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Antimicrobial Agents and Chemotherapy, June 2000, p. 1530-1537, Vol. 44, No. 6
Laboratory Research Branch, National
Hansen's Disease Programs at Louisiana State University, Baton
Rouge, Louisiana,1 and Anandaban Leprosy
Hospital, Kathmandu, Nepal2
Received 5 January 2000/Returned for modification 6 March
2000/Accepted 21 March 2000
Two Mycobacterium leprae genes, folP1 and
folP2, encoding putative dihydropteroate synthases (DHPS),
were studied for enzymatic activity and for the presence of mutations
associated with dapsone resistance. Each gene was cloned and expressed
in a folP knockout mutant of Escherichia coli
(C600
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Dihydropteroate Synthase of Mycobacterium
leprae and Dapsone Resistance
folP::Kmr). Expression of
M. leprae folP1 in
C600
folP::Kmr conferred growth on
a folate-deficient medium, and bacterial lysates exhibited DHPS
activity. This recombinant displayed a 256-fold-greater sensitivity to
dapsone (measured by the MIC) than wild-type E. coli C600,
and 50-fold less dapsone was required to block (expressed as the 50%
inhibitory concentration [IC50]) the DHPS activity of
this recombinant. When the folP1 genes of several
dapsone-resistant M. leprae clinical isolates were
sequenced, two missense mutations were identified. One mutation
occurred at codon 53, substituting an isoleucine for a threonine
residue (T53I) in the DHPS-1, and a second mutation occurred in codon 55, substituting an arginine for a proline residue (P55R).
Transformation of the
C600
folP::Kmr knockout with
plasmids carrying either the T53I or the P55R mutant allele did not
substantially alter the DHPS activity compared to levels produced by
recombinants containing wild-type M. leprae folP1. However,
both mutations increased dapsone resistance, with P55R having the
greatest affect on dapsone resistance by increasing the MIC 64-fold and
the IC50 68-fold. These results prove that the
folP1 of M. leprae encodes a functional DHPS
and that mutations within this gene are associated with the development
of dapsone resistance in clinical isolates of M. leprae.
Transformants created with M. leprae folP2 did not confer
growth on the C600
folP::Kmr
knockout strain, and DNA sequences of folP2 from
dapsone-susceptible and -resistant M. leprae strains were
identical, indicating that this gene does not encode a functional DHPS
and is not involved in dapsone resistance in M. leprae.
*
Corresponding author. Mailing address: National
Hansen's Disease Programs, Laboratory Research Branch, P.O. Box 25072, Baton Rouge, LA 70894. Phone: (225) 346-5766. Fax: (225) 346-5786. E-mail: dwill21{at}lsu.edu.
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