DENG Hai-qing;CHEN Bao-wen;YANG Lei;ZHANG Ting;LU Jin-biao;WU Xiao-cui;WAN Kang-lin;HUANG Chang-jiang;WANG Guo-zhi;Institute of Environmental Safety and Health Risks Evaluation, Wenzhou Medical University;Objective To screen the national reference Mycobacterium tuberculosis(MTB) strains for evaluation of protective effect of drugs against tuberculosis(TB). Methods A total of 169 M. tuberculosis clinical isolates were tested for sensitivities to streptomycin(STR), isoniazid(INH), rifampin(RFP) and ethambutol(EMB) by using mycobacterial growth indicator tuber(MGIT)960 system. The resistance-associated mutant sites of isolates resistant to INH and / or RFP were sequenced. All the 169 isolates were genotyped by Spoligotyping, and those belonging to Beijing MTB family were further genotyped by multiple loci VNTR analysis(MLVA). Results Of the 169 clinical isolates, 118 were resistant to STR, while 143 to INH, 129 to RFP, 95 to EMB, 120 to multiple drugs(at least NIH and RFP), 5 to INH alone, and 7 to RFP alone. However, 11 isolates were sensitive to all the four drugs. The mutations of kat G gene were observed in 76. 9%,while those of inh A gene in 27. 3%, and those of aph C gene in 25. 2% of the 143 isolates resistant to INH, while muta-tions of at least two genes in 31 isolates. However, the mutations of rpo B gene at sites 531, 526 and 516 were observed in67. 4%, 17. 8% and 16. 3% of 129 isolates resistant to RFP, respectively, while the mutation in at least two sites in 10 isolates. Of the 169 isolates, 111 were of Beijing genotype, and 58 were of non-Beijing genotypes, including CAS(2 strains), EAI(7 strains), H(11 strains), LAM(6 strains), MANU(6 strains), T(7 strains), U(1 strain)and X(3strains) lineages, as well as 15 new genotypes not included in the Spol DB4. 0 database. All the 111 isolates of Beijing genotype were divided into four groups by MLVA, among which group Ⅱ accounted for 68. 5% and was the most representative one. Twenty-seven multiple drug-resistant(MDR) and 5 sensitive isolates, as well as 2 isolates resistant to INH alone and 3 isolates resistant to RFP alone were screened. Conclusion Sensitive and MDR isolates as well as those resistant to a single drug were successfully screened.
2015 02 v.28 [Abstract][OnlineView][Download 405K]