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Méndez MV, Abadía E, Sequera M, de Waard JH, Takiff HE. Most LAM Mycobacterium tuberculosis strains in Venezuela, but not SIT605, belong to the RD Rio subfamily. Infect Genet Evol 2020; 84:104380. [PMID: 32470631 DOI: 10.1016/j.meegid.2020.104380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 05/21/2020] [Accepted: 05/24/2020] [Indexed: 11/27/2022]
Abstract
Tuberculosis is a global public health problem that is resurgent in Venezuela, with 13 thousand estimated new cases in 2018. Strains of the Mycobacterium tuberculosis RDRio, subfamily belong to the Latín American Mediterranean (LAM) family and are a major cause of TB in Rio de Janeiro, Brazil. LAM strains predominate in Venezuela, where spoligotype SIT605 is common, but surprisingly not found elsewhere. We sought to assess the presence of RDRio strains in tuberculosis patients in different regions of Venezuela and determine whether SIT605 also belongs to the RDRio subfamily. Using spoligotyping and MIRU-VNTR 24 loci, we identified 86 clinical LAM and SIT605 isolates from the Venezuelan capital Caracas and several Venezuelan states. Region of difference deletion loci RD174 and RDRio, and also IS1561 were used to identify strains of the RDRio subfamily, while IS6110 at position 932,204 and the Ag85C103 polymorphism were used to validate SIT 605 as a LAM family strain. We found that 69.8% of the isolates were RDRío, including 94.3% of strains isolated in Caracas, 17.9% isolated in the state of Carabobo, the two strains analyzed from Delta Amacuro, and one each from Sucre, Apure and Aragua states. RDRio was in 100% of: SIT17 (LAM 2); SIT20 (LAM 1); SITs 93, 1694, 1696, 960, 1367 (LAM 5); and SITs 216 (LAM 9); but only 75% of SIT42 (LAM 9) strains. Thus, most of the LAM strains in Venezuela belong to the RDRío subfamily. SIT 605 strains, although LAM, are not in the RDRío subfamily.
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Affiliation(s)
- María Victoria Méndez
- Universidad de Carabobo-Escuela de Bioanálisis-Sede Aragua, Venezuela; Laboratorio de Genética Molecular, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas 1020A, Venezuela.
| | - Edgar Abadía
- Laboratorio de Genética Molecular, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas 1020A, Venezuela
| | - Mónica Sequera
- Universidad de Carabobo-Escuela de Ciencias Biomédicas-Sede Carabobo, Venezuela
| | - Jacobus H de Waard
- Instituto de Biomedicina-Universidad Central de Venezuela (UCV), Venezuela; One Health Research Group, Facultad de Ciencias de la Salud, Universidad de Las Américas, Sede Queri, Quito, Ecuador
| | - Howard Eugene Takiff
- Laboratorio de Genética Molecular, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas 1020A, Venezuela; Pathogenomique Mycobacterienne Integree, Institut Pasteur, Paris, France; Department of Tuberculosis Prevention and Control, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, China
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Patiño MA, Abadía E, Maes M, Muñoz M, Gómez D, Guzmán P, Méndez MV, Ramirez C, Mercedes E, de Waard J, Takiff H. Mycobacterium tuberculosis population structure and molecular epidemiological analysis in Sucre municipality, Miranda state, Venezuela. Invest Clin 2014; 55:332-351. [PMID: 25558753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Sucre municipality is a large, densely populated marginal area in the eastern part of Caracas, Venezuela that consistently has more cases of tuberculosis than other municipalities in the country. To identify the neighborhoods in the municipality with the highest prevalence of tuberculosis, and determine whether the Mycobacterium tuberculosis strain distribution in this municipality is different from that previously found in the western part of Caracas and the rest of Venezuela, we collected data on all tuberculosis cases in the municipality diagnosed in 2005-6. We performed two separate molecular epidemiological studies, spoligotyping 44 strains in a first study, and spoligotyping 131 strains, followed by MIRU-VNTR 15 on 21 clustered isolates in the second. With spoligotyping, the most common patterns were Shared International Type SIT17 (21%); SIT42 (15%); SIT93 (11%); SIT20 (7%); SIT53 (6%), a distribution similar to other parts of Venezuela, except that SIT42 and SIT20 were more common. MIRU-VNTR 15 showed that six of seven SIT17 strains examined belonged to a large cluster previously found circulating in Venezuela, but all of the SIT42 strains were related to a cluster centered in the neighborhoods of Unión and Maca, with a MIRU-VNTR pattern not previously seen in Venezuela. It appears that a large percentage of the tuberculosis in the Sucre municipality is caused by the active transmission of two strain families centered within distinct neighborhoods, one reflecting communication with the rest of the country, and the other suggesting the insular, isolated nature of some sectors.
