Research Article

Mutations Found in embCAB, embR, and ubiA Genes of Ethambutol-Sensitive and -Resistant Mycobacterium tuberculosis Clinical Isolates from China

Table 2

Characteristics of the mutants in embB, embA, embC, embR, and ubiA within the EMB-resistant isolates.

TypesLocus, nucleotide change, and amino acid change Number ()High resistance () Resistant spectrum
(mean ± SD = 3.49 ± 1.59)
MDR/XDR
embBembAembCembRubiA

1WTWTWTWTWT1401.86 none, 8 MDR
2M306V (ATG-GTG)WTWTWTWT2251.59 none, 13 MDR
3M306L (ATG-CTG)WTWTWTWT831.92 none, 6 MDR
4M306L (ATG-TTG)WTWTWTWT212.21 none, 1 MDR
5M306I (ATG-ATA)WTWTWTWT823.83 none
4 MDR, 1 XDR
6M306I (ATG-ATT)WTWTWTWT1041 MDR
7M306I (ATG-ATT)WTWTWTE149D (GAA-GAC)1181 XDR
8M306I (ATG-ATA)
G406S (GGC-AGC)
WTWTWTWT115MDR
9M306I (ATG-ATA)
G406D (GGC-GAC)
WTWTWTWT114MDR
10M306I (ATG-ATA)
G406D (GGC-GAC)
WTWT462 (c-del)V49L (GTC-CTC)
P254P (CCG-CCT)
114MDR
11M306I (ATG-ATC)
R354S (AGA-AGC)
V122G (GTG-GGG)
V125G (GTG-GGG)
WTWTWT114MDR
12M306V (ATG-GTG)V343L (GTG-TTG)WTWTWT106MDR
13M306V (ATG-GTG)WTE305D (GAG-GAC)WTWT117XDR
14M306V (ATG-GTG)WTWTG84G (GGT-GGG)
S104N (AGC-AAC)
A38T (GCC-ACC)115MDR
15M306V (ATG-GTG)WTWTWTL198L (CTG-CTC)118XDR
16M306V (ATG-GTG)WTWTWTI206I (ATC-ATT)103None
17M306V (ATG-GTG)L105V (CTG-GTG)WTWTWT107XDR
18M306V (ATG-GTG)R380P (CGT-CCT)WTWTWT103MDR
19M306V (ATG-GTG)
D328H (GAT-CAT)
WTWTWTWT103MDR
20M306V (ATG-GTG)
D328G (GAT-GGT)
WTWTWTWT116MDR
21M306V (ATG-GTG)
G406P (GGC-CCG) 
A439A (GCA-GCG)
WTWTWTE149D (GAA-GAC)117XDR
22M306V (ATG-GTG)
G406P (GGC-CCG) 
A439A (GCA-GCG)
WTWTWTI206I (ATC-ATT)116MDR
23M306V (ATG-GTG)
G406A (GGC-GCC)
WTWTWTWT113MDR
24M306V (ATG-GTG)
Q497R (CAG-CGG)
WTE305E (GAG-GAA)WTWT114MDR
25M306V (ATG-GTG)
D531D (GAC-GAT)
WTWTWTWT415.52 none, 2 MDR
26D328H (GAT-CAT)WTWTWTWT104MDR
27R354S (AGA-AGC)WTWTWTWT3021 none, 2 MDR
28R354S (AGA-AGC) 
D531D (GAC-GAT)
WTWTWTWT103None
29G406P (GGC-CCG)WTWTWTWT117XDR
30G406P (GGC-CCG) 
A439A (GCA-GCG)
WTWTWTWT205.5MDR
31G406D (GGC-GAC)WTWTWTWT4253 MDR, 1 XDR
32G406A (GGC-GCC)WTWTWTWT625.55 MDR, 1 XDR
33G406A (GGC-GCC)WTE305E (GAG-GAA)WTWT105MDR
34G406C (GGC-TGC)WTWTWTWT114MDR
35A439A (GCA-GCG)WTWTWTWT203.52 none
36Q497R (CAG-CGG)WTWTWTWT535.42 none, 2 MDR, 1 XDR
37Q497K (CAG-AAG)WTWTWTWT116MDR
38Q497R (CAG-CGG)
T496N (ACC-AAC)
WTWTWTI179T (ATC-ACC)117XDR
39Q497R (CAG-CGG)WTWTP49A (CCC-GCC)WT116None
40WTWTWTP49A (CCC-GCC)
P243S (CCC-TCC)
WT104MDR
41WTWTWTWTS244T (AGC-ACC)105MDR

WT: wild type; MDR: multidrug resistance; XDR: extensively drug resistance.