Journal of Clinical Microbiology, July 2001, p. 2531-2540, Vol. 39, No. 7
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.7.2531-2540.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Biochip Technology Center, Argonne National Laboratory, Argonne, Illinois,5 and Moscow Anti-Tuberculosis Center, Moscow Government,2 Research Institute for Phthisiopulmonology, I. M. Sechenov Moscow Medical Academy,3 Engelhardt Institute of Molecular Biology,1 and Central TB Research Institute, Russian Academy of Medical Sciences,4 Moscow, Russia
Received 22 December 2000/Returned for modification 21 February 2001/Accepted 21 April 2001
Three new molecular approaches were developed to identify
drug-resistant strains of Mycobacterium tuberculosis
using biochips with oligonucleotides immobilized in polyacrylamide gel
pads. These approaches are significantly faster than traditional
bacteriological methods. All three approaches
hybridization, PCR,
and ligase detection reaction
were designed to analyze an 81-bp
fragment of the gene rpoB encoding the
-subunit of
RNA polymerase, where most known mutations of rifampin resistance are
located. The call set for hybridization analysis consisted of 42 immobilized oligonucleotides and enabled us to identify 30 mutant
variants of the rpoB gene within 24 h. These
variants are found in 95% of all mutants whose rifampin resistance is
caused by mutations in the 81-bp fragment. Using the second approach,
allele-specific on-chip PCR, it was possible to directly identify
mutations in clinical samples within 1.5 h. The third approach,
on-chip ligase detection reaction, was sensitive enough to reveal
rifampin-resistant strains in a model mixture containing 1% of
resistant and 99% of susceptible bacteria. This level of sensitivity
is comparable to that from the determination of M.
tuberculosis drug resistance by using standard
bacteriological tests.
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