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中国防痨杂志 ›› 2013, Vol. 35 ›› Issue (9): 655-659.

• 论著 • 上一篇    下一篇

宁夏回族自治区结核分枝杆菌基因分型及与耐药性关系的研究

王晓平 逄宇 赵晓 王晓林 王玉峰 肖慧霞 王福锐 刘晓妮 赵雁林   

  1. 750021银川,宁夏回族自治区第四人民医院结核病参比室(王晓平、赵晓、王晓林、肖慧霞、王福锐、刘晓妮);中国疾病预防控制中心结核病预防控制中心 国家结核病参比实验室(逄宇、王玉峰、赵雁林)
  • 收稿日期:2013-07-22 出版日期:2013-09-10 发布日期:2013-09-08
  • 通信作者: 赵雁林 E-mail:zhaoyanlin@chinatb.org
  • 基金资助:

    宁夏自然科学基金(NZ1299)

Genotyping and drug resistance analysis of Mycobacterium tuberculosis in Ningxia

WANG Xiao-ping,PANG Yu,ZHAO Xiao,WANG Xiao-lin,WANG Yu-feng,XIAO Hui-xia,WANG Fu-rui,LIU Xiao-ni,ZHAO Yan-lin   

  1. Tuberculosis Reference Department, the Fourth Hospital of Ningxia Hui Autonomous Region,Yinchuan 750021, China
  • Received:2013-07-22 Online:2013-09-10 Published:2013-09-08
  • Contact: ZHAO Yan-lin E-mail:zhaoyanlin@chinatb.org

摘要: 目的  利用间隔区寡核苷酸分型(Spoligotyping)方法对宁夏回族自治区(简称“宁夏”)结核分枝杆菌流行株进行分型研究,并分析北京基因型与耐药性的相互关系。 方法  搜集宁夏结核分枝杆菌临床分离株115株,应用Spoligotyping方法进行基因分型研究,采用BioNumerics软件将分型结果进行基因聚类分析。应用比例法药物敏感性试验对115株结核分枝杆菌进行检测,最后将药敏结果结合基因型及流行病学资料进行分析。采用卡方检验比较不同组间结果的差异。 结果  在分离培养的115株菌株中,具有特异Spoligotyping指纹图谱的北京基因型菌株90株,占78.3%(90/115),25株为非北京基因型,占21.7%(25/115)。 90株北京基因型菌株中,41株为古代基因型(45.6%,41/90),任意耐药株为16株(17.8%,16/90);49株为现代基因型(54.4%,49/90),任意耐药株为33株(36.7%,33/90),两者间差异无统计学意义(χ2=1.27,P>0.05)。 结论  宁夏结核分枝杆菌以北京基因型流行为主,结核分枝杆菌北京基因型与耐药性之间无明显相关性。

关键词: 分枝杆菌, 结核, 基因型, 抗药性, 细菌, 基因分型技术, 宁夏[回族自治区]

Abstract: Objective To study the relationship between genotype and drug resistance of M. tuberculosis representative strains in Ningxia, and to investigate their molecular epidemiological characteristics. Methods One hundred and fifteen M. tuberculosis clinical isolates were collected in Ningxia, and analyzed their genotypes by spoligotyping and drug susceptibility by the proportional method. The chi-square test was used to compare the differences among the results of different groups. Results Of 115 M. tuberculosis isolates, 90 (78.3%) isolates belonged to Beijing genotype, 25 (21.7%) isolates belonged to non-Beijing genotype. Of 90 Beijing genotype isolates, 41(45.6%) isolates belonged to the ancient genotype, in which drug-resistant rate was 17.8% (16/90); 49 (54.4%) isolates belonged to the modern genotype, in which drug-resistant rate was 36.7% (33/90). There were no significant difference of drug resistances between different genotypes(χ2=1.27,P>0.05). Conclusion M. tuberculosis Beijing genotype was the predominant in Ningxia. There was no significant relationship between Beijing genotype and drug resistance.

Key words: Mycobacterium tuberculosis, Genotype, Drug resistance, bacterial, Genotyping techniques, Ningxia