title: Characterization of rpoB mutations associated with rifampin resistance in Mycobacterium tuberculosis from eastern China.
abstract: OBJECTIVE
  The aim of this study was to investigate the features of rpoB gene mutations associated with Rifampin (RIF) resistance in Mycobacterium tuberculosis (M. tuberculosis) in eastern China.
  
  
  RESULTS
  The mutations of rpoB gene in 56 clinical isolates of M. tuberculosis resisted to one to four first-line drugs (rifampin, isonicotinyl hydrazide, ethambutol and streptomycin) were analysed by polymerase chain reaction single strand conformation polymorphism analysis (PCR-SSCP) and DNA sequencing. The results of PCR-SSCP showed 52 isolates were positive (existing rpoB mutation) including 47 isolates resisted to RIF. Subsequent results of DNA sequencing showed that 54 isolates had rpoB gene mutation including 49 isolates resisted to RIF. The most frequently mutated sites were at codons 526 (73.2%), 513 (10.7%) and 531 (3.5%).
  
  
  CONCLUSIONS
  The rpoB codon 526 was the most frequently mutated site of RIF-resistant M. tuberculosis strains in eastern China and its frequency is significantly higher (P < 0.0001) compared with that in other areas of China and in other geographic regions worldwide.
  
  
  CONCLUSIONS
  Our results reveal that geographic variation is responsible for rpoB mutations in M. tuberculosis and the resulting information will be helpful to improve a novel rapid molecular drug resistance screening approach for MDR TB.
authors.affiliation: Department of Infectious Disease, Key Laboratory of Infectious Disease of Ministry of Health, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
authors.forename: J
authors.initials: J
authors.lastname: Sheng
authors.forename: J
authors.initials: J
authors.lastname: Li
authors.forename: G
authors.initials: G
authors.lastname: Sheng
authors.forename: H
authors.initials: H
authors.lastname: Yu
authors.forename: H
authors.initials: H
authors.lastname: Huang
authors.forename: H
authors.initials: H
authors.lastname: Cao
authors.forename: Y
authors.initials: Y
authors.lastname: Lu
authors.forename: X
authors.initials: X
authors.lastname: Deng
mesh_terms: D000904:Antibiotics, Antitubercular; D001426:Bacterial Proteins / Q000235:genetics*; D002681:China; D012321:DNA-Directed RNA Polymerases; D004352:Drug Resistance, Microbial / Q000235:genetics*; D005787:Gene Frequency; D008826:Microbial Sensitivity Tests; D009154:Mutation; D009169:Mycobacterium tuberculosis / Q000235:genetics*; D018807:Polymorphism, Single-Stranded Conformational; D012293:Rifampin; D017422:Sequence Analysis, DNA; D018088:Tuberculosis, Multidrug-Resistant / Q000235:genetics
chemical_list: D000904:Antibiotics, Antitubercular; D001426:Bacterial Proteins; C505805:rpoB protein, Mycobacterium tuberculosis; D012321:DNA-Directed RNA Polymerases; D012293:Rifampin