Article
Metabolic profiles of multidrug resistant and extensively drug resistant Mycobacterium tuberculosis unveiled by metabolomics
Registro en:
RÊGO, Amanda Mendes et al. Metabolic profiles of multidrug resistant and extensively drug resistant Mycobacterium tuberculosis unveiled by metabolomics. Tuberculosis, v. 126, 102043, 8p, 2021.
1472-9792
10.1016/j.tube.2020.102043
Autor
Rêgo, Amanda Mendes
Silva, Duanne Alves da
Ferreira, Nicole Victor
Pina, Lucindo Cardoso de
Evaristo, Joseph A. M.
Evaristo, Geisa P. Caprini
Nogueira, Fabio Cesar S.
Ochs, Soraya M.
Amaral, Julio J.
Ferreira, Rosana B, R.
Antunes, L. Caetano M.
Resumen
Although treatable with antibiotics, tuberculosis is a leading cause of death. Mycobacterium tuberculosis antibiotic
resistance is becoming increasingly common and disease control is challenging. Conventional drug susceptibility
testing takes weeks to produce results, and treatment is often initiated empirically. Therefore, new methods to
determine drug susceptibility profiles are urgent. Here, we used mass-spectrometry-based metabolomics to
characterize the metabolic landscape of drug-susceptible (DS), multidrug-resistant (MDR) and extensively drug resistant (XDR) M. tuberculosis. Direct infusion mass spectrometry data showed that DS, MDR, and XDR strains
have distinct metabolic profiles, which can be used to predict drug susceptibility and resistance. This was later
confirmed by Ultra-High-Performance Liquid Chromatography and High-Resolution Mass Spectrometry, where
we found that levels of ions presumptively identified as isoleucine, proline, hercynine, betaine, and pantothenic
acid varied significantly between strains with different drug susceptibility profiles. We then confirmed the
identification of proline and isoleucine and determined their absolute concentrations in bacterial extracts, and
found significantly higher levels of these amino acids in DS strains, as compared to drug-resistant strains
(combined MDR and XDR strains). Our results advance the current understanding of the effect of drug resistance
on bacterial metabolism and open avenues for the detection of drug resistance biomarkers.