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耐左氧氟沙星结核分枝杆菌gyrA基因上新的突变位点
引用本文:尹小毛,刘志辉,黄丽晶,蔡杏珊,罗春明. 耐左氧氟沙星结核分枝杆菌gyrA基因上新的突变位点[J]. 实用医学杂志, 2010, 26(5). DOI: 10.3969/j.issn.1006.5725.2010.05.008
作者姓名:尹小毛  刘志辉  黄丽晶  蔡杏珊  罗春明
作者单位:1. 广州医学院
2. 广州市胸科医院肺研室,510095
基金项目:广州市医药卫生科技项目 
摘    要:
目的:分析耐左氧氟沙星结核分枝杆菌临床菌株gyrA基因的突变情况及其耐药机制.方法:用聚合酶链反应(PER)和DNA直接测序技术(DS)测定64株耐左氧氟沙星结核分枝杆菌gyrA基因的QRDR(quinolone resistance-determining regions)序列.结果:64株耐药菌株有47株QRDR序列发生突变,其中45株为单位点突变,另2株为双位点突变;突变分布为70位突变2株、89位1株、90位12株、91位4株、94位30株,其中70位和89位为新发现的突变位点.结论:结核分枝杆菌喹诺酮类药物耐受现象与gyrA基因QRDR的突变有关,包括新发现的70位和89位突变.

关 键 词:结核  喹诺酮  结核分枝杆菌  gyrA基因

New mutations of gyrA gene in levofloxacin-resistant Mycobacterium tuberculosis clinical isolates
YIN Xiao-mao,LIU Zhi-hui,HUANG Li-jing,CAI Xing-shan,LUO Chun-ming. New mutations of gyrA gene in levofloxacin-resistant Mycobacterium tuberculosis clinical isolates[J]. The Journal of Practical Medicine, 2010, 26(5). DOI: 10.3969/j.issn.1006.5725.2010.05.008
Authors:YIN Xiao-mao  LIU Zhi-hui  HUANG Li-jing  CAI Xing-shan  LUO Chun-ming
Affiliation:YIN Xiao-mao,LIU Zhi-hui,HUANG Li-jing,CAI Xing-shan,LUO Chun-ming.Institute for Pulmonary Disease,Guangzhou Chest Hospital,Guangzhou 510095,China
Abstract:
Objective To observe the mutations of gyrA gene in levofloxacin-resistant Mycobacterium Tuberculosis(M.tuberculosis) clinical isolates and study the molecular mechanism of these mutations.Methods Quinolone resistance-determining regions of gyrA gene in sixty-four levofloxacin-resistant M.tuberculosis clinical isolates were analyzed with polymerase chain reaction and DNA direct-sequencing.Results Forty-five of sixty-four clinical isolates mutated in one codon of gyrA gene and two in double codons.Two isolate...
Keywords:Tuberculosis  Quinolones  Mycobacterium tuberculosis  gyrA gene  
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