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Affiliation(s)
- Margareth A Patiño
- Instituto Venezolano de Investigaciones Cientícas España, Altos de Pipe, Venezuela
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Bergval I, Sengstake S, Brankova N, Levterova V, Abadía E, Tadumaze N, Bablishvili N, Akhalaia M, Tuin K, Schuitema A, Panaiotov S, Bachiyska E, Kantardjiev T, de Zwaan R, Schürch A, van Soolingen D, van ‘t Hoog A, Cobelens F, Aspindzelashvili R, Sola C, Klatser P, Anthony R. Combined species identification, genotyping, and drug resistance detection of Mycobacterium tuberculosis cultures by MLPA on a bead-based array. PLoS One 2012; 7:e43240. [PMID: 22916230 PMCID: PMC3423362 DOI: 10.1371/journal.pone.0043240] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2012] [Accepted: 07/18/2012] [Indexed: 11/29/2022] Open
Abstract
The population structure of Mycobacterium tuberculosis is typically clonal therefore genotypic lineages can be unequivocally identified by characteristic markers such as mutations or genomic deletions. In addition, drug resistance is mainly mediated by mutations. These issues make multiplexed detection of selected mutations potentially a very powerful tool to characterise Mycobacterium tuberculosis. We used Multiplex Ligation-dependent Probe Amplification (MLPA) to screen for dispersed mutations, which can be successfully applied to Mycobacterium tuberculosis as was previously shown. Here we selected 47 discriminative and informative markers and designed MLPA probes accordingly to allow analysis with a liquid bead array and robust reader (Luminex MAGPIX technology). To validate the bead-based MLPA, we screened a panel of 88 selected strains, previously characterised by other methods with the developed multiplex assay using automated positive and negative calling. In total 3059 characteristics were screened and 3034 (99.2%) were consistent with previous molecular characterizations, of which 2056 (67.2%) were directly supported by other molecular methods, and 978 (32.0%) were consistent with but not directly supported by previous molecular characterizations. Results directly conflicting or inconsistent with previous methods, were obtained for 25 (0.8%) of the characteristics tested. Here we report the validation of the bead-based MLPA and demonstrate its potential to simultaneously identify a range of drug resistance markers, discriminate the species within the Mycobacterium tuberculosis complex, determine the genetic lineage and detect and identify the clinically most relevant non-tuberculous mycobacterial species. The detection of multiple genetic markers in clinically derived Mycobacterium tuberculosis strains with a multiplex assay could reduce the number of TB-dedicated screening methods needed for full characterization. Additionally, as a proportion of the markers screened are specific to certain Mycobacterium tuberculosis lineages each profile can be checked for internal consistency. Strain characterization can allow selection of appropriate treatment and thereby improve treatment outcome and patient management.
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Affiliation(s)
- Indra Bergval
- KIT Biomedical Research, Royal Tropical Institute, Amsterdam, The Netherlands
| | - Sarah Sengstake
- KIT Biomedical Research, Royal Tropical Institute, Amsterdam, The Netherlands
| | - Nadia Brankova
- National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria
| | | | - Edgar Abadía
- Institute of Genetics and Microbiology UMR 8621 CNRS/UPS11, Orsay, France
- Venezuelan Institute of Scientific Research, Caracas, Venezuela
| | - Nino Tadumaze
- National Tuberculosis Reference Laboratory, National Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia
| | - Nino Bablishvili
- National Tuberculosis Reference Laboratory, National Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia
| | - Maka Akhalaia
- National Tuberculosis Reference Laboratory, National Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia
| | - Kiki Tuin
- MRC-Holland, Amsterdam, The Netherlands
| | - Anja Schuitema
- KIT Biomedical Research, Royal Tropical Institute, Amsterdam, The Netherlands
| | - Stefan Panaiotov
- National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria
| | | | - Todor Kantardjiev
- National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria
| | - Rina de Zwaan
- Tuberculosis Reference Laboratory, Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
| | - Anita Schürch
- Tuberculosis Reference Laboratory, Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
| | - Dick van Soolingen
- Tuberculosis Reference Laboratory, Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
- Departments of Microbiology and of Pulmonary Diseases, Radboud University Nijmegen Medical Centre/University Lung Centre Dekkerswald, Nijmegen, The Netherlands
| | - Anja van ‘t Hoog
- Amsterdam Institute of Global Health and Development, Amsterdam, The Netherlands
| | - Frank Cobelens
- Amsterdam Institute of Global Health and Development, Amsterdam, The Netherlands
| | - Rusudan Aspindzelashvili
- National Tuberculosis Reference Laboratory, National Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia
| | - Christophe Sola
- Institute of Genetics and Microbiology UMR 8621 CNRS/UPS11, Orsay, France
| | - Paul Klatser
- KIT Biomedical Research, Royal Tropical Institute, Amsterdam, The Netherlands
| | - Richard Anthony
- KIT Biomedical Research, Royal Tropical Institute, Amsterdam, The Netherlands
- * E-mail:
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