Penicillin tolerance in Neisseria gonorrhoeae: evidence disallowing a penicillinase-mediated mechanism from a refined microbiological assay method

A microbiological assay method has been developed and applied to Neisseria gonorrhoeae, for the purpose of detecting enzymatic deactivation of benzyl penicillin. Calibration of the method, using strains of Escherichia coli K-12 with previously reported penicillinase (EC 3.5.2.6.) activities, has shown that it is extremely sensitive and may be used in a quantitative manner. At the limit of sensitivity the test is able to detect penicillin breakdown in the order of 3 × 10−3 μg in 48 h, which is equivalent to about 7 × 10−8 μmol/min per milligram dry weight of cells. Over 100 strains of N. gonorrhoeae, most of them resistant to penicillin, were screened for their ability to deactivate penicillin during 48 h of growth in the presence of subinhibitory levels. No deactivation was detected. It is concluded, from quantitative evidence, that reduced penicillin sensitivity in N. gonorrhoeae is not due to the enzymatic deactivation of the antibiotic.