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GENETIC DIVERSITY OF THE MYCOBACTERIUM TUBERCULOSIS BEIJING FAMILY IN BRAZIL AND MOZAMBIQUE AND RELATION WITH INFECTIVITY AND INDUCTION OF NECROSIS IN THP-1 CELLS
Author
Gomes, Lia Lima
Vasconcellos, Sidra Ezidrio Gonçalves
Gomes, Harrison Magdinier
Elias, Atina Ribeiro
Rocha, Adalgiza da Silva
Ribeiro, Simone C. M.
Panunto, Alessandra Costa
Ferrazoli, Lucilaine
Telles, Maria Alice da Silva
Araujo, Marelo Emanuel Ivens de
Kritski, Afranio Lineu
Mokrousov, Igor
Manicheva, Olga A.
Lasunskaia, Elena
Suffys, Philip Noel
Vasconcellos, Sidra Ezidrio Gonçalves
Gomes, Harrison Magdinier
Elias, Atina Ribeiro
Rocha, Adalgiza da Silva
Ribeiro, Simone C. M.
Panunto, Alessandra Costa
Ferrazoli, Lucilaine
Telles, Maria Alice da Silva
Araujo, Marelo Emanuel Ivens de
Kritski, Afranio Lineu
Mokrousov, Igor
Manicheva, Olga A.
Lasunskaia, Elena
Suffys, Philip Noel
Affilliation
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Universidade Estadual do Norte Fluminense. Laboratório de Biologia do Reconhecimento. Niterói, RJ, Brasil.
Universidade Estadual de Campinas (UNICAMP). Laboratório de Patogênese Bacteriana e Biologia Molecular. Campinas, SP, Brasil.
Instituto Adolfo Lutz. São Paulo, SP, Brasil.
Instituto Adolfo Lutz. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Universidade Federal do Rio de Janeiro (UFRJ). Hospital Universitário Clementino Fraga Filho. Centro de Pesquisas em Doenças Infecciosas e Parasitarias. Laboratorio de Micobacteriologia Molecular. Rio de Janeiro, RJ, Brasil.
St. Petersburg Pasteur Institute. Laboratory of Molecular Microbiology. St. Petersburg, Russia.
Research Institute of Phthisiopulmonology. Laboratory of Microbiology. St. Petersburg, Russia.
Universidade Estadual do Norte Fluminense. Laboratório de Biologia do Reconhecimento. Niterói, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Universidade Estadual do Norte Fluminense. Laboratório de Biologia do Reconhecimento. Niterói, RJ, Brasil.
Universidade Estadual de Campinas (UNICAMP). Laboratório de Patogênese Bacteriana e Biologia Molecular. Campinas, SP, Brasil.
Instituto Adolfo Lutz. São Paulo, SP, Brasil.
Instituto Adolfo Lutz. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Universidade Federal do Rio de Janeiro (UFRJ). Hospital Universitário Clementino Fraga Filho. Centro de Pesquisas em Doenças Infecciosas e Parasitarias. Laboratorio de Micobacteriologia Molecular. Rio de Janeiro, RJ, Brasil.
St. Petersburg Pasteur Institute. Laboratory of Molecular Microbiology. St. Petersburg, Russia.
Research Institute of Phthisiopulmonology. Laboratory of Microbiology. St. Petersburg, Russia.
Universidade Estadual do Norte Fluminense. Laboratório de Biologia do Reconhecimento. Niterói, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular Aplicada à Micobactérias. Rio de Janeiro, RJ, Brasil.
Abstract
Introduction
The success of the Mycobacterium tuberculosis Beijing (MtbB) lineage in different geographical regions has been attributed to high transmission, increased virulence, drug resistance and rapid adaptation to the host. In some countries of secondary MtbB dispersion like South Africa and Peru, rising prevalence of the Beijing strains is registered. However, in neighboring countries to affected regions such as Mozambique and Brazil, respectively, the prevalence of these strains is still low and this could be due to biological particularities of the circulating MtbB strains and/or differentiated host susceptibility.
Objective
To characterize genetically and phenotypically MtbB strains isolated in Brazil (n = 8) and Mozambique (n = 17).
Methods
This is a descriptive study of genotypes of the MtbB isolates, determined by spoligotyping, MIRU-VNTR typing, analysis of the IS6110 copy number in the NTF region and screening for mutations in mutT2, mutT4, rpoB, katG and pks 15/1 genes. Virulence-associated properties of the studied isolates were verified in the in vitro model of infection of human THP-1 cells.Results
The genotypes defined by the 24VNTRs were distinct for all isolates included in this study and presented an HGDI of 0.997. The VNTR patterns with seven copies of MIRU26 and seven copies of QUB26, representative for the previously described MtbB genotype B0, dominant in Russia, were detected in 38.5% of the studied isolates. In addition, all isolates presented RD105 deletion and a 7 bp insertion in pks15/1 gene. Almost all tested strains belonged to the RD181 sublineage, with the exception of two strains from Mozambique of RD150 sublineage. Combined analysis of the NTF region integrity and mutations in mutT genes showed that 62.5% and 47% of isolates obtained in Brazil and Mozambique, respectively, were of the ancestral genotype. The virulence index of the ancient isolates, evaluated in the THP-1 cells, was significantly lower than that of the modern genotype group.
Conclusions
These data demonstrate genotype particularities of the Beijing strains isolated in Brazil and Mozambique, two countries of low prevalence of the MtbB lineage in local Mtb populations. In contrast to the neighboring countries with high prevalence of the MtbB strains of modern sublineage, significant proportions of the isolates obtained in Brazil and Mozambique were presented by the strains of the ancient sublineage. Our data suggest that lower virulence of the ancient strains, compared with the modern strains, could be involved in the slow spread of the MtbB strains in some regions.
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