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L型结核分枝杆菌rpoB基因突变与利福平耐药性研究
引用本文:刘丹,陈俊林,顾德林,曹文忠,陈晓丽. L型结核分枝杆菌rpoB基因突变与利福平耐药性研究[J]. 南通医学院学报, 2011, 31(6): 433-434
作者姓名:刘丹  陈俊林  顾德林  曹文忠  陈晓丽
作者单位:江苏省南通市第六人民医院结核科,南通,226013
基金项目:南通市社会发展项目(S2009023)
摘    要:目的:探讨L型结核分枝杆菌rpoB基因突变与利福平耐药性的关系。方法:采用PCR和PCR-DS技术对23例初治肺结核和45例复治肺结核患者L型结核分枝杆菌临床分离株进行rpoB基因检测和序列分析。结果:初治肺结核L型结核分枝杆菌rpoB基因突变率为4.3%,复治肺结核耐L型结核分枝杆菌rpoB基因突变率为40.0%。结论:复治肺结核L型结核分枝杆菌rpoB基因突变率高于初治肺结核,L型菌rpoB基因突变是造成结核分枝杆菌形成利福平耐药性的主要机制。

关 键 词:结核分枝杆菌  细胞壁缺陷  rpoB基因  耐药性

Study the relationship of rpoB genes mutations and rifampin resistance of mycobacterial L forms
LIU Dan,CHEN Junlin,GU Delin,CAO Wenzhong,CHEN Xiaoli. Study the relationship of rpoB genes mutations and rifampin resistance of mycobacterial L forms[J]. ACTA Academiae Medicinae Nantong, 2011, 31(6): 433-434
Authors:LIU Dan  CHEN Junlin  GU Delin  CAO Wenzhong  CHEN Xiaoli
Affiliation:(Department of Tuberculosis Medical,Nantong Sixth People's Hospital,Nantong 226013)
Abstract:Objective: To study the relationship of gene mutation and rifampin resistance in L-forms of mycobacterium tuberculosis.Methods: rpoB genes mutation clinical isolated strains of mycobacterial L forms in 23 the first-treated patients and 45 second-treated patients were detected by PCR DS.Results: The rpoB gene mutation rate of first-treated patients and second-treated patients were 4.3% and 40.0% respectively.Conclusion: The rpoB genes mutation clinical isolated strains of mycobacterial L forms in second-treated patients was higher than that in first-treated patients and it was considered an important rifampin resistant mechanism of mycobacterium tuberculosis.
Keywords:mycobacterium tuberculosis  cell wall deficient  rpoB gene  drug resistance
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