Involvement of efflux pumps in the resistance to peptidoglycan synthesis inhibitors in Mycobacterium tuberculosis

Antimicrob Agents Chemother. 2013 Apr;57(4):1941-3. doi: 10.1128/AAC.01957-12. Epub 2013 Jan 18.

Abstract

We evaluated the contributions of Mycobacterium tuberculosis efflux pumps towards intrinsic resistance to different classes of peptidoglycan synthesis inhibitors (PSI). Our study indicates that the efflux pump knockout strains are more susceptible to PSI than the wild type. Vancomycin and ceftriaxone exhibited up to 3 log increased kill on efflux pump mutants compared to the wild-type strain, strongly suggesting an important role for efflux pumps in the intrinsic resistance of M. tuberculosis to PSI.

MeSH terms

  • Antitubercular Agents / pharmacology*
  • Bacterial Proteins / genetics
  • Bacterial Proteins / metabolism*
  • Ceftriaxone / pharmacology
  • Drug Resistance, Multiple, Bacterial / genetics
  • Drug Resistance, Multiple, Bacterial / physiology*
  • Microbial Sensitivity Tests
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / metabolism*
  • Peptidoglycan / biosynthesis*
  • Vancomycin / pharmacology

Substances

  • Antitubercular Agents
  • Bacterial Proteins
  • Peptidoglycan
  • Vancomycin
  • Ceftriaxone