First insights into the genetic diversity of <it>Mycobacterium tuberculosis </it>isolates from HIV-infected Mexican patients and mutations causing multidrug resistance

<p>Abstract</p> <p>Background</p> <p>The prevalence of infections with <it>Mycobacterium tuberculosis </it>(MTb) and nontuberculous mycobacteria (NTM) species in HIV-infected patients in Mexico is unknown. The aims of this study were to determine the frequen...

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Main Authors: Hernandez-Pando Rogelio, Aguilar Diana, Helguera-Repetto Addy C, Rivera-Gutierrez Sandra, Cerna-Cortes Jorge F, Castillo-Ramirez Ivan, Badillo-Lopez Claudia, Lopez-Alvarez Rocio, Samper Sofia, Gonzalez-y-Merchand Jorge A
Format: Article
Language:English
Published: BMC 2010-03-01
Series:BMC Microbiology
Online Access:http://www.biomedcentral.com/1471-2180/10/82
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author Hernandez-Pando Rogelio
Aguilar Diana
Helguera-Repetto Addy C
Rivera-Gutierrez Sandra
Cerna-Cortes Jorge F
Castillo-Ramirez Ivan
Badillo-Lopez Claudia
Lopez-Alvarez Rocio
Samper Sofia
Gonzalez-y-Merchand Jorge A
author_facet Hernandez-Pando Rogelio
Aguilar Diana
Helguera-Repetto Addy C
Rivera-Gutierrez Sandra
Cerna-Cortes Jorge F
Castillo-Ramirez Ivan
Badillo-Lopez Claudia
Lopez-Alvarez Rocio
Samper Sofia
Gonzalez-y-Merchand Jorge A
author_sort Hernandez-Pando Rogelio
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The prevalence of infections with <it>Mycobacterium tuberculosis </it>(MTb) and nontuberculous mycobacteria (NTM) species in HIV-infected patients in Mexico is unknown. The aims of this study were to determine the frequency of MTb and NTM species in HIV-infected patients from Mexico City, to evaluate the genotypic diversity of the <it>Mycobacterium tuberculosis </it>complex strains, to determine their drug resistance profiles by colorimetric microplate Alamar Blue assay (MABA), and finally, to detect mutations present in <it>kat</it>G, <it>rpo</it>B and <it>inh</it>A genes, resulting in isoniazid (INH) and rifampin (RIF) resistance.</p> <p>Results</p> <p>Of the 67 mycobacterial strains isolated, 48 were identified as MTb, 9 as <it>M. bovis</it>, 9 as <it>M. avium </it>and 1 as <it>M. intracellulare</it>. IS<it>6110</it>-RFLP of 48 MTb strains showed 27 profiles. Spoligotyping of the 48 MTb strains yielded 21 patterns, and 9 <it>M. bovis </it>strains produced 7 patterns. Eleven new spoligotypes patterns were found. A total of 40 patterns were produced from the 48 MTb strains when MIRU-VNTR was performed. Nineteen (39.6%) MTb strains were resistant to one or more drugs. One (2.1%) multidrug-resistant (MDR) strain was identified. A novel mutation was identified in a RIF-resistant strain, GAG → TCG (Glu → Ser) at codon 469 of <it>rpo</it>B gene.</p> <p>Conclusions</p> <p>This is the first molecular analysis of mycobacteria isolated from HIV-infected patients in Mexico, which describe the prevalence of different mycobacterial species in this population. A high genetic diversity of MTb strains was identified. New spoligotypes and MIRU-VNTR patterns as well as a novel mutation associated to RIF-resistance were found. This information will facilitate the tracking of different mycobacterial species in HIV-infected individuals, and monitoring the spread of these microorganisms, leading to more appropriate measures for tuberculosis control.</p>
