Clofazimine exposure in vitro selects efflux pump mutants and bedaquiline resistance

dc.contributor.authorIsmail, Nabila
dc.contributor.authorPeters, Remco P.H.
dc.contributor.authorIsmail, Nazir Ahmed
dc.contributor.authorOmar, Shaheed Vally
dc.date.accessioned2019-03-08T07:41:27Z
dc.date.issued2019-03
dc.description.abstractSix in vitro clofazimine-resistant spontaneous mutants obtained from a wild-type or pyrazinamide-resistant ATCC reference strain were selected to evaluate bedaquiline cross-resistance. The reverse was conducted for bedaquiline mutants. All clofazimine mutants harboring an rv0678 mutation displayed phenotypic cross-resistance. We observed the same for rv0678 bedaquiline mutants; however, atpE bedaquiline mutants showed no phenotypic cross-resistance. This confirms that upfront clofazimine usage may impact subsequent bedaquiline use due to a shared efflux resistance pathway.en_ZA
dc.description.departmentMedical Microbiologyen_ZA
dc.description.embargo2019-09-01
dc.description.librarianhj2019en_ZA
dc.description.sponsorshipN.I. was supported by the National Research Fund (SFH150723130071) and theUniversityof Pretoria.This project was funded by the WHO Supranational Reference TB Laboratory,National Institute for Communicable Diseases, Johannesburg, South Africa, and by theNational Health Laboratory Services (NHLS) Research Trust (grant 004_94640).en_ZA
dc.description.urihttp://aac.asm.orgen_ZA
dc.identifier.citationIsmail, N., Peters, R.P.H., Ismail, N.A. et al. 2019, Clofazimine exposure in vitro selects efflux pump mutants and bedaquiline resistance', Antimicrobial Agents and Chemotherapy, vol. 63, no. 1, art. 02141-18, pp. 1-4.en_ZA
dc.identifier.issn0066-4804 (print)
dc.identifier.issn1098-6596 (online)
dc.identifier.other10.1128/AAC.02141-18
dc.identifier.urihttp://hdl.handle.net/2263/68613
dc.language.isoenen_ZA
dc.publisherAmerican Society for Microbiologyen_ZA
dc.rights© 2019 American Society forMicrobiology. All Rights Reserved.en_ZA
dc.subjectBedaquilineen_ZA
dc.subjectClofazimineen_ZA
dc.subjectCross-resistanceen_ZA
dc.subjectEfflux pump mutantsen_ZA
dc.subjectDrug-resistant tuberculosis (DR-TB)en_ZA
dc.titleClofazimine exposure in vitro selects efflux pump mutants and bedaquiline resistanceen_ZA
dc.typePostprint Articleen_ZA

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