<?xml version="1.0"?>
<Articles JournalTitle="Iranian Journal of Public Health">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Iranian Journal of Public Health</JournalTitle>
      <Issn>2251-6085</Issn>
      <Volume>44</Volume>
      <Issue>2</Issue>
      <PubDate PubStatus="epublish">
        <Year>2015</Year>
        <Month>02</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Predictive Power of ETRE Polymorphism and Katg463 Mutation to INH-Resistance of M.tuberculosis</title>
    <FirstPage>263</FirstPage>
    <LastPage>8</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Yu-Feng</FirstName>
        <LastName>Wen</LastName>
        <affiliation locale="en_US">School of Public Health, Wan Nan Medical College, Wuhu, China.</affiliation>
      </Author>
      <Author>
        <FirstName>Chao</FirstName>
        <LastName>Jiang</LastName>
        <affiliation locale="en_US">School of Public Health, Wan Nan Medical College, Wuhu, China.</affiliation>
      </Author>
      <Author>
        <FirstName>Xian-Feng</FirstName>
        <LastName>Cheng</LastName>
        <affiliation locale="en_US">School of Public Health, Wan Nan Medical College, Wuhu, China.</affiliation>
      </Author>
      <Author>
        <FirstName>Zhi-Ping</FirstName>
        <LastName>Zhang</LastName>
        <affiliation locale="en_US">Centre for Disease Prevention and Control of Anqing City, Anqing, China.</affiliation>
      </Author>
      <Author>
        <FirstName>Bai-Feng</FirstName>
        <LastName>Chen</LastName>
        <affiliation locale="en_US">School of Public Health, Wan Nan Medical College, Wuhu, China.</affiliation>
      </Author>
      <Author>
        <FirstName>Yu</FirstName>
        <LastName>Zhu</LastName>
        <affiliation locale="en_US">School of Public Health, Wan Nan Medical College, Wuhu, China.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>10</Month>
        <Day>14</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Background: The MIRU-VNTR polymorphism and katG463 mutation are used to genotype the mycobacterium tuberculosis, but the correlation between them and INH-resistance were unknown. This study was aimed to explore&#xA0;whether ETRE polymorphism and katG463 mutation could predict the INH-resistance, and the relationship between&#xA0;ETRE polymorphism and katG463 mutation.

Methods: The ETRE, katG463 mutation and drug resistance information of 109 M. tuberculosis strains were collected&#xA0;from online public database. We constructed the predictive diagnostic tool of ETRE polymorphism and katG463 mutation. Chi-square test was used to analyze the relationship between ETRE polymorphism, katG463 mutation and&#xA0;INH-resistance. ROC curve analysis and Z-test were used to evaluate the predictive ability of ETRE and katG463.&#xA0;The relationship between ETRE polymorphism and katG463 mutation was analyzed with Spearman correlation analysis.

Results: The mutation rate of katG463 was 27.50%, and the h value of ETRE polymorphism was 0.67. KatG463 mutation was associated with INH resistance (OR=3.72). The INH drug resistance rate in VNTR&#x2267;5 group was 3.43&#xA0;times higher than that in VNTR&#x2266;3 group (&#x3C7;&#xA0;2=24.77&#xFF0C;P&lt;0.01), and there was no significant difference of INH resistance between the VNTR=4 group and VNTR&#x2266;3 group. The areas under the ROC curve of two loci prediction&#xA0;diagnostic tools were 0.64 and 0.70 respectively. The katG463 mutation was significantly related to the ETRE polymorphism&#xFF08;r=0.79, P&lt;0.01).

Conclusion: Both katG463 mutation and the ETRE polymorphism can predict the INH-resistance of tuberculosis. The katG463 mutation was associated with ETRE VNTR polymorphism.</abstract>
    <web_url>https://ijph.tums.ac.ir/index.php/ijph/article/view/3680</web_url>
    <pdf_url>https://ijph.tums.ac.ir/index.php/ijph/article/download/3680/3354</pdf_url>
  </Article>
</Articles>
