Disseminated Mycobacterium avium-Mycobacterium intracellulare disease
is a prevalent opportunistic infection in patients with acquired immun
e deficiency syndrome (AIDS). These pathogens are generally resistant
to isoniazid (INH), a powerful antituberculosis drug. It is now genera
lly accepted that the INH susceptibility of Mycobacterium tuberculosis
results from the transformation of the drug into a toxic derivative,
as a result of the action of the enzyme catalase-peroxidase (HPI), enc
oded by the katG gene. It has been speculated that the presence of a s
econd catalase (HPII) in some mycobacterial species, but lacking in M.
tuberculosis, may impair the action of INH. In this report, the nucle
otide sequence of the M. avium katE gene, encoding catalase HPII, is d
escribed. This enzyme shows strong similarity to Escherichia coil cata
lase HPII and eukaryotic catalases. All amino acids previously postula
ted as participating directly in catalysis by liver catalase and most
of the amino acids binding the prosthetic group are conserved in M. av
ium catalase HPII. The enzyme is expressed in E. coli and is inhibited
by 3 amino-1 ,2,4-triazole (AT). Furthermore, Southern blot hybridiza
tions and polymerase chain reaction experiments demonstrate the distri
bution of katE gene in several mycobacterial species. To evaluate the
potentially antagonistic effect of HPII catalase on INH susceptibility
, the katE gene was transformed into M. tuberculosis H37Rv and the min
imum inhibitory concentration (MIC) for INH was determined. Despite st
rong expression of the katE gene, no change in MIC was observed, thus
ruling out a possible contribution of this enzyme to the natural resis
tance of M. avium to the drug. The availability of the gene probe, enc
oding the second mycobacterial catalase HPII, should open the way for
the development of new drugs and diagnostic tests to combat drug-resis
tant pathogen strains.