TY - JOUR KW - Animals KW - Antigens, Bacterial KW - Bacterial Proteins KW - Biopsy KW - Densitometry KW - DNA, Bacterial KW - Drug Therapy, Combination KW - Electrophoresis, Agar Gel KW - Glycolipids KW - Humans KW - Immunoglobulin M KW - Leprostatic Agents KW - leprosy KW - Longitudinal studies KW - Mice KW - Mice, Nude KW - Mycobacterium leprae KW - polymerase chain reaction KW - Reproducibility of Results KW - Reverse Transcriptase Polymerase Chain Reaction KW - RNA, Messenger AU - Chae G AU - Kim M AU - Kang T AU - Lee S AU - Shin H AU - Kim J AU - Ko Y AU - Kim S AU - Kim N AB -

DNA-PCR and reverse transcription (RT)-PCR for the 18-kDa protein of Mycobacterium leprae were used to examine the efficacy of multi-drug therapy (MDT) in leprosy. MDT was administered for 0-24 months. Fourteen (63.6%) of 22 patients showed positive PCR results after treatment for 12 months and the positive results decreased to 30% after 24 months of MDT. These results did not correlate with the bacterial index (BI) or the IgM antibody titre for the phenolic glycolipid (PGL)-1. One-dimensional densitometric analysis of agarose gels from PCR from the longitudinal study showed a gradual reduction of the 360-bp band after 12-24 months of MDT. RT-PCR for mRNA of the 18-kDa protein successfully tracked bacterial RNA changes in the biopsies and confirmed a decrease in the RNA of M. leprae in patients after MDT for 12 months. Thus, DNA- and RT-PCR for the 18-kDa protein of M. leprae are effective in assessing the efficacy of MDT for leprosy.

BT - Journal of medical microbiology C1 - http://www.ncbi.nlm.nih.gov/pubmed/11990494?dopt=Abstract DA - 2002 May DO - 10.1099/0022-1317-51-5-417 IS - 5 J2 - J. Med. Microbiol. LA - eng N2 -

DNA-PCR and reverse transcription (RT)-PCR for the 18-kDa protein of Mycobacterium leprae were used to examine the efficacy of multi-drug therapy (MDT) in leprosy. MDT was administered for 0-24 months. Fourteen (63.6%) of 22 patients showed positive PCR results after treatment for 12 months and the positive results decreased to 30% after 24 months of MDT. These results did not correlate with the bacterial index (BI) or the IgM antibody titre for the phenolic glycolipid (PGL)-1. One-dimensional densitometric analysis of agarose gels from PCR from the longitudinal study showed a gradual reduction of the 360-bp band after 12-24 months of MDT. RT-PCR for mRNA of the 18-kDa protein successfully tracked bacterial RNA changes in the biopsies and confirmed a decrease in the RNA of M. leprae in patients after MDT for 12 months. Thus, DNA- and RT-PCR for the 18-kDa protein of M. leprae are effective in assessing the efficacy of MDT for leprosy.

PY - 2002 SP - 417 EP - 22 T2 - Journal of medical microbiology TI - DNA-PCR and RT-PCR for the 18-kDa gene of Mycobacterium leprae to assess the efficacy of multi-drug therapy for leprosy. VL - 51 SN - 0022-2615 ER -