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牛结核分枝杆菌和牛型结核分枝杆菌分离株耐药性的传统及分子检测

Conventional and molecular determination of drug resistance in Mycobacterium tuberculosis and Mycobacterium bovis isolates in cattle.

作者信息

Sweetline Anne N, Ronald B S M, Senthil Kumar T M A, Thangavelu A

机构信息

Madras Veterinary College, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Tamil Nadu, India.

Madras Veterinary College, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Tamil Nadu, India.

出版信息

Tuberculosis (Edinb). 2019 Jan;114:113-118. doi: 10.1016/j.tube.2018.12.005. Epub 2018 Dec 31.

DOI:10.1016/j.tube.2018.12.005
PMID:30711149
Abstract

This study was aimed out to explore the presence of drug resistance among M. tuberculosis and M. bovis isolates (n = 51) of bovine origin by conventional broth microdilution method and molecular methods. By broth microdilution method, 16 isolates were found to be resistant to isoniazid, 08 isolates were resistant to pyrazinamide, 09 isolates were resistant to rifampicin and 07 isolates were found to be resistant for ethambutol. Two isolates showed resistance to rifampicin and pyrazinamide, one isolate showed resistance to pyrazinamide and ethambutol and 03 isolates showed resistance to isoniazid and ethambutol. None of isolates showed multi drug resistance (MDR). Other than the M. bovis strains, none of the other M. tuberculosis isolates showed any resistance to pyrazinamide. Molecular methods by multiplex PCR targeting katG, pncA, rpoB genes, multiplex allele specific PCR to detect mutation in embB codon 306 and sequencing showed point mutation in katG and rpoB gene. No mutation could be detected in the embB gene by multiplex allele specific PCR. The results indicates that further elaborate studies need to be carried out due to the presence of drug resistant M. tuberculosis in bovines which could be due to spill over from human in tuberculosis endemic areas making TB eradication programme more challenging.

摘要

本研究旨在通过传统肉汤微量稀释法和分子方法,探索牛源结核分枝杆菌和牛型分枝杆菌分离株(n = 51)中的耐药情况。通过肉汤微量稀释法,发现16株分离株对异烟肼耐药,8株对吡嗪酰胺耐药,9株对利福平耐药,7株对乙胺丁醇耐药。2株对利福平和吡嗪酰胺耐药,1株对吡嗪酰胺和乙胺丁醇耐药,3株对异烟肼和乙胺丁醇耐药。没有分离株显示多重耐药(MDR)。除牛型分枝杆菌菌株外,其他结核分枝杆菌分离株均未显示对吡嗪酰胺有任何耐药性。通过针对katG、pncA、rpoB基因的多重PCR、用于检测embB密码子306突变的多重等位基因特异性PCR以及测序等分子方法,显示katG和rpoB基因存在点突变。通过多重等位基因特异性PCR未在embB基因中检测到突变。结果表明,由于牛群中存在耐药结核分枝杆菌,这可能是由于结核病流行地区人类的溢出所致,使得结核病根除计划更具挑战性,因此需要进行进一步的详细研究。

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