NN cord-016187-58rqc0cg 102 25 , , , cord-016187-58rqc0cg 102 26 whereupon whereupon RB cord-016187-58rqc0cg 102 27 they -PRON- PRP cord-016187-58rqc0cg 102 28 retain retain VBP cord-016187-58rqc0cg 102 29 their -PRON- PRP$ cord-016187-58rqc0cg 102 30 positive positive JJ cord-016187-58rqc0cg 102 31 charge charge NN cord-016187-58rqc0cg 102 32 and and CC cord-016187-58rqc0cg 102 33 are be VBP cord-016187-58rqc0cg 102 34 subsequently subsequently RB cord-016187-58rqc0cg 102 35 ' ' `` cord-016187-58rqc0cg 102 36 pulled pull VBN cord-016187-58rqc0cg 102 37 ' ' '' cord-016187-58rqc0cg 102 38 across across IN cord-016187-58rqc0cg 102 39 the the DT cord-016187-58rqc0cg 102 40 cytoplasmic cytoplasmic JJ cord-016187-58rqc0cg 102 41 membrane membrane NN cord-016187-58rqc0cg 102 42 by by IN cord-016187-58rqc0cg 102 43 the the DT cord-016187-58rqc0cg 102 44 internal internal JJ cord-016187-58rqc0cg 102 45 negative negative JJ cord-016187-58rqc0cg 102 46 charge charge NN cord-016187-58rqc0cg 102 47 of of IN cord-016187-58rqc0cg 102 48 the the DT cord-016187-58rqc0cg 102 49 cell cell NN cord-016187-58rqc0cg 102 50 . . . cord-016187-58rqc0cg 103 1 This this DT cord-016187-58rqc0cg 103 2 process process NN cord-016187-58rqc0cg 103 3 requires require VBZ cord-016187-58rqc0cg 103 4 energy energy NN cord-016187-58rqc0cg 103 5 and and CC cord-016187-58rqc0cg 103 6 a a DT cord-016187-58rqc0cg 103 7 threshold threshold NN cord-016187-58rqc0cg 103 8 level level NN cord-016187-58rqc0cg 103 9 of of IN cord-016187-58rqc0cg 103 10 internal internal JJ cord-016187-58rqc0cg 103 11 negative negative JJ cord-016187-58rqc0cg 103 12 charge charge NN cord-016187-58rqc0cg 103 13 before before IN cord-016187-58rqc0cg 103 14 signifi signifi NNP cord-016187-58rqc0cg 103 15 ca ca NNP cord-016187-58rqc0cg 104 1 nt nt RB cord-016187-58rqc0cg 104 2 transport transport NN cord-016187-58rqc0cg 104 3 occurs occur VBZ cord-016187-58rqc0cg 104 4 ( ( -LRB- cord-016187-58rqc0cg 104 5 proton proton NN cord-016187-58rqc0cg 104 6 motive motive NN cord-016187-58rqc0cg 104 7 force force NN cord-016187-58rqc0cg 104 8 ) ) -RRB- cord-016187-58rqc0cg 105 1 [ [ -LRB- cord-016187-58rqc0cg 105 2 34 34 CD cord-016187-58rqc0cg 105 3 ] ] -RRB- cord-016187-58rqc0cg 105 4 . . . cord-016187-58rqc0cg 106 1 These these DT cord-016187-58rqc0cg 106 2 aminoglycoside aminoglycoside JJ cord-016187-58rqc0cg 106 3 - - HYPH cord-016187-58rqc0cg 106 4 resistant resistant JJ cord-016187-58rqc0cg 106 5 isolates isolate NNS cord-016187-58rqc0cg 106 6 with with IN cord-016187-58rqc0cg 106 7 altered altered JJ cord-016187-58rqc0cg 106 8 proton proton NN cord-016187-58rqc0cg 106 9 motive motive NN cord-016187-58rqc0cg 106 10 force force NN cord-016187-58rqc0cg 106 11 may may MD cord-016187-58rqc0cg 106 12 occur occur VB cord-016187-58rqc0cg 106 13 during during IN cord-016187-58rqc0cg 106 14 long long JJ cord-016187-58rqc0cg 106 15 - - HYPH cord-016187-58rqc0cg 106 16 term term NN cord-016187-58rqc0cg 106 17 aminoglycoside aminoglycoside NN cord-016187-58rqc0cg 106 18 therapy therapy NN cord-016187-58rqc0cg 106 19 . . . cord-016187-58rqc0cg 107 1 These these DT cord-016187-58rqc0cg 107 2 isolates isolate NNS cord-016187-58rqc0cg 107 3 usually usually RB cord-016187-58rqc0cg 107 4 have have VBP cord-016187-58rqc0cg 107 5 a a DT cord-016187-58rqc0cg 107 6 ' ' `` cord-016187-58rqc0cg 107 7 small small JJ cord-016187-58rqc0cg 107 8 colony colony NN cord-016187-58rqc0cg 107 9 ' ' '' cord-016187-58rqc0cg 107 10 phenotype phenotype NN cord-016187-58rqc0cg 107 11 due due IN cord-016187-58rqc0cg 107 12 to to IN cord-016187-58rqc0cg 107 13 their -PRON- PRP$ cord-016187-58rqc0cg 107 14 reduced reduce VBN cord-016187-58rqc0cg 107 15 rate rate NN cord-016187-58rqc0cg 107 16 of of IN cord-016187-58rqc0cg 107 17 growth growth NN cord-016187-58rqc0cg 107 18 . . . cord-016187-58rqc0cg 108 1 Im- im- XX cord-016187-58rqc0cg 109 1 Gram gram NN cord-016187-58rqc0cg 109 2 - - HYPH cord-016187-58rqc0cg 109 3 neg neg NN cord-016187-58rqc0cg 109 4 : : : cord-016187-58rqc0cg 109 5 Gram gram NN cord-016187-58rqc0cg 109 6 - - HYPH cord-016187-58rqc0cg 109 7 negative negative JJ cord-016187-58rqc0cg 109 8 bacteria bacteria NNS cord-016187-58rqc0cg 109 9 ; ; : cord-016187-58rqc0cg 109 10 TMP tmp NN cord-016187-58rqc0cg 109 11 : : : cord-016187-58rqc0cg 109 12 trimethoprim trimethoprim NN cord-016187-58rqc0cg 109 13 ; ; : cord-016187-58rqc0cg 109 14 TCN tcn NN cord-016187-58rqc0cg 109 15 : : : cord-016187-58rqc0cg 109 16 tetracycline tetracycline NN cord-016187-58rqc0cg 109 17 ; ; . cord-016187-58rqc0cg 110 1 + + CC cord-016187-58rqc0cg 111 1 + + CC cord-016187-58rqc0cg 111 2 + + CC cord-016187-58rqc0cg 111 3 : : : cord-016187-58rqc0cg 111 4 most most RBS cord-016187-58rqc0cg 111 5 common common JJ cord-016187-58rqc0cg 111 6 mechanism mechanism NN cord-016187-58rqc0cg 111 7 ; ; : cord-016187-58rqc0cg 111 8 + + SYM cord-016187-58rqc0cg 111 9 + + CC cord-016187-58rqc0cg 111 10 : : : cord-016187-58rqc0cg 112 1 common common JJ cord-016187-58rqc0cg 112 2 ; ; : cord-016187-58rqc0cg 112 3 + + CC cord-016187-58rqc0cg 112 4 : : : cord-016187-58rqc0cg 112 5 less less RBR cord-016187-58rqc0cg 112 6 common common JJ cord-016187-58rqc0cg 112 7 , , , cord-016187-58rqc0cg 112 8 - - : cord-016187-58rqc0cg 112 9 : : : cord-016187-58rqc0cg 112 10 not not RB cord-016187-58rqc0cg 112 11 reported report VBN cord-016187-58rqc0cg 112 12 ( ( -LRB- cord-016187-58rqc0cg 112 13 see see VB cord-016187-58rqc0cg 112 14 reference reference NN cord-016187-58rqc0cg 112 15 [ [ -LRB- cord-016187-58rqc0cg 112 16 23 23 CD cord-016187-58rqc0cg 112 17 ] ] -RRB- cord-016187-58rqc0cg 112 18 ) ) -RRB- cord-016187-58rqc0cg 113 1 Active active JJ cord-016187-58rqc0cg 113 2 effl effl NNP cord-016187-58rqc0cg 113 3 ux ux NNP cord-016187-58rqc0cg 113 4 of of IN cord-016187-58rqc0cg 113 5 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 113 6 agents agent NNS cord-016187-58rqc0cg 113 7 is be VBZ cord-016187-58rqc0cg 113 8 increasingly increasingly RB cord-016187-58rqc0cg 113 9 utilized utilize VBN cord-016187-58rqc0cg 113 10 by by IN cord-016187-58rqc0cg 113 11 bacteria bacteria NNS cord-016187-58rqc0cg 113 12 and and CC cord-016187-58rqc0cg 113 13 fungi fungus NNS cord-016187-58rqc0cg 113 14 as as IN cord-016187-58rqc0cg 113 15 a a DT cord-016187-58rqc0cg 113 16 mechanism mechanism NN cord-016187-58rqc0cg 113 17 of of IN cord-016187-58rqc0cg 113 18 antibiotic antibiotic JJ cord-016187-58rqc0cg 113 19 resistance resistance NN cord-016187-58rqc0cg 113 20 . . . cord-016187-58rqc0cg 114 1 Some some DT cord-016187-58rqc0cg 114 2 strains strain NNS cord-016187-58rqc0cg 114 3 of of IN cord-016187-58rqc0cg 114 4 E. E. NNP cord-016187-58rqc0cg 114 5 coli coli NNS cord-016187-58rqc0cg 114 6 , , , cord-016187-58rqc0cg 114 7 Shigella Shigella NNP cord-016187-58rqc0cg 114 8 , , , cord-016187-58rqc0cg 114 9 and and CC cord-016187-58rqc0cg 114 10 other other JJ cord-016187-58rqc0cg 114 11 enteric enteric JJ cord-016187-58rqc0cg 114 12 organisms organism NNS cord-016187-58rqc0cg 114 13 express express VBP cord-016187-58rqc0cg 114 14 a a DT cord-016187-58rqc0cg 114 15 membrane membrane NN cord-016187-58rqc0cg 114 16 transporter transporter NN cord-016187-58rqc0cg 114 17 system system NN cord-016187-58rqc0cg 114 18 that that WDT cord-016187-58rqc0cg 114 19 leads lead VBZ cord-016187-58rqc0cg 114 20 to to IN cord-016187-58rqc0cg 114 21 multidrug multidrug NN cord-016187-58rqc0cg 114 22 resistance resistance NN cord-016187-58rqc0cg 114 23 by by IN cord-016187-58rqc0cg 114 24 drug drug NN cord-016187-58rqc0cg 114 25 effl effl NNP cord-016187-58rqc0cg 114 26 ux ux NNP cord-016187-58rqc0cg 114 27 [ [ -LRB- cord-016187-58rqc0cg 114 28 35 35 CD cord-016187-58rqc0cg 114 29 ] ] -RRB- cord-016187-58rqc0cg 114 30 . . . cord-016187-58rqc0cg 115 1 Specifi Specifi NNP cord-016187-58rqc0cg 115 2 c c NNP cord-016187-58rqc0cg 115 3 effl effl NNP cord-016187-58rqc0cg 115 4 ux ux NNP cord-016187-58rqc0cg 115 5 pumps pump NNS cord-016187-58rqc0cg 115 6 also also RB cord-016187-58rqc0cg 115 7 exist exist VBP cord-016187-58rqc0cg 115 8 that that WDT cord-016187-58rqc0cg 115 9 promote promote VBP cord-016187-58rqc0cg 115 10 the the DT cord-016187-58rqc0cg 115 11 egress egress NN cord-016187-58rqc0cg 115 12 of of IN cord-016187-58rqc0cg 115 13 single single JJ cord-016187-58rqc0cg 115 14 classes class NNS cord-016187-58rqc0cg 115 15 of of IN cord-016187-58rqc0cg 115 16 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 115 17 agents agent NNS cord-016187-58rqc0cg 115 18 . . . cord-016187-58rqc0cg 116 1 Effl Effl NNP cord-016187-58rqc0cg 116 2 ux ux NNP cord-016187-58rqc0cg 116 3 mechanisms mechanism NNS cord-016187-58rqc0cg 116 4 are be VBP cord-016187-58rqc0cg 116 5 the the DT cord-016187-58rqc0cg 116 6 major major JJ cord-016187-58rqc0cg 116 7 mechanism mechanism NN cord-016187-58rqc0cg 116 8 of of IN cord-016187-58rqc0cg 116 9 resistance resistance NN cord-016187-58rqc0cg 116 10 to to IN cord-016187-58rqc0cg 116 11 tetracyclines tetracycline NNS cord-016187-58rqc0cg 116 12 in in IN cord-016187-58rqc0cg 116 13 Gram gram NN cord-016187-58rqc0cg 116 14 - - HYPH cord-016187-58rqc0cg 116 15 negative negative JJ cord-016187-58rqc0cg 116 16 bacteria bacteria NNS cord-016187-58rqc0cg 116 17 . . . cord-016187-58rqc0cg 117 1 Some some DT cord-016187-58rqc0cg 117 2 strains strain NNS cord-016187-58rqc0cg 117 3 of of IN cord-016187-58rqc0cg 117 4 S. S. NNP cord-016187-58rqc0cg 117 5 pneumoniae pneumoniae NN cord-016187-58rqc0cg 117 6 , , , cord-016187-58rqc0cg 117 7 S. S. NNP cord-016187-58rqc0cg 117 8 pyogenes pyogene NNS cord-016187-58rqc0cg 117 9 , , , cord-016187-58rqc0cg 117 10 S. S. NNP cord-016187-58rqc0cg 117 11 aureus aureus NN cord-016187-58rqc0cg 117 12 , , , cord-016187-58rqc0cg 117 13 and and CC cord-016187-58rqc0cg 117 14 S. S. NNP cord-016187-58rqc0cg 117 15 epidermidis epidermidi NNS cord-016187-58rqc0cg 117 16 , , , cord-016187-58rqc0cg 117 17 use use VBP cord-016187-58rqc0cg 117 18 an an DT cord-016187-58rqc0cg 117 19 active active JJ cord-016187-58rqc0cg 117 20 effl effl NNP cord-016187-58rqc0cg 117 21 ux ux NN cord-016187-58rqc0cg 117 22 mechanism mechanism NN cord-016187-58rqc0cg 117 23 to to TO cord-016187-58rqc0cg 117 24 resist resist VB cord-016187-58rqc0cg 117 25 macrolides macrolide NNS cord-016187-58rqc0cg 117 26 , , , cord-016187-58rqc0cg 117 27 streptogramins streptogramin NNS cord-016187-58rqc0cg 117 28 , , , cord-016187-58rqc0cg 117 29 and and CC cord-016187-58rqc0cg 117 30 azalides azalide NNS cord-016187-58rqc0cg 117 31 [ [ -LRB- cord-016187-58rqc0cg 117 32 23 23 CD cord-016187-58rqc0cg 117 33 ] ] -RRB- cord-016187-58rqc0cg 117 34 . . . cord-016187-58rqc0cg 118 1 This this DT cord-016187-58rqc0cg 118 2 effl effl NN cord-016187-58rqc0cg 118 3 ux ux NN cord-016187-58rqc0cg 118 4 mechanism mechanism NN cord-016187-58rqc0cg 118 5 is be VBZ cord-016187-58rqc0cg 118 6 mediated mediate VBN cord-016187-58rqc0cg 118 7 by by IN cord-016187-58rqc0cg 118 8 the the DT cord-016187-58rqc0cg 118 9 meF meF NNP cord-016187-58rqc0cg 118 10 ( ( -LRB- cord-016187-58rqc0cg 118 11 for for IN cord-016187-58rqc0cg 118 12 macrolide macrolide NNP cord-016187-58rqc0cg 118 13 effl effl NNP cord-016187-58rqc0cg 118 14 ux ux NNP cord-016187-58rqc0cg 118 15 ) ) -RRB- cord-016187-58rqc0cg 118 16 genes gene NNS cord-016187-58rqc0cg 118 17 in in IN cord-016187-58rqc0cg 118 18 streptococci streptococcus NNS cord-016187-58rqc0cg 118 19 and and CC cord-016187-58rqc0cg 118 20 msr msr NNP cord-016187-58rqc0cg 118 21 ( ( -LRB- cord-016187-58rqc0cg 118 22 for for IN cord-016187-58rqc0cg 118 23 macrolide macrolide NNP cord-016187-58rqc0cg 118 24 streptogramin streptogramin NNP cord-016187-58rqc0cg 118 25 resistance resistance NNP cord-016187-58rqc0cg 118 26 ) ) -RRB- cord-016187-58rqc0cg 118 27 genes gene NNS cord-016187-58rqc0cg 118 28 in in IN cord-016187-58rqc0cg 118 29 staphylococci staphylococcus NNS cord-016187-58rqc0cg 118 30 . . . cord-016187-58rqc0cg 119 1 A a DT cord-016187-58rqc0cg 119 2 similar similar JJ cord-016187-58rqc0cg 119 3 effl effl JJ cord-016187-58rqc0cg 119 4 ux ux NNP cord-016187-58rqc0cg 119 5 system system NN cord-016187-58rqc0cg 119 6 , , , cord-016187-58rqc0cg 119 7 encoded encode VBN cord-016187-58rqc0cg 119 8 by by IN cord-016187-58rqc0cg 119 9 a a DT cord-016187-58rqc0cg 119 10 gene gene NN cord-016187-58rqc0cg 119 11 referred refer VBN cord-016187-58rqc0cg 119 12 to to IN cord-016187-58rqc0cg 119 13 as as IN cord-016187-58rqc0cg 119 14 mreA mrea JJ cord-016187-58rqc0cg 119 15 ( ( -LRB- cord-016187-58rqc0cg 119 16 for for IN cord-016187-58rqc0cg 119 17 macrolide macrolide NNP cord-016187-58rqc0cg 119 18 resistance resistance NNP cord-016187-58rqc0cg 119 19 effl effl NNP cord-016187-58rqc0cg 119 20 ux ux NNP cord-016187-58rqc0cg 119 21 ) ) -RRB- cord-016187-58rqc0cg 119 22 , , , cord-016187-58rqc0cg 119 23 has have VBZ cord-016187-58rqc0cg 119 24 been be VBN cord-016187-58rqc0cg 119 25 described describe VBN cord-016187-58rqc0cg 119 26 in in IN cord-016187-58rqc0cg 119 27 group group NN cord-016187-58rqc0cg 119 28 B b NN cord-016187-58rqc0cg 119 29 streptococci streptococcus NNS cord-016187-58rqc0cg 119 30 . . . cord-016187-58rqc0cg 120 1 This this DT cord-016187-58rqc0cg 120 2 mechanism mechanism NN cord-016187-58rqc0cg 120 3 of of IN cord-016187-58rqc0cg 120 4 resistance resistance NN cord-016187-58rqc0cg 120 5 may may MD cord-016187-58rqc0cg 120 6 be be VB cord-016187-58rqc0cg 120 7 more more RBR cord-016187-58rqc0cg 120 8 prevalent prevalent JJ cord-016187-58rqc0cg 120 9 in in IN cord-016187-58rqc0cg 120 10 community community NN cord-016187-58rqc0cg 120 11 - - HYPH cord-016187-58rqc0cg 120 12 acquired acquire VBN cord-016187-58rqc0cg 120 13 infections infection NNS cord-016187-58rqc0cg 120 14 than than IN cord-016187-58rqc0cg 120 15 was be VBD cord-016187-58rqc0cg 120 16 generally generally RB cord-016187-58rqc0cg 120 17 appreciated appreciate VBN cord-016187-58rqc0cg 120 18 . . . cord-016187-58rqc0cg 121 1 Dissemination dissemination NN cord-016187-58rqc0cg 121 2 of of IN cord-016187-58rqc0cg 121 3 these these DT cord-016187-58rqc0cg 121 4 resistance resistance NN cord-016187-58rqc0cg 121 5 genes gene NNS cord-016187-58rqc0cg 121 6 among among IN cord-016187-58rqc0cg 121 7 important important JJ cord-016187-58rqc0cg 121 8 bacterial bacterial JJ cord-016187-58rqc0cg 121 9 pathogens pathogen NNS cord-016187-58rqc0cg 121 10 constitutes constitute VBZ cord-016187-58rqc0cg 121 11 a a DT cord-016187-58rqc0cg 121 12 major major JJ cord-016187-58rqc0cg 121 13 threat threat NN cord-016187-58rqc0cg 121 14 to to IN cord-016187-58rqc0cg 121 15 the the DT cord-016187-58rqc0cg 121 16 continued continued JJ cord-016187-58rqc0cg 121 17 usefulness usefulness NN cord-016187-58rqc0cg 121 18 of of IN cord-016187-58rqc0cg 121 19 macrolide macrolide JJ cord-016187-58rqc0cg 121 20 antibiotics antibiotic NNS cord-016187-58rqc0cg 121 21 [ [ -LRB- cord-016187-58rqc0cg 121 22 36 36 CD cord-016187-58rqc0cg 121 23 ] ] -RRB- cord-016187-58rqc0cg 121 24 . . . cord-016187-58rqc0cg 122 1 Active active JJ cord-016187-58rqc0cg 122 2 effl effl NNP cord-016187-58rqc0cg 122 3 ux ux NNP cord-016187-58rqc0cg 122 4 mechanisms mechanism NNS cord-016187-58rqc0cg 122 5 may may MD cord-016187-58rqc0cg 122 6 also also RB cord-016187-58rqc0cg 122 7 contribute contribute VB cord-016187-58rqc0cg 122 8 to to IN cord-016187-58rqc0cg 122 9 the the DT cord-016187-58rqc0cg 122 10 full full JJ cord-016187-58rqc0cg 122 11 expression expression NN cord-016187-58rqc0cg 122 12 of of IN cord-016187-58rqc0cg 122 13 betalactam betalactam NNP cord-016187-58rqc0cg 122 14 resistance resistance NN cord-016187-58rqc0cg 122 15 in in IN cord-016187-58rqc0cg 122 16 P. P. NNP cord-016187-58rqc0cg 122 17 aeruginosa aeruginosa NN cord-016187-58rqc0cg 122 18 . . . cord-016187-58rqc0cg 123 1 Multidrug Multidrug NNP cord-016187-58rqc0cg 123 2 effl effl XX cord-016187-58rqc0cg 124 1 ux ux NNP cord-016187-58rqc0cg 124 2 pumps pump VBZ cord-016187-58rqc0cg 124 3 in in IN cord-016187-58rqc0cg 124 4 the the DT cord-016187-58rqc0cg 124 5 inner inner JJ cord-016187-58rqc0cg 124 6 and and CC cord-016187-58rqc0cg 124 7 outer outer JJ cord-016187-58rqc0cg 124 8 membrane membrane NN cord-016187-58rqc0cg 124 9 of of IN cord-016187-58rqc0cg 124 10 P. P. NNP cord-016187-58rqc0cg 124 11 aeruginosa aeruginosa NN cord-016187-58rqc0cg 124 12 may may MD cord-016187-58rqc0cg 124 13 combine combine VB cord-016187-58rqc0cg 124 14 with with IN cord-016187-58rqc0cg 124 15 periplasmic periplasmic JJ cord-016187-58rqc0cg 124 16 beta beta NN cord-016187-58rqc0cg 124 17 - - HYPH cord-016187-58rqc0cg 124 18 lactamases lactamase NNS cord-016187-58rqc0cg 124 19 and and CC cord-016187-58rqc0cg 124 20 membrane membrane NN cord-016187-58rqc0cg 124 21 permeability permeability NN cord-016187-58rqc0cg 124 22 components component NNS cord-016187-58rqc0cg 124 23 for for IN cord-016187-58rqc0cg 124 24 full full JJ cord-016187-58rqc0cg 124 25 expression expression NN cord-016187-58rqc0cg 124 26 of of IN cord-016187-58rqc0cg 124 27 antibiotic antibiotic JJ cord-016187-58rqc0cg 124 28 resistance resistance NN cord-016187-58rqc0cg 124 29 [ [ -LRB- cord-016187-58rqc0cg 124 30 37 37 CD cord-016187-58rqc0cg 124 31 ] ] -RRB- cord-016187-58rqc0cg 124 32 . . . cord-016187-58rqc0cg 125 1 Active active JJ cord-016187-58rqc0cg 125 2 effl effl NNP cord-016187-58rqc0cg 125 3 ux ux NNP cord-016187-58rqc0cg 125 4 of of IN cord-016187-58rqc0cg 125 5 fl fl NNP cord-016187-58rqc0cg 125 6 uoroquinolones uoroquinolone NNS cord-016187-58rqc0cg 125 7 by by IN cord-016187-58rqc0cg 125 8 specifi specifi NNP cord-016187-58rqc0cg 125 9 c c NNP cord-016187-58rqc0cg 125 10 quinolone quinolone NNP cord-016187-58rqc0cg 125 11 pumps pump NNS cord-016187-58rqc0cg 125 12 or or CC cord-016187-58rqc0cg 125 13 multidrug multidrug NN cord-016187-58rqc0cg 125 14 transporter transporter NN cord-016187-58rqc0cg 125 15 pumps pump NNS cord-016187-58rqc0cg 125 16 has have VBZ cord-016187-58rqc0cg 125 17 also also RB cord-016187-58rqc0cg 125 18 been be VBN cord-016187-58rqc0cg 125 19 detected detect VBN cord-016187-58rqc0cg 125 20 in in IN cord-016187-58rqc0cg 125 21 enteric enteric JJ cord-016187-58rqc0cg 125 22 bacteria bacteria NNS cord-016187-58rqc0cg 125 23 and and CC cord-016187-58rqc0cg 125 24 staphylococci staphylococcus NNS cord-016187-58rqc0cg 125 25 [ [ -LRB- cord-016187-58rqc0cg 125 26 23 23 CD cord-016187-58rqc0cg 125 27 ] ] -RRB- cord-016187-58rqc0cg 125 28 . . . cord-016187-58rqc0cg 126 1 Resistance resistance NN cord-016187-58rqc0cg 126 2 to to IN cord-016187-58rqc0cg 126 3 a a DT cord-016187-58rqc0cg 126 4 wide wide JJ cord-016187-58rqc0cg 126 5 variety variety NN cord-016187-58rqc0cg 126 6 of of IN cord-016187-58rqc0cg 126 7 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 126 8 agents agent NNS cord-016187-58rqc0cg 126 9 , , , cord-016187-58rqc0cg 126 10 including include VBG cord-016187-58rqc0cg 126 11 tetracyclines tetracycline NNS cord-016187-58rqc0cg 126 12 , , , cord-016187-58rqc0cg 126 13 macrolides macrolide NNS cord-016187-58rqc0cg 126 14 , , , cord-016187-58rqc0cg 126 15 lincosamides lincosamides NNP cord-016187-58rqc0cg 126 16 , , , cord-016187-58rqc0cg 126 17 streptogramins streptogramin NNS cord-016187-58rqc0cg 126 18 and and CC cord-016187-58rqc0cg 126 19 the the DT cord-016187-58rqc0cg 126 20 aminoglycosides aminoglycoside NNS cord-016187-58rqc0cg 126 21 , , , cord-016187-58rqc0cg 126 22 may may MD cord-016187-58rqc0cg 126 23 result result VB cord-016187-58rqc0cg 126 24 from from IN cord-016187-58rqc0cg 126 25 alteration alteration NN cord-016187-58rqc0cg 126 26 of of IN cord-016187-58rqc0cg 126 27 ribosomal ribosomal JJ cord-016187-58rqc0cg 126 28 binding binding NN cord-016187-58rqc0cg 126 29 sites site NNS cord-016187-58rqc0cg 126 30 . . . cord-016187-58rqc0cg 127 1 The the DT cord-016187-58rqc0cg 127 2 MLS MLS NNP cord-016187-58rqc0cg 127 3 B B NNP cord-016187-58rqc0cg 127 4 -determinant -determinant NN cord-016187-58rqc0cg 127 5 has have VBZ cord-016187-58rqc0cg 127 6 the the DT cord-016187-58rqc0cg 127 7 genes gene NNS cord-016187-58rqc0cg 127 8 that that WDT cord-016187-58rqc0cg 127 9 produce produce VBP cord-016187-58rqc0cg 127 10 enzymes enzyme NNS cord-016187-58rqc0cg 127 11 to to IN cord-016187-58rqc0cg 127 12 dimethylate dimethylate VB cord-016187-58rqc0cg 127 13 adenine adenine NN cord-016187-58rqc0cg 127 14 residues residue NNS cord-016187-58rqc0cg 127 15 on on IN cord-016187-58rqc0cg 127 16 the the DT cord-016187-58rqc0cg 127 17 23-S 23-s CD cord-016187-58rqc0cg 127 18 ribosomal ribosomal NNP cord-016187-58rqc0cg 127 19 RNA RNA NNP cord-016187-58rqc0cg 127 20 of of IN cord-016187-58rqc0cg 127 21 the the DT cord-016187-58rqc0cg 127 22 50-S 50-s CD cord-016187-58rqc0cg 127 23 subunit subunit NN cord-016187-58rqc0cg 127 24 of of IN cord-016187-58rqc0cg 127 25 the the DT cord-016187-58rqc0cg 127 26 prokaryotic prokaryotic JJ cord-016187-58rqc0cg 127 27 ribosome ribosome NN cord-016187-58rqc0cg 127 28 , , , cord-016187-58rqc0cg 127 29 disrupting disrupt VBG cord-016187-58rqc0cg 127 30 the the DT cord-016187-58rqc0cg 127 31 binding binding NN cord-016187-58rqc0cg 127 32 of of IN cord-016187-58rqc0cg 127 33 these these DT cord-016187-58rqc0cg 127 34 drugs drug NNS cord-016187-58rqc0cg 127 35 to to IN cord-016187-58rqc0cg 127 36 the the DT cord-016187-58rqc0cg 127 37 ribosome ribosome NN cord-016187-58rqc0cg 127 38 . . . cord-016187-58rqc0cg 128 1 Resistance resistance NN cord-016187-58rqc0cg 128 2 to to IN cord-016187-58rqc0cg 128 3 aminoglycosides aminoglycoside NNS cord-016187-58rqc0cg 128 4 may may MD cord-016187-58rqc0cg 128 5 also also RB cord-016187-58rqc0cg 128 6 be be VB cord-016187-58rqc0cg 128 7 mediated mediate VBN cord-016187-58rqc0cg 128 8 at at IN cord-016187-58rqc0cg 128 9 the the DT cord-016187-58rqc0cg 128 10 ribosomal ribosomal JJ cord-016187-58rqc0cg 128 11 level level NN cord-016187-58rqc0cg 128 12 . . . cord-016187-58rqc0cg 129 1 Mutations mutation NNS cord-016187-58rqc0cg 129 2 of of IN cord-016187-58rqc0cg 129 3 the the DT cord-016187-58rqc0cg 129 4 S12 S12 NNP cord-016187-58rqc0cg 129 5 protein protein NN cord-016187-58rqc0cg 129 6 of of IN cord-016187-58rqc0cg 129 7 the the DT cord-016187-58rqc0cg 129 8 30-S 30-s CD cord-016187-58rqc0cg 129 9 subunit subunit NN cord-016187-58rqc0cg 129 10 have have VBP cord-016187-58rqc0cg 129 11 been be VBN cord-016187-58rqc0cg 129 12 shown show VBN cord-016187-58rqc0cg 129 13 to to TO cord-016187-58rqc0cg 129 14 interfere interfere VB cord-016187-58rqc0cg 129 15 with with IN cord-016187-58rqc0cg 129 16 binding bind VBG cord-016187-58rqc0cg 129 17 streptomycin streptomycin NNS cord-016187-58rqc0cg 129 18 to to IN cord-016187-58rqc0cg 129 19 the the DT cord-016187-58rqc0cg 129 20 ribosome ribosome NN cord-016187-58rqc0cg 129 21 . . . cord-016187-58rqc0cg 130 1 Ribosomal ribosomal JJ cord-016187-58rqc0cg 130 2 resistance resistance NN cord-016187-58rqc0cg 130 3 to to IN cord-016187-58rqc0cg 130 4 streptomycin streptomycin NNS cord-016187-58rqc0cg 130 5 may may MD cord-016187-58rqc0cg 130 6 be be VB cord-016187-58rqc0cg 130 7 a a DT cord-016187-58rqc0cg 130 8 signifi signifi NN cord-016187-58rqc0cg 130 9 ca can MD cord-016187-58rqc0cg 130 10 nt not RB cord-016187-58rqc0cg 130 11 cause cause VB cord-016187-58rqc0cg 130 12 of of IN cord-016187-58rqc0cg 130 13 streptomycin streptomycin NNS cord-016187-58rqc0cg 130 14 resistance resistance NN cord-016187-58rqc0cg 130 15 among among IN cord-016187-58rqc0cg 130 16 enterococcal enterococcal JJ cord-016187-58rqc0cg 130 17 isolates isolate NNS cord-016187-58rqc0cg 130 18 . . . cord-016187-58rqc0cg 131 1 Ribosomal ribosomal JJ cord-016187-58rqc0cg 131 2 resistance resistance NN cord-016187-58rqc0cg 131 3 to to IN cord-016187-58rqc0cg 131 4 the the DT cord-016187-58rqc0cg 131 5 2-deoxystreptamine 2-deoxystreptamine CD cord-016187-58rqc0cg 131 6 aminoglycosides aminoglycoside NNS cord-016187-58rqc0cg 131 7 ( ( -LRB- cord-016187-58rqc0cg 131 8 gentamicin gentamicin NNP cord-016187-58rqc0cg 131 9 , , , cord-016187-58rqc0cg 131 10 tobramycin tobramycin NNPS cord-016187-58rqc0cg 131 11 , , , cord-016187-58rqc0cg 131 12 amikacin amikacin NNP cord-016187-58rqc0cg 131 13 ) ) -RRB- cord-016187-58rqc0cg 131 14 appears appear VBZ cord-016187-58rqc0cg 131 15 to to TO cord-016187-58rqc0cg 131 16 be be VB cord-016187-58rqc0cg 131 17 uncommon uncommon JJ cord-016187-58rqc0cg 131 18 and and CC cord-016187-58rqc0cg 131 19 may may MD cord-016187-58rqc0cg 131 20 require require VB cord-016187-58rqc0cg 131 21 multiple multiple JJ cord-016187-58rqc0cg 131 22 mutations mutation NNS cord-016187-58rqc0cg 131 23 in in IN cord-016187-58rqc0cg 131 24 that that IN cord-016187-58rqc0cg 131 25 these these DT cord-016187-58rqc0cg 131 26 aminoglycosides aminoglycoside NNS cord-016187-58rqc0cg 131 27 bind bind VBP cord-016187-58rqc0cg 131 28 at at IN cord-016187-58rqc0cg 131 29 several several JJ cord-016187-58rqc0cg 131 30 sites site NNS cord-016187-58rqc0cg 131 31 on on IN cord-016187-58rqc0cg 131 32 both both CC cord-016187-58rqc0cg 131 33 the the DT cord-016187-58rqc0cg 131 34 30S 30s CD cord-016187-58rqc0cg 131 35 and and CC cord-016187-58rqc0cg 131 36 50S 50s CD cord-016187-58rqc0cg 131 37 subunits subunit NNS cord-016187-58rqc0cg 131 38 of of IN cord-016187-58rqc0cg 131 39 the the DT cord-016187-58rqc0cg 131 40 ribosome ribosome NN cord-016187-58rqc0cg 131 41 [ [ -LRB- cord-016187-58rqc0cg 131 42 23 23 CD cord-016187-58rqc0cg 131 43 ] ] -RRB- cord-016187-58rqc0cg 