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Updated: May 28, 2026

Demonstrating a Multi-drug Resistant Mycobacterium tuberculosis Amplification Microarray
Published on: April 25, 2014
[Expression of P-glycoprotein and multidrug resistance-associated protein in peripheral blood mononuclear cells from
Objective:
To evaluate the expression of P-glycoprotein (P-pg) and multidrug resistance-associated protein (MRP) mRNA levels in peripheral blood mononuclear cells from multidrug resistant tuberculosis (MDR-TB) patients.
Methods:
The subjects of this study included 3 groups: a non-TB control group, a TB control group and a MDR-TB group. The 31 subjects in the non-TB control group were staff from Wuhan Tuberculosis Prevention and Treatment Institute. The 55 cases in the TB control group were in-patients during September 2004 to December 2007 who were diagnosed as having pulmonary tuberculosis. The 89 cases in the MDR-TB group were in-patients during the same period, but who were diagnosed as having MDR-TB. Peripheral mononuclear cells were isolated and mRNA levels of P-pg and MRP were measured by real-time PCR. Comparisons of the data between different groups were performed using one-way ANOVA, and SNK q was used for comparison between 2 groups.
Results:
There was no significant difference in the relative P-pg mRNA levels among the MDR-TB group (1.34 ± 0.32), the non-TB control group (1.05 ± 0.16) and the TB control group (1.12 ± 0.23), F = 0.536, P > 0.05. The relative MRP mRNA level (3.45 ± 0.43) was the highest in the MDR-TB group (3.45 ± 0.43), as compared to the TB control group (1.23 ± 0.34) and the non-TB control group (1.04 ± 0.12), F = 24.241, P < 0.05.
Conclusion:
Higher expression of MRP in peripheral mononuclear cells might be related to multidrug resistance in MDR-TB patients.
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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