Proposal for standardization of optimized mycobacterial interspersed repetitive unit-variable-number tandem repeat typing of Mycobacterium tuberculosis

J Clin Microbiol. 2006 Dec;44(12):4498-510. doi: 10.1128/JCM.01392-06. Epub 2006 Sep 27.

Abstract

Molecular typing based on 12 loci containing variable numbers of tandem repeats of mycobacterial interspersed repetitive units (MIRU-VNTRs) has been adopted in combination with spoligotyping as the basis for large-scale, high-throughput genotyping of Mycobacterium tuberculosis. However, even the combination of these two methods is still less discriminatory than IS6110 fingerprinting. Here, we define an optimized set of MIRU-VNTR loci with a significantly higher discriminatory power. The resolution and the stability/robustness of 29 loci were analyzed, using a total of 824 tubercle bacillus isolates, including representatives of the main lineages identified worldwide so far. Five loci were excluded for lack of robustness and/or stability in serial isolates or isolates from epidemiologically linked patients. The use of the 24 remaining loci increased the number of types by 40%--and by 23% in combination with spoligotyping--among isolates from cosmopolitan origins, compared to those obtained with the original set of 12 loci. Consequently, the clustering rate was decreased by fourfold--by threefold in combination with spoligotyping--under the same conditions. A discriminatory subset of 15 loci with the highest evolutionary rates was then defined that concentrated 96% of the total resolution obtained with the full 24-locus set. Its predictive value for evaluating M. tuberculosis transmission was found to be equal to that of IS6110 restriction fragment length polymorphism typing, as shown in a companion population-based study. This 15-locus system is therefore proposed as the new standard for routine epidemiological discrimination of M. tuberculosis isolates and the 24-locus system as a high-resolution tool for phylogenetic studies.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacterial Typing Techniques / standards*
  • Cluster Analysis
  • DNA Fingerprinting / methods*
  • DNA Transposable Elements
  • DNA, Bacterial / genetics*
  • Genotype
  • Humans
  • Interspersed Repetitive Sequences*
  • Minisatellite Repeats*
  • Molecular Epidemiology / methods*
  • Mycobacterium tuberculosis / classification*
  • Mycobacterium tuberculosis / genetics
  • Phylogeny
  • Polymorphism, Restriction Fragment Length
  • Predictive Value of Tests
  • Reproducibility of Results
  • Tuberculosis / microbiology

Substances

  • DNA Transposable Elements
  • DNA, Bacterial