131 44 . . . cord-016187-58rqc0cg 132 1 Vancomycin Vancomycin NNP cord-016187-58rqc0cg 132 2 and and CC cord-016187-58rqc0cg 132 3 other other JJ cord-016187-58rqc0cg 132 4 glycopeptide glycopeptide NN cord-016187-58rqc0cg 132 5 antibiotics antibiotic NNS cord-016187-58rqc0cg 132 6 such such JJ cord-016187-58rqc0cg 132 7 as as IN cord-016187-58rqc0cg 132 8 teicoplanin teicoplanin NNS cord-016187-58rqc0cg 132 9 bind bind VBP cord-016187-58rqc0cg 132 10 to to IN cord-016187-58rqc0cg 132 11 Dalanine Dalanine NNP cord-016187-58rqc0cg 132 12 - - HYPH cord-016187-58rqc0cg 132 13 D D NNP cord-016187-58rqc0cg 132 14 - - HYPH cord-016187-58rqc0cg 132 15 alanine alanine NN cord-016187-58rqc0cg 132 16 , , , cord-016187-58rqc0cg 132 17 which which WDT cord-016187-58rqc0cg 132 18 is be VBZ cord-016187-58rqc0cg 132 19 present present JJ cord-016187-58rqc0cg 132 20 at at IN cord-016187-58rqc0cg 132 21 the the DT cord-016187-58rqc0cg 132 22 termini terminus NNS cord-016187-58rqc0cg 132 23 of of IN cord-016187-58rqc0cg 132 24 peptidoglycan peptidoglycan JJ cord-016187-58rqc0cg 132 25 precursors precursor NNS cord-016187-58rqc0cg 132 26 . . . cord-016187-58rqc0cg 133 1 The the DT cord-016187-58rqc0cg 133 2 large large JJ cord-016187-58rqc0cg 133 3 glycopeptide glycopeptide NN cord-016187-58rqc0cg 133 4 molecules molecule NNS cord-016187-58rqc0cg 133 5 prevent prevent VBP cord-016187-58rqc0cg 133 6 the the DT cord-016187-58rqc0cg 133 7 incorporation incorporation NN cord-016187-58rqc0cg 133 8 of of IN cord-016187-58rqc0cg 133 9 the the DT cord-016187-58rqc0cg 133 10 precursors precursor NNS cord-016187-58rqc0cg 133 11 into into IN cord-016187-58rqc0cg 133 12 the the DT cord-016187-58rqc0cg 133 13 cell cell NN cord-016187-58rqc0cg 133 14 wall wall NN cord-016187-58rqc0cg 133 15 . . . cord-016187-58rqc0cg 134 1 Resistance resistance NN cord-016187-58rqc0cg 134 2 of of IN cord-016187-58rqc0cg 134 3 enterococci enterococci NNS cord-016187-58rqc0cg 134 4 to to IN cord-016187-58rqc0cg 134 5 vancomycin vancomycin NNP cord-016187-58rqc0cg 134 6 has have VBZ cord-016187-58rqc0cg 134 7 been be VBN cord-016187-58rqc0cg 134 8 classifi classifi NNP cord-016187-58rqc0cg 134 9 ed ed NN cord-016187-58rqc0cg 134 10 as as IN cord-016187-58rqc0cg 134 11 A A NNP cord-016187-58rqc0cg 134 12 - - HYPH cord-016187-58rqc0cg 134 13 G g NN cord-016187-58rqc0cg 134 14 based base VBN cord-016187-58rqc0cg 134 15 upon upon IN cord-016187-58rqc0cg 134 16 the the DT cord-016187-58rqc0cg 134 17 genotype genotype NN cord-016187-58rqc0cg 134 18 , , , cord-016187-58rqc0cg 134 19 type type NN cord-016187-58rqc0cg 134 20 of of IN cord-016187-58rqc0cg 134 21 target target NN cord-016187-58rqc0cg 134 22 site site NN cord-016187-58rqc0cg 134 23 modifi modifi NNP cord-016187-58rqc0cg 134 24 cation cation NN cord-016187-58rqc0cg 134 25 and and CC cord-016187-58rqc0cg 134 26 level level NN cord-016187-58rqc0cg 134 27 of of IN cord-016187-58rqc0cg 134 28 resistance resistance NN cord-016187-58rqc0cg 134 29 to to IN cord-016187-58rqc0cg 134 30 vancomycin vancomycin NN cord-016187-58rqc0cg 134 31 and and CC cord-016187-58rqc0cg 134 32 teicoplanin teicoplanin NNP cord-016187-58rqc0cg 134 33 [ [ -LRB- cord-016187-58rqc0cg 134 34 38 38 CD cord-016187-58rqc0cg 134 35 ] ] -RRB- cord-016187-58rqc0cg 134 36 . . . cord-016187-58rqc0cg 135 1 Strains strain NNS cord-016187-58rqc0cg 135 2 of of IN cord-016187-58rqc0cg 135 3 E. E. NNP cord-016187-58rqc0cg 135 4 faecium faecium NNP cord-016187-58rqc0cg 135 5 and and CC cord-016187-58rqc0cg 135 6 E. E. NNP cord-016187-58rqc0cg 135 7 faecalis faecalis NNP cord-016187-58rqc0cg 135 8 with with IN cord-016187-58rqc0cg 135 9 high high JJ cord-016187-58rqc0cg 135 10 - - HYPH cord-016187-58rqc0cg 135 11 level level NN cord-016187-58rqc0cg 135 12 resistance resistance NN cord-016187-58rqc0cg 135 13 to to IN cord-016187-58rqc0cg 135 14 both both CC cord-016187-58rqc0cg 135 15 vancomycin vancomycin NNS cord-016187-58rqc0cg 135 16 and and CC cord-016187-58rqc0cg 135 17 teicoplanin teicoplanin NNS cord-016187-58rqc0cg 135 18 have have VBP cord-016187-58rqc0cg 135 19 class class NN cord-016187-58rqc0cg 135 20 A a DT cord-016187-58rqc0cg 135 21 resistance resistance NN cord-016187-58rqc0cg 135 22 . . . cord-016187-58rqc0cg 136 1 Class class NN cord-016187-58rqc0cg 136 2 A a DT cord-016187-58rqc0cg 136 3 resistance resistance NN cord-016187-58rqc0cg 136 4 is be VBZ cord-016187-58rqc0cg 136 5 mediated mediate VBN cord-016187-58rqc0cg 136 6 by by IN cord-016187-58rqc0cg 136 7 the the DT cord-016187-58rqc0cg 136 8 vanA vanA NNP cord-016187-58rqc0cg 136 9 gene gene NN cord-016187-58rqc0cg 136 10 cluster cluster NN cord-016187-58rqc0cg 136 11 found find VBD cord-016187-58rqc0cg 136 12 on on IN cord-016187-58rqc0cg 136 13 an an DT cord-016187-58rqc0cg 136 14 R r NN cord-016187-58rqc0cg 136 15 plasmid plasmid NN cord-016187-58rqc0cg 136 16 . . . cord-016187-58rqc0cg 137 1 This this DT cord-016187-58rqc0cg 137 2 protein protein NN cord-016187-58rqc0cg 137 3 synthesizes synthesize VBZ cord-016187-58rqc0cg 137 4 peptidoglycan peptidoglycan JJ cord-016187-58rqc0cg 137 5 precursors precursor NNS cord-016187-58rqc0cg 137 6 that that WDT cord-016187-58rqc0cg 137 7 have have VBP cord-016187-58rqc0cg 137 8 a a DT cord-016187-58rqc0cg 137 9 depsipeptide depsipeptide NN cord-016187-58rqc0cg 137 10 terminus terminus NN cord-016187-58rqc0cg 137 11 ( ( -LRB- cord-016187-58rqc0cg 137 12 D d JJ cord-016187-58rqc0cg 137 13 - - HYPH cord-016187-58rqc0cg 137 14 alanine alanine JJ cord-016187-58rqc0cg 137 15 - - HYPH cord-016187-58rqc0cg 137 16 D d NN cord-016187-58rqc0cg 137 17 - - HYPH cord-016187-58rqc0cg 137 18 lactate lactate NN cord-016187-58rqc0cg 137 19 ) ) -RRB- cord-016187-58rqc0cg 137 20 instead instead RB cord-016187-58rqc0cg 137 21 of of IN cord-016187-58rqc0cg 137 22 the the DT cord-016187-58rqc0cg 137 23 usual usual JJ cord-016187-58rqc0cg 137 24 D d NN cord-016187-58rqc0cg 137 25 - - HYPH cord-016187-58rqc0cg 137 26 alanine alanine JJ cord-016187-58rqc0cg 137 27 - - HYPH cord-016187-58rqc0cg 137 28 D d NN cord-016187-58rqc0cg 137 29 - - HYPH cord-016187-58rqc0cg 137 30 alanine alanine NN cord-016187-58rqc0cg 137 31 . . . cord-016187-58rqc0cg 138 1 The the DT cord-016187-58rqc0cg 138 2 modified modify VBN cord-016187-58rqc0cg 138 3 peptidoglycan peptidoglycan NN cord-016187-58rqc0cg 138 4 binds bind VBZ cord-016187-58rqc0cg 138 5 glycopeptide glycopeptide JJ cord-016187-58rqc0cg 138 6 antibiotics antibiotic NNS cord-016187-58rqc0cg 138 7 with with IN cord-016187-58rqc0cg 138 8 reduced reduce VBN cord-016187-58rqc0cg 138 9 affi affi NNP cord-016187-58rqc0cg 138 10 nity nity NN cord-016187-58rqc0cg 138 11 , , , cord-016187-58rqc0cg 138 12 thus thus RB cord-016187-58rqc0cg 138 13 conferring confer VBG cord-016187-58rqc0cg 138 14 resistance resistance NN cord-016187-58rqc0cg 138 15 to to IN cord-016187-58rqc0cg 138 16 vancomycin vancomycin NN cord-016187-58rqc0cg 138 17 and and CC cord-016187-58rqc0cg 138 18 teicoplanin teicoplanin NNS cord-016187-58rqc0cg 138 19 . . . cord-016187-58rqc0cg 139 1 The the DT cord-016187-58rqc0cg 139 2 other other JJ cord-016187-58rqc0cg 139 3 classes class NNS cord-016187-58rqc0cg 139 4 of of IN cord-016187-58rqc0cg 139 5 vancomycin vancomycin NN cord-016187-58rqc0cg 139 6 resistance resistance NN cord-016187-58rqc0cg 139 7 genes gene NNS cord-016187-58rqc0cg 139 8 vary vary VBP cord-016187-58rqc0cg 139 9 in in IN cord-016187-58rqc0cg 139 10 level level NN cord-016187-58rqc0cg 139 11 of of IN cord-016187-58rqc0cg 139 12 resistance resistance NN cord-016187-58rqc0cg 139 13 , , , cord-016187-58rqc0cg 139 14 species species NN cord-016187-58rqc0cg 139 15 distribution distribution NN cord-016187-58rqc0cg 139 16 and and CC cord-016187-58rqc0cg 139 17 specifi specifi NN cord-016187-58rqc0cg 139 18 c c NN cord-016187-58rqc0cg 139 19 cell cell NN cord-016187-58rqc0cg 139 20 wall wall NN cord-016187-58rqc0cg 139 21 alterations alteration NNS cord-016187-58rqc0cg 139 22 [ [ -LRB- cord-016187-58rqc0cg 139 23 23 23 CD cord-016187-58rqc0cg 139 24 , , , cord-016187-58rqc0cg 139 25 38 38 CD cord-016187-58rqc0cg 139 26 ] ] -RRB- cord-016187-58rqc0cg 139 27 . . . cord-016187-58rqc0cg 140 1 Vancomycin vancomycin NN cord-016187-58rqc0cg 140 2 - - HYPH cord-016187-58rqc0cg 140 3 intermediate intermediate JJ cord-016187-58rqc0cg 140 4 strains strain NNS cord-016187-58rqc0cg 140 5 of of IN cord-016187-58rqc0cg 140 6 resistant resistant JJ cord-016187-58rqc0cg 140 7 S. S. NNP cord-016187-58rqc0cg 140 8 aureus aureus NN cord-016187-58rqc0cg 140 9 ( ( -LRB- cord-016187-58rqc0cg 140 10 VISA VISA NNP cord-016187-58rqc0cg 140 11 ) ) -RRB- cord-016187-58rqc0cg 140 12 have have VBP cord-016187-58rqc0cg 140 13 been be VBN cord-016187-58rqc0cg 140 14 isolated isolate VBN cord-016187-58rqc0cg 140 15 with with IN cord-016187-58rqc0cg 140 16 heterogeneous heterogeneous JJ cord-016187-58rqc0cg 140 17 resistance resistance NN cord-016187-58rqc0cg 140 18 patterns pattern NNS cord-016187-58rqc0cg 140 19 . . . cord-016187-58rqc0cg 141 1 VISA VISA NNP cord-016187-58rqc0cg 141 2 strains strain NNS cord-016187-58rqc0cg 141 3 express express VBP cord-016187-58rqc0cg 141 4 unusually unusually RB cord-016187-58rqc0cg 141 5 thick thick JJ cord-016187-58rqc0cg 141 6 peptidoglycan peptidoglycan JJ cord-016187-58rqc0cg 141 7 cell cell NN cord-016187-58rqc0cg 141 8 walls wall NNS cord-016187-58rqc0cg 141 9 that that WDT cord-016187-58rqc0cg 141 10 are be VBP cord-016187-58rqc0cg 141 11 less less RBR cord-016187-58rqc0cg 141 12 completely completely RB cord-016187-58rqc0cg 141 13 cross cross JJ cord-016187-58rqc0cg 141 14 - - VBN cord-016187-58rqc0cg 141 15 linked link VBN cord-016187-58rqc0cg 141 16 together together RB cord-016187-58rqc0cg 141 17 . . . cord-016187-58rqc0cg 142 1 The the DT cord-016187-58rqc0cg 142 2 cell cell NN cord-016187-58rqc0cg 142 3 wall wall NN cord-016187-58rqc0cg 142 4 in in IN cord-016187-58rqc0cg 142 5 some some DT cord-016187-58rqc0cg 142 6 strains strain NNS cord-016187-58rqc0cg 142 7 of of IN cord-016187-58rqc0cg 142 8 VISA VISA NNP cord-016187-58rqc0cg 142 9 contains contain VBZ cord-016187-58rqc0cg 142 10 non non JJ cord-016187-58rqc0cg 142 11 - - JJ cord-016187-58rqc0cg 142 12 amidated amidated JJ cord-016187-58rqc0cg 142 13 glutamine glutamine NN cord-016187-58rqc0cg 142 14 precursors precursor NNS cord-016187-58rqc0cg 142 15 that that WDT cord-016187-58rqc0cg 142 16 provide provide VBP cord-016187-58rqc0cg 142 17 an an DT cord-016187-58rqc0cg 142 18 increased increase VBN cord-016187-58rqc0cg 142 19 number number NN cord-016187-58rqc0cg 142 20 of of IN cord-016187-58rqc0cg 142 21 false false JJ cord-016187-58rqc0cg 142 22 binding binding NN cord-016187-58rqc0cg 142 23 sites site NNS cord-016187-58rqc0cg 142 24 to to IN cord-016187-58rqc0cg 142 25 vancomycin vancomycin NN cord-016187-58rqc0cg 142 26 [ [ -LRB- cord-016187-58rqc0cg 142 27 39 39 CD cord-016187-58rqc0cg 142 28 ] ] -RRB- cord-016187-58rqc0cg 142 29 . . . cord-016187-58rqc0cg 143 1 The the DT cord-016187-58rqc0cg 143 2 vancomycin vancomycin NN cord-016187-58rqc0cg 143 3 molecules molecule NNS cord-016187-58rqc0cg 143 4 are be VBP cord-016187-58rqc0cg 143 5 absorbed absorb VBN cord-016187-58rqc0cg 143 6 to to IN cord-016187-58rqc0cg 143 7 these these DT cord-016187-58rqc0cg 143 8 excess excess JJ cord-016187-58rqc0cg 143 9 binding binding NN cord-016187-58rqc0cg 143 10 sites site NNS cord-016187-58rqc0cg 143 11 thereby thereby RB cord-016187-58rqc0cg 143 12 reducing reduce VBG cord-016187-58rqc0cg 143 13 vancomycin vancomycin NN cord-016187-58rqc0cg 143 14 concentrations concentration NNS cord-016187-58rqc0cg 143 15 at at IN cord-016187-58rqc0cg 143 16 the the DT cord-016187-58rqc0cg 143 17 growth growth NN cord-016187-58rqc0cg 143 18 point point NN cord-016187-58rqc0cg 143 19 of of IN cord-016187-58rqc0cg 143 20 peptidoglycan peptidoglycan JJ cord-016187-58rqc0cg 143 21 synthesis synthesis NN cord-016187-58rqc0cg 143 22 along along IN cord-016187-58rqc0cg 143 23 the the DT cord-016187-58rqc0cg 143 24 inner inner JJ cord-016187-58rqc0cg 143 25 surface surface NN cord-016187-58rqc0cg 143 26 of of IN cord-016187-58rqc0cg 143 27 the the DT cord-016187-58rqc0cg 143 28 cell cell NN cord-016187-58rqc0cg 143 29 wall wall NN cord-016187-58rqc0cg 143 30 . . . cord-016187-58rqc0cg 144 1 The the DT cord-016187-58rqc0cg 144 2 arrival arrival NN cord-016187-58rqc0cg 144 3 of of IN cord-016187-58rqc0cg 144 4 high high JJ cord-016187-58rqc0cg 144 5 level level NN cord-016187-58rqc0cg 144 6 vancomycin vancomycin NN cord-016187-58rqc0cg 144 7 resistance resistance NN cord-016187-58rqc0cg 144 8 from from IN cord-016187-58rqc0cg 144 9 vanA vanA NNP cord-016187-58rqc0cg 144 10 expressing express VBG cord-016187-58rqc0cg 144 11 S. S. NNP cord-016187-58rqc0cg 144 12 aureus aureus NN cord-016187-58rqc0cg 144 13 [ [ -LRB- cord-016187-58rqc0cg 144 14 17 17 CD cord-016187-58rqc0cg 144 15 ] ] -RRB- cord-016187-58rqc0cg 144 16 has have VBZ cord-016187-58rqc0cg 144 17 created create VBN cord-016187-58rqc0cg 144 18 a a DT cord-016187-58rqc0cg 144 19 renewed renew VBN cord-016187-58rqc0cg 144 20 sense sense NN cord-016187-58rqc0cg 144 21 of of IN cord-016187-58rqc0cg 144 22 urgency urgency NN cord-016187-58rqc0cg 144 23 in in IN cord-016187-58rqc0cg 144 24 the the DT cord-016187-58rqc0cg 144 25 need need NN cord-016187-58rqc0cg 144 26 to to TO cord-016187-58rqc0cg 144 27 develop develop VB cord-016187-58rqc0cg 144 28 novel novel JJ cord-016187-58rqc0cg 144 29 strategies strategy NNS cord-016187-58rqc0cg 144 30 to to TO cord-016187-58rqc0cg 144 31 combat combat VB cord-016187-58rqc0cg 144 32 multi multi JJ cord-016187-58rqc0cg 144 33 - - JJ cord-016187-58rqc0cg 144 34 drug drug JJ cord-016187-58rqc0cg 144 35 resistant resistant JJ cord-016187-58rqc0cg 144 36 bacterial bacterial JJ cord-016187-58rqc0cg 144 37 pathogens pathogen NNS cord-016187-58rqc0cg 144 38 . . . cord-016187-58rqc0cg 145 1 Beta beta NN cord-016187-58rqc0cg 145 2 - - HYPH cord-016187-58rqc0cg 145 3 lactam lactam NN cord-016187-58rqc0cg 145 4 antibiotics antibiotic NNS cord-016187-58rqc0cg 145 5 inhibit inhibit VBP cord-016187-58rqc0cg 145 6 bacteria bacteria NNS cord-016187-58rqc0cg 145 7 by by IN cord-016187-58rqc0cg 145 8 binding bind VBG cord-016187-58rqc0cg 145 9 covalently covalently RB cord-016187-58rqc0cg 145 10 to to IN cord-016187-58rqc0cg 145 11 penicillinbinding penicillinbinde VBG cord-016187-58rqc0cg 145 12 proteins protein NNS cord-016187-58rqc0cg 145 13 ( ( -LRB- cord-016187-58rqc0cg 145 14 PBPs PBPs NNP cord-016187-58rqc0cg 145 15 ) ) -RRB- cord-016187-58rqc0cg 145 16 in in IN cord-016187-58rqc0cg 145 17 the the DT cord-016187-58rqc0cg 145 18 cytoplasmic cytoplasmic JJ cord-016187-58rqc0cg 145 19 membrane membrane NN cord-016187-58rqc0cg 145 20 . . . cord-016187-58rqc0cg 146 1 These these DT cord-016187-58rqc0cg 146 2 target target NN cord-016187-58rqc0cg 146 3 proteins protein NNS cord-016187-58rqc0cg 146 4 catalyze catalyze VBP cord-016187-58rqc0cg 146 5 the the DT cord-016187-58rqc0cg 146 6 synthesis synthesis NN cord-016187-58rqc0cg 146 7 of of IN cord-016187-58rqc0cg 146 8 the the DT cord-016187-58rqc0cg 146 9 peptidoglycan peptidoglycan NN cord-016187-58rqc0cg 146 10 that that WDT cord-016187-58rqc0cg 146 11 forms form VBZ cord-016187-58rqc0cg 146 12 the the DT cord-016187-58rqc0cg 146 13 cell cell NN cord-016187-58rqc0cg 146 14 wall wall NN cord-016187-58rqc0cg 146 15 of of IN cord-016187-58rqc0cg 146 16 bacteria bacteria NNS cord-016187-58rqc0cg 146 17 . . . cord-016187-58rqc0cg 147 1 In in IN cord-016187-58rqc0cg 147 2 Gram gram NN cord-016187-58rqc0cg 147 3 - - HYPH cord-016187-58rqc0cg 147 4 positive positive JJ cord-016187-58rqc0cg 147 5 bacteria bacteria NNS cord-016187-58rqc0cg 147 6 , , , cord-016187-58rqc0cg 147 7 resistance resistance NN cord-016187-58rqc0cg 147 8 to to IN cord-016187-58rqc0cg 147 9 beta beta NN cord-016187-58rqc0cg 147 10 - - HYPH cord-016187-58rqc0cg 147 11 lactam lactam NN cord-016187-58rqc0cg 147 12 antibiotics antibiotic NNS cord-016187-58rqc0cg 147 13 may may MD cord-016187-58rqc0cg 147 14 occur occur VB cord-016187-58rqc0cg 147 15 by by IN cord-016187-58rqc0cg 147 16 a a DT cord-016187-58rqc0cg 147 17 decrease decrease NN cord-016187-58rqc0cg 147 18 in in IN cord-016187-58rqc0cg 147 19 the the DT cord-016187-58rqc0cg 147 20 affi affi NNP cord-016187-58rqc0cg 147 21 nity nity NN cord-016187-58rqc0cg 147 22 of of IN cord-016187-58rqc0cg 147 23 the the DT cord-016187-58rqc0cg 147 24 PBP PBP NNP cord-016187-58rqc0cg 147 25 for for IN cord-016187-58rqc0cg 147 26 the the DT cord-016187-58rqc0cg 147 27 antibiotic antibiotic NN cord-016187-58rqc0cg 147 28 or or CC cord-016187-58rqc0cg 147 29 with with IN cord-016187-58rqc0cg 147 30 a a DT cord-016187-58rqc0cg 147 31 change change NN cord-016187-58rqc0cg 147 32 in in IN cord-016187-58rqc0cg 147 33 the the DT cord-016187-58rqc0cg 147 34 amount amount NN cord-016187-58rqc0cg 147 35 of of IN cord-016187-58rqc0cg 147 36 PBP PBP NNP cord-016187-58rqc0cg 147 37 produced produce VBN cord-016187-58rqc0cg 147 38 by by IN cord-016187-58rqc0cg 147 39 the the DT cord-016187-58rqc0cg 147 40 bacterium bacterium NN cord-016187-58rqc0cg 147 41 [ [ -LRB- cord-016187-58rqc0cg 147 42 23 23 CD cord-016187-58rqc0cg 147 43 ] ] -RRB- cord-016187-58rqc0cg 147 44 . . . cord-016187-58rqc0cg 148 1 These these DT cord-016187-58rqc0cg 148 2 low low JJ cord-016187-58rqc0cg 148 3 affi affi NNP cord-016187-58rqc0cg 148 4 nity nity NN cord-016187-58rqc0cg 148 5 binding bind VBG cord-016187-58rqc0cg 148 6 PBPs pbp NNS cord-016187-58rqc0cg 148 7 may may MD cord-016187-58rqc0cg 148 8 be be VB cord-016187-58rqc0cg 148 9 inducible inducible JJ cord-016187-58rqc0cg 148 10 where where WRB cord-016187-58rqc0cg 148 11 their -PRON- PRP$ cord-016187-58rqc0cg 148 12 production production NN cord-016187-58rqc0cg 148 13 is be VBZ cord-016187-58rqc0cg 148 14 stimulated stimulate VBN cord-016187-58rqc0cg 148 15 by by IN cord-016187-58rqc0cg 148 16 exposure exposure NN cord-016187-58rqc0cg 148 17 of of IN cord-016187-58rqc0cg 148 18 the the DT cord-016187-58rqc0cg 148 19 microorganism microorganism NN cord-016187-58rqc0cg 148 20 to to IN cord-016187-58rqc0cg 148 21 the the DT cord-016187-58rqc0cg 148 22 beta beta NN cord-016187-58rqc0cg 148 23 - - HYPH cord-016187-58rqc0cg 148 24 lactam lactam NNS cord-016187-58rqc0cg 148 25 drug drug NN cord-016187-58rqc0cg 148 26 [ [ -LRB- cord-016187-58rqc0cg 148 27 40 40 CD cord-016187-58rqc0cg 148 28 ] ] -RRB- cord-016187-58rqc0cg 148 29 . . . cord-016187-58rqc0cg 149 1 The the DT cord-016187-58rqc0cg 149 2 structural structural JJ cord-016187-58rqc0cg 149 3 gene gene NN cord-016187-58rqc0cg 149 4 ( ( -LRB- cord-016187-58rqc0cg 149 5 mecA mecA NNP cord-016187-58rqc0cg 149 6 ) ) -RRB- cord-016187-58rqc0cg 149 7 that that WDT cord-016187-58rqc0cg 149 8 determines determine VBZ cord-016187-58rqc0cg 149 9 the the DT cord-016187-58rqc0cg 149 10 low low RB cord-016187-58rqc0cg 149 11 - - HYPH cord-016187-58rqc0cg 149 12 affi affi VBN cord-016187-58rqc0cg 149 13 nity nity NN cord-016187-58rqc0cg 149 14 PBP PBP NNP cord-016187-58rqc0cg 149 15 of of IN cord-016187-58rqc0cg 149 16 MRSA MRSA NNP cord-016187-58rqc0cg 149 17 shares share NNS cord-016187-58rqc0cg 149 18 extensive extensive JJ cord-016187-58rqc0cg 149 19 sequence sequence NN cord-016187-58rqc0cg 149 20 homology homology NN cord-016187-58rqc0cg 149 21 with with IN cord-016187-58rqc0cg 149 22 a a DT cord-016187-58rqc0cg 149 23 PBP PBP NNP cord-016187-58rqc0cg 149 24 of of IN cord-016187-58rqc0cg 149 25 E. E. NNP cord-016187-58rqc0cg 149 26 coli coli NNS cord-016187-58rqc0cg 149 27 , , , cord-016187-58rqc0cg 149 28 and and CC cord-016187-58rqc0cg 149 29 the the DT cord-016187-58rqc0cg 149 30 genes gene NNS cord-016187-58rqc0cg 149 31 that that WDT cord-016187-58rqc0cg 149 32 regulate regulate VBP cord-016187-58rqc0cg 149 33 the the DT cord-016187-58rqc0cg 149 34 production production NN cord-016187-58rqc0cg 149 35 of of IN cord-016187-58rqc0cg 149 36 the the DT cord-016187-58rqc0cg 149 37 low low RB cord-016187-58rqc0cg 149 38 - - HYPH cord-016187-58rqc0cg 149 39 affi affi VBN cord-016187-58rqc0cg 149 40 nity nity NN cord-016187-58rqc0cg 149 41 PBP PBP NNP cord-016187-58rqc0cg 149 42 have have VBP cord-016187-58rqc0cg 149 43 considerable considerable JJ cord-016187-58rqc0cg 149 44 sequence sequence NN cord-016187-58rqc0cg 149 45 homology homology NN cord-016187-58rqc0cg 149 46 with with IN cord-016187-58rqc0cg 149 47 the the DT cord-016187-58rqc0cg 149 48 genes gene NNS cord-016187-58rqc0cg 149 49 that that WDT cord-016187-58rqc0cg 149 50 regulate regulate VBP cord-016187-58rqc0cg 149 51 the the DT cord-016187-58rqc0cg 149 52 production production NN cord-016187-58rqc0cg 149 53 of of IN cord-016187-58rqc0cg 149 54 staphylococcal staphylococcal JJ cord-016187-58rqc0cg 149 55 penicillinase penicillinase NN cord-016187-58rqc0cg 149 56 [ [ -LRB- cord-016187-58rqc0cg 149 57 23 23 CD cord-016187-58rqc0cg 149 58 ] ] -RRB- cord-016187-58rqc0cg 149 59 . . . cord-016187-58rqc0cg 150 1 The the DT cord-016187-58rqc0cg 150 2 PBPs pbp NNS cord-016187-58rqc0cg 150 3 of of IN cord-016187-58rqc0cg 150 4 beta beta NN cord-016187-58rqc0cg 150 5 - - HYPH cord-016187-58rqc0cg 150 6 lactamase lactamase JJ cord-016187-58rqc0cg 150 7 - - HYPH cord-016187-58rqc0cg 150 8 negative negative JJ cord-016187-58rqc0cg 150 9 penicillin penicillin NN cord-016187-58rqc0cg 150 10 - - HYPH cord-016187-58rqc0cg 150 11 resistant resistant JJ cord-016187-58rqc0cg 150 12 strains strain NNS cord-016187-58rqc0cg 150 13 of of IN cord-016187-58rqc0cg 150 14 N. N. NNP cord-016187-58rqc0cg 150 15 gonorrhoeae gonorrhoeae NNP cord-016187-58rqc0cg 150 16 , , , cord-016187-58rqc0cg 150 17 N. N. NNP cord-016187-58rqc0cg 150 18 meningitidis meningitidis NNP cord-016187-58rqc0cg 150 19 , , , cord-016187-58rqc0cg 150 20 and and CC cord-016187-58rqc0cg 150 21 Haemophilus haemophilus JJ cord-016187-58rqc0cg 150 22 infl infl NN cord-016187-58rqc0cg 150 23 uenzae uenzae NNS cord-016187-58rqc0cg 150 24 have have VBP cord-016187-58rqc0cg 150 25 shown show VBN cord-016187-58rqc0cg 150 26 reduced reduce VBN cord-016187-58rqc0cg 150 27 penicillin penicillin NN cord-016187-58rqc0cg 150 28 - - HYPH cord-016187-58rqc0cg 150 29 binding bind VBG cord-016187-58rqc0cg 150 30 affi affi FW cord-016187-58rqc0cg 150 31 nity nity NN cord-016187-58rqc0cg 150 32 [ [ -LRB- cord-016187-58rqc0cg 150 33 41 41 CD cord-016187-58rqc0cg 150 34 ] ] -RRB- cord-016187-58rqc0cg 150 35 . . . cord-016187-58rqc0cg 151 1 Their -PRON- PRP$ cord-016187-58rqc0cg 151 2 PBPs pbp NNS cord-016187-58rqc0cg 151 3 appear appear VBP cord-016187-58rqc0cg 151 4 to to TO cord-016187-58rqc0cg 151 5 be be VB cord-016187-58rqc0cg 151 6 encoded encode VBN cord-016187-58rqc0cg 151 7 by by IN cord-016187-58rqc0cg 151 8 hybrid hybrid JJ cord-016187-58rqc0cg 151 9 genes gene NNS cord-016187-58rqc0cg 151 10 containing contain VBG cord-016187-58rqc0cg 151 11 segments segment NNS cord-016187-58rqc0cg 151 12 of of IN cord-016187-58rqc0cg 151 13 DNA dna NN cord-016187-58rqc0cg 151 14 scavenged scavenge VBN cord-016187-58rqc0cg 151 15 from from IN cord-016187-58rqc0cg 151 16 resistant resistant JJ cord-016187-58rqc0cg 151 17 strains strain NNS cord-016187-58rqc0cg 151 18 of of IN cord-016187-58rqc0cg 151 19 related relate VBN cord-016187-58rqc0cg 151 20 species specie NNS cord-016187-58rqc0cg 151 21 , , , cord-016187-58rqc0cg 151 22 similar similar JJ cord-016187-58rqc0cg 151 23 to to IN cord-016187-58rqc0cg 151 24 penicillin penicillin NN cord-016187-58rqc0cg 151 25 - - HYPH cord-016187-58rqc0cg 151 26 resistant resistant JJ cord-016187-58rqc0cg 151 27 pneumococci pneumococcus NNS cord-016187-58rqc0cg 151 28 [ [ -LRB- cord-016187-58rqc0cg 151 29 23 23 CD cord-016187-58rqc0cg 151 30 ] ] -RRB- cord-016187-58rqc0cg 151 31 . . . cord-016187-58rqc0cg 152 1 DNA DNA NNP cord-016187-58rqc0cg 152 2 gyrase gyrase NNP cord-016187-58rqc0cg 152 3 ( ( -LRB- cord-016187-58rqc0cg 152 4 also also RB cord-016187-58rqc0cg 152 5 known know VBN cord-016187-58rqc0cg 152 6 as as IN cord-016187-58rqc0cg 152 7 bacterial bacterial JJ cord-016187-58rqc0cg 152 8 topoisomerase topoisomerase NN cord-016187-58rqc0cg 152 9 II II NNP cord-016187-58rqc0cg 152 10 ) ) -RRB- cord-016187-58rqc0cg 152 11 is be VBZ cord-016187-58rqc0cg 152 12 necessary necessary JJ cord-016187-58rqc0cg 152 13 for for IN cord-016187-58rqc0cg 152 14 the the DT cord-016187-58rqc0cg 152 15 supercoiling supercoiling NN cord-016187-58rqc0cg 152 16 of of IN cord-016187-58rqc0cg 152 17 chromosomal chromosomal JJ cord-016187-58rqc0cg 152 18 DNA dna NN cord-016187-58rqc0cg 152 19 in in IN cord-016187-58rqc0cg 152 20 bacteria bacteria NNS cord-016187-58rqc0cg 152 21 in in IN cord-016187-58rqc0cg 152 22 order order NN cord-016187-58rqc0cg 152 23 to to TO cord-016187-58rqc0cg 152 24 have have VB cord-016187-58rqc0cg 152 25 effi effi NNP cord-016187-58rqc0cg 152 26 cient cient NNP cord-016187-58rqc0cg 152 27 cell cell NN cord-016187-58rqc0cg 152 28 division division NN cord-016187-58rqc0cg 152 29 [ [ -LRB- cord-016187-58rqc0cg 152 30 23 23 CD cord-016187-58rqc0cg 152 31 ] ] -RRB- cord-016187-58rqc0cg 152 32 . . . cord-016187-58rqc0cg 153 1 Another another DT cord-016187-58rqc0cg 153 2 related related JJ cord-016187-58rqc0cg 153 3 enzyme enzyme NN cord-016187-58rqc0cg 153 4 , , , cord-016187-58rqc0cg 153 5 topoisomerase topoisomerase NN cord-016187-58rqc0cg 153 6 IV IV NNP cord-016187-58rqc0cg 153 7 is be VBZ cord-016187-58rqc0cg 153 8 also also RB