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[重庆儿童结核病患者中210株结核分枝杆菌的Spoligotyping和MIRU-VNTR基因分型]

[Genotyping of 210 Mycobacterium tuberculosis strains with Spoligotyping and MIRU-VNTR among pediatric tuberculosis patients in Chongqing].

作者信息

Liu Rui-xi, Li Qi-zhi, Xing Lin-lin, Peng Zhe, Zhu Chao-min

机构信息

Chongqing Medical University, Chongqing, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2011 Jun;32(6):593-7.

PMID:21781479
Abstract

OBJECTIVE

To evaluate the application of spacer oligonucleotide typing (Spoligotyping) and mycobacterial interspersed repetitive unit-variable-number tandem repeat (MIRU-VNTR) analysis in the molecular-epidemiological study of tuberculosis and to discuss the characteristics of pediatric Mycobacterium (M.) tuberculosis strains in Chongqing.

METHODS

M. tuberculosis strains isolated and typed by Spoligotyping and MIRU-VNTR respectively, from the children patients in Chongqing and to compare the results from both methods, epidemiologically.

RESULTS

By means of Spoligotyping, 210 clinical isolates were divided into 2 gene groups, displaying 44 genotypes. Among them, the biggest group was M. tuberculosis Beijing family, including 130 strains (61.90%), using the Spoligotyping. From the results of MIRU-VNTR, 24 loci showed different polymorphism and the HGI of different loci set (12 old loci, 15 basic loci and 24-loci set) increased accordingly. The subtle difference in HGI was originated from one locus ETR-B, which was included in the 24-locus system. The diversity of each loci and MIRU-VNTR set for non-Beijing genotype strains was higher than that of the Beijing genotype strains.

CONCLUSION

In this study, it was preliminarily confirmed the existence of high polymorphism of M. tuberculosis while the Beijing Family was the main genotype and main prevalent strain in children of Chongqing area. Spoligotyping prior to 15-locus with ETR-B combination seemed more suitable for the massive epidemiological investigation of pediatric tuberculosis patients.

摘要

目的

评估间隔寡核苷酸分型(Spoligotyping)和分枝杆菌插入重复单位可变数目串联重复序列(MIRU-VNTR)分析在结核病分子流行病学研究中的应用,并探讨重庆地区儿童结核分枝杆菌菌株的特征。

方法

分别采用Spoligotyping和MIRU-VNTR对重庆地区儿童患者的结核分枝杆菌菌株进行分离和分型,并对两种方法的结果进行流行病学比较。

结果

通过Spoligotyping分析,210株临床分离株分为2个基因组,显示出44种基因型。其中,最大的一组是结核分枝杆菌北京家族,共130株(61.90%)。从MIRU-VNTR结果来看,24个位点呈现出不同的多态性,不同位点组合(12个旧位点、15个基本位点和24位点组合)的Hunter-Gaston多样性指数(HGI)相应增加。HGI的细微差异源于24位点系统中包含的一个位点ETR-B。非北京基因型菌株的每个位点及MIRU-VNTR组合的多样性均高于北京基因型菌株。

结论

本研究初步证实重庆地区儿童结核分枝杆菌存在高度多态性,北京家族是主要基因型和主要流行菌株。15位点与ETR-B组合的Spoligotyping似乎更适合于儿童结核病患者的大规模流行病学调查。

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