Quantitative diagnosis and analysis of mutations affecting drug resistance to rifampicin and isoniazid of clinical Mycobacterium tuberculosis isolates in Taiwan

Chao Wen Hsueh, Shih Shen Lin, Chun Hsiu Lin, Shang Tao Chien, Wen Sheng Liu, Fu Gong Lin, Hsiu Ting Tsai, Chien Fu Huang, Chi Chiang Yang

Research output: Contribution to journalArticle

Abstract

A SYBR Green I-based real-time quantitative PCR assay was utilized using senX3-regX3 and IS6110 as targets to identify Mycobacterium tuberculosis in 135 clinical samples from southern Taiwan. The bacterial loads of true positive samples estimated in this assay ranged from 33 to 7.7×10 5CFU/ml, whereas false negative samples ranged from 10 to 25 CFU/ml. The specificity and sensitivity were 100% and 88.5%, respectively. Moreover, a multiplex allele-specific PCR was applied to detect mutation at three major hot spots (affecting codons 516, 526 and 531) of the rpoB gene affecting resistance to rifampicin, as well as codon 315 of the katG gene (resistance to isoniazid). The mutation rates of rpoB and katG were 69.6% (32/46) and 45.7% (21/46), respectively. The dual-gene mutation (rpoB and katG) rate was 41.3% (19/46). Among the hot spots on the rpoB gene, the mutation rate for rpoB 531(17/46, 37%) was higher than that of rpoB 516 (10/46, 21.7%) and rpoB 526 (8/46, 17.4%). Furthermore, for the four codons assayed (rpoB 516, 526, 531, and katG), 11 mutations were identified as single mutation (23.9%), 18 as double mutations (39.1%), 3 as triple mutations, and none as quadruple mutations. Our results reveal the prevalence of tuberculosis drug-resistant mutations occurring on rpoB and katG genes in southern Taiwan.

Original languageEnglish
Pages (from-to)391-397
Number of pages7
JournalAnnals of Microbiology
Volume60
Issue number3
DOIs
Publication statusPublished - Sep 2010
Externally publishedYes

Fingerprint

Isoniazid
Rifampin
Taiwan
Mycobacterium tuberculosis
Drug Resistance
Mutation
Codon
Genes
Mutation Rate
Multidrug-Resistant Tuberculosis
Bacterial Load
Real-Time Polymerase Chain Reaction
Alleles
Sensitivity and Specificity
Polymerase Chain Reaction

Keywords

  • Isoniazid
  • PCR
  • Rifampicin
  • Taiwan
  • Tuberculosis

ASJC Scopus subject areas

  • Applied Microbiology and Biotechnology

Cite this

Quantitative diagnosis and analysis of mutations affecting drug resistance to rifampicin and isoniazid of clinical Mycobacterium tuberculosis isolates in Taiwan. / Hsueh, Chao Wen; Lin, Shih Shen; Lin, Chun Hsiu; Chien, Shang Tao; Liu, Wen Sheng; Lin, Fu Gong; Tsai, Hsiu Ting; Huang, Chien Fu; Yang, Chi Chiang.

In: Annals of Microbiology, Vol. 60, No. 3, 09.2010, p. 391-397.

Research output: Contribution to journalArticle

Hsueh, Chao Wen ; Lin, Shih Shen ; Lin, Chun Hsiu ; Chien, Shang Tao ; Liu, Wen Sheng ; Lin, Fu Gong ; Tsai, Hsiu Ting ; Huang, Chien Fu ; Yang, Chi Chiang. / Quantitative diagnosis and analysis of mutations affecting drug resistance to rifampicin and isoniazid of clinical Mycobacterium tuberculosis isolates in Taiwan. In: Annals of Microbiology. 2010 ; Vol. 60, No. 3. pp. 391-397.
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AU - Lin, Shih Shen

AU - Lin, Chun Hsiu

AU - Chien, Shang Tao

AU - Liu, Wen Sheng

AU - Lin, Fu Gong

AU - Tsai, Hsiu Ting

AU - Huang, Chien Fu

AU - Yang, Chi Chiang

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AB - A SYBR Green I-based real-time quantitative PCR assay was utilized using senX3-regX3 and IS6110 as targets to identify Mycobacterium tuberculosis in 135 clinical samples from southern Taiwan. The bacterial loads of true positive samples estimated in this assay ranged from 33 to 7.7×10 5CFU/ml, whereas false negative samples ranged from 10 to 25 CFU/ml. The specificity and sensitivity were 100% and 88.5%, respectively. Moreover, a multiplex allele-specific PCR was applied to detect mutation at three major hot spots (affecting codons 516, 526 and 531) of the rpoB gene affecting resistance to rifampicin, as well as codon 315 of the katG gene (resistance to isoniazid). The mutation rates of rpoB and katG were 69.6% (32/46) and 45.7% (21/46), respectively. The dual-gene mutation (rpoB and katG) rate was 41.3% (19/46). Among the hot spots on the rpoB gene, the mutation rate for rpoB 531(17/46, 37%) was higher than that of rpoB 516 (10/46, 21.7%) and rpoB 526 (8/46, 17.4%). Furthermore, for the four codons assayed (rpoB 516, 526, 531, and katG), 11 mutations were identified as single mutation (23.9%), 18 as double mutations (39.1%), 3 as triple mutations, and none as quadruple mutations. Our results reveal the prevalence of tuberculosis drug-resistant mutations occurring on rpoB and katG genes in southern Taiwan.

KW - Isoniazid

KW - PCR

KW - Rifampicin

KW - Taiwan

KW - Tuberculosis

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