cord-016187-58rqc0cg 153 9 required require VBN cord-016187-58rqc0cg 153 10 for for IN cord-016187-58rqc0cg 153 11 segregation segregation NN cord-016187-58rqc0cg 153 12 of of IN cord-016187-58rqc0cg 153 13 bacterial bacterial JJ cord-016187-58rqc0cg 153 14 genomes genome NNS cord-016187-58rqc0cg 153 15 into into IN cord-016187-58rqc0cg 153 16 two two CD cord-016187-58rqc0cg 153 17 daughter daughter NN cord-016187-58rqc0cg 153 18 cells cell NNS cord-016187-58rqc0cg 153 19 during during IN cord-016187-58rqc0cg 153 20 cell cell NN cord-016187-58rqc0cg 153 21 division division NN cord-016187-58rqc0cg 153 22 . . . cord-016187-58rqc0cg 154 1 These these DT cord-016187-58rqc0cg 154 2 enzymes enzyme NNS cord-016187-58rqc0cg 154 3 consist consist VBP cord-016187-58rqc0cg 154 4 of of IN cord-016187-58rqc0cg 154 5 two two CD cord-016187-58rqc0cg 154 6 A a DT cord-016187-58rqc0cg 154 7 subunits subunit NNS cord-016187-58rqc0cg 154 8 encoded encode VBN cord-016187-58rqc0cg 154 9 by by IN cord-016187-58rqc0cg 154 10 the the DT cord-016187-58rqc0cg 154 11 gyrA gyra CD cord-016187-58rqc0cg 154 12 gene gene NN cord-016187-58rqc0cg 154 13 and and CC cord-016187-58rqc0cg 154 14 two two CD cord-016187-58rqc0cg 154 15 B b NN cord-016187-58rqc0cg 154 16 subunits subunit NNS cord-016187-58rqc0cg 154 17 encoded encode VBN cord-016187-58rqc0cg 154 18 by by IN cord-016187-58rqc0cg 154 19 the the DT cord-016187-58rqc0cg 154 20 gyrB gyrb CD cord-016187-58rqc0cg 154 21 gene gene NN cord-016187-58rqc0cg 154 22 ( ( -LRB- cord-016187-58rqc0cg 154 23 or or CC cord-016187-58rqc0cg 154 24 parC parc JJ cord-016187-58rqc0cg 154 25 and and CC cord-016187-58rqc0cg 154 26 parE parE NNP cord-016187-58rqc0cg 154 27 for for IN cord-016187-58rqc0cg 154 28 topoisomerase topoisomerase NN cord-016187-58rqc0cg 154 29 IV IV NNP cord-016187-58rqc0cg 154 30 . . . cord-016187-58rqc0cg 155 1 Although although IN cord-016187-58rqc0cg 155 2 spontaneous spontaneous JJ cord-016187-58rqc0cg 155 3 mutation mutation NN cord-016187-58rqc0cg 155 4 ot ot VBP cord-016187-58rqc0cg 155 5 the the DT cord-016187-58rqc0cg 155 6 A a NN cord-016187-58rqc0cg 155 7 - - HYPH cord-016187-58rqc0cg 155 8 subunit subunit NN cord-016187-58rqc0cg 155 9 of of IN cord-016187-58rqc0cg 155 10 the the DT cord-016187-58rqc0cg 155 11 gyrA gyra CD cord-016187-58rqc0cg 155 12 locus locus NN cord-016187-58rqc0cg 155 13 is be VBZ cord-016187-58rqc0cg 155 14 the the DT cord-016187-58rqc0cg 155 15 most most RBS cord-016187-58rqc0cg 155 16 common common JJ cord-016187-58rqc0cg 155 17 cause cause NN cord-016187-58rqc0cg 155 18 of of IN cord-016187-58rqc0cg 155 19 resistance resistance NN cord-016187-58rqc0cg 155 20 to to IN cord-016187-58rqc0cg 155 21 multiple multiple JJ cord-016187-58rqc0cg 155 22 fl fl NNP cord-016187-58rqc0cg 155 23 uoroquinolones uoroquinolone NNS cord-016187-58rqc0cg 155 24 in in IN cord-016187-58rqc0cg 155 25 enteric enteric JJ cord-016187-58rqc0cg 155 26 bacteria bacteria NNS cord-016187-58rqc0cg 155 27 , , , cord-016187-58rqc0cg 155 28 B b NN cord-016187-58rqc0cg 155 29 - - HYPH cord-016187-58rqc0cg 155 30 subunit subunit NN cord-016187-58rqc0cg 155 31 alterations alteration NNS cord-016187-58rqc0cg 155 32 may may MD cord-016187-58rqc0cg 155 33 also also RB cord-016187-58rqc0cg 155 34 affect affect VB cord-016187-58rqc0cg 155 35 resistance resistance NN cord-016187-58rqc0cg 155 36 to to IN cord-016187-58rqc0cg 155 37 these these DT cord-016187-58rqc0cg 155 38 drugs drug NNS cord-016187-58rqc0cg 155 39 . . . cord-016187-58rqc0cg 156 1 DNA DNA NNP cord-016187-58rqc0cg 156 2 gyrase gyrase NNP cord-016187-58rqc0cg 156 3 ( ( -LRB- cord-016187-58rqc0cg 156 4 topoisomerase topoisomerase NNP cord-016187-58rqc0cg 156 5 II II NNP cord-016187-58rqc0cg 156 6 ) ) -RRB- cord-016187-58rqc0cg 156 7 is be VBZ cord-016187-58rqc0cg 156 8 the the DT cord-016187-58rqc0cg 156 9 primary primary JJ cord-016187-58rqc0cg 156 10 site site NN cord-016187-58rqc0cg 156 11 of of IN cord-016187-58rqc0cg 156 12 action action NN cord-016187-58rqc0cg 156 13 in in IN cord-016187-58rqc0cg 156 14 Gram gram NN cord-016187-58rqc0cg 156 15 - - HYPH cord-016187-58rqc0cg 156 16 negative negative JJ cord-016187-58rqc0cg 156 17 bacteria bacteria NNS cord-016187-58rqc0cg 156 18 whereas whereas IN cord-016187-58rqc0cg 156 19 topoisomerase topoisomerase NN cord-016187-58rqc0cg 156 20 IV IV NNP cord-016187-58rqc0cg 156 21 is be VBZ cord-016187-58rqc0cg 156 22 the the DT cord-016187-58rqc0cg 156 23 principal principal JJ cord-016187-58rqc0cg 156 24 target target NN cord-016187-58rqc0cg 156 25 of of IN cord-016187-58rqc0cg 156 26 quinolones quinolone NNS cord-016187-58rqc0cg 156 27 in in IN cord-016187-58rqc0cg 156 28 Gram gram NN cord-016187-58rqc0cg 156 29 - - HYPH cord-016187-58rqc0cg 156 30 positive positive JJ cord-016187-58rqc0cg 156 31 bacteria bacteria NNS cord-016187-58rqc0cg 156 32 . . . cord-016187-58rqc0cg 157 1 Mutations mutation NNS cord-016187-58rqc0cg 157 2 in in IN cord-016187-58rqc0cg 157 3 a a DT cord-016187-58rqc0cg 157 4 variety variety NN cord-016187-58rqc0cg 157 5 of of IN cord-016187-58rqc0cg 157 6 chromosomal chromosomal JJ cord-016187-58rqc0cg 157 7 loci locus NNS cord-016187-58rqc0cg 157 8 have have VBP cord-016187-58rqc0cg 157 9 been be VBN cord-016187-58rqc0cg 157 10 described describe VBN cord-016187-58rqc0cg 157 11 that that IN cord-016187-58rqc0cg 157 12 resulted result VBD cord-016187-58rqc0cg 157 13 in in IN cord-016187-58rqc0cg 157 14 altered alter VBN cord-016187-58rqc0cg 157 15 DNA dna NN cord-016187-58rqc0cg 157 16 gyrases gyrase NNS cord-016187-58rqc0cg 157 17 resistant resistant JJ cord-016187-58rqc0cg 157 18 to to IN cord-016187-58rqc0cg 157 19 nalidixic nalidixic NNP cord-016187-58rqc0cg 157 20 acid acid NNP cord-016187-58rqc0cg 157 21 and and CC cord-016187-58rqc0cg 157 22 the the DT cord-016187-58rqc0cg 157 23 newer new JJR cord-016187-58rqc0cg 157 24 fl fl NNP cord-016187-58rqc0cg 157 25 uoroquinolones uoroquinolone NNS cord-016187-58rqc0cg 157 26 in in IN cord-016187-58rqc0cg 157 27 Enterobacteriaceae Enterobacteriaceae NNP cord-016187-58rqc0cg 157 28 and and CC cord-016187-58rqc0cg 157 29 P. P. NNP cord-016187-58rqc0cg 157 30 aeruginosa aeruginosa NN cord-016187-58rqc0cg 157 31 . . . cord-016187-58rqc0cg 158 1 Many many JJ cord-016187-58rqc0cg 158 2 of of IN cord-016187-58rqc0cg 158 3 these these DT cord-016187-58rqc0cg 158 4 mutations mutation NNS cord-016187-58rqc0cg 158 5 involve involve VBP cord-016187-58rqc0cg 158 6 the the DT cord-016187-58rqc0cg 158 7 substitution substitution NN cord-016187-58rqc0cg 158 8 of of IN cord-016187-58rqc0cg 158 9 single single JJ cord-016187-58rqc0cg 158 10 amino amino NN cord-016187-58rqc0cg 158 11 acids acid NNS cord-016187-58rqc0cg 158 12 at at IN cord-016187-58rqc0cg 158 13 key key JJ cord-016187-58rqc0cg 158 14 enzymatic enzymatic JJ cord-016187-58rqc0cg 158 15 sites site NNS cord-016187-58rqc0cg 158 16 ( ( -LRB- cord-016187-58rqc0cg 158 17 located locate VBN cord-016187-58rqc0cg 158 18 between between IN cord-016187-58rqc0cg 158 19 amino amino JJ cord-016187-58rqc0cg 158 20 acids acid NNS cord-016187-58rqc0cg 158 21 67 67 CD cord-016187-58rqc0cg 158 22 - - SYM cord-016187-58rqc0cg 158 23 106 106 CD cord-016187-58rqc0cg 158 24 in in IN cord-016187-58rqc0cg 158 25 the the DT cord-016187-58rqc0cg 158 26 gyrase gyrase NN cord-016187-58rqc0cg 158 27 A a DT cord-016187-58rqc0cg 158 28 subunit subunit NN cord-016187-58rqc0cg 158 29 ) ) -RRB- cord-016187-58rqc0cg 158 30 that that WDT cord-016187-58rqc0cg 158 31 are be VBP cord-016187-58rqc0cg 158 32 involved involve VBN cord-016187-58rqc0cg 158 33 in in IN cord-016187-58rqc0cg 158 34 the the DT cord-016187-58rqc0cg 158 35 generation generation NN cord-016187-58rqc0cg 158 36 of of IN cord-016187-58rqc0cg 158 37 the the DT cord-016187-58rqc0cg 158 38 DNA dna NN cord-016187-58rqc0cg 158 39 gyrase gyrase NN cord-016187-58rqc0cg 158 40 - - HYPH cord-016187-58rqc0cg 158 41 bacterial bacterial JJ cord-016187-58rqc0cg 158 42 DNA dna NN cord-016187-58rqc0cg 158 43 complex complex NN cord-016187-58rqc0cg 158 44 [ [ -LRB- cord-016187-58rqc0cg 158 45 42 42 CD cord-016187-58rqc0cg 158 46 ] ] -RRB- cord-016187-58rqc0cg 158 47 . . . cord-016187-58rqc0cg 159 1 There there EX cord-016187-58rqc0cg 159 2 are be VBP cord-016187-58rqc0cg 159 3 two two CD cord-016187-58rqc0cg 159 4 common common JJ cord-016187-58rqc0cg 159 5 genes gene NNS cord-016187-58rqc0cg 159 6 that that WDT cord-016187-58rqc0cg 159 7 mediate mediate VBP cord-016187-58rqc0cg 159 8 resistance resistance NN cord-016187-58rqc0cg 159 9 to to IN cord-016187-58rqc0cg 159 10 sulfa sulfa NN cord-016187-58rqc0cg 159 11 drugs drug NNS cord-016187-58rqc0cg 159 12 in in IN cord-016187-58rqc0cg 159 13 a a DT cord-016187-58rqc0cg 159 14 wide wide JJ cord-016187-58rqc0cg 159 15 variety variety NN cord-016187-58rqc0cg 159 16 of of IN cord-016187-58rqc0cg 159 17 pathogenic pathogenic JJ cord-016187-58rqc0cg 159 18 bacteria bacteria NNS cord-016187-58rqc0cg 159 19 . . . cord-016187-58rqc0cg 160 1 These these DT cord-016187-58rqc0cg 160 2 are be VBP cord-016187-58rqc0cg 160 3 known know VBN cord-016187-58rqc0cg 160 4 as as IN cord-016187-58rqc0cg 160 5 sul1 sul1 NN cord-016187-58rqc0cg 160 6 and and CC cord-016187-58rqc0cg 160 7 sul2 sul2 NN cord-016187-58rqc0cg 160 8 . . . cord-016187-58rqc0cg 161 1 These these DT cord-016187-58rqc0cg 161 2 genes gene NNS cord-016187-58rqc0cg 161 3 give give VBP cord-016187-58rqc0cg 161 4 rise rise NN cord-016187-58rqc0cg 161 5 to to IN cord-016187-58rqc0cg 161 6 altered altered JJ cord-016187-58rqc0cg 161 7 forms form NNS cord-016187-58rqc0cg 161 8 of of IN cord-016187-58rqc0cg 161 9 the the DT cord-016187-58rqc0cg 161 10 target target NN cord-016187-58rqc0cg 161 11 enzyme enzyme NN cord-016187-58rqc0cg 161 12 for for IN cord-016187-58rqc0cg 161 13 sulfonamide sulfonamide NN cord-016187-58rqc0cg 161 14 , , , cord-016187-58rqc0cg 161 15 dihydropteroate dihydropteroate VB cord-016187-58rqc0cg 161 16 synthase synthase NN cord-016187-58rqc0cg 161 17 ( ( -LRB- cord-016187-58rqc0cg 161 18 DHPS DHPS NNP cord-016187-58rqc0cg 161 19 ) ) -RRB- cord-016187-58rqc0cg 161 20 [ [ -LRB- cord-016187-58rqc0cg 161 21 43 43 CD cord-016187-58rqc0cg 161 22 ] ] -RRB- cord-016187-58rqc0cg 161 23 . . . cord-016187-58rqc0cg 162 1 The the DT cord-016187-58rqc0cg 162 2 altered alter VBN cord-016187-58rqc0cg 162 3 DHPS DHPS NNP cord-016187-58rqc0cg 162 4 enzymes enzyme NNS cord-016187-58rqc0cg 162 5 mediated mediate VBN cord-016187-58rqc0cg 162 6 by by IN cord-016187-58rqc0cg 162 7 the the DT cord-016187-58rqc0cg 162 8 sulfonamide sulfonamide NN cord-016187-58rqc0cg 162 9 resistance resistance NN cord-016187-58rqc0cg 162 10 genes gene NNS cord-016187-58rqc0cg 162 11 no no RB cord-016187-58rqc0cg 162 12 longer longer RB cord-016187-58rqc0cg 162 13 bind bind VBP cord-016187-58rqc0cg 162 14 to to IN cord-016187-58rqc0cg 162 15 sulfa sulfa NN cord-016187-58rqc0cg 162 16 yet yet CC cord-016187-58rqc0cg 162 17 continue continue VBP cord-016187-58rqc0cg 162 18 to to TO cord-016187-58rqc0cg 162 19 synthesize synthesize VB cord-016187-58rqc0cg 162 20 dihydropteroate dihydropteroate NN cord-016187-58rqc0cg 162 21 from from IN cord-016187-58rqc0cg 162 22 para para NNP cord-016187-58rqc0cg 162 23 - - HYPH cord-016187-58rqc0cg 162 24 aminobenzoic aminobenzoic JJ cord-016187-58rqc0cg 162 25 acid acid NN cord-016187-58rqc0cg 162 26 substrate substrate NN cord-016187-58rqc0cg 162 27 . . . cord-016187-58rqc0cg 163 1 Trimethoprim Trimethoprim NNP cord-016187-58rqc0cg 163 2 is be VBZ cord-016187-58rqc0cg 163 3 a a DT cord-016187-58rqc0cg 163 4 potent potent JJ cord-016187-58rqc0cg 163 5 inhibitor inhibitor NN cord-016187-58rqc0cg 163 6 of of IN cord-016187-58rqc0cg 163 7 bacterial bacterial JJ cord-016187-58rqc0cg 163 8 dihydrofolate dihydrofolate NN cord-016187-58rqc0cg 163 9 reductase reductase NN cord-016187-58rqc0cg 163 10 ( ( -LRB- cord-016187-58rqc0cg 163 11 DHFR DHFR NNP cord-016187-58rqc0cg 163 12 ) ) -RRB- cord-016187-58rqc0cg 163 13 . . . cord-016187-58rqc0cg 164 1 A a DT cord-016187-58rqc0cg 164 2 large large JJ cord-016187-58rqc0cg 164 3 number number NN cord-016187-58rqc0cg 164 4 of of IN cord-016187-58rqc0cg 164 5 altered alter VBN cord-016187-58rqc0cg 164 6 DHFR DHFR NNP cord-016187-58rqc0cg 164 7 enzymes enzyme NNS cord-016187-58rqc0cg 164 8 with with IN cord-016187-58rqc0cg 164 9 loss loss NN cord-016187-58rqc0cg 164 10 of of IN cord-016187-58rqc0cg 164 11 inhibition inhibition NN cord-016187-58rqc0cg 164 12 by by IN cord-016187-58rqc0cg 164 13 trimethoprim trimethoprim NNP cord-016187-58rqc0cg 164 14 have have VBP cord-016187-58rqc0cg 164 15 been be VBN cord-016187-58rqc0cg 164 16 described describe VBN cord-016187-58rqc0cg 164 17 from from IN cord-016187-58rqc0cg 164 18 genes gene NNS cord-016187-58rqc0cg 164 19 found find VBN cord-016187-58rqc0cg 164 20 primarily primarily RB cord-016187-58rqc0cg 164 21 on on IN cord-016187-58rqc0cg 164 22 R r NN cord-016187-58rqc0cg 164 23 plasmids plasmid NNS cord-016187-58rqc0cg 164 24 . . . cord-016187-58rqc0cg 165 1 These these DT cord-016187-58rqc0cg 165 2 altered alter VBN cord-016187-58rqc0cg 165 3 DHFR DHFR NNP cord-016187-58rqc0cg 165 4 genes gene NNS cord-016187-58rqc0cg 165 5 are be VBP cord-016187-58rqc0cg 165 6 widespread widespread JJ cord-016187-58rqc0cg 165 7 in in IN cord-016187-58rqc0cg 165 8 Gram gram NN cord-016187-58rqc0cg 165 9 - - HYPH cord-016187-58rqc0cg 165 10 negative negative JJ cord-016187-58rqc0cg 165 11 bacteria bacteria NNS cord-016187-58rqc0cg 165 12 and and CC cord-016187-58rqc0cg 165 13 are be VBP cord-016187-58rqc0cg 165 14 also also RB cord-016187-58rqc0cg 165 15 found find VBN cord-016187-58rqc0cg 165 16 in in IN cord-016187-58rqc0cg 165 17 staphylococci staphylococcus NNS cord-016187-58rqc0cg 165 18 ( ( -LRB- cord-016187-58rqc0cg 165 19 the the DT cord-016187-58rqc0cg 165 20 dfrA dfra JJ cord-016187-58rqc0cg 165 21 gene gene NN cord-016187-58rqc0cg 165 22 ) ) -RRB- cord-016187-58rqc0cg 165 23 [ [ -LRB- cord-016187-58rqc0cg 165 24 44 44 CD cord-016187-58rqc0cg 165 25 ] ] -RRB- cord-016187-58rqc0cg 165 26 . . . cord-016187-58rqc0cg 166 1 Tetracycline Tetracycline NNP cord-016187-58rqc0cg 166 2 resistance resistance NN cord-016187-58rqc0cg 166 3 may may MD cord-016187-58rqc0cg 166 4 be be VB cord-016187-58rqc0cg 166 5 mediated mediate VBN cord-016187-58rqc0cg 166 6 by by IN cord-016187-58rqc0cg 166 7 a a DT cord-016187-58rqc0cg 166 8 mechanism mechanism NN cord-016187-58rqc0cg 166 9 that that WDT cord-016187-58rqc0cg 166 10 interferes interfere VBZ cord-016187-58rqc0cg 166 11 with with IN cord-016187-58rqc0cg 166 12 the the DT cord-016187-58rqc0cg 166 13 ability ability NN cord-016187-58rqc0cg 166 14 of of IN cord-016187-58rqc0cg 166 15 tetracycline tetracycline NN cord-016187-58rqc0cg 166 16 to to TO cord-016187-58rqc0cg 166 17 bind bind VB cord-016187-58rqc0cg 166 18 to to IN cord-016187-58rqc0cg 166 19 the the DT cord-016187-58rqc0cg 166 20 ribosome ribosome NN cord-016187-58rqc0cg 166 21 . . . cord-016187-58rqc0cg 167 1 The the DT cord-016187-58rqc0cg 167 2 ubiquitous ubiquitous JJ cord-016187-58rqc0cg 167 3 tetM tetm JJ cord-016187-58rqc0cg 167 4 resistance resistance NN cord-016187-58rqc0cg 167 5 gene gene NN cord-016187-58rqc0cg 167 6 and and CC cord-016187-58rqc0cg 167 7 related relate VBN cord-016187-58rqc0cg 167 8 tetracycline tetracycline NN cord-016187-58rqc0cg 167 9 resistance resistance NN cord-016187-58rqc0cg 167 10 determinants determinant NNS cord-016187-58rqc0cg 167 11 protect protect VBP cord-016187-58rqc0cg 167 12 the the DT cord-016187-58rqc0cg 167 13 ribosome ribosome NN cord-016187-58rqc0cg 167 14 from from IN cord-016187-58rqc0cg 167 15 tetracycline tetracycline NNP cord-016187-58rqc0cg 167 16 action action NN cord-016187-58rqc0cg 167 17 . . . cord-016187-58rqc0cg 168 1 The the DT cord-016187-58rqc0cg 168 2 tetM tetm JJ cord-016187-58rqc0cg 168 3 gene gene NN cord-016187-58rqc0cg 168 4 generates generate VBZ cord-016187-58rqc0cg 168 5 protein protein NN cord-016187-58rqc0cg 168 6 with with IN cord-016187-58rqc0cg 168 7 elongation elongation NN cord-016187-58rqc0cg 168 8 factor factor NN cord-016187-58rqc0cg 168 9 - - HYPH cord-016187-58rqc0cg 168 10 like like JJ cord-016187-58rqc0cg 168 11 activity activity NN cord-016187-58rqc0cg 168 12 that that WDT cord-016187-58rqc0cg 168 13 may may MD cord-016187-58rqc0cg 168 14 stabilize stabilize VB cord-016187-58rqc0cg 168 15 ribosomal ribosomal JJ cord-016187-58rqc0cg 168 16 transfer transfer NN cord-016187-58rqc0cg 168 17 RNA rna NN cord-016187-58rqc0cg 168 18 interactions interaction NNS cord-016187-58rqc0cg 168 19 in in IN cord-016187-58rqc0cg 168 20 the the DT cord-016187-58rqc0cg 168 21 presence presence NN cord-016187-58rqc0cg 168 22 of of IN cord-016187-58rqc0cg 168 23 tetracycline tetracycline NN cord-016187-58rqc0cg 168 24 molecules molecule NNS cord-016187-58rqc0cg 168 25 [ [ -LRB- cord-016187-58rqc0cg 168 26 45 45 CD cord-016187-58rqc0cg 168 27 ] ] -RRB- cord-016187-58rqc0cg 168 28 . . . cord-016187-58rqc0cg 169 1 Sulfonamides sulfonamide NNS cord-016187-58rqc0cg 169 2 compete compete VBP cord-016187-58rqc0cg 169 3 with with IN cord-016187-58rqc0cg 169 4 para para NNP cord-016187-58rqc0cg 169 5 - - HYPH cord-016187-58rqc0cg 169 6 aminobenzoic aminobenzoic NNP cord-016187-58rqc0cg 169 7 acid acid NN cord-016187-58rqc0cg 169 8 to to TO cord-016187-58rqc0cg 169 9 bind bind VB cord-016187-58rqc0cg 169 10 the the DT cord-016187-58rqc0cg 169 11 enzyme enzyme NN cord-016187-58rqc0cg 169 12 dihydropteroate dihydropteroate NN cord-016187-58rqc0cg 169 13 synthase synthase NN cord-016187-58rqc0cg 169 14 , , , cord-016187-58rqc0cg 169 15 and and CC cord-016187-58rqc0cg 169 16 thereby thereby RB cord-016187-58rqc0cg 169 17 block block VB cord-016187-58rqc0cg 169 18 folic folic JJ cord-016187-58rqc0cg 169 19 acid acid NN cord-016187-58rqc0cg 169 20 synthesis synthesis NN cord-016187-58rqc0cg 169 21 necessary necessary JJ cord-016187-58rqc0cg 169 22 for for IN cord-016187-58rqc0cg 169 23 nucleic nucleic JJ cord-016187-58rqc0cg 169 24 acid acid NN cord-016187-58rqc0cg 169 25 synthesis synthesis NN cord-016187-58rqc0cg 169 26 . . . cord-016187-58rqc0cg 170 1 Sulfonamide sulfonamide NN cord-016187-58rqc0cg 170 2 resistance resistance NN cord-016187-58rqc0cg 170 3 may may MD cord-016187-58rqc0cg 170 4 be be VB cord-016187-58rqc0cg 170 5 mediated mediate VBN cord-016187-58rqc0cg 170 6 in in IN cord-016187-58rqc0cg 170 7 some some DT cord-016187-58rqc0cg 170 8 bacteria bacteria NNS cord-016187-58rqc0cg 170 9 by by IN cord-016187-58rqc0cg 170 10 the the DT cord-016187-58rqc0cg 170 11 over over JJ cord-016187-58rqc0cg 170 12 production production NN cord-016187-58rqc0cg 170 13 of of IN cord-016187-58rqc0cg 170 14 the the DT cord-016187-58rqc0cg 170 15 synthetic synthetic JJ cord-016187-58rqc0cg 170 16 enzyme enzyme NN cord-016187-58rqc0cg 170 17 dihydropteroate dihydropteroate NN cord-016187-58rqc0cg 170 18 synthase synthase NN cord-016187-58rqc0cg 170 19 . . . cord-016187-58rqc0cg 171 1 The the DT cord-016187-58rqc0cg 171 2 gene gene NN cord-016187-58rqc0cg 171 3 responsible responsible JJ cord-016187-58rqc0cg 171 4 for for IN cord-016187-58rqc0cg 171 5 DHPS DHPS NNP cord-016187-58rqc0cg 171 6 is be VBZ cord-016187-58rqc0cg 171 7 felP felp JJ cord-016187-58rqc0cg 171 8 and and CC cord-016187-58rqc0cg 171 9 strains strain NNS cord-016187-58rqc0cg 171 10 of of IN cord-016187-58rqc0cg 171 11 bacteria bacteria NNS cord-016187-58rqc0cg 171 12 that that WDT cord-016187-58rqc0cg 171 13 produce produce VBP cord-016187-58rqc0cg 171 14 excess excess JJ cord-016187-58rqc0cg 171 15 DHPS DHPS NNP cord-016187-58rqc0cg 171 16 can can MD cord-016187-58rqc0cg 171 17 overwhelm overwhelm VB cord-016187-58rqc0cg 171 18 sulfa sulfa NN cord-016187-58rqc0cg 171 19 inhibition inhibition NN cord-016187-58rqc0cg 171 20 [ [ -LRB- cord-016187-58rqc0cg 171 21 43 43 CD cord-016187-58rqc0cg 171 22 ] ] -RRB- cord-016187-58rqc0cg 171 23 . . . cord-016187-58rqc0cg 172 1 Trimethoprim Trimethoprim NNP cord-016187-58rqc0cg 172 2 resistance resistance NN cord-016187-58rqc0cg 172 3 may may MD cord-016187-58rqc0cg 172 4 also also RB cord-016187-58rqc0cg 172 5 occur occur VB cord-016187-58rqc0cg 172 6 in in IN cord-016187-58rqc0cg 172 7 a a DT cord-016187-58rqc0cg 172 8 similar similar JJ cord-016187-58rqc0cg 172 9 fashion fashion NN cord-016187-58rqc0cg 172 10 , , , cord-016187-58rqc0cg 172 11 by by IN cord-016187-58rqc0cg 172 12 making make VBG cord-016187-58rqc0cg 172 13 excess excess JJ cord-016187-58rqc0cg 172 14 amounts amount NNS cord-016187-58rqc0cg 172 15 of of IN cord-016187-58rqc0cg 172 16 dihydrofolate dihydrofolate NN cord-016187-58rqc0cg 172 17 reductase reductase NN cord-016187-58rqc0cg 172 18 from from IN cord-016187-58rqc0cg 172 19 the the DT cord-016187-58rqc0cg 172 20 bacterial bacterial JJ cord-016187-58rqc0cg 172 21 chromosomal chromosomal JJ cord-016187-58rqc0cg 172 22 gene gene NN cord-016187-58rqc0cg 172 23 folA fola VBP cord-016187-58rqc0cg 172 24 [ [ -LRB- cord-016187-58rqc0cg 172 25 44 44 CD cord-016187-58rqc0cg 172 26 ] ] -RRB- cord-016187-58rqc0cg 172 27 . . . cord-016187-58rqc0cg 173 1 An an DT cord-016187-58rqc0cg 173 2 unusual unusual JJ cord-016187-58rqc0cg 173 3 mechanism mechanism NN cord-016187-58rqc0cg 173 4 of of IN cord-016187-58rqc0cg 173 5 resistance resistance NN cord-016187-58rqc0cg 173 6 to to IN cord-016187-58rqc0cg 173 7 specifi specifi NNP cord-016187-58rqc0cg 173 8 c c NN cord-016187-58rqc0cg 173 9 antibiotics antibiotic NNS cord-016187-58rqc0cg 173 10 is be VBZ cord-016187-58rqc0cg 173 11 by by IN cord-016187-58rqc0cg 173 12 the the DT cord-016187-58rqc0cg 173 13 development development NN cord-016187-58rqc0cg 173 14 of of IN cord-016187-58rqc0cg 173 15 auxotrophs auxotrophs NNP cord-016187-58rqc0cg 173 16 , , , cord-016187-58rqc0cg 173 17 which which WDT cord-016187-58rqc0cg 173 18 have have VBP cord-016187-58rqc0cg 173 19 specifi specifi VBN cord-016187-58rqc0cg 173 20 c c NN cord-016187-58rqc0cg 173 21 growth growth NN cord-016187-58rqc0cg 173 22 factor factor NN cord-016187-58rqc0cg 173 23 requirements requirement NNS cord-016187-58rqc0cg 173 24 not not RB cord-016187-58rqc0cg 173 25 seen see VBN cord-016187-58rqc0cg 173 26 in in IN cord-016187-58rqc0cg 173 27 wild wild JJ cord-016187-58rqc0cg 173 28 - - HYPH cord-016187-58rqc0cg 173 29 type type NN cord-016187-58rqc0cg 173 30 strains strain NNS cord-016187-58rqc0cg 173 31 . . . cord-016187-58rqc0cg 174 1 These these DT cord-016187-58rqc0cg 174 2 mutants mutant NNS cord-016187-58rqc0cg 174 3 require require VBP cord-016187-58rqc0cg 174 4 substrates substrate NNS cord-016187-58rqc0cg 174 5 that that WDT cord-016187-58rqc0cg 174 6 normally normally RB cord-016187-58rqc0cg 174 7 are be VBP cord-016187-58rqc0cg 174 8 synthesized synthesize VBN cord-016187-58rqc0cg 174 9 by by IN cord-016187-58rqc0cg 174 10 the the DT cord-016187-58rqc0cg 174 11 target target NN cord-016187-58rqc0cg 174 12 enzymes enzyme NNS cord-016187-58rqc0cg 174 13 , , , cord-016187-58rqc0cg 174 14 and and CC cord-016187-58rqc0cg 174 15 thus thus RB cord-016187-58rqc0cg 174 16 if if IN cord-016187-58rqc0cg 174 17 the the DT cord-016187-58rqc0cg 174 18 substrates substrate NNS cord-016187-58rqc0cg 174 19 are be VBP cord-016187-58rqc0cg 174 20 present present JJ cord-016187-58rqc0cg 174 21 in in IN cord-016187-58rqc0cg 174 22 the the DT cord-016187-58rqc0cg 174 23 environment environment NN cord-016187-58rqc0cg 174 24 , , , cord-016187-58rqc0cg 174 25 the the DT cord-016187-58rqc0cg 174 26 organisms organism NNS cord-016187-58rqc0cg 174 27 are be VBP cord-016187-58rqc0cg 174 28 able able JJ cord-016187-58rqc0cg 174 29 to to TO cord-016187-58rqc0cg 174 30 grow grow VB cord-016187-58rqc0cg 174 31 despite despite IN cord-016187-58rqc0cg 174 32 inhibition inhibition NN cord-016187-58rqc0cg 174 33 of of IN cord-016187-58rqc0cg 174 34 the the DT cord-016187-58rqc0cg 174 35 synthetic synthetic JJ cord-016187-58rqc0cg 174 36 enzyme enzyme NN cord-016187-58rqc0cg 174 37 by by IN cord-016187-58rqc0cg 174 38 an an DT cord-016187-58rqc0cg 174 39 antibiotic antibiotic NN cord-016187-58rqc0cg 174 40 . . . cord-016187-58rqc0cg 175 1 Bacteria Bacteria NNS cord-016187-58rqc0cg 175 2 that that WDT cord-016187-58rqc0cg 175 3 lose lose VBP cord-016187-58rqc0cg 175 4 the the DT cord-016187-58rqc0cg 175 5 enzyme enzyme NN cord-016187-58rqc0cg 176 1 thymidylate thymidylate NNP cord-016187-58rqc0cg 176 2 synthetase synthetase NNP cord-016187-58rqc0cg 176 3 are be VBP cord-016187-58rqc0cg 176 4 ' ' `` cord-016187-58rqc0cg 176 5 thymine thymine NN cord-016187-58rqc0cg 176 6 dependent dependent NN cord-016187-58rqc0cg 176 7 ' ' '' cord-016187-58rqc0cg 176 8 . . . cord-016187-58rqc0cg 177 1 If if IN cord-016187-58rqc0cg 177 2 they -PRON- PRP cord-016187-58rqc0cg 177 3 can can MD cord-016187-58rqc0cg 177 4 acquire acquire VB cord-016187-58rqc0cg 177 5 exogenous exogenous JJ cord-016187-58rqc0cg 177 6 supplies supply NNS cord-016187-58rqc0cg 177 7 of of IN cord-016187-58rqc0cg 177 8 thymidine thymidine NN cord-016187-58rqc0cg 177 9 to to TO cord-016187-58rqc0cg 177 10 synthesize synthesize VB cord-016187-58rqc0cg 177 11 thymidylate thymidylate NN cord-016187-58rqc0cg 177 12 via via IN cord-016187-58rqc0cg 177 13 salvage salvage NN cord-016187-58rqc0cg 177 14 pathways pathway NNS cord-016187-58rqc0cg 177 15 from from IN cord-016187-58rqc0cg 177 16 the the DT cord-016187-58rqc0cg 177 17 host host NN cord-016187-58rqc0cg 177 18 , , , cord-016187-58rqc0cg 177 19 they -PRON- PRP