Sanger sequencing was performed whenever results between MTBDR
plus and phenotypic DST remained discordant upon repeating both tests. Isolates showing conflicting results for INH had the
mabA-
inhA regulatory region (positions -168 to 80, relative to codon) amplified and sequenced with primers mabA-inhAF and mabA-inhAR,
16) as well as the entire
inhA and
katG genes by using the primer pairs inhA3 and inhA4, inhA3F and inhA5R, and the forward and reverse primers katG-P4, -P5, -P6, -P7 and -P8.
17 For isolates with RIF-discordant results, primers RPOB-1 and RPOB-2
18) were used to amplify and sequence a 350-bp fragment of
rpoB encompassing the RIF resistance-determining region.
Single PCR included 12.5 µL of
PrimeSTAR Max DNA Polymerase (Takara Bio, Shiga, Japan), 5 pmol of primers for
mabA-
inhA and
katG, 10 pmol of primers for
inhA and
rpoB, 2 µL of DNA template and PCR-grade water for a final volume of 25 µL. Amplification comprised 30 cycles of 98 °C for 10 seconds, 55 °C for 5 seconds, and 72 °C for 20 seconds. Amplimers purified with
ExoSAP-it (Affymetrix, SCL, CA, USA) were sequenced with an
ABI 3130xL Genetic Analyzer and the
BigDye Terminator version 3.1 Kit (Applied Biosystems, FSTC, CA, USA). Sequences were aligned and analysed using the BioEdit v7.2.5 software
19 and the web-based MUBII-TB-DB
20 and BLAST
21 tools.
Brandao A.P., Pinhata J.M., Oliveira R.S., Galesi V.M., Caiaffa-Filho H.H, & Ferrazoli L. (2019). Speeding up the diagnosis of multidrug-resistant tuberculosis in a high-burden region with the use of a commercial line probe assay. Jornal Brasileiro de Pneumologia, 45(2), e20180128.