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Cited by 621

The DOI matches its Crossref record; 117 of the 117 references it cites were found in a registry or an index.

Antimicrobial agent resistance in mycobacteria: molecular genetic insights

Open access
Musser, J M·1995·Clinical Microbiology Reviews

Abstract

The primary theme emerging from molecular genetic work conducted with Mycobacterium tuberculosis and several other mycobacterial species is that resistance is commonly associated with simple nucleotide alterations in target chromosomal genes rather than with acquisition of new genetic elements encoding antibiotic-altering enzymes. Mutations in an 81-bp region of the gene (rpoB) encoding the beta subunit of RNA polymerase account for rifampin resistance in 96% of M. tuberculosis and many Mycobacterium leprae isolates. Streptomycin resistance in about one-half of M. tuberculosis isolates is associated with missense mutations in the rpsL gene coding for ribosomal protein S12 or nucleotide substitutions in the 16S rRNA gene (rrs). Mutations in the katG gene resulting in catalase-peroxidase amino acid alterations nad nucleotide substitutions in the presumed regulatory region of the inhA locus are repeatedly associated with isoniazid-resistant M. tuberculosis isolates. A majority of fluoroquinolone-resistant M. tuberculosis isolates have amino acid substitutions in a region of the DNA gyrase A subunit homologous to a conserved fluoroquinolone resistance-determining region. Multidrug-resistant isolates of M. tuberculosis arise as a consequence of sequential accumulation of mutations conferring resistance to single therapeutic agents. Molecular strategies show considerable promise for rapid detection of mutations associated with antimicrobial resistance. These approaches are now amenable to utilization in an appropriately equipped clinical microbiology laboratory.

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Metadata

Authors
Musser, J. M.
Venue
Clinical Microbiology Reviews
Published
1995-10
Volume
8
Issue
4
Pages
496-514
ISSN
  • 0893-8512 (ISSN-L)
  • 1098-6618
OpenAlex
W2109751189
Cited by
621
References
117
FWCI
20.33
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Antimicrobial agent resistance in mycobacteria: molecular genetic insights. https://app.cochat.ai/papers/10.1128/cmr.8.4.496
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Musser, J. M. (1995). Antimicrobial agent resistance in mycobacteria: molecular genetic insights. Clinical Microbiology Reviews. https://doi.org/10.1128/cmr.8.4.496

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