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何树梅, 张敏, 贺拥军, 丁静, 袁尔亚. 结核分枝杆菌异烟肼耐药与KatG基因相关性[J]. 中国公共卫生, 2010, 26(8): 952-953. DOI: 10.11847/zgggws2010-26-08-07
引用本文: 何树梅, 张敏, 贺拥军, 丁静, 袁尔亚. 结核分枝杆菌异烟肼耐药与KatG基因相关性[J]. 中国公共卫生, 2010, 26(8): 952-953. DOI: 10.11847/zgggws2010-26-08-07
HE Shu-mei, ZHANG Min, HE Yong-jun, . Mutations of KatG gene and isoniazid-resistant Mycobacterium tuberculosis isolates from Xinjiang[J]. Chinese Journal of Public Health, 2010, 26(8): 952-953. DOI: 10.11847/zgggws2010-26-08-07
Citation: HE Shu-mei, ZHANG Min, HE Yong-jun, . Mutations of KatG gene and isoniazid-resistant Mycobacterium tuberculosis isolates from Xinjiang[J]. Chinese Journal of Public Health, 2010, 26(8): 952-953. DOI: 10.11847/zgggws2010-26-08-07

结核分枝杆菌异烟肼耐药与KatG基因相关性

Mutations of KatG gene and isoniazid-resistant Mycobacterium tuberculosis isolates from Xinjiang

  • 摘要: 目的 探讨新疆地区结核分支杆菌异烟肼(INH)耐药与结核杆菌KatG基因突变和缺失的关系。方法 收集结核病患者的痰标本238份,分离培养结核杆菌分离株60株,其中异烟肼敏感株28株,耐药株32株,抽提临床菌株DNA和H37RV标准株DNA,应用聚合酶链反应-单链多态构象分析(PCR-SSCP)和测序方法对结核分支杆菌KatG基因突变进行检测。结果 238份肺结核病人痰标本,涂片抗酸杆菌阳性60例,阳性率25.2%;以结核分支杆菌H37RV为对照,28株药物敏感株的KatG,基因扩增产物273片段单链多态构象分析(SPSS)图谱均正常,32例耐INH分离株中32株KatG基因扩增阳性,其中11株SSCP图谱与H37RV株有差异,KatG突变率为34.37%。结论 新疆地区结核杆菌INH耐药率仍属于高耐药区域,新疆地区结核分支杆菌INH耐药的产生可能是其KatG基因突变所致。

     

    Abstract: Objective To explore the relationship betweenisoniazid(INH)resistance and Ka Gt gene mutation in Mycobacterium tube rculosis.Methods To tally 238 sputum samples were collected fromtuberculosis patients in Xinjiang and 60 Mycobacterium tuberculosis strains were isolated from the samples(28 drug susecptible strains,32 strains of inonizaid resistance or multidrugre sistance including inoniazid).Genomic DNA was extracted form Mycobacteriumtube rculosis isolates and standard strain H3TRV.The KatG gene was amplified with PCR and KatG gene mutation was detected with single strand conformation polymorphism(SSCP)and sequencing.Results The results of PCR-SSCP of 28 susceptive strains were the same with that of H37RV.KatG gene was amplified from 32 drugresistance strains succe ssfully.There were 11 cases had single pointmutation in KatGgene with amutation rate of 34.37%.Conclusion The INH resistance rate of Mycolacterium tuberculosis strains isolated from Xinjiang is among the highest in China.The KatG gene mutation is involved in INH rsistance of Mycobacterium tubeculosis.

     

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