Missense Mutations in the Unfoldase ClpC1 of the Caseinolytic Protease Complex Are Associated with Pyrazinamide Resistance in Mycobacterium tuberculosis

Antimicrob Agents Chemother. 2017 Jan 24;61(2):e02342-16. doi: 10.1128/AAC.02342-16. Print 2017 Feb.

Abstract

Previously, we showed that mutations in Mycobacterium tuberculosis panD, involved in coenzyme A biosynthesis, cause resistance against pyrazinoic acid, the bioactive component of the prodrug pyrazinamide. To identify additional resistance mechanisms, we isolated mutants resistant against pyrazinoic acid and subjected panD wild-type strains to whole-genome sequencing. Eight of the nine resistant strains harbored missense mutations in the unfoldase ClpC1 associated with the caseinolytic protease complex.

Keywords: ClpC1; Mycobacterium tuberculosis; caseinolytic protease; pyrazinamide; resistance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antitubercular Agents / pharmacology*
  • Drug Resistance, Bacterial / genetics
  • Microbial Sensitivity Tests
  • Mutation / genetics
  • Mutation, Missense / genetics*
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / genetics*
  • Pyrazinamide / analogs & derivatives
  • Pyrazinamide / pharmacology*

Substances

  • Antitubercular Agents
  • Pyrazinamide
  • pyrazinoic acid