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Mycobacterium tuberculosis complex genetic diversity: mining the fourth international spoligotyping database (SpolDB4) for classification, population genetics and epidemiology

Karine Brudey1 email, Jeffrey R Driscoll2 email, Leen Rigouts3 email, Wolfgang M Prodinger4 email, Andrea Gori5 email, Sahal A Al-Hajoj6 email, Caroline Allix7 email, Liselotte Aristimuño8 email, Jyoti Arora9 email, Viesturs Baumanis10 email, Lothar Binder11 email, Patricia Cafrune12 email, Angel Cataldi13 email, Soonfatt Cheong14 email, Roland Diel15 email, Christopher Ellermeier16 email, Jason T Evans17 email, Maryse Fauville-Dufaux7 email, Séverine Ferdinand1 email, Dario Garcia de Viedma18 email, Carlo Garzelli19 email, Lidia Gazzola5 email, Harrison M Gomes20 email, M Cristina Guttierez21 email, Peter M Hawkey17 email, Paul D van Helden22 email, Gurujaj V Kadival23 email, Barry N Kreiswirth24 email, Kristin Kremer25 email, Milan Kubin26 email, Savita P Kulkarni23 email, Benjamin Liens1 email, Troels Lillebaek27 email, Ho Minh Ly28 email, Carlos Martin29 email, Christian Martin30 email, Igor Mokrousov31 email, Olga Narvskaïa31 email, Yun Fong Ngeow14 email, Ludmilla Naumann32 email, Stefan Niemann33 email, Ida Parwati34 email, Zeaur Rahim35 email, Voahangy Rasolofo-Razanamparany36 email, Tiana Rasolonavalona36 email, M Lucia Rossetti12 email, Sabine Rüsch-Gerdes33 email, Anna Sajduda37 email, Sofia Samper38 email, Igor G Shemyakin39 email, Urvashi B Singh9 email, Akos Somoskovi40 email, Robin A Skuce41 email, Dick van Soolingen25 email, Elisabeth M Streicher22 email, Philip N Suffys20 email, Enrico Tortoli42 email, Tatjana Tracevska10 email, Véronique Vincent21 email, Tommie C Victor22 email, Robin M Warren22 email, Sook Fan Yap14 email, Khadiza Zaman35 email, Françoise Portaels3 email, Nalin Rastogi1 email and Christophe Sola1 email

1Unité de la Tuberculose et des Mycobactéries, Institut Pasteur de Guadeloupe, Guadeloupe

2Wadsworth Center, New York State Dept. of Health, Albany, NY, USA

3Mycobacteriology Unit, Prince Leopold Institute of Tropical Medicine, Antwerp, Belgium

4Dept. Hygiene Microbiology and Social Medicine, Innsbruck Medical University, Innsbruck, Austria

5Dept of Infectious Diseases, Institut of Infectious Diseases, Milano, Italy

6Department of Comparative Medicine, King Faisal specialist Hospital and Research Center, Riyadh, Saudi Arabia

7Laboratoire de la Tuberculose, Institut Pasteur de Bruxelles, Belgique

8Universidad Centrooccidental Lisandro Alvarado, Barquisimeto, Venezuela and Universidad de Zaragoza, Spain

9All India Institute of Medical Sciences, New Delhi, India

10Biomedical Research and Study Center, Riga, Latvia

11Institut for Hygiene, Microbiologie and Tropical Medicine, Austria

12Universidade Federal do Rio Grande de Soul, Brazil

13Instituto de Biotecnologia INTA, Castelar, Argentina

14Dept of Medical Microbiology and Pathology, faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, School of Public Health

15University of Düsseldorf, Heinrich-Heine-University, Düsseldorf

16Dept of Internal Medicine II, University of Regensbourg, Germany

17Public Health Laboratory, Hearltlands Hospital, Birmingham, UK

18Dept of Clinical Microbiology and Infectious Diseases, Hospital Gregorio Marañon, Madrid, Spain

19Dept. of Experimental Pathology, Medical Biotechnology, Infection and Epidemiology, Pisa University, Pisa, Italy

20Laboratory of Molecular Biology applied to Mycobacteria, Dept. Mycobacteriosis, Oswaldo Cruz Institute, Rio de Janeiro, Brazil

21Centre National de Référence des Mycobactéries, Institut Pasteur, Paris, France

