Antimicrobial Resistance in Mycobacterium tuberculosis: The Odd One Out

被引:76
作者
Eldholm, Vegard [1 ]
Balloux, Francois [2 ]
机构
[1] Norwegian Inst Publ Hlth, Div Infect Dis Control, Lovisenberggata 8, N-0456 Oslo, Norway
[2] UCL, Dept Genet Evolut & Environm, Darwin Bldg,Gower St, London WC1E 6BT, England
关键词
POST PRIMARY TUBERCULOSIS; DRUG-RESISTANCE; ANTIBIOTIC-RESISTANCE; GENOMIC ANALYSIS; LEPROSY PATIENTS; HIV-INFECTION; EVOLUTION; TRANSMISSION; MUTATION; ENGLAND;
D O I
10.1016/j.tim.2016.03.007
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Antimicrobial resistance (AMR) threats are typically represented by bacteria capable of extensive horizontal gene transfer (HGT). One clear exception is Mycobacterium tuberculosis (Mtb). It is an obligate human pathogen with limited genetic diversity and a low mutation rate which lacks any evidence for HGT. Such features should, in principle, reduce its ability to rapidly evolve AMR. We identify key features in its biology and epidemiology that allow it to overcome its low adaptive potential. We focus in particular on its innate resistance to drugs, its unusual life cycle, including an often extensive latent phase, and its ability to shelter from exposure to antimicrobial drugs within cavities it induces in the lungs.
引用
收藏
页码:637 / 648
页数:12
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