cord-016187-58rqc0cg 177 20 are be VBP cord-016187-58rqc0cg 177 21 highly highly RB cord-016187-58rqc0cg 177 22 resistant resistant JJ cord-016187-58rqc0cg 177 23 to to IN cord-016187-58rqc0cg 177 24 sulfa sulfa NN cord-016187-58rqc0cg 177 25 drugs drug NNS cord-016187-58rqc0cg 177 26 and and CC cord-016187-58rqc0cg 177 27 trimethoprim trimethoprim NNP cord-016187-58rqc0cg 177 28 [ [ -LRB- cord-016187-58rqc0cg 177 29 23 23 CD cord-016187-58rqc0cg 177 30 ] ] -RRB- cord-016187-58rqc0cg 177 31 . . . cord-016187-58rqc0cg 178 1 Once once RB cord-016187-58rqc0cg 178 2 an an DT cord-016187-58rqc0cg 178 3 antibiotic antibiotic JJ cord-016187-58rqc0cg 178 4 resistance resistance NN cord-016187-58rqc0cg 178 5 gene gene NN cord-016187-58rqc0cg 178 6 evolves evolve VBZ cord-016187-58rqc0cg 178 7 , , , cord-016187-58rqc0cg 178 8 the the DT cord-016187-58rqc0cg 178 9 resistance resistance NN cord-016187-58rqc0cg 178 10 determinant determinant NN cord-016187-58rqc0cg 178 11 can can MD cord-016187-58rqc0cg 178 12 disseminate disseminate VB cord-016187-58rqc0cg 178 13 among among IN cord-016187-58rqc0cg 178 14 bacterial bacterial JJ cord-016187-58rqc0cg 178 15 populations population NNS cord-016187-58rqc0cg 178 16 by by IN cord-016187-58rqc0cg 178 17 transformation transformation NN cord-016187-58rqc0cg 178 18 , , , cord-016187-58rqc0cg 178 19 transduction transduction NN cord-016187-58rqc0cg 178 20 , , , cord-016187-58rqc0cg 178 21 conjugation conjugation NN cord-016187-58rqc0cg 178 22 , , , cord-016187-58rqc0cg 178 23 or or CC cord-016187-58rqc0cg 178 24 transposition transposition NN cord-016187-58rqc0cg 178 25 . . . cord-016187-58rqc0cg 179 1 Favored favor VBN cord-016187-58rqc0cg 179 2 clones clone NNS cord-016187-58rqc0cg 179 3 of of IN cord-016187-58rqc0cg 179 4 bacteria bacteria NNS cord-016187-58rqc0cg 179 5 then then RB cord-016187-58rqc0cg 179 6 proliferate proliferate VBP cord-016187-58rqc0cg 179 7 in in IN cord-016187-58rqc0cg 179 8 the the DT cord-016187-58rqc0cg 179 9 fl fl NNP cord-016187-58rqc0cg 179 10 ora ora NN cord-016187-58rqc0cg 179 11 of of IN cord-016187-58rqc0cg 179 12 patients patient NNS cord-016187-58rqc0cg 179 13 who who WP cord-016187-58rqc0cg 179 14 receive receive VBP cord-016187-58rqc0cg 179 15 antibiotics antibiotic NNS cord-016187-58rqc0cg 179 16 . . . cord-016187-58rqc0cg 180 1 Antibiotic antibiotic JJ cord-016187-58rqc0cg 180 2 - - HYPH cord-016187-58rqc0cg 180 3 resistance resistance NN cord-016187-58rqc0cg 180 4 genes gene NNS cord-016187-58rqc0cg 180 5 were be VBD cord-016187-58rqc0cg 180 6 found find VBN cord-016187-58rqc0cg 180 7 among among IN cord-016187-58rqc0cg 180 8 bacteria bacteria NNS cord-016187-58rqc0cg 180 9 even even RB cord-016187-58rqc0cg 180 10 in in IN cord-016187-58rqc0cg 180 11 the the DT cord-016187-58rqc0cg 180 12 pre pre JJ cord-016187-58rqc0cg 180 13 - - JJ cord-016187-58rqc0cg 180 14 antibiotic antibiotic JJ cord-016187-58rqc0cg 180 15 therapy therapy NN cord-016187-58rqc0cg 180 16 era era NN cord-016187-58rqc0cg 180 17 [ [ -LRB- cord-016187-58rqc0cg 180 18 23 23 CD cord-016187-58rqc0cg 180 19 ] ] -RRB- cord-016187-58rqc0cg 180 20 . . . cord-016187-58rqc0cg 181 1 However however RB cord-016187-58rqc0cg 181 2 , , , cord-016187-58rqc0cg 181 3 selection selection NN cord-016187-58rqc0cg 181 4 pressures pressure NNS cord-016187-58rqc0cg 181 5 placed place VBN cord-016187-58rqc0cg 181 6 upon upon IN cord-016187-58rqc0cg 181 7 microbial microbial JJ cord-016187-58rqc0cg 181 8 populations population NNS cord-016187-58rqc0cg 181 9 by by IN cord-016187-58rqc0cg 181 10 a a DT cord-016187-58rqc0cg 181 11 highly highly RB cord-016187-58rqc0cg 181 12 lethal lethal JJ cord-016187-58rqc0cg 181 13 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 181 14 compound compound NN cord-016187-58rqc0cg 181 15 create create VBP cord-016187-58rqc0cg 181 16 an an DT cord-016187-58rqc0cg 181 17 environment environment NN cord-016187-58rqc0cg 181 18 in in IN cord-016187-58rqc0cg 181 19 which which WDT cord-016187-58rqc0cg 181 20 individual individual JJ cord-016187-58rqc0cg 181 21 clones clone NNS cord-016187-58rqc0cg 181 22 that that WDT cord-016187-58rqc0cg 181 23 resist resist VBP cord-016187-58rqc0cg 181 24 the the DT cord-016187-58rqc0cg 181 25 antibiotic antibiotic NN cord-016187-58rqc0cg 181 26 are be VBP cord-016187-58rqc0cg 181 27 markedly markedly RB cord-016187-58rqc0cg 181 28 favored favor VBN cord-016187-58rqc0cg 181 29 . . . cord-016187-58rqc0cg 182 1 These these DT cord-016187-58rqc0cg 182 2 resistant resistant JJ cord-016187-58rqc0cg 182 3 populations population NNS cord-016187-58rqc0cg 182 4 then then RB cord-016187-58rqc0cg 182 5 proliferate proliferate VBP cord-016187-58rqc0cg 182 6 and and CC cord-016187-58rqc0cg 182 7 rapidly rapidly RB cord-016187-58rqc0cg 182 8 replace replace VB cord-016187-58rqc0cg 182 9 other other JJ cord-016187-58rqc0cg 182 10 susceptible susceptible JJ cord-016187-58rqc0cg 182 11 strains strain NNS cord-016187-58rqc0cg 182 12 of of IN cord-016187-58rqc0cg 182 13 bacteria bacteria NNS cord-016187-58rqc0cg 182 14 . . . cord-016187-58rqc0cg 183 1 While while IN cord-016187-58rqc0cg 183 2 some some DT cord-016187-58rqc0cg 183 3 antibiotic antibiotic JJ cord-016187-58rqc0cg 183 4 resistance resistance NN cord-016187-58rqc0cg 183 5 genes gene NNS cord-016187-58rqc0cg 183 6 place place VBP cord-016187-58rqc0cg 183 7 a a DT cord-016187-58rqc0cg 183 8 metabolic metabolic JJ cord-016187-58rqc0cg 183 9 ' ' `` cord-016187-58rqc0cg 183 10 cost cost NN cord-016187-58rqc0cg 183 11 ' ' '' cord-016187-58rqc0cg 183 12 on on IN cord-016187-58rqc0cg 183 13 bacteria bacteria NNS cord-016187-58rqc0cg 183 14 , , , cord-016187-58rqc0cg 183 15 many many JJ cord-016187-58rqc0cg 183 16 microorganisms microorganism NNS cord-016187-58rqc0cg 183 17 have have VBP cord-016187-58rqc0cg 183 18 evolved evolve VBN cord-016187-58rqc0cg 183 19 strategies strategy NNS cord-016187-58rqc0cg 183 20 to to TO cord-016187-58rqc0cg 183 21 limit limit VB cord-016187-58rqc0cg 183 22 this this DT cord-016187-58rqc0cg 183 23 cost cost NN cord-016187-58rqc0cg 183 24 by by IN cord-016187-58rqc0cg 183 25 limiting limit VBG cord-016187-58rqc0cg 183 26 expression expression NN cord-016187-58rqc0cg 183 27 , , , cord-016187-58rqc0cg 183 28 alternate alternate JJ cord-016187-58rqc0cg 183 29 gene gene NN cord-016187-58rqc0cg 183 30 products product NNS cord-016187-58rqc0cg 183 31 or or CC cord-016187-58rqc0cg 183 32 phase phase NN cord-016187-58rqc0cg 183 33 variation variation NN cord-016187-58rqc0cg 183 34 . . . cord-016187-58rqc0cg 184 1 These these DT cord-016187-58rqc0cg 184 2 mechanisms mechanism NNS cord-016187-58rqc0cg 184 3 allow allow VBP cord-016187-58rqc0cg 184 4 favorable favorable JJ cord-016187-58rqc0cg 184 5 but but CC cord-016187-58rqc0cg 184 6 sometimes sometimes RB cord-016187-58rqc0cg 184 7 ' ' `` cord-016187-58rqc0cg 184 8 costly costly JJ cord-016187-58rqc0cg 184 9 ' ' '' cord-016187-58rqc0cg 184 10 genes gene NNS cord-016187-58rqc0cg 184 11 that that WDT cord-016187-58rqc0cg 184 12 mediate mediate VBP cord-016187-58rqc0cg 184 13 antibiotic antibiotic JJ cord-016187-58rqc0cg 184 14 resistance resistance NN cord-016187-58rqc0cg 184 15 to to TO cord-016187-58rqc0cg 184 16 persist persist VB cord-016187-58rqc0cg 184 17 in in IN cord-016187-58rqc0cg 184 18 the the DT cord-016187-58rqc0cg 184 19 absence absence NN cord-016187-58rqc0cg 184 20 of of IN cord-016187-58rqc0cg 184 21 continued continue VBN cord-016187-58rqc0cg 184 22 antibiotic antibiotic JJ cord-016187-58rqc0cg 184 23 selection selection NN cord-016187-58rqc0cg 184 24 pressure pressure NN cord-016187-58rqc0cg 184 25 and and CC cord-016187-58rqc0cg 184 26 yet yet RB cord-016187-58rqc0cg 184 27 be be VB cord-016187-58rqc0cg 184 28 rapidly rapidly RB cord-016187-58rqc0cg 184 29 expressed express VBN cord-016187-58rqc0cg 184 30 upon upon IN cord-016187-58rqc0cg 184 31 re re NN cord-016187-58rqc0cg 184 32 - - NN cord-016187-58rqc0cg 184 33 exposure exposure NN cord-016187-58rqc0cg 184 34 to to IN cord-016187-58rqc0cg 184 35 antibiotics antibiotic NNS cord-016187-58rqc0cg 184 36 [ [ -LRB- cord-016187-58rqc0cg 184 37 46 46 CD cord-016187-58rqc0cg 184 38 ] ] -RRB- cord-016187-58rqc0cg 184 39 . . . cord-016187-58rqc0cg 185 1 Plasmids plasmid NNS cord-016187-58rqc0cg 185 2 are be VBP cord-016187-58rqc0cg 185 3 particularly particularly RB cord-016187-58rqc0cg 185 4 well well RB cord-016187-58rqc0cg 185 5 adapted adapt VBN cord-016187-58rqc0cg 185 6 to to TO cord-016187-58rqc0cg 185 7 serve serve VB cord-016187-58rqc0cg 185 8 as as IN cord-016187-58rqc0cg 185 9 agents agent NNS cord-016187-58rqc0cg 185 10 of of IN cord-016187-58rqc0cg 185 11 genetic genetic JJ cord-016187-58rqc0cg 185 12 evolution evolution NN cord-016187-58rqc0cg 185 13 and and CC cord-016187-58rqc0cg 185 14 R r NN cord-016187-58rqc0cg 185 15 - - HYPH cord-016187-58rqc0cg 185 16 gene gene NN cord-016187-58rqc0cg 185 17 dissemination dissemination NN cord-016187-58rqc0cg 185 18 . . . cord-016187-58rqc0cg 186 1 Plasmids plasmid NNS cord-016187-58rqc0cg 186 2 are be VBP cord-016187-58rqc0cg 186 3 extrachromosomal extrachromosomal VBG cord-016187-58rqc0cg 186 4 genetic genetic JJ cord-016187-58rqc0cg 186 5 elements element NNS cord-016187-58rqc0cg 186 6 that that WDT cord-016187-58rqc0cg 186 7 are be VBP cord-016187-58rqc0cg 186 8 made make VBN cord-016187-58rqc0cg 186 9 of of IN cord-016187-58rqc0cg 186 10 circular circular JJ cord-016187-58rqc0cg 186 11 double double RB cord-016187-58rqc0cg 186 12 - - HYPH cord-016187-58rqc0cg 186 13 stranded strand VBN cord-016187-58rqc0cg 186 14 DNA dna NN cord-016187-58rqc0cg 186 15 molecules molecule NNS cord-016187-58rqc0cg 186 16 that that WDT cord-016187-58rqc0cg 186 17 range range VBP cord-016187-58rqc0cg 186 18 from from IN cord-016187-58rqc0cg 186 19 less less JJR cord-016187-58rqc0cg 186 20 than than IN cord-016187-58rqc0cg 186 21 10 10 CD cord-016187-58rqc0cg 186 22 to to IN cord-016187-58rqc0cg 186 23 greater great JJR cord-016187-58rqc0cg 186 24 than than IN cord-016187-58rqc0cg 186 25 400 400 CD cord-016187-58rqc0cg 186 26 kilobase kilobase NN cord-016187-58rqc0cg 186 27 pairs pair NNS cord-016187-58rqc0cg 186 28 and and CC cord-016187-58rqc0cg 186 29 are be VBP cord-016187-58rqc0cg 186 30 extremely extremely RB cord-016187-58rqc0cg 186 31 common common JJ cord-016187-58rqc0cg 186 32 in in IN cord-016187-58rqc0cg 186 33 clinical clinical JJ cord-016187-58rqc0cg 186 34 isolates isolate NNS cord-016187-58rqc0cg 186 35 of of IN cord-016187-58rqc0cg 186 36 bacterial bacterial JJ cord-016187-58rqc0cg 186 37 pathogens pathogen NNS cord-016187-58rqc0cg 186 38 . . . cord-016187-58rqc0cg 187 1 Although although IN cord-016187-58rqc0cg 187 2 multiple multiple JJ cord-016187-58rqc0cg 187 3 copies copy NNS cord-016187-58rqc0cg 187 4 of of IN cord-016187-58rqc0cg 187 5 a a DT cord-016187-58rqc0cg 187 6 specifi specifi NN cord-016187-58rqc0cg 187 7 c c NN cord-016187-58rqc0cg 187 8 plasmid plasmid NN cord-016187-58rqc0cg 187 9 or or CC cord-016187-58rqc0cg 187 10 multiple multiple JJ cord-016187-58rqc0cg 187 11 different different JJ cord-016187-58rqc0cg 187 12 plasmids plasmid NNS cord-016187-58rqc0cg 187 13 , , , cord-016187-58rqc0cg 187 14 or or CC cord-016187-58rqc0cg 187 15 both both DT cord-016187-58rqc0cg 187 16 , , , cord-016187-58rqc0cg 187 17 may may MD cord-016187-58rqc0cg 187 18 be be VB cord-016187-58rqc0cg 187 19 found find VBN cord-016187-58rqc0cg 187 20 in in IN cord-016187-58rqc0cg 187 21 a a DT cord-016187-58rqc0cg 187 22 single single JJ cord-016187-58rqc0cg 187 23 bacterial bacterial JJ cord-016187-58rqc0cg 187 24 cell cell NN cord-016187-58rqc0cg 187 25 , , , cord-016187-58rqc0cg 187 26 closely closely RB cord-016187-58rqc0cg 187 27 related related JJ cord-016187-58rqc0cg 187 28 plasmids plasmid NNS cord-016187-58rqc0cg 187 29 often often RB cord-016187-58rqc0cg 187 30 can can MD cord-016187-58rqc0cg 187 31 not not RB cord-016187-58rqc0cg 187 32 coexist coexist VB cord-016187-58rqc0cg 187 33 in in IN cord-016187-58rqc0cg 187 34 the the DT cord-016187-58rqc0cg 187 35 same same JJ cord-016187-58rqc0cg 187 36 cell cell NN cord-016187-58rqc0cg 187 37 . . . cord-016187-58rqc0cg 188 1 This this DT cord-016187-58rqc0cg 188 2 observation observation NN cord-016187-58rqc0cg 188 3 has have VBZ cord-016187-58rqc0cg 188 4 led lead VBN cord-016187-58rqc0cg 188 5 to to IN cord-016187-58rqc0cg 188 6 a a DT cord-016187-58rqc0cg 188 7 classifi classifi NN cord-016187-58rqc0cg 188 8 cation cation NN cord-016187-58rqc0cg 188 9 scheme scheme NN cord-016187-58rqc0cg 188 10 of of IN cord-016187-58rqc0cg 188 11 plasmids plasmid NNS cord-016187-58rqc0cg 188 12 based base VBN cord-016187-58rqc0cg 188 13 upon upon IN cord-016187-58rqc0cg 188 14 incompatibility incompatibility NN cord-016187-58rqc0cg 188 15 groups group NNS cord-016187-58rqc0cg 188 16 [ [ -LRB- cord-016187-58rqc0cg 188 17 23 23 CD cord-016187-58rqc0cg 188 18 ] ] -RRB- cord-016187-58rqc0cg 188 19 . . . cord-016187-58rqc0cg 189 1 Plasmids plasmid NNS cord-016187-58rqc0cg 189 2 may may MD cord-016187-58rqc0cg 189 3 determine determine VB cord-016187-58rqc0cg 189 4 a a DT cord-016187-58rqc0cg 189 5 wide wide JJ cord-016187-58rqc0cg 189 6 range range NN cord-016187-58rqc0cg 189 7 of of IN cord-016187-58rqc0cg 189 8 functions function NNS cord-016187-58rqc0cg 189 9 besides besides IN cord-016187-58rqc0cg 189 10 antibiotic antibiotic JJ cord-016187-58rqc0cg 189 11 resistance resistance NN cord-016187-58rqc0cg 189 12 , , , cord-016187-58rqc0cg 189 13 including include VBG cord-016187-58rqc0cg 189 14 virulence virulence NN cord-016187-58rqc0cg 189 15 and and CC cord-016187-58rqc0cg 189 16 metabolic metabolic JJ cord-016187-58rqc0cg 189 17 capacities capacity NNS cord-016187-58rqc0cg 189 18 . . . cord-016187-58rqc0cg 190 1 Plasmids plasmid NNS cord-016187-58rqc0cg 190 2 are be VBP cord-016187-58rqc0cg 190 3 autonomous autonomous JJ cord-016187-58rqc0cg 190 4 , , , cord-016187-58rqc0cg 190 5 self self NN cord-016187-58rqc0cg 190 6 - - HYPH cord-016187-58rqc0cg 190 7 replicating replicate VBG cord-016187-58rqc0cg 190 8 genetic genetic JJ cord-016187-58rqc0cg 190 9 elements element NNS cord-016187-58rqc0cg 190 10 that that WDT cord-016187-58rqc0cg 190 11 possess possess VBP cord-016187-58rqc0cg 190 12 an an DT cord-016187-58rqc0cg 190 13 origin origin NN cord-016187-58rqc0cg 190 14 for for IN cord-016187-58rqc0cg 190 15 replication replication NN cord-016187-58rqc0cg 190 16 and and CC cord-016187-58rqc0cg 190 17 genes gene NNS cord-016187-58rqc0cg 190 18 that that WDT cord-016187-58rqc0cg 190 19 facilitate facilitate VBP cord-016187-58rqc0cg 190 20 its -PRON- PRP$ cord-016187-58rqc0cg 190 21 stable stable JJ cord-016187-58rqc0cg 190 22 maintenance maintenance NN cord-016187-58rqc0cg 190 23 in in IN cord-016187-58rqc0cg 190 24 host host NN cord-016187-58rqc0cg 190 25 bacteria bacteria NNS cord-016187-58rqc0cg 190 26 . . . cord-016187-58rqc0cg 191 1 Conjugative conjugative JJ cord-016187-58rqc0cg 191 2 plasmids plasmid NNS cord-016187-58rqc0cg 191 3 require require VBP cord-016187-58rqc0cg 191 4 additional additional JJ cord-016187-58rqc0cg 191 5 genes gene NNS cord-016187-58rqc0cg 191 6 that that WDT cord-016187-58rqc0cg 191 7 can can MD cord-016187-58rqc0cg 191 8 initiate initiate VB cord-016187-58rqc0cg 191 9 self self NN cord-016187-58rqc0cg 191 10 - - HYPH cord-016187-58rqc0cg 191 11 transfer transfer NN cord-016187-58rqc0cg 191 12 . . . cord-016187-58rqc0cg 192 1 The the DT cord-016187-58rqc0cg 192 2 transfer transfer NN cord-016187-58rqc0cg 192 3 of of IN cord-016187-58rqc0cg 192 4 plasmid plasmid NN cord-016187-58rqc0cg 192 5 DNA dna NN cord-016187-58rqc0cg 192 6 between between IN cord-016187-58rqc0cg 192 7 bacterial bacterial JJ cord-016187-58rqc0cg 192 8 species specie NNS cord-016187-58rqc0cg 192 9 is be VBZ cord-016187-58rqc0cg 192 10 a a DT cord-016187-58rqc0cg 192 11 complex complex JJ cord-016187-58rqc0cg 192 12 process process NN cord-016187-58rqc0cg 192 13 , , , cord-016187-58rqc0cg 192 14 and and CC cord-016187-58rqc0cg 192 15 thus thus RB cord-016187-58rqc0cg 192 16 conjugative conjugative JJ cord-016187-58rqc0cg 192 17 plasmids plasmid NNS cord-016187-58rqc0cg 192 18 tend tend VBP cord-016187-58rqc0cg 192 19 to to TO cord-016187-58rqc0cg 192 20 be be VB cord-016187-58rqc0cg 192 21 larger large JJR cord-016187-58rqc0cg 192 22 than than IN cord-016187-58rqc0cg 192 23 non non JJ cord-016187-58rqc0cg 192 24 - - JJ cord-016187-58rqc0cg 192 25 conjugative conjugative JJ cord-016187-58rqc0cg 192 26 ones one NNS cord-016187-58rqc0cg 192 27 . . . cord-016187-58rqc0cg 193 1 Some some DT cord-016187-58rqc0cg 193 2 small small JJ cord-016187-58rqc0cg 193 3 plasmids plasmid NNS cord-016187-58rqc0cg 193 4 may may MD cord-016187-58rqc0cg 193 5 be be VB cord-016187-58rqc0cg 193 6 able able JJ cord-016187-58rqc0cg 193 7 to to TO cord-016187-58rqc0cg 193 8 utilize utilize VB cord-016187-58rqc0cg 193 9 the the DT cord-016187-58rqc0cg 193 10 conjugation conjugation NN cord-016187-58rqc0cg 193 11 apparatus apparatus NN cord-016187-58rqc0cg 193 12 of of IN cord-016187-58rqc0cg 193 13 a a DT cord-016187-58rqc0cg 193 14 coresident coresident NN cord-016187-58rqc0cg 193 15 conjugative conjugative JJ cord-016187-58rqc0cg 193 16 plasmid plasmid NN cord-016187-58rqc0cg 193 17 . . . cord-016187-58rqc0cg 194 1 Many many JJ cord-016187-58rqc0cg 194 2 plasmid plasmid NN cord-016187-58rqc0cg 194 3 - - HYPH cord-016187-58rqc0cg 194 4 encoded encode VBN cord-016187-58rqc0cg 194 5 functions function NNS cord-016187-58rqc0cg 194 6 enable enable VBP cord-016187-58rqc0cg 194 7 bacterial bacterial JJ cord-016187-58rqc0cg 194 8 strains strain NNS cord-016187-58rqc0cg 194 9 to to TO cord-016187-58rqc0cg 194 10 persist persist VB cord-016187-58rqc0cg 194 11 in in IN cord-016187-58rqc0cg 194 12 the the DT cord-016187-58rqc0cg 194 13 environment environment NN cord-016187-58rqc0cg 194 14 by by IN cord-016187-58rqc0cg 194 15 resisting resist VBG cord-016187-58rqc0cg 194 16 noxious noxious JJ cord-016187-58rqc0cg 194 17 agents agent NNS cord-016187-58rqc0cg 194 18 , , , cord-016187-58rqc0cg 194 19 such such JJ cord-016187-58rqc0cg 194 20 as as IN cord-016187-58rqc0cg 194 21 heavy heavy JJ cord-016187-58rqc0cg 194 22 metals metal NNS cord-016187-58rqc0cg 194 23 . . . cord-016187-58rqc0cg 195 1 Mercury Mercury NNP cord-016187-58rqc0cg 195 2 released release VBN cord-016187-58rqc0cg 195 3 from from IN cord-016187-58rqc0cg 195 4 dental dental NNP cord-016187-58rqc0cg 195 5 fi fi NNP cord-016187-58rqc0cg 195 6 llings lling NNS cord-016187-58rqc0cg 195 7 may may MD cord-016187-58rqc0cg 195 8 increase increase VB cord-016187-58rqc0cg 195 9 the the DT cord-016187-58rqc0cg 195 10 number number NN cord-016187-58rqc0cg 195 11 of of IN cord-016187-58rqc0cg 195 12 antibiotic antibiotic JJ cord-016187-58rqc0cg 195 13 - - HYPH cord-016187-58rqc0cg 195 14 resistant resistant JJ cord-016187-58rqc0cg 195 15 bacteria bacteria NNS cord-016187-58rqc0cg 195 16 in in IN cord-016187-58rqc0cg 195 17 the the DT cord-016187-58rqc0cg 195 18 oral oral JJ cord-016187-58rqc0cg 195 19 fl fl NNP cord-016187-58rqc0cg 195 20 ora ora NNP cord-016187-58rqc0cg 195 21 . . . cord-016187-58rqc0cg 196 1 Hexachlorophene hexachlorophene JJ cord-016187-58rqc0cg 196 2 and and CC cord-016187-58rqc0cg 196 3 other other JJ cord-016187-58rqc0cg 196 4 topical topical JJ cord-016187-58rqc0cg 196 5 bacteriostatic bacteriostatic JJ cord-016187-58rqc0cg 196 6 agents agent NNS cord-016187-58rqc0cg 196 7 in in IN cord-016187-58rqc0cg 196 8 the the DT cord-016187-58rqc0cg 196 9 environment environment NN cord-016187-58rqc0cg 196 10 may may MD cord-016187-58rqc0cg 196 11 actually actually RB cord-016187-58rqc0cg 196 12 promote promote VB cord-016187-58rqc0cg 196 13 plasmid plasmid NN cord-016187-58rqc0cg 196 14 - - HYPH cord-016187-58rqc0cg 196 15 mediated mediate VBN cord-016187-58rqc0cg 196 16 resistance resistance NN cord-016187-58rqc0cg 196 17 to to IN cord-016187-58rqc0cg 196 18 these these DT cord-016187-58rqc0cg 196 19 agents agent NNS cord-016187-58rqc0cg 196 20 and and CC cord-016187-58rqc0cg 196 21 other other JJ cord-016187-58rqc0cg 196 22 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 196 23 agents agent NNS cord-016187-58rqc0cg 196 24 [ [ -LRB- cord-016187-58rqc0cg 196 25 47 47 CD cord-016187-58rqc0cg 196 26 ] ] -RRB- cord-016187-58rqc0cg 196 27 . . . cord-016187-58rqc0cg 197 1 Transposons transposon NNS cord-016187-58rqc0cg 197 2 are be VBP cord-016187-58rqc0cg 197 3 specialized specialized JJ cord-016187-58rqc0cg 197 4 sequences sequence NNS cord-016187-58rqc0cg 197 5 of of IN cord-016187-58rqc0cg 197 6 DNA DNA NNP cord-016187-58rqc0cg 197 7 that that WDT cord-016187-58rqc0cg 197 8 are be VBP cord-016187-58rqc0cg 197 9 mobile mobile JJ cord-016187-58rqc0cg 197 10 and and CC cord-016187-58rqc0cg 197 11 can can MD cord-016187-58rqc0cg 197 12 translocate translocate VB cord-016187-58rqc0cg 197 13 as as IN cord-016187-58rqc0cg 197 14 a a DT cord-016187-58rqc0cg 197 15 unit unit NN cord-016187-58rqc0cg 197 16 from from IN cord-016187-58rqc0cg 197 17 one one CD cord-016187-58rqc0cg 197 18 area area NN cord-016187-58rqc0cg 197 19 of of IN cord-016187-58rqc0cg 197 20 the the DT cord-016187-58rqc0cg 197 21 bacterial bacterial JJ cord-016187-58rqc0cg 197 22 chromosome chromosome NN cord-016187-58rqc0cg 197 23 to to IN cord-016187-58rqc0cg 197 24 another another DT cord-016187-58rqc0cg 197 25 . . . cord-016187-58rqc0cg 198 1 They -PRON- PRP cord-016187-58rqc0cg 198 2 can can MD cord-016187-58rqc0cg 198 3 also also RB cord-016187-58rqc0cg 198 4 move move VB cord-016187-58rqc0cg 198 5 back back RB cord-016187-58rqc0cg 198 6 and and CC cord-016187-58rqc0cg 198 7 forth forth RB cord-016187-58rqc0cg 198 8 between between IN cord-016187-58rqc0cg 198 9 the the DT cord-016187-58rqc0cg 198 10 chromosome chromosome NN cord-016187-58rqc0cg 198 11 and and CC cord-016187-58rqc0cg 198 12 plasmid plasmid NN cord-016187-58rqc0cg 198 13 or or CC cord-016187-58rqc0cg 198 14 bacteriophage bacteriophage NN cord-016187-58rqc0cg 198 15 DNA dna NN cord-016187-58rqc0cg 198 16 . . . cord-016187-58rqc0cg 199 1 Transposable transposable JJ cord-016187-58rqc0cg 199 2 genetic genetic JJ cord-016187-58rqc0cg 199 3 elements element NNS cord-016187-58rqc0cg 199 4 possess possess VBP cord-016187-58rqc0cg 199 5 a a DT cord-016187-58rqc0cg 199 6 specialized specialized JJ cord-016187-58rqc0cg 199 7 system system NN cord-016187-58rqc0cg 199 8 of of IN cord-016187-58rqc0cg 199 9 recombination recombination NN cord-016187-58rqc0cg 199 10 that that WDT cord-016187-58rqc0cg 199 11 is be VBZ cord-016187-58rqc0cg 199 12 independent independent JJ cord-016187-58rqc0cg 199 13 of of IN cord-016187-58rqc0cg 199 14 the the DT cord-016187-58rqc0cg 199 15 generalized generalized JJ cord-016187-58rqc0cg 199 16 recombination recombination NN cord-016187-58rqc0cg 199 17 system system NN cord-016187-58rqc0cg 199 18 that that WDT cord-016187-58rqc0cg 199 19 permits permit VBZ cord-016187-58rqc0cg 199 20 recombination recombination NN cord-016187-58rqc0cg 199 21 of of IN cord-016187-58rqc0cg 199 22 largely largely RB cord-016187-58rqc0cg 199 23 homologous homologous JJ cord-016187-58rqc0cg 199 24 sequences sequence NNS cord-016187-58rqc0cg 199 25 of of IN cord-016187-58rqc0cg 199 26 DNA dna NN cord-016187-58rqc0cg 199 27 by by IN cord-016187-58rqc0cg 199 28 crossover crossover NN cord-016187-58rqc0cg 199 29 events event NNS cord-016187-58rqc0cg 199 30 ( ( -LRB- cord-016187-58rqc0cg 199 31 the the DT cord-016187-58rqc0cg 199 32 recA recA NNP cord-016187-58rqc0cg 199 33 system system NN cord-016187-58rqc0cg 199 34 of of IN cord-016187-58rqc0cg 199 35 bacteria bacteria NNS cord-016187-58rqc0cg 199 36 ) ) -RRB- cord-016187-58rqc0cg 199 37 . . . cord-016187-58rqc0cg 200 1 The the DT cord-016187-58rqc0cg 200 2 recA reca JJ cord-016187-58rqc0cg 200 3 - - HYPH cord-016187-58rqc0cg 200 4 independent independent JJ cord-016187-58rqc0cg 200 5 recombination recombination NN cord-016187-58rqc0cg 200 6 system system NN cord-016187-58rqc0cg 200 7 ( ( -LRB- cord-016187-58rqc0cg 200 8 ' ' `` cord-016187-58rqc0cg 200 9 transposase transposase NNP cord-016187-58rqc0cg 200 10 ' ' '' cord-016187-58rqc0cg 200 11 ) ) -RRB- cord-016187-58rqc0cg 200 12 of of IN cord-016187-58rqc0cg 200 13 transposable transposable JJ cord-016187-58rqc0cg 200 14 elements element NNS cord-016187-58rqc0cg 200 15 usually usually RB cord-016187-58rqc0cg 200 16 occurs occur VBZ cord-016187-58rqc0cg 200 17 in in IN cord-016187-58rqc0cg 200 18 a a DT cord-016187-58rqc0cg 200 19 random random JJ cord-016187-58rqc0cg 200 20 fashion fashion NN cord-016187-58rqc0cg 200 21 between between IN cord-016187-58rqc0cg 200 22 non non JJ cord-016187-58rqc0cg 200 23 - - JJ cord-016187-58rqc0cg 200 24 homologous homologous JJ cord-016187-58rqc0cg 200 25 DNA dna NN cord-016187-58rqc0cg 200 26 sequences sequence NNS cord-016187-58rqc0cg 200 27 and and CC cord-016187-58rqc0cg 200 28 results result NNS cord-016187-58rqc0cg 200 29 in in IN cord-016187-58rqc0cg 200 30 whole whole JJ cord-016187-58rqc0cg 200 31 - - HYPH cord-016187-58rqc0cg 200 32 scale scale NN cord-016187-58rqc0cg 200 33 modifi modifi JJ cord-016187-58rqc0cg 200 34 cations cation NNS cord-016187-58rqc0cg 200 35 of of IN cord-016187-58rqc0cg 200 36 large large JJ cord-016187-58rqc0cg 200 37 sequences sequence NNS cord-016187-58rqc0cg 200 38 of of IN cord-016187-58rqc0cg 200 39 DNA DNA NNP cord-016187-58rqc0cg 200 40 as as IN cord-016187-58rqc0cg 200 41 