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Nucleic Acids Research Pages 3372-3378  


Linear amplicons as precursors of amplified circles in methotrexate-resistant Leishmania tarentolae
Introduction
Materials And Methods
   Cell lines and cultures
   DNA manipulations
   DNA constructs
   Transfections
Results
   Tagging both alleles of the H locus
   Formation of linear amplicons in MTX-resistant L.tarentolae
   Formation of circular amplicons in MTX-resistant L.tarentolae
   Formation of extrachromosomal circles from linear precursors
Discussion
   Formation of linear amplicons
   Formation of extrachromosomal circular amplicons
Acknowledgements
References


Linear amplicons as precursors of amplified circles in methotrexate-resistant Leishmania tarentolae

Linear amplicons as precursors of amplified circles in methotrexate-resistant Leishmania tarentolae

Katherine Grondin, Christoph Kündig, Gaétan Roy, Marc Ouellette*

Centre de Recherche en Infectiologie du CHUL and Département de Biologie Médicale, Division de Microbiologie, Faculté de Médecine, Université Laval, Québec, Canada

Received April 3, 1998; Revised and Accepted May 28, 1998

ABSTRACT

Gene amplification is frequently observed in Leishmania cells selected for drug resistance. By gene targeting we have tagged both alleles of the H locus of Leishmania tarentolae with the neomycin and hygromycin phosphotransferase genes (neo and hyg). Selection of these recombinant parasites for low level methotrexate resistance led to amplification of the H locus as part of linear amplicons. The availability of tags has permitted us to determine that both alleles can be amplified in the same cell and that chromosomal deletions are frequent. When methotrexate concentration was increased in subsequent selection steps, circles were observed in several mutants. We have introduced a hyg marker into linear amplicons to test whether the circles originated from linear amplicons. After selection with a high methotrexate concentration, circles with the hyg marker were observed, showing that circles can indeed be formed from linear amplicons. The tagging of H locus alleles permits appreciation of the extent of genetic rearrangements leading to amplicon formation in Leishmania cells selected for drug resistance.

INTRODUCTION

Gene amplification is frequently observed in the protozoan parasite Leishmania. A number of studies have reported amplification of several loci, usually as part of extrachromosomal circles, in Leishmania species selected in vitro for drug resistance (reviewed in 1-4). Moreover, several minichromosomes varying in size, sequence and copy number have also been described in many Leishmania species in the absence of known selective pressure (1,5-7). Extrachromosomal linear amplicons generated while selecting for drug resistance were described more recently (8,9). Co-existence of circular and linear amplicons were described in [alpha]-difluoromethylornithine-resistant Leishmania donovani (8), in arsenite-resistant Leishmania species (10) and in methotrexate (MTX)-resistant Leishmania (11,12). The circular and linear amplicons in MTX-resistant Leishmania tropica and Leishmania tarentolae were derived from the H locus. Furthermore, analysis of the MTX-resistant mutants at different steps of drug selection showed that the linear amplicons were formed during the first steps of selection, while the circles appeared later, thus suggesting a linear precursor-circular product relationship (11,12). A similar precursor-product relationship has also been proposed for formation of the CD1 circles derived from the linear amplicon LD1 (13). Before the description of linear amplicons in drug-resistant mutants, circular amplicons were thought to be the main products of gene amplification and secondary rearrangements were considered to be rare events in Leishmania (1). With additional data and more powerful techniques available to follow gene amplification events, it seems that gene amplification in Leishmania spp. is more dynamic than at first anticipated.

The H locus gene ptr1 codes for a short chain dehydrogenase (14,15) that confers MTX resistance by reducing dihydrofolate to tetrahydrofolate (16-18), hence circumventing the need for an active dihydrofolate reductase, the natural target of MTX (19,20). Amplification of the H locus upon MTX selection has been described in several Leishmania species (21-23). The extrachromosomal circular amplicons derived from the L.tarentolae H locus have been characterized and were shown to be created at the level of direct or inverted repeated sequences flanking ptr1 (9,12,24). In this study, by tagging the individual alleles of the H locus with different dominant markers, we were able to follow the formation of amplicons at different steps of MTX selection. Our analysis of the amplicons generated after MTX selection suggested that gene rearrangements leading to gene amplification are extensive and that circles can be generated from linear amplicons.

MATERIALS AND METHODS

Cell lines and cultures

The L.tarentolae cell line TarIIWT has been described previously (22). Cell lines were grown in SDM-79 (25). Mutants derived from the wild-type or the transfectants -hyg-B-/-neo-X- were obtained by stepwise selection using 50-1000 µM MTX (ICN Biochemicals) as described (24).

