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Antimicrobial Agents and Chemotherapy, September 1999, p. 2156-2160, Vol. 43, No. 9
Division of Microbiology, Department of
Pharmaceutical Biosciences, Biomedical Center, Uppsala University,
SE-751 23, Uppsala, Sweden
Received 2 February 1999/Returned for modification 17 March
1999/Accepted 28 June 1999
The characterization of the genetic basis of sulfonamide resistance
in Campylobacter jejuni was attempted. The resistance determinant from a sulfonamide-resistant strain of C. jejuni was cloned and was found to show 42% identity with the
folP gene (which codes for dihydropteroate synthase, the
target of sulfonamides) of the related bacterium Helicobacter
pylori. The sequences of the areas surrounding the
folP gene in C. jejuni showed similarity to
those of the areas surrounding the corresponding gene in H. pylori. The folP gene of C. jejuni, which
mediates the resistance, was observed to show particular features when
it was compared to other known folP genes. One of these
features is the presence of two pairs of direct repeats (15 and 27 bp)
within the coding sequence of the gene. Comparison of the C. jejuni folP genes that mediate susceptibility and resistance
revealed the occurrence of mutations that changed four amino acid
residues. Resistance of C. jejuni to sulfonamides could be
associated with one or several of these four mutational substitutions,
which all occurred in the five different resistant isolates studied.
The codon for one of these changed amino acids was found to be located
in the second direct repeat within the coding sequence of the gene. The
change made the repeat perfect. The transformation of both the
resistance and the susceptibility variants of the gene into an
Escherichia coli folP knockout mutant was found to
complement the dihydropteroate synthase deficiency, confirming that the
characterized sulfonamide resistance determinant codes for the C. jejuni dihydropteroate synthase enzyme. Kinetic measurements
established different affinities of sulfonamide for the dihydropteroate
synthase enzyme isolated from the resistant and susceptible strains. In
conclusion, sulfonamide resistance in C. jejuni was shown
to be associated with mutational changes in the chromosomally located
gene for dihydropteroate synthase, the target of sulfonamides.
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Sulfonamide Resistance in Clinical Isolates of
Campylobacter jejuni: Mutational Changes in the Chromosomal
Dihydropteroate Synthase
*
Corresponding author. Mailing address: Division of
Microbiology, Department of Pharmaceutical Biosciences, P.O. Box 581, Biomedical Center, Uppsala University, SE-751 23, Uppsala, Sweden.
Phone: 46-18-4714500. Fax: 46-18-502790. E-mail:
Ola.Skold{at}farmbio.uu.se.
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