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The competitive cost of antibiotic resistance in Mycobacterium tuberculosis. Export

Science (New York, N.Y.), Vol. 312, No. 5782. (30 June 2006), pp. 1944-1946.

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antibiotic bacteria drug fitness resistance tuberculosis

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Mathematical models predict that the future of the multidrug-resistant tuberculosis epidemic will depend on the fitness cost of drug resistance. We show that in laboratory-derived mutants of Mycobacterium tuberculosis, rifampin resistance is universally associated with a competitive fitness cost and that this cost is determined by the specific resistance mutation and strain genetic background. In contrast, we demonstrate that prolonged patient treatment can result in multidrug-resistant strains with no fitness defect and that strains with low- or no-cost resistance mutations are also the most frequent among clinical isolates.


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