Tuberculosis (TB) is still a major life-threatening infectious disease, within which especially the rise of multidrug resistant TB (MDR-TB) is currently worrying. This study focuses on mechanisms of development of rifampicin resistance, since rifampicin seems to play an important role in the development of MDR-TB. To provide further insight in rifampicin resistance, we performed a genome-wide transcriptional profile analysis for Mycobacterium tuberculosis (M. tuberculosis) using microarray technology and qRT-PCR analysis. We exposed a rifampicin-susceptible H37Rv wild type (H37Rv-WT) and a rifampicin-resistant progeny H37Rv strain with a H526Y mutation in the rpoB gene (H37Rv-H526Y) to several concentrations of rifampicin, to define the effect of rifampicin on the transcription profile. Our study showed that there are resistance-dependant differences in response between both M. tuberculosis strains. Gene clusters associated with efflux, transport and virulence were altered in the rifampicin-resistant H37Rv mutant compared to the rifampicin-susceptible H37Rv-WT strain after exposure to rifampicin. We conclude that the small gene cluster Rv0559c-Rv0560c in the H37Rv-H526Y strain was remarkably up-regulated in the microarray analysis and qRT-PCR results and appeared to be dependent on rifampicin concentration and time of exposure. Therefore this study suggests that Rv0559c and Rv0560c play a pivotal role in rifampicin resistance of M. tuberculosis. Further investigation of Rv0559c and Rv0560c is needed to reveal function and mechanism of both genes that were triggered upon rifampicin exposure.

Mycobacterium tuberculosis, article, bacterial strain, bacterial virulence, controlled study, drug exposure, gene cluster, gene expression, gene mutation, genome, microarray analysis, minimum inhibitory concentration, multidrug resistant tuberculosis, priority journal, wild type
dx.doi.org/10.1016/j.tube.2012.10.013, hdl.handle.net/1765/40873
International Journal of Tuberculosis and Lung Disease
Erasmus MC: University Medical Center Rotterdam

de Knegt, G.J, Bruning, O, ten Kate, M.T, Mark de Jong, van Belkum, A.F, Endtz, H.P, … de Steenwinkel, J.E.M. (2013). Rifampicin-induced transcriptome response in rifampicin-resistant Mycobacterium tuberculosis. International Journal of Tuberculosis and Lung Disease, 93(1), 96–101. doi:10.1016/j.tube.2012.10.013