Molecular evaluation of antibiotic susceptibility of Tropheryma whipplei in axenic medium
Identifieur interne : 000345 ( France/Analysis ); précédent : 000344; suivant : 000346Molecular evaluation of antibiotic susceptibility of Tropheryma whipplei in axenic medium
Auteurs : A. Boulos [France] ; J. M. Rolain [France] ; M. N. Mallet [France] ; D. Raoult [France]Source :
- Journal of Antimicrobial Chemotherapy [ 0305-7453 ] ; 2005.
English descriptors
- Teeft :
- Antibiotic, Antibiotic susceptibilities, Antibiotic susceptibility, Antibiotic susceptibility testing, Antimicrobial agents, Antimicrobial chemotherapy, Assay, Axenic, Axenic culture, Axenic medium, Aztreonam, Culture medium, Dakota pharm, Doxycycline, Encoding, Encoding sequence, Genome, Intracellular, Macrolide compounds, Mics, Mrc5, Mrc5 cells, Raoult, Serial dilutions, Sulfamethoxazole, Susceptibility, Trimethoprim, Tropheryma, Tropheryma whipplei, Vancomycin, Whipplei, Whipplei strains.
Abstract
Objectives and methods: Whipple's disease is a rare multisystem chronic infection, involving the intestinal tract as well as various other organs. Tropheryma whipplei is a slow-growing facultative intracellular bacterium that remains poorly understood. In vitro antibiotic susceptibility testing has previously been assessed in cells using a real-time quantitative PCR assay. In this study, we have evaluated the antibiotic susceptibility of three strains of T. whipplei grown in axenic medium using the same assay. Results: The active compounds in axenic medium were doxycycline, macrolide compounds, penicillin G, streptomycin, rifampicin, chloramphenicol, thiamphenicol, teicoplanin, vancomycin, amoxicillin, gentamicin, aztreonam, levofloxacin and ceftriaxone, with MICs in the range 0.06–1 mg/L. Cefalothin was less active, with MICs in the range 2–4 mg/L. We found that co-trimoxazole was active with MICs in the range 0.5–1 mg/L, and sulfamethoxazole alone was active with MICs in the range 0.5–1 mg/L. MICs of trimethoprim varied from 64–128 mg/L. Conclusions: Co-trimoxazole was effective in vitro, but this activity was due to sulfamethoxazole alone. These results were in accordance with the fact that T. whipplei does not contain the encoding gene for dihydrofolate reductase, the target for trimethoprim.
Url:
DOI: 10.1093/jac/dkh524
Affiliations:
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<term>Axenic</term>
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<front><div type="abstract" xml:lang="en">Objectives and methods: Whipple's disease is a rare multisystem chronic infection, involving the intestinal tract as well as various other organs. Tropheryma whipplei is a slow-growing facultative intracellular bacterium that remains poorly understood. In vitro antibiotic susceptibility testing has previously been assessed in cells using a real-time quantitative PCR assay. In this study, we have evaluated the antibiotic susceptibility of three strains of T. whipplei grown in axenic medium using the same assay. Results: The active compounds in axenic medium were doxycycline, macrolide compounds, penicillin G, streptomycin, rifampicin, chloramphenicol, thiamphenicol, teicoplanin, vancomycin, amoxicillin, gentamicin, aztreonam, levofloxacin and ceftriaxone, with MICs in the range 0.06–1 mg/L. Cefalothin was less active, with MICs in the range 2–4 mg/L. We found that co-trimoxazole was active with MICs in the range 0.5–1 mg/L, and sulfamethoxazole alone was active with MICs in the range 0.5–1 mg/L. MICs of trimethoprim varied from 64–128 mg/L. Conclusions: Co-trimoxazole was effective in vitro, but this activity was due to sulfamethoxazole alone. These results were in accordance with the fact that T. whipplei does not contain the encoding gene for dihydrofolate reductase, the target for trimethoprim.</div>
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