Abstract
Twelve clarithromycin-resistant Helicobacter pylori isolates (100% of resistant isolates examined) from seven different patients each contained an A-->G transition mutation within a conserved loop of 23S rRNA. A-->G transition mutations at positions cognate with Escherichia coli 23S rRNA positions 2058 and 2059 were identified. Clarithromycin-susceptible H. pylori isolates from 14 different patients displayed no polymorphisms in a conserved loop within domain V of 23S rRNA. The study is the first to report mutations in H. pylori associated with resistance to an antimicrobial agent used in established peptic ulcer treatment regimens.
MeSH Terms
Anti-Bacterial Agents/pharmacology
Base Sequence
Clarithromycin/pharmacology
Drug Resistance, Microbial
Electrophoresis, Agar Gel
Helicobacter pylori/drug effects,genetics,isolation & purification
Microbial Sensitivity Tests
Molecular Sequence Data
Mutation
Protein Synthesis Inhibitors/pharmacology
RNA, Ribosomal, 23S/drug effects,genetics
Sequence Homology, Nucleic Acid
Chemicals
Anti-Bacterial Agents
Protein Synthesis Inhibitors
RNA, Ribosomal, 23S
Clarithromycin
Authors & Affiliations
9 authors, click to expand affiliations / ORCID
Versalovic J
Division of Digestive Diseases, Baylor College of Medicine, Houston, Texas, USA.
[email protected]
Shortridge D
Kibler K
Griffy M V
Beyer J
Flamm R K
Tanaka S K
Graham D Y
Go M F
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