Patrick R. Gonzales

Dr. Patrick R. Gonzales

Pathology & Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
orcid
Co-Director, Cytogenetics Laboratory; Consultant, Clinical M...

Research Focus & Metrics

Academic Career Length

21Years (2006-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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14 September 2015 in Nature Chemical Biology
Verified
Journal Article
Open access
PDF file
Patrick R. GonzalesPatrick R. Gonzales
Patrick R. Gonzales
MPMitchell W Pesesky
Mitchell W Pesesky
RBRenee Bouley
Renee Bouley
ABAnna Ballard
Anna Ballard
BBBrent A Biddy
Brent A Biddy
GDGautam Dantas
Gautam Dantas
Triple combinations of carbapenem, penicillin and β-lactamase inhibitor antibiotic classes are synergistic against MRSA through a mechanism involving allostery-based synergy and collateral sensitivity and can thus be applied at doses that lead to less resistance. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most prevalent multidrug-resistant pathogens worldwide, exhibiting increasing resistance to the latest antibiotic therapies. Here we show that the triple β-lactam combination meropenem-piperacillin-tazobactam (ME/PI/TZ) acts synergistically and is bactericidal against MRSA subspecies N315 and 72 other clinical MRSA isolates in vitro and clears MRSA N315 infection in a mouse model. ME/PI/TZ suppresses evolution of resistance in MRSA via reciprocal collateral sensitivity of its constituents. We demonstrate that these activities also extend to other carbapenem-penicillin–β-lactamase inhibitor combinations. ME/PI/TZ circumvents the tight regulation of the mec and bla operons in MRSA, the basis for inducible resistance to β-lactam antibiotics. Furthermore, ME/PI/TZ subverts the function of penicillin-binding protein-2a (PBP2a) via allostery, which we propose as the mechanism for both synergy and collateral sensitivity. Showing in vivo activity similar to that of linezolid, ME/PI/TZ demonstrates that combinations of older β-lactam antibiotics could be effective against MRSA infections in humans.

3 December 2021 in Genetics in Medicine
Verified
Journal Article
Closed access
PDF file
Patrick R. GonzalesPatrick R. Gonzales
Patrick R. Gonzales
EAErica F. Andersen
Erica F. Andersen
TBTeneille R. Brown
Teneille R. Brown
VHVanessa L. Horner
Vanessa L. Horner
JHJuli Horwitz
Juli Horwitz
OCon behalf of the ACMG Laboratory Quality Assurance Committee
on behalf of the ACMG Laboratory Quality Assurance Committee

1 July 2010 in The American Journal of Human Genetics
Verified
Journal Article
Closed access
DADavid M. Alvarado
David M. Alvarado
HAHyuliya Aferol
Hyuliya Aferol
KMKevin McCall
Kevin McCall
JHJason B. Huang
Jason B. Huang
MTMatthew Techy
Matthew Techy
CGChristina Gurnett
Christina Gurnett

12 September 2007 in American Journal of Medical Genetics Part A
Verified
Journal Article
Closed access
PDF file
BSBrandon M. Shearer
Brandon M. Shearer
ETErik C. Thorland
Erik C. Thorland
Patrick R. GonzalesPatrick R. Gonzales
Patrick R. Gonzales
RKRhett P. Ketterling
Rhett P. Ketterling

16 April 2018 in American Journal of Medical Genetics Part A
Verified
Journal Article
Closed access
PDF file
JUJariya Upadia
Jariya Upadia
Patrick R. GonzalesPatrick R. Gonzales
Patrick R. Gonzales
NRNathaniel H. Robin
Nathaniel H. Robin

24 October 2017 in Current Hematologic Malignancy Reports
Verified
Journal Article
Closed access
PDF file
Patrick R. GonzalesPatrick R. Gonzales
Patrick R. Gonzales
FMFady M. Mikhail
Fady M. Mikhail