Use of short tandem repeat sequences to study Mycobacterium leprae in leprosy patients in Malawi and India.

Inadequate understanding of the transmission of Mycobacterium leprae makes it difficult to predict the impact of leprosy control interventions. Genotypic tests that allow tracking of individual bacterial strains would strengthen epidemiological studies and contribute to our understanding of the dise...

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Main Authors: Saroj K Young, Jorg M Ponnighaus, Suman Jain, Sebastian Lucas, Sujai Suneetha, Diana N J Lockwood, Douglas B Young, Paul E M Fine
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2008-04-01
Series:PLoS Neglected Tropical Diseases
Online Access:http://europepmc.org/articles/PMC2271132?pdf=render
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author Saroj K Young
Jorg M Ponnighaus
Suman Jain
Sebastian Lucas
Sujai Suneetha
Diana N J Lockwood
Douglas B Young
Paul E M Fine
author_facet Saroj K Young
Jorg M Ponnighaus
Suman Jain
Sebastian Lucas
Sujai Suneetha
Diana N J Lockwood
Douglas B Young
Paul E M Fine
author_sort Saroj K Young
collection DOAJ
description Inadequate understanding of the transmission of Mycobacterium leprae makes it difficult to predict the impact of leprosy control interventions. Genotypic tests that allow tracking of individual bacterial strains would strengthen epidemiological studies and contribute to our understanding of the disease.Genotyping assays based on variation in the copy number of short tandem repeat sequences were applied to biopsies collected in population-based epidemiological studies of leprosy in northern Malawi, and from members of multi-case households in Hyderabad, India. In the Malawi series, considerable genotypic variability was observed between patients, and also within patients, when isolates were collected at different times or from different tissues. Less within-patient variability was observed when isolates were collected from similar tissues at the same time. Less genotypic variability was noted amongst the closely related Indian patients than in the Malawi series.Lineages of M. leprae undergo changes in their pattern of short tandem repeat sequences over time. Genetic divergence is particularly likely between bacilli inhabiting different (e.g., skin and nerve) tissues. Such variability makes short tandem repeat sequences unsuitable as a general tool for population-based strain typing of M. leprae, or for distinguishing relapse from reinfection. Careful use of these markers may provide insights into the development of disease within individuals and for tracking of short transmission chains.
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spelling doaj.art-238197663653471fa282934c9e7910d02022-12-22T00:13:42ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352008-04-0124e21410.1371/journal.pntd.0000214Use of short tandem repeat sequences to study Mycobacterium leprae in leprosy patients in Malawi and India.Saroj K YoungJorg M PonnighausSuman JainSebastian LucasSujai SuneethaDiana N J LockwoodDouglas B YoungPaul E M FineInadequate understanding of the transmission of Mycobacterium leprae makes it difficult to predict the impact of leprosy control interventions. Genotypic tests that allow tracking of individual bacterial strains would strengthen epidemiological studies and contribute to our understanding of the disease.Genotyping assays based on variation in the copy number of short tandem repeat sequences were applied to biopsies collected in population-based epidemiological studies of leprosy in northern Malawi, and from members of multi-case households in Hyderabad, India. In the Malawi series, considerable genotypic variability was observed between patients, and also within patients, when isolates were collected at different times or from different tissues. Less within-patient variability was observed when isolates were collected from similar tissues at the same time. Less genotypic variability was noted amongst the closely related Indian patients than in the Malawi series.Lineages of M. leprae undergo changes in their pattern of short tandem repeat sequences over time. Genetic divergence is particularly likely between bacilli inhabiting different (e.g., skin and nerve) tissues. Such variability makes short tandem repeat sequences unsuitable as a general tool for population-based strain typing of M. leprae, or for distinguishing relapse from reinfection. Careful use of these markers may provide insights into the development of disease within individuals and for tracking of short transmission chains.http://europepmc.org/articles/PMC2271132?pdf=render
spellingShingle Saroj K Young
Jorg M Ponnighaus
Suman Jain
Sebastian Lucas
Sujai Suneetha
Diana N J Lockwood
Douglas B Young
Paul E M Fine
Use of short tandem repeat sequences to study Mycobacterium leprae in leprosy patients in Malawi and India.
PLoS Neglected Tropical Diseases
title Use of short tandem repeat sequences to study Mycobacterium leprae in leprosy patients in Malawi and India.
title_full Use of short tandem repeat sequences to study Mycobacterium leprae in leprosy patients in Malawi and India.
title_fullStr Use of short tandem repeat sequences to study Mycobacterium leprae in leprosy patients in Malawi and India.
title_full_unstemmed Use of short tandem repeat sequences to study Mycobacterium leprae in leprosy patients in Malawi and India.
title_short Use of short tandem repeat sequences to study Mycobacterium leprae in leprosy patients in Malawi and India.
title_sort use of short tandem repeat sequences to study mycobacterium leprae in leprosy patients in malawi and india
url http://europepmc.org/articles/PMC2271132?pdf=render
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