GENOTYPING OF DRUG-RESISTANT CLINICAL ISOLATES OF M. TUBERCULOSIS IN KAZAKHSTAN
Tuberculosis, especially drug-resistant tuberculosis remains a major health problem in Kazakhstan. The incidence of multidrug-resistant tuberculosis in the country was increased by 8 times over 12 years from 1,7 to 13,5 per 100,000 population between 2003 and 2015. According to investigations in different countries Beijing M.tuberculosis family strains were associated with drug-resistance, specifically with multidrug-resistant tuberculosis. Aim of the study is to conduct genotyping of 192 drug-resistant clinical isolates of M.tuberculosis in Kazakhstan by spoligotyping technique and determine a correlation between drug resistance and Beijing M.tuberculosis genotype. Spoligotyping results demonstrated that Beijing genotype is the most widespread genotype among drug-resistant M. tuberculosis clinical isolates in Kazakhstan (74,48%). Determination of correlation between drug resistance and Beijing M.tuberculosis genotype showed that the genotype was found in more than 50% cases among polyresistant (70,9%) and multidrug resistant (87,75%) isolates.
Ulan Kozhamkulov1, http://orcid.org/0000-0002-9782-7631 Ainur Akhmetova1,2, http:// orcid.org/0000-0002-5557-3338 Venera Bismilda3, Scopus ID: 8441834800 Lyailya Chingissova3, Scopus ID: 39261046300 Ainur Akilzhanova1,2, http://orcid.org/0000-0001-6161-8355 1 Center for Life Sciences, National Laboratory Astana, Nazarbayev University, Nur-Sultan city, Republic of Kazakhstan; 2Department of General Biology and Genomics, L.N. Gumilyov Eurasian National University, Nur-Sultan city, Republic of Kazakhstan; 3 National Scientific Center for Phthisiopulmonology of the Republic of Kazakhstan, Almaty city, Republic of Kazakhstan.
1. Akhmetova A., Kozhamkulov U., Bismilda V. et al. Mutations in the pncA and rpsA genes among 77 Mycobacterium tuberculosis isolates in Kazakhstan // International Journal Tuberculosis and Lung Diseases. 2015. №19(2). P. 179-184. 2. Coll P., Garcia de Viedma D. Molecular epidemiology of tuberculosis // Enferm Infecc Microbiol Clin. 2018. №36(4). P. 233-240. 3. Garcia de Viedma D., Marin M., Hernangomez S. et al. Tuberculosis recurrences: reinfection plays a role in a population whose clinical/epidemiological characteristics do not favor reinfection // Arch Intern Med. 2002. №162. P. 1873-1879. 4. Ibrayeva A., Kozhamkulov U., Raiymbek D. et al. Molecular epidemiology of Mycobacterium tuberculosis strains circulating in the penitentiary system of Kazakhstan // International Journal Tuberculosis and Lung Diseases. 2014. №18(3). P. 298-301. 5. Ilin A.I., Kulmanov M.E., Korotetskiyet I.S. et al. Complete Genome Sequence of Multidrug-Resistant Clinical Isolate Mycobacterium tuberculosis 187.0, Used To Study the Effect of Drug Susceptibility Reversion by the New Medicinal Drug FS-1 // Genome announcements. 2015. №3(6). P. 1-2. 6. Kairov U., Kozhamkulov U., Molkenov A., Rakhimova S. et al. Draft Genome Sequences of Two Clinical Isolates of Mycobacterium tuberculosis from Sputum of Kazakh Patients // Genome announcements. 2015. №3(3). P. 1-2. 7. Kozhamkulov U., Akhmetova A., Rakhimova S. et al. Molecular characterization of rifampicin- and isoniazid-resistant Mycobacterium tuberculosis strains isolated in Kazakhstan // Japanese Journal of Infectious Disease. 2011. №64. P. 253-255. 8. Kubica T., Agzamova R., Wright A., Aziz M.A., Rakishev G., Bismilda V., Richter E., Rüsch-Gerdes S., Niemann S. The Beijing genotype is a major cause of drug-resistant tuberculosis in Kazakhstan // Int J Tuberc Lung Dis. 2005. №9(6). P. 646–653. 9. Navarro Y., Herranz M., Perez-Lago L. et al. Systematic survey of clonal complexity in tuberculosis at a populational level and detailed characterization of the isolates involved // J Clin Microbiol. 2011. №49. P. 4131-4137. 10. Niemann S., Diel R., Khechinashvili G., Gegia M., Mdivani N., Tang Y. Mycobacterium Tuberculosis Beijing Lineage Favors the Spread of Multidrug-Resistant Tuberculosis in the Republic of Georgia // J Clin Microbiol. 2010. №48(10). P. 3544-50. 11. Reichman L.B. et.al. The global epidemic of multi-drug-resistant tuberculosis. - New York: McGraw-Hill. 2001. P.320. 12. San et.al. Insight into multidrug-resistant Beijing genotype Mycobacterium tuberculosis isolates in Myanmar // International Journal of Infectious Diseases. 2018. №76. P. 109-119. 13. Skiba Y., Mokrousov I., Ismagulova G. et al. Molecular snapshot of Mycobacterium tuberculosis population in Kazakhstan: A country-wide study // Tuberculosis. 2015. №95(5). P. 538-546. 14. Statistic TB Review (Editor Zh.K. Ismailov). Ministry of Health Republic of Kazakhstan. – Almaty: National TB Center. 2017. P. 75. 15. Van Soolingen, D., Qian, L., de Haas, P. E. et al. Predominance of a single genotype of Mycobacterium tuberculosis in countries of East Asia // J. Clin. Microbiol. 1995. №l33. P. 3234-3238. 16. Van Soolingen D., Kremer K., Vynycky E. New perspectives in the molecular epidemiology of tuberculosis // In book: Mycobacteria and TB. Berlin. 2003. №2. P. 17-45. 17. Verver S., Warren R.M., Munch Z. et al. Proportion of tuberculosis transmission that takes place in households in a high-incidence area // Lancet. 2004. №363. P. 212-214. 18. World Health Organization. Laboratory services in tuberculosis control. Part III. Geneva. WHO. 1998. P. 65. 19. World Health Organization. Guidelines for surveillance of drug resistance in tuberculosis. Ed. 2nd. Geneva. World Health Organization. 2003. P. 73. 20. World Health Organization: Global tuberculosis report 2015 (Ed. 20th). Geneva: World Health Organisation. 2015. P. 204. 21. Yin Q.Q. et al. Evolutionary history and ongoing transmission of phylogenetic lineages of M. tuberculosis Beijing genotype in China // Scientific reports. 2016. №6:34353. Р. 1-11.
Number of Views: 200

Key words:

Category of articles: Original articles

Bibliography link

Kozhamkulov U., Akhmetova A., Bismilda V., Chingissova L., Akilzhanova A. Genotyping of drug-resistant clinical isolates of M. Tuberculosis in Kazakhstan // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 4, pp. 71-79. doi 10.34689/SH.2020.22.4.007

Авторизируйтесь для отправки комментариев