PMID- 31512599 OWN - NLM STAT- MEDLINE DCOM- 20200127 LR - 20200127 IS - 2212-554X (Electronic) IS - 2212-5531 (Linking) VI - 8 IP - 3 DP - 2019 Jul-Sep TI - Expression of mycolic acid in response to stress and association with differential clinical manifestations of tuberculosis. PG - 237-243 LID - 10.4103/ijmy.ijmy_69_19 [doi] AB - BACKGROUND: Extrapulmonary tuberculosis (EPTB), accounting for 10%-20% of all cases of tuberculosis (TB), is known to be determined by host immunity. However, the contribution of bacterial factors to the development of EPTB has not been studied extensively. Mycolic acids are predominant lipids constituting the cell wall of Mycobacterium tuberculosis, and keto-mycolic acid is involved in the synthesis of foamy macrophages that facilitate persistence of mycobacteria. Hence, the present study was performed to gain an insight into variable expression of mycolic acids in clinical isolates of M. tuberculosis under stress. METHODS: Pansusceptible clinical isolates of M. tuberculosis from patients with lymph node TB (LNTB) (n = 10) and pulmonary TB (PTB) (n = 10) were subjected to sodium dodecyl sulfate (SDS) stress, and the expression of mycolic acid and its biosynthetic genes was compared. Any bias arising due to the genotype of the clinical isolates was ruled out by performing single-nucleotide polymorphism cluster grouping (SCG), wherein no significant difference was observed between the SCG of LNTB or PTB isolates. RESULTS: The expression of alpha-mycolic acid during the exposure to SDS was high in 7/10 (70%) LNTB and 6/10 (60%) PTB isolates. Methoxy mycolic acid showed an increased expression in 7/10 (70%) LNTB isolates and 4/10 (40%) PTB isolates. Increased expression of keto-mycolic acid on exposure with SDS was observed in 8/10 (80%) M. tuberculosis LNTB and 3/10 (30%) PTB isolates. Similarly, the mycolic acid synthesis gene, fas, was upregulated more in LNTB isolates than PTB isolates in vitro and ex vivo. SCG 3a was the most common SCG observed in 40% (8/20) of the isolates, followed by SCG 3b in 30% (6/20) of the isolates. There was no significant difference between the SCG of LNTB or PTB isolates. CONCLUSION: The higher expression of keto-mycolic acid in LNTB as against PTB isolates may indicate better survival in LNTB isolates in the presence of stress. FAU - Sharma, Naresh Kumar AU - Sharma NK AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Rathor, Nisha AU - Rathor N AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Sinha, Rajesh AU - Sinha R AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Gupta, Shraddha AU - Gupta S AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Tyagi, Gaurav AU - Tyagi G AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Garima, Kushal AU - Garima K AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Pathak, Rakesh AU - Pathak R AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Singh, Pooja AU - Singh P AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Jain, Ashima AU - Jain A AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Bose, Mridula AU - Bose M AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Varma-Basil, Mandira AU - Varma-Basil M AD - Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - India TA - Int J Mycobacteriol JT - International journal of mycobacteriology JID - 101615660 RN - 0 (Bacterial Proteins) RN - 0 (Mycolic Acids) RN - 368GB5141J (Sodium Dodecyl Sulfate) SB - IM MH - Bacterial Proteins/genetics MH - Gene Expression/*drug effects MH - Genotype MH - Humans MH - Mycobacterium tuberculosis/*drug effects/*genetics MH - Mycolic Acids/*metabolism MH - Polymorphism, Single Nucleotide MH - Sodium Dodecyl Sulfate/pharmacology MH - Stress, Physiological MH - THP-1 Cells MH - Tuberculosis, Lymph Node/microbiology MH - Tuberculosis, Pulmonary/microbiology OTO - NOTNLM OT - Lymph node tuberculosis OT - mycolic acid OT - pulmonary tuberculosis OT - surface stress COIS- None EDAT- 2019/09/13 06:00 MHDA- 2020/01/28 06:00 CRDT- 2019/09/13 06:00 PHST- 2019/09/13 06:00 [entrez] PHST- 2019/09/13 06:00 [pubmed] PHST- 2020/01/28 06:00 [medline] AID - IntJMycobacteriol_2019_8_3_237_266495 [pii] AID - 10.4103/ijmy.ijmy_69_19 [doi] PST - ppublish SO - Int J Mycobacteriol. 2019 Jul-Sep;8(3):237-243. doi: 10.4103/ijmy.ijmy_69_19.