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Susceptibility

Molecular Evaluation of Antibiotic Susceptibility: Tropheryma whipplei Paradigm

F. Masselot, A. Boulos, M. Maurin, J. M. Rolain, D. Raoult
F. Masselot
Unité des Rickettsies, CNRS UMR 6020, Faculté de Médecine, Université de la Méditerranée, 13385 Marseille Cedex 05, France
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A. Boulos
Unité des Rickettsies, CNRS UMR 6020, Faculté de Médecine, Université de la Méditerranée, 13385 Marseille Cedex 05, France
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M. Maurin
Unité des Rickettsies, CNRS UMR 6020, Faculté de Médecine, Université de la Méditerranée, 13385 Marseille Cedex 05, France
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J. M. Rolain
Unité des Rickettsies, CNRS UMR 6020, Faculté de Médecine, Université de la Méditerranée, 13385 Marseille Cedex 05, France
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D. Raoult
Unité des Rickettsies, CNRS UMR 6020, Faculté de Médecine, Université de la Méditerranée, 13385 Marseille Cedex 05, France
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  • For correspondence: Didier.Raoult@medecine.univ-mrs.fr
DOI: 10.1128/AAC.47.5.1658-1664.2003
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  • FIG. 1.
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    FIG. 1.

    Growth kinetics and susceptibilities to fluoroquinolones of T. whipplei Endo2. Bacterial loads were determined by enumeration of the bacterial DNA copies by quantitative PCR. Comparable results were found for the T. whipplei Twist and Slow2 strains. ⧫, growth control; •, ciprofloxacin at 1 μg/ml; ∗, ciprofloxacin at 4 μg/ml; ▴, ciprofloxacin at 8 μg/ml.

  • FIG. 2.
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    FIG. 2.

    Phylogenetic tree of GyrA and ParC sequences from T. whipplei and various representative species of the domain Bacteria. Protein sequences were aligned by using the ClustalW program from the Pôle BioInformatique Lyonnais (Lyon, France). The tree was constructed with MEGA software (version 2.1) by the neighbor-joining methodology (amino acid p-distance, including site, complete deletion, and bootstrap testing).

  • FIG. 3.
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    FIG. 3.

    T. whipplei GyrA and ParC QRDR alignment with homologous sequences from E. coli K-12 (16127994), M. tuberculosis (13879047), M. leprae (1041443), M. avium (1041431), M. intracellulare (2815375), M. smegmatis (1346234), and M. fortuitum (2815371).

Tables

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  • TABLE 1.

    T. whipplei strain and patient characteristics

    Patients sex/age (yr)Strain (genotype)aSymptomsBiopsy sampleAntibiotic(s) taken before sampling
    Male/42Twist (2A)EndocarditisCardiac valveGentamicin + ampicillin for 4 wk, ciprofloxacin several for 4 weeks
    Female/74Slow2 (1A)Diarrhea, arthralgiaDuodenumNone
    Male/63Endo2 (1A)EndocarditisCardiac valveGentamicin + amoxicillin for 3 wk
    Male/70Unc (ND)Fever, weight loss, lymphadenopathy, encephalitisDuodenumNone
    Male/63Unc (1A)Diarrhea, weight lossDuodenumNone
    Male/69Unc (1A)Diarrhea, arthralgiaDuodenumNone
    Female/33Unc (1A)Fever, weight loss, lymphadenopathyDuodenumCo-trimoxazole for 1 year
    Male/47Unc (1A)Fever, diarrhea, weight lossDuodenumCo-trimoxazole for 1 year
    Male/60Unc (2A)Diarrhea, arthralgiaDuodenumNone
    Female/69Unc (ND)Arthralgia, pulmonary embolismDuodenumNone
    Male/58Unc (2A)Diarrhea, arthralgiaDuodenumNone
    Male/64Unc (2A)EndocarditisCardiac valveNone
    • ↵ a ND, not determined; Unc, uncultured.

  • TABLE 2.

    Oligonucleotide primers used for PCR amplification and sequencing

    GenePrimersNucleotide sequence
    its TwITSF5′-CCGAGGCTTATCGCAGATTG-3′
    TwITSR5′-GGTGACTTAACCTTTTTGGAG-3′
    gyrA QRDR gyrAF15′-GATGGCTTAAAGCCCGTACA-3′
    gyrAR15′-CGACGGCTATTCCGC-3′
    parC QRDR parCF15′-GATGGCTTAAAGCCCGTACA-3′
    parCR15′-CGACGGCTATTCCGC-3′
    gyrA QRDR GyrAF25′-CGGGCATTGCCAGACGC-3′
    GyrAR25′-CGGGGGTATACTGGTTGCC-3′
    parC QRDR ParCF25′-CGGGCATTGCCAGACGC-3′
    parCR25′-CGGGGGTATACTGGTTGCC-3′
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Molecular Evaluation of Antibiotic Susceptibility: Tropheryma whipplei Paradigm
F. Masselot, A. Boulos, M. Maurin, J. M. Rolain, D. Raoult
Antimicrobial Agents and Chemotherapy May 2003, 47 (5) 1658-1664; DOI: 10.1128/AAC.47.5.1658-1664.2003

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Molecular Evaluation of Antibiotic Susceptibility: Tropheryma whipplei Paradigm
F. Masselot, A. Boulos, M. Maurin, J. M. Rolain, D. Raoult
Antimicrobial Agents and Chemotherapy May 2003, 47 (5) 1658-1664; DOI: 10.1128/AAC.47.5.1658-1664.2003
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KEYWORDS

Actinobacteria
anti-infective agents

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