We have induced high levels of resistance to metronidazole (1 mM or 170 mu
g ml(-1)) in two different strains of Trichomonas vaginalis (BRIS/92/STDL/F
1623 and BRIS/92/STDL/B7708) and have used one strain to identify two alter
native T. vaginalis 2-keto acid oxidoreductases (KOR) both of which are dis
tinct from the already characterised pyruvate:ferredoxin oxidoreductase (PF
OR). Unlike the characterised PFOR which is severely down-regulated in metr
onidazole-resistant parasites, both of the alternative KORs are fully activ
e in metronidazole-resistant T. vaginalis. The first, KOR1, localized in al
l membrane fractions but predominantly in the hydrogenosome fraction, is so
luble in Triton X-100 and the second, KOR2, is extractable in 1 M acetate f
rom membrane fractions of metronidazole-resistant parasites. PFOR and both
KOR1 and KOR2 use a broad range of 2-keto acids as substrates (pyruvate, al
pha-ketobutyrate, alpha-ketomalonate), including the deaminated forms of ar
omatic amino acids (indolepyruvate and phenylpyruvate). However, unlike PFO
R neither KOR1 or KOR2 was able to use alpha-ketoglutarate. Deaminated form
s of branched chain amino acids (alpha-ketoisovalerate) were not substrates
for T. vaginalis KORs. Since KOR1 and KOR2 do not apparently donate electr
ons to ferredoxin, and are not down-regulated in metronidazole-resistant pa
rasites, we propose that KOR1 and KOR2 provide metronidazole-resistant para
sites with an alternative energy production pathway(s) which circumvents me
tronidazole activation. (C) 1999 Published by Elsevier Science B.V. All rig
hts reserved.