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Antimicrobial Agents and Chemotherapy, May 2002, p. 1204-1211, Vol. 46, No. 5
0066-4804/02/$04.00+0     DOI: 10.1128/AAC.46.5.1204-1211.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.

Fitness Cost of Chromosomal Drug Resistance-Conferring Mutations

Peter Sander,1,2* Burkhard Springer,2 Therdsak Prammananan,2,{dagger} Antje Sturmfels,2 Martin Kappler,3 Michel Pletschette,2 and Erik C. Böttger1,2

Institut für Medizinische Mikrobiologie, Universität Zürich, CH-8028 Zürich, Switzerland,1 Institut für Medizinische Mikrobiologie,2 Institut für Biometrie, Medizinische Hochschule Hannover, 30625 Hannover, Germany3

Received 21 August 2001/ Returned for modification 27 November 2001/ Accepted 24 January 2002

To study the cost of chromosomal drug resistance mutations to bacteria, we investigated the fitness cost of mutations that confer resistance to different classes of antibiotics affecting bacterial protein synthesis (aminocyclitols, 2-deoxystreptamines, macrolides). We used a model system based on an in vitro competition assay with defined Mycobacterium smegmatis laboratory mutants; selected mutations were introduced by genetic techniques to address the possibility that compensatory mutations ameliorate the resistance cost. We found that the chromosomal drug resistance mutations studied often had only a small fitness cost; compensatory mutations were not involved in low-cost or no-cost resistance mutations. When drug resistance mutations found in clinical isolates were considered, selection of those mutations that have little or no fitness cost in the in vitro competition assay seems to occur. These results argue against expectations that link decreased levels of antibiotic consumption with the decline in the level of resistance.


* Corresponding author. Mailing address: Institut für Medizinische Mikrobiologie, Universität Zürich, Gloriastr. 30/32, CH-8028 Zürich, Switzerland. Phone: 41-1-634 2684. Fax: 41-1-634 4906. E-mail: psander{at}immv.unizh.ch.

{dagger} Present address: Division of Mycology and Mycobacteriology, Department of Microbiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.


Antimicrobial Agents and Chemotherapy, May 2002, p. 1204-1211, Vol. 46, No. 5
0066-4804/02/$04.00+0     DOI: 10.1128/AAC.46.5.1204-1211.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.




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