Detection of Mutations in Mycobacterium tuberculosis pncA Gene by Modified High-Resolution Melting Curve Analysis of PCR Products

We developed a protocol for detection of mutations in the pncA gene associated with M. tuberculosis resistance to pyrazinamide by analyzing melting curves of 7 overlapping amplicons with artificial heteroduplex formation (H-HRM) formed by co-amplification of wild-type DNA and test DNA and compared i...

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Veröffentlicht in:Bulletin of experimental biology and medicine 2019-12, Vol.168 (2), p.264-269
Hauptverfasser: Filipenko, M. L., Dymova, M. A., Cherednichenko, A. G., Khrapov, E. A., Mishukova, O. V., Schwartz, Ya. Sh
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container_issue 2
container_start_page 264
container_title Bulletin of experimental biology and medicine
container_volume 168
creator Filipenko, M. L.
Dymova, M. A.
Cherednichenko, A. G.
Khrapov, E. A.
Mishukova, O. V.
Schwartz, Ya. Sh
description We developed a protocol for detection of mutations in the pncA gene associated with M. tuberculosis resistance to pyrazinamide by analyzing melting curves of 7 overlapping amplicons with artificial heteroduplex formation (H-HRM) formed by co-amplification of wild-type DNA and test DNA and compared its efficiency and robustness with those of classical HRM analysis. Using HRM and H-HRM, we analyzed 35 PZA R DNA isolates carrying mutations in the pncA gene, 3 PZA R isolates without mutations in the pncA gene, and 20 PZA S isolates without mutations in the pncA gene were analyzed. The sensitivity and specificity of HRM for detection of mutations in the pncA gene were moderate: 88.57% (CI 73.26%-96.80%) and 82.61% (CI 61.22%-95.05%), respectively. The sensitivity of the H-HRM test was 97.14% (CI 85.08%-99.93%) and specificity was 95.65% (CI 78.05%-99.89%), with a significant improvement in accuracy — 96.55% vs. 93.85% for HRM. In general, despite addition stage of equalizing the concentrations of the test and control mycobacterial DNA, H-HRM showed greater stability and reproducibility at standard settings of the melting curve analysis software.
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Sh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of Mutations in Mycobacterium tuberculosis pncA Gene by Modified High-Resolution Melting Curve Analysis of PCR Products</atitle><jtitle>Bulletin of experimental biology and medicine</jtitle><stitle>Bull Exp Biol Med</stitle><addtitle>Bull Exp Biol Med</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>168</volume><issue>2</issue><spage>264</spage><epage>269</epage><pages>264-269</pages><issn>0007-4888</issn><eissn>1573-8221</eissn><abstract>We developed a protocol for detection of mutations in the pncA gene associated with M. tuberculosis resistance to pyrazinamide by analyzing melting curves of 7 overlapping amplicons with artificial heteroduplex formation (H-HRM) formed by co-amplification of wild-type DNA and test DNA and compared its efficiency and robustness with those of classical HRM analysis. 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subjects Amidohydrolases - genetics
Antitubercular Agents - pharmacology
Base Sequence
Biomedical and Life Sciences
Biomedicine
Cell Biology
Comparative analysis
Drug resistance in microorganisms
Drug Resistance, Bacterial - genetics
Genes
Genetic aspects
Internal Medicine
Laboratory Medicine
Mycobacterium tuberculosis - drug effects
Mycobacterium tuberculosis - genetics
Mycobacterium tuberculosis - isolation & purification
Nucleic Acid Denaturation - genetics
Pathology
Polymorphism, Single Nucleotide - genetics
Pyrazinamide
Pyrazinamide - pharmacology
Sequence Analysis, DNA
Tuberculosis
Tuberculosis, Pulmonary - drug therapy
Tuberculosis, Pulmonary - microbiology
title Detection of Mutations in Mycobacterium tuberculosis pncA Gene by Modified High-Resolution Melting Curve Analysis of PCR Products
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