Molecular typing of Mycobacterium tuberculosis by mycobacterial interspersed repetitive unit-variable-number tandem repeat analysis, a more accurate method for identifying epidemiological links between patients with tuberculosis

被引:74
作者
van Deutekom, H
Supply, P
de Haas, PEW
Willery, E
Hoijng, SP
Locht, C
Coutinho, RA
van Soolingen, D
机构
[1] Municipal Hlth Serv, Dept TB Control, Amsterdam, Netherlands
[2] Inst Pasteur, INSERM, Lab Mecan Mol Pathogenese Bacterienne, U629, F-59019 Lille, France
[3] Natl Inst Publ Hlth & Environm, Diagnost Lab Infect Dis & Perinatal Screening, NL-3720 BA Bilthoven, Netherlands
[4] Univ Amsterdam, Acad Med Ctr, Dept Human Retrovirol, NL-1105 AZ Amsterdam, Netherlands
关键词
D O I
10.1128/JCM.43.9.4473-4479.2005
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
IS6110 fingerprinting of Mycobacterium tuberculosis is the standard identification method in studies on transmission of tuberculosis. However, intensive epidemiological investigation may fail to confirm transmission links between patients clustered by IS6110-restriction fragment length polymorphism (RFLP) typing. We applied typing based on variable numbers of tandem repeats (VNTRs) of mycobacterial interspersed repetitive units (MIRUs) to isolates from 125 patients in 42 IS6110 clusters, for which thorough epidemiological data were available, to investigate the potential of this method in distinguishing epidemiologically linked from nonlinked patients. Of seven IS6110 clusters without epidemiological links, five were split by MIRU-VNTR typing, while nearly all IS6110 clusters with proven or likely links displayed conserved MIRU-VNTR types. These results provide molecular evidence that not all clusters determined on the basis of multibanded IS6110 RFLP patterns necessarily reflect transmission of tuberculosis. They support the use of MIRU-VNTR typing as a more reliable and faster method for transmission analysis.
引用
收藏
页码:4473 / 4479
页数:7
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