Almaraz-Velasco Raquel, Munro-Rojas Daniela, Fuentes-Domínguez Javier, Muñiz-Salazar Raquel, Ibarra-Estela Maria Angélica, Guevara-Méndez Alma Delia, Chaparro-Martinez Rosa Icela, Perez-Navarro Monserrat, Zenteno-Cuevas Roberto
Ecology and Health Laboratory, Public Health Institute, University of Veracruz, Xalapa, México.
Ecology and Health Laboratory, Public Health Institute, University of Veracruz, Xalapa; Health Sciences Institute, University of Veracruz, Jalapa, México.
Int J Mycobacteriol. 2017 Jan-Mar;6(1):14-20. doi: 10.4103/2212-5531.201886.
OBJECTIVE/BACKGROUND: Tuberculosis (TB) remains one of the most important infectious diseases. Although Mexico is one of the Latin American countries with the largest contribution to these statistics, there are few reports that describe the genotypic characteristics of TB. The aim of this study was to use the MIRU-VNTR-24 loci to analyze the genetic diversity of M. tuberculosis circulating in the state of Veracruz, Mexico.
Here, we analyze by MIRU-VNTR-24 loci 80 clinical isolates from individuals with confirmed TB from Veracruz México, also clinical and epidemiological variables were recovered and analyzed.
Of the individuals included in the analyses 65% were from men with an average age of 42 (± 17) years, 17% and 6% were drug and multi-drug resistant. 88% of the isolates were included in 20 clusters, of which 52% were classified into twelve orphan clusters and the remaining 37% were distributed among eight lineages: LAM (10%), EAI (9%), Haarlem (8%), H37Rv (4%), S (4%) and TUR (2%).
An important diversity of lineages and unknown genotypes was identified; however, more studies are necessary in order to understand the characteristics of the genotypes displayed in the region. There is no doubt regarding the need for a molecular epidemiological surveillance system that can help to evaluate the dynamics of genotypes circulating in the country and support strategies for the prevention and management of populations affected by TB.
目的/背景:结核病仍然是最重要的传染病之一。尽管墨西哥是对这些统计数据贡献最大的拉丁美洲国家之一,但很少有报告描述结核病的基因型特征。本研究的目的是使用MIRU-VNTR-24位点分析墨西哥韦拉克鲁斯州流行的结核分枝杆菌的遗传多样性。
在此,我们通过MIRU-VNTR-24位点分析了来自墨西哥韦拉克鲁斯确诊结核病患者的80株临床分离株,并收集和分析了临床及流行病学变量。
纳入分析的个体中,65%为男性,平均年龄42(±17)岁,17%和6%分别为耐单药和耐多药。88%的分离株属于20个簇,其中52%被归类为12个孤立簇,其余37%分布在8个谱系中:LAM(10%)、EAI(9%)、哈勒姆(8%)、H37Rv(4%)、S(4%)和TUR(2%)。
确定了谱系和未知基因型的重要多样性;然而,为了解该地区显示的基因型特征,还需要更多研究。毫无疑问,需要一个分子流行病学监测系统,以帮助评估该国流行的基因型动态,并支持受结核病影响人群的预防和管理策略。