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European Society of Mycobacteriology - Instituto Nacional de Saúde ...

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PP-2<br />

68 SPACERS Mycobacterium tuberculosis COMPLEX SPOLIGOTYPING :<br />

A STUDY USING A MICROBEAD-BASED HIGH THROUGHPUT FORMAT.<br />

Zhang J 1 , Abadia E 1 , Refrégier G 1 , Ruimy R 2 , Boschiroli ML 3 , Guillard B 4 and C. Sola 1 .<br />

1 - Institut <strong>de</strong> Génétique et Microbiologie, UMR8621, CNRS-Université Paris-Sud (Universud), Equipe IGEPE, bât. 400,<br />

Centre scientifique d’Orsay, rue Gregor Men<strong>de</strong>l, 91405 Orsay-Ce<strong>de</strong>x2 - APHP, Hôpital Bichat-Clau<strong>de</strong> Bernard, Paris<br />

3 - Agence française <strong>de</strong> sécurité sanitaire <strong>de</strong>s aliments AFSSA, Maisons-Alfort<br />

4 - Institut Pasteur du Cambodge<br />

New captures probes for the microbead-based spoligotyping assay (Luminex) were <strong>de</strong>signed to test for the presence/<br />

absence <strong>of</strong> 25 spacers that are not used in routine spoligotyping. These spacers are expected to provi<strong>de</strong> an improved<br />

discriminatory power for Major Genetic Group I, including the « ancestral » TbD1+ MTC (Mycobacterium tuberculosis<br />

complex) clinical isolates.<br />

The new 68 spacers spoligotyping format <strong>de</strong>veloped on a Luminex platform was shown to give excellent results. Around<br />

400 strains <strong>of</strong> MTC from 3 different centers (Bichat Hospital, AFSSA, Institut Pasteur <strong>of</strong> Cambodia) were studied. We<br />

show that the 68 spacers format is more discriminant to study the strains <strong>of</strong> the East African Indian family (EAI) : among<br />

86 strains <strong>of</strong> the EAI family, it could distinguish 44 clusters compared to 27 clusters by routine 43 spacers spoligotyping.<br />

Whereas for a total <strong>of</strong> 210 clinical isolates <strong>of</strong> Mycobacterium bovis, we reported 31 types instead <strong>of</strong> 25, and for a total<br />

<strong>of</strong> 30 “Beijing” clinical isolates, 4 clusters instead <strong>of</strong> 3 clusters were found. For Mycobacterium africanum, a total <strong>of</strong> 17<br />

strains were assayed and 11 instead <strong>of</strong> 9 clusters were found. High-thr(East-African Indian - Indo-Oceanic cla<strong>de</strong>) and<br />

other Major Genetic Group I still-un<strong>de</strong>fined spoligotyping signatures. This observation <strong>of</strong>ten concerns the first spacer<br />

<strong>of</strong> a string <strong>of</strong> several missing spacers (bor<strong>de</strong>r domains). These observations are currently un<strong>de</strong>r further investigation by<br />

sequencing. Exten<strong>de</strong>d High-throughput spoligotyping is also a new mean to <strong>de</strong>tect mutational events that could be diagnostics<br />

<strong>of</strong> cla<strong>de</strong>-specific MTC evolution.<br />

76 ESM 2009

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