A systematic review of Mycobacterium leprae DNA gyrase mutations and their impact on fluoroquinolone resistance
Abstract
Background
The fact that M. leprae does not grow in vitro remains a challenge in the survey of its antimicrobial resistance (AMR). Mainly molecular methods are used to diagnose AMR in M. leprae to provide reliable data concerning mutations and their impact. Fluoroquinolones (FQ) are efficient for the treatment of leprosy and the main second-line drugs in case of multidrug resistance.
Objectives
This study aimed at performing a systematic review (i) to characterize all DNA gyrase gene mutations described in clinical isolates of M. leprae and (ii) to distinguish between those associated with FQ resistance or susceptibility, and (iii) to delineate a consensus numbering system for M. leprae GyrA and GyrB.
Data sources
Data source was PubMed.
Study eligibility criteria
Publications reporting genotypic susceptibility-testing methods and gyrase gene mutations in M. leprae clinical strains.
Results
In 25 studies meeting our inclusion criteria, 2884 M. leprae isolates were analyzed (2236 for gyrA only (77%) and 755 for both gyrA and gyrB (26%)):3.8% of isolates had gyrA mutations (n = 110), mostly at position 91 (n = 75, 68%) and 0.8% gyrB mutations (n = 6). Since we found discrepancies regarding the location of substitutions associated with FQ-resistance, we established a consensus numbering system to properly number the mutations. We also designed a 3D model of the M. leprae DNA gyrase to predict the impact of mutations whose role in FQ-susceptibility has not been demonstrated previously.
Conclusion
Mutations in DNA gyrase are observed in 4% of the M. leprae clinical isolates. To solve discrepancies among publications and to distinguish between mutations associated with FQ resistance or susceptibility, the consensus numbering system we proposed as well as the 3D model of the M. leprae gyrase for the evaluation of the impact of unknown mutations in FQ resistance, will provide help for resistance surveillance.
Domains
Immunology
Fichier principal
Chauffour et al. - 2021 - A systematic review of Mycobacterium leprae DNA gy.pdf (452.67 Ko)
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