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Genomic Diversity of Mycobacterium tuberculosis Complex Strains in Cantabria (Spain), a Moderate TB Incidence Setting

Tuberculosis (TB) control strategies are focused mainly on prevention, early diagnosis, compliance to treatment and contact tracing. The objectives of this study were to explore the frequency and risk factors of recent transmission of clinical isolates of Mycobacterium tuberculosis complex (MTBC) in...

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Published in:PloS one 2016-06, Vol.11 (6), p.e0157266-e0157266
Main Authors: Pérez Del Molino Bernal, Inmaculada C, Lillebaek, Troels, Pedersen, Mathias K, Martinez-Martinez, Luis, Folkvardsen, Dorte B, Agüero, Jesús, Rasmussen, E Michael
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cited_by cdi_FETCH-LOGICAL-c559t-62bc04758cb276b04e4e8b7d70452bee84a0040abe68cdfff521114d7e426d3b3
cites cdi_FETCH-LOGICAL-c559t-62bc04758cb276b04e4e8b7d70452bee84a0040abe68cdfff521114d7e426d3b3
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creator Pérez Del Molino Bernal, Inmaculada C
Lillebaek, Troels
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Martinez-Martinez, Luis
Folkvardsen, Dorte B
Agüero, Jesús
Rasmussen, E Michael
description Tuberculosis (TB) control strategies are focused mainly on prevention, early diagnosis, compliance to treatment and contact tracing. The objectives of this study were to explore the frequency and risk factors of recent transmission of clinical isolates of Mycobacterium tuberculosis complex (MTBC) in Cantabria in Northern Spain from 2012 through 2013 and to analyze their clonal complexity for better understanding of the transmission dynamics in a moderate TB incidence setting. DNA from 85 out of 87 isolates from bacteriologically confirmed cases of MTBC infection were extracted directly from frozen stocks and genotyped using the mycobacterial interspersed repetitive units-variable number tandem repeat (MIRU-VNTR) method. The MIRU-VNTRplus database tool was used to identify clusters and lineages and to build a neighbor joining (NJ) phylogenetic tree. In addition, data were compared to the SITVIT2 database at the Pasteur Institute of Guadeloupe. The rate of recent transmission was calculated to 24%. Clustering was associated with being Spanish-born. A high prevalence of isolates of the Euro-American lineage was found. In addition, MIRU-VNTR profiles of the studied isolates corresponded to previously found MIRU-VNTR types in other countries, including Spain, Belgium, Great Britain, USA, Croatia, South Africa and The Netherlands. Six of the strains analyzed represented clonal variants. Transmission of MTBC is well controlled in Cantabria. The majority of TB patients were born in Spain. The population structure of MTBC in Cantabria has a low diversity of major clonal lineages with the Euro-American lineage predominating.
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source Publicly Available Content Database; PubMed Central
subjects Adult
Biology and Life Sciences
Biomedical research
Clinical isolates
Clustering
Complexity
Contact tracing
Deoxyribonucleic acid
Disease transmission
DNA
Earth Sciences
Ecology and Environmental Sciences
Epidemiology
Female
Genotype
Hospitals
Humans
Incidence
Infections
Laboratories
Male
Mathematical analysis
Medicine and Health Sciences
Microbiology
Middle Aged
Minisatellite Repeats - genetics
Molecular biology
Molecular Epidemiology
Mycobacterium tuberculosis
Mycobacterium tuberculosis - genetics
Mycobacterium tuberculosis - pathogenicity
People and Places
Phylogenetics
Phylogeny
Population
Population structure
Research and Analysis Methods
Risk analysis
Risk factors
Spain
Strains (organisms)
Tuberculosis
Tuberculosis - epidemiology
Tuberculosis - genetics
Tuberculosis - microbiology
title Genomic Diversity of Mycobacterium tuberculosis Complex Strains in Cantabria (Spain), a Moderate TB Incidence Setting
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