Molecular Genetic Characteristics of Mycobacterium tuberculosis Isolates from Patients with HIV-Associated Tuberculosis
https://doi.org/10.58838/2075-1230-2024-102-5-70-75
Abstract
The objective: to provide molecular genetic characteristics of Mycobacterium tuberculosis isolates from patients with HIV-associated tuberculosis.
Subjects and Methods. Two groups of M. tuberculosis isolates were included in the study: 103 isolates from patients undergoing treatment for generalized tuberculosis with concurrent HIV infection, and 61 isolates from autopsy specimens of patients who had suffered from generalized tuberculosis and HIV infection. The Beijing genotype of M. tuberculosis isolates, its subtypes and major Russian subtypes were identified by PCR and real-time PCR methods based on the analysis of specific markers and genome loci (dnaA-dnaN::IS6110, Rv2664-Rv2665::IS6110, sigE, NTF, RD181). Genotyping of non-Beijing isolates was performed by spoligotyping followed by comparison with SITVIT2. The results were compared to the published data on the genetic diversity of M. tuberculosis in the North-West of the Russian Federation.
Results. In both groups, a predominance of isolates of the Beijing genotype was detected (89.3% and 70%, respectively), among which the majority belonged to subtypes 94-32 (51% and 44.1%) and B0/W148 (41.3% and 30%) related to the modern subline of the Beijing genotype. Some of the isolates belonged to the ancient subline of the Beijing genotype (8.7% and 4.6%). When compared to previously obtained data for the North-West of the Russian Federation, the proportion of MTB isolates of ancient subline from HIV-infected patients was significantly higher than among isolates isolated from HIV-negative patients (6.7% vs. 1.6%, P = 0.0028).
About the Authors
A. A. GerasimovaRussian Federation
Alena A. Gerasimova, Junior Researcher of Molecular Epidemiology and Evolutionary Genetics Laboratory
14 Mira St., St. Petersburg, 197101 Phone: + 7 (812) 644-63-80
A. A. Vyazovaya
Russian Federation
Anna A. Vyazovaya, Candidate of Biological Sciences, Senior Researcher of Molecular Epidemiology and Evolutionary Genetics Laboratory
14 Mira St., St. Petersburg, 197101 Phone: + 7 (812) 644-63-80
M. Yu. Mayskaya
Russian Federation
Marina Yu. Mayskaya, Candidate of Medical Sciences, Pathologist of Superior Merit, Head Physician
5 Uchebny Lane, St. Petersburg, 194354 Phone: + 7 (812) 338-48-60
A. M. Panteleev
Russian Federation
Aleksandr M. Panteleev, Doctor of Medical Sciences, Head Physician, Professor of Department of Socially Important Infections and Phthisiopulmonology
12 Zvezdnaya St., St. Petersburg, 196158 Phone: + 7(812) 727-57-00
I. V. Mokrousov
Russian Federation
Igor V. Mokrousov, Doctor of Biological Sciences, Head of Molecular Epidemiology and Evolutionary Genetics Laboratory
14 Mira St., St. Petersburg, 197101 Phone: + 7 (812) 644-63-80
References
1. Azovtseva O.V., Panteleev A.M., Karpov A.V., Arkhipov G.S., Weber V.R., Belyakov N.A., Arkhipova E.I. Analysis of medical and social factors affecting the formation and course of co-infection HIV, tuberculosis and viral hepatitis. Infektsiya I Immunitet, 2019, vol. 9, no. 5-6, pp. 787-799. (In Russ.) https://doi.org/10.15789/2220-7619-2019-5-6-787-799
2. Vyazovaya A.A., Lebedeva I.A., Ushakova N.B., Pavlov V.V., Gerasimova A.A., Solovyova N.S., Zhuravlev V.Yu., Narvskaya O.V. Molecular and genetic analysis of Mycobacterium tuberculosis population in the Vologda Region with low tuberculosis incidence. Russian Journal of Infection and Immunity, 2021, vol. 11, no. 3, pp. 497-505. (In Russ.)
