Author:
Kumar Kavitha,Giribhattanavar Prashant,Sagar B. K. Chandrasekhar,Patil Shripad A.
Abstract
AbstractMycobacterium tuberculosis (M.tb)lipids are important in the host–pathogen interplay, variation in the lipids organization of cell wall can act as an adaptive response. Specific cell wall structures can possibly result in suboptimal intracellular concentrations of anti-TB drugs, which favors the acquisition of drug resistance. Therefore, lipids fromM.tb(drug resistant and sensitive) were analyzed by 2D-thin layer chromatography and mass spectrometry. GraphPad Prism was used to perform Mann Whitney-U test to determine the statistical significance. Difference observed for total lipid content among different resistant isolates was insignificant. However, increase in phospholipids was identified in multi-drug resistant (MDR) isolate compared to sensitive isolate. Isoniazid, streptomycin-isoniazid, and isoniazid-ethambutol resistant isolates showed increased alpha-mycolic acids. MDR isolate showed a marginal decrease in alpha- and keto-form. Mycolipenic acid was seen only in sensitive isolate, and mycosanoic acids were observed in all the resistant isolates. Among the resistant isolates, there was an insignificant increase in the total phthiocerol dimycocerosates and sulfolipids. Drug resistance was associated with compositional imbalance of lipids. However, investigations to determine whether the changes notices are induced by the drugs is to be explored, which could give an insight into the drug resistant organisms pathogenesis.
Publisher
Cold Spring Harbor Laboratory
Reference29 articles.
1. WHO. Global tuberculosis report. World Health Organization; 2016.
2. Clinical Outcomes of Patients With Drug-Resistant Tuberculous Meningitis Treated With an Intensified Antituberculosis Regimen
3. The Cell-Wall Core of Mycobacterium tuberculosis in the Context of Drug Discovery.
4. Siddiqi S , Rusch-Gerdes S. MGIT procedure manual. For BACTEC MGIT 960 TB system (also applicable for manual MGIT). Mycobacteria growth indicator tube (MGIT) culture and drug susceptibility demonstration projects. Foundation for Innovative New Diagnostics Ed; 2006.
5. Revisiting a protocol for extraction of mycobacterial lipids;Int J Mycobacteriol,2014