a a DT cord-016187-58rqc0cg 200 42 single single JJ cord-016187-58rqc0cg 200 43 event event NN cord-016187-58rqc0cg 200 44 [ [ -LRB- cord-016187-58rqc0cg 200 45 23 23 CD cord-016187-58rqc0cg 200 46 ] ] -RRB- cord-016187-58rqc0cg 200 47 . . . cord-016187-58rqc0cg 201 1 There there EX cord-016187-58rqc0cg 201 2 are be VBP cord-016187-58rqc0cg 201 3 two two CD cord-016187-58rqc0cg 201 4 types type NNS cord-016187-58rqc0cg 201 5 of of IN cord-016187-58rqc0cg 201 6 transposable transposable JJ cord-016187-58rqc0cg 201 7 genetic genetic JJ cord-016187-58rqc0cg 201 8 elements element NNS cord-016187-58rqc0cg 201 9 , , , cord-016187-58rqc0cg 201 10 transposons transposon NNS cord-016187-58rqc0cg 201 11 and and CC cord-016187-58rqc0cg 201 12 insertion insertion NN cord-016187-58rqc0cg 201 13 sequences sequence NNS cord-016187-58rqc0cg 201 14 . . . cord-016187-58rqc0cg 202 1 These these DT cord-016187-58rqc0cg 202 2 mobile mobile JJ cord-016187-58rqc0cg 202 3 sequences sequence NNS cord-016187-58rqc0cg 202 4 probably probably RB cord-016187-58rqc0cg 202 5 play play VBP cord-016187-58rqc0cg 202 6 an an DT cord-016187-58rqc0cg 202 7 important important JJ cord-016187-58rqc0cg 202 8 physiologic physiologic JJ cord-016187-58rqc0cg 202 9 role role NN cord-016187-58rqc0cg 202 10 in in IN cord-016187-58rqc0cg 202 11 genetic genetic JJ cord-016187-58rqc0cg 202 12 variation variation NN cord-016187-58rqc0cg 202 13 and and CC cord-016187-58rqc0cg 202 14 evolution evolution NN cord-016187-58rqc0cg 202 15 in in IN cord-016187-58rqc0cg 202 16 prokaryotic prokaryotic JJ cord-016187-58rqc0cg 202 17 organisms organism NNS cord-016187-58rqc0cg 202 18 . . . cord-016187-58rqc0cg 203 1 Transposons transposon NNS cord-016187-58rqc0cg 203 2 differ differ VBP cord-016187-58rqc0cg 203 3 from from IN cord-016187-58rqc0cg 203 4 insertion insertion NN cord-016187-58rqc0cg 203 5 sequences sequence NNS cord-016187-58rqc0cg 203 6 in in IN cord-016187-58rqc0cg 203 7 that that IN cord-016187-58rqc0cg 203 8 they -PRON- PRP cord-016187-58rqc0cg 203 9 mediate mediate VBP cord-016187-58rqc0cg 203 10 a a DT cord-016187-58rqc0cg 203 11 recognizable recognizable JJ cord-016187-58rqc0cg 203 12 phenotypic phenotypic NN cord-016187-58rqc0cg 203 13 marker marker NN cord-016187-58rqc0cg 203 14 such such JJ cord-016187-58rqc0cg 203 15 as as IN cord-016187-58rqc0cg 203 16 an an DT cord-016187-58rqc0cg 203 17 antibiotic antibiotic JJ cord-016187-58rqc0cg 203 18 - - HYPH cord-016187-58rqc0cg 203 19 resistance resistance NN cord-016187-58rqc0cg 203 20 trait trait NN cord-016187-58rqc0cg 203 21 . . . cord-016187-58rqc0cg 204 1 Either either DT cord-016187-58rqc0cg 204 2 element element NN cord-016187-58rqc0cg 204 3 can can MD cord-016187-58rqc0cg 204 4 translocate translocate VB cord-016187-58rqc0cg 204 5 as as IN cord-016187-58rqc0cg 204 6 an an DT cord-016187-58rqc0cg 204 7 independent independent JJ cord-016187-58rqc0cg 204 8 unit unit NN cord-016187-58rqc0cg 204 9 . . . cord-016187-58rqc0cg 205 1 Both both DT cord-016187-58rqc0cg 205 2 elements element NNS cord-016187-58rqc0cg 205 3 are be VBP cord-016187-58rqc0cg 205 4 fl fl NNP cord-016187-58rqc0cg 205 5 anked anke VBN cord-016187-58rqc0cg 205 6 on on IN cord-016187-58rqc0cg 205 7 either either DT cord-016187-58rqc0cg 205 8 end end NN cord-016187-58rqc0cg 205 9 by by IN cord-016187-58rqc0cg 205 10 short short JJ cord-016187-58rqc0cg 205 11 identical identical JJ cord-016187-58rqc0cg 205 12 sequences sequence NNS cord-016187-58rqc0cg 205 13 of of IN cord-016187-58rqc0cg 205 14 DNA dna NN cord-016187-58rqc0cg 205 15 in in IN cord-016187-58rqc0cg 205 16 reverse reverse JJ cord-016187-58rqc0cg 205 17 order order NN cord-016187-58rqc0cg 205 18 ( ( -LRB- cord-016187-58rqc0cg 205 19 inverted invert VBN cord-016187-58rqc0cg 205 20 repeats repeat VBZ cord-016187-58rqc0cg 205 21 ) ) -RRB- cord-016187-58rqc0cg 205 22 . . . cord-016187-58rqc0cg 206 1 These these DT cord-016187-58rqc0cg 206 2 inverted invert VBN cord-016187-58rqc0cg 206 3 - - HYPH cord-016187-58rqc0cg 206 4 repeat repeat NN cord-016187-58rqc0cg 206 5 DNA dna NN cord-016187-58rqc0cg 206 6 termini terminus NNS cord-016187-58rqc0cg 206 7 are be VBP cord-016187-58rqc0cg 206 8 essential essential JJ cord-016187-58rqc0cg 206 9 to to IN cord-016187-58rqc0cg 206 10 the the DT cord-016187-58rqc0cg 206 11 transposition transposition NN cord-016187-58rqc0cg 206 12 process process NN cord-016187-58rqc0cg 206 13 . . . cord-016187-58rqc0cg 207 1 Transposons transposon NNS cord-016187-58rqc0cg 207 2 and and CC cord-016187-58rqc0cg 207 3 insertion insertion NN cord-016187-58rqc0cg 207 4 sequences sequence NNS cord-016187-58rqc0cg 207 5 must must MD cord-016187-58rqc0cg 207 6 be be VB cord-016187-58rqc0cg 207 7 physically physically RB cord-016187-58rqc0cg 207 8 integrated integrate VBN cord-016187-58rqc0cg 207 9 with with IN cord-016187-58rqc0cg 207 10 chromosome chromosome NN cord-016187-58rqc0cg 207 11 , , , cord-016187-58rqc0cg 207 12 bacteriophage bacteriophage NN cord-016187-58rqc0cg 207 13 , , , cord-016187-58rqc0cg 207 14 or or CC cord-016187-58rqc0cg 207 15 plasmid plasmid NN cord-016187-58rqc0cg 207 16 DNA dna NN cord-016187-58rqc0cg 207 17 in in IN cord-016187-58rqc0cg 207 18 order order NN cord-016187-58rqc0cg 207 19 to to TO cord-016187-58rqc0cg 207 20 be be VB cord-016187-58rqc0cg 207 21 replicated replicate VBN cord-016187-58rqc0cg 207 22 and and CC cord-016187-58rqc0cg 207 23 maintained maintain VBN cord-016187-58rqc0cg 207 24 in in IN cord-016187-58rqc0cg 207 25 a a DT cord-016187-58rqc0cg 207 26 bacterial bacterial JJ cord-016187-58rqc0cg 207 27 population population NN cord-016187-58rqc0cg 207 28 . . . cord-016187-58rqc0cg 208 1 Some some DT cord-016187-58rqc0cg 208 2 transposons transposon NNS cord-016187-58rqc0cg 208 3 have have VBP cord-016187-58rqc0cg 208 4 the the DT cord-016187-58rqc0cg 208 5 capability capability NN cord-016187-58rqc0cg 208 6 to to TO cord-016187-58rqc0cg 208 7 move move VB cord-016187-58rqc0cg 208 8 from from IN cord-016187-58rqc0cg 208 9 one one CD cord-016187-58rqc0cg 208 10 bacterium bacterium NN cord-016187-58rqc0cg 208 11 to to IN cord-016187-58rqc0cg 208 12 another another DT cord-016187-58rqc0cg 208 13 without without IN cord-016187-58rqc0cg 208 14 being be VBG cord-016187-58rqc0cg 208 15 transferred transfer VBN cord-016187-58rqc0cg 208 16 within within IN cord-016187-58rqc0cg 208 17 a a DT cord-016187-58rqc0cg 208 18 plasmid plasmid NN cord-016187-58rqc0cg 208 19 or or CC cord-016187-58rqc0cg 208 20 bacteriophage bacteriophage NN cord-016187-58rqc0cg 208 21 . . . cord-016187-58rqc0cg 209 1 These these DT cord-016187-58rqc0cg 209 2 conjugative conjugative JJ cord-016187-58rqc0cg 209 3 transposons transposon NNS cord-016187-58rqc0cg 209 4 are be VBP cord-016187-58rqc0cg 209 5 found find VBN cord-016187-58rqc0cg 209 6 primarily primarily RB cord-016187-58rqc0cg 209 7 in in IN cord-016187-58rqc0cg 209 8 aerobic aerobic JJ cord-016187-58rqc0cg 209 9 and and CC cord-016187-58rqc0cg 209 10 anaerobic anaerobic JJ cord-016187-58rqc0cg 209 11 Gram gram NN cord-016187-58rqc0cg 209 12 - - HYPH cord-016187-58rqc0cg 209 13 positive positive JJ cord-016187-58rqc0cg 209 14 organisms organism NNS cord-016187-58rqc0cg 209 15 and and CC cord-016187-58rqc0cg 209 16 can can MD cord-016187-58rqc0cg 209 17 rapidly rapidly RB cord-016187-58rqc0cg 209 18 and and CC cord-016187-58rqc0cg 209 19 effi effi NNP cord-016187-58rqc0cg 209 20 ciently ciently NNP cord-016187-58rqc0cg 209 21 spread spread VBD cord-016187-58rqc0cg 209 22 antibiotic antibiotic JJ cord-016187-58rqc0cg 209 23 resistance resistance NN cord-016187-58rqc0cg 209 24 genes gene NNS cord-016187-58rqc0cg 209 25 [ [ -LRB- cord-016187-58rqc0cg 209 26 30 30 CD cord-016187-58rqc0cg 209 27 , , , cord-016187-58rqc0cg 209 28 48 48 CD cord-016187-58rqc0cg 209 29 ] ] -RRB- cord-016187-58rqc0cg 209 30 . . . cord-016187-58rqc0cg 210 1 Transposition transposition NN cord-016187-58rqc0cg 210 2 , , , cord-016187-58rqc0cg 210 3 like like IN cord-016187-58rqc0cg 210 4 point point NN cord-016187-58rqc0cg 210 5 mutation mutation NN cord-016187-58rqc0cg 210 6 , , , cord-016187-58rqc0cg 210 7 is be VBZ cord-016187-58rqc0cg 210 8 a a DT cord-016187-58rqc0cg 210 9 continuous continuous JJ cord-016187-58rqc0cg 210 10 and and CC cord-016187-58rqc0cg 210 11 ongoing ongoing JJ cord-016187-58rqc0cg 210 12 process process NN cord-016187-58rqc0cg 210 13 in in IN cord-016187-58rqc0cg 210 14 bacterial bacterial JJ cord-016187-58rqc0cg 210 15 populations population NNS cord-016187-58rqc0cg 210 16 . . . cord-016187-58rqc0cg 211 1 Transposons transposon NNS cord-016187-58rqc0cg 211 2 are be VBP cord-016187-58rqc0cg 211 3 also also RB cord-016187-58rqc0cg 211 4 essential essential JJ cord-016187-58rqc0cg 211 5 in in IN cord-016187-58rqc0cg 211 6 the the DT cord-016187-58rqc0cg 211 7 evolution evolution NN cord-016187-58rqc0cg 211 8 of of IN cord-016187-58rqc0cg 211 9 R r NN cord-016187-58rqc0cg 211 10 plasmids plasmid NNS cord-016187-58rqc0cg 211 11 that that WDT cord-016187-58rqc0cg 211 12 contain contain VBP cord-016187-58rqc0cg 211 13 multiple multiple JJ cord-016187-58rqc0cg 211 14 antibiotic antibiotic JJ cord-016187-58rqc0cg 211 15 - - HYPH cord-016187-58rqc0cg 211 16 resistance resistance NN cord-016187-58rqc0cg 211 17 determinants determinant NNS cord-016187-58rqc0cg 211 18 [ [ -LRB- cord-016187-58rqc0cg 211 19 47 47 CD cord-016187-58rqc0cg 211 20 ] ] -RRB- cord-016187-58rqc0cg 211 21 . . . cord-016187-58rqc0cg 212 1 High high JJ cord-016187-58rqc0cg 212 2 - - HYPH cord-016187-58rqc0cg 212 3 level level NN cord-016187-58rqc0cg 212 4 vancomycin vancomycin NN cord-016187-58rqc0cg 212 5 resistance resistance NN cord-016187-58rqc0cg 212 6 ( ( -LRB- cord-016187-58rqc0cg 212 7 vanA vanA NNP cord-016187-58rqc0cg 212 8 ) ) -RRB- cord-016187-58rqc0cg 212 9 in in IN cord-016187-58rqc0cg 212 10 enterococci enterococci NNP cord-016187-58rqc0cg 212 11 is be VBZ cord-016187-58rqc0cg 212 12 mediated mediate VBN cord-016187-58rqc0cg 212 13 by by IN cord-016187-58rqc0cg 212 14 a a DT cord-016187-58rqc0cg 212 15 composite composite JJ cord-016187-58rqc0cg 212 16 transposon transposon NN cord-016187-58rqc0cg 212 17 that that WDT cord-016187-58rqc0cg 212 18 encodes encode VBZ cord-016187-58rqc0cg 212 19 a a DT cord-016187-58rqc0cg 212 20 series series NN cord-016187-58rqc0cg 212 21 of of IN cord-016187-58rqc0cg 212 22 genes gene NNS cord-016187-58rqc0cg 212 23 needed need VBN cord-016187-58rqc0cg 212 24 to to TO cord-016187-58rqc0cg 212 25 express express VB cord-016187-58rqc0cg 212 26 vancomycin vancomycin NN cord-016187-58rqc0cg 212 27 resistance resistance NN cord-016187-58rqc0cg 212 28 [ [ -LRB- cord-016187-58rqc0cg 212 29 38 38 CD cord-016187-58rqc0cg 212 30 ] ] -RRB- cord-016187-58rqc0cg 212 31 . . . cord-016187-58rqc0cg 213 1 Single single JJ cord-016187-58rqc0cg 213 2 transposons transposon NNS cord-016187-58rqc0cg 213 3 may may MD cord-016187-58rqc0cg 213 4 encode encode VB cord-016187-58rqc0cg 213 5 multiple multiple JJ cord-016187-58rqc0cg 213 6 antibiotic antibiotic JJ cord-016187-58rqc0cg 213 7 - - HYPH cord-016187-58rqc0cg 213 8 resistance resistance NN cord-016187-58rqc0cg 213 9 determinants determinant NNS cord-016187-58rqc0cg 213 10 within within IN cord-016187-58rqc0cg 213 11 their -PRON- PRP$ cord-016187-58rqc0cg 213 12 inverted invert VBN cord-016187-58rqc0cg 213 13 - - HYPH cord-016187-58rqc0cg 213 14 repeat repeat NN cord-016187-58rqc0cg 213 15 termini terminus NNS cord-016187-58rqc0cg 213 16 as as RB cord-016187-58rqc0cg 213 17 well well RB cord-016187-58rqc0cg 213 18 [ [ -LRB- cord-016187-58rqc0cg 213 19 23 23 CD cord-016187-58rqc0cg 213 20 ] ] -RRB- cord-016187-58rqc0cg 213 21 . . . cord-016187-58rqc0cg 214 1 Genetic genetic JJ cord-016187-58rqc0cg 214 2 exchange exchange NN cord-016187-58rqc0cg 214 3 of of IN cord-016187-58rqc0cg 214 4 antibiotic antibiotic JJ cord-016187-58rqc0cg 214 5 - - HYPH cord-016187-58rqc0cg 214 6 resistance resistance NN cord-016187-58rqc0cg 214 7 genes gene NNS cord-016187-58rqc0cg 214 8 occurs occur VBZ cord-016187-58rqc0cg 214 9 between between IN cord-016187-58rqc0cg 214 10 bacteria bacteria NNS cord-016187-58rqc0cg 214 11 of of IN cord-016187-58rqc0cg 214 12 widely widely RB cord-016187-58rqc0cg 214 13 disparate disparate JJ cord-016187-58rqc0cg 214 14 species specie NNS cord-016187-58rqc0cg 214 15 and and CC cord-016187-58rqc0cg 214 16 different different JJ cord-016187-58rqc0cg 214 17 genera genus NNS cord-016187-58rqc0cg 214 18 . . . cord-016187-58rqc0cg 215 1 Identical identical JJ cord-016187-58rqc0cg 215 2 aminoglycoside aminoglycoside JJ cord-016187-58rqc0cg 215 3 - - HYPH cord-016187-58rqc0cg 215 4 resistance resistance NN cord-016187-58rqc0cg 215 5 genes gene NNS cord-016187-58rqc0cg 215 6 can can MD cord-016187-58rqc0cg 215 7 spread spread VB cord-016187-58rqc0cg 215 8 between between IN cord-016187-58rqc0cg 215 9 Gram gram NN cord-016187-58rqc0cg 215 10 - - HYPH cord-016187-58rqc0cg 215 11 negative negative JJ cord-016187-58rqc0cg 215 12 and and CC cord-016187-58rqc0cg 215 13 Gram gram NN cord-016187-58rqc0cg 215 14 - - HYPH cord-016187-58rqc0cg 215 15 positive positive JJ cord-016187-58rqc0cg 215 16 bacteria bacteria NNS cord-016187-58rqc0cg 215 17 and and CC cord-016187-58rqc0cg 215 18 between between IN cord-016187-58rqc0cg 215 19 aerobic aerobic JJ cord-016187-58rqc0cg 215 20 and and CC cord-016187-58rqc0cg 215 21 anaerobic anaerobic JJ cord-016187-58rqc0cg 215 22 bacteria bacteria NNS cord-016187-58rqc0cg 215 23 [ [ -LRB- cord-016187-58rqc0cg 215 24 49 49 CD cord-016187-58rqc0cg 215 25 ] ] -RRB- cord-016187-58rqc0cg 215 26 . . . cord-016187-58rqc0cg 216 1 Given give VBN cord-016187-58rqc0cg 216 2 the the DT cord-016187-58rqc0cg 216 3 highly highly RB cord-016187-58rqc0cg 216 4 variable variable JJ cord-016187-58rqc0cg 216 5 environmental environmental JJ cord-016187-58rqc0cg 216 6 selection selection NN cord-016187-58rqc0cg 216 7 pressures pressure NNS cord-016187-58rqc0cg 216 8 created create VBN cord-016187-58rqc0cg 216 9 by by IN cord-016187-58rqc0cg 216 10 a a DT cord-016187-58rqc0cg 216 11 wide wide JJ cord-016187-58rqc0cg 216 12 variety variety NN cord-016187-58rqc0cg 216 13 of of IN cord-016187-58rqc0cg 216 14 antibiotics antibiotic NNS cord-016187-58rqc0cg 216 15 and and CC cord-016187-58rqc0cg 216 16 the the DT cord-016187-58rqc0cg 216 17 plasticity plasticity NN cord-016187-58rqc0cg 216 18 of of IN cord-016187-58rqc0cg 216 19 bacterial bacterial JJ cord-016187-58rqc0cg 216 20 genomes genome NNS cord-016187-58rqc0cg 216 21 , , , cord-016187-58rqc0cg 216 22 the the DT cord-016187-58rqc0cg 216 23 ongoing ongoing JJ cord-016187-58rqc0cg 216 24 evolution evolution NN cord-016187-58rqc0cg 216 25 of of IN cord-016187-58rqc0cg 216 26 multi multi JJ cord-016187-58rqc0cg 216 27 - - JJ cord-016187-58rqc0cg 216 28 drug drug JJ cord-016187-58rqc0cg 216 29 resistant resistant JJ cord-016187-58rqc0cg 216 30 bacterial bacterial JJ cord-016187-58rqc0cg 216 31 organisms organism NNS cord-016187-58rqc0cg 216 32 is be VBZ cord-016187-58rqc0cg 216 33 probably probably RB cord-016187-58rqc0cg 216 34 inevitable inevitable JJ cord-016187-58rqc0cg 216 35 [ [ -LRB- cord-016187-58rqc0cg 216 36 23 23 CD cord-016187-58rqc0cg 216 37 ] ] -RRB- cord-016187-58rqc0cg 216 38 . . . cord-016187-58rqc0cg 217 1 The the DT cord-016187-58rqc0cg 217 2 structural structural JJ cord-016187-58rqc0cg 217 3 genes gene NNS cord-016187-58rqc0cg 217 4 that that WDT cord-016187-58rqc0cg 217 5 mediate mediate VBP cord-016187-58rqc0cg 217 6 antibiotic antibiotic JJ cord-016187-58rqc0cg 217 7 resistance resistance NN cord-016187-58rqc0cg 217 8 are be VBP cord-016187-58rqc0cg 217 9 often often RB cord-016187-58rqc0cg 217 10 closely closely RB cord-016187-58rqc0cg 217 11 linked link VBN cord-016187-58rqc0cg 217 12 and and CC cord-016187-58rqc0cg 217 13 may may MD cord-016187-58rqc0cg 217 14 exist exist VB cord-016187-58rqc0cg 217 15 in in IN cord-016187-58rqc0cg 217 16 tandem tandem NN cord-016187-58rqc0cg 217 17 along along IN cord-016187-58rqc0cg 217 18 the the DT cord-016187-58rqc0cg 217 19 bacterial bacterial JJ cord-016187-58rqc0cg 217 20 chromosome chromosome NN cord-016187-58rqc0cg 217 21 or or CC cord-016187-58rqc0cg 217 22 plasmid plasmid NN cord-016187-58rqc0cg 217 23 . . . cord-016187-58rqc0cg 218 1 Genetic genetic JJ cord-016187-58rqc0cg 218 2 analysis analysis NN cord-016187-58rqc0cg 218 3 of of IN cord-016187-58rqc0cg 218 4 sequences sequence NNS cord-016187-58rqc0cg 218 5 of of IN cord-016187-58rqc0cg 218 6 DNA dna NN cord-016187-58rqc0cg 218 7 adjacent adjacent JJ cord-016187-58rqc0cg 218 8 to to IN cord-016187-58rqc0cg 218 9 resistance resistance NN cord-016187-58rqc0cg 218 10 genes gene NNS cord-016187-58rqc0cg 218 11 has have VBZ cord-016187-58rqc0cg 218 12 identifi identifi VBN cord-016187-58rqc0cg 218 13 ed ed NNP cord-016187-58rqc0cg 218 14 unique unique JJ cord-016187-58rqc0cg 218 15 integration integration NN cord-016187-58rqc0cg 218 16 units unit NNS cord-016187-58rqc0cg 218 17 near near IN cord-016187-58rqc0cg 218 18 promoter promoter NN cord-016187-58rqc0cg 218 19 sites site NNS cord-016187-58rqc0cg 218 20 [ [ -LRB- cord-016187-58rqc0cg 218 21 50 50 CD cord-016187-58rqc0cg 218 22 ] ] -RRB- cord-016187-58rqc0cg 218 23 . . . cord-016187-58rqc0cg 219 1 These these DT cord-016187-58rqc0cg 219 2 integration integration NN cord-016187-58rqc0cg 219 3 regions region NNS cord-016187-58rqc0cg 219 4 are be VBP cord-016187-58rqc0cg 219 5 known know VBN cord-016187-58rqc0cg 219 6 as as IN cord-016187-58rqc0cg 219 7 integrons integron NNS cord-016187-58rqc0cg 219 8 , , , cord-016187-58rqc0cg 219 9 and and CC cord-016187-58rqc0cg 219 10 they -PRON- PRP cord-016187-58rqc0cg 219 11 function function VBP cord-016187-58rqc0cg 219 12 as as IN cord-016187-58rqc0cg 219 13 convenient convenient JJ cord-016187-58rqc0cg 219 14 recombinational recombinational JJ cord-016187-58rqc0cg 219 15 ' ' POS cord-016187-58rqc0cg 219 16 hot hot JJ cord-016187-58rqc0cg 219 17 spots spot NNS cord-016187-58rqc0cg 219 18 ' ' POS cord-016187-58rqc0cg 219 19 for for IN cord-016187-58rqc0cg 219 20 site site NN cord-016187-58rqc0cg 219 21 - - HYPH cord-016187-58rqc0cg 219 22 specifi specifi NN cord-016187-58rqc0cg 219 23 c c NN cord-016187-58rqc0cg 219 24 recombination recombination NN cord-016187-58rqc0cg 219 25 events event NNS cord-016187-58rqc0cg 219 26 between between IN cord-016187-58rqc0cg 219 27 largely largely RB cord-016187-58rqc0cg 219 28 non non JJ cord-016187-58rqc0cg 219 29 - - JJ cord-016187-58rqc0cg 219 30 homologous homologous JJ cord-016187-58rqc0cg 219 31 sequences sequence NNS cord-016187-58rqc0cg 219 32 of of IN cord-016187-58rqc0cg 219 33 DNA DNA NNP cord-016187-58rqc0cg 219 34 . . . cord-016187-58rqc0cg 220 1 The the DT cord-016187-58rqc0cg 220 2 integron integron NN cord-016187-58rqc0cg 220 3 provides provide VBZ cord-016187-58rqc0cg 220 4 its -PRON- PRP$ cord-016187-58rqc0cg 220 5 own own JJ cord-016187-58rqc0cg 220 6 integrase integrase NN cord-016187-58rqc0cg 220 7 function function NN cord-016187-58rqc0cg 220 8 [ [ -LRB- cord-016187-58rqc0cg 220 9 94 94 CD cord-016187-58rqc0cg 220 10 ] ] -RRB- cord-016187-58rqc0cg 220 11 with with IN cord-016187-58rqc0cg 220 12 a a DT cord-016187-58rqc0cg 220 13 common common JJ cord-016187-58rqc0cg 220 14 attachment attachment NN cord-016187-58rqc0cg 220 15 and and CC cord-016187-58rqc0cg 220 16 integration integration NN cord-016187-58rqc0cg 220 17 site site NN cord-016187-58rqc0cg 220 18 for for IN cord-016187-58rqc0cg 220 19 acquisition acquisition NN cord-016187-58rqc0cg 220 20 of of IN cord-016187-58rqc0cg 220 21 foreign foreign JJ cord-016187-58rqc0cg 220 22 DNA dna NN cord-016187-58rqc0cg 220 23 sequences sequence NNS cord-016187-58rqc0cg 220 24 . . . cord-016187-58rqc0cg 221 1 Integrons integron NNS cord-016187-58rqc0cg 221 2 are be VBP cord-016187-58rqc0cg 221 3 widespread widespread JJ cord-016187-58rqc0cg 221 4 in in IN cord-016187-58rqc0cg 221 5 bacterial bacterial JJ cord-016187-58rqc0cg 221 6 populations population NNS cord-016187-58rqc0cg 221 7 and and CC cord-016187-58rqc0cg 221 8 provide provide VB cord-016187-58rqc0cg 221 9 a a DT cord-016187-58rqc0cg 221 10 convenient convenient JJ cord-016187-58rqc0cg 221 11 site site NN cord-016187-58rqc0cg 221 12 for for IN cord-016187-58rqc0cg 221 13 insertion insertion NN cord-016187-58rqc0cg 221 14 of of IN cord-016187-58rqc0cg 221 15 multiple multiple JJ cord-016187-58rqc0cg 221 16 different different JJ cord-016187-58rqc0cg 221 17 resistance resistance NN cord-016187-58rqc0cg 221 18 genes gene NNS cord-016187-58rqc0cg 221 19 from from IN cord-016187-58rqc0cg 221 20 foreign foreign JJ cord-016187-58rqc0cg 221 21 DNA dna NN cord-016187-58rqc0cg 221 22 sources source NNS cord-016187-58rqc0cg 221 23 . . . cord-016187-58rqc0cg 222 1 There there EX cord-016187-58rqc0cg 222 2 are be VBP cord-016187-58rqc0cg 222 3 four four CD cord-016187-58rqc0cg 222 4 classes class NNS cord-016187-58rqc0cg 222 5 of of IN cord-016187-58rqc0cg 222 6 integrons integron NNS cord-016187-58rqc0cg 222 7 with with IN cord-016187-58rqc0cg 222 8 type type NN cord-016187-58rqc0cg 223 1 I -PRON- PRP cord-016187-58rqc0cg 223 2 integrons integrons VBP cord-016187-58rqc0cg 223 3 being be VBG cord-016187-58rqc0cg 223 4 the the DT cord-016187-58rqc0cg 223 5 most most RBS cord-016187-58rqc0cg 223 6 common common JJ cord-016187-58rqc0cg 223 7 in in IN cord-016187-58rqc0cg 223 8 pathogenic pathogenic JJ cord-016187-58rqc0cg 223 9 microorganisms microorganism NNS cord-016187-58rqc0cg 223 10 [ [ -LRB- cord-016187-58rqc0cg 223 11 23 23 CD cord-016187-58rqc0cg 223 12 ] ] -RRB- cord-016187-58rqc0cg 223 13 . . . cord-016187-58rqc0cg 224 1 Integrons Integrons NNP cord-016187-58rqc0cg 224 2 also also RB cord-016187-58rqc0cg 224 3 serve serve VBP cord-016187-58rqc0cg 224 4 as as IN cord-016187-58rqc0cg 224 5 effi effi NNP cord-016187-58rqc0cg 224 6 cient cient NNP cord-016187-58rqc0cg 224 7 expression expression NN cord-016187-58rqc0cg 224 8 cassettes cassette NNS cord-016187-58rqc0cg 224 9 for for IN cord-016187-58rqc0cg 224 10 resistance resistance NN cord-016187-58rqc0cg 224 11 genes gene NNS cord-016187-58rqc0cg 224 12 . . . cord-016187-58rqc0cg 225 1 Integrons Integrons NNPS cord-016187-58rqc0cg 225 2 possess possess VBP cord-016187-58rqc0cg 225 3 a a DT cord-016187-58rqc0cg 225 4 promoter promoter NN cord-016187-58rqc0cg 225 5 site site NN cord-016187-58rqc0cg 225 6 in in IN cord-016187-58rqc0cg 225 7 close close JJ cord-016187-58rqc0cg 225 8 proximity proximity NN cord-016187-58rqc0cg 225 9 to to IN cord-016187-58rqc0cg 225 10 the the DT cord-016187-58rqc0cg 225 11 5'end 5'end CD cord-016187-58rqc0cg 225 12 of of IN cord-016187-58rqc0cg 225 13 the the DT cord-016187-58rqc0cg 225 14 newly newly RB cord-016187-58rqc0cg 225 15 inserted insert VBN cord-016187-58rqc0cg 225 16 DNA dna NN cord-016187-58rqc0cg 225 17 sequence sequence NN cord-016187-58rqc0cg 225 18 . . . cord-016187-58rqc0cg 226 1 Numerous numerous JJ cord-016187-58rqc0cg 226 2 clusters cluster NNS cord-016187-58rqc0cg 226 3 of of IN cord-016187-58rqc0cg 226 4 different different JJ cord-016187-58rqc0cg 226 5 resistance resistance NN cord-016187-58rqc0cg 226 6 genes gene NNS cord-016187-58rqc0cg 226 7 have have VBP cord-016187-58rqc0cg 226 8 been be VBN cord-016187-58rqc0cg 226 9 linked link VBN cord-016187-58rqc0cg 226 10 into into IN cord-016187-58rqc0cg 226 11 integrons integron NNS cord-016187-58rqc0cg 226 12 through through IN cord-016187-58rqc0cg 226 13 specifi specifi NNP cord-016187-58rqc0cg 226 14 c c NN cord-016187-58rqc0cg 226 15 insertion insertion NN cord-016187-58rqc0cg 226 16 sites site NNS cord-016187-58rqc0cg 226 17 . . . cord-016187-58rqc0cg 227 1 Integrons Integrons NNP cord-016187-58rqc0cg 227 2 may may MD cord-016187-58rqc0cg 227 3 have have VB cord-016187-58rqc0cg 227 4 as as RB cord-016187-58rqc0cg 227 5 many many JJ cord-016187-58rqc0cg 227 6 as as IN cord-016187-58rqc0cg 227 7 fi fi NNP cord-016187-58rqc0cg 227 8 ve ve VBD cord-016187-58rqc0cg 227 9 resistance resistance NN cord-016187-58rqc0cg 227 10 genes gene NNS cord-016187-58rqc0cg 227 11 linked link VBN cord-016187-58rqc0cg 227 12 in in IN cord-016187-58rqc0cg 227 13 sequence sequence NN cord-016187-58rqc0cg 227 14 and and CC cord-016187-58rqc0cg 227 15 fl fl NNP cord-016187-58rqc0cg 227 16 anked anked NNP cord-016187-58rqc0cg 227 17 between between IN cord-016187-58rqc0cg 227 18 specifi specifi NNP cord-016187-58rqc0cg 227 19 c c NNP cord-016187-58rqc0cg 227 20 59 59 CD cord-016187-58rqc0cg 227 21 base base NN cord-016187-58rqc0cg 227 22 - - HYPH cord-016187-58rqc0cg 227 23 pair pair NN cord-016187-58rqc0cg 227 24 spacer spacer NN cord-016187-58rqc0cg 227 25 units unit NNS cord-016187-58rqc0cg 227 26 [ [ -LRB- cord-016187-58rqc0cg 227 27 50 50 CD cord-016187-58rqc0cg 227 28 , , , cord-016187-58rqc0cg 227 29 51 51 CD cord-016187-58rqc0cg 227 30 ] ] -RRB- cord-016187-58rqc0cg 227 31 . . . cord-016187-58rqc0cg 228 1 Integron Integron NNP cord-016187-58rqc0cg 228 2 - - HYPH cord-016187-58rqc0cg 228 3 mediated mediate VBN cord-016187-58rqc0cg 228 4 multiple multiple JJ cord-016187-58rqc0cg 228 5 resistance resistance NN cord-016187-58rqc0cg 228 6 gene gene NN cord-016187-58rqc0cg 228 7 cassettes cassette NNS cord-016187-58rqc0cg 228 8 have have VBP cord-016187-58rqc0cg 228 9 been be VBN cord-016187-58rqc0cg 228 10 fl fl NNP cord-016187-58rqc0cg 228 11 anked anke VBN cord-016187-58rqc0cg 228 12 by by IN cord-016187-58rqc0cg 228 13 transposons transposon