Rapid, accurate determination of multidrug resistance in M. tuberculosis isolates and sputum using a biochip system
Abstract:OBJECTIVE: To develop and evaluate a rapid biochip system for the determination of multidrug-resistant tuberculosis (MDR-TB) in Mycobacterium tuberculosis isolates and clinical sputum samples.
DESIGN: We developed a total solution-based system, including a biochip kit, apparatus for sample preparation, hybridisation, washing and data acquisition, and dedicated software for automated diagnosis. The biochip simultaneously identifies M. tuberculosis and detects the most commonly found mutations in the rpoB, katG and inhA genes. The system was assessed with 330 mycobacterial isolates and 129 sputum samples for rifampicin (RMP), and with 205 isolates and 105 sputum samples for isoniazid (INH), and then compared to DNA sequencing and conventional drug susceptibility testing (DST).
RESULTS: The entire biochip assay took 6 h. The concordance rate between the biochip assay and the DNA sequencing results was 100%. Compared to conventional DST, the concordance rates were 91.8% for isolates and 94.6% for sputum samples for RMP resistance, and 70.2% for isolates and 78.1% for sputum samples for INH resistance.
CONCLUSION: The biochip system provides a simple, rapid, reliable and accurate clinical assay for the parallel detection of M. tuberculosis and prevalent MDR-TB in a 6 h procedure, using either culture isolates or sputum samples for diagnosis.
Document Type: Regular Paper
Affiliations: 1: Medical Systems Biology Research Centre, Tsinghua University, Beijing, China; National Engineering Research Centre for Beijing Biochip Technology, Changping District, Beijing, China; and CapitalBio Corporation, Changping District, Beijing, China 2: National Tuberculosis Reference Laboratory, China Centre for Disease Control and Prevention, Beijing, China 3: National Engineering Research Centre for Beijing Biochip Technology, Changping District, Beijing, China; and CapitalBio Corporation, Changping District, Beijing, China
Publication date: July 1, 2009
The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.
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