Table 2.
Genotypic Resistance mutations |
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Name | Previously treated | Phenotypic resistance | rpoB | katG | PinhA | pncA | Other |
NRC1 | No | Susceptible | wt | wt | wt | wt | |
NRC2 | No | Isoniazid (Low), streptomycin | wt | wt | c−15t | wt | gyrA/gyrB: wt |
NRC3 | Yes | Streptomycin | wt | wt | wt | wt | gyrA/gyrB: wt |
NRC4 | No | Susceptible | wt | wt | wt | wt | |
NRC5 | No | Susceptible | wt | wt | wt | wt | |
NRC6 | Unknown | Isoniazid (High), rifampicin, ethionamide, streptomycin, para-aminosalicylic acid | S450(531)L | S315T | wt | wt |
|
NRC7 | No | Isoniazid (High), rifampicin, pyrazinamide, ethambutol, ethionamide, streptomycin, kanamycin, para-aminosalicylic acid | S450(531)L | S315T | wt | S104R |
|
Genotypic antibiotic susceptibility was tested for first-line drugs isoniazid (katG, PinhA, promoter of inhA), rifampicin (rpoB), pyrazinamide (pncA) (Barrera et al. 2008; WHO 2014), by different PCRs and Sanger-sequencing as described previously (Brossier et al. 2017). When an isolate was resistant to any of these antituberculosis drugs, second-line drugs ethionamide (ethA, ethR); aminoglycosides (*, rrs region 1400, eis promoter), fluoroquinolones (gyrA/gyrB) and para-aminosalicylic acid were tested. Genotypic susceptibility is indicated as “wt” (wild-type), or the resulting amino acid (upper case), or base (lower case) changes. First letter depicts amino acid in reference sequence; second letter depicts detected amino acid/base; rpoB positions between brackets represent positions in older nomenclature system; Position is depicted as number in subscript. N.P., not performed.