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Molecular diversity of Mycobacterium tuberculosis isolates from patients with pulmonary tuberculosis in Mozambique.

Viegas SO, Machado A, Groenheit R, Ghebremichael S, Pennhag A, Gudo PS, Cuna Z, Miotto P, Hill V, Marrufo T, Cirillo DM, Rastogi N, Källenius G, Koivula T - BMC Microbiol. (2010)

Bottom Line: A total of 445 M. tuberculosis isolates from seven different provinces of Mozambique were characterized by spoligotyping and resulting profiles were compared with the international spoligotyping database SITVIT2.The four most predominant lineages observed were: the Latin-American Mediterranean (LAM, n = 165 or 37%); the East African-Indian (EAI, n = 132 or 29.7%); an evolutionary recent but yet ill-defined T clade, (n = 52 or 11.6%); and the globally-emerging Beijing clone, (n = 31 or 7%).A high spoligotype diversity was found for the EAI, LAM and T lineages.The TB epidemic in Mozambique is caused by a wide diversity of spoligotypes with predominance of LAM, EAI, T and Beijing lineages.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Veterinary, Eduardo Mondlane University, Maputo Mozambique. viegas_sofia@hotmail.com

ABSTRACT

Background: Mozambique is one of the countries with the highest burden of tuberculosis (TB) in Sub-Saharan Africa, and information on the predominant genotypes of Mycobacterium tuberculosis circulating in the country are important to better understand the epidemic. This study determined the predominant strain lineages that cause TB in Mozambique.

Results: A total of 445 M. tuberculosis isolates from seven different provinces of Mozambique were characterized by spoligotyping and resulting profiles were compared with the international spoligotyping database SITVIT2.The four most predominant lineages observed were: the Latin-American Mediterranean (LAM, n = 165 or 37%); the East African-Indian (EAI, n = 132 or 29.7%); an evolutionary recent but yet ill-defined T clade, (n = 52 or 11.6%); and the globally-emerging Beijing clone, (n = 31 or 7%). A high spoligotype diversity was found for the EAI, LAM and T lineages.

Conclusions: The TB epidemic in Mozambique is caused by a wide diversity of spoligotypes with predominance of LAM, EAI, T and Beijing lineages.

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Geographical distribution of M. tuberculosis predominant spoligotype lineages in 7 provinces of Mozambique. The map describes the geographical distribution of predominant spoligotype lineages in Maputo city, Maputo province, Gaza, Inhambane, Nampula, Cabo Delgado and Niassa. The number of isolates per lineage in each province is depicted. Lineages: Latin American Mediterranean (LAM); East African Indian (EAI); T lineage; Beijing; Haarlem (H) strains; X clade; Central Asian strains (CAS); S lineage, and the "Manu" lineage.
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Figure 1: Geographical distribution of M. tuberculosis predominant spoligotype lineages in 7 provinces of Mozambique. The map describes the geographical distribution of predominant spoligotype lineages in Maputo city, Maputo province, Gaza, Inhambane, Nampula, Cabo Delgado and Niassa. The number of isolates per lineage in each province is depicted. Lineages: Latin American Mediterranean (LAM); East African Indian (EAI); T lineage; Beijing; Haarlem (H) strains; X clade; Central Asian strains (CAS); S lineage, and the "Manu" lineage.

Mentions: The study included a total of 445 M. tuberculosis strains isolated from patients in Mozambique recruited during a resistance surveillance study over a 1-year period (2007-2008). The preliminary results of the Drug Resistance Surveillance study provided by the National Tuberculosis Control Program indicate that 7.8% of all new cases analysed in their sample presented any resistance and 3.5% were multi-drug resistant [4]. Of the isolates included in the present study, 282 were from the South region of the country and 163 were from the North (Fig 1).


Molecular diversity of Mycobacterium tuberculosis isolates from patients with pulmonary tuberculosis in Mozambique.

Viegas SO, Machado A, Groenheit R, Ghebremichael S, Pennhag A, Gudo PS, Cuna Z, Miotto P, Hill V, Marrufo T, Cirillo DM, Rastogi N, Källenius G, Koivula T - BMC Microbiol. (2010)

Geographical distribution of M. tuberculosis predominant spoligotype lineages in 7 provinces of Mozambique. The map describes the geographical distribution of predominant spoligotype lineages in Maputo city, Maputo province, Gaza, Inhambane, Nampula, Cabo Delgado and Niassa. The number of isolates per lineage in each province is depicted. Lineages: Latin American Mediterranean (LAM); East African Indian (EAI); T lineage; Beijing; Haarlem (H) strains; X clade; Central Asian strains (CAS); S lineage, and the "Manu" lineage.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2914001&req=5

Figure 1: Geographical distribution of M. tuberculosis predominant spoligotype lineages in 7 provinces of Mozambique. The map describes the geographical distribution of predominant spoligotype lineages in Maputo city, Maputo province, Gaza, Inhambane, Nampula, Cabo Delgado and Niassa. The number of isolates per lineage in each province is depicted. Lineages: Latin American Mediterranean (LAM); East African Indian (EAI); T lineage; Beijing; Haarlem (H) strains; X clade; Central Asian strains (CAS); S lineage, and the "Manu" lineage.
Mentions: The study included a total of 445 M. tuberculosis strains isolated from patients in Mozambique recruited during a resistance surveillance study over a 1-year period (2007-2008). The preliminary results of the Drug Resistance Surveillance study provided by the National Tuberculosis Control Program indicate that 7.8% of all new cases analysed in their sample presented any resistance and 3.5% were multi-drug resistant [4]. Of the isolates included in the present study, 282 were from the South region of the country and 163 were from the North (Fig 1).

Bottom Line: A total of 445 M. tuberculosis isolates from seven different provinces of Mozambique were characterized by spoligotyping and resulting profiles were compared with the international spoligotyping database SITVIT2.The four most predominant lineages observed were: the Latin-American Mediterranean (LAM, n = 165 or 37%); the East African-Indian (EAI, n = 132 or 29.7%); an evolutionary recent but yet ill-defined T clade, (n = 52 or 11.6%); and the globally-emerging Beijing clone, (n = 31 or 7%).A high spoligotype diversity was found for the EAI, LAM and T lineages.The TB epidemic in Mozambique is caused by a wide diversity of spoligotypes with predominance of LAM, EAI, T and Beijing lineages.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Veterinary, Eduardo Mondlane University, Maputo Mozambique. viegas_sofia@hotmail.com

ABSTRACT

Background: Mozambique is one of the countries with the highest burden of tuberculosis (TB) in Sub-Saharan Africa, and information on the predominant genotypes of Mycobacterium tuberculosis circulating in the country are important to better understand the epidemic. This study determined the predominant strain lineages that cause TB in Mozambique.

Results: A total of 445 M. tuberculosis isolates from seven different provinces of Mozambique were characterized by spoligotyping and resulting profiles were compared with the international spoligotyping database SITVIT2.The four most predominant lineages observed were: the Latin-American Mediterranean (LAM, n = 165 or 37%); the East African-Indian (EAI, n = 132 or 29.7%); an evolutionary recent but yet ill-defined T clade, (n = 52 or 11.6%); and the globally-emerging Beijing clone, (n = 31 or 7%). A high spoligotype diversity was found for the EAI, LAM and T lineages.

Conclusions: The TB epidemic in Mozambique is caused by a wide diversity of spoligotypes with predominance of LAM, EAI, T and Beijing lineages.

Show MeSH
Related in: MedlinePlus