02599nas a2200493 4500000000100000008004100001260001300042653001500055653001000070653000900080653002200089653001000111653001900121653001100140653002200151653001100173653002800184653002800212653000900240653001600249653002600265653002700291653002500318653001300343653001600356100001700372700001900389700001400408700002300422700001500445700001500460700001600475700001300491700001500504700001800519700001200537245007200549856005100621300001000672490000700682050003200689520137000721022001402091 2009 d c2009 Sep10aAdolescent10aAdult10aAged10aAged, 80 and over10aChild10aDNA, Bacterial10aFemale10aGenetic Variation10aHumans10aLeprosy, Multibacillary10aLeprosy, Paucibacillary10aMale10aMiddle Aged10aMinisatellite Repeats10aMolecular Epidemiology10aMycobacterium leprae10aThailand10aYoung Adult1 aSrisungnam S1 aRudeeaneksin J1 aLukebua A1 aWattanapokayakit S1 aPasadorn S1 aMahotarn K1 aSakamuri RM1 aKimura M1 aBrennan PJ1 aPhetsuksiri B1 aVissa V00aMolecular epidemiology of leprosy based on VNTR typing in Thailand. uhttps://leprosyreview.org/article/80/3/28-0289 a280-90 v80 aInfolep Library - available3 a

Recently about 500 new cases of leprosy have been reported each year in Thailand. In addition to a steady rate of new case detection, Thailand is in Southeast Asia where leprosy is endemic in neighbouring countries; therefore, strain differentiation could be useful in tracing origins and routes of infection, and general leprosy surveillance. To identify suitable markers for differentiation of M. leprae strains in different global geographic regions and to determine the applicability of a systematic genotyping method for tracing leprosy transmission, variable nucleotide tandem repeats (VNTRs) of 14 loci were evaluated using DNA extracts from a total of 97 skin biopsies and slit skin smear samples. The alleles per locus ranged from 2-26 providing adequate strain differentiation. Microsatellite loci (GAA)21, (AT)17 are highly polymorphic followed by (GTA)9, (AC)8a, (AC)8b, and (AC)9. The minisatellites 6-7, 21-3 and 27-5 exhibited a limited number of alleles. The repeat of 23-3 showed no polymorphism. Overall, the strain types can be divided into two distinct Thai groups, according to the alleles at the (GGT)5 and 21-3 loci. However, there are no obvious geographical patterns of distribution of VNTR strain types. Closely matched VNTR profiles found in household members of two multi-case families suggested infection through a common source.

 a0305-7518