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J Bacteriol, May 1998, p. 2459-2467, Vol. 180, No. 9
0021-9193/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
NADH Dehydrogenase Defects Confer Isoniazid
Resistance and Conditional Lethality in Mycobacterium
smegmatis
Lynn
Miesel,1
Torin R.
Weisbrod,1
Jovita A.
Marcinkeviciene,2
Robert
Bittman,3 and
William R.
Jacobs Jr.1,*
Department of Microbiology and
Immunology1 and
Department of
Biochemistry,2 Howard Hughes Medical Institute,
Albert Einstein College of Medicine, Bronx, New York 10461, and
Department of Chemistry and Biochemistry, Queens College of
the City University of New York, Flushing, New York
113673
Received 31 October 1997/Accepted 23 February 1998
Isoniazid (INH) is a highly effective drug used in the treatment
and prophylaxis of Mycobacterium tuberculosis infections. Resistance to INH in clinical isolates has been correlated with mutations in the inhA, katG, and
ahpC genes. In this report, we describe a new mechanism for
INH resistance in Mycobacterium smegmatis. Mutations that
reduce NADH dehydrogenase activity (Ndh; type II) cause multiple
phenotypes, including (i) coresistance to INH and a related drug,
ethionamide; (ii) thermosensitive lethality; and (iii) auxotrophy.
These phenotypes are corrected by expression of one of two enzymes:
NADH dehydrogenase and the NADH-dependent malate dehydrogenase of the
M. tuberculosis complex. The genetic data presented here
indicate that defects in NADH oxidation cause all of the mutant traits
and that an increase in the NADH/NAD+ ratio confers INH
resistance.
*
Corresponding author. Mailing address: Department of
Microbiology and Immunology, Howard Hughes Medical Institute, Albert Einstein College of Medicine, 1300 Morris Park Ave., Bronx, NY 10461. Phone: (718) 430-2888. Fax: (718) 518-0366. E-mail:
jacobs{at}aecom.yu.edu.
J Bacteriol, May 1998, p. 2459-2467, Vol. 180, No. 9
0021-9193/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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