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中国防痨杂志 ›› 2002, Vol. 24 ›› Issue (6): 317-319.

• 论著 • 上一篇    下一篇

三种结核分支杆菌耐药基因的检测方法

李洪敏;王巍;李素梅;韩慧新;佟爱华;肖漓;张宾;雷红;刘军;   

  1. 解放军309医院 北京 100091;
  • 出版日期:2002-06-10 发布日期:2002-11-03

Detecting methods of drug-resistance gene in Mycobacterium tuberculosis

LI Hong min,WANG Wei,LI Shu mei,et al.   

  1. The 309th Hospital,PLA,Beijing 100091
  • Online:2002-06-10 Published:2002-11-03

摘要: 目的 建立3种结核分支杆菌耐药基因的检测方法,了解耐药基因突变和耐药水平的关系。方法 108例临床痰标本分离株均做聚合酶链反应-单链构象多态性 (PCR-SSCP)和传统梯度药敏试验。结果 耐SM (rpsL)、RFP (rpoB)、INH (KatG)基因突变率分别为78.5%,68.2%,70.5%,其中,高耐SM,RFP,INH分离株分别为86.5%,89.3%,84.3%;低耐分离株分别为28.5%,16.5%,7.1%。结论 结核分支杆菌耐药基因突变与耐药水平有密切联系,绝大多数结核分支杆菌耐药基因突变发生在高耐药株,少部分在低耐药株发生基因突变。

关键词: 分支杆菌,结核, 药物耐受性, 聚合酶链反应, 多态现象,单链构象

Abstract: Objective To investigate the relationship between drug resistance gene mutation and drug resistance level in M.tuberculosis .Methods 108 M.tuberculosis clinical isolated strains from sputum specimens were tested by PCR-SSCP and traditional drug susceptibility tests.Results The gene mutation rate of SM,RFP and INH resistance clinical isolated strains was 78.5%,68.2% and 70.5% respectively,and the mutation rate of SM,RFP and INH high concentration resistance isolated strains was 86.5%,89.3%,84.3% respectively.But the mutation rate of low level of resistance strains was 28.5%, 16.5% and 7.1%.Conclusion The gene mutation was in relation with drug resistance level of M.tuberculosis .The gene mutation rate was higher in high level of resistance isolated strains than in low level of resistance isolated strains.

Key words: M.tuberculosis, Drug resistance, PCR-SSCP