NNS cord-016187-58rqc0cg 228 14 , , , cord-016187-58rqc0cg 228 15 mobilized mobilize VBD cord-016187-58rqc0cg 228 16 to to IN cord-016187-58rqc0cg 228 17 plasmids plasmid NNS cord-016187-58rqc0cg 228 18 , , , cord-016187-58rqc0cg 228 19 and and CC cord-016187-58rqc0cg 228 20 then then RB cord-016187-58rqc0cg 228 21 transferred transfer VBN cord-016187-58rqc0cg 228 22 between between IN cord-016187-58rqc0cg 228 23 bacterial bacterial JJ cord-016187-58rqc0cg 228 24 species specie NNS cord-016187-58rqc0cg 228 25 by by IN cord-016187-58rqc0cg 228 26 conjugation conjugation NN cord-016187-58rqc0cg 228 27 . . . cord-016187-58rqc0cg 229 1 By by IN cord-016187-58rqc0cg 229 2 these these DT cord-016187-58rqc0cg 229 3 systems system NNS cord-016187-58rqc0cg 229 4 of of IN cord-016187-58rqc0cg 229 5 genetic genetic JJ cord-016187-58rqc0cg 229 6 exchange exchange NN cord-016187-58rqc0cg 229 7 , , , cord-016187-58rqc0cg 229 8 widespread widespread JJ cord-016187-58rqc0cg 229 9 dissemination dissemination NN cord-016187-58rqc0cg 229 10 of of IN cord-016187-58rqc0cg 229 11 multiple multiple JJ cord-016187-58rqc0cg 229 12 antibiotic antibiotic JJ cord-016187-58rqc0cg 229 13 resistance resistance NN cord-016187-58rqc0cg 229 14 genes gene NNS cord-016187-58rqc0cg 229 15 is be VBZ cord-016187-58rqc0cg 229 16 accomplished accomplish VBN cord-016187-58rqc0cg 229 17 in in IN cord-016187-58rqc0cg 229 18 a a DT cord-016187-58rqc0cg 229 19 rapid rapid JJ cord-016187-58rqc0cg 229 20 and and CC cord-016187-58rqc0cg 229 21 frighteningly frighteningly RB cord-016187-58rqc0cg 229 22 effi effi JJ cord-016187-58rqc0cg 229 23 cient cient NN cord-016187-58rqc0cg 229 24 manner manner NN cord-016187-58rqc0cg 229 25 [ [ -LRB- cord-016187-58rqc0cg 229 26 50 50 CD cord-016187-58rqc0cg 229 27 ] ] -RRB- cord-016187-58rqc0cg 229 28 . . . cord-016187-58rqc0cg 230 1 For for IN cord-016187-58rqc0cg 230 2 some some DT cord-016187-58rqc0cg 230 3 time time NN cord-016187-58rqc0cg 230 4 concerned concern VBN cord-016187-58rqc0cg 230 5 scientists scientist NNS cord-016187-58rqc0cg 230 6 have have VBP cord-016187-58rqc0cg 230 7 been be VBN cord-016187-58rqc0cg 230 8 warning warn VBG cord-016187-58rqc0cg 230 9 about about IN cord-016187-58rqc0cg 230 10 the the DT cord-016187-58rqc0cg 230 11 possibility possibility NN cord-016187-58rqc0cg 230 12 of of IN cord-016187-58rqc0cg 230 13 widespread widespread JJ cord-016187-58rqc0cg 230 14 antibiotic antibiotic JJ cord-016187-58rqc0cg 230 15 resistance resistance NN cord-016187-58rqc0cg 230 16 leading lead VBG cord-016187-58rqc0cg 230 17 to to IN cord-016187-58rqc0cg 230 18 the the DT cord-016187-58rqc0cg 230 19 loss loss NN cord-016187-58rqc0cg 230 20 of of IN cord-016187-58rqc0cg 230 21 effectiveness effectiveness NN cord-016187-58rqc0cg 230 22 of of IN cord-016187-58rqc0cg 230 23 antibiotics antibiotic NNS cord-016187-58rqc0cg 230 24 in in IN cord-016187-58rqc0cg 230 25 clinical clinical JJ cord-016187-58rqc0cg 230 26 medicine medicine NN cord-016187-58rqc0cg 230 27 [ [ -LRB- cord-016187-58rqc0cg 230 28 49 49 CD cord-016187-58rqc0cg 230 29 ] ] -RRB- cord-016187-58rqc0cg 230 30 [ [ -LRB- cord-016187-58rqc0cg 230 31 50 50 CD cord-016187-58rqc0cg 230 32 ] ] -RRB- cord-016187-58rqc0cg 230 33 [ [ -LRB- cord-016187-58rqc0cg 230 34 51 51 CD cord-016187-58rqc0cg 230 35 ] ] -RRB- cord-016187-58rqc0cg 230 36 [ [ -LRB- cord-016187-58rqc0cg 230 37 52 52 CD cord-016187-58rqc0cg 230 38 ] ] -RRB- cord-016187-58rqc0cg 230 39 . . . cord-016187-58rqc0cg 231 1 These these DT cord-016187-58rqc0cg 231 2 warnings warning NNS cord-016187-58rqc0cg 231 3 have have VBP cord-016187-58rqc0cg 231 4 largely largely RB cord-016187-58rqc0cg 231 5 been be VBN cord-016187-58rqc0cg 231 6 ignored ignore VBN cord-016187-58rqc0cg 231 7 as as IN cord-016187-58rqc0cg 231 8 it -PRON- PRP cord-016187-58rqc0cg 231 9 was be VBD cord-016187-58rqc0cg 231 10 assumed assume VBN cord-016187-58rqc0cg 231 11 that that IN cord-016187-58rqc0cg 231 12 this this DT cord-016187-58rqc0cg 231 13 human human JJ cord-016187-58rqc0cg 231 14 need need NN cord-016187-58rqc0cg 231 15 and and CC cord-016187-58rqc0cg 231 16 the the DT cord-016187-58rqc0cg 231 17 profi profi NNP cord-016187-58rqc0cg 231 18 t t NNP cord-016187-58rqc0cg 231 19 motive motive NN cord-016187-58rqc0cg 231 20 of of IN cord-016187-58rqc0cg 231 21 free free JJ cord-016187-58rqc0cg 231 22 enterprise enterprise NN cord-016187-58rqc0cg 231 23 would would MD cord-016187-58rqc0cg 231 24 stimulate stimulate VB cord-016187-58rqc0cg 231 25 pharmaceutical pharmaceutical JJ cord-016187-58rqc0cg 231 26 companies company NNS cord-016187-58rqc0cg 231 27 to to TO cord-016187-58rqc0cg 231 28 continuously continuously RB cord-016187-58rqc0cg 231 29 develop develop VB cord-016187-58rqc0cg 231 30 new new JJ cord-016187-58rqc0cg 231 31 antibiotics antibiotic NNS cord-016187-58rqc0cg 231 32 . . . cord-016187-58rqc0cg 232 1 If if IN cord-016187-58rqc0cg 232 2 we -PRON- PRP cord-016187-58rqc0cg 232 3 could could MD cord-016187-58rqc0cg 232 4 discover discover VB cord-016187-58rqc0cg 232 5 new new JJ cord-016187-58rqc0cg 232 6 targets target NNS cord-016187-58rqc0cg 232 7 for for IN cord-016187-58rqc0cg 232 8 future future JJ cord-016187-58rqc0cg 232 9 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 232 10 drugs drug NNS cord-016187-58rqc0cg 232 11 it -PRON- PRP cord-016187-58rqc0cg 232 12 may may MD cord-016187-58rqc0cg 232 13 be be VB cord-016187-58rqc0cg 232 14 possible possible JJ cord-016187-58rqc0cg 232 15 to to TO cord-016187-58rqc0cg 232 16 keep keep VB cord-016187-58rqc0cg 232 17 pace pace NN cord-016187-58rqc0cg 232 18 or or CC cord-016187-58rqc0cg 232 19 even even RB cord-016187-58rqc0cg 232 20 exceed exceed VB cord-016187-58rqc0cg 232 21 the the DT cord-016187-58rqc0cg 232 22 rate rate NN cord-016187-58rqc0cg 232 23 of of IN cord-016187-58rqc0cg 232 24 antibiotic antibiotic JJ cord-016187-58rqc0cg 232 25 resistance resistance NN cord-016187-58rqc0cg 232 26 gene gene NN cord-016187-58rqc0cg 232 27 development development NN cord-016187-58rqc0cg 232 28 by by IN cord-016187-58rqc0cg 232 29 microbial microbial JJ cord-016187-58rqc0cg 232 30 pathogens pathogen NNS cord-016187-58rqc0cg 232 31 . . . cord-016187-58rqc0cg 233 1 For for IN cord-016187-58rqc0cg 233 2 a a DT cord-016187-58rqc0cg 233 3 number number NN cord-016187-58rqc0cg 233 4 of of IN cord-016187-58rqc0cg 233 5 disconcerting disconcerting JJ cord-016187-58rqc0cg 233 6 reasons reason NNS cord-016187-58rqc0cg 233 7 , , , cord-016187-58rqc0cg 233 8 humans human NNS cord-016187-58rqc0cg 233 9 may may MD cord-016187-58rqc0cg 233 10 be be VB cord-016187-58rqc0cg 233 11 losing lose VBG cord-016187-58rqc0cg 233 12 ground ground NN cord-016187-58rqc0cg 233 13 rather rather RB cord-016187-58rqc0cg 233 14 than than IN cord-016187-58rqc0cg 233 15 gaining gain VBG cord-016187-58rqc0cg 233 16 on on IN cord-016187-58rqc0cg 233 17 pathogens pathogen NNS cord-016187-58rqc0cg 233 18 in in IN cord-016187-58rqc0cg 233 19 the the DT cord-016187-58rqc0cg 233 20 21 21 CD cord-016187-58rqc0cg 233 21 st st NNP cord-016187-58rqc0cg 233 22 century century NN cord-016187-58rqc0cg 233 23 . . . cord-016187-58rqc0cg 234 1 A a DT cord-016187-58rqc0cg 234 2 recent recent JJ cord-016187-58rqc0cg 234 3 survey survey NN cord-016187-58rqc0cg 234 4 of of IN cord-016187-58rqc0cg 234 5 new new JJ cord-016187-58rqc0cg 234 6 pharmaceutical pharmaceutical JJ cord-016187-58rqc0cg 234 7 products product NNS cord-016187-58rqc0cg 234 8 in in IN cord-016187-58rqc0cg 234 9 2002 2002 CD cord-016187-58rqc0cg 234 10 found find VBD cord-016187-58rqc0cg 234 11 only only RB cord-016187-58rqc0cg 234 12 fi fi NNP cord-016187-58rqc0cg 234 13 ve ve VBD cord-016187-58rqc0cg 234 14 new new JJ cord-016187-58rqc0cg 234 15 antibiotics antibiotic NNS cord-016187-58rqc0cg 234 16 out out IN cord-016187-58rqc0cg 234 17 of of IN cord-016187-58rqc0cg 234 18 the the DT cord-016187-58rqc0cg 234 19 506 506 CD cord-016187-58rqc0cg 234 20 new new JJ cord-016187-58rqc0cg 234 21 molecular molecular JJ cord-016187-58rqc0cg 234 22 entities entity NNS cord-016187-58rqc0cg 234 23 in in IN cord-016187-58rqc0cg 234 24 the the DT cord-016187-58rqc0cg 234 25 research research NN cord-016187-58rqc0cg 234 26 and and CC cord-016187-58rqc0cg 234 27 development development NN cord-016187-58rqc0cg 234 28 pipeline pipeline NN cord-016187-58rqc0cg 234 29 [ [ -LRB- cord-016187-58rqc0cg 234 30 52 52 CD cord-016187-58rqc0cg 234 31 ] ] -RRB- cord-016187-58rqc0cg 234 32 . . . cord-016187-58rqc0cg 235 1 The the DT cord-016187-58rqc0cg 235 2 pace pace NN cord-016187-58rqc0cg 235 3 of of IN cord-016187-58rqc0cg 235 4 new new JJ cord-016187-58rqc0cg 235 5 antibiotic antibiotic JJ cord-016187-58rqc0cg 235 6 discovery discovery NN cord-016187-58rqc0cg 235 7 is be VBZ cord-016187-58rqc0cg 235 8 turning turn VBG cord-016187-58rqc0cg 235 9 into into IN cord-016187-58rqc0cg 235 10 a a DT cord-016187-58rqc0cg 235 11 trickle trickle NN cord-016187-58rqc0cg 235 12 and and CC cord-016187-58rqc0cg 235 13 drying dry VBG cord-016187-58rqc0cg 235 14 up up RP cord-016187-58rqc0cg 235 15 compared compare VBN cord-016187-58rqc0cg 235 16 to to IN cord-016187-58rqc0cg 235 17 what what WP cord-016187-58rqc0cg 235 18 it -PRON- PRP cord-016187-58rqc0cg 235 19 was be VBD cord-016187-58rqc0cg 235 20 even even RB cord-016187-58rqc0cg 235 21 20 20 CD cord-016187-58rqc0cg 235 22 years year NNS cord-016187-58rqc0cg 235 23 ago ago RB cord-016187-58rqc0cg 235 24 [ [ -LRB- cord-016187-58rqc0cg 235 25 53 53 CD cord-016187-58rqc0cg 235 26 ] ] -RRB- cord-016187-58rqc0cg 235 27 . . . cord-016187-58rqc0cg 236 1 The the DT cord-016187-58rqc0cg 236 2 market market NN cord-016187-58rqc0cg 236 3 reality reality NN cord-016187-58rqc0cg 236 4 is be VBZ cord-016187-58rqc0cg 236 5 regrettably regrettably RB cord-016187-58rqc0cg 236 6 set set VBN cord-016187-58rqc0cg 236 7 against against IN cord-016187-58rqc0cg 236 8 the the DT cord-016187-58rqc0cg 236 9 development development NN cord-016187-58rqc0cg 236 10 of of IN cord-016187-58rqc0cg 236 11 new new JJ cord-016187-58rqc0cg 236 12 antibiotics antibiotic NNS cord-016187-58rqc0cg 236 13 in in IN cord-016187-58rqc0cg 236 14 favor favor NN cord-016187-58rqc0cg 236 15 of of IN cord-016187-58rqc0cg 236 16 more more JJR cord-016187-58rqc0cg 236 17 lucrative lucrative JJ cord-016187-58rqc0cg 236 18 options option NNS cord-016187-58rqc0cg 236 19 with with IN cord-016187-58rqc0cg 236 20 greater great JJR cord-016187-58rqc0cg 236 21 market market NN cord-016187-58rqc0cg 236 22 profi profi NNP cord-016187-58rqc0cg 236 23 t t NNP cord-016187-58rqc0cg 236 24 from from IN cord-016187-58rqc0cg 236 25 drugs drug NNS cord-016187-58rqc0cg 236 26 for for IN cord-016187-58rqc0cg 236 27 chronic chronic JJ cord-016187-58rqc0cg 236 28 illnesses illness NNS cord-016187-58rqc0cg 236 29 with with IN cord-016187-58rqc0cg 236 30 less less JJR cord-016187-58rqc0cg 236 31 risk risk NN cord-016187-58rqc0cg 236 32 and and CC cord-016187-58rqc0cg 236 33 longer long JJR cord-016187-58rqc0cg 236 34 revenue revenue NN cord-016187-58rqc0cg 236 35 streams stream NNS cord-016187-58rqc0cg 236 36 [ [ -LRB- cord-016187-58rqc0cg 236 37 52 52 CD cord-016187-58rqc0cg 236 38 ] ] -RRB- cord-016187-58rqc0cg 237 1 [ [ -LRB- cord-016187-58rqc0cg 237 2 53 53 CD cord-016187-58rqc0cg 237 3 ] ] -RRB- cord-016187-58rqc0cg 237 4 [ [ -LRB- cord-016187-58rqc0cg 237 5 54 54 CD cord-016187-58rqc0cg 237 6 ] ] -RRB- cord-016187-58rqc0cg 237 7 . . . cord-016187-58rqc0cg 238 1 The the DT cord-016187-58rqc0cg 238 2 reimbursement reimbursement NN cord-016187-58rqc0cg 238 3 and and CC cord-016187-58rqc0cg 238 4 return return NN cord-016187-58rqc0cg 238 5 on on IN cord-016187-58rqc0cg 238 6 investments investment NNS cord-016187-58rqc0cg 238 7 are be VBP cord-016187-58rqc0cg 238 8 unfavorable unfavorable JJ cord-016187-58rqc0cg 238 9 for for IN cord-016187-58rqc0cg 238 10 antibiotics antibiotic NNS cord-016187-58rqc0cg 238 11 and and CC cord-016187-58rqc0cg 238 12 the the DT cord-016187-58rqc0cg 238 13 market market NN cord-016187-58rqc0cg 238 14 system system NN cord-016187-58rqc0cg 238 15 is be VBZ cord-016187-58rqc0cg 238 16 not not RB cord-016187-58rqc0cg 238 17 meeting meet VBG cord-016187-58rqc0cg 238 18 the the DT cord-016187-58rqc0cg 238 19 needs need NNS cord-016187-58rqc0cg 238 20 of of IN cord-016187-58rqc0cg 238 21 society society NN cord-016187-58rqc0cg 238 22 with with IN cord-016187-58rqc0cg 238 23 respect respect NN cord-016187-58rqc0cg 238 24 to to IN cord-016187-58rqc0cg 238 25 new new JJ cord-016187-58rqc0cg 238 26 antibiotic antibiotic JJ cord-016187-58rqc0cg 238 27 development development NN cord-016187-58rqc0cg 238 28 . . . cord-016187-58rqc0cg 239 1 Some some DT cord-016187-58rqc0cg 239 2 far far RB cord-016187-58rqc0cg 239 3 reaching reach VBG cord-016187-58rqc0cg 239 4 and and CC cord-016187-58rqc0cg 239 5 bold bold JJ cord-016187-58rqc0cg 239 6 initiatives initiative NNS cord-016187-58rqc0cg 239 7 are be VBP cord-016187-58rqc0cg 239 8 desperately desperately RB cord-016187-58rqc0cg 239 9 needed need VBN cord-016187-58rqc0cg 239 10 if if IN cord-016187-58rqc0cg 239 11 a a DT cord-016187-58rqc0cg 239 12 crisis crisis NN cord-016187-58rqc0cg 239 13 in in IN cord-016187-58rqc0cg 239 14 loss loss NN cord-016187-58rqc0cg 239 15 of of IN cord-016187-58rqc0cg 239 16 antibi antibi NNP cord-016187-58rqc0cg 239 17 - - HYPH cord-016187-58rqc0cg 239 18 otic otic JJ cord-016187-58rqc0cg 239 19 effectiveness effectiveness NN cord-016187-58rqc0cg 239 20 is be VBZ cord-016187-58rqc0cg 239 21 to to TO cord-016187-58rqc0cg 239 22 be be VB cord-016187-58rqc0cg 239 23 avoided avoid VBN cord-016187-58rqc0cg 239 24 [ [ -LRB- cord-016187-58rqc0cg 239 25 52 52 CD cord-016187-58rqc0cg 239 26 , , , cord-016187-58rqc0cg 239 27 53 53 CD cord-016187-58rqc0cg 239 28 ] ] -RRB- cord-016187-58rqc0cg 239 29 . . . cord-016187-58rqc0cg 240 1 The the DT cord-016187-58rqc0cg 240 2 disincentives disincentive NNS cord-016187-58rqc0cg 240 3 for for IN cord-016187-58rqc0cg 240 4 new new JJ cord-016187-58rqc0cg 240 5 antibiotic antibiotic JJ cord-016187-58rqc0cg 240 6 development development NN cord-016187-58rqc0cg 240 7 and and CC cord-016187-58rqc0cg 240 8 some some DT cord-016187-58rqc0cg 240 9 proposed propose VBN cord-016187-58rqc0cg 240 10 solutions solution NNS cord-016187-58rqc0cg 240 11 are be VBP cord-016187-58rqc0cg 240 12 listed list VBN cord-016187-58rqc0cg 240 13 in in IN cord-016187-58rqc0cg 240 14 Table Table NNP cord-016187-58rqc0cg 240 15 4 4 CD cord-016187-58rqc0cg 240 16 . . . cord-016187-58rqc0cg 241 1 Bacterial bacterial JJ cord-016187-58rqc0cg 241 2 strains strain NNS cord-016187-58rqc0cg 241 3 contain contain VBP cord-016187-58rqc0cg 241 4 complex complex JJ cord-016187-58rqc0cg 241 5 aggregations aggregation NNS cord-016187-58rqc0cg 241 6 of of IN cord-016187-58rqc0cg 241 7 genes gene NNS cord-016187-58rqc0cg 241 8 that that WDT cord-016187-58rqc0cg 241 9 may may MD cord-016187-58rqc0cg 241 10 be be VB cord-016187-58rqc0cg 241 11 linked link VBN cord-016187-58rqc0cg 241 12 together together RB cord-016187-58rqc0cg 241 13 to to TO cord-016187-58rqc0cg 241 14 combat combat VB cord-016187-58rqc0cg 241 15 the the DT cord-016187-58rqc0cg 241 16 inhibitory inhibitory JJ cord-016187-58rqc0cg 241 17 effects effect NNS cord-016187-58rqc0cg 241 18 of of IN cord-016187-58rqc0cg 241 19 antibiotics antibiotic NNS cord-016187-58rqc0cg 241 20 . . . cord-016187-58rqc0cg 242 1 Since since IN cord-016187-58rqc0cg 242 2 prokaryotic prokaryotic JJ cord-016187-58rqc0cg 242 3 organisms organism NNS cord-016187-58rqc0cg 242 4 all all DT cord-016187-58rqc0cg 242 5 contribute contribute VBP cord-016187-58rqc0cg 242 6 to to IN cord-016187-58rqc0cg 242 7 a a DT cord-016187-58rqc0cg 242 8 common common JJ cord-016187-58rqc0cg 242 9 ' ' `` cord-016187-58rqc0cg 242 10 gene gene NN cord-016187-58rqc0cg 242 11 pool pool NN cord-016187-58rqc0cg 242 12 ' ' '' cord-016187-58rqc0cg 242 13 , , , cord-016187-58rqc0cg 242 14 favorable favorable JJ cord-016187-58rqc0cg 242 15 genes gene NNS cord-016187-58rqc0cg 242 16 mediating mediate VBG cord-016187-58rqc0cg 242 17 antibiotic antibiotic JJ cord-016187-58rqc0cg 242 18 resistance resistance NN cord-016187-58rqc0cg 242 19 may may MD cord-016187-58rqc0cg 242 20 disseminate disseminate VB cord-016187-58rqc0cg 242 21 among among IN cord-016187-58rqc0cg 242 22 bacterial bacterial JJ cord-016187-58rqc0cg 242 23 diverse diverse JJ cord-016187-58rqc0cg 242 24 microbial microbial JJ cord-016187-58rqc0cg 242 25 genera genus NNS cord-016187-58rqc0cg 242 26 and and CC cord-016187-58rqc0cg 242 27 species specie NNS cord-016187-58rqc0cg 242 28 . . . cord-016187-58rqc0cg 243 1 Increasing increase VBG cord-016187-58rqc0cg 243 2 evidence evidence NN cord-016187-58rqc0cg 243 3 of of IN cord-016187-58rqc0cg 243 4 multiple multiple JJ cord-016187-58rqc0cg 243 5 antibiotic antibiotic JJ cord-016187-58rqc0cg 243 6 resistance resistance NN cord-016187-58rqc0cg 243 7 mechanisms mechanism NNS cord-016187-58rqc0cg 243 8 within within IN cord-016187-58rqc0cg 243 9 the the DT cord-016187-58rqc0cg 243 10 same same JJ cord-016187-58rqc0cg 243 11 bacterium bacterium NN cord-016187-58rqc0cg 243 12 against against IN cord-016187-58rqc0cg 243 13 a a DT cord-016187-58rqc0cg 243 14 single single JJ cord-016187-58rqc0cg 243 15 type type NN cord-016187-58rqc0cg 243 16 of of IN cord-016187-58rqc0cg 243 17 antibiotic antibiotic NN cord-016187-58rqc0cg 243 18 , , , cord-016187-58rqc0cg 243 19 and and CC cord-016187-58rqc0cg 243 20 cooperation cooperation NN cord-016187-58rqc0cg 243 21 between between IN cord-016187-58rqc0cg 243 22 bacterial bacterial JJ cord-016187-58rqc0cg 243 23 populations population NNS cord-016187-58rqc0cg 243 24 within within IN cord-016187-58rqc0cg 243 25 biofi biofi NNP cord-016187-58rqc0cg 243 26 lms lms NNP cord-016187-58rqc0cg 243 27 attest attest VBP cord-016187-58rqc0cg 243 28 to to IN cord-016187-58rqc0cg 243 29 the the DT cord-016187-58rqc0cg 243 30 remarkably remarkably JJ cord-016187-58rqc0cg 243 31 ingenuity ingenuity NN cord-016187-58rqc0cg 243 32 and and CC cord-016187-58rqc0cg 243 33 fl fl JJ cord-016187-58rqc0cg 243 34 exibility exibility NN cord-016187-58rqc0cg 243 35 of of IN cord-016187-58rqc0cg 243 36 bacterial bacterial JJ cord-016187-58rqc0cg 243 37 populations population NNS cord-016187-58rqc0cg 243 38 [ [ -LRB- cord-016187-58rqc0cg 243 39 23 23 CD cord-016187-58rqc0cg 243 40 , , , cord-016187-58rqc0cg 243 41 29 29 CD cord-016187-58rqc0cg 243 42 , , , cord-016187-58rqc0cg 243 43 30 30 CD cord-016187-58rqc0cg 243 44 ] ] -RRB- cord-016187-58rqc0cg 243 45 . . . cord-016187-58rqc0cg 244 1 Thus thus RB cord-016187-58rqc0cg 244 2 the the DT cord-016187-58rqc0cg 244 3 use use NN cord-016187-58rqc0cg 244 4 of of IN cord-016187-58rqc0cg 244 5 one one CD cord-016187-58rqc0cg 244 6 antibiotic antibiotic NN cord-016187-58rqc0cg 244 7 may may MD cord-016187-58rqc0cg 244 8 select select VB cord-016187-58rqc0cg 244 9 for for IN cord-016187-58rqc0cg 244 10 the the DT cord-016187-58rqc0cg 244 11 emergence emergence NN cord-016187-58rqc0cg 244 12 of of IN cord-016187-58rqc0cg 244 13 resistance resistance NN cord-016187-58rqc0cg 244 14 to to IN cord-016187-58rqc0cg 244 15 another another DT cord-016187-58rqc0cg 244 16 . . . cord-016187-58rqc0cg 245 1 Mobile mobile JJ cord-016187-58rqc0cg 245 2 genetic genetic JJ cord-016187-58rqc0cg 245 3 elements element NNS cord-016187-58rqc0cg 245 4 and and CC cord-016187-58rqc0cg 245 5 rapidly rapidly RB cord-016187-58rqc0cg 245 6 evolving evolve VBG cord-016187-58rqc0cg 245 7 integron integron NNP cord-016187-58rqc0cg 245 8 cassettes cassette NNS cord-016187-58rqc0cg 245 9 with with IN cord-016187-58rqc0cg 245 10 multiple multiple JJ cord-016187-58rqc0cg 245 11 antibiotic antibiotic JJ cord-016187-58rqc0cg 245 12 resistance resistance NN cord-016187-58rqc0cg 245 13 genes gene NNS cord-016187-58rqc0cg 245 14 endow endow VBP cord-016187-58rqc0cg 245 15 bacteria bacteria NNS cord-016187-58rqc0cg 245 16 with with IN cord-016187-58rqc0cg 245 17 a a DT cord-016187-58rqc0cg 245 18 remarkable remarkable JJ cord-016187-58rqc0cg 245 19 capacity capacity NN cord-016187-58rqc0cg 245 20 to to TO cord-016187-58rqc0cg 245 21 resist resist VB cord-016187-58rqc0cg 245 22 antibiotics antibiotic NNS cord-016187-58rqc0cg 245 23 [ [ -LRB- cord-016187-58rqc0cg 245 24 50 50 CD cord-016187-58rqc0cg 245 25 ] ] -RRB- cord-016187-58rqc0cg 245 26 . . . cord-016187-58rqc0cg 246 1 Although although IN cord-016187-58rqc0cg 246 2 the the DT cord-016187-58rqc0cg 246 3 development development NN cord-016187-58rqc0cg 246 4 of of IN cord-016187-58rqc0cg 246 5 antibiotic antibiotic JJ cord-016187-58rqc0cg 246 6 resistance resistance NN cord-016187-58rqc0cg 246 7 may may MD cord-016187-58rqc0cg 246 8 be be VB cord-016187-58rqc0cg 246 9 inevitable inevitable JJ cord-016187-58rqc0cg 246 10 , , , cord-016187-58rqc0cg 246 11 the the DT cord-016187-58rqc0cg 246 12 rate rate NN cord-016187-58rqc0cg 246 13 at at IN cord-016187-58rqc0cg 246 14 which which WDT cord-016187-58rqc0cg 246 15 it -PRON- PRP cord-016187-58rqc0cg 246 16 develops develop VBZ cord-016187-58rqc0cg 246 17 can can MD cord-016187-58rqc0cg 246 18 be be VB cord-016187-58rqc0cg 246 19 reduced reduce VBN cord-016187-58rqc0cg 246 20 by by IN cord-016187-58rqc0cg 246 21 the the DT cord-016187-58rqc0cg 246 22 rational rational JJ cord-016187-58rqc0cg 246 23 use use NN cord-016187-58rqc0cg 246 24 of of IN cord-016187-58rqc0cg 246 25 antibiotics antibiotic NNS cord-016187-58rqc0cg 246 26 . . . cord-016187-58rqc0cg 247 1 Use use NN cord-016187-58rqc0cg 247 2 of of IN cord-016187-58rqc0cg 247 3 19th 19th JJ cord-016187-58rqc0cg 247 4 century century NN cord-016187-58rqc0cg 247 5 diagnostic diagnostic JJ cord-016187-58rqc0cg 247 6 methods method NNS cord-016187-58rqc0cg 247 7 Employ employ VBP cord-016187-58rqc0cg 247 8 real real JJ cord-016187-58rqc0cg 247 9 - - HYPH cord-016187-58rqc0cg 247 10 time time NN cord-016187-58rqc0cg 247 11 PCR PCR NNP cord-016187-58rqc0cg 247 12 , , , cord-016187-58rqc0cg 247 13 genomics genomic NNS cord-016187-58rqc0cg 247 14 , , , cord-016187-58rqc0cg 247 15 ( ( -LRB- cord-016187-58rqc0cg 247 16 culture culture NN cord-016187-58rqc0cg 247 17 and and CC cord-016187-58rqc0cg 247 18 susceptibility susceptibility NN cord-016187-58rqc0cg 247 19 tests test NNS cord-016187-58rqc0cg 247 20 ) ) -RRB- cord-016187-58rqc0cg 247 21 to to TO cord-016187-58rqc0cg 247 22 treat treat VB cord-016187-58rqc0cg 247 23 proteomics proteomic NNS cord-016187-58rqc0cg 247 24 to to TO cord-016187-58rqc0cg 247 25 identify identify VB cord-016187-58rqc0cg 247 26 pathogens pathogen NNS cord-016187-58rqc0cg 247 27 , , , cord-016187-58rqc0cg 247 28 and and CC cord-016187-58rqc0cg 247 29 21 21 CD cord-016187-58rqc0cg 247 30 st st NNP cord-016187-58rqc0cg 247 31 century century NN cord-016187-58rqc0cg 247 32 diseases disease NNS cord-016187-58rqc0cg 247 33 encourages encourage VBZ cord-016187-58rqc0cg 247 34 empiric empiric JJ cord-016187-58rqc0cg 247 35 resistance resistance NN cord-016187-58rqc0cg 247 36 genes gene NNS cord-016187-58rqc0cg 247 37 ; ; : cord-016187-58rqc0cg 247 38 target target VB cord-016187-58rqc0cg 247 39 and and CC cord-016187-58rqc0cg 247 40 treat treat VB cord-016187-58rqc0cg 247 41 specifi specifi NNP cord-016187-58rqc0cg 247 42 c c NNP cord-016187-58rqc0cg 247 43 broad broad JJ cord-016187-58rqc0cg 247 44 - - HYPH cord-016187-58rqc0cg 247 45 spectrum spectrum NN cord-016187-58rqc0cg 247 46 antibiotic antibiotic JJ cord-016187-58rqc0cg 247 47 drug drug NN cord-016187-58rqc0cg 247 48 use use VBP cord-016187-58rqc0cg 247 49 infections infection NNS cord-016187-58rqc0cg 247 50 with with IN cord-016187-58rqc0cg 247 51 narrow narrow JJ cord-016187-58rqc0cg 247 52 spectrum spectrum NN cord-016187-58rqc0cg 247 53 drugs drug NNS cord-016187-58rqc0cg 247 54 PCR PCR NNP cord-016187-58rqc0cg 247 55 : : : cord-016187-58rqc0cg 247 56 polymerase polymerase NN cord-016187-58rqc0cg 247 57 chain chain NN cord-016187-58rqc0cg 247 58 reaction reaction NN cord-016187-58rqc0cg 248 1 The the DT cord-016187-58rqc0cg 248 2 wider wide JJR cord-016187-58rqc0cg 248 3 accessibility accessibility NN cord-016187-58rqc0cg 248 4 to to IN cord-016187-58rqc0cg 248 5 molecular molecular JJ cord-016187-58rqc0cg 248 6 techniques technique NNS cord-016187-58rqc0cg 248 7 and and CC cord-016187-58rqc0cg 248 8 computer computer NN cord-016187-58rqc0cg 248 9 technology technology NN cord-016187-58rqc0cg 248 10 to to TO cord-016187-58rqc0cg 248 11 rapidly rapidly RB cord-016187-58rqc0cg 248 12 identify identify VB cord-016187-58rqc0cg 248 13 the the DT cord-016187-58rqc0cg 248 14 specifi specifi NN cord-016187-58rqc0cg 248 15 c c NN cord-016187-58rqc0cg 248 16 microorganisms microorganism NNS cord-016187-58rqc0cg 248 17 , , , cord-016187-58rqc0cg 248 18 their -PRON- PRP$ cord-016187-58rqc0cg 248 19 resistance resistance NN cord-016187-58rqc0cg 248 20 potential potential NN cord-016187-58rqc0cg 248 21 , , , cord-016187-58rqc0cg 248 22 and and CC cord-016187-58rqc0cg 248 23 track track VB cord-016187-58rqc0cg 248 24 their -PRON- PRP$ cord-016187-58rqc0cg 248 25 spread spread NN cord-016187-58rqc0cg 248 26 between between IN cord-016187-58rqc0cg 248 27 patients patient NNS cord-016187-58rqc0cg 248 28 within within IN cord-016187-58rqc0cg 248 29 the the DT cord-016187-58rqc0cg 248 30 hospital hospital NN cord-016187-58rqc0cg 248 31 and and CC cord-016187-58rqc0cg 248 32 or or CC cord-016187-58rqc0cg 248 33 the the DT