目的利用流式细胞技术检测耐多药结核分枝杆菌(Multidrug resistant mycobacterium tuberculosis,MDRTB)临床分离株和结核分枝杆菌一、二线药物敏感株分别感染U937细胞后的凋亡率及其时相性变化。方法用两组细菌分别感染U937细胞,在感染后2、4、8及12 h用流式细胞技术检测各组感染U937细胞的凋亡率,并分析其时相性变化。结果结核分枝杆菌MDR株和敏感株均能诱导U937细胞凋亡,两组细胞凋亡率比较差异有统计学意义(P0.01),MDR株诱导U937细胞凋亡率显著低于敏感株诱导的凋亡率,且在诱导后2、4、8及12 h各时间点的凋亡率都显著低于敏感株组,诱导早期凋亡率升高显著,特别是诱导后2 h凋亡率升高最显著,4 h以后凋亡率升高逐渐变慢。结论结核分枝杆菌临床分离株感染U937细胞后能快速诱导其凋亡,凋亡率与诱导菌株的耐药表型相关,敏感株诱导的凋亡率显著高于MDR株,诱导早期凋亡率升高最显著,4 h以后凋亡率升高减慢。
Objective To compare the apoptosis rate of macrophages U 937 infected with clinical isolates of MDR-TB and susceptible Mycobacterium tuberculosis by using a flow cytometry .Methods Macrophages U937 were respectively infected with MDR-TB and susceptible clinical isolates , then the apoptosis rate of macrophages U 937 were detected by the flow cy-tometry after infection in 2, 4, 8 and 12 hs and the phase changes of apoptosis rate of infected macrophages U 937 were ana-lyzed.Results U937 apoptosis can be induced both by the MDR-TB and the susceptible isolates , but the differences are significant in the apoptosis rates in between two types of isolates (P<0.01).The apoptosis rates of U937 infected with MDR-TB are significantly lower than that with susceptible isolates , and all of the apoptosis rates of U 937 after infection in 2, 4, 8 and 12 hs with MDR-TB are significantly lower than that with susceptible isolates .The apoptosis rates of U937 in-crease markedly in early stage of infectio