Literature DB >> 29050761

Mechanisms of resistance against NITD-916, a direct inhibitor of Mycobacterium tuberculosis InhA.

Matthew B McNeil1, Devon Dennison1, Catherine Shelton1, Lindsay Flint1, Aaron Korkegian1, Tanya Parish2.   

Abstract

Isoniazid inhibits Mycobacterium tuberculosis InhA and is a key component of drug regimens that treat tuberculosis. However, the high rate of resistance against isoniazid is a contributing factor to the emergence of multi-drug resistance strains of M. tuberculosis. The 4-hydroxy-2-pyridine NITD-916 is a direct inhibitor of M. tuberculosis InhA that has comparable efficacy to isoniazid in mouse models of TB infection but a lower frequency of resistance. To characterize resistance mechanisms against NITD-916 we isolated resistant mutants in H37Rv (Euro-American lineage) and HN878 (East-Asian lineage) strains of M. tuberculosis. The resistance frequency was similar in both strains. Mutations were identified in residues within or near to the active of InhA or in the fabG1inhA promoter region. All mutants were resistant to NITD-916 but were not cross resistant to isoniazid, despite homology to SNPs identified in isoniazid resistant clinical isolates.
Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Entities:  

Keywords:  Antimicrobial; InhA; Isoniazid; Mycobacteria; Resistance

Mesh:

Substances:

Year:  2017        PMID: 29050761      PMCID: PMC5679704          DOI: 10.1016/j.tube.2017.09.003

Source DB:  PubMed          Journal:  Tuberculosis (Edinb)        ISSN: 1472-9792            Impact factor:   3.131


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