Gołab Elzbieta
Zakład Parazytologii Lekarskiej PZH w Warszawie.
Med Dosw Mikrobiol. 2007;59(2):177-82.
Point mutation of the dihydropteroate synthase gene causes Pneumocystis jirovecii resistance to sulfa drugs. The RFLP method was used to search for DHPS polymorphism in P. jirovecii strains isolated in Poland. Positive results of DHPS gene fragment amplification using nested PCR were achieved in 25 out of the 30 examined Pneumocystis DNA samples. Two (8%) of the 25 isolates had point mutation at codon 55 (Thr55Ala). The mutation-positive strains were obtained from HIV positive (1/15) and HIV negative (1/10) patients. The observed DHPS gene polymorphism may point to the appearance of P. jirovecii strains resistant to sulfa drugs in Poland.
二氢蝶酸合酶基因的点突变导致耶氏肺孢子菌对磺胺类药物产生耐药性。采用限制性片段长度多态性(RFLP)方法在波兰分离的耶氏肺孢子菌菌株中寻找二氢蝶酸合酶(DHPS)多态性。在30份检测的肺孢子菌DNA样本中,有25份通过巢式PCR扩增DHPS基因片段获得阳性结果。25株分离株中有2株(8%)在密码子55处发生点突变(苏氨酸55突变为丙氨酸)。突变阳性菌株分别来自HIV阳性患者(1/15)和HIV阴性患者(1/10)。观察到的DHPS基因多态性可能表明波兰出现了对磺胺类药物耐药的耶氏肺孢子菌菌株。