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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Zenteno-Cuevas, Roberto Cuevas-Cordoba, Betzaida Enciso, Antonio Enciso, Leonor Cuellar, Aremy |
| Spatial Coverage | Mexico |
| Description | Author Affiliation: Zenteno-Cuevas R ( Instituto de Salud Pública, Universidad Veracruzana, Av. Luis Castelazo Ayala s/n, A.P. 57, Col. Industrial Animas, Xalapa, Veracruz, 91190 México. robzencue@gmail.com) |
| Abstract | Mutations at codons 526 and 531 in the rpoB gene and at 315 in the katG gene are considered diagnostic markers for resistance to rifampin and isoniazid in tuberculosis. The aim of this study was to design and evaluate three TaqMan probes for the identification of these mutations in 138 respiratory samples positive for acid-fast bacilli, and 32 clinical isolates from a region with considerable levels of drug resistance. The specificities of the probes for the diagnosis of resistance to both drugs were 100%; however, the sensitivities were calculated to be 50% for isoniazid and 56% for rifampin. DNA sequencing of rpoB and katG; and the spoligotyping assay of the clinical isolates, confirmed the diversity of the mutations and the presence of 11 spoligotypes with a shared international type and eight unique spoligotypes. Analysis of the respiratory samples identified 22 (16%) as drug-resistant and 4 (3%) as multidrug-resistant tuberculosis. The diagnostic value of the TaqMan probes was compromised by the diversity of mutations found in the clinical isolates. This highlights the need for better understanding of the molecular mechanisms responsible for drug resistance prior to the use of molecular probes, especially in regions with significant levels of drug-resistant tuberculosis. |
| File Format | HTM / HTML |
| ISSN | 00084166 |
| e-ISSN | 14803275 |
| Journal | Canadian Journal of Microbiology |
| Issue Number | 3 |
| Volume Number | 58 |
| Language | English |
| Publisher | Canadian Science Publishing |
| Publisher Date | 2012-03-01 |
| Publisher Place | Canada |
| Access Restriction | Open |
| Subject Keyword | Discipline Microbiology Isoniazid Pharmacology Molecular Diagnostic Techniques Mycobacterium Tuberculosis Drug Effects Rifampin Tuberculosis, Multidrug-resistant Diagnosis Tuberculosis Antitubercular Agents Bacterial Proteins Genetics Catalase Dna-directed Rna Polymerases Genetic Variation Mexico Mutation Isolation & Purification Sensitivity And Specificity Sequence Analysis, Dna Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Genetics Medicine Molecular Biology Immunology Microbiology Applied Microbiology and Biotechnology |
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