Article
Atypical Genetic Basis of Pyrazinamide Resistance in Monoresistant Mycobacterium tuberculosis.
Antimicrobial agents and chemotherapy - 18 May 2021
Modlin Samuel J, Marbach Tyler, Werngren Jim, Mansjö Mikael, Hoffner Sven E, Valafar Faramarz
Abstract excerpt
Pyrazinamide (PZA) is a widely used antitubercular chemotherapeutic. Typically, PZA resistance (PZA-R) emerges in Mycobacterium tuberculosis strains with existing resistance to isoniazid and rifampin (i.e., multidrug resistance [MDR]) and is conferred by loss-of-function pncA mutations that inhibit conversion to its active form, pyrazinoic acid (POA). PZA-R departing from this canonical scenario is poorly...
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