title: Mycobacterium tuberculosis isolate with a distinct genomic identity overexpresses a tap-like efflux pump.
abstract: BACKGROUND
  One mechanism proposed for drug resistance in Mycobacterium tuberculosis (MTB) is by efflux of the drugs by membrane located pumps. We report a novel and definite association between drug resistance and transcription levels of a tap-like pump (Rv1258c) in a multi-drug resistant MTB patient isolate (ICC154) which possesses a unique genotypic signature.
  
  
  METHODS
  The isolate ICC154 was tested for drug sensitivity. Over-expression of Rv1258c as a function of drug pressure was analyzed by RT-PCR and the strain was typed using fluorescent amplified fragment length polymorhism (FAFLP).
  
  
  RESULTS
  In the presence of rifampicin and ofloxacin, this isolate shows increased transcription of the gene Rv1258c. Genotypic fingerprinting revealed the presence of unique FAFLP markers.
  
  
  CONCLUSIONS
  A clear association between drug resistance and overexpression of an efflux protein is evident from our studies. The presence of specific markers has implications in rapid identification of MDR clinical isolates and consequent disease management.
authors.affiliation: Centre for DNA Fingerprinting and Diagnostics, Nacharam, Hyderabad, India.
authors.forename: N
authors.initials: N
authors.lastname: Siddiqi
authors.forename: R
authors.initials: R
authors.lastname: Das
authors.forename: N
authors.initials: N
authors.lastname: Pathak
authors.forename: S
authors.initials: S
authors.lastname: Banerjee
authors.forename: N
authors.initials: N
authors.lastname: Ahmed
authors.forename: V M
authors.initials: VM
authors.lastname: Katoch
authors.forename: S E
authors.initials: SE
authors.lastname: Hasnain
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001426:Bacterial Proteins; D002352:Carrier Proteins / Q000235:genetics*; D004269:DNA, Bacterial / Q000032:analysis; D024881:Drug Resistance, Bacterial / Q000235:genetics; D005786:Gene Expression Regulation; D016678:Genome; D006801:Humans; D008565:Membrane Proteins / Q000235:genetics*; D026901:Membrane Transport Proteins; D008826:Microbial Sensitivity Tests; D009169:Mycobacterium tuberculosis / Q000187:drug effects* / Q000235:genetics*; D017494:Proton Pumps / Q000378:metabolism; D020133:Reverse Transcriptase Polymerase Chain Reaction / Q000379:methods*; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D018088:Tuberculosis, Multidrug-Resistant / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D001426:Bacterial Proteins; D002352:Carrier Proteins; D004269:DNA, Bacterial; D008565:Membrane Proteins; D026901:Membrane Transport Proteins; D017494:Proton Pumps; C115861:Tap protein, Mycobacterium