Journal Article

Characterization of tetracycline resistance mediated by the efflux pump Tap from <i>Mycobacterium fortuitum</i>

Santiago Ramón-García, Carlos Martín, José A. Aínsa and Edda De Rossi

in Journal of Antimicrobial Chemotherapy

Published on behalf of British Society for Antimicrobial Chemotherapy

Volume 57, issue 2, pages 252-259
Published in print February 2006 | ISSN: 0305-7453
Published online February 2006 | e-ISSN: 1460-2091 | DOI: http://dx.doi.org/10.1093/jac/dki436
Characterization of tetracycline resistance mediated by the efflux pump Tap from Mycobacterium fortuitum

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  • Medical Oncology
  • Critical Care

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Objectives: The aim of this study was to characterize the efflux pump Tap from Mycobacterium fortuitum, to test its sensitivity to well known efflux inhibitors, to study the interaction between tetracycline and these compounds and to test the ability of these compounds to overcome efflux pump-mediated tetracycline resistance. For all these studies, we produced Tap protein in Mycobacterium smegmatis.

Methods: Antibiotic susceptibility tests, tetracycline uptake/efflux experiments and chequerboard synergy tests.

Results: Tetracycline uptake/efflux experiments showed that Tap protein from M. fortuitum uses the electrochemical gradient across the cytoplasmic membrane to extrude tetracycline from the cell. This efflux activity is inhibited by carbonyl cyanide m-chlorophenylhydrazone (CCCP) and reserpine, consistent with the decrease in MIC observed in antibiotic susceptibility testing in the presence of these inhibitors. Accumulation was not inhibited in experiments in which o-vanadate and chlorpromazine (CPZ) were tested. Inhibitor-treated cells used glycerol as a carbon source to re-establish the electrochemical gradient across the membrane and to restore efflux activity. CCCP, reserpine and CPZ reduced the MIC of tetracycline in the M. smegmatis strain expressing the Tap protein, whereas o-vanadate increased the MIC. We also observed synergy between tetracycline and CPZ or reserpine, and antagonism with o-vanadate.

Conclusions: The Tapfor efflux pump uses the electrochemical gradient to extrude tetracycline from the cell. This efflux activity can be inhibited by several compounds. This suggests that similar compounds could be used to overcome antibiotic resistance mediated by efflux pumps.

Keywords: tetracycline efflux; antibiotic resistance; mycobacteria; efflux pump inhibitors; synergy

Journal Article.  5361 words.  Illustrated.

Subjects: Medical Oncology ; Critical Care

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