TABLE 2.
Isolate by patient | Treatment status (mo) | MIC (μg/ml)b |
Susceptibilityc |
mmpT5 allele | MmpT5 sequenced | AtpE sequenced | ||
---|---|---|---|---|---|---|---|---|
BDQ | CLF | AMK | CLR | |||||
1 | ||||||||
1A | Pretreatment | 0.004 | ≤0.06 | R | R | 3.1 | WT | WT |
1B | On BDQ (5) | 0.008 | 0.12 | R | R | 3.2 | Gly66→fs | WT |
1F | Post-BDQ (3) | 0.004 | ≤0.06 | R | R | 3.3 | Arg25→Pro | Ala65→Pro |
2 | ||||||||
2A | Pretreatment | 0.004 | ≤0.06 | R | S | 7.1 | WT | WT |
2C | On BDQ (9) | 0.03 | ≤0.06 | R | S | 7.2 | Val46→Gly | WT |
2D | Post-BDQ (6) | 0.03 | 0.12 | R | S | 7.2 | Val46→Gly | WT |
3 | ||||||||
3B | Pretreatment | 0.004 | 0.12 | S | S | 5.1 | Glu177→Lys | WT |
3F | On BDQ (10) | 0.008 | 0.25 | R | S | 5.2 | Ala23→Pro + Glu177→Lys | WT |
3G | On BDQ (11) | 0.008 | 0.5 | R | S | 5.2 | Ala23→Pro + Glu177→Lys | WT |
3H | On BDQ (15) | 0.008 | ≤0.06 | R | S | 5.1 | Glu177→Lys | WT |
4 | ||||||||
4A | Pretreatment | 0.004 | ≤0.06 | S | S | 4.1 | WT | WT |
4C | On BDQ (4.5) | 0.015 | 0.25 | S | S | 4.2 | Pro104→fs | WT |
5 | ||||||||
5A | Pretreatment | 0.004 | ≤0.06 | R | R | 1.1 | WT | WT |
5C | On BDQ (8) | 0.004 | ≤0.06 | R | R | 1.2 | Ala162→Pro | WT |
5D | On BDQ (15) | 0.008 | ≤0.06 | R | R | 1.2 | Ala162→Pro | WT |
5E | On BDQ (23) | 2 | ND | R | R | 1.1 | WT | Ala65→Pro |
5F | On BDQ (28) | 2 | ≤0.06 | R | R | 1.1 | WT | Ala65→Pro |
6 | ||||||||
6A | Pretreatment | 0.008 | 0.12 | R | R | 5.1 | Glu177→Lys | WT |
6B | On BDQ (7) | 0.008 | 0.25 | R | R | 5.3 | Ile19→Ser + Glu177→Lys | WT |
6C | Post-BDQ (4.5) | 0.008 | 0.25 | R | R | 5.4 | Val35→Gly + Glu177→Lys | WT |
6E | Post-BDQ (8.5) | 0.03 | 0.5 | R | R | 5.1 | Glu177→Lys | WT |
7 | ||||||||
7A | Pretreatment | 0.004 | ≤0.06 | S | S | 7.1 | WT | WT |
7C | Post-BDQ (5) | 0.015 | 0.5 | S | S | 7.3 | Pro104→fs | WT |
7D | Post-BDQ (5) | 0.03 | 0.5 | S | S | 7.3 | Pro104→fs | WT |
7E | Post-BDQ (10) | 0.03 | 0.5 | S | S | 7.3 | Pro104→fs | WT |
For the complete list of pretreatment and relapse isolates, see Table S1.
CLF, clofazimine; ND, not determined.
AMK, amikacin; CLR, clarithromycin; R, resistant; S, susceptible.
WT, wild-type sequence; fs, frameshift mutation.