The Antibiotic Trimethoprim Displays Strong Mutagenic Synergy with 2-Aminopurine

Antimicrob Agents Chemother. 2019 Jan 29;63(2):e01577-18. doi: 10.1128/AAC.01577-18. Print 2019 Feb.

Abstract

We show that trimethoprim (TMP), an antibiotic in current use, displays a strong synergistic effect on mutagenesis in Escherichia coli when paired with the base analog 2-aminopurine (2AP), resulting in a 35-fold increase in mutation frequencies in the rpoB-Rifr system. Combination therapies are often employed both as antibiotic treatments and in cancer chemotherapy. However, mutagenic effects of these combinations are rarely examined. An analysis of the mutational spectra of TMP, 2AP, and their combination indicates that together they trigger a response via an alteration in deoxynucleoside triphosphate (dNTP) ratios that neither compound alone can trigger. A similar, although less strong, response is seen with the frameshift mutagen ICR191 and 2AP. These results underscore the need for testing the effects on mutagenesis of combinations of antibiotics and chemotherapeutics.

Keywords: antibiotic; mutagenesis; synergy; trimethoprim.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 2-Aminopurine / pharmacology*
  • Anti-Bacterial Agents / pharmacology*
  • DNA-Directed RNA Polymerases / drug effects
  • Drug Synergism
  • Escherichia coli / drug effects
  • Escherichia coli / genetics*
  • Escherichia coli Proteins / drug effects
  • Mutagenesis / drug effects*
  • Mutagens / pharmacology*
  • Trimethoprim / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Escherichia coli Proteins
  • Mutagens
  • rpoB protein, E coli
  • 2-Aminopurine
  • Trimethoprim
  • DNA-Directed RNA Polymerases