American Society for Microbiology, Antimicrobial Agents and Chemotherapy, 1(58), p. 574-576, 2014
DOI: 10.1128/aac.01462-13
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ABSTRACT Drug efflux is an important resistance mechanism in Mycobacterium tuberculosis . We found that verapamil, an efflux inhibitor, profoundly decreases the MIC of bedaquiline and clofazimine to M. tuberculosis by 8- to 16-fold. This exquisite susceptibility was noted among drug-susceptible and drug-resistant clinical isolates. Thus, efflux inhibition is an important sensitizer of bedaquiline and clofazimine, and efflux may emerge as a resistance mechanism to these drugs.