In vitro activity of bedaquiline against rapidly growing nontuberculous mycobacteria

Diana A. Aguilar-Ayala, Margo Cnockaert, Emmanuel André, Koen Andries, Jorge A. Gonzalez-Y-merchand, Peter Vandamme, Juan Carlos Palomino, Anandi Martin

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

Bedaquiline (BDQ) has been proven to be effective in the treatment of multidrug-resistant tuberculosis. We hypothesized that BDQ could be a potential agent to treat nontuberculous mycobacterial (NTM) infection. The objective of this study was to evaluate the in vitro activity of BDQ against rapidly growing mycobacteria by assessing the minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC) against 18 NTM strains. For MIC determination we performed the resazurin microtitre assay broth dilution, and for the MBC the c.f.u. was determined. BDQ exhibited a strong inhibitory effect against most NTM tested; however, for some NTM strains the MBC was significantly higher than the MIC. A new finding is that Mycobacterium flavescens has a mutation in the gene atpE associated with natural resistance to BDQ. These preliminary promising results demonstrate that BDQ could be potentially useful for the treatment of NTM.

Original languageEnglish
Pages (from-to)1140-1143
Number of pages4
JournalJournal of Medical Microbiology
Volume66
Issue number8
DOIs
StatePublished - Aug 2017

Keywords

  • AtpE mutation
  • Minimum bactericidal concentration
  • Minimum inhibitory concentration
  • Mycobacterium flavescens
  • Nontuberculous mycobacteria
  • Resistance to bedaquiline

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