Mechanism of resistance to amikacin and kanamycin in Mycobacterium tuberculosis

Antimicrob Agents Chemother. 1998 May;42(5):1295-7. doi: 10.1128/AAC.42.5.1295.

Abstract

An A1400G mutation of the rrs gene was identified in Mycobacterium tuberculosis (MTB) strain ATCC 35827 and in 13 MTB clinical isolates resistant to amikacin-kanamycin (MICs, >128 microg/ml). High-level cross-resistance may result from such a mutation since MTB has a single copy of the rrs gene. Another mechanism(s) may account for high-level amikacin-kanamycin resistance in two mutants and lower levels of resistance in four clinical isolates, all lacking the A1400G mutation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amikacin / pharmacology
  • Antitubercular Agents / pharmacology*
  • Drug Resistance, Multiple / genetics*
  • Drug Therapy, Combination / pharmacology*
  • Genes, Bacterial / drug effects
  • Genes, Bacterial / genetics*
  • Humans
  • Kanamycin / pharmacology
  • Kanamycin Resistance / genetics*
  • Mutation / genetics
  • Mycobacterium tuberculosis / drug effects
  • Mycobacterium tuberculosis / genetics*

Substances

  • Antitubercular Agents
  • Kanamycin
  • Amikacin