Multiform antimicrobial resistance from a metabolic mutation
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Author(s)
Type
Journal Article
Abstract
A critical challenge for microbiology and medicine is how to cure infections by bacteria that survive antibiotic treatment by persistence or tolerance. Seeking mechanisms behind such high survival, we developed a forward-genetic method for efficient isolation of high24 survival mutants in any culturable bacterial species. We found that perturbation of an essential biosynthetic pathway (arginine biosynthesis) in a mycobacterium generated three distinct forms of resistance to diverse antibiotics, each mediated by induction of WhiB7— high persistence and tolerance to kanamycin, high survival upon exposure to rifampicin, and MIC-shifted resistance to clarithromycin. As little as one base change in a gene encoding a metabolic pathway component conferred multiple forms of resistance to multiple antibiotics with different targets. This extraordinary resilience may help explain how sub31 sterilizing exposure to one antibiotic in a regimen can induce resistance to others and invites development of drugs targeting the mediator of multiform resistance, WhiB7.
Date Issued
2021-08-27
Date Acceptance
2021-07-03
Citation
Science Advances, 2021, 7 (35), pp.1-17
ISSN
2375-2548
Publisher
American Association for the Advancement of Science
Start Page
1
End Page
17
Journal / Book Title
Science Advances
Volume
7
Issue
35
Copyright Statement
© 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution NonCommercial License 4.0 (CC BY-NC)
License URL
Sponsor
Commission of the European Communities
Identifier
https://www.science.org/doi/10.1126/sciadv.abh2037
Grant Number
842826
Publication Status
Published
Date Publish Online
2021-08-27