Relationship between pyrazinamide resistance, loss of pyrazinamidase activity, and mutations in the pncA locus in multidrug-resistant clinical isolates of Mycobacterium tuberculosis

Antimicrob Agents Chemother. 1999 Sep;43(9):2317-9. doi: 10.1128/AAC.43.9.2317.

Abstract

Sixty-two Mycobacterium tuberculosis isolates were tested for pyrazinamidase activity, and their pyrazinamide susceptibility was determined by the radiometric method. Sequencing of pncA genes in the 23 resistant strains revealed mutations in 16 pyrazinamidase-negative strains, 11 of which had not been previously described. Six isolates containing wild-type pncA might possess alternative resistance mechanisms.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amidohydrolases / genetics
  • Amidohydrolases / metabolism*
  • Antitubercular Agents / pharmacology*
  • Drug Resistance, Multiple
  • Gene Expression Regulation, Enzymologic
  • Mutation
  • Mycobacterium tuberculosis / classification
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / enzymology*
  • Mycobacterium tuberculosis / isolation & purification
  • Pyrazinamide / pharmacology*

Substances

  • Antitubercular Agents
  • Pyrazinamide
  • Amidohydrolases
  • pyrazinamide deamidase