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Mechanism of Metronidazole Resistance Regulated by the fdxA Gene in Helicobacter pylori.

헬리코박터 파일로리에서 fdxA 유전자에 의한 메트로니다졸 내성 조절 기전 연구

  • Nam, Won-Hee (Asan Institute for Life Sciences, University of Ulsan College of Medicine) ;
  • Lee, Sun-Mi (Asan Institute for Life Sciences, University of Ulsan College of Medicine) ;
  • Kim, Eun-Sil (Asan Institute for Life Sciences, University of Ulsan College of Medicine) ;
  • Kim, Jin-Ho (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jeong, Jin-Yong (Asan Institute for Life Sciences, University of Ulsan College of Medicine)
  • 남원희 (울산대학교 의과대학 아산생명과학연구소) ;
  • 이선미 (울산대학교 의과대학 아산생명과학연구소) ;
  • 김은실 (울산대학교 의과대학 아산생명과학연구소) ;
  • 김진호 (서울아산병원 소화기내과) ;
  • 정진용 (울산대학교 의과대학 아산생명과학연구소)
  • Published : 2007.05.25

Abstract

Resistance to metronidazole in Helicobacter pylori results from inactivation of rdxA and frxA, the chromosomal genes for a nitroreductase that normally converts metronidazole from prodrug to bactericidal agent. Two types of metronidazole susceptible strains had been found distinguishable by their apparent levels of frxA expression. Most common in the populations we had studied were strains that required only rdxA inactivation to become resistant to moderate levels of metronidazole(type I strains). The second strain type required inactivation of both frxA and rdxA to become resistance to metronidazole(type II strains): this was linked to a relatively high level of frxA gene transcription in the type II strains. The fdxA gene regulated fdxA as well as rdxA gene. Thus, to study the function of fdxA as a regulatory gene we constructed a null mutant of fdxA in H. pylori genome and identified over-and under-expressed proteins by fdxA using two-dimensional(2-D) electrophoresis and MALDI-TOP-MS. There were four over-expressed proteins in fdxA mutant; nifU-like protein(HP0221), frxA(HP0642), nonheme ferritin(HP0653), and hypothetical protein(HP0902). Three under-expressed proteins were also identified in fdxA mutant, including 5'-methylthioadenosine/S-adenosylhomocysteine nucleosidase (HP0089), (3R)-hydroxymyristoyl ACP dehydratase(HP1376), and thioredoxin(HP1458).

본 연구는 H. pylori에서 metronidazole내성에 관여하는 유전자를 발견하고 이들 유전자들의 상호 조절 기전을 밝힘으로서 위장질환의 원인균인 H. pylori를 퇴치하기 위한 기본바탕을 마련하고자 수행되었다. 우선적으로 metronidazole 내성을 조절하는 유전자인 fdxA(ferredoxin)에 의한 metronidazole 내성 조절 기전을 밝히기 위하여 다음의 연구를 수행하였다. Type I 균주인 26695균주의 fdxA 유전자에 chloramphenicol 내성 유전자를 삽입하여 결손돌연변이주를 구축하였다. fdxA의 비활성화에 의한 rdxA 및 frxA 유전자의 발현을 알아보기 위하여 2-D electrophoresis와 MALDI-TOP-MS을 이용하여 fdxA 유전자의 비활성화에 의해 over-expressed protein과 under-expressed protein을 검색하였다. 본 실험의 결과로 type I 균주인 26695에서 fdxA 유전자를 비활성화시킨 결과 frxA 유전자의 발현양이 증가함을 northern으로 확인하였으며, 또한 fdxA유전자의 downstream에 위치한 유전자들이 H. pylori의 생존에 중요한 역할은 한다는 것을 알 수 있었다. 또한 2-D electrophoresis와 MALDI-TOP-MS을 이용하여 fdxA 유전자의 inactivation에 의해 over-expressed protein으로 nifU-like protein(HP0221), frxA(HP0642), nonheme ferritin(HP0653)와 아직 기능이 밝혀지지 않은 hypothetical protein(HP0902) 등이 발견되었다. 그리고 5'-methylthioadenosine/S-adenosylhomocysteine nucleosidase(HP0089), (3R)-hydroxymyristoyl ACP dehydratase(HP1376)과 thioredoxin(HP1458)등이 under-expressed protein으로 발견되었다.

Keywords

References

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