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Phenotypic resistance in mycobacteria: is it because I am old or fat that I resist you?
Robert J H Hammond1, Vincent O Baron2, Katarina Oravcova2
1Medical and Biological Sciences Building, University of St Andrews, North Haugh, St Andrews, Fife KY16 9TF, UK rjhh@st-andrews.ac.uk.
Objectives:
We aimed to explore the phenomenon of phenotypic resistance to antimycobacterial antibiotics and to determine whether this was associated with cell age or the presence of lipid bodies.
Methods:
The accumulation of lipid-body-positive [lipid-rich (LR)] cells was followed using cell staining and flow cytometry. LR cells of Mycobacterium smegmatis, Mycobacterium marinum, Mycobacterium fortuitum and Mycobacterium bovis (BCG) were separated from non-lipid-body-containing [lipid-poor (LP)] cells and their MBCs determined. We also compared the MBCs for LR and LP cells from 'old' and 'young' cultures.
Results:
The LR cells of all species were more resistant to antibiotics than LP cells. For BCG, the susceptibility ratios were as follows: rifampicin, 5×; isoniazid, 16.7×; ethambutol, 5×; and ciprofloxacin, 5×. Phenotypic resistance was found in LR cells irrespective of cell age.
Conclusions:
We have shown that phenotypic antibiotic resistance is associated with the presence of lipid bodies irrespective of cell age. These data have important implications for our understanding of relapse in mycobacterial infections.
Insights
Phenotypic antibiotic resistance in mycobacteria is linked to lipid bodies, not cell age. This finding is crucial for understanding and treating persistent mycobacterial infections.
Area of Science:
- Microbiology
- Cell Biology
- Drug Resistance
Background:
- Mycobacterial infections often relapse, suggesting underlying mechanisms of persistent or resistant bacteria.
- Phenotypic resistance, a temporary state not caused by genetic mutation, is a key factor in treatment failure.
Purpose of the Study:
- To investigate the role of cell age and lipid bodies in the phenotypic resistance of mycobacteria to antibiotics.
- To determine if lipid-rich cells exhibit differential antibiotic susceptibility compared to lipid-poor cells.
Main Methods:
- Mycobacterium species (M. smegmatis, M. marinum, M. fortuitum, M. bovis BCG) were cultured.
- Lipid-rich (LR) and lipid-poor (LP) cells were separated using cell staining and flow cytometry.
- Minimum bactericidal concentrations (MBCs) were determined for LR and LP cells from young and old cultures.
Main Results:
- Lipid-rich (LR) cells demonstrated significantly higher antibiotic resistance across all tested mycobacterial species compared to lipid-poor (LP) cells.
- For Mycobacterium bovis BCG, LR cells showed increased resistance ratios: 5× for rifampicin, 16.7× for isoniazid, 5× for ethambutol, and 5× for ciprofloxacin.
- This increased phenotypic resistance in LR cells was observed regardless of the age of the bacterial culture.
Conclusions:
- Phenotypic antibiotic resistance in mycobacteria is directly associated with the presence of intracellular lipid bodies.
- Cell age does not influence this lipid body-mediated resistance.
- These findings have significant implications for understanding the persistence of mycobacterial infections and developing strategies to combat relapse.
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