Characterizing the gene mutations associated with resistance to gatifloxacin in Mycobacterium tuberculosis through whole-genome sequencing

ABSTRACT: Objectives: Gatifloxacin (GAT), a fourth-generation fluoroquinolone (FQ), is used to treat drug-resistant tuberculosis. Although DNA gyrase mutations are the leading cause of FQ resistance, mutations conferring resistance to GAT remain inadequately characterized. Methods: GAT-resistant mu...

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Autores principales: Jing Bi, Qinglong Guo, Xiangdong Fu, Juan Liang, Lidong Zeng, Min Ou, Juanjuan Zhang, Zhaoqin Wang, Yicheng Sun, Lei Liu, Guoliang Zhang
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:405b5d381a1b449b815947176ecf40402021-11-30T04:14:15ZCharacterizing the gene mutations associated with resistance to gatifloxacin in Mycobacterium tuberculosis through whole-genome sequencing1201-971210.1016/j.ijid.2021.09.028https://doaj.org/article/405b5d381a1b449b815947176ecf40402021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221007359https://doaj.org/toc/1201-9712ABSTRACT: Objectives: Gatifloxacin (GAT), a fourth-generation fluoroquinolone (FQ), is used to treat drug-resistant tuberculosis. Although DNA gyrase mutations are the leading cause of FQ resistance, mutations conferring resistance to GAT remain inadequately characterized. Methods: GAT-resistant mutants were selected from 7H10 agar plates containing 0.5 mg/L GAT (critical concentration). Mutations involved in GAT resistance were identified through whole-genome sequencing. Results: In total, 123 isolates demonstrated resistance to GAT. Among these isolates, 55.3% (68/123) had gyrA gene mutations [G280A (D94N), A281G (D94G), G280T (D94Y) and G262T (G88C)]. The remainder (44.7%, 55/123) harboured gyrB gene mutations [A1495G (N499D), C1497A (N499K), C1497G (N499K) and A1503C (E501D)]. Conclusions: Mutations in the gyrA and gyrB genes are the main mechanisms of GAT resistance. These findings provide new insight into GAT resistance, and contribute to molecular diagnosis of GAT resistance in the clinical setting.Jing BiQinglong GuoXiangdong FuJuan LiangLidong ZengMin OuJuanjuan ZhangZhaoqin WangYicheng SunLei LiuGuoliang ZhangElsevierarticleMycobacterium tuberculosisFluoroquinolonesGatifloxacinresistancegyrA (Rv0005)gyrB (Rv0006)Infectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 112, Iss , Pp 189-194 (2021)
institution DOAJ
collection DOAJ
language EN
topic Mycobacterium tuberculosis
Fluoroquinolones
Gatifloxacinresistance
gyrA (Rv0005)
gyrB (Rv0006)
Infectious and parasitic diseases
RC109-216
spellingShingle Mycobacterium tuberculosis
Fluoroquinolones
Gatifloxacinresistance
gyrA (Rv0005)
gyrB (Rv0006)
Infectious and parasitic diseases
RC109-216
Jing Bi
Qinglong Guo
Xiangdong Fu
Juan Liang
Lidong Zeng
Min Ou
Juanjuan Zhang
Zhaoqin Wang
Yicheng Sun
Lei Liu
Guoliang Zhang
Characterizing the gene mutations associated with resistance to gatifloxacin in Mycobacterium tuberculosis through whole-genome sequencing
description ABSTRACT: Objectives: Gatifloxacin (GAT), a fourth-generation fluoroquinolone (FQ), is used to treat drug-resistant tuberculosis. Although DNA gyrase mutations are the leading cause of FQ resistance, mutations conferring resistance to GAT remain inadequately characterized. Methods: GAT-resistant mutants were selected from 7H10 agar plates containing 0.5 mg/L GAT (critical concentration). Mutations involved in GAT resistance were identified through whole-genome sequencing. Results: In total, 123 isolates demonstrated resistance to GAT. Among these isolates, 55.3% (68/123) had gyrA gene mutations [G280A (D94N), A281G (D94G), G280T (D94Y) and G262T (G88C)]. The remainder (44.7%, 55/123) harboured gyrB gene mutations [A1495G (N499D), C1497A (N499K), C1497G (N499K) and A1503C (E501D)]. Conclusions: Mutations in the gyrA and gyrB genes are the main mechanisms of GAT resistance. These findings provide new insight into GAT resistance, and contribute to molecular diagnosis of GAT resistance in the clinical setting.
format article
author Jing Bi
Qinglong Guo
Xiangdong Fu
Juan Liang
Lidong Zeng
Min Ou
Juanjuan Zhang
Zhaoqin Wang
Yicheng Sun
Lei Liu
Guoliang Zhang
author_facet Jing Bi
Qinglong Guo
Xiangdong Fu
Juan Liang
Lidong Zeng
Min Ou
Juanjuan Zhang
Zhaoqin Wang
Yicheng Sun
Lei Liu
Guoliang Zhang
author_sort Jing Bi
title Characterizing the gene mutations associated with resistance to gatifloxacin in Mycobacterium tuberculosis through whole-genome sequencing
title_short Characterizing the gene mutations associated with resistance to gatifloxacin in Mycobacterium tuberculosis through whole-genome sequencing
title_full Characterizing the gene mutations associated with resistance to gatifloxacin in Mycobacterium tuberculosis through whole-genome sequencing
title_fullStr Characterizing the gene mutations associated with resistance to gatifloxacin in Mycobacterium tuberculosis through whole-genome sequencing
title_full_unstemmed Characterizing the gene mutations associated with resistance to gatifloxacin in Mycobacterium tuberculosis through whole-genome sequencing
title_sort characterizing the gene mutations associated with resistance to gatifloxacin in mycobacterium tuberculosis through whole-genome sequencing
publisher Elsevier
publishDate 2021
url https://doaj.org/article/405b5d381a1b449b815947176ecf4040
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