CAJ | 학술논문

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,PCR扩增rpoB基因及测序,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,20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.
목적 탐토결핵분지간균내약기인rpoB돌변여리복평내약성적관계.방법 채집81례림상표본,분리결핵분지간균균주,PCR확증rpoB기인급측서,병여리복평약물민감시험결과비교.결과 27례내리복평균주중,20주발생rpoB기인돌변(74.1%),돌변위점포괄531화526재내적7개위점10충돌변류형,병발현신적돌변위점화돌변형식;54주민감주중,1주발생돌변(1.9%).결론 리복평내약rpoB기인돌변유일정구역성,위발전쾌속적기인진단기술검측내다약결핵병전정료기출.
Objective Genetic evaluation of relationship between rpoB gene mutation and rifampin-resistance of Mycobacterium tuberculosis (MTB).Methods This study was carded out with 81 clinical isolates and sensitivity test and genotypic analysis by PCR amplification and sequencing of rpoB gene were performed.Results Among these isolates,there were 27 rifampin-resistant and 54 sensitive 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 uther hand,one mutation (1.9%) appeared in 54 drug-sensitive strains.Conclusion The study shows geographical variation in the mutation types of rpoB gene in M.tuberculosis isolates from Guizhou,China.The result is valuable for the development of fast diagnostic methods.