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spelling doaj.art-f84aa7ec539e456f92d3c39919ac20112022-12-22T03:20:37ZengBMCBMC Microbiology1471-21802010-03-011018210.1186/1471-2180-10-82First insights into the genetic diversity of <it>Mycobacterium tuberculosis </it>isolates from HIV-infected Mexican patients and mutations causing multidrug resistanceHernandez-Pando RogelioAguilar DianaHelguera-Repetto Addy CRivera-Gutierrez SandraCerna-Cortes Jorge FCastillo-Ramirez IvanBadillo-Lopez ClaudiaLopez-Alvarez RocioSamper SofiaGonzalez-y-Merchand Jorge A<p>Abstract</p> <p>Background</p> <p>The prevalence of infections with <it>Mycobacterium tuberculosis </it>(MTb) and nontuberculous mycobacteria (NTM) species in HIV-infected patients in Mexico is unknown. The aims of this study were to determine the frequency of MTb and NTM species in HIV-infected patients from Mexico City, to evaluate the genotypic diversity of the <it>Mycobacterium tuberculosis </it>complex strains, to determine their drug resistance profiles by colorimetric microplate Alamar Blue assay (MABA), and finally, to detect mutations present in <it>kat</it>G, <it>rpo</it>B and <it>inh</it>A genes, resulting in isoniazid (INH) and rifampin (RIF) resistance.</p> <p>Results</p> <p>Of the 67 mycobacterial strains isolated, 48 were identified as MTb, 9 as <it>M. bovis</it>, 9 as <it>M. avium </it>and 1 as <it>M. intracellulare</it>. IS<it>6110</it>-RFLP of 48 MTb strains showed 27 profiles. Spoligotyping of the 48 MTb strains yielded 21 patterns, and 9 <it>M. bovis </it>strains produced 7 patterns. Eleven new spoligotypes patterns were found. A total of 40 patterns were produced from the 48 MTb strains when MIRU-VNTR was performed. Nineteen (39.6%) MTb strains were resistant to one or more drugs. One (2.1%) multidrug-resistant (MDR) strain was identified. A novel mutation was identified in a RIF-resistant strain, GAG → TCG (Glu → Ser) at codon 469 of <it>rpo</it>B gene.</p> <p>Conclusions</p> <p>This is the first molecular analysis of mycobacteria isolated from HIV-infected patients in Mexico, which describe the prevalence of different mycobacterial species in this population. A high genetic diversity of MTb strains was identified. New spoligotypes and MIRU-VNTR patterns as well as a novel mutation associated to RIF-resistance were found. This information will facilitate the tracking of different mycobacterial species in HIV-infected individuals, and monitoring the spread of these microorganisms, leading to more appropriate measures for tuberculosis control.</p>http://www.biomedcentral.com/1471-2180/10/82
spellingShingle Hernandez-Pando Rogelio
Aguilar Diana
Helguera-Repetto Addy C
Rivera-Gutierrez Sandra
Cerna-Cortes Jorge F
Castillo-Ramirez Ivan
Badillo-Lopez Claudia
Lopez-Alvarez Rocio
Samper Sofia
Gonzalez-y-Merchand Jorge A
First insights into the genetic diversity of <it>Mycobacterium tuberculosis </it>isolates from HIV-infected Mexican patients and mutations causing multidrug resistance
BMC Microbiology
title First insights into the genetic diversity of <it>Mycobacterium tuberculosis </it>isolates from HIV-infected Mexican patients and mutations causing multidrug resistance
title_full First insights into the genetic diversity of <it>Mycobacterium tuberculosis </it>isolates from HIV-infected Mexican patients and mutations causing multidrug resistance
title_fullStr First insights into the genetic diversity of <it>Mycobacterium tuberculosis </it>isolates from HIV-infected Mexican patients and mutations causing multidrug resistance
title_full_unstemmed First insights into the genetic diversity of <it>Mycobacterium tuberculosis </it>isolates from HIV-infected Mexican patients and mutations causing multidrug resistance
title_short First insights into the genetic diversity of <it>Mycobacterium tuberculosis </it>isolates from HIV-infected Mexican patients and mutations causing multidrug resistance
title_sort first insights into the genetic diversity of it mycobacterium tuberculosis it isolates from hiv infected mexican patients and mutations causing multidrug resistance
url http://www.biomedcentral.com/1471-2180/10/82
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