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文建强, 田卫花, 刘志广, 吕冰, 同重湘, 万康林, 杨枢敏. 结核分枝杆菌临床分离株MLVA法分型分析[J]. 中国公共卫生, 2012, 28(8): 1081-1083. DOI: 10.11847/zgggws2012-28-08-23
引用本文: 文建强, 田卫花, 刘志广, 吕冰, 同重湘, 万康林, 杨枢敏. 结核分枝杆菌临床分离株MLVA法分型分析[J]. 中国公共卫生, 2012, 28(8): 1081-1083. DOI: 10.11847/zgggws2012-28-08-23
WEN Jian-qiang, TIAN Wei-hua, LIU Zhi-guang, . Genotyping of clinic of Mycobacterium tuberculosis isolates by multilocus variable number of tandem repeat analysis(MLVA)[J]. Chinese Journal of Public Health, 2012, 28(8): 1081-1083. DOI: 10.11847/zgggws2012-28-08-23
Citation: WEN Jian-qiang, TIAN Wei-hua, LIU Zhi-guang, . Genotyping of clinic of Mycobacterium tuberculosis isolates by multilocus variable number of tandem repeat analysis(MLVA)[J]. Chinese Journal of Public Health, 2012, 28(8): 1081-1083. DOI: 10.11847/zgggws2012-28-08-23

结核分枝杆菌临床分离株MLVA法分型分析

Genotyping of clinic of Mycobacterium tuberculosis isolates by multilocus variable number of tandem repeat analysis(MLVA)

  • 摘要: 目的 利用多位点数目可变串联重复序列技术,初步探索甘肃省结核分枝杆菌的基因型及其分布,为防治结核病提供科学依据.方法 选择15个VNTR位点,设计引物,采用PCR扩增、琼脂糖凝胶电泳检测,并利用BioNumerics 4.5软件进行DNA指纹图谱多态性分析.结果 多位点数目可变串联重复序列(MLVA)检测显示,215株结核分枝杆菌呈现7个基因群127种基因型,分别为a、b、c、d、e、f和g基因群,其中e群74.88%(161/215)为主要流行型(spoligotyping鉴定为北京家族基因型);有抗结核治疗史患者菌株成簇率高于无抗结核治疗史患者,差异有统计学意义(χ2=3.91,P=0.046).结论 兰州地区结核分枝杆菌基因DNA指纹图谱呈现多态性,存在主要流行株,MLVA有助于为当地政府部门制定具体的结核病防治政策和公共卫生应急方案提供科学依据.

     

    Abstract: Objective To genotype clinic Mycobacterium tuberculosis isolates with multilocus variable number tandem repeat analysis(MLVA)and to provide scientific basis for prevention and control of tuberculosis.Methods Totally 15 variable number tandem repeats(VNTR)loci were analyzed with PCR and agarose gel electrophoresis.The gene diversity was analyzed with BioNumerics 3.0 software.Results A total of 127 different allele profiles(including 90 unique patterns)were identified by 15 VNTR loci for all 215 isolates of 7 clusters.For all isolates 74.88%(161/215)were dominant in Gansu province.Univariate analysis showed that the clustered strains were not significantly associated with the resistance to all of four drugs(rifampin,isonicotinyl hydrazide,ethambutol,and streptomycin),patient's gender,age,regular on irregular therapy,and newcases or relapses(P > 0.05 for all),while significantly associated with antituberculosis therapy history(P >0.05).Conclusion The strains of Mycobacterium tuberculosis isolated in Gansu province present definitely gene diversity.

     

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