結核菌の薬剤耐性を弱点へ変える仕組みを発見(Researchers Discover How to Turn One Germ’s Drug Resistance into an Achilles’ Heel)

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2026-06-01 ロックフェラー大学

ロックフェラー大学の研究チームは、結核菌(Mycobacterium tuberculosis)が主要な抗結核薬リファンピシン(リファンピシン)に対する耐性を獲得する新たな分子メカニズムを解明した。研究では、結核菌のRNAポリメラーゼに生じる耐性変異を構造生物学的解析や遺伝学的手法で詳細に調べ、耐性変異が薬剤の結合を妨げるだけでなく、菌の増殖能力を維持・回復する補償的な変化を伴うことを明らかにした。この仕組みにより、耐性菌は薬剤存在下でも生存・増殖できることが示された。これらの知見は、薬剤耐性の進化過程をより深く理解するうえで重要であり、耐性菌の発生を抑える新たな治療戦略や、既存薬の有効性を維持するための創薬研究に貢献する可能性がある。世界的に増加する薬剤耐性結核への対策として、次世代抗結核薬の開発や耐性診断技術の高度化にも役立つ成果と期待される。

結核菌の薬剤耐性を弱点へ変える仕組みを発見(Researchers Discover How to Turn One Germ’s Drug Resistance into an Achilles’ Heel)
A close-up structural model of a common rifampicin-resistance mutation discovered to create vulnerabilities that could be targeted by future combination therapies. (Credit: Liz Campbell)

<関連情報>

転写抑制はリファンピシン耐性結核菌における副次的脆弱性を増幅させる Transcription attenuation amplifies collateral vulnerabilities in rifampicin-resistant Mycobacterium tuberculosis

Kathryn A. Eckartt,Vanisha Munsamy-Govender,Stefany Quiñones-Garcia,Michael A. DeJesus,Xiangwu Ju,Shixin Liu & Jeremy M. Rock
Nature Microbiology  Published:19 May 2026
DOI:https://doi.org/10.1038/s41564-026-02357-9

Abstract

Mycobacterium tuberculosis (Mtb) acquires resistance to rifampicin (Rif) through mutations in the β-subunit of RNA polymerase (RNAP) that prevent the drug from binding. The most common mutation is a single amino acid substitution, βS450L, that confers antibiotic resistance. This mutation also results in collateral effects that impact bacterial physiology and fitness, although the mechanisms underlying many of these effects remain unclear. Here we employed a CRISPRi comparative functional genomics approach to analyse gene vulnerability differences between βS450L Mtb and two alternative Rif-resistant (RifR) Mtb strains, βD435V and βH445Y. Among the strongest βS450L-specific vulnerabilities, we identified thiamine and branched-chain amino acid (BCAA) biosynthesis pathways. These vulnerabilities arise, at least in part, due to transcription attenuation, which impairs βS450L Mtb’s ability to upregulate expression of the critical BCAA biosynthetic enzyme ilvB1 in response to genetic or chemical inhibition. Together, our findings highlight the distinct physiological impacts of RifR in Mtb, identify transcription attenuation as a key driver of βS450L-specific vulnerabilities, and suggest potential avenues for targeted intervention.

医療・健康
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