[Performances of the assay MTBDRplus(®) in the surveillance of rifampicin resistance in Mycobacterium tuberculosis]

Pathol Biol (Paris). 2011 Apr;59(2):94-6. doi: 10.1016/j.patbio.2010.07.006. Epub 2010 Nov 2.
[Article in French]

Abstract

The purpose of the survey was the routine assessment of the MTBDRplus(®) kit performance in the determination and characterization of Mycobacterium tuberculosis resistance to rifampicin. The survey was carried out on a collection of 144 strains (126 of which were resistant to rifampicin) isolated on patients from 15 countries. Sensitivity to antituberculosis drugs was determined by a liquid culture system and the reference method was the amplification and sequencing of a target region of the rpoB gene whose mutations are responsible for rifampicin resistance (codons 507 to 533). The assessed kit was based on a reverse hybridization technique using eight overlapping probes covering the target region and four probes representing the most-frequently observed mutations. The assay performance was found excellent, specificity: 100%, sensitivity: 99.2%; 17 mutations affecting 10 codons were reported, two of which were newly identified.

Publication types

  • Evaluation Study

MeSH terms

  • Antitubercular Agents / pharmacology*
  • Bacterial Proteins / genetics
  • Codon / genetics
  • DNA, Bacterial / genetics
  • DNA-Directed RNA Polymerases
  • Data Collection
  • Djibouti / epidemiology
  • Drug Resistance, Microbial / genetics
  • Drug Resistance, Multiple, Bacterial / genetics
  • France / epidemiology
  • Genotype
  • Isoniazid / pharmacology
  • Mutation, Missense
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / genetics
  • Oxidoreductases / genetics
  • Point Mutation
  • Polymerase Chain Reaction / methods*
  • Reagent Kits, Diagnostic*
  • Rifampin / pharmacology*
  • Sensitivity and Specificity
  • Sequence Analysis, DNA
  • Thailand / epidemiology
  • Tuberculosis / epidemiology
  • Tuberculosis / microbiology*
  • Tuberculosis, Multidrug-Resistant / epidemiology
  • Tuberculosis, Multidrug-Resistant / microbiology

Substances

  • Antitubercular Agents
  • Bacterial Proteins
  • Codon
  • DNA, Bacterial
  • Reagent Kits, Diagnostic
  • rpoB protein, Mycobacterium tuberculosis
  • Oxidoreductases
  • InhA protein, Mycobacterium
  • DNA-Directed RNA Polymerases
  • Isoniazid
  • Rifampin