Table 10. The prevalence of overexpression of RND pumps in Pseudomonas aeruginosa reported in the literature

Sample type Efflux pump overexpression rates Association with antibiotic susceptibility profile Reference
P. aeruginosa from bloodstream infections MexAB-OprM: 12.3%MexCD-OprJ: 2.2%MexEF-OprN: 4.2%MexXY-OprM: 13.2% Cefepime-resistant isolates: 25% overexpressed MexAB-OprM and 29% overexpressed MexXY-OprM.MexXY-OprM was the most prevalent efflux pump in tobramycin-resistant isolates (37%), while MexAB-OprM was the most common in meropenem-resistant isolates (33%). Gabriel et al. (2011) [34]
P. aeruginosa from bloodstream infections MexAB-OprM: 50.8%MexXY-OprM: 27.1% MexAB-OprM overexpressing isolates showed high resistance to amikacin, gentamicin, and ciprofloxacin (86.7%), while MexXY-OprM overexpressing isolates showed high resistance to cefepime (80%). Xavier et al. (2010) [35]
Ciprofloxacin-resistant P. aeruginosa MexAB-OprM: 36.5%MexEF-OprN: 11.76%MexXY-OprM: 45.88% MexEF-OprN may be the main resistance mechanism of P. aeruginosa to fluoroquinolone antibiotics. Llanes et al. (2011) [36]
P. aeruginosa from urinary tract infections MexAB-OprM: 26.7%MexCD-OprJ: 11.4%MexEF-OprN: 41.9%MexXY-OprM: 38.1% MexCD-OprJ overexpression was associated with levofloxacin resistance. Shigemura et al. (2015) [37]
Hospital-acquired P. aeruginosa infections MexAB-OprM: 69%MexCD-OprJ: 28.7%MexEF-OprN: 43.4%MexXY-OprM: 74.6% Overexpression of MexAB-OprM and MexXY-OprM efflux pumps was highly correlated with bacterial resistance to the treatment antibiotics. Zahedi bialvaei et al. (2021) [38]
Hospital-acquired P. aeruginosa infections MexAB-OprM: 10.0%MexCD-OprJ: 21.67%MexEF-OprN: 53.33%MexXY-OprM: 5.0% The overexpression of MexEF-OprN was closely related to the resistance of baceria against cephalosporins, aminosides, and floroquinolones. The resistance of floroquinolone was also found to be related to MexCD-OprJ overexpression This study
RND, resistance nodulation division.