“…Mycobacterial cell wall has long been suspected to act as a permeation barrier for antibiotics Some redirect data were available For example, the antibiotic efficacy increased when detergents such as Tween were added to culture media [1l], or when the cell wall structure became defective due to mutations [12] Furthermore, ammoglycosldes were shown to be more actwe on ribosomes in cell extracts than on intact mycobactenal cells, suggesting the role of a cell surface barrier [11] In specms producing intrinsic fl-lactamase, the enzyme is cryptic, and the hydrolysis of /3-1actams measured with disrupted cells is far faster than that measured in intact cells [13] Recent data also show a synergistic effect between various agents and those agents that are known to inhibit the synthesis of cell wall components, such as ethambutol [14] In spite of these largely quahtatwe results, there was no quantitative measurement of the permeability of mycobacterIal cell wall, until our study [15] We used the method introduced for estimation of outer membrane permeability in Gram-negative bacteria [16] We measured the rate of hydrolysis of/3-1actams by intact bacterial cells, and calculated the cell wall permeability by assuming that drug molecules first diffuse through the cell wall (following Flck's first law of diffusion) and then are hydrolyzed by perlplasmlc /3-1actamase (following the Mlchaehs-Menten kinetics) For this method, cells should exist as unicellular dispersions in contact with the medium A strain of M chelonae was chosen because ~t produced homogeneous suspensions without the use of detergents, and because it produced a/3-1actamase of sufficmntly high activity which did not leak out into the medium The cell wall permeability to cephalosporins measured in this strain was indeed very low, and was about three orders of magnitude lower than that of E cob outer membrane, and ten times lower than the permeability of the notoriously impermeable P aerugtnosa outer membrane (Fig 2) Another approach was that of studying the kinetics of nutrient uptake If we assume that nutrient molecules are taken up by high-affinity formed as m [15], utlhzmg the transport data from [19] and from papers cited in [18] more slowly than through the outer membrane of E cob [15] (Fig 2) M chelonae, chosen as a model because its propemes were convenient for our assay, happens to be one of the most drug-res]stant species among mycobacter]a Thus ]t becomes Important to study the cell wall permeabd]ty of other mycobactenal species M smegmatts, widely used m studies of molecular biology, was found to show about ten-fold higher permeabd]ty to /3-1actams, by us]ng an assay slmdar to that used for M chelonae [17] The assay had to be modified for M tuberculosts, which has a stronger tendency to aggregate Use of th~s modified assay showed that M tuberculosts H37Ra was more permeable, by a factor of nearly ten, than the M chelonae stram studied earher (E Y Rosenberg and H N]ka]do, unpubhshed results) These results are consistent with our knowledge that atypical species, such as M chelonae, are usually more resistant to a number ...…”