Diverse Clinical Isolates of Mycobacterium tuberculosis Develop Macrophage-Induced Rifampin Tolerance

被引:18
作者
Adams, Kristin N. [1 ]
Verma, Amit Kumar [3 ]
Gopalaswamy, Radha [4 ]
Adikesavalu, Harresh [4 ]
Singhal, Dinesh Kumar [4 ]
Tripathy, Srikanth [4 ]
Ranganathan, Uma Devi [4 ]
Sherman, David R. [1 ]
Urdahl, Kevin B. [1 ]
Ramakrishnan, Lalita [3 ]
Hernandez, Rafael E. [1 ,2 ]
机构
[1] Seattle Childrens Res Inst, Ctr Infect Dis Res, Ctr Global Infect Dis Res, Seattle, WA USA
[2] Univ Washington, Dept Pediat, Seattle, WA 98195 USA
[3] Univ Cambridge, Dept Med, Mol Immun Unit, Cambridge, England
[4] Natl Inst Res TB, Chennai, Tamil Nadu, India
基金
英国惠康基金; 英国医学研究理事会; 美国国家卫生研究院;
关键词
Tuberculosis; drug efflux; Beijing lineage; Rv1258c; antibiotic tolerance; TRANSCRIPTIONAL ADAPTATION; IN-VITRO;
D O I
10.1093/infdis/jiy710
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The Mycobacterium tuberculosis lineage 4 strains CDC1551 and H37Rv develop tolerance to multiple antibiotics upon macrophage residence. To determine whether macrophage-induced tolerance is a general feature of clinical M. tuberculosis isolates, we assessed macrophage-induced drug tolerance in strains from lineages 1-3, representing the other predominant M. tuberculosis strains responsible for tuberculosis globally. All 3 lineages developed isoniazid tolerance. While lineage 1, 3, and 4 strains developed rifampin tolerance, lineage 2 Beijing strains did not. Their failure to develop tolerance may be explained by their harboring of a loss-of-function mutation in the Rv1258c efflux pump that is linked to macrophage-induced rifampicin tolerance.
引用
收藏
页码:1554 / 1558
页数:5
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