DNA manipulations

Chromosomes in agarose blocks were resolved by trans-alternative field electrophoresis (TAFE; Beckman) as described previously (10). Southern blots, hybridization and washing conditions followed standard protocols (26). The ptr1, neo and hyg probes were obtained by PCR.

DNA constructs

neo and hyg expression cassettes (27) were cloned in a 5 kb EcoRV-EcoRI fragment derived from the H locus. The B and X sequences, as 1.43 kb EcoRV-PvuII and 1.3 kb PvuII-PvuII restriction fragments respectively, were cloned into the unique SmaI site of the neo and hyg constructs. The pgpA-hyg construct was previously described for pgpA gene inactivation (28).

Transfections

Wild-type L.tarentolae promastigotes were transfected by electroporation as reported previously (14). Selections were with 40 µg/ml G418 (Gibco BRL) and 100 µg/ml hygromycin. The cells were cloned on agar plates as previously described (29).

RESULTS

Tagging both alleles of the H locus

We have shown recently by gene targeting that the availability of repeated sequences in the vicinity of ptr1 will determine the length and structure of amplicons (12). As the addition of repeated sequences necessitates dominant selectable markers, the latter provide tags that permit the fate of each allele during amplification to be followed. One allele of the H locus was tagged with the hygromycin phosphotransferase gene (hyg) and the other with the neomycin phosphotransferase gene (neo). Extra repeats -hyg-B- and -neo-X- (Fig. 1A), which have been shown to facilitate the formation of circular amplicons (12), were introduced along with the selectable markers.

The -hyg-B- linearized construct was transfected into L.tarentolae TarIIWT cells and transfectants were selected for hygromycin resistance. A hygromycin-resistant clone was transfected with the -neo-X- construct and selected for G418 resistance. The transfectants were cloned and tested for integration of -hyg-B- on one allele and -neo-X- on the other allele (Fig. 1B). Genomic DNAs of the wild-type and of the transfectant -hyg-B-/neoX- were cut with EcoRV and hybridized to a probe (see Fig. 1) that allowed testing of whether the selection markers were integrated properly (Fig. 1B). The wild-type EcoRV-EcoRV fragment recognized by the probe used is 7 kb (Fig. 1B, lane 1), while integration of -hyg-B- and -neo-X- will each increase the size of the fragment hybridizing from 7 to 9 kb (Fig. 1B, lane 2). The 7 kb band corresponding to the wild-type allele is not present in the transfectant, showing that both alleles have been targeted. The presence of the neo and hyg genes in the same transfectant was confirmed by hybridization with neo and a hyg probes Sizes of bands hybridizing with the probes were exactly as expected and no signal was observed in the wild-type strain (Fig. 1B). The presence of the additional sequences X and B was also confirmed using X- and B-specific probes (not shown).


Figure 1. The H locus of L.tarentolae and tagging of both alleles with selectable markers. For the sake of simplicity, only one allele of the H locus is shown. (A) The H locus is delimited by the dotted and cross-hatched boxes flanked by inverted repeats A-B and C-D respectively (24). The drug resistance genes pgpA and ptr1 are indicated. The repeat E, homologous to repeats A and B, and a single copy sequence X are also shown. The integration sites for -hyg-B- and neo-X- are above the map. In reality, each construct was targeted to a different allele. The EcoRV (RV) sites of interest are indicated. The small bar below the map corresponds to the probe used. (B) Mapping of integration of the selection markers downstream of the ptr1 gene. Total DNA of L.tarentolae TarII wild-type and of the transfectant were digested with EcoRV, electrophoresed in a 0.7% agarose gel, blotted and hybridized to the probe indicated below the map in (A) (left), to a probe derived from the neo gene (center) and to a probe derived from the hyg gene (right). Lanes 1, L.tarentolae TarII wild-type strain; lanes 2, TarII-hyg-B-/neo-X-. Molecular weights were estimated from the 1 kb BRL ladder.

A recombinant parasite with its two H locus alleles tagged with the neo and the hyg markers was available. MTX selection was performed in a step-by-step fashion (see Materials and Methods) and hybridization using ptr1, neo and hyg probes was done to follow the formation of linear and circular amplicons.

