Detection of Mutations Associated with Isoniazid Resistance in Mycobacterium tuberculosis Isolates from China

Abstract

ABSTRACT Nine structural genes ( furA , katG , inhA , kasA , Rv0340, iniB , iniA , iniC , and efpA ) and two regulatory regions (the oxyR-ahpC intergenic region and the promoter of mabA-inhA ) in 87 isoniazid (INH)-monoresistant and 50 INH-susceptible Mycobacterium tuberculosis isolates collected from five provinces of China were analyzed by sequencing. Eighty-two (94.3%) INH-resistant isolates had mutations in the katG gene, with the katG Ser315Thr mutation predominant (55.2%). No mutation at codon 463 of katG was detected among the 50 INH-susceptible isolates with different IS 6110 fingerprints. In addition, there were 35 (40.2%) INH-resistant isolates that had a mutation at codon 463 of katG . Of the INH-resistant strains, 20 (23.0%) isolates harbored double mutations at two separate loci of katG . Mutations in the inhA promoter region occurred in 13 (14.9%) isolates; 4.6% of the isolates had inhA structural gene mutations, and 11.5% harbored mutations in the oxyR-ahpC intergenic region. Drug resistance-associated mutations were detected in the iniBAC region and efpA .