Table 3.
Overview of the most recent methods (2014 onwards) for detecting M. tuberculosis drug resistance, highlighting the respective target and drug
Assay |
Target gene |
Referring drug |
Reference |
---|---|---|---|
GenoType MTBDRplus* |
rpoB, katG and inhA |
INH and RMP |
[165–170] |
GenoType MTBDRsl* |
embB, gyrA and rrs |
EMB, fluoroquinolones, aminoglycosides and cyclic peptide |
[171–173] |
RT-PCR* |
katG, rpoB, MPB64 and IS6110 |
RMP and INH |
|
Abbott Real-Time MTB RIF/INH† |
katG, inhA and rpoB |
RMP and INH |
[181–183] |
Multiplex allele-specific PCR*,‡ |
rpoB, katG, inhA, pncA and embB |
RMP, INH, pyrazinamide, fluoroquinolones and aminoglycosides |
|
PCR-RFLP* |
katG, embB, rpsL and gyrA |
INH, streptomycin and fluoroquinolones |
[193–195] |
Genedrive* |
rpoB |
RMP |
[196] |
Anyplex Plus MTB/NTM* |
katG and inhA |
RMP and INH |
[197–199] |
AuNP-based lateral flow* |
katG |
INH |
[200] |
Electrochemical DNA sensors†,§ |
rpoB |
RMP |
[201] |
Binary deoxyribozyme sensors† |
rpoB, katG, inhA and gyrA |
RMP, INH and fluoroquinolones |
[202] |
Luminex MicroPlex microsphere† |
rpoB, GyrA and inhA |
RMP and fluoroquinolones |
[203] |
Nipro Genoscholar† |
pncA |
Pyrazinamide |
[204, 205] |
Sequencing* |
rpoB, katG, embB, gyrA, gyrB, inhA, rpsL and rrs |
RMP, INH, fluoroquinolone and streptomycin |
[206–214] |
*Sputum samples.
†M. tuberculosis strain samples.
‡Distinguishes M. tuberculosis and M. avium complexes from other mycobacteria directly from clinical specimens [215].
§Based on polypyrrole/Fe3O4 nanocomposite-bearing redox naphthoquinone tag on PAMAM (spaNQ/PAMAM/PPy/Fe3O4).