Formation of linear amplicons in MTX-resistant L.tarentolae

Twenty -hyg-B-/-neo-X- transfectants were selected with increasing concentrations of MTX and tested for ptr1 gene amplification at every step of the selection. Chromosomes from the mutants were separated by pulsed field gel electrophoresis and the gels blotted and hybridized with a ptr1 probe. As reported previously (12), after the first round of selection at 50 µM MTX amplicons migrating like linear molecules were observed (Fig. 2A). The linearity of the amplicons was confirmed further by their hybridization to a probe containing telomeric sequences (not shown). Linear amplicons were also seen in mutants in lanes 8-10, 13-15 and 19 when the blot was exposed for several days (not shown). Linear amplicons with a size of ~450 kb and hybridizing with a ptr1 probe are present in all mutants and co-amplification of a second linear amplicon ~270 kb in length was visible in three mutants (Fig. 2A, lanes 11 and 20 and lane 4 at longer exposure times). Co-amplification of ptr1-containing circular and linear amplicons was also observed in one mutant (Fig. 2A, lane 2), as determined by their characteristic migrations (9,10) during TAFE electrophoresis.


Figure 2. Amplicons in 20 independent MTX-resistant mutants generated from TarII-hyg-B-/neo-X-. Chromosomes were separated by TAFE and Southern blots were hybridized to a ptr1 probe (A and D), to a neo probe (B and E) and to a hyg probe (C and F). (A-C) Mutants selected with 50 µM MTX. (D-F) Mutants selected with 1000 µM MTX. The 800 kb band corresponds to the chromosomal copy of ptr1 and the 270 kb and 450 kb bands are linear amplicons. Molecular weights were estimated from the chromosomes of Saccharomyces cerevisiae.

Hybridization of the same blot with neo and hyg probes was done to test whether the linear amplicons were created from the neo or the hyg allele. Previous experiments with MTX-resistant mutants derived from a cell line with only one marker gene, neo, integrated in one allele showed that half of the mutants had linear amplicons containing neo (12). Therefore, linear amplicons created from either the neo or the hyg allele were expected. Surprisingly, the mutants mainly contained mixed populations of neo and hyg linear amplicons. Linear amplicons from only five mutants, out of 20, hybridized only to the neo or to the hyg probe (Fig. 2B and C, lanes 1, 2, 6-8 and 14) and longer exposures (not shown). Some mutants had similar amounts of both neo and hyg (e.g. Fig. 2B and C lanes 4, 5 and 16), while some clearly had a dominant neo or hyg population of linear amplicons.

Mutant 5MTX50, with equal amounts of neo and hyg linear amplicons (Fig. 2, lane 5), was cloned to test whether the two types of linear amplicons were present within a single cell. Five independent clones were tested, of which only three had linear amplicons, as shown by the ptr1 hybridization (Fig. 3A). Out of these three mutants, two had neo and hyg linear amplicons and one had only hyg linear amplicons (Fig. 3B and C), showing that the two alleles can be amplified in the same cell. Interestingly, the neo and hyg hybridizations revealed that chromosomal deletions were present in two different clones. One clone isolated from mutant 5MTX50 has a deletion of the H locus allele tagged with neo (Fig. 3B, lane 2) and one has a hyg chromosomal deletion (Fig. 3C, lane 5). Deletions of chromosomal sequences can possibly be associated with formation of amplicons in Leishmania. It also demonstrates that the parasite population present in mutant 5MTX50 is not the result of a single genetic event but the result of several independent events leading to a heterogeneous parasite population resistant to MTX.


Figure 3. Cloning of mutant 5MTX50. Chromosomes were separated by TAFE and Southern blots were hybridized to a ptr1 probe (A), to a neo probe (B) and to a hyg probe (C). The 800 kb band corresponds to the chromosomal copy of ptr1 and the 450 kb band to the linear amplicons. Molecular weights were estimated from the chromosomes of S.cerevisiae.

Formation of circular amplicons in MTX-resistant L.tarentolae

The 20 mutants shown in Figure 2A-C were selected with increasing MTX concentrations in order to achieve a high level of resistance. As shown previously, extrachromosomal circular amplicons are more frequently formed during these further steps of selection (11,12). The formation of circles was followed using the neo and hyg markers to test whether the linear and circular amplicons present in one mutant contain the same marker gene. Such a correlation between linear amplicons and circles would suggest a relationship between linear and circular amplicons, although the chromosomal alleles also contain the marker genes.

