Russian Journal of Genetics

, Volume 48, Issue 1, pp 1–14 | Cite as

Mycobacterium tuberculosis mutants with multidrug resistance: History of origin, genetic and molecular mechanisms of resistance, and emerging challenges

  • A. A. Prozorov
  • M. V. Zaichikova
  • V. N. Danilenko
Theoretical Articles and Reviews


The review summarizes the data on the Mycobacterium tuberculosis mutations that lead to multidrug resistance (MDR) to various antibiotics. MDR strains arose over the past 30 years as a variety of antituberculosis drugs were introduced in medicine, and they largely discount the results of chemotherapy for tuberculosis. The most dangerous of them are strains with extensive drug resistance (XDR), which are resistant to four or five different drugs on average. The molecular mechanisms that make a strain resistant are considered. XDR and MDR strains result from successive and usually independent resistance mutations, which arise in various regions of the mycobacterial genome. In addition, the formation of resistant strains is affected by the phenomenon of tolerance and mycobacterial latency in infected tissues.


Tuberculosis Isoniazid Mycobacterium Tuberculosis Ethambutol Pyrazinamide 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Pleiades Publishing, Ltd. 2012

Authors and Affiliations

  • A. A. Prozorov
    • 1
  • M. V. Zaichikova
    • 1
  • V. N. Danilenko
    • 1
  1. 1.Vavilov Institute of General GeneticsRussian Academy of SciencesMoscowRussia

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