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Original Research

Phenotype and Molecular Detection of Clarithromycin and Levofloxacin Resistance in Helicobacter pylori Clinical Isolates in Beijing

ORCID Icon, , , , , & show all
Pages 2145-2153 | Published online: 06 Jul 2020

Figures & data

Table 1 Primer Sequences for the Amplification of the Drug Resistance Gene of H. pylori

Figure 1 Flowchart of this study.

Figure 1 Flowchart of this study.

Table 2 Spearman Correlation Between Phenotype and Genotype of 65 H. pylori Strains

Table 3 Gene Mutations Related to CLA and LEV Resistance of the 112 H. pylori Positive Samples

Figure 2 Comparison of 23S rRNA allele and gyrA allele sequences of H. pylori. (A) 23S rRNA allele sequences of H. pylori. Sequence alignment showed that 23S rRNA allele was in the V region. Part of the RNA sequence of 23S rRNA V region shows the allele sequence found in different H. pylori clinical isolates. Compared with ATCC 26695, the mutant was 2143 adenine-guanine mutation. The point mutation has been marked black. (B) gyrA allele sequences of H. pylori. Sequence alignment showed that the amino acid sequence of gyrA was in QRDRs. Compared with ATCC 26695, mutant N87K was 87 asparagine-lysine mutations, mutant D91G was 91 aspartic acid-glycine mutations, and mutant D91Y was 91 aspartic acid-tyrosine mutations. The point mutation has been marked black.

Figure 2 Comparison of 23S rRNA allele and gyrA allele sequences of H. pylori. (A) 23S rRNA allele sequences of H. pylori. Sequence alignment showed that 23S rRNA allele was in the V region. Part of the RNA sequence of 23S rRNA V region shows the allele sequence found in different H. pylori clinical isolates. Compared with ATCC 26695, the mutant was 2143 adenine-guanine mutation. The point mutation has been marked black. (B) gyrA allele sequences of H. pylori. Sequence alignment showed that the amino acid sequence of gyrA was in QRDRs. Compared with ATCC 26695, mutant N87K was 87 asparagine-lysine mutations, mutant D91G was 91 aspartic acid-glycine mutations, and mutant D91Y was 91 aspartic acid-tyrosine mutations. The point mutation has been marked black.

Table 4 18 H. pylori Strains with MIC Resistance to Both CLA and LEV and the Corresponding Mutations

Table 5 Seven Strains with Discordant Phenotype to Genotype Resistance to CLA and LEV