Praharshinie Rupasinghe, Nabila Ismail, Wim Mulders, Robin M Warren, Lavania Joseph, Dumisani Ngcamu, Thabisile Gwala, Shaheed V Omar, Jens Vereecken, Bouke C de Jong, Leen Rigouts, Emanuele Borroni, Daniela M Cirillo, Thomas Schön, Paolo Miotto, Claudio U Köser
{"title":"体外暴露氯法齐明对结核分枝杆菌delamanid和pretomanid耐药有选择性。","authors":"Praharshinie Rupasinghe, Nabila Ismail, Wim Mulders, Robin M Warren, Lavania Joseph, Dumisani Ngcamu, Thabisile Gwala, Shaheed V Omar, Jens Vereecken, Bouke C de Jong, Leen Rigouts, Emanuele Borroni, Daniela M Cirillo, Thomas Schön, Paolo Miotto, Claudio U Köser","doi":"10.1128/aac.01113-25","DOIUrl":null,"url":null,"abstract":"<p><p><i>In vitro</i> experiments with <i>Mycobacterium tuberculosis</i> showed that clofazimine exposure selected for delamanid and pretomanid resistance and mutations in <i>fbiA</i>, <i>fbiC</i>, or <i>fbiD</i>-after the acquisition of <i>Rv0678</i> mutations where this could be determined. Whether this is also possible <i>in vivo</i> and in an <i>Rv0678</i> wild-type background has to be studied further. Based on the available evidence, however, we propose that nitroimidazole resistance should not be considered an exclusion criterion for the use of clofazimine.</p>","PeriodicalId":8152,"journal":{"name":"Antimicrobial Agents and Chemotherapy","volume":" ","pages":"e0111325"},"PeriodicalIF":4.5000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"<i>In vitro</i> exposure to clofazimine can select for delamanid and pretomanid resistance in <i>Mycobacterium tuberculosis</i>.\",\"authors\":\"Praharshinie Rupasinghe, Nabila Ismail, Wim Mulders, Robin M Warren, Lavania Joseph, Dumisani Ngcamu, Thabisile Gwala, Shaheed V Omar, Jens Vereecken, Bouke C de Jong, Leen Rigouts, Emanuele Borroni, Daniela M Cirillo, Thomas Schön, Paolo Miotto, Claudio U Köser\",\"doi\":\"10.1128/aac.01113-25\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>In vitro</i> experiments with <i>Mycobacterium tuberculosis</i> showed that clofazimine exposure selected for delamanid and pretomanid resistance and mutations in <i>fbiA</i>, <i>fbiC</i>, or <i>fbiD</i>-after the acquisition of <i>Rv0678</i> mutations where this could be determined. Whether this is also possible <i>in vivo</i> and in an <i>Rv0678</i> wild-type background has to be studied further. Based on the available evidence, however, we propose that nitroimidazole resistance should not be considered an exclusion criterion for the use of clofazimine.</p>\",\"PeriodicalId\":8152,\"journal\":{\"name\":\"Antimicrobial Agents and Chemotherapy\",\"volume\":\" \",\"pages\":\"e0111325\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-09-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Antimicrobial Agents and Chemotherapy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1128/aac.01113-25\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MICROBIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Antimicrobial Agents and Chemotherapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1128/aac.01113-25","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MICROBIOLOGY","Score":null,"Total":0}
In vitro exposure to clofazimine can select for delamanid and pretomanid resistance in Mycobacterium tuberculosis.
In vitro experiments with Mycobacterium tuberculosis showed that clofazimine exposure selected for delamanid and pretomanid resistance and mutations in fbiA, fbiC, or fbiD-after the acquisition of Rv0678 mutations where this could be determined. Whether this is also possible in vivo and in an Rv0678 wild-type background has to be studied further. Based on the available evidence, however, we propose that nitroimidazole resistance should not be considered an exclusion criterion for the use of clofazimine.
期刊介绍:
Antimicrobial Agents and Chemotherapy (AAC) features interdisciplinary studies that build our understanding of the underlying mechanisms and therapeutic applications of antimicrobial and antiparasitic agents and chemotherapy.