ISSN: 0973-7510

E-ISSN: 2581-690X

Thirumurugan Ravibalan1,2, Antony V. Samrot2, Kathirvel Maruthai1, Vallayyachari Kommoju1, Surendar Kesavan1 and Muthuraj Muthaiah1
1Department of Microbiology, Intermediate Reference Laboratory, Government Hospital for Chest Diseases, Gorimedu, Puducherry – 605006, India.
2Department of Biotechnology, Sathyabama University, Chennai- 600119, India.
J Pure Appl Microbiol. 2015;9(3):2339-2345
© The Author(s). 2015
Received: 16/04/2015 | Accepted: 03/06/2015 | Published: 30/09/2015
Abstract

To evaluate the Multiplex Allele Specific-Polymerase Chain Reaction (MAS-PCR) assay for the detection of katGS315T mutations in Mycobacterium tuberculosis (MTB) clinical isolates. Totally, 78 MTB clinical isolates were analyzed by conventional Lowenstein–Jensen (LJ), BACTEC MGIT-960TM liquid cultures, MAS-PCR, PCR-Restriction Fragment Length Polymorphism (PCR-RFLP) and DNA sequencing methods. Fifty one (65.4%) out of 78 isolates were drug resistant, and 27 isolates (34.6%) were drug susceptible. MAS-PCR assay identified katG315 mutations in 47 (60.2%) isolates, in which 41 (52.5%) isolates had mutation at codon S315T (AGC®ACC), 6 (7.7%) isolates had mutation at codon S315N (AGC®AAC), and none of the 27 susceptible isolates had mutation. Concordant result was obtained by PCR-RFLP and DNA sequencing method was used further to validate the results obtained by MAS-PCR and PCR-RFLP assays. Novel mutations were found at G305V (GGC®GTC) and Q295P (CAG®CCG) codons in combination with S315T codon in 5 (6.4%) and 4 (5.1%) drug resistant strains respectively. katGS315T was the frequently mutated codon of katG gene in M. tuberculosis isolates, which can be used as a marker of choice for direct detection of isoniazid resistance by MAS-PCR assay in regions where katGS315T codon mutation is predominant among drug resistant isolates.

Keywords

Mycobacterium tuberculosis, Multi drug resistance, katG, multiplex-PCR, PCR-RFLP, Isoniazid resistance

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