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Pyrazinamide and Pyrazinoic Acid Activity against Tubercle Bacilli in Cultured Human Macrophages and in the BACTEC System


Salfinger, M; Crowle, A J; Reller, L B (1990). Pyrazinamide and Pyrazinoic Acid Activity against Tubercle Bacilli in Cultured Human Macrophages and in the BACTEC System. Journal of Infectious Diseases, 162(1):201-207.

Abstract

Pyrazinamide (PZA) has becomean essential component of current 6-month regimens for therapy of tuberculosis. Susceptible strains of tubercle bacilliconvert PZA to pyrazinoic acid (POA)through pyrazinamidase (PZase), which resistant strains and Mycobacterium bovis bacilleCalmette-Guerin lack. PZA susceptibility results obtained in cultured human macrophages were compared with those in the broth BACTEC system with 7H12 medium at pH 6.0 for strains known to bePZasepositive or -negative. Although added PDA was unable to inhibit tubercle bacilli in cultured macrophages, it was able to inhibit them at very high concentrations in the BACTEC broth. Intracellularly formed PDA would not be able to escape from the macrophage, and therefore would accumulate sufficiently to lower pH to toxic levels for tubercle bacilli. The results suggest that the cultured macrophages contribute actively or passively to the effectiveness of PZA, such as through the proposed mechanism of low pH generated by PZase in the phagolysosomes

Abstract

Pyrazinamide (PZA) has becomean essential component of current 6-month regimens for therapy of tuberculosis. Susceptible strains of tubercle bacilliconvert PZA to pyrazinoic acid (POA)through pyrazinamidase (PZase), which resistant strains and Mycobacterium bovis bacilleCalmette-Guerin lack. PZA susceptibility results obtained in cultured human macrophages were compared with those in the broth BACTEC system with 7H12 medium at pH 6.0 for strains known to bePZasepositive or -negative. Although added PDA was unable to inhibit tubercle bacilli in cultured macrophages, it was able to inhibit them at very high concentrations in the BACTEC broth. Intracellularly formed PDA would not be able to escape from the macrophage, and therefore would accumulate sufficiently to lower pH to toxic levels for tubercle bacilli. The results suggest that the cultured macrophages contribute actively or passively to the effectiveness of PZA, such as through the proposed mechanism of low pH generated by PZase in the phagolysosomes

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Item Type:Journal Article, refereed, original work
Communities & Collections:National licences > 142-005
Dewey Decimal Classification:570 Life sciences; biology
610 Medicine & health
Language:English
Date:1 July 1990
Deposited On:16 Oct 2018 15:31
Last Modified:24 Sep 2019 23:39
Publisher:Oxford University Press
ISSN:0022-1899
OA Status:Green
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1093/infdis/162.1.201
Related URLs:https://www.swissbib.ch/Search/Results?lookfor=nationallicenceoxford101093infdis1621201 (Library Catalogue)

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