02651nas a2200457 4500000000100000008004100001260001300042653001500055653001000070653000900080653001900089653001100108653002200119653001100141653001000152653001200162653000900174653001600183653002600199653002500225653003000250653004600280653001600326100001300342700001300355700001600368700001200384700001100396700001300407700001300420700001100433700001300444700001200457245007400469856005100543300001200594490000700606050003200613520153400645022001402179 2009 d c2009 Sep10aAdolescent10aAdult10aAged10aDNA, Bacterial10aFemale10aGenetic Variation10aHumans10aIndia10aleprosy10aMale10aMiddle Aged10aMinisatellite Repeats10aMycobacterium leprae10apolymerase chain reaction10aPolymorphism, Restriction Fragment Length10aYoung Adult1 aShinde V1 aNewton H1 aSakamuri RM1 aReddy V1 aJain S1 aJoseph A1 aGillis T1 aNath I1 aNorman G1 aVissa V00aVNTR typing of Mycobacterium leprae in South Indian leprosy patients. uhttps://leprosyreview.org/article/80/3/29-0301 a290-3010 v80 aInfolep Library - available3 a

OBJECTIVES: To study the suitability, stability and diversity of short tandem repeat (STR) genomic markers to elicit strain variation in the Mycobacterium leprae isolates within leprosy patients from Andhra Pradesh and Tamil Nadu states in South India.

MATERIALS AND METHODS: Slit skin smear (SSS) samples were collected from lesions and various body sites of newly diagnosed leprosy patients. The SSSs from each patient were pooled, except in the case of five patients. Total DNA was extracted from SSS samples. M. leprae STRs were amplified from the DNA either by multiplex PCR (MP) or single PCR methods. The number of repeats for each STR locus (the STR allele) was obtained either by fragment length analysis (FLA) or by DNA sequencing of the PCR amplicons.

RESULTS AND CONCLUSION: Multiplex PCR minimised the use of DNA and reagents, and together with FLA, was time and cost effective for STR strain typing. After examination of the isolates of South Indian origin at 13 STR loci, it was determined that the alleles for (AC)8b, (GGT)5, 6-3a (rpoT), 21-3, 27-5, and 23-3 were conserved in two study populations. In a family from Andhra Pradesh, the M. leprae STR patterns in two patients were identical in 16 of 18 loci which indicate a common source of infection. Fourteen of 15 STR loci showed no intra-patient variation in the five patients tested in Tamil Nadu. Altogether, these studies indicate the suitability of STR strain typing for assessing short-range transmission chains.

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