Ljv. Piddock et al., Accumulation of rifampicin by Mycobacterium aurum, Mycobacterium smegmatisand Mycobacterium tuberculosis, J ANTIMICRO, 45(2), 2000, pp. 159-165
The characteristics of the accumulation of 2 mg/L [C-14]rifampicin by wild-
type strains of Mycobacterium aurum (A(+)), Mycobacterium smegmatis (mc(2)1
55) and Mycobacterium tuberculosis (H37Rv) were determined. After 10 min ex
posure M. aurum had accumulated 220 ng rifampicin/mg cells, M. smegmatis ha
d accumulated 120 ng rifampicin/mg cells and M. tuberculosis had accumulate
d 154 ng rifampicin/mg cells. A steady-state concentration (SSC) of rifampi
cin was accumulated rapidly by M. aurum and M. tuberculosis within minutes
of drug exposure, unlike M. smegmatis, which accumulated rifampicin more sl
owly. With an increase in the concentration of rifampicin from 0.12 mg/L to
2 mg/L there was an increase in the concentration of rifampicin accumulate
d by M. tuberculosis, with no detectable loss of viability over the 20 min
of the accumulation experiment. With an increase in temperature there was a
lso an increase in the concentration of rifampicin accumulated by M. tuberc
ulosis; between 15 and 30 degrees C the increase was linear. For all three
species sub-inhibitory concentrations of ethambutol increased the concentra
tion of rifampicin accumulated. However, both growth and accumulation of ri
fampicin were lower in the presence of 0.05% Tween 80. Accumulation of rifa
mpicin by M. smegmatis was unaffected by the presence of the proton motive
force inhibitor, 2,4-dinitrophenol (1 mM), whether added before or after th
e addition of rifampicin to the mycobacterial culture. For all three specie
s, the Gram-positive bacterial efflux inhibitor reserpine (20 mg/L) slightl
y increased the SSC of rifampicin, but the increase was not statistically s
ignificant. Addition of glucose to energize a putative efflux pump had litt
le effect on the accumulation of rifampicin in the presence or absence of r
eserpine for M. tuberculosis; however, for M. aurum and M. smegmatis the re
serpine effect was abolished by the addition of glucose. These data suggest
that rifampicin may be removed from wild-type mycobacteria by efflux, but
that the pump(s) is expressed at low level.