Na. Samarawickrema et al., INVOLVEMENT OF SUPEROXIDE-DISMUTASE AND PYRUVATE-FERREDOXIN OXIDOREDUCTASE IN MECHANISMS OF METRONIDAZOLE RESISTANCE IN ENTAMOEBA-HISTOLYTICA, Journal of antimicrobial chemotherapy, 40(6), 1997, pp. 833-840
Metronidazole resistance has been induced in an axenic strain of Entam
oeba histolytica (HTH-56:MUTM) following continuous exposure to steadi
ly increasing drug concentrations. The drug-resistant line is routinel
y maintained in normally lethal levels of metronidazole (10 mu M). Res
istance to this concentration of drug was developed over 177 days. Dec
reased pyruvate:ferredoxin oxidoreductase (PFOR) activity in anaerobic
organisms is one mechanism of metronidazole resistance but in entamoe
ba, PFOR activity was not decreased in metronidazole-resistant parasit
es as determined by immunofluorescent assays and immunoblotting studie
s. 2-Oxoacid oxidoreductase activity, which appeared to be due to a si
ngle enzyme, PFOR, was evident with pyruvate as well as the alternativ
e substrates, alpha-ketobutyrate, alpha-ketoglutarate and oxaloacetate
. A marked increase in superoxide dismutase (SOD) activity was detecte
d in metronidazole-resistant E. histolytica. Increased SOD activity ha
s not previously been documented as a mechanism of drug resistance alt
hough SOD has been associated with a range of stress situations in oth
er organisms.