Genotypic diversity of Mycobacterium tuberculosis strains collected from immigrant patients in Mashhad, Iran using MIRU-VNTR method.

IF 1.7 Q4 MICROBIOLOGY
Mahbubeh Jangi, Kiarash Ghazvini, Saman Soleimanpour, Mahdis Ghavidel, Gholamreza Hashemitabar
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Abstract

Background and objectives: This research aimed to explore the genetic diversity and phylogenetic relationships of Mycobacterium tuberculosis (Mtb) strains, as well as to assess their drug susceptibility, specifically in strains isolated from immigrant patients attending the Referral Tuberculosis Laboratory in Mashhad.

Materials and methods: A total of 52 sputum samples isolated from patients were examined utilizing the Mycobacterial Interspersed Repetitive-Unit Variable Number of Tandem Repeats (MIRU-VNTR). Drug-susceptibility testing against rifampin (RIF) and isoniazid (INH) was measured utilizing the proportional strategy. Thereafter, for more examination, Xpert MTB/RIF and multiplex allele-specific PCR (MAS-PCR) was performed to determine RIF and INH-resistance within the Mtb strains.

Results: Among 52 Mtb isolates, 2 (3.8%) were resistant to rifampin and one isolate was resistant to both INH and RIF and considered as multidrug-resistance (MDR) isolate. According to MIRU-VNTR, the most prominent genetic-variation patterns of these samples, were related to NEW-1 (n=18, 34.6%), followed by CAS/Delhi (n=17, 32.7%), Haarlem (n=12, 23%), Uganda I (n=2, 3.8%), S (n=1, 1.9%), Beijing (n=1, 1.9%), and unknown (n=1, 1.9%) genotypes. The statistical analysis showed that the estimated percentage of the recent TB-transmission in this study was 0.21%.

Conclusion: The result of this study indicated a great diversity of MTBC circulating among Afghan-immigrants which might be one of the reasons for the infection to become active. The relatively high percentage of resistant isolates in the studied population shows the importance of screening the immigrants especially at the entry borders and treatment and follow up of patients, to control TB-incidence in country.

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应用MIRU-VNTR方法检测伊朗马什哈德移民患者结核分枝杆菌的基因型多样性
背景和目的:本研究旨在探索结核分枝杆菌(Mtb)菌株的遗传多样性和系统发育关系,并评估其药物敏感性,特别是从马什哈德转诊结核病实验室的移民患者中分离的菌株。材料和方法:采用分枝杆菌穿插重复-串联重复单位可变数(MIRU-VNTR)对患者分离的52份痰样本进行检测。采用比例法对利福平(RIF)和异烟肼(INH)进行药敏试验。随后,采用Xpert MTB/RIF和多重等位基因特异性PCR (MAS-PCR)检测MTB菌株对RIF和inh的耐药性。结果:52株Mtb分离株中,2株(3.8%)对利福平耐药,1株对INH和RIF均耐药,为多重耐药(MDR)分离株。MIRU-VNTR结果显示,这些样本中最显著的遗传变异模式为new1基因型(n=18, 34.6%),其次是CAS/Delhi基因型(n=17, 32.7%)、Haarlem基因型(n=12, 23%)、乌干达I基因型(n=2, 3.8%)、S基因型(n=1, 1.9%)、北京基因型(n=1, 1.9%)和未知基因型(n=1, 1.9%)。统计分析表明,本研究中最近结核传播的估计百分比为0.21%。结论:本研究结果表明阿富汗移民中MTBC的传播具有很大的多样性,这可能是感染变得活跃的原因之一。研究人群中耐药菌株的比例相对较高,这表明在入境边境对移民进行筛查以及对患者进行治疗和随访对控制国家结核病发病率具有重要意义。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
96
审稿时长
12 weeks
期刊介绍: The Iranian Journal of Microbiology (IJM) is an international, multi-disciplinary, peer-reviewed journal that provides rapid publication of the most advanced scientific research in the areas of basic and applied research on bacteria and other micro-organisms, including bacteria, viruses, yeasts, fungi, microalgae, and protozoa concerning the development of tools for diagnosis and disease control, epidemiology, antimicrobial agents, clinical microbiology, immunology, Genetics, Genomics and Molecular Biology. Contributions may be in the form of original research papers, review articles, short communications, case reports, technical reports, and letters to the Editor. Research findings must be novel and the original data must be available for review by the Editors, if necessary. Studies that are preliminary, of weak originality or merely descriptive as well as negative results are not appropriate for the journal. Papers considered for publication must be unpublished work (except in an abstract form) that is not under consideration for publication anywhere else, and all co-authors should have agreed to the submission. Manuscripts should be written in English.
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