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Antimicrobial Agents and Chemotherapy, 09 1996, 2131-2136, Vol 40, No. 9
R de Groot, M Sluijter, A de Bruyn, J Campos, WH Goessens, AL Smith and PW Hermans
We previously demonstrated that trimethoprim (Tmp) resistance in
Haemophilus influenzae is mediated by chromosomally encoded dihydrofolate
reductase (DHFR) with a modified primary structure and distinct kinetic
properties. To gain insight into the relationship of the DHFR structure and
the level of Tmp resistance that it confers on the host bacterium, we
cloned and characterized the folH genes of one Tmp-susceptible and two
Tmp-resistant H. influenzae strains. Differences were observed between
Tmp-susceptible and Tmp-resistant isolates both in the promoter region and
in the coding sequences. The effect of differences between H. influenzae
folH genes on Tmp susceptibility was investigated in Escherichia coli.
Various folH gene hybrids were constructed, and their influence on Tmp
susceptibility was determined. Resistance in E. coli mediated by folH from
H. influenzae strain R1047 was associated with alterations in the promoter
and the central part of folH. In contrast, the E. coli Tmp resistance
phenotype associated with the folH gene of H. influenzae R1042 was
characterized by alterations in one or more of three amino acid residues at
the C- terminal part of the protein. These data indicate that Tmp
resistance is not only related to alterations in the promoter region of the
folH gene and the Tmp binding domains at the N-terminal and central part of
DHFR. Alterations in the C-terminal part may also cause Tmp resistance,
probably as a result of a change in secondary structure and the subsequent
loss of Tmp binding affinity.
Copyright © 1996 by the American Society for Microbiology. All rights reserved.
Genetic characterization of trimethoprim resistance in Haemophilus influenzae
Department of Pediatrics, Sophia Children's Hospital, Erasmus University Rotterdam, The Netherlands.
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