cord-016187-58rqc0cg 248 34 community community NN cord-016187-58rqc0cg 248 35 will will MD cord-016187-58rqc0cg 248 36 be be VB cord-016187-58rqc0cg 248 37 of of IN cord-016187-58rqc0cg 248 38 considerable considerable JJ cord-016187-58rqc0cg 248 39 benefi benefi NNP cord-016187-58rqc0cg 248 40 t t NN cord-016187-58rqc0cg 248 41 in in IN cord-016187-58rqc0cg 248 42 the the DT cord-016187-58rqc0cg 248 43 control control NN cord-016187-58rqc0cg 248 44 of of IN cord-016187-58rqc0cg 248 45 antibiotic antibiotic JJ cord-016187-58rqc0cg 248 46 resistance resistance NN cord-016187-58rqc0cg 248 47 . . . cord-016187-58rqc0cg 249 1 The the DT cord-016187-58rqc0cg 249 2 need need NN cord-016187-58rqc0cg 249 3 to to TO cord-016187-58rqc0cg 249 4 utilize utilize VB cord-016187-58rqc0cg 249 5 empiric empiric JJ cord-016187-58rqc0cg 249 6 , , , cord-016187-58rqc0cg 249 7 broad broad JJ cord-016187-58rqc0cg 249 8 - - HYPH cord-016187-58rqc0cg 249 9 spectrum spectrum NN cord-016187-58rqc0cg 249 10 antibiotics antibiotic NNS cord-016187-58rqc0cg 249 11 for for IN cord-016187-58rqc0cg 249 12 days day NNS cord-016187-58rqc0cg 249 13 and and CC cord-016187-58rqc0cg 249 14 even even RB cord-016187-58rqc0cg 249 15 weeks week NNS cord-016187-58rqc0cg 249 16 while while IN cord-016187-58rqc0cg 249 17 samples sample NNS cord-016187-58rqc0cg 249 18 are be VBP cord-016187-58rqc0cg 249 19 being be VBG cord-016187-58rqc0cg 249 20 sent send VBN cord-016187-58rqc0cg 249 21 for for IN cord-016187-58rqc0cg 249 22 culture culture NN cord-016187-58rqc0cg 249 23 and and CC cord-016187-58rqc0cg 249 24 susceptibility susceptibility NN cord-016187-58rqc0cg 249 25 testing testing NN cord-016187-58rqc0cg 249 26 needs need VBZ cord-016187-58rqc0cg 249 27 to to TO cord-016187-58rqc0cg 249 28 stop stop VB cord-016187-58rqc0cg 249 29 . . . cord-016187-58rqc0cg 250 1 We -PRON- PRP cord-016187-58rqc0cg 250 2 need need VBP cord-016187-58rqc0cg 250 3 specifi specifi NN cord-016187-58rqc0cg 250 4 c c NN cord-016187-58rqc0cg 250 5 information information NN cord-016187-58rqc0cg 250 6 in in IN cord-016187-58rqc0cg 250 7 real real JJ cord-016187-58rqc0cg 250 8 time time NN cord-016187-58rqc0cg 250 9 to to TO cord-016187-58rqc0cg 250 10 assure assure VB cord-016187-58rqc0cg 250 11 patients patient NNS cord-016187-58rqc0cg 250 12 with with IN cord-016187-58rqc0cg 250 13 specifi specifi NNP cord-016187-58rqc0cg 250 14 c c NN cord-016187-58rqc0cg 250 15 infections infection NNS cord-016187-58rqc0cg 250 16 are be VBP cord-016187-58rqc0cg 250 17 being be VBG cord-016187-58rqc0cg 250 18 treated treat VBN cord-016187-58rqc0cg 250 19 with with IN cord-016187-58rqc0cg 250 20 effective effective JJ cord-016187-58rqc0cg 250 21 , , , cord-016187-58rqc0cg 250 22 narrow narrow JJ cord-016187-58rqc0cg 250 23 - - HYPH cord-016187-58rqc0cg 250 24 spectrum spectrum NN cord-016187-58rqc0cg 250 25 drugs drug NNS cord-016187-58rqc0cg 250 26 [ [ -LRB- cord-016187-58rqc0cg 250 27 23 23 CD cord-016187-58rqc0cg 250 28 ] ] -RRB- cord-016187-58rqc0cg 250 29 . . . cord-016187-58rqc0cg 251 1 The the DT cord-016187-58rqc0cg 251 2 use use NN cord-016187-58rqc0cg 251 3 of of IN cord-016187-58rqc0cg 251 4 antibiotics antibiotic NNS cord-016187-58rqc0cg 251 5 for for IN cord-016187-58rqc0cg 251 6 non non JJ cord-016187-58rqc0cg 251 7 - - JJ cord-016187-58rqc0cg 251 8 medical medical JJ cord-016187-58rqc0cg 251 9 uses use NNS cord-016187-58rqc0cg 251 10 should should MD cord-016187-58rqc0cg 251 11 be be VB cord-016187-58rqc0cg 251 12 entirely entirely RB cord-016187-58rqc0cg 251 13 banned ban VBN cord-016187-58rqc0cg 251 14 . . . cord-016187-58rqc0cg 252 1 Up up IN cord-016187-58rqc0cg 252 2 to to TO cord-016187-58rqc0cg 252 3 50 50 CD cord-016187-58rqc0cg 252 4 % % NN cord-016187-58rqc0cg 252 5 of of IN cord-016187-58rqc0cg 252 6 antibiotic antibiotic JJ cord-016187-58rqc0cg 252 7 use use NN cord-016187-58rqc0cg 252 8 today today NN cord-016187-58rqc0cg 252 9 is be VBZ cord-016187-58rqc0cg 252 10 for for IN cord-016187-58rqc0cg 252 11 non non JJ cord-016187-58rqc0cg 252 12 - - JJ cord-016187-58rqc0cg 252 13 medical medical JJ cord-016187-58rqc0cg 252 14 use use NN cord-016187-58rqc0cg 252 15 in in IN cord-016187-58rqc0cg 252 16 agriculture agriculture NN cord-016187-58rqc0cg 252 17 , , , cord-016187-58rqc0cg 252 18 food food NN cord-016187-58rqc0cg 252 19 preparation preparation NN cord-016187-58rqc0cg 252 20 , , , cord-016187-58rqc0cg 252 21 and and CC cord-016187-58rqc0cg 252 22 other other JJ cord-016187-58rqc0cg 252 23 industrial industrial JJ cord-016187-58rqc0cg 252 24 uses use NNS cord-016187-58rqc0cg 252 25 [ [ -LRB- cord-016187-58rqc0cg 252 26 52 52 CD cord-016187-58rqc0cg 252 27 ] ] -RRB- cord-016187-58rqc0cg 252 28 . . . cord-016187-58rqc0cg 253 1 This this DT cord-016187-58rqc0cg 253 2 adds add VBZ cord-016187-58rqc0cg 253 3 to to IN cord-016187-58rqc0cg 253 4 environmental environmental JJ cord-016187-58rqc0cg 253 5 contamination contamination NN cord-016187-58rqc0cg 253 6 with with IN cord-016187-58rqc0cg 253 7 low low JJ cord-016187-58rqc0cg 253 8 levels level NNS cord-016187-58rqc0cg 253 9 of of IN cord-016187-58rqc0cg 253 10 antibiotics antibiotic NNS cord-016187-58rqc0cg 253 11 . . . cord-016187-58rqc0cg 254 1 Sub sub JJ cord-016187-58rqc0cg 254 2 - - HYPH cord-016187-58rqc0cg 254 3 inhibitory inhibitory JJ cord-016187-58rqc0cg 254 4 concentrations concentration NNS cord-016187-58rqc0cg 254 5 of of IN cord-016187-58rqc0cg 254 6 antibiotics antibiotic NNS cord-016187-58rqc0cg 254 7 foster foster VBP cord-016187-58rqc0cg 254 8 the the DT cord-016187-58rqc0cg 254 9 development development NN cord-016187-58rqc0cg 254 10 of of IN cord-016187-58rqc0cg 254 11 resistant resistant JJ cord-016187-58rqc0cg 254 12 clones clone NNS cord-016187-58rqc0cg 254 13 of of IN cord-016187-58rqc0cg 254 14 bacteria bacteria NNS cord-016187-58rqc0cg 254 15 that that WDT cord-016187-58rqc0cg 254 16 can can MD cord-016187-58rqc0cg 254 17 cause cause VB cord-016187-58rqc0cg 254 18 infections infection NNS cord-016187-58rqc0cg 254 19 in in IN cord-016187-58rqc0cg 254 20 humans human NNS cord-016187-58rqc0cg 254 21 . . . cord-016187-58rqc0cg 255 1 The the DT cord-016187-58rqc0cg 255 2 use use NN cord-016187-58rqc0cg 255 3 of of IN cord-016187-58rqc0cg 255 4 non non JJ cord-016187-58rqc0cg 255 5 - - JJ cord-016187-58rqc0cg 255 6 antibiotic antibiotic JJ cord-016187-58rqc0cg 255 7 approaches approach NNS cord-016187-58rqc0cg 255 8 to to IN cord-016187-58rqc0cg 255 9 the the DT cord-016187-58rqc0cg 255 10 management management NN cord-016187-58rqc0cg 255 11 of of IN cord-016187-58rqc0cg 255 12 infectious infectious JJ cord-016187-58rqc0cg 255 13 diseases disease NNS cord-016187-58rqc0cg 255 14 needs need VBZ cord-016187-58rqc0cg 255 15 to to TO cord-016187-58rqc0cg 255 16 be be VB cord-016187-58rqc0cg 255 17 supported support VBN cord-016187-58rqc0cg 255 18 and and CC cord-016187-58rqc0cg 255 19 developed develop VBN cord-016187-58rqc0cg 255 20 . . . cord-016187-58rqc0cg 256 1 The the DT cord-016187-58rqc0cg 256 2 use use NN cord-016187-58rqc0cg 256 3 of of IN cord-016187-58rqc0cg 256 4 plasma plasma NN cord-016187-58rqc0cg 256 5 - - HYPH cord-016187-58rqc0cg 256 6 based base VBN cord-016187-58rqc0cg 256 7 antibody antibody NN cord-016187-58rqc0cg 256 8 therapies therapy NNS cord-016187-58rqc0cg 256 9 and and CC cord-016187-58rqc0cg 256 10 anti anti JJ cord-016187-58rqc0cg 256 11 - - JJ cord-016187-58rqc0cg 256 12 bacterial bacterial JJ cord-016187-58rqc0cg 256 13 , , , cord-016187-58rqc0cg 256 14 anti anti JJ cord-016187-58rqc0cg 256 15 - - JJ cord-016187-58rqc0cg 256 16 viral viral JJ cord-016187-58rqc0cg 256 17 and and CC cord-016187-58rqc0cg 256 18 anti anti JJ cord-016187-58rqc0cg 256 19 - - JJ cord-016187-58rqc0cg 256 20 fungal fungal JJ cord-016187-58rqc0cg 256 21 vaccines vaccine NNS cord-016187-58rqc0cg 256 22 should should MD cord-016187-58rqc0cg 256 23 be be VB cord-016187-58rqc0cg 256 24 encouraged encourage VBN cord-016187-58rqc0cg 256 25 in in IN cord-016187-58rqc0cg 256 26 the the DT cord-016187-58rqc0cg 256 27 future future NN cord-016187-58rqc0cg 256 28 [ [ -LRB- cord-016187-58rqc0cg 256 29 55 55 CD cord-016187-58rqc0cg 256 30 ] ] -RRB- cord-016187-58rqc0cg 256 31 [ [ -LRB- cord-016187-58rqc0cg 256 32 56 56 CD cord-016187-58rqc0cg 256 33 ] ] -RRB- cord-016187-58rqc0cg 256 34 [ [ -LRB- cord-016187-58rqc0cg 256 35 57 57 CD cord-016187-58rqc0cg 256 36 ] ] -RRB- cord-016187-58rqc0cg 256 37 . . . cord-016187-58rqc0cg 257 1 The the DT cord-016187-58rqc0cg 257 2 management management NN cord-016187-58rqc0cg 257 3 of of IN cord-016187-58rqc0cg 257 4 common common JJ cord-016187-58rqc0cg 257 5 invasive invasive JJ cord-016187-58rqc0cg 257 6 pathogens pathogen NNS cord-016187-58rqc0cg 257 7 such such JJ cord-016187-58rqc0cg 257 8 as as IN cord-016187-58rqc0cg 257 9 staphylococcal staphylococcal JJ cord-016187-58rqc0cg 257 10 infections infection NNS cord-016187-58rqc0cg 257 11 has have VBZ cord-016187-58rqc0cg 257 12 become become VBN cord-016187-58rqc0cg 257 13 very very RB cord-016187-58rqc0cg 257 14 complicated complicated JJ cord-016187-58rqc0cg 257 15 given give VBN cord-016187-58rqc0cg 257 16 the the DT cord-016187-58rqc0cg 257 17 rapid rapid JJ cord-016187-58rqc0cg 257 18 spread spread NN cord-016187-58rqc0cg 257 19 of of IN cord-016187-58rqc0cg 257 20 simultaneous simultaneous JJ cord-016187-58rqc0cg 257 21 beta beta NN cord-016187-58rqc0cg 257 22 - - HYPH cord-016187-58rqc0cg 257 23 lactam lactam NN cord-016187-58rqc0cg 257 24 , , , cord-016187-58rqc0cg 257 25 aminoglycoside aminoglycoside NNP cord-016187-58rqc0cg 257 26 , , , cord-016187-58rqc0cg 257 27 and and CC cord-016187-58rqc0cg 257 28 quinolone quinolone NN cord-016187-58rqc0cg 257 29 - - HYPH cord-016187-58rqc0cg 257 30 resistant resistant JJ cord-016187-58rqc0cg 257 31 isolates isolate NNS cord-016187-58rqc0cg 257 32 [ [ -LRB- cord-016187-58rqc0cg 257 33 58 58 CD cord-016187-58rqc0cg 257 34 ] ] -RRB- cord-016187-58rqc0cg 257 35 . . . cord-016187-58rqc0cg 258 1 Recent recent JJ cord-016187-58rqc0cg 258 2 reports report NNS cord-016187-58rqc0cg 258 3 of of IN cord-016187-58rqc0cg 258 4 vancomycin vancomycin NN cord-016187-58rqc0cg 258 5 - - HYPH cord-016187-58rqc0cg 258 6 resistant resistant JJ cord-016187-58rqc0cg 258 7 S. S. NNP cord-016187-58rqc0cg 258 8 aureus aureus NN cord-016187-58rqc0cg 258 9 in in IN cord-016187-58rqc0cg 258 10 Japan Japan NNP cord-016187-58rqc0cg 258 11 and and CC cord-016187-58rqc0cg 258 12 the the DT cord-016187-58rqc0cg 258 13 United United NNP cord-016187-58rqc0cg 258 14 States States NNP cord-016187-58rqc0cg 258 15 suggest suggest VBP cord-016187-58rqc0cg 258 16 that that IN cord-016187-58rqc0cg 258 17 common common JJ cord-016187-58rqc0cg 258 18 , , , cord-016187-58rqc0cg 258 19 invasive invasive JJ cord-016187-58rqc0cg 258 20 , , , cord-016187-58rqc0cg 258 21 microbial microbial JJ cord-016187-58rqc0cg 258 22 pathogens pathogen NNS cord-016187-58rqc0cg 258 23 may may MD cord-016187-58rqc0cg 258 24 become become VB cord-016187-58rqc0cg 258 25 refractory refractory JJ cord-016187-58rqc0cg 258 26 to to IN cord-016187-58rqc0cg 258 27 any any DT cord-016187-58rqc0cg 258 28 chemotherapeutic chemotherapeutic JJ cord-016187-58rqc0cg 258 29 agent agent NN cord-016187-58rqc0cg 258 30 in in IN cord-016187-58rqc0cg 258 31 the the DT cord-016187-58rqc0cg 258 32 future future NN cord-016187-58rqc0cg 258 33 [ [ -LRB- cord-016187-58rqc0cg 258 34 17 17 CD cord-016187-58rqc0cg 258 35 , , , cord-016187-58rqc0cg 258 36 23 23 CD cord-016187-58rqc0cg 258 37 , , , cord-016187-58rqc0cg 258 38 58 58 CD cord-016187-58rqc0cg 258 39 ] ] -RRB- cord-016187-58rqc0cg 258 40 . . . cord-016187-58rqc0cg 259 1 New new JJ cord-016187-58rqc0cg 259 2 drug drug NN cord-016187-58rqc0cg 259 3 discoveries discovery NNS cord-016187-58rqc0cg 259 4 have have VBP cord-016187-58rqc0cg 259 5 allowed allow VBN cord-016187-58rqc0cg 259 6 us -PRON- PRP cord-016187-58rqc0cg 259 7 to to TO cord-016187-58rqc0cg 259 8 be be VB cord-016187-58rqc0cg 259 9 one one CD cord-016187-58rqc0cg 259 10 step step NN cord-016187-58rqc0cg 259 11 ahead ahead RB cord-016187-58rqc0cg 259 12 of of IN cord-016187-58rqc0cg 259 13 the the DT cord-016187-58rqc0cg 259 14 bacterial bacterial JJ cord-016187-58rqc0cg 259 15 pathogens pathogen NNS cord-016187-58rqc0cg 259 16 for for IN cord-016187-58rqc0cg 259 17 the the DT cord-016187-58rqc0cg 259 18 latter latter JJ cord-016187-58rqc0cg 259 19 half half NN cord-016187-58rqc0cg 259 20 of of IN cord-016187-58rqc0cg 259 21 the the DT cord-016187-58rqc0cg 259 22 twentieth twentieth JJ cord-016187-58rqc0cg 259 23 century century NN cord-016187-58rqc0cg 259 24 . . . cord-016187-58rqc0cg 260 1 It -PRON- PRP cord-016187-58rqc0cg 260 2 is be VBZ cord-016187-58rqc0cg 260 3 unlikely unlikely JJ cord-016187-58rqc0cg 260 4 we -PRON- PRP cord-016187-58rqc0cg 260 5 will will MD cord-016187-58rqc0cg 260 6 continue continue VB cord-016187-58rqc0cg 260 7 this this DT cord-016187-58rqc0cg 260 8 record record NN cord-016187-58rqc0cg 260 9 of of IN cord-016187-58rqc0cg 260 10 remarkable remarkable JJ cord-016187-58rqc0cg 260 11 success success NN cord-016187-58rqc0cg 260 12 against against IN cord-016187-58rqc0cg 260 13 microbial microbial JJ cord-016187-58rqc0cg 260 14 pathogens pathogen NNS cord-016187-58rqc0cg 260 15 in in IN cord-016187-58rqc0cg 260 16 the the DT cord-016187-58rqc0cg 260 17 new new JJ cord-016187-58rqc0cg 260 18 millennium millennium NN cord-016187-58rqc0cg 260 19 . . . cord-016187-58rqc0cg 261 1 The the DT cord-016187-58rqc0cg 261 2 rapid rapid JJ cord-016187-58rqc0cg 261 3 evolution evolution NN cord-016187-58rqc0cg 261 4 of of IN cord-016187-58rqc0cg 261 5 resistance resistance NN cord-016187-58rqc0cg 261 6 has have VBZ cord-016187-58rqc0cg 261 7 limited limit VBN cord-016187-58rqc0cg 261 8 the the DT cord-016187-58rqc0cg 261 9 duration duration NN cord-016187-58rqc0cg 261 10 of of IN cord-016187-58rqc0cg 261 11 the the DT cord-016187-58rqc0cg 261 12 effectiveness effectiveness NN cord-016187-58rqc0cg 261 13 of of IN cord-016187-58rqc0cg 261 14 antibiotics antibiotic NNS cord-016187-58rqc0cg 261 15 against against IN cord-016187-58rqc0cg 261 16 certain certain JJ cord-016187-58rqc0cg 261 17 pathogens pathogen NNS cord-016187-58rqc0cg 261 18 . . . cord-016187-58rqc0cg 262 1 The the DT cord-016187-58rqc0cg 262 2 best good JJS cord-016187-58rqc0cg 262 3 hope hope NN cord-016187-58rqc0cg 262 4 for for IN cord-016187-58rqc0cg 262 5 the the DT cord-016187-58rqc0cg 262 6 future future NN cord-016187-58rqc0cg 262 7 is be VBZ cord-016187-58rqc0cg 262 8 the the DT cord-016187-58rqc0cg 262 9 continued continue VBN cord-016187-58rqc0cg 262 10 development development NN cord-016187-58rqc0cg 262 11 of of IN cord-016187-58rqc0cg 262 12 new new JJ cord-016187-58rqc0cg 262 13 antibiotic antibiotic JJ cord-016187-58rqc0cg 262 14 strategies strategy NNS cord-016187-58rqc0cg 262 15 [ [ -LRB- cord-016187-58rqc0cg 262 16 53 53 CD cord-016187-58rqc0cg 262 17 ] ] -RRB- cord-016187-58rqc0cg 262 18 . . . cord-016187-58rqc0cg 263 1 In in IN cord-016187-58rqc0cg 263 2 order order NN cord-016187-58rqc0cg 263 3 to to TO cord-016187-58rqc0cg 263 4 retain retain VB cord-016187-58rqc0cg 263 5 the the DT cord-016187-58rqc0cg 263 6 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 263 7 activity activity NN cord-016187-58rqc0cg 263 8 of of IN cord-016187-58rqc0cg 263 9 existing exist VBG cord-016187-58rqc0cg 263 10 and and CC cord-016187-58rqc0cg 263 11 new new JJ cord-016187-58rqc0cg 263 12 antibiotics antibiotic NNS cord-016187-58rqc0cg 263 13 , , , cord-016187-58rqc0cg 263 14 clinicians clinician NNS cord-016187-58rqc0cg 263 15 can can MD cord-016187-58rqc0cg 263 16 assist assist VB cord-016187-58rqc0cg 263 17 through through IN cord-016187-58rqc0cg 263 18 careful careful JJ cord-016187-58rqc0cg 263 19 antibiotic antibiotic JJ cord-016187-58rqc0cg 263 20 stewardship stewardship NN cord-016187-58rqc0cg 263 21 and and CC cord-016187-58rqc0cg 263 22 tightened tighten VBD cord-016187-58rqc0cg 263 23 infection infection NN cord-016187-58rqc0cg 263 24 control control NN cord-016187-58rqc0cg 263 25 measures measure NNS cord-016187-58rqc0cg 263 26 . . . cord-016187-58rqc0cg 264 1 Antimicrobial antimicrobial JJ cord-016187-58rqc0cg 264 2 agents agent NNS cord-016187-58rqc0cg 264 3 have have VBP cord-016187-58rqc0cg 264 4 had have VBN cord-016187-58rqc0cg 264 5 a a DT cord-016187-58rqc0cg 264 6 substantial substantial JJ cord-016187-58rqc0cg 264 7 impact impact NN cord-016187-58rqc0cg 264 8 in in IN cord-016187-58rqc0cg 264 9 decreasing decrease VBG cord-016187-58rqc0cg 264 10 human human JJ cord-016187-58rqc0cg 264 11 morbidity morbidity NN cord-016187-58rqc0cg 264 12 and and CC cord-016187-58rqc0cg 264 13 mortality mortality NN cord-016187-58rqc0cg 264 14 rates rate NNS cord-016187-58rqc0cg 264 15 and and CC cord-016187-58rqc0cg 264 16 have have VBP cord-016187-58rqc0cg 264 17 served serve VBN cord-016187-58rqc0cg 264 18 us -PRON- PRP cord-016187-58rqc0cg 264 19 well well RB cord-016187-58rqc0cg 264 20 over over IN cord-016187-58rqc0cg 264 21 the the DT cord-016187-58rqc0cg 264 22 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 264 23 era era NN cord-016187-58rqc0cg 264 24 . . . cord-016187-58rqc0cg 265 1 It -PRON- PRP cord-016187-58rqc0cg 265 2 behooves behooves VBP cord-016187-58rqc0cg 265 3 us -PRON- PRP cord-016187-58rqc0cg 265 4 to to TO cord-016187-58rqc0cg 265 5 improve improve VB cord-016187-58rqc0cg 265 6 our -PRON- PRP$ cord-016187-58rqc0cg 265 7 diagnostic diagnostic JJ cord-016187-58rqc0cg 265 8 and and CC cord-016187-58rqc0cg 265 9 surveillance surveillance NN cord-016187-58rqc0cg 265 10 efforts effort NNS cord-016187-58rqc0cg 265 11 and and CC cord-016187-58rqc0cg 265 12 to to TO cord-016187-58rqc0cg 265 13 exercise exercise VB cord-016187-58rqc0cg 265 14 caution caution NN cord-016187-58rqc0cg 265 15 in in IN cord-016187-58rqc0cg 265 16 administering administer VBG cord-016187-58rqc0cg 265 17 antibiotics antibiotic NNS cord-016187-58rqc0cg 265 18 if if IN cord-016187-58rqc0cg 265 19 we -PRON- PRP cord-016187-58rqc0cg 265 20 are be VBP cord-016187-58rqc0cg 265 21 to to TO cord-016187-58rqc0cg 265 22 maintain maintain VB cord-016187-58rqc0cg 265 23 their -PRON- PRP$ cord-016187-58rqc0cg 265 24 continued continue VBN cord-016187-58rqc0cg 265 25 effi effi NNP cord-016187-58rqc0cg 265 26 cacy cacy NN cord-016187-58rqc0cg 265 27 . . . cord-016187-58rqc0cg 266 1 Forecast forecast NN cord-016187-58rqc0cg 266 2 and and CC cord-016187-58rqc0cg 266 3 control control NN cord-016187-58rqc0cg 266 4 of of IN cord-016187-58rqc0cg 266 5 epidemics epidemic NNS cord-016187-58rqc0cg 266 6 in in IN cord-016187-58rqc0cg 266 7 a a DT cord-016187-58rqc0cg 266 8 globalized globalized JJ cord-016187-58rqc0cg 266 9 world world NN cord-016187-58rqc0cg 266 10 Multidrug Multidrug NNP cord-016187-58rqc0cg 266 11 resistance resistance NN cord-016187-58rqc0cg 266 12 in in IN cord-016187-58rqc0cg 266 13 Yersinia Yersinia NNP cord-016187-58rqc0cg 266 14 pestis pestis NN cord-016187-58rqc0cg 266 15 mediated mediate VBN cord-016187-58rqc0cg 266 16 by by IN cord-016187-58rqc0cg 266 17 a a DT cord-016187-58rqc0cg 266 18 transferable transferable JJ cord-016187-58rqc0cg 266 19 plasmid plasmid NN cord-016187-58rqc0cg 266 20 H5N1 H5N1 NNP cord-016187-58rqc0cg 266 21 infl infl NNP cord-016187-58rqc0cg 266 22 uenza uenza NNP cord-016187-58rqc0cg 266 23 : : : cord-016187-58rqc0cg 266 24 a a DT cord-016187-58rqc0cg 266 25 protean protean JJ cord-016187-58rqc0cg 266 26 pandemic pandemic NN cord-016187-58rqc0cg 266 27 threat threat NN cord-016187-58rqc0cg 266 28 Induction Induction NNP cord-016187-58rqc0cg 266 29 of of IN cord-016187-58rqc0cg 266 30 proinfl proinfl NNP cord-016187-58rqc0cg 266 31 ammatory ammatory NNP cord-016187-58rqc0cg 266 32 cytokines cytokine NNS cord-016187-58rqc0cg 266 33 in in IN cord-016187-58rqc0cg 266 34 human human JJ cord-016187-58rqc0cg 266 35 macrophages macrophage NNS cord-016187-58rqc0cg 266 36 by by IN cord-016187-58rqc0cg 266 37 infl infl NNP cord-016187-58rqc0cg 266 38 uenza uenza NNP cord-016187-58rqc0cg 266 39 A A NNP cord-016187-58rqc0cg 266 40 ( ( -LRB- cord-016187-58rqc0cg 266 41 H5N1 H5N1 NNP cord-016187-58rqc0cg 266 42 ) ) -RRB- cord-016187-58rqc0cg 266 43 wiruses wiruses NNP cord-016187-58rqc0cg 266 44 : : : cord-016187-58rqc0cg 266 45 a a DT cord-016187-58rqc0cg 266 46 mechanism mechanism NN cord-016187-58rqc0cg 266 47 for for IN cord-016187-58rqc0cg 266 48 the the DT cord-016187-58rqc0cg 266 49 unusual unusual JJ cord-016187-58rqc0cg 266 50 severity severity NN cord-016187-58rqc0cg 266 51 of of IN cord-016187-58rqc0cg 266 52 human human JJ cord-016187-58rqc0cg 266 53 disease disease NN cord-016187-58rqc0cg 266 54 Enhanced enhance VBN cord-016187-58rqc0cg 266 55 virulence virulence NN cord-016187-58rqc0cg 266 56 of of IN cord-016187-58rqc0cg 266 57 infl infl NN cord-016187-58rqc0cg 266 58 uenza uenza NNP cord-016187-58rqc0cg 266 59 A a DT cord-016187-58rqc0cg 266 60 viruses virus NNS cord-016187-58rqc0cg 266 61 with with IN cord-016187-58rqc0cg 266 62 the the DT cord-016187-58rqc0cg 266 63 haemagglutinin haemagglutinin NNP cord-016187-58rqc0cg 266 64 of of IN cord-016187-58rqc0cg 266 65 the the DT cord-016187-58rqc0cg 266 66 1918 1918 CD cord-016187-58rqc0cg 266 67 pandemic pandemic NNP cord-016187-58rqc0cg 266 68 virus virus NN cord-016187-58rqc0cg 267 1 The the DT cord-016187-58rqc0cg 267 2 structure structure NN cord-016187-58rqc0cg 267 3 and and CC cord-016187-58rqc0cg 267 4 receptor receptor NN cord-016187-58rqc0cg 267 5 binding bind VBG cord-016187-58rqc0cg 267 6 properties property NNS cord-016187-58rqc0cg 267 7 of of IN cord-016187-58rqc0cg 267 8 the the DT cord-016187-58rqc0cg 267 9 1918 1918 CD cord-016187-58rqc0cg 267 10 infl infl NNP cord-016187-58rqc0cg 267 11 uenza uenza NNP cord-016187-58rqc0cg 267 12 hemagglutinin hemagglutinin VBN cord-016187-58rqc0cg 267 13 Viral viral JJ cord-016187-58rqc0cg 267 14 shedding shed VBG cord-016187-58rqc0cg 267 15 patterns pattern NNS cord-016187-58rqc0cg 267 16 of of IN cord-016187-58rqc0cg 267 17 coronavirus coronavirus NN cord-016187-58rqc0cg 267 18 in in IN cord-016187-58rqc0cg 267 19 patients patient NNS cord-016187-58rqc0cg 267 20 with with IN cord-016187-58rqc0cg 267 21 probable probable JJ cord-016187-58rqc0cg 267 22 severe severe JJ cord-016187-58rqc0cg 267 23 acute acute JJ cord-016187-58rqc0cg 267 24 respiratory respiratory JJ cord-016187-58rqc0cg 267 25 syndrome syndrome NN cord-016187-58rqc0cg 267 26 Planning plan VBG cord-016187-58rqc0cg 267 27 for for IN cord-016187-58rqc0cg 267 28 epidemics epidemic NNS cord-016187-58rqc0cg 268 1 -The -The : cord-016187-58rqc0cg 268 2 lessons lesson NNS cord-016187-58rqc0cg 268 3 of of IN cord-016187-58rqc0cg 268 4 SARS SARS NNP cord-016187-58rqc0cg 268 5 Public Public NNP cord-016187-58rqc0cg 268 6 health health NN cord-016187-58rqc0cg 268 7 measures measure NNS cord-016187-58rqc0cg 268 8 to to TO cord-016187-58rqc0cg 268 9 control control VB cord-016187-58rqc0cg 268 10 the the DT cord-016187-58rqc0cg 268 11 spread spread NN cord-016187-58rqc0cg 268 12 of of IN cord-016187-58rqc0cg 268 13 the the DT cord-016187-58rqc0cg 268 14 severe severe JJ cord-016187-58rqc0cg 268 15 acute acute JJ cord-016187-58rqc0cg 268 16 respiratory respiratory JJ cord-016187-58rqc0cg 268 17 syndrome syndrome NN cord-016187-58rqc0cg 268 18 during during IN cord-016187-58rqc0cg 268 19 the the DT cord-016187-58rqc0cg 268 20 outbreak outbreak NN cord-016187-58rqc0cg 268 21 in in IN cord-016187-58rqc0cg 268 22 Toronto Toronto NNP cord-016187-58rqc0cg 268 23 Multistate multistate JJ cord-016187-58rqc0cg 268 24 outbreak outbreak NN cord-016187-58rqc0cg 268 25 of of IN cord-016187-58rqc0cg 268 26 monkeypox monkeypox NNP cord-016187-58rqc0cg 268 27 - - : cord-016187-58rqc0cg 268 28 Illinois Illinois NNP cord-016187-58rqc0cg 268 29 Westward Westward NNP cord-016187-58rqc0cg 268 30 HO HO NNP cord-016187-58rqc0cg 268 31 ? ? . cord-016187-58rqc0cg 269 1 -The -The NNP cord-016187-58rqc0cg 269 2 spread spread NN cord-016187-58rqc0cg 269 3 of of IN cord-016187-58rqc0cg 269 4 West West NNP cord-016187-58rqc0cg 269 5 Nile Nile NNP cord-016187-58rqc0cg 269 6 virus virus NN cord-016187-58rqc0cg 269 7 Death death NN cord-016187-58rqc0cg 269 8 from from IN cord-016187-58rqc0cg 269 9 the the DT cord-016187-58rqc0cg 269 10 Nile Nile NNP cord-016187-58rqc0cg 269 11 crosses cross VBZ cord-016187-58rqc0cg 269 12 the the DT cord-016187-58rqc0cg 269 13 Atlantic Atlantic NNP cord-016187-58rqc0cg 269 14 : : : cord-016187-58rqc0cg 269 15 The the DT cord-016187-58rqc0cg 269 16 West West NNP cord-016187-58rqc0cg 269 17 Nile Nile NNP cord-016187-58rqc0cg 269 18 fever fever NN cord-016187-58rqc0cg 269 19 story story NN cord-016187-58rqc0cg 269 20 Hemorrhagic hemorrhagic JJ cord-016187-58rqc0cg 269 21 fever fever NN cord-016187-58rqc0cg 269 22 viruses virus NNS cord-016187-58rqc0cg 269 23 as as IN cord-016187-58rqc0cg 269 24 biological biological JJ cord-016187-58rqc0cg 269 25 weapons weapon NNS cord-016187-58rqc0cg 269 26 Death death NN cord-016187-58rqc0cg 269 27 due due IN cord-016187-58rqc0cg 269 28 to to IN cord-016187-58rqc0cg 269 29 bioterrorism bioterrorism NN cord-016187-58rqc0cg 269 30 - - HYPH cord-016187-58rqc0cg 269 31 related relate VBN cord-016187-58rqc0cg 269 32 anthrax anthrax NN cord-016187-58rqc0cg 269 33 : : : cord-016187-58rqc0cg 269 34 Report report NN cord-016187-58rqc0cg 269 35 of of IN cord-016187-58rqc0cg 269 36 two two