[Expression of P-glycoprotein and multidrug resistance-associated protein in peripheral blood mononuclear cells from

Zhan Lian1, Ping Wu, Jing Zhou

  • 1Institute of Tuberculosis, Wuhan Tuberculosis Prevention and Cure Institute, Wuhan, China.

Abstract

Insights

Multidrug-resistant tuberculosis (MDR-TB) patients show significantly higher multidrug resistance-associated protein (MRP) mRNA levels in peripheral blood mononuclear cells. P-glycoprotein (P-pg) mRNA levels did not differ significantly between groups.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Immunology

Background:

  • Multidrug-resistant tuberculosis (MDR-TB) poses a significant global health challenge.
  • Understanding the molecular mechanisms of drug resistance in TB is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate the expression of P-glycoprotein (P-pg) and multidrug resistance-associated protein (MRP) mRNA in peripheral blood mononuclear cells (PBMCs) of MDR-TB patients.
  • To compare these expression levels with those in non-TB controls and drug-susceptible TB patients.

Main Methods:

  • Peripheral blood mononuclear cells were isolated from three groups: non-TB controls (n=31), TB controls (n=55), and MDR-TB patients (n=89).
  • Real-time PCR was used to measure the mRNA levels of P-pg and MRP.
  • One-way ANOVA and SNK q tests were employed for statistical analysis.

Main Results:

  • No significant difference was observed in P-pg mRNA levels among the three groups (MDR-TB: 1.34 ± 0.32, TB: 1.12 ± 0.23, non-TB: 1.05 ± 0.16; P > 0.05).
  • MRP mRNA levels were significantly higher in the MDR-TB group (3.45 ± 0.43) compared to the TB control group (1.23 ± 0.34) and the non-TB control group (1.04 ± 0.12) (P < 0.05).

Conclusions:

  • Elevated expression of MRP in PBMCs may be associated with multidrug resistance in TB patients.
  • MRP could be a potential biomarker for MDR-TB.

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