In Vitro Study of Stepwise Acquisition of rv0678 and atpE Mutations Conferring Bedaquiline Resistance

Bedaquiline resistance within may arise through efflux-based ( ) or target-based ( ) pathway mutations. mutant populations from each of five sequential steps in a passaging approach, using a pyrazinamide-resistant ATCC strain, were subjected to MIC determinations and whole-genome sequencing. Exposur...

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Veröffentlicht in:Antimicrobial agents and chemotherapy 2019-08, Vol.63 (8)
Hauptverfasser: Ismail, Nabila, Ismail, Nazir A, Omar, Shaheed V, Peters, Remco P H
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container_title Antimicrobial agents and chemotherapy
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creator Ismail, Nabila
Ismail, Nazir A
Omar, Shaheed V
Peters, Remco P H
description Bedaquiline resistance within may arise through efflux-based ( ) or target-based ( ) pathway mutations. mutant populations from each of five sequential steps in a passaging approach, using a pyrazinamide-resistant ATCC strain, were subjected to MIC determinations and whole-genome sequencing. Exposure to increasing bedaquiline concentrations resulted in increasing phenotypic resistance (up to >2 μg/ml) through MIC determination on solid medium (Middlebrook 7H10). mutations were dynamic, while mutations were fixed, once occurring. We present the following hypothesis for emergence of bedaquiline resistance: mutations may be the first transient step in low-level resistance acquisition, followed by high-level resistance due to fixed mutations.
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Bacterial Proteins
Diarylquinolines
Drug Resistance, Bacterial
Mechanisms of Resistance
Mutation
Mycobacterium tuberculosis
title In Vitro Study of Stepwise Acquisition of rv0678 and atpE Mutations Conferring Bedaquiline Resistance
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