Mycobacterium tuberculosis Rv2535c with mutation conferring resistance to bedaquiline

Accession ARO:3007692
Synonym(s)pepQ Rv2535c
CARD Short NameMtub_Rv2535_BDQ
DefinitionThese pepQ/Rv2535c mutations increase efflux through the mmpL5-mmpS5 (Rv0676c-Rv0677c) transporter, such as preventing degradation of MmpL5, which leads to reduced susceptibility to bedaquiline and clofazimine.
AMR Gene Familybedaquiline resistant Rv2535c
Drug Classdiarylquinoline antibiotic, fluoroquinolone antibiotic
Resistance Mechanismantibiotic target alteration
Classification10 ontology terms | Show
Parent Term(s)3 ontology terms | Show
+ bedaquiline resistant Rv2535c [AMR Gene Family]
+ confers_resistance_to_antibiotic bedaquiline [Antibiotic]
+ confers_resistance_to_antibiotic clofazimine [Antibiotic]
Publications

Almeida D, et al. 2016. Antimicrob Agents Chemother 60(8):4590-9 Mutations in pepQ Confer Low-Level Resistance to Bedaquiline and Clofazimine in Mycobacterium tuberculosis. (PMID 27185800)

Resistomes

Prevalence of Mycobacterium tuberculosis Rv2535c with mutation conferring resistance to bedaquiline among the sequenced genomes, plasmids, and whole-genome shotgun assemblies available at NCBI or IslandViewer for 413 important pathogens (see methodological details and complete list of analyzed pathogens). Values reflect percentage of genomes, plasmids, genome islands, or whole-genome shotgun assemblies that have at least one hit to the AMR detection model. Default view includes percentages calculated based on Perfect plus Strict RGI hits. Select the checkbox to view percentages based on only Perfect matches to AMR reference sequences curated in CARD (note: this excludes resistance via mutation as references in protein variant models are often wild-type, sensitive sequences).

Prevalence: protein variant model

SpeciesNCBI ChromosomeNCBI PlasmidNCBI WGSNCBI GI
No prevalence data


Detection Models

Model Type: protein variant model

Model Definition: Protein Variant Models (PVM) perform a similar search as Protein Homolog Models (PHM), i.e. detect protein sequences based on their similarity to a curated reference sequence, but secondarily screen query sequences for curated sets of mutations to differentiate them from antibiotic susceptible wild-type alleles. PVMs are designed to detect AMR acquired via mutation of house-keeping genes or antibiotic targets, e.g. a mutated gyrase resistant to aminocoumarin antibiotics. PVMs include a protein reference sequence (often from antibiotic susceptible wild-type alleles), a curated bit-score cut-off, and mapped resistance variants. Mapped resistance variants may include any or all of single point mutations, insertions, or deletions curated from the scientific literature. A Strict RGI match has a BLASTP bit-score above the curated BLASTP cutoff value and contains at least one curated mutation from amongst the mapped resistance variants, while a Loose RGI match has a bit-score less than the curated BLASTP bit-score cut-off but still contains at least one curated mutation from amongst the mapped resistance variants.

Bit-score Cut-off (blastP): 700

Legend:

  • discovered in clinical, agricultural, or environmental isolates

  • discovered via laboratory selection experiments

  • ReSeqTB https://platform.reseqtb.org

Published Variants:

PMID: 27185800A14fs R271fs L44P

>gb|NP_217051.1|-|Mycobacterium tuberculosis Rv2535c with mutation conferring resistance to bedaquiline [Mycobacterium tuberculosis H37Rv]
MTHSQRRDKLKAQIAASGLDAMLISDLINVRYLSGFSGSNGALLVFADERDAVLATDGRY
RTQAASQAPDLEVAIERAVGRYLAGRAGEAGVGKLGFESHVVTVDGLDALAGALEGKNTE
LVRASGTVESLREVKDAGELALLRLACEAADAALTDLVARGGLRPGRTERQVSRELEALM
LDHGADAVSFETIVAAGANSAIPHHRPTDAVLQVGDFVKIDFGALVAGYHSDMTRTFVLG
KAADWQLEIYQLVAEAQQAGRQALLPGAELRGVDAAARQLIADAGYGEHFGHGLGHGVGL
QIHEAPGIGVTSAGTLLAGSVVTVEPGVYLPGRGGVRIEDTLVVAGGTPKMPETAGQTPE
LLTRFPKELAIL



>gb|NC_000962.3|-|2859300-2860418|Mycobacterium tuberculosis Rv2535c with mutation conferring resistance to bedaquiline [Mycobacterium tuberculosis H37Rv]
GTGACACATTCCCAGCGTCGAGACAAGCTGAAAGCACAAATCGCTGCCTCCGGGTTGGATGCGATGCTGATCAGCGACCTGATAAACGTG
CGATATCTATCAGGCTTCAGCGGGTCCAACGGCGCATTGCTGGTGTTCGCCGATGAGCGCGATGCCGTGTTGGCCACCGACGGCCGGTAC
CGCACTCAGGCCGCCTCGCAAGCGCCCGACCTCGAAGTGGCTATCGAGCGCGCGGTCGGGCGCTACCTGGCCGGCCGGGCCGGCGAGGCC
GGCGTGGGAAAGCTGGGCTTCGAGAGCCACGTGGTCACGGTGGACGGCCTGGACGCCTTGGCGGGCGCGCTGGAGGGCAAGAACACCGAG
TTGGTGCGGGCATCCGGAACTGTGGAGTCACTGCGCGAGGTTAAAGACGCCGGCGAGCTGGCGCTGCTGCGACTAGCCTGCGAAGCAGCC
GATGCCGCGCTGACCGACTTGGTGGCCCGCGGCGGCCTGCGGCCGGGCCGAACCGAACGGCAGGTGAGCCGCGAGCTGGAGGCCCTGATG
CTCGATCATGGCGCTGACGCGGTGTCATTCGAGACGATCGTGGCTGCCGGGGCCAATTCGGCGATCCCGCACCACCGGCCGACCGACGCG
GTGCTGCAGGTCGGCGATTTCGTGAAGATCGACTTCGGCGCCCTGGTCGCCGGGTACCACTCCGATATGACCCGCACCTTCGTGTTGGGC
AAGGCCGCCGACTGGCAGCTAGAGATCTATCAGCTGGTGGCCGAGGCGCAACAGGCCGGTCGGCAGGCGTTGCTGCCGGGTGCCGAGCTG
CGGGGGGTGGACGCTGCAGCGCGCCAGCTGATCGCCGACGCCGGCTACGGCGAGCACTTCGGTCACGGACTGGGACACGGTGTTGGCCTG
CAGATACATGAAGCGCCGGGCATCGGGGTCACATCCGCCGGTACACTACTGGCGGGCTCCGTGGTGACCGTGGAGCCCGGTGTCTATTTA
CCCGGCCGCGGCGGTGTCCGCATCGAGGACACATTGGTAGTGGCTGGCGGGACGCCGAAAATGCCTGAAACCGCCGGGCAGACCCCGGAA
TTGTTGACCCGGTTCCCCAAAGAACTGGCCATTCTGTAG