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Title: Evaluation of the new advanced 15-loci MIRU-VNTR genotyping tool in Mycobacterium tuberculosis molecular epidemiology studies
Authors: Alonso-Rodríguez, Noelia
Martínez-Lirola, Miguel
Herránz, Marta
Sanchez-Benitez, Marisa
Barroso, Pilar
Bouza, Emilio
García de Viedma, Darío
metadata.dc.contributor.authoraffiliation: [Alonso-Rodríguez,N; Herránz,M; Bouza,E García de Viedma,D] Servicio de Microbiología y Enfermedades Infecciosas. Hospital Gregorio Marañón, Universidad Complutense, Madrid, CIBER de Enfermedades Respiratorias (CIBERES), Spain. [Martínez-Lirola,M] Complejo Hospitalario Torrecárdenas, Almería, Spain. [Sanchez-Benitez,M] Unidad de Tuberculosis de Poniente, Almería, Spain. [Barroso,P] Delegación de Salud Distrito Levante, Almería, Spain INDAL-TB group
Keywords: Mycobacterium tuberculosis;Epidemiología Molecular
metadata.dc.subject.mesh: Medical Subject Headings::Organisms::Bacteria::Gram-Positive Bacteria::Actinobacteria::Actinomycetales::Mycobacteriaceae::Mycobacterium::Mycobacterium tuberculosis
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Molecular Epidemiology
Issue Date: 24-Feb-2008
Publisher: BioMed Central
Citation: Alonso-Rodríguez N, Martínez-Lirola M, Herránz M, Sanchez-Benitez M, Barroso P, Bouza E, et al. Evaluation of the new advanced 15-loci MIRU-VNTR genotyping tool in Mycobacterium tuberculosis molecular epidemiology studies. BMC Microbiol [Internet]. 2008;8(34):34. Disponible en:
Abstract: Background. During the last few years, PCR-based methods have been developed to simplify and reduce the time required for genotyping Mycobacterium tuberculosis (MTB) by standard approaches based on IS6110-Restriction Fragment Length Polymorphism (RFLP). Of these, MIRU-12-VNTR (Mycobacterial interspersed repetitive units- variable number of tandem repeats) (MIRU-12) has been considered a good alternative. Nevertheless, some limitations and discrepancies with RFLP, which are minimized if the technique is complemented with spoligotyping, have been found. Recently, a new version of MIRU-VNTR targeting 15 loci (MIRU-15) has been proposed to improve the MIRU-12 format. Results. We evaluated the new MIRU-15 tool in two different samples. First, we analyzed the same convenience sample that had been used to evaluate MIRU-12 in a previous study, and the new 15-loci version offered higher discriminatory power (Hunter-Gaston discriminatory index [HGDI]: 0.995 vs 0.978; 34.4% of clustered cases vs 57.5%) and better correlation (full or high correlation with RFLP for 82% of the clusters vs 47%). Second, we evaluated MIRU-15 on a population-based sample and, once again, good correlation with the RFLP clustering data was observed (for 83% of the RFLP clusters). To understand the meaning of the discrepancies still found between MIRU-15 and RFLP, we analyzed the epidemiological data for the clustered patients. In most cases, splitting of RFLP-clustered patients by MIRU-15 occurred for those without epidemiological links, and RFLP-clustered patients with epidemiological links were also clustered by MIRU-15, suggesting a good epidemiological background for clustering defined by MIRU-15. Conclusion. The data obtained by MIRU-15 suggest that the new design is very efficient at assigning clusters confirmed by epidemiological data. If we add this to the speed with which it provides results, MIRU-15 could be considered a suitable tool for real-time genotyping.
metadata.dc.identifier.doi: 10.1186/1471-2180-8-34
ISSN: 1471-2180 (Print)
1471-2180 (Online)
Appears in Collections:01- Artículos - APES Hospital de Poniente
01- Artículos - Complejo Hospitalario Torrecárdenas
01- Artículos - Consejería de Salud y Familias

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