3. Vyazovaya A.A., Mokrousov I.V., Zhuravlev V.Yu., Solovyova N.S., Otten T.F., Manicheva O.A., Vishnevskiy B.I., Narvskaya O.V. Molecular characteristics of multidrug-resistant strains of Mycobacterium tuberculosis strains in the North-West Russia. Molekulyarnaya Genetika, Mikrobiologiya i Virusologiya, 2016, no. 1, pp. 30-33. (In Russ.) https://doi.org/10.18821/0208-0613-2016-34-1-30-33
4. Zagdyn Z.M., Zhao Y., Sokolovich E.G., Yablonskiy P.K. MDR Tuberculosis and HIV Infection in the North Western Federal District. Tuberculosis and Lung Diseases, 2021, vol. 99, no. 1, pp. 27-32. (In Russ.) https://doi.org/10.21292/2075-1230-2021-99-1-27-32
5. Metodicheskiye rekomendatsii po sovershenstvovaniyu diagnostiki i lecheniya tuberkuleza organov dykhaniya, utverzhdeny prikazom Ministerstva zdravookhraneniya Rossiyskoy Federatsii ot 29 dekabrya 2014 g. N 951. [Guidelines on improvement of respiratory tuberculosis diagnosis and treatment approved by Edict no. 951 by the Russian Ministry of Health as of 29 December 2014]. Moscow, 2015.
6. Mishina A.V., Mishin V.Yu., Sobkin A.L., Osadchaya O.A. Disseminated and generalized pulmonary tuberculosis and opportunistic diseases in patients at the advanced stages of HIV infection with immunosuppression. Tuberculosis and Lung Diseases, 2018, vol. 96, no. 12, pp. 68-70. (In Russ.) https://doi.org10.21292/2075-1230-2018-96-12-68-70
7. Panteleev A.M. Comparison of life-time and post mortem detection of tuberculosis with multiple localizations in HIV-patients Tuberculosis and Lung Diseases, 2015, no. 7, pp. 106-108. (In Russ.)
8. Pasechnik O.A., Levakhina L.I., Tyumentsev A.T., Pitsenko N.D. Dynamics and structure of mortality of patients with HIV infection in the Siberian Federal District in 2006 - 2015. Journal Infektologii, 2017, vol. 9, no. 2, pp. 86-92. (In Russ.) https://doi.org/10.22625/2072-6732-2017-9-2-86-92
9. Solovyova N.S., Manicheva O.A., Steklova L.N., Oleynik V.V., Shulgina M.V. The effectiveness of Bactec MGIT 960 for testing surgical specimens of patients with tuberculous spondylitis. Klinicheskaya Laboratornaya Diagnostika, 2013, no. 12, pp. 45-47. (In Russ.)
10. Chumachenko G.V., Babaeva I.Yu., Avdeeva M.G. The actuality of the problem co-infection of HIV and tuberculosis in current epidemiological conditions. Epidemiology and Infectious Diseases, 2016, vol. 21, no. 6, pp. 304-312. (In Russ.) https://doi.org/10.18821/1560-9529-2016-21-6-304-312
11. Hunter P.R., Gaston M.A. Numerical index of the discriminatory ability of typing systems: an application of Simpson's index of diversity. J. Clin. Microbiol., 1988, no. 26, pp. 2465-2466.
12. Kamerbeek J., Schouls L., Kolk A., van Agterveld M., van Soolingen D., Kuijper S. et al. Simultaneous detection and strain differentiation of Mycobacterium tuberculosis for diagnosis and epidemiology. J. Clin. Microbiol., 1997, no. 35, pp. 907-914.
13. Mokrousov I. Ubiquitous and multifaceted: SIT53 spoligotype does not correlate with any particular family of Mycobacterium tuberculosis. Tuberculosis (Edinb.), 2021, no. 126, pp. 102024. https://doi.org/10.1016/j.tube.2020.102024
14. Mokrousov I., Vyazovaya A., Zhuravlev V., Otten T., Millet J., Jiao W.W., Shen A.D., Rastogi N., Vishnevsky B., Narvskaya O. Real-time PCR assay for rapid detection of epidemiologically and clinically significant Mycobacterium tuberculosis Beijing genotype isolates. J. Clin. Microbiol., 2014, vol. 52, no. 5, pp. 1691-1693. https://doi.org/10.1128/JCM.03193-13
15. Ogarkov O., Mokrousov I., Sinkov V., Zhdanova S., Antipