基础医学与临床 ›› 2010, Vol. 30 ›› Issue (3): 268-271.

• 研究论文 • 上一篇    下一篇

结核分枝杆菌耐利福平rpoB基因突变的序列分析

甘辛 陈玲 王建华 李娜娜 陈杨 张建勇 张泓   

  1. 遵义医学院附属医院 遵义医学院附属医院
  • 收稿日期:2009-04-24 修回日期:2009-06-17 出版日期:2010-03-05 发布日期:2011-05-04
  • 通讯作者: 陈玲

Sequencing Analysis on rpoB Gene Mutation of Rifampin-resistance in Mycobacterium Tuberculosis

Xin GAN, Ling CHEN, Jian-hua WANG, Na-na LI, Yang CHEN, Jian-yong ZHANG, Hong ZHANG   

  1. Affiliated Hospital of Zunyi Medical College Affiliated Hospital of Zunyi Medical College
  • Received:2009-04-24 Revised:2009-06-17 Online:2010-03-05 Published:2011-05-04
  • Contact: Ling CHEN,

摘要: 目的 探讨结核分枝杆菌耐药基因rpoB突变与利福平耐药性的关系。 方法 采集81例临床标本,分离结核分枝杆菌菌株,rpoB基因PCR扩增及测序,并与利福平药物敏感试验结果比较。 结果 27例耐利福平菌株中21株发生rpoB基因突变(74.1%),突变位点包括531和526在内的7个位点10种突变类型,并发现新的突变位点和突变形式;54株敏感株中,1株发生突变(1.9%)。结论 利福平耐药rpoB基因突变有一定区域性,为发展快速的基因诊断技术检测耐多药结核病奠定了基础。

关键词: 结核分枝杆菌, 利福平, rpoB基因, 突变, 药物敏感试验

Abstract: Objective Genetic evaluation of relationship between rpoB gene mutation and rifampin-resistance in Mycobacterium Tuberculosis(MTB). Methods This study was carried out on 81 clinical isolates with drug susceptibility testing and genotypic analysis by PCR amplification and sequencing of rpoB gene. Results Among these isolates, there were 27 rifampin-resistant and 54 susceptible strains. Of the 27 drug-resistant isolates, 20 (74.1%) carried mutations on the amplified fragment of the rpoB gene with 10 mutation types at seven codons including 531 and 526, and two new mutation patterns were recognized. On the other hand, one mutation (1.9%) appeared in 54 drug- susceptible strains. Conclusion The study showed geographical variation in the mutation types of rpoB gene in M. tuberculosis isolates from Guizhou of China, and this finding is valuable for the development of rapid molecular diagnostic methods suitable for specific regions.

Key words: Mycobacterium tuberculosis, Rifampin, rpoB, Mutation, Drug susceptibility