We examined the early effects of ethambutol on the synthesis of trehalose monomycolate, trehalose dimycolate, and free mycolic acid in actively growing cells of Mycobacterium smegmatis. At about 1 min after the addition of 3.0 ,ig of ethambutol per ml, the cellular level of trehalose monomycolate began to increase over the control culture. This was followed 8 to 12 min later by the cellular increases in free mycolic acid and trehalose dimycolate over the control culture and the inhibition of incorporation of mycolic acid into the cell wall. Exposure of M. smegmatis to ethambutol for more than 30 min caused all of these lipids to leak out of the cells more rapidly than in the control cells. The mechanism by which ethambutol initiates these events is unknown, but these early imbalances in lipid synthesis may be responsible for the lethal action of this drug.Ethambutol (EMB) is a primary drug used in treating tuberculosis. However, the mechanism of action of this valuable chemotherapeutic agent is not known (1). We have recently found that EMB affects the synthesis of cardiolipin and phosphatidylinositol mannosides and causes the leakage of phosphatidylethanolamine into the culture medium (5). We have also shown that the drug inhibits the incorporation of mycolic acid into the cell wall (7). We now report that EMB induces cellular accumulation and subsequent leakage of trehalose monomycolate (TM), trehalose dimycolate (TD), and free mycolic acid in Mycobacterium smegmatis.
MATERIALS AND METHODSBacteria and growth conditions. The strain of M. smegmatis used in this study was CDC 8 (derived from ATCC 607); it was grown in Middlebrook 7H-9 broth (Difco Laboratories, Detroit, Mich.). The albumin-dextrose enrichment was omitted, and 0.2% glycerol and 0.05% Tween 80 (Atlas Powder Co., Wilmington, Del.) were substituted. The cultures were grown at 37°C in a shaking water bath to an absorbance at 650 nm of 0.025 (approximately 2.5 x 10 colony-forming units per ml) before use.Radioactive labeling and lipid extraction. To a culture grown to the desired absorbance was added 1.0 ,LCi of [1-_4C]acetate (58.7 mCi/mmol; Amersham Corp., Arlington Heights, Ill.) per ml. The culture was divided into two equal volumes, and EMB was added to one to a final concentration of 3.0 ,g/ml (minimum 401 bactericidal concentration) and incubated at 37°C. In one experiment, cells were prelabeled with 1.0 ,uCi of [1-'4C]acetate per ml for 30 min, at which time a 100-fold excess of unlabeled acetate was added. The culture was divided, 3.0 ,tg of EMB per ml was added to one volume, and incubation was continued. At various times, 20-ml samples were transferred into tubes containing 1.0 ml of 1.0 M potassium cyanide to stop further incorporation of label into the lipids. The tubes were centrifuged at 27,000 x g for 15 min, and the upper 10-ml portions of the supernatants (growth medium) were carefully removed. The cell pellets were recovered separately, and the lipids were extracted by blending in a Vortex mixer in 4 ml of chloroformmethanol (2:1, vo...