A Single-Step Sequencing Method for the Identification of Mycobacterium tuberculosis Complex Species 英文参考文献.docVIP
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A Single-Step Sequencing Method for the Identification of Mycobacterium tuberculosis Complex Species 英文参考文献
ASingle-StepSequencingMethodfortheIdentification
ofMycobacteriumtuberculosisComplexSpecies
ZoheiraDjelouadji1,DidierRaoult1,MamadouDaffe′2,MichelDrancourt1*
1Unite′ desRickettsiesCNRSUMR6020,IFR48,Faculte′ deMe′decine,Universite′ delaMe′diterrane′e,Marseille,France,2De′partementdeMe′canismesMole′culairesdes
InfectionsMycobacte′riennes,InstitutdePharmacologieetBiologiestructurale,Toulouse,France
Abstract
Background: The Mycobacterium tuberculosis complex (MTC) comprises closely related species responsible for strictly
human and zoonotic tuberculosis. Accurate species determination is useful for the identification of outbreaks and
epidemiologicallinks.MycobacteriumafricanumandMycobacteriumcanettiiaretypicallyrestrictedtoAfricaandM.bovisisa
re-emergingpathogen.Identificationofthesespeciesisdifficultandexpensive.
Methodology/PrincipalFindings:TheExactTandemRepeatD(ETR-D;aliasMycobacterialInterspersedRepetitiveUnit4)
wassequencedinMTCspeciestypestrainsand110clinicalisolates,inparalleltoreferencepolyphasicidentificationbased
on phenotype profiling and sequencing of pncA, oxyR, hsp65, gyrB genes and the major polymorphism tandem repeat.
Inclusion ofM.tuberculosis isolatesintheexpanding,antibiotic-resistantBeijingclone wasdeterminedbyRv0927c gene
sequencing.TheETR-D(780-bp)sequenceunambiguouslyidentifiedMTCspeciestypestrainexceptM.pinnipediiandM.
microti thanks to six single nucleotide polymorphisms, variable numbers (1–7 copies) of the tandem repeat and two
deletions/insertions. The ETR-D sequencing agreed with phenotypic identification in 107/110 clinical isolates and with
referencepolyphasicmolecularidentificationinallisolates,comprising98M.tuberculosis,5M.bovisBCGtype,5M.canettii,
and2M.africanum.ForM.tuberculosisisolates,theETR-DsequencewasnotsignificantlyassociatedwiththeBeijingclone.
Conclusions/Significance:ETR-Dsequencingallowedaccurate,single-stepidentificationoftheMTCatthespecieslevel.It
circumvented the current expensive, time-consuming polyphasic appro
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