Affiliation:
1. Wellcome Research Laboratories, Research Triangle Park, North Carolina 27709
2. Department of Bacteriology and Immunology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina 27514
Abstract
Members of the genus
Neisseria
are relatively nonsusceptible to trimethoprim, an inhibitor of dihydrofolate reductase. For example, the minimal inhibitory concentration (MIC) of trimethoprim for
N. gonorrhoeae
ranges from 2 to 70 μg/ml, whereas the MIC for
Escherichia coli
is 0.2 μg/ml or less. In an effort to understand this difference, dihydrofolate reductase was partially purified from five
Neisseria
species and compared with the enzyme from
E. coli. N. gonorrhoeae
dihydrofolate reductase was similar to that from
E. coli
in molecular weight (18,000) and affinity for the substrates reduced nicotinamide adenine dinucleotide phosphate and dihydrofolate (
K
m
= 13 and 8 μM, respectively). However, the gonococcal enzyme had a decreased affinity for trimethoprim, with an apparent
K
i
of 45 × 10
−9
M, some 30-fold greater than the
E. coli
value of 1.2 × 10
−9
M. These enzymes also differed in their isoelectric points and pH activity profiles. Within the genus
Neisseria
, the dihydrofolate reductase isolated from
N. meningitidis
and
N. lactamica
resembled the
N. gonorrhoeae
enzyme, and only small differences were detected for the
N. flavescens
and
Branhamella catarrhalis
dihydrofolate reductases. These data indicate that the relatively poor affinity of trimethoprim for the dihydrofolate reductase from these organisms may be largely responsible for the relative nonsusceptibility of
Neisseria
sp. to trimethoprim. The contribution of other resistance mechanisms to the overall nonsusceptibility was assessed. Strains of
N. gonorrhoeae
with altered cell envelope permeability had MIC values less than twofold different from those of isogenic wild-type strains. Also, a direct relationship was observed between the affinity of trimethoprim analogs for gonococcal dihydrofolate reductase and the MIC of these compounds for the gonococcus. These observations suggest that the cell envelope of
N. gonorrhoeae
is not impermeable to trimethoprim. Changes in the amount of dihydrofolate reductase activity could cause alterations in the susceptibility of the gonococcus to trimethoprim, as demonstrated with
N. gonorrhoeae
strains selected for trimethoprim resistance after chemical mutagenesis. However, the level of dihydrofolate reductase activity in wild-type
N. gonorrhoeae
was similar to that of
E. coli
, indicating that the difference in the susceptibility of these organisms is not due to greater amounts of enzyme in
N. gonorrhoeae
.
Publisher
American Society for Microbiology
Subject
Infectious Diseases,Pharmacology (medical),Pharmacology
Cited by
12 articles.
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