Volume 43 Issue 8
Jul.  2022
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Lianyong CHEN, Haohao RU, Xing YANG, Shuangqun YAN, Tao CHEN, Qinxuan NI, Lin XU. Characteristics of katG and inhA Gene Mutations in INH-Resistant Mycobacterium Tuberculosis in Yunnan Province[J]. Journal of Kunming Medical University, 2022, 43(8): 28-33. doi: 10.12259/j.issn.2095-610X.S20220803
Citation: Lianyong CHEN, Haohao RU, Xing YANG, Shuangqun YAN, Tao CHEN, Qinxuan NI, Lin XU. Characteristics of katG and inhA Gene Mutations in INH-Resistant Mycobacterium Tuberculosis in Yunnan Province[J]. Journal of Kunming Medical University, 2022, 43(8): 28-33. doi: 10.12259/j.issn.2095-610X.S20220803

Characteristics of katG and inhA Gene Mutations in INH-Resistant Mycobacterium Tuberculosis in Yunnan Province

doi: 10.12259/j.issn.2095-610X.S20220803
  • Received Date: 2022-04-15
    Available Online: 2022-07-19
  • Publish Date: 2022-07-28
  •   Objective  To analyze the characteristics of katG and inhA genetic mutations associated with INH-resistant Mycobacterium tuberculosis in Yunnan Province.   Methods  The INH-resistant Mycobacterium tuberculosis isolates were collected from drug-resistant monitoring sites in Yunnan Province, and the katG and inhA genes were amplified by PCR and then sequenced.   Results  Among the 88 MTB strains, the coincidence rate of INH-resistant genotype and phenotype was 82.95% (73/88). 75.00% (66/88) had katG mutations and 9.09% (8/88) had inhA mutations. katG315 (67.05%) and inhA-15 (7.95%) were the top two mutation sites, and a high prevalence of katG Ser315Thr mutations (59.09%, 52/88) was observed. The frequency of the katG mutation was significantly higher in MDR-TB compared to INH mono-resistant isolates (χ2 = 4.190, P = 0.041), while katG315, inhA and inhA-15T mutations did not differ significantly between these two groups (P > 0.05).   Conclusion  The most common mutation of INH-resistant Mycobacterium tuberculosis in Yunnan Province were katG315 and inhA-15, and katG mutation was higher among MDR isolates compared with INH mono-resistant strains. Molecular diagnostics based on gene mutations was a useful method for rapid detection of INH-resistant Mycobacterium tuberculosis in Yunnan Province.
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