CD cord-016187-58rqc0cg 269 37 patients patient NNS cord-016187-58rqc0cg 269 38 Isolation isolation NN cord-016187-58rqc0cg 269 39 and and CC cord-016187-58rqc0cg 269 40 partial partial JJ cord-016187-58rqc0cg 269 41 molecular molecular JJ cord-016187-58rqc0cg 269 42 characterization characterization NN cord-016187-58rqc0cg 269 43 of of IN cord-016187-58rqc0cg 269 44 a a DT cord-016187-58rqc0cg 269 45 strain strain NN cord-016187-58rqc0cg 269 46 of of IN cord-016187-58rqc0cg 269 47 Ebola Ebola NNP cord-016187-58rqc0cg 269 48 virus virus NN cord-016187-58rqc0cg 269 49 during during IN cord-016187-58rqc0cg 269 50 a a DT cord-016187-58rqc0cg 269 51 recent recent JJ cord-016187-58rqc0cg 269 52 epidemic epidemic NN cord-016187-58rqc0cg 269 53 of of IN cord-016187-58rqc0cg 269 54 viral viral JJ cord-016187-58rqc0cg 269 55 haemorrhagic haemorrhagic JJ cord-016187-58rqc0cg 269 56 fever fever NN cord-016187-58rqc0cg 269 57 in in IN cord-016187-58rqc0cg 269 58 Gabon Gabon NNP cord-016187-58rqc0cg 269 59 Staphylococcus Staphylococcus NNP cord-016187-58rqc0cg 269 60 aureus aureus NN cord-016187-58rqc0cg 269 61 resistant resistant JJ cord-016187-58rqc0cg 269 62 to to IN cord-016187-58rqc0cg 269 63 Vancomycin Vancomycin NNP cord-016187-58rqc0cg 269 64 - - HYPH cord-016187-58rqc0cg 269 65 United United NNP cord-016187-58rqc0cg 269 66 States States NNP cord-016187-58rqc0cg 269 67 Oseltamivir Oseltamivir NNP cord-016187-58rqc0cg 269 68 - - HYPH cord-016187-58rqc0cg 269 69 resistant resistant JJ cord-016187-58rqc0cg 269 70 infl infl NN cord-016187-58rqc0cg 269 71 uenza uenza NN cord-016187-58rqc0cg 269 72 ? ? . cord-016187-58rqc0cg 270 1 Resistant resistant JJ cord-016187-58rqc0cg 270 2 infl infl XX cord-016187-58rqc0cg 270 3 uenza uenza NN cord-016187-58rqc0cg 271 1 A a DT cord-016187-58rqc0cg 271 2 viruses virus NNS cord-016187-58rqc0cg 271 3 in in IN cord-016187-58rqc0cg 271 4 children child NNS cord-016187-58rqc0cg 271 5 treated treat VBN cord-016187-58rqc0cg 271 6 with with IN cord-016187-58rqc0cg 271 7 oseltamivir oseltamivir NNP cord-016187-58rqc0cg 271 8 : : : cord-016187-58rqc0cg 271 9 descriptive descriptive JJ cord-016187-58rqc0cg 271 10 study study NN cord-016187-58rqc0cg 271 11 Resistance resistance NN cord-016187-58rqc0cg 271 12 mechanisms mechanism NNS cord-016187-58rqc0cg 271 13 in in IN cord-016187-58rqc0cg 271 14 clinical clinical JJ cord-016187-58rqc0cg 271 15 isolates isolate NNS cord-016187-58rqc0cg 271 16 of of IN cord-016187-58rqc0cg 271 17 Candida Candida NNP cord-016187-58rqc0cg 271 18 albicans albican NNS cord-016187-58rqc0cg 271 19 Creutzfeldt Creutzfeldt NNP cord-016187-58rqc0cg 271 20 - - HYPH cord-016187-58rqc0cg 271 21 Jakob Jakob NNP cord-016187-58rqc0cg 271 22 Disease Disease NNP cord-016187-58rqc0cg 271 23 and and CC cord-016187-58rqc0cg 271 24 related relate VBN cord-016187-58rqc0cg 271 25 transmissible transmissible JJ cord-016187-58rqc0cg 271 26 spongiform spongiform JJ cord-016187-58rqc0cg 271 27 encephalopathies encephalopathy NNS cord-016187-58rqc0cg 271 28 Outbreaks outbreak NNS cord-016187-58rqc0cg 271 29 of of IN cord-016187-58rqc0cg 271 30 avian avian JJ cord-016187-58rqc0cg 271 31 infl infl NN cord-016187-58rqc0cg 271 32 uenza uenza NNP cord-016187-58rqc0cg 271 33 A A NNP cord-016187-58rqc0cg 271 34 ( ( -LRB- cord-016187-58rqc0cg 271 35 H5N1 H5N1 NNP cord-016187-58rqc0cg 271 36 ) ) -RRB- cord-016187-58rqc0cg 271 37 in in IN cord-016187-58rqc0cg 271 38 Asia Asia NNP cord-016187-58rqc0cg 271 39 and and CC cord-016187-58rqc0cg 271 40 interim interim JJ cord-016187-58rqc0cg 271 41 recommendations recommendation NNS cord-016187-58rqc0cg 271 42 for for IN cord-016187-58rqc0cg 271 43 evaluation evaluation NN cord-016187-58rqc0cg 271 44 and and CC cord-016187-58rqc0cg 271 45 reporting reporting NN cord-016187-58rqc0cg 271 46 of of IN cord-016187-58rqc0cg 271 47 suspected suspect VBN cord-016187-58rqc0cg 271 48 cases case NNS cord-016187-58rqc0cg 272 1 -United -unite VBN cord-016187-58rqc0cg 273 1 States States NNP cord-016187-58rqc0cg 273 2 Mechanisms Mechanisms NNPS cord-016187-58rqc0cg 273 3 of of IN cord-016187-58rqc0cg 273 4 Antibiotic Antibiotic NNP cord-016187-58rqc0cg 273 5 Resistance Resistance NNP cord-016187-58rqc0cg 274 1 A a DT cord-016187-58rqc0cg 274 2 functional functional JJ cord-016187-58rqc0cg 274 3 classifi classifi NN cord-016187-58rqc0cg 274 4 cation cation NN cord-016187-58rqc0cg 274 5 scheme scheme NN cord-016187-58rqc0cg 274 6 for for IN cord-016187-58rqc0cg 274 7 βlactamases βlactamase NNS cord-016187-58rqc0cg 274 8 and and CC cord-016187-58rqc0cg 274 9 its -PRON- PRP$ cord-016187-58rqc0cg 274 10 correlation correlation NN cord-016187-58rqc0cg 274 11 with with IN cord-016187-58rqc0cg 274 12 molecular molecular JJ cord-016187-58rqc0cg 274 13 structure structure NN cord-016187-58rqc0cg 274 14 Error error NN cord-016187-58rqc0cg 274 15 - - HYPH cord-016187-58rqc0cg 274 16 prone prone JJ cord-016187-58rqc0cg 274 17 polymerase polymerase NN cord-016187-58rqc0cg 274 18 , , , cord-016187-58rqc0cg 274 19 DNA dna NN cord-016187-58rqc0cg 274 20 polymerase polymerase NN cord-016187-58rqc0cg 274 21 IV IV NNP cord-016187-58rqc0cg 274 22 , , , cord-016187-58rqc0cg 274 23 is be VBZ cord-016187-58rqc0cg 274 24 responsible responsible JJ cord-016187-58rqc0cg 274 25 for for IN cord-016187-58rqc0cg 274 26 transient transient JJ cord-016187-58rqc0cg 274 27 hypermutation hypermutation NN cord-016187-58rqc0cg 274 28 during during IN cord-016187-58rqc0cg 274 29 adaptive adaptive JJ cord-016187-58rqc0cg 274 30 mutation mutation NN cord-016187-58rqc0cg 274 31 in in IN cord-016187-58rqc0cg 274 32 Escherichia Escherichia NNP cord-016187-58rqc0cg 274 33 coli coli VBZ cord-016187-58rqc0cg 274 34 Pseudomonas Pseudomonas NNP cord-016187-58rqc0cg 274 35 biofi biofi NNP cord-016187-58rqc0cg 274 36 lm lm NNP cord-016187-58rqc0cg 274 37 formation formation NN cord-016187-58rqc0cg 274 38 and and CC cord-016187-58rqc0cg 274 39 antibiotic antibiotic JJ cord-016187-58rqc0cg 274 40 resistance resistance NN cord-016187-58rqc0cg 274 41 are be VBP cord-016187-58rqc0cg 274 42 linked link VBN cord-016187-58rqc0cg 274 43 to to IN cord-016187-58rqc0cg 274 44 phenotypic phenotypic JJ cord-016187-58rqc0cg 274 45 variation variation NN cord-016187-58rqc0cg 274 46 Infection infection NN cord-016187-58rqc0cg 274 47 with with IN cord-016187-58rqc0cg 274 48 vancomycin vancomycin NN cord-016187-58rqc0cg 274 49 - - HYPH cord-016187-58rqc0cg 274 50 resistant resistant JJ cord-016187-58rqc0cg 274 51 Staphylococcus Staphylococcus NNP cord-016187-58rqc0cg 274 52 aureus aureus NN cord-016187-58rqc0cg 274 53 containing contain VBG cord-016187-58rqc0cg 274 54 the the DT cord-016187-58rqc0cg 274 55 vanA vanA NNP cord-016187-58rqc0cg 274 56 resistance resistance NN cord-016187-58rqc0cg 274 57 gene gene NN cord-016187-58rqc0cg 274 58 Multifocal multifocal JJ cord-016187-58rqc0cg 274 59 outbreaks outbreak NNS cord-016187-58rqc0cg 274 60 of of IN cord-016187-58rqc0cg 274 61 metallo metallo NN cord-016187-58rqc0cg 274 62 - - HYPH cord-016187-58rqc0cg 274 63 βlactamase βlactamase NN cord-016187-58rqc0cg 274 64 - - HYPH cord-016187-58rqc0cg 274 65 producing produce VBG cord-016187-58rqc0cg 274 66 Pseudomonas Pseudomonas NNP cord-016187-58rqc0cg 274 67 aeruginosa aeruginosa NN cord-016187-58rqc0cg 274 68 resistant resistant JJ cord-016187-58rqc0cg 274 69 to to IN cord-016187-58rqc0cg 274 70 broad broad JJ cord-016187-58rqc0cg 274 71 - - HYPH cord-016187-58rqc0cg 274 72 spectrum spectrum NN cord-016187-58rqc0cg 274 73 β β NN cord-016187-58rqc0cg 274 74 - - HYPH cord-016187-58rqc0cg 274 75 lactams lactam NNS cord-016187-58rqc0cg 274 76 , , , cord-016187-58rqc0cg 274 77 including include VBG cord-016187-58rqc0cg 274 78 carbapenems carbapenem NNS cord-016187-58rqc0cg 274 79 Antimicrobial Antimicrobial NNP cord-016187-58rqc0cg 274 80 resistance resistance NN cord-016187-58rqc0cg 274 81 in in IN cord-016187-58rqc0cg 274 82 intensive intensive JJ cord-016187-58rqc0cg 274 83 care care NN cord-016187-58rqc0cg 274 84 units unit NNS cord-016187-58rqc0cg 275 1 The the DT cord-016187-58rqc0cg 275 2 origins origin NNS cord-016187-58rqc0cg 275 3 and and CC cord-016187-58rqc0cg 275 4 molecular molecular JJ cord-016187-58rqc0cg 275 5 basis basis NN cord-016187-58rqc0cg 275 6 of of IN cord-016187-58rqc0cg 275 7 antibiotic antibiotic JJ cord-016187-58rqc0cg 275 8 resistance resistance NN cord-016187-58rqc0cg 275 9 Acquisition Acquisition NNP cord-016187-58rqc0cg 275 10 of of IN cord-016187-58rqc0cg 275 11 16S 16S NNP cord-016187-58rqc0cg 275 12 rRNA rRNA NNP cord-016187-58rqc0cg 275 13 methylase methylase NNP cord-016187-58rqc0cg 275 14 gene gene NN cord-016187-58rqc0cg 275 15 in in IN cord-016187-58rqc0cg 275 16 Pseudomonas Pseudomonas NNP cord-016187-58rqc0cg 275 17 aeruginosa aeruginosa VBZ cord-016187-58rqc0cg 275 18 Interactions Interactions NNPS cord-016187-58rqc0cg 275 19 of of IN cord-016187-58rqc0cg 275 20 outer outer JJ cord-016187-58rqc0cg 275 21 membrane membrane NN cord-016187-58rqc0cg 275 22 proteins protein NNS cord-016187-58rqc0cg 275 23 0 0 CD cord-016187-58rqc0cg 275 24 - - SYM cord-016187-58rqc0cg 275 25 8 8 CD cord-016187-58rqc0cg 275 26 and and CC cord-016187-58rqc0cg 275 27 0 0 CD cord-016187-58rqc0cg 275 28 - - SYM cord-016187-58rqc0cg 275 29 9 9 CD cord-016187-58rqc0cg 275 30 with with IN cord-016187-58rqc0cg 275 31 peptidoglycan peptidoglycan JJ cord-016187-58rqc0cg 275 32 sacculus sacculus NN cord-016187-58rqc0cg 275 33 of of IN cord-016187-58rqc0cg 275 34 Escherichia Escherichia NNP cord-016187-58rqc0cg 275 35 coli coli VBZ cord-016187-58rqc0cg 275 36 K-12 K-12 NNP cord-016187-58rqc0cg 275 37 Interplay Interplay NNP cord-016187-58rqc0cg 275 38 of of IN cord-016187-58rqc0cg 275 39 impermeability impermeability NN cord-016187-58rqc0cg 275 40 and and CC cord-016187-58rqc0cg 275 41 chromosomal chromosomal JJ cord-016187-58rqc0cg 275 42 beta beta NN cord-016187-58rqc0cg 275 43 - - HYPH cord-016187-58rqc0cg 275 44 lactamase lactamase NN cord-016187-58rqc0cg 275 45 activity activity NN cord-016187-58rqc0cg 275 46 in in IN cord-016187-58rqc0cg 275 47 imipenem imipenem JJ cord-016187-58rqc0cg 275 48 - - HYPH cord-016187-58rqc0cg 275 49 resistant resistant JJ cord-016187-58rqc0cg 275 50 Pseudomonas Pseudomonas NNP cord-016187-58rqc0cg 275 51 aeruginosa aeruginosa NN cord-016187-58rqc0cg 275 52 Membrane Membrane NNP cord-016187-58rqc0cg 275 53 potential potential NN cord-016187-58rqc0cg 275 54 and and CC cord-016187-58rqc0cg 275 55 gentamicin gentamicin NN cord-016187-58rqc0cg 275 56 uptake uptake NN cord-016187-58rqc0cg 275 57 in in IN cord-016187-58rqc0cg 275 58 Staphylococcus Staphylococcus NNP cord-016187-58rqc0cg 275 59 aureus aureus NNP cord-016187-58rqc0cg 275 60 Drug Drug NNP cord-016187-58rqc0cg 275 61 effl effl NNP cord-016187-58rqc0cg 275 62 ux ux NNP cord-016187-58rqc0cg 275 63 as as IN cord-016187-58rqc0cg 275 64 a a DT cord-016187-58rqc0cg 275 65 mechanism mechanism NN cord-016187-58rqc0cg 275 66 of of IN cord-016187-58rqc0cg 275 67 resistance resistance NN cord-016187-58rqc0cg 275 68 Active active JJ cord-016187-58rqc0cg 275 69 effl effl NNP cord-016187-58rqc0cg 275 70 ux ux NNP cord-016187-58rqc0cg 275 71 , , , cord-016187-58rqc0cg 275 72 a a DT cord-016187-58rqc0cg 275 73 common common JJ cord-016187-58rqc0cg 275 74 mechanism mechanism NN cord-016187-58rqc0cg 275 75 for for IN cord-016187-58rqc0cg 275 76 biocide biocide NN cord-016187-58rqc0cg 275 77 and and CC cord-016187-58rqc0cg 275 78 antibiotic antibiotic JJ cord-016187-58rqc0cg 275 79 resistance resistance NN cord-016187-58rqc0cg 275 80 Inner inner JJ cord-016187-58rqc0cg 275 81 membrane membrane NN cord-016187-58rqc0cg 275 82 effl effl NNP cord-016187-58rqc0cg 275 83 ux ux NNP cord-016187-58rqc0cg 275 84 components component NNS cord-016187-58rqc0cg 276 1 are be VBP cord-016187-58rqc0cg 276 2 responsible responsible JJ cord-016187-58rqc0cg 276 3 for for IN cord-016187-58rqc0cg 276 4 β β NN cord-016187-58rqc0cg 276 5 - - HYPH cord-016187-58rqc0cg 276 6 lactam lactam NNP cord-016187-58rqc0cg 276 7 specifi specifi NN cord-016187-58rqc0cg 276 8 city city NN cord-016187-58rqc0cg 276 9 of of IN cord-016187-58rqc0cg 276 10 multidrug multidrug NN cord-016187-58rqc0cg 276 11 effl effl NNP cord-016187-58rqc0cg 276 12 ux ux NNP cord-016187-58rqc0cg 276 13 pumps pump NNS cord-016187-58rqc0cg 276 14 in in IN cord-016187-58rqc0cg 276 15 Pseudomonas Pseudomonas NNP cord-016187-58rqc0cg 276 16 aeruginosa aeruginosa VBZ cord-016187-58rqc0cg 276 17 Genetic genetic JJ cord-016187-58rqc0cg 276 18 characterization characterization NN cord-016187-58rqc0cg 276 19 of of IN cord-016187-58rqc0cg 276 20 vanG vanG NNS cord-016187-58rqc0cg 276 21 , , , cord-016187-58rqc0cg 276 22 a a DT cord-016187-58rqc0cg 276 23 novel novel NN cord-016187-58rqc0cg 276 24 vancomycin vancomycin NN cord-016187-58rqc0cg 276 25 resistance resistance NN cord-016187-58rqc0cg 276 26 locus locus NN cord-016187-58rqc0cg 276 27 for for IN cord-016187-58rqc0cg 276 28 Enterococcus Enterococcus NNP cord-016187-58rqc0cg 276 29 faecalis faecalis NNP cord-016187-58rqc0cg 277 1 Contribution contribution NN cord-016187-58rqc0cg 277 2 of of IN cord-016187-58rqc0cg 277 3 a a DT cord-016187-58rqc0cg 277 4 thickened thickened JJ cord-016187-58rqc0cg 277 5 cell cell NN cord-016187-58rqc0cg 277 6 wall wall NN cord-016187-58rqc0cg 277 7 and and CC cord-016187-58rqc0cg 277 8 its -PRON- PRP$ cord-016187-58rqc0cg 277 9 glutamine glutamine NN cord-016187-58rqc0cg 277 10 nonamidated nonamidate VBN cord-016187-58rqc0cg 277 11 component component NN cord-016187-58rqc0cg 277 12 to to IN cord-016187-58rqc0cg 277 13 the the DT cord-016187-58rqc0cg 277 14 vancomycin vancomycin NN cord-016187-58rqc0cg 277 15 resistance resistance NN cord-016187-58rqc0cg 277 16 expressed express VBN cord-016187-58rqc0cg 277 17 by by IN cord-016187-58rqc0cg 277 18 Staphylococcus Staphylococcus NNP cord-016187-58rqc0cg 277 19 aureus aureus NN cord-016187-58rqc0cg 277 20 M450 M450 NNP cord-016187-58rqc0cg 277 21 Transition transition NN cord-016187-58rqc0cg 277 22 from from IN cord-016187-58rqc0cg 277 23 resistance resistance NN cord-016187-58rqc0cg 277 24 to to IN cord-016187-58rqc0cg 277 25 hypersusceptibility hypersusceptibility NN cord-016187-58rqc0cg 277 26 to to IN cord-016187-58rqc0cg 277 27 beta beta NN cord-016187-58rqc0cg 277 28 - - HYPH cord-016187-58rqc0cg 277 29 lactam lactam NN cord-016187-58rqc0cg 277 30 antibiotics antibiotic NNS cord-016187-58rqc0cg 277 31 associated associate VBN cord-016187-58rqc0cg 277 32 with with IN cord-016187-58rqc0cg 277 33 loss loss NN cord-016187-58rqc0cg 277 34 of of IN cord-016187-58rqc0cg 277 35 a a DT cord-016187-58rqc0cg 277 36 low low RB cord-016187-58rqc0cg 277 37 - - HYPH cord-016187-58rqc0cg 277 38 affi affi JJ cord-016187-58rqc0cg 277 39 nity nity NNP cord-016187-58rqc0cg 277 40 penicillin penicillin NN cord-016187-58rqc0cg 277 41 - - HYPH cord-016187-58rqc0cg 277 42 binding bind VBG cord-016187-58rqc0cg 277 43 protein protein NN cord-016187-58rqc0cg 277 44 in in IN cord-016187-58rqc0cg 277 45 a a DT cord-016187-58rqc0cg 277 46 Streptococcus Streptococcus NNP cord-016187-58rqc0cg 277 47 faecium faecium NN cord-016187-58rqc0cg 277 48 mutant mutant NN cord-016187-58rqc0cg 277 49 highly highly RB cord-016187-58rqc0cg 277 50 resistant resistant JJ cord-016187-58rqc0cg 277 51 to to IN cord-016187-58rqc0cg 277 52 penicillin penicillin NN cord-016187-58rqc0cg 277 53 Penicillin Penicillin NNP cord-016187-58rqc0cg 277 54 - - HYPH cord-016187-58rqc0cg 277 55 binding bind VBG cord-016187-58rqc0cg 277 56 proteins protein NNS cord-016187-58rqc0cg 277 57 and and CC cord-016187-58rqc0cg 277 58 ampicillin ampicillin JJ cord-016187-58rqc0cg 277 59 resistance resistance NN cord-016187-58rqc0cg 277 60 in in IN cord-016187-58rqc0cg 277 61 Haemophilus haemophilus JJ cord-016187-58rqc0cg 277 62 infl infl NN cord-016187-58rqc0cg 277 63 uenzae uenzae NN cord-016187-58rqc0cg 277 64 Activity activity NN cord-016187-58rqc0cg 277 65 of of IN cord-016187-58rqc0cg 277 66 quinolones quinolone NNS cord-016187-58rqc0cg 277 67 against against IN cord-016187-58rqc0cg 277 68 gram gram NN cord-016187-58rqc0cg 277 69 - - HYPH cord-016187-58rqc0cg 277 70 positive positive JJ cord-016187-58rqc0cg 277 71 cocci coccus NNS cord-016187-58rqc0cg 277 72 : : : cord-016187-58rqc0cg 277 73 mechanisms mechanism NNS cord-016187-58rqc0cg 277 74 of of IN cord-016187-58rqc0cg 277 75 drug drug NN cord-016187-58rqc0cg 277 76 action action NN cord-016187-58rqc0cg 277 77 and and CC cord-016187-58rqc0cg 277 78 bacterial bacterial JJ cord-016187-58rqc0cg 277 79 resistance resistance NN cord-016187-58rqc0cg 277 80 Sulfonamide Sulfonamide NNP cord-016187-58rqc0cg 277 81 resistance resistance NN cord-016187-58rqc0cg 277 82 in in IN cord-016187-58rqc0cg 277 83 Haemophilus haemophilus JJ cord-016187-58rqc0cg 277 84 infl infl NN cord-016187-58rqc0cg 277 85 uenzae uenzae NN cord-016187-58rqc0cg 277 86 mediated mediate VBN cord-016187-58rqc0cg 277 87 by by IN cord-016187-58rqc0cg 277 88 acquisition acquisition NN cord-016187-58rqc0cg 277 89 of of IN cord-016187-58rqc0cg 277 90 sul2 sul2 NN cord-016187-58rqc0cg 277 91 or or CC cord-016187-58rqc0cg 277 92 a a DT cord-016187-58rqc0cg 277 93 short short JJ cord-016187-58rqc0cg 277 94 insertion insertion NN cord-016187-58rqc0cg 277 95 in in IN cord-016187-58rqc0cg 277 96 chromosomal chromosomal JJ cord-016187-58rqc0cg 277 97 folP folP NNS cord-016187-58rqc0cg 277 98 Trimethoprim Trimethoprim NNP cord-016187-58rqc0cg 277 99 resistance resistance NN cord-016187-58rqc0cg 277 100 High high JJ cord-016187-58rqc0cg 277 101 - - HYPH cord-016187-58rqc0cg 277 102 level level NN cord-016187-58rqc0cg 277 103 tetracycline tetracycline NN cord-016187-58rqc0cg 277 104 resistance resistance NN cord-016187-58rqc0cg 277 105 in in IN cord-016187-58rqc0cg 277 106 Neisseria Neisseria NNP cord-016187-58rqc0cg 277 107 gonorrhoeae gonorrhoeae NNP cord-016187-58rqc0cg 277 108 is be VBZ cord-016187-58rqc0cg 277 109 result result NN cord-016187-58rqc0cg 277 110 of of IN cord-016187-58rqc0cg 277 111 acquisition acquisition NN cord-016187-58rqc0cg 277 112 of of IN cord-016187-58rqc0cg 277 113 streptococcal streptococcal JJ cord-016187-58rqc0cg 277 114 tetM tetm JJ cord-016187-58rqc0cg 277 115 determinant determinant NN cord-016187-58rqc0cg 277 116 Phenotypic Phenotypic NNP cord-016187-58rqc0cg 277 117 switching switching NN cord-016187-58rqc0cg 277 118 of of IN cord-016187-58rqc0cg 277 119 antibiotic antibiotic JJ cord-016187-58rqc0cg 277 120 resistance resistance NN cord-016187-58rqc0cg 277 121 circumvents circumvent VBZ cord-016187-58rqc0cg 277 122 permanent permanent JJ cord-016187-58rqc0cg 277 123 costs cost NNS cord-016187-58rqc0cg 277 124 in in IN cord-016187-58rqc0cg 277 125 Staphylococcus Staphylococcus NNP cord-016187-58rqc0cg 277 126 aureus aureus NN cord-016187-58rqc0cg 277 127 Plasmid Plasmid NNP cord-016187-58rqc0cg 277 128 - - HYPH cord-016187-58rqc0cg 277 129 determined determine VBN cord-016187-58rqc0cg 277 130 resistance resistance NN cord-016187-58rqc0cg 277 131 to to IN cord-016187-58rqc0cg 277 132 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 277 133 drugs drug NNS cord-016187-58rqc0cg 277 134 and and CC cord-016187-58rqc0cg 277 135 toxic toxic JJ cord-016187-58rqc0cg 277 136 metal metal NN cord-016187-58rqc0cg 277 137 ions ion NNS cord-016187-58rqc0cg 277 138 in in IN cord-016187-58rqc0cg 277 139 bacteria bacteria NNS cord-016187-58rqc0cg 278 1 Conjugative conjugative JJ cord-016187-58rqc0cg 278 2 transfer transfer NN cord-016187-58rqc0cg 278 3 of of IN cord-016187-58rqc0cg 278 4 staphylococcal staphylococcal JJ cord-016187-58rqc0cg 278 5 antibiotic antibiotic JJ cord-016187-58rqc0cg 278 6 resistance resistance NN cord-016187-58rqc0cg 278 7 markers marker NNS cord-016187-58rqc0cg 278 8 in in IN cord-016187-58rqc0cg 278 9 the the DT cord-016187-58rqc0cg 278 10 absence absence NN cord-016187-58rqc0cg 278 11 of of IN cord-016187-58rqc0cg 278 12 detectable detectable JJ cord-016187-58rqc0cg 278 13 plasmid plasmid NN cord-016187-58rqc0cg 278 14 DNA DNA NNP cord-016187-58rqc0cg 278 15 Dispersal Dispersal NNP cord-016187-58rqc0cg 278 16 in in IN cord-016187-58rqc0cg 278 17 Campylobacter Campylobacter NNP cord-016187-58rqc0cg 278 18 spp spp NNS cord-016187-58rqc0cg 278 19 . . . cord-016187-58rqc0cg 279 1 of of IN cord-016187-58rqc0cg 279 2 aphA-3 aphA-3 NNP cord-016187-58rqc0cg 279 3 , , , cord-016187-58rqc0cg 279 4 a a DT cord-016187-58rqc0cg 279 5 kanamycin kanamycin NNP cord-016187-58rqc0cg 279 6 resistance resistance NN cord-016187-58rqc0cg 279 7 determinant determinant NN cord-016187-58rqc0cg 279 8 from from IN cord-016187-58rqc0cg 279 9 gram gram NN cord-016187-58rqc0cg 279 10 - - HYPH cord-016187-58rqc0cg 279 11 positive positive JJ cord-016187-58rqc0cg 279 12 cocci coccus NNS cord-016187-58rqc0cg 279 13 Origins Origins NNPS cord-016187-58rqc0cg 279 14 of of IN cord-016187-58rqc0cg 279 15 the the DT cord-016187-58rqc0cg 279 16 mobile mobile JJ cord-016187-58rqc0cg 279 17 gene gene NN cord-016187-58rqc0cg 279 18 cassettes cassette NNS cord-016187-58rqc0cg 279 19 found find VBN cord-016187-58rqc0cg 279 20 in in IN cord-016187-58rqc0cg 279 21 integrons integron NNS cord-016187-58rqc0cg 279 22 Multidrug Multidrug NNP cord-016187-58rqc0cg 279 23 resistance resistance NN cord-016187-58rqc0cg 279 24 among among IN cord-016187-58rqc0cg 279 25 enterobacteriaceae enterobacteriaceae NNS cord-016187-58rqc0cg 279 26 is be VBZ cord-016187-58rqc0cg 279 27 strongly strongly RB cord-016187-58rqc0cg 279 28 associated associate VBN cord-016187-58rqc0cg 279 29 with with IN cord-016187-58rqc0cg 279 30 the the DT cord-016187-58rqc0cg 279 31 presence presence NN cord-016187-58rqc0cg 279 32 of of IN cord-016187-58rqc0cg 279 33 integrons integron NNS cord-016187-58rqc0cg 279 34 and and CC cord-016187-58rqc0cg 279 35 is be VBZ cord-016187-58rqc0cg 279 36 independent independent JJ cord-016187-58rqc0cg 279 37 of of IN cord-016187-58rqc0cg 279 38 species specie NNS cord-016187-58rqc0cg 279 39 or or CC cord-016187-58rqc0cg 279 40 isolate isolate VB cord-016187-58rqc0cg 279 41 origin origin NN cord-016187-58rqc0cg 279 42 Trends trend NNS cord-016187-58rqc0cg 279 43 in in IN cord-016187-58rqc0cg 279 44 antimicrobial antimicrobial JJ cord-016187-58rqc0cg 279 45 drug drug NN cord-016187-58rqc0cg 279 46 development development NN cord-016187-58rqc0cg 279 47 Antibiotics antibiotic NNS cord-016187-58rqc0cg 279 48 at at IN cord-016187-58rqc0cg 279 49 the the DT cord-016187-58rqc0cg 279 50 crossroads crossroads NNP cord-016187-58rqc0cg 279 51 Safety Safety NNP cord-016187-58rqc0cg 279 52 and and CC cord-016187-58rqc0cg 279 53 antigenicity antigenicity NN cord-016187-58rqc0cg 279 54 of of IN cord-016187-58rqc0cg 279 55 non non JJ cord-016187-58rqc0cg 279 56 - - JJ cord-016187-58rqc0cg 279 57 adjuvanted adjuvanted JJ cord-016187-58rqc0cg 279 58 and and CC cord-016187-58rqc0cg 279 59 MF59-adjuvanted mf59-adjuvanted JJ cord-016187-58rqc0cg 279 60 infl infl XX cord-016187-58rqc0cg 279 61 uenza uenza NNP cord-016187-58rqc0cg 279 62 A A NNP cord-016187-58rqc0cg 279 63 / / SYM cord-016187-58rqc0cg 279 64 Duck Duck NNP cord-016187-58rqc0cg 279 65 / / SYM cord-016187-58rqc0cg 279 66 Singapore/97 Singapore/97 NNP cord-016187-58rqc0cg 279 67 ( ( -LRB- cord-016187-58rqc0cg 279 68 H5N3 H5N3 NNP cord-016187-58rqc0cg 279 69 ) ) -RRB- cord-016187-58rqc0cg 279 70 vaccine vaccine NN cord-016187-58rqc0cg 279 71 ; ; : cord-016187-58rqc0cg 279 72 a a DT cord-016187-58rqc0cg 279 73 randomized randomized JJ cord-016187-58rqc0cg 279 74 trial trial NN cord-016187-58rqc0cg 279 75 of of IN cord-016187-58rqc0cg 279 76 two two CD cord-016187-58rqc0cg 279 77 potential potential JJ cord-016187-58rqc0cg 279 78 vaccines vaccine NNS cord-016187-58rqc0cg 279 79 against against IN cord-016187-58rqc0cg 279 80 H5N1 H5N1 NNP cord-016187-58rqc0cg 279 81 infl infl NN cord-016187-58rqc0cg 279 82 uenza uenza NNP cord-016187-58rqc0cg 279 83 Antibody Antibody NNP cord-016187-58rqc0cg 279 84 concentration concentration NN cord-016187-58rqc0cg 279 85 and and CC cord-016187-58rqc0cg 279 86 clinical clinical JJ cord-016187-58rqc0cg 279 87 protection protection NN cord-016187-58rqc0cg 279 88 after after IN cord-016187-58rqc0cg 279 89 Hib Hib NNP cord-016187-58rqc0cg 279 90 conjugate conjugate NN cord-016187-58rqc0cg 279 91 vaccination vaccination NN cord-016187-58rqc0cg 279 92 in in IN cord-016187-58rqc0cg 279 93 the the DT cord-016187-58rqc0cg 279 94 United United NNP cord-016187-58rqc0cg 279 95 Kingdom Kingdom NNP cord-016187-58rqc0cg 279 96 Immunogenicity Immunogenicity NNP cord-016187-58rqc0cg 279 97 and and CC cord-016187-58rqc0cg 279 98 impact impact NN cord-016187-58rqc0cg 279 99 on on IN cord-016187-58rqc0cg 279 100 nasopharyngeal nasopharyngeal JJ cord-016187-58rqc0cg 279 101 carriage carriage NN cord-016187-58rqc0cg 279 102 of of IN cord-016187-58rqc0cg 279 103 a a DT cord-016187-58rqc0cg 279 104 nonavalent nonavalent JJ cord-016187-58rqc0cg 279 105 pneumococcal pneumococcal JJ cord-016187-58rqc0cg 279 106 conjugate conjugate NN cord-016187-58rqc0cg 279 107 vaccine vaccine NN cord-016187-58rqc0cg 279 108 Antimicrobial Antimicrobial NNP cord-016187-58rqc0cg 279 109 resistance resistance NN cord-016187-58rqc0cg 279 110 : : : cord-016187-58rqc0cg 279 111 the the DT cord-016187-58rqc0cg 279 112 example example NN cord-016187-58rqc0cg 279 113 of of IN cord-016187-58rqc0cg 279 114 Staphylococcus Staphylococcus NNP cord-016187-58rqc0cg 279 115 aureus aureus NN