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Genotypic characterization of multi-drug-resistant Mycobacterium tuberculosis isolates in Myanmar
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Title: | Genotypic characterization of multi-drug-resistant Mycobacterium tuberculosis isolates in Myanmar |
Authors: | Aye, Khin Saw Browse this author | Nakajima, Chie Browse this author →KAKEN DB | Yamaguchi, Tomoyuki Browse this author | Win, Min Min Browse this author | Shwe, Mu Mu Browse this author | Win, Aye Aye Browse this author | Lwin, Thandar Browse this author | Nyunt, Wint Wint Browse this author | Ti, Ti Browse this author | Suzuki, Yasuhiko Browse this author →KAKEN DB |
Keywords: | Rifampicin | Isoniazid | Mycobacterium tuberculosis | Resistance | Myanmar |
Issue Date: | Mar-2016 |
Publisher: | Elsevier |
Journal Title: | Journal of Infection and Chemotherapy |
Volume: | 22 |
Issue: | 3 |
Start Page: | 174 |
End Page: | 179 |
Publisher DOI: | 10.1016/j.jiac.2015.12.009 |
PMID: | 26806152 |
Abstract: | The number of multi-drug-resistant tuberculosis (MDR-TB) cases is rising worldwide. As a countermeasure against this situation, the implementation of rapid molecular tests to identify MDR-TB would be effective. To develop such tests, information on the frequency and distribution of mutations associating with phenotypic drug resistance in Mycobacterium tuberculosis is required in each country. During 2010, the common mutations in the rpoB, katG and inhA of 178 phenotypically MDR M. tuberculosis isolates collected by the National Tuberculosis Control Program (NTP) in Myanmar were investigated by DNA sequencing. Mutations affecting the 81-bp rifampicin (RIF) resistance-determining region (RRDR) of the rpoB were identified in 127 of 178 isolates (71.3%). Two of the most frequently affected codons were 531 and 526, with percentages of 48.3% and 14.0% respectively. For isoniazid (INH) resistance, 114 of 178 MDR-TB isolates (64.0%) had mutations in the katG in which a mutation-conferring amino acid substitution at codon 315 from Ser to Thr was the most common. Mutations in the inhA regulatory region were also detected in 20 (11.2%) isolates, with the majority at position -15. Distinct mutation rate and pattern from surrounding countries might suggest that MDR-TB has developed and spread domestically in Myanmar. (C) 2016, Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved. |
Rights: | © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
Type: | article (author version) |
URI: | http://hdl.handle.net/2115/64613 |
Appears in Collections: | 人獣共通感染症国際共同研究所 (International Institute for Zoonosis Control) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 鈴木 定彦
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