中华皮肤科杂志 ›› 2015, Vol. 48 ›› Issue (10): 733-735.

• 研究报道 • 上一篇    下一篇

沙眼衣原体临床株对利福平的体外敏感性及rpoB基因耐药突变检测

江勇1,杨丽娜1,刘原君2,侯淑萍3,齐蔓莉2,刘全忠2   

  1. 1. 天津医科大学第二医院皮肤性病科
    2. 天津医科大学总医院皮肤性病科
    3. 天津医科大学总医院
  • 收稿日期:2014-12-31 修回日期:2015-06-28 发布日期:2015-09-28
  • 通讯作者: 刘全忠 E-mail:liuquanzhong@medmail.com.cn
  • 基金资助:

    沙眼衣原体临床耐药与体外药敏差异的机制研究与耐药检测方法的优化

In vitro activity of rifampin against and rpoB mutations in Chlamydia trachomatis clinical isolates

  • Received:2014-12-31 Revised:2015-06-28 Published:2015-09-28
  • Contact: quanzhong liu E-mail:liuquanzhong@medmail.com.cn

摘要:

目的 检测沙眼衣原体临床株对利福平的体外敏感性,探讨rpoB基因突变与临床耐药的关系。方法 采用微量细胞培养法确定利福平对52株沙眼衣原体临床株的最低抑菌浓度。扩增所有临床株以及标准株rpoB基因,然后进行单链构象多态性分析。并随机选取两株临床株进行测序。 结果 52株临床菌株中未检出耐药株,利福平的最低抑菌浓度是0.004 ~ 0.030 mg/L。SSCP和测序均未发现rpoB耐药突变。 结论 利福平治疗沙眼衣原体失败患者未检测到rpoB基因突变,利福平治疗失败与多种因素有关。

关键词: 基因, rpoB

Abstract:

Jiang Yong, Yang Lina, Liu Yuanjun, Hou Shuping, Qi Manli, Liu Quanzhong*. *Department of Dermatology and Venereology, General Hospital of Tianjin Medical University, Tianjin 300052, China Corresponding author: Liu Quanzhong, Email:liuquanzhong@medmail.com.cn 【Abstract】 Objective To evaluate the susceptibility of Chlamydia trachomatis clinical isolates to rifampin, and assess the relationship between rpoB mutations and antibiotic resistance in them. Methods A microculture method was used to determine the minimal inhibitory concentration (MIC) of rifampin in 52 Chlamydia trachomatis clinical isolates. The rpoB gene was amplified from all the clinical isolates and a standard strain of Chlamydia trachomatis followed by single-strand conformation polymorphism (SSCP)analysis. Sequencing of PCR products was carried out for two clinical isolates. Results No rifampin-resistant strain was found among these clinical isolates. The MIC of rifampin varied from 0.004 to 0.030 mg/L. Neither SSCP analysis nor sequencing showed rpoB mutations. Conclusions No rpoB mutations were found in Chlamydia trachomatis isolates from patients unresponsive to rifampin. The unresponsiveness to rifampin may be attributed to multiple factors.

引用本文

江勇 杨丽娜 刘原君 侯淑萍 齐蔓莉 刘全忠. 沙眼衣原体临床株对利福平的体外敏感性及rpoB基因耐药突变检测[J]. 中华皮肤科杂志, 2015,48(10):733-735. doi: