Tetracyclines · Pharmacology

Which of the following is the most common mechanism of bacterial resistance to tetracyclines?

  1. Production of beta-lactamase enzymes that hydrolyze the drug
  2. Alteration of the DNA gyrase target
  3. Inhibition of dihydrofolate reductase
  4. Increased efflux via active pump proteins
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Correct answer: Increased efflux via active pump proteins

Resistance is primarily mediated by plasmid-encoded efflux pumps (like TetA) that actively remove the drug from the bacterial cell. Other mechanisms include ribosomal protection proteins and enzymatic inactivation.

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