Efflux-Mediated Multidrug Tolerance in Replicating Intracellular Mycobacteria

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Event details

Date 17.06.2011
Hour 14:00
Speaker Kristin Adams (University of Washington, Ramakrishnan Laboratory)
Location
SV 1717a
Category Conferences - Seminars
Treatment of tuberculosis requires long-term multidrug therapy to overcome tolerance. Using Mycobacterium marinum-infected zebrafish larvae for in vivo characterization of antitubercular drug activity and tolerance, we found that multi-drug tolerant bacteria arise within days of infection. We identified areas of infection where the bacteria continued to grow and disseminate, despite overall effective drug treatment. Using both M. marinum and M. tuberculosis, we found that this tolerance is also induced upon infection in cultured macrophages and that these tolerant bacteria are associated with a replicating intracellular population. Finally, using a combination of bacterial mutants and pharmacological inhibitors like verapamil, we found that bacterial efflux pumps required for intracellular growth also mediate macrophage-induced antibiotic tolerance. The addition of verapamil, or more specific inhibitors, to standard antitubercular therapy may shorten the duration of curative treatment. Adams KN et al. (2011) Drug tolerance in replicating mycobacteria mediated by a macrophage-induced efflux mechanism. Cell 145(1): 39-53.

Practical information

  • General public
  • Free

Contact

  • Prof John McKinney

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