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Mechanisms of Resistance

Correlation between Pyrazinamide Activity and pncA Mutations in Mycobacterium tuberculosis Isolates in Taiwan

Tsi-Shu Huang, Susan Shin-Jung Lee, Hui-Zin Tu, Wen-Kuei Huang, Yao-Shen Chen, Chung-Kai Huang, Shue-Ren Wann, Hsi-Hsun Lin, Yung-Ching Liu
Tsi-Shu Huang
1Section of Microbiology and Infectious Diseases, Kaohsiung Veterans General Hospital
2Department of Medical Technology, Foo-Yin Institute of Technology
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Susan Shin-Jung Lee
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Hui-Zin Tu
1Section of Microbiology and Infectious Diseases, Kaohsiung Veterans General Hospital
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Wen-Kuei Huang
3National Yang-Ming Medical College, Taipei, Taiwan
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Yao-Shen Chen
3National Yang-Ming Medical College, Taipei, Taiwan
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Chung-Kai Huang
3National Yang-Ming Medical College, Taipei, Taiwan
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Shue-Ren Wann
3National Yang-Ming Medical College, Taipei, Taiwan
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Hsi-Hsun Lin
3National Yang-Ming Medical College, Taipei, Taiwan
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Yung-Ching Liu
1Section of Microbiology and Infectious Diseases, Kaohsiung Veterans General Hospital
3National Yang-Ming Medical College, Taipei, Taiwan
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  • For correspondence: ssjlee@vghks.gov.tw
DOI: 10.1128/AAC.47.11.3672-3673.2003
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Tables

  • TABLE 1.

    PZase activity and changes in the pncA gene for 76 clinical M. tuberculosis isolates

    IsolatePZA MIC (μg/ml)PZase activity after:Change in:
    7 days14 daysNucleotide(s)Amino acid(s)
    1>300−−C→T at position 401F134→F
    2>300−−G→A at position 290G97→D
    3>300−−G→C at position 281F94→S
    4-5>300−−T→G at position 464V155→G
    6>300−−352-358 deletionFrameshift
    7>300−−397 insert GFrameshift
    8300−−NoneNot applicable
    9>300−+NoneNot applicable
    10-11>300++NoneNot applicable
    12-17300++NoneNot applicable
    18-76≤100++NoneNot applicable
  • TABLE 2.

    Frequency of PZA-susceptible strains according to frequency of susceptibility to first-line drugs

    Characteristics of resistance to first-line drugs other than PZANo. of strainsNo. (%) of strains with PZA:
    Susceptibility (MIC ≤ 100)Resistance
    MIC = 300MIC > 300
    No resistance2725 (92.6)1 (3.7)1 (3.7)
    Resistance to all drugs tested2118 (85.7)2 (9.5)1 (4.8)
    MDR2816 (57.1)4 (14.3)8 (25.6)
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Correlation between Pyrazinamide Activity and pncA Mutations in Mycobacterium tuberculosis Isolates in Taiwan
Tsi-Shu Huang, Susan Shin-Jung Lee, Hui-Zin Tu, Wen-Kuei Huang, Yao-Shen Chen, Chung-Kai Huang, Shue-Ren Wann, Hsi-Hsun Lin, Yung-Ching Liu
Antimicrobial Agents and Chemotherapy Oct 2003, 47 (11) 3672-3673; DOI: 10.1128/AAC.47.11.3672-3673.2003

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Correlation between Pyrazinamide Activity and pncA Mutations in Mycobacterium tuberculosis Isolates in Taiwan
Tsi-Shu Huang, Susan Shin-Jung Lee, Hui-Zin Tu, Wen-Kuei Huang, Yao-Shen Chen, Chung-Kai Huang, Shue-Ren Wann, Hsi-Hsun Lin, Yung-Ching Liu
Antimicrobial Agents and Chemotherapy Oct 2003, 47 (11) 3672-3673; DOI: 10.1128/AAC.47.11.3672-3673.2003
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KEYWORDS

Amidohydrolases
antitubercular agents
mutation
Mycobacterium tuberculosis
pyrazinamide
tuberculosis

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