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Antimicrobial Treatment Improves Mycobacterial Survival in Nonpermissive Growth Conditions
Author(s) -
Obolbek Turapov,
Simon J. Waddell,
B. F. Burke,
Sarah Glenn,
Asel A. Sarybaeva,
Griselda Tudó,
Gilles Labesse,
Danielle I. Young,
Michael Young,
Peter W. Andrew,
Philip D. Butcher,
Martin CohenGonsaud,
Galina V. Mukamolova
Publication year - 2014
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.02774-13
Subject(s) - antimicrobial , microbiology and biotechnology , regulator , biology , mycobacterium tuberculosis , multidrug tolerance , bacteria , efflux , tuberculosis , bacilli , in vitro , mycobacterium , mycobacterium bovis , antibiotics , biofilm , medicine , gene , genetics , pathology
Antimicrobials targeting cell wall biosynthesis are generally considered inactive against nonreplicating bacteria. Paradoxically, we found that under nonpermissive growth conditions, exposure of Mycobacterium bovis BCG bacilli to such antimicrobials enhanced their survival. We identified a transcriptional regulator, RaaS (for regulator of antimicrobial-assisted survival), encoded by bcg1279 (rv1219c) as being responsible for the observed phenomenon. Induction of this transcriptional regulator resulted in reduced expression of specific ATP-dependent efflux pumps and promoted long-term survival of mycobacteria, while its deletion accelerated bacterial death under nonpermissive growth conditions in vitro and during macrophage or mouse infection. These findings have implications for the design of antimicrobial drug combination therapies for persistent infectious diseases, such as tuberculosis.

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