Target intelligence / Profile preview

Tetracycline destructase (Tet(X)) (Tet(X))

Target
Tet(X)
Molecular classification
Enzyme, Flavin monooxygenase (FMO)
01

Overview

Tetracycline destructases, most notably Tet(X) and its variants, are **flavin-dependent monooxygenase enzymes** found primarily in Gram-negative bacteria but also reported in Gram-positive species. They confer resistance by directly modifying and inactivating a broad range of tetracycline antibiotics, including the newest-generation drugs such as tigecycline. Over a dozen Tet(X) variants have now been described, with varying substrate profiles and resistance levels; some catalyze inactivation of all clinically used tetracyclines. These enzymes pose a major public health concern due to their ability to propagate via mobile genetic elements, making bacteria less susceptible or refractory to tetracycline-based therapies[4][5][9].

Other names
Tetracycline-inactivating enzymeTetracycline oxidoreductaseFlavin-dependent tetracycline monooxygenaseTetracycline destructaseTetX
02

Mechanism of action

Enzymatic oxidation/inactivation: Tet(X) variants catalyze NADPH- and FAD-dependent hydroxylation or oxidation of tetracyclines, leading to antibiotic degradation and loss of activity[4][5].

03

Biological functions

Antibiotic resistanceDegradation of tetracycline-class antibioticsInactivation of tetracyclines and, for certain variants, tigecycline
04

Disease associations

Infection (acts in pathogens conferring multidrug resistance)Other (complicates clinical treatment of bacterial infections)
05

Safety considerations

Threat of untreatable bacterial infections due to inactivation of last-resort antibiotics (tigecycline)Horizontal gene transfer; plasmid-mediated spread among pathogenic Gram-negative and Gram-positive bacteria
06

Interacting drugs

Tetracycline

4 more in the full profile.

07

Biomarkers

Presence of tet(X) genes or their protein products (detected by PCR or sequencing) as markers of resistance in clinical isolates

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