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吡嗪酰胺耐药的耐多药结核分枝杆菌pncA基因表达分析

王楠 杨瑜 邓丽 吴玲 刘志辉 孟繁荣

新医学2023,Vol.54Issue(12):879-883,5.
新医学2023,Vol.54Issue(12):879-883,5.DOI:10.3969/j.issn.0253-9802.2023.12.007

吡嗪酰胺耐药的耐多药结核分枝杆菌pncA基因表达分析

Analysis of pncA gene expression in pyrazinamide-resistant and multidrug-resistant Mycobacterium tuberculosis

王楠 1杨瑜 1邓丽 1吴玲 1刘志辉 1孟繁荣1

作者信息

  • 1. 510095 广州,广州市胸科医院肺部疾病研究所 呼吸疾病国家重点实验室
  • 折叠

摘要

Abstract

Objective To compare the expression levels of pncA gene in pyrazinamide(PZA)-resistant and multidrug-resistant Mycobacterium tuberculosis before and after PZA drug stimulation,and to explore the relationship between PZA-resistant Mycobacterium tuberculosis and pncA gene expression.Methods PZA-resistant and multidrug-resistant Mycobacterium tuberculosis was cultured,and the minimal inhibitory concentration(MIC)of rifampicin and PZA was detected.The strains were cultured in medium containing 0 and 50 μg/mL PZA,and the expression level of pncA was detected by real-time fluorescence quantitative PCR.Results The MIC of PZA of 21 strains of Mycobacterium tuberculosis was≥1 600 μg/mL,400-800 μg/mL for 12 strains,and 100-200 μg/mL in 5 strains,and their corresponding PZA resistance levels were defined as high,medium and low,respectively.The median MIC of rifampicin was 128,128 and 64μg/mL,respectively.Chi-square test showed that there was no significant difference between any two groups(all P>0.05).According to the relative quantitative 2-ΔΔCt method,the expression levels of pncA in the high,medium and low levels of PZA drug-resistant Mycobacterium tuberculosis was 0.904(0.202,2.653),1.157(0.658,1.511)and 1.147(0.372,1.347),and 1.544(0.611,3.191),0.846(0.421,1.237)and 0.726(0.225,3.017)in the 50 μg/mL treatment group,respectively.There was no significant difference in pncA gene expression between the control and PZA drug-containing culture groups(P>0.05).Conclusion No significant changes are observed in the expression levels of pncA in multidrug-resistant and PZA-resistant Mycobacterium tuberculosis before and after PZA drug stimulation.

关键词

结核分枝杆菌/耐药/吡嗪酰胺/利福平/pncA

Key words

Mycobacterium tuberculosis/Drug resistance/Pyrazinamide/Rifampicin/pncA

引用本文复制引用

王楠,杨瑜,邓丽,吴玲,刘志辉,孟繁荣..吡嗪酰胺耐药的耐多药结核分枝杆菌pncA基因表达分析[J].新医学,2023,54(12):879-883,5.

基金项目

广东省医学科学技术研究基金项目(A2023284) (A2023284)

广州市科技计划项目(202201010697) (202201010697)

广州市卫生健康科技项目(20241A011049) (20241A011049)

广州市结核病研究重点实验室(2023A03J0539) (2023A03J0539)

新医学

OACSTPCD

0253-9802

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