CAJ | 학술논문

目的：探讨MLVA基因分型法在云南大理地区合并 HIV双重感染者结核分枝杆菌基因分型中的运用，初步研究其基因型特征。方法选取大理地区61株合并HIV双重感染者结核分枝杆菌临床分离株，采用聚合酶链反应（PCR）分别对VNTR位点进行检测分析，应用BioNumerics（6．6）软件进行聚类分析。结果共对61株合并 HIV双重感染者的结核分枝杆菌的15个VNTR位点进行检测，呈现出明显的基因多态性。各个位点的分辨能力不同，其中MIRU26（0．839）最高，MI‐RU4（0．341）最低。经聚类分析，61株双重感染结核分枝杆菌菌株可分为5个基因群，61个基因型，以Ⅰ型占比例最大占51．6％（32／61）；H37Rv减毒株在Ⅱ型。结论大理地区合并HIV双重感染者结核分枝杆菌VNTR基因存在明显多态性，主要流行菌群为北京家族基因型。
목적：탐토MLVA기인분형법재운남대리지구합병 HIV쌍중감염자결핵분지간균기인분형중적운용，초보연구기기인형특정。방법선취대리지구61주합병HIV쌍중감염자결핵분지간균림상분리주，채용취합매련반응（PCR）분별대VNTR위점진행검측분석，응용BioNumerics（6．6）연건진행취류분석。결과공대61주합병 HIV쌍중감염자적결핵분지간균적15개VNTR위점진행검측，정현출명현적기인다태성。각개위점적분변능력불동，기중MIRU26（0．839）최고，MI‐RU4（0．341）최저。경취류분석，61주쌍중감염결핵분지간균균주가분위5개기인군，61개기인형，이Ⅰ형점비례최대점51．6％（32／61）；H37Rv감독주재Ⅱ형。결론대리지구합병HIV쌍중감염자결핵분지간균VNTR기인존재명현다태성，주요류행균군위북경가족기인형。
A new method based on the multiple locus variable number tandem repeat analysis (MLVA) was applied for the genotyping of combined HIV Mycobacterium tuberculosis in Dali to investigate the genotyping and distribution pattern of Myco‐bacterium tuberculosis clinical isolates with MLVA .Mycobacterium tuberculosis clinical isolates were selected from Dali area , and the polymorphism of VNTR locus was tested with PCR .The clustering of genotype was analyzed by BioNumerics (6 .6) . Result showed that 15 VNTR loci of 61 combined HIV Mycobacterium tuberculosis clinical isolates were analyzed respectively . There were obvious polymorphisms of VNTRs .The discrimination power of these loci appeared different from each other ,with the biggest Hunter‐Gaston index (0 .839) loci was MIRU26 ,and the smallest one (0 .341) loci was MIRU4 .The clustering of genotype showed that these strains could be categorized into 5 gene clusters and 61 genotype ,the proportions of cluster Ⅰ was the biggest one ,51 .6% were cluster Ⅰ which including 32 strains .The standard strain H37Rv was belongs to cluster Ⅱ .Its indicated that there are obvious polymorphisms of VNTRs of combined HIV Mycobacterium tuberculosis clinical isolates in Da‐li .The main genotype was Beijing family genotype .