Research Support, Non-U.S. Gov't
- Performance of PCR-reverse blot hybridization assay for detection of rifampicin-resistant Mycobacterium leprae
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Hye-young Wang , Hyunjung Kim , Yeun Kim , Hyeeun Bang , Jong-Pill Kim , Joo Hwan Hwang , Sang-Nae Cho , Tae Ue Kim , Hyeyoung Lee
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J. Microbiol. 2015;53(10):686-693. Published online October 2, 2015
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DOI: https://doi.org/10.1007/s12275-015-5057-9
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Abstract
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Drug resistance in Mycobacterium leprae is a significant problem
in countries where leprosy is endemic. A sensitive, specific,
and high-throughput reverse blot hybridization assay
(REBA) for the detection of genotypic resistance to rifampicin
(RIF) was designed and evaluated. It has been shown that
resistance to RIF in M. leprae involves mutations in the rpoB
gene encoding the β-subunit of the RNA polymerase. The
PCR-REBA simultaneously detects both 6 wild-type regions
and 5 different mutations (507AGC, 513GTG, 516TAT,
531ATG, and 531TTC) including the most prevalent mutations
at positions 507 and 531. Thirty-one clinical isolates
provided by Korea Institute of Hansen’s Disease were analyzed
by PCR-REBA with RIF resistance of rpoB gene. As a
result
, missense mutations at codons 507 AGC and 531ATG
with 2-nucleotide substitutions were found in one sample,
and a missense mutation at codon 516 TAT and ΔWT6 (deletion
of 530-534) was found in another sample. These cases
were confirmed by DNA sequence analysis. This rapid, simple,
and highly sensitive assay provides a practical alternative
to sequencing for genotypic evaluation of RIF resistance
in M. leprae.
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Citations
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