TB Research

Comparison of in vitro activity of the nitroimidazoles delamanid and pretomanid against multidrug-resistant and extensively drug-resistant tuberculosis

Wen S, Jing W, Zhang T, Zong Z, Xue Y, Shang Y, Wang F, Huang H, et al. (10 authors)

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019-04

Abstract

Delamanid exhibited greater in vitro potency than pretomanid against multidrug-resistant (MDR-) and extensively drug-resistant tuberculosis (XDR-TB) isolates. The pretomanid minimum inhibitory concentration (MIC) values of four MDR-TB isolates were found to be resistant to delamanid ranging from 0.031 to 0.063 mg/L. A novel nonsynonymous mutation within the fbiA gene (Glu249Lys) may be contributing to high-level resistance to delamanid and pretomanid in Mycobacterium tuberculosis.

MeSH terms

  • Mycobacterium tuberculosis
  • Tuberculosis, Multidrug-Resistant
  • Nitroimidazoles
  • Bacterial Proteins
  • Antitubercular Agents
  • Microbial Sensitivity Tests
  • Drug Resistance, Multiple, Bacterial
  • Mutation
  • Extensively Drug-Resistant Tuberculosis