22MRC Centre for Molecular and Cellular Biology, Dept of medical Biochemistry, University of Stellenbosch, Tygerberg, South Africa

23Laboratory Nuclear Medicine Section, Isotope group, Bhabha Atomic Research Centre c/T.M.H. Annexe, Parel, Mumbai-400012, India

24Public Health Research Institute, Newark, NJ, USA

25Mycobacteria reference unit, Diagnostic Laboratory for Infectious Diseases and Perinatal Screening, National Institute of Public Health and the Environment, Bilthoven, The Netherlands

26Municipal Institute of Hygiene, Prague, Czech Republic

27Statens Serum Institute, Int. Ref. lab. for Mycobacteriology, Copenhagen Denmark

28Institute of Hygiene and Epidemiology, Hanoi, Vietnam

29Universidad de Zaragoza, Zaragoza, Spain

30Laboratoire de Bactério-virologie-hygiène, CHU Dupuytren, Limoges, France

31Institut Pasteur de Saint-Petersbourg, Saint Petersbourg, Russia

32Bavarian Health and Food Safety Authority, Oberschleissheim, Germany

33Forschungszentrum, National Reference Center for Mycobacteria, Borstel, Germany

34Dept of Clinical Pathology, Padjadjaran University, Dr. Hasan Sadikin Hospital, Bandung, Indonesia

35Tuberculosis Laboratory, International Centre for Diarrhoeal Research, Dhaka, Bangladesh

36Institut Pasteur de Madagascar, Tananarive, Madagascar

37Dept of Genetics of Microorganisms, University of Lódz, Lodz, Poland

38Servicio Microbiología, Hospital Universitario Miguel Servet, Zaragoza, Spain

39State Research Center for Applied Microbiology, Obolensk, Russian Federation

40Dept. of Respiratory Medicine School of Medicine Semmelweis University, Budapest, Hungary

41Veterinary Sciences Division, Department of agriculture for Northern Ireland, Belfast, UK

42Centro regionale di Riferimento per i Micobatteri, Laboratorio de Microbiologia e Virologia, Ospedale Careggi, Firenze, Italy

author email corresponding author email

BMC Microbiology 2006, 6:23doi:10.1186/1471-2180-6-23

Published: 6 March 2006

Abstract

Background

The Direct Repeat locus of the Mycobacterium tuberculosis complex (MTC) is a member of the CRISPR (Clustered regularly interspaced short palindromic repeats) sequences family. Spoligotyping is the widely used PCR-based reverse-hybridization blotting technique that assays the genetic diversity of this locus and is useful both for clinical laboratory, molecular epidemiology, evolutionary and population genetics. It is easy, robust, cheap, and produces highly diverse portable numerical results, as the result of the combination of (1) Unique Events Polymorphism (UEP) (2) Insertion-Sequence-mediated genetic recombination. Genetic convergence, although rare, was also previously demonstrated. Three previous international spoligotype databases had partly revealed the global and local geographical structures of MTC bacilli populations, however, there was a need for the release of a new, more representative and extended, international spoligotyping database.

Results

The fourth international spoligotyping database, SpolDB4, describes 1939 shared-types (STs) representative of a total of 39,295 strains from 122 countries, which are tentatively classified into 62 clades/lineages using a mixed expert-based and bioinformatical approach. The SpolDB4 update adds 26 new potentially phylogeographically-specific MTC genotype families. It provides a clearer picture of the current MTC genomes diversity as well as on the relationships between the genetic attributes investigated (spoligotypes) and the infra-species classification and evolutionary history of the species. Indeed, an independent Naïve-Bayes mixture-model analysis has validated main of the previous supervised SpolDB3 classification results, confirming the usefulness of both supervised and unsupervised models as an approach to understand MTC population structure. Updated results on the epidemiological status of spoligotypes, as well as genetic prevalence maps on six main lineages are also shown. Our results suggests the existence of fine geographical genetic clines within MTC populations, that could mirror the passed and present Homo sapiens sapiens demographical and mycobacterial co-evolutionary history whose structure could be further reconstructed and modelled, thereby providing a large-scale conceptual framework of the global TB Epidemiologic Network.

Conclusion

Our results broaden the knowledge of the global phylogeography of the MTC complex. SpolDB4 should be a very useful tool to better define the identity of a given MTC clinical isolate, and to better analyze the links between its current spreading and previous evolutionary history. The building and mining of extended MTC polymorphic genetic databases is in progress.


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