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从免疫功能低下患者分离出的耶氏肺孢子菌菌株中二氢蝶酸合酶基因突变

Dihydropteroate synthase gene mutations in Pneumocystis jiroveci strains isolated from immunocompromised patients.

作者信息

Jarboui M A, Sellami A, Sellami H, Cheikhrouhou F, Makni F, Ayadi A

机构信息

Fungal and Parasitic Molecular Biology Laboratory, School of Medecine Sfax, Magida Boulila Street, 3029 Sfax, Tunisia.

出版信息

Pathol Biol (Paris). 2011 Aug;59(4):222-5. doi: 10.1016/j.patbio.2010.02.001. Epub 2010 Mar 25.

Abstract

The emergence of Pneumocystis jiroveci drug resistance has been suggested recently by the mutations in the gene encoding dihydropteroate synthase (DHPS). The aim of the present study was to determine the prevalence of DHPS mutations in P. jiroveci strains isolates from bronchoalveolar lavages (BAL) and sputum samples of 21 immunocompromised patients. We used the touchdown-PCR for amplification of DHPS gene and the restriction fragment length polymorphism (RFLP) technique for discrimination of wild and mutant DHPS genotypes. The DHPS amplification was positive in 17 patients (81%). The association of wild genotype and mutant genotype was detected in two patients after the enzymatic digestion of the PCR products by AccI and HaeIII. No mutations in the DHPS gene were seen in 15 patients. In addition, no variation was observed in DHPS genotypes detected in the repeated specimens (BAL and sputum) from some patients. The touchdown PCR-RFLP technique is a simple and rapid method for revelation of DHPS gene mutations in P. jiroveci strains. It could be advantageously used in clinical laboratory to control the prevalence of mutations associated with sulfa resistance.

摘要

最近,编码二氢蝶酸合酶(DHPS)的基因突变提示了耶氏肺孢子菌耐药性的出现。本研究的目的是确定从21例免疫功能低下患者的支气管肺泡灌洗(BAL)液和痰液样本中分离出的耶氏肺孢子菌菌株中DHPS基因突变的发生率。我们采用降落PCR扩增DHPS基因,并使用限制性片段长度多态性(RFLP)技术区分野生型和突变型DHPS基因型。17例患者(81%)的DHPS扩增呈阳性。在用AccI和HaeIII对PCR产物进行酶切后,在2例患者中检测到野生基因型和突变基因型的关联。15例患者未发现DHPS基因有突变。此外,在一些患者的重复样本(BAL液和痰液)中检测到的DHPS基因型未观察到变异。降落PCR-RFLP技术是一种揭示耶氏肺孢子菌菌株中DHPS基因突变的简单快速方法。它可有效地用于临床实验室,以控制与磺胺耐药相关的突变发生率。

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