Hybridization using a ptr1 probe showed that nine highly resistant mutants had amplified extrachromosomal circles while 11 had not (Fig. 2D). Two mutants had circular amplicons hybridizing to the hyg probe only (Fig. 2F, lanes 2 and 19), six had circles hybridizing to neo only (Fig. 2E, lanes 4, 8, 10, 14, 18 and 20) and one had circles hybridizing to both probes (Fig. 2E and F, lane 5). The rearrangement points of the circles were not mapped, but presumably they were generated at the novel X and B repeats (see 12). Since most mutants initially had mixed populations of linear amplicons, a correlation was difficult to establish between the linear amplicons found at the first step of selection and the circles formed at higher drug concentrations. Nevertheless, at least one mutant was obtained with only hyg linear amplicons and hyg circular amplicons (Fig. 2C and F, lane 2), suggesting that this circle could have been generated from the linear amplicon, although we could not exclude the possibility that it came from the hyg-tagged chromosomal allele.

Formation of extrachromosomal circles from linear precursors

Mutant X[prime]MTX250 was previously studied to evaluate the role of repeated sequences in the formation of extrachromosomal circular amplicons (12). This mutant contains a linear amplicon already tagged with an X-neo repeat downstream of ptr1 (Fig. 4A). Note that this X-neo repeat is different from the neo-X repeat used in this study (compare Figs 1A and 4A). In this mutant, one allele is tagged with X-neo but the other H locus allele is wild-type (12). If circles were formed by recombination between the X direct repeats, the neo tag would be lost in the X-neo amplicon of Figure 4 but not in the neo-X amplicon of Figure 1. A construct with the hyg gene cloned into the unique BglII site of the pgpA gene (Fig. 4A) was transfected in mutant X[prime]MTX250 in order to integrate a novel hyg tag into the linear amplicon. The transfected cells were selected with hygromycin and six clones were tested for integration of hyg in the linear amplicons. Four of the six clones contained linear amplicons (Fig. 4B). Of these four clones containing linear amplicons, one had the hyg gene integrated in both the linear amplicon and the chromosomal locus (Fig. 4B, lanes 3), one solely into the chromosomal locus (Fig. 4B, lane 6), one had hyg integrated in the linear amplicon and also had an uncharacterized amplified fragment (Fig. 4B, lane 5) and two had the hyg gene only in the linear amplicon (Fig. 4B, lanes 4 and 7). One clone in which hyg was only present in the linear amplicon was plated and 10 independent clones were isolated. The hyg gene was present only in the linear amplicon and not in the chromosome of the clones, as determined by hybridization (not shown).


Figure 4. Integration of a hyg gene into a linear amplicon. (A) The H locus of a linear amplicon present in mutant X[prime]MTX250 (12). A neo gene and an extra X[prime] repeat are already present downstream of the ptr1 gene. The hyg selection marker is integrated into the pgpA gene as shown below the map. The HindIII sites present on the H locus (H1-H4) and the BglII site used for integration of the hyg marker are indicated. (B) Transfection of the hyg gene in mutant X[prime]MTX250. A wild-type cell (lane 1) and six independent clones are shown. Chromosomes were separated by TAFE and Southern blots were hybridized to a ptr1 probe (left) and to a hyg probe (right). The 800 kb band corresponds to the chromosomal copy of ptr1 and the 450 kb band to the linear amplicons. Molecular weights were estimated from the chromosomes of S.cerevisiae. (C) Mapping of integration of the hyg marker into pgpA. Total DNA was isolated from 10 independant clones of the mutant X[prime]MTX250/hyg. The DNA was digested with HindIII electrophoresed in a 0.7% agarose gel, blotted and hybridized to a pgpA-specific probe (left) and to a hyg probe (right). Lanes 1-10, clones of X[prime]MTX250/hyg; lane 11, wild-type DNA. Molecular weights were estimated from the 1 kb BRL ladder.

