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Antimicrobial Agents and Chemotherapy, October 2000, p. 2802-2810, Vol. 44, No. 10
Division of Infectious Diseases, Department
of Internal Medicine, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne,1 and Pharmaceutical
Research-Gene Technologies, F. Hoffmann-La Roche Ltd.,
Basel,2 Switzerland
Received 10 January 2000/Returned for modification 28 March
2000/Accepted 17 July 2000
Penicillin tolerance is an incompletely understood phenomenon that
allows bacteria to resist drug-induced killing. Tolerance was studied
with independent Streptococcus gordonii mutants generated by cyclic exposure to 500 times the MIC of penicillin. Parent cultures
lost 4 to 5 log10 CFU/ml of viable counts/24 h. In
contrast, each of four independent mutant cultures lost
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Deregulation of the Arginine Deiminase
(arc) Operon in Penicillin-Tolerant Mutants of
Streptococcus gordonii
2
log10 CFU/ml/24 h. The mutants had unchanged
penicillin-binding proteins but contained increased amounts of two
proteins with respective masses of ca. 50 and 45 kDa. One mutant (Tol1)
was further characterized. The two proteins showing increased levels
were homologous to the arginine deiminase and ornithine carbamoyl
transferase of other gram-positive bacteria and were encoded by an
operon that was >80% similar to the arginine-deiminase
(arc) operon of these organisms. Partial nucleotide
sequencing and insertion inactivation of the S. gordonii arc locus indicated that tolerance was not a direct consequence of arc alteration. On the other hand, genetic
transformation of tolerance by Tol1 DNA always conferred
arc deregulation. In nontolerant recipients,
arc was repressed during exponential growth and
up-regulated during postexponential growth. In tolerant transformants,
arc was constitutively expressed. Tol1 DNA transformed
tolerance at the same rate as transformation of a point mutation
(10
2 to 10
3). The tolerance mutation mapped
on a specific chromosomal fragment but was physically distant from
arc. Importantly, arc deregulation was observed
in most (6 of 10) of additional independent penicillin-tolerant mutants. Thus, although not exclusive, the association between arc deregulation and tolerance was not fortuitous. Since
penicillin selection mimicked the antibiotic pressure operating in the
clinical environment, arc deregulation might be an
important correlate of naturally occurring tolerance and help in
understanding the mechanism(s) underlying this clinically problematic phenotype.
*
Corresponding author. Mailing address: Division of
Infectious Diseases, Department of Internal Medicine, Centre
Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland. Phone:
41-21-314.10.26. Fax: 41-21-314.10.36. E-mail:
pmoreill{at}chuv.hospvd.ch.
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