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http://dx.doi.org/10.1128/AAC.40.6.1572DOI Listing

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Article Synopsis
  • Drug-resistant Mycobacterium tuberculosis, especially mutants resistant to isoniazid, creates significant global health challenges due to mutations in the katG gene, affecting a crucial enzyme.
  • Researchers employed CRISPRi, transcriptomics, and metabolomics to identify metabolic and transcriptional changes in an isoniazid-resistant katG mutant, revealing new weaknesses in processes like respiration and ribosome biogenesis.
  • The study indicates that these identified vulnerabilities could be targeted for therapeutic strategies, offering potential improvements in treatment effectiveness against drug-resistant tuberculosis strains.
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evolution from monoresistance to pre-extensive drug resistance during a prolonged household outbreak.

J Clin Tuberc Other Mycobact Dis

December 2024

Laboratorio de Interacciones Hospedero-Patógeno/Unidad de Biología Molecular, Institut Pasteur de Montevideo, Montevideo, Uruguay.

Whole genome sequencing (WGS) is sensitive tool for the analysis of tuberculosis transmission and drug-resistance. We used WGS to analyze the evolution from isoniazid monoresistance to MDR/preXDR during a prolonged household outbreak. The outbreak started with a isoniazid resistant strain (katG S315T mutation) and evolve in two cases to pre-XDR phenotype (with mutations in katG, rpoB, embB, pncA and gyrA genes).

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Article Synopsis
  • The study investigated the genomics of zoonotic human tuberculosis caused by Mycobacterium bovis (M. bovis), focusing on virulence and drug resistance using whole-genome sequencing (WGS).
  • Five strains of M. bovis were isolated from patients, all belonging to the same spoligotype and showing resistance to multiple antibiotics, indicating significant drug resistance.
  • Phylogenetic analysis demonstrated genetic ties between the sequenced strains and previously identified strains from cows and humans in different countries, suggesting interconnectedness in the spread of the bacteria.
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Background: Drug-resistant tuberculosis not only diminishes treatment efficacy but also heightens the risk of transmission and mortality. Investigating Mycobacterium tuberculosis resistance to first-line antituberculosis drugs is essential to tackle a major global health challenge.

Methods And Results: Using Sanger sequencing, this study investigates gene mutations associated with multidrug resistance in drug-resistant M.

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Contribution of direct InhA inhibitors to novel drug regimens in a mouse model of tuberculosis.

Antimicrob Agents Chemother

November 2024

Center for Tuberculosis Research, Division of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland, USA.

Isoniazid is an important first-line medicine to treat tuberculosis (TB). Isoniazid resistance increases the risk of poor treatment outcomes and development of multidrug resistance, and is driven primarily by mutations involving , encoding the prodrug-activating enzyme, rather than its validated target, InhA. The chemical tractability of InhA has fostered efforts to discover direct inhibitors of InhA (DIIs).

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