Development and Evaluation of a Line Probe Assay for Rapid Identification of pncA Mutations in Pyrazinamide-Resistant Mycobacterium tuberculosis Strains

Author:

Sekiguchi Jun-Ichiro1,Nakamura Tomohiko2,Miyoshi-Akiyama Tohru1,Kirikae Fumiko1,Kobayashi Intetsu3,Augustynowicz-Kopeć Ewa4,Zwolska Zofia4,Morita Koji5,Suetake Toshinori2,Yoshida Hiroshi2,Kato Seiya6,Mori Toru7,Kirikae Teruo1

Affiliation:

1. Department of Infectious Diseases, Research Institute, International Medical Center of Japan, 1-21-1 Toyama, Shinjuku, Tokyo 162-8655, Japan

2. Third Department, Research and Development Laboratory, Nipro Corporation, 3023 Noji, Kusatsu, Shiga 525-0055, Japan

3. Mitsubishi Chemical Medience Corporation, 3-30-1 Shimura, Itabashi, Tokyo 174-8555, Japan

4. National Research Institute of Tuberculosis and Lung Diseases, Plocka St. 26, Warsaw 01-138, Poland

5. Department of Microbiology, Kyorin University School of Health Sciences, 476 Miyashita, Hachioji, Tokyo 192-8508, Japan

6. Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Matsuyama 3-1-24, Kiyose, Tokyo 204-8533, Japan

7. Leprosy Research Center, National Institute of Infectious Diseases, Aoba 4-2-1, Higashimurayama, Tokyo 189-0002, Japan

Abstract

ABSTRACT Resistance of Mycobacterium tuberculosis to pyrazinamide (PZA) derives mainly from mutations in the pncA gene. We developed a reverse hybridization-based line probe assay with oligonucleotide probes designed to detect mutations in pncA . The detection of PZA resistance was evaluated in 258 clinical isolates of M. tuberculosis . The sensitivity and specificity of PZA resistance obtained by this new assay were both 100%, consistent with the results of conventional PZA susceptibility testing. This assay can be used with sputa from tuberculosis patients. It appears to be reliable and widely applicable and, given its simplicity and rapid performance, will be a valuable tool for diagnostic use.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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