Ten independent mutants with hyg-tagged linear amplicons were selected for high level MTX resistance. The mutants were analyzed at 1000 µM MTX. Five of the 10 mutant clones had circular amplicons, as shown by hybridization with ptr1 (Fig. 5A, lanes 3, 4, 6, 7 and 10). Three of these five circles hybridized to the hyg probe (Fig. 5, lanes 4, 6 and 7). Since there was no hyg gene at the chromosomal H locus, these results clearly demonstrate that extrachromosomal circular amplicons can be formed from linear amplicons. Two clones (Fig. 5, lanes 3 and 10) clearly did not hybridize with the hyg probe. This is explainable, however, as not all the linear amplicons in X[prime]MTX250 were tagged with the hyg marker. Indeed, genomic DNA from the wild-type strain and the clones of X[prime]MTX250/hyg were isolated, digested with HindIII and hybridized to probes that allowed testing of whether all the pgpA copies were targeted. The wild-type HindIII-HindIII fragment recognized by a pgpA probe is 9.5 kb (Fig. 4C, lane 11). Upon integration of the hyg gene into pgpA, the HindIII fragment recognized by the pgpA probe increased from 9.5 to 10.5 kb. Hybridization of the DNA from the 10 mutants with the pgpA probe showed signals of about the same intensity for the 9.5 and the 10.5 kb fragments (Fig. 4Ci, lanes 1-10). Hybridization with a hyg probe confirmed that the hyg gene was indeed present on the 10.5 kb fragment (Fig. 4ii, lanes 1-10). These results show that ~50% of the linear amplicons were tagged with the hyg gene. Therefore, the two circles not containing the hyg gene are likely to have been created from a linear amplicon not tagged with a hyg gene, although we cannot exclude the less likely possibility that they were generated from the untagged chromosomal allele.


Figure 5. Amplicons in MTX-resistant mutants generated from the clonal transfectant X[prime]MTX250/hyg selected with 1000 µM MTX. Chromosomes were separated by TAFE and Southern blots were hybridized to a probe derived from the ptr1 gene (A) and to a probe derived from the hyg gene (B). The 800 kb band corresponds to the chromosomal copy of ptr1 and the 450 kb band to the linear amplicons. Molecular weights were estimated from the chromosomes of S.cerevisiae.

DISCUSSION

Linear and circular amplicons derived from the H locus were described previously in MTX-resistant L.tropica (11) andL.tarentolae (9,12). Extrachromosomal linear molecules appeared during the first steps of selection, while extrachromosomal circles were generated at higher drug concentrations. Although surprising, these results suggest that under certain instances the primary product of DNA amplification in Leishmania spp. might be extrachromosomal linear amplicons and that these linear molecules could serve as precursors for the formation of extrachromosomal circles. To follow DNA amplification in L.tarentolae, we tagged both alleles of the H locus with neo and hyg prior to MTX selection.

Formation of linear amplicons

As previously reported (12), linear amplicons derived from the H locus of L.tarentolae were generated during the first step of selection with MTX (Fig. 2A). At higher drug concentrations the copy number of linear amplicons either increased (e.g. Fig. 2A and D, lane 13) or were lost when extrachromosomal circles were formed (Fig. 2D, lane 20). An unexpected result was the presence of mixed populations of neo and hyg linear amplicons in several of the mutants (Fig. 2A-C). In previous experiments, only one allele was tagged (12), which, with the probes used, did not permit distinction of whether a mixed population of neo and non-tagged linear amplicons was present. In this study, linear amplicons created from both alleles were shown to occur not only in total populations, but also in individual clones isolated from a mutant containing mixed neo and hyg linear amplicons (Fig. 3).

Gene amplification in Leishmania was thought to be mainly conservative (i.e. chromosomal copies remain intact), although clear examples of non-conservative amplification have been described, which in the cases studied were shown to occur by intrachromosomal recombination between direct repeats (1,10,24). The availability of two tagged alleles has permitted the observation that chromosomal deletions are frequent (Fig. 2E, lanes 8, 10, 15, 20, Fig. 2F, lane 2, Fig. 3B, lane 2 and Fig. 3C, lane 5). The extent (in size) of these deletions is unknown. Although deletions can clearly occur during the first selection steps (see Fig. 3), in other instances gene deletion is observable only in cells highly resistant to MTX (compare Fig. 2B and E, lanes 8, 10 and 20). Even if in several cases the allele deleted is that found to be amplified (Fig. 2E, lanes 8, 10 and 20 and Fig. 2F, lane 2), there are examples to the contrary (e.g. Fig. 3, lanes 2 and 5), where the deleted chromosomal locus is neither amplified nor present in the cell. Loss of the deleted fragment (most likely present initially as an unstable amplicon) may occur by unequal segregation in daughter cells. This loss may be accelerated by the appearance of more effective MTX resistance mechanisms, such as transport mutations (19,30), rendering the amplicon superfluous. Deletions may be even more frequent, but would remain unnoticed if they occur during normal replication, as the daughter with the amplicon has an equal chance of getting the intact or deleted chromosome depending on segregation (see also 10). As these deletions may be large, the intact allele may be selected more frequently. Gene deletion may be more easily observable in highly resistant mutants as the high concentration of MTX may unbalance the deoxynucleotide pools, which could contribute to prolonged replication pausing, hence facilitating segregation of shorter allelic versions. This suggests that gene amplification is a continuing process in Leishmania, with several non-productive events (see also the analysis of several clones of mutant 5MTX50 presented in Fig. 3) until one event is selected that is advantageous to the cell.

Formation of extrachromosomal circular amplicons

This work was initiated in part to test whether linear amplicons were precursors of circles in MTX-selected L.tarentolae. The unexpected frequent amplification of both alleles as part of linear amplicons in the same cell (Fig. 2) has complicated our correlative analysis between linear and circular amplicons, as circles could as well be generated from the chromosomal copy instead of the linear amplicons. To circumvent that complication, we integrated a hyg tag into a linear amplicon (Fig. 4). Ten independent clones with an hyg marker present in the linear amplicon but absent from the chromosomal locus were selected for MTX resistance. Extrachromosomal circles were present in five mutants and three of them hybridized to the hyg probe (Fig. 5). These results unambiguously demonstrate that linear amplicons can undergo secondary rearrangements to generate circular molecules. For the two circles not hybridizing with hyg (Fig. 5) the circles could still be formed from linear amplicons, as only half of the linear amplicons were shown to be tagged with hyg (Fig. 4C).

In MTX-selected L.tarentolae, the formation of extrachromosomal linear molecules seems to be an initial event. The event leading to formation of linear amplicons is not defined with precision, but in the few instances where the amplicons were mapped, they were shown to contain large inverted repeats (9,11,13,31-33) and a fold-back mechanism was proposed to explain the appearance of such an inverted structure. This may lead to chromosomal deletions (see above). With increasing concentrations of the selective pressure, circular amplicons are formed and, most likely, linear amplicons are the source of the circles (Fig. 5). As it is apparently easier to obtain a higher copy number of circles than linear amplicons (Fig. 2), it may explain why circles are formed at higher selection pressure. Interestingly, one of the mutants selected with 50 µM MTX and containing only the 450 kb linear amplicon was kept in culture in the presence of 50 µM MTX for several passages. Analysis of this mutant after 6 months of culture in the presence of 50 µM MTX indicated that circular amplicons were formed (not shown), suggesting that circles are more easily maintained and are more stable than linear amplicons. This may provide an explanation for the presence of H circles in wild-type Leishmania cells (22,34,35).

Although linear amplicons seem to be the likely initial event and circles are possibly derived from these, our work did not address why cells need to go through a linear intermediate. It is possible that specialized sequences are present on the 800 kb chromosome that may facilitate the formation of linear amplicons. It is quite remarkable that most linear amplicons have the same size (Fig. 2), an observation consistent with the presence of those putative specialized sequences. Mapping of the rearranged junction in linear amplicons may shed light on the mechanism of formation of the linear amplicons. With an increased copy number of ptr1-containing sequences, circles may be more easily formed by the recombination mechanisms already described (10,12,24). Indeed, recombination frequency was recently found to be proportional to the copy number of the target sequence in Leishmania (36).

Finally, these studies may also have implications in the study of drug resistance in clinical isolates. Individual clones of a resistant population, even if selected under controlled laboratory conditions, are remarkably different at the genome level (Figs 3 and 4B). This pinpoints the challenge of determining resistance mechanisms in field isolates, where heterogeneity is expected to be large (20). The growing of the organism necessary to obtain sufficient material to study resistance may select for subpopulations that are not necessarily a reflection of the initial resistant isolates.

ACKNOWLEDGEMENTS

We thank B.Papadopoulou (CHUL) for critical reading of the manuscript. This work was supported in part by the a grant from Natural Science and Engineering Research Council of Canada (NSERC) to M.O. K.G. was the recipient of NSERC and FCAR studentships, C.K. is a post-doctoral fellow of the Schweizerischer Nationalfonds and M.O. was a research fellow of the Fonds de Recherche en Santé du Québec and is now an MRC Scientist and is the recipient of a Burroughs Wellcome Fund New Investigator Award in Molecular Parasitology.

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*To whom correspondence should be addressed at: Centre de Recherche en Infectiologie du CHUL, 2705 Boulevard Laurier, Ste-Foy, Québec G1V 4G2, Canada. Tel: +1 418 654 2705; Fax: +1 418 654 2715; Email: marc.ouellette@crchul.ulaval.ca


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P.-A. Genest, B. t. Riet, C. Dumas, B. Papadopoulou, H. G. A. M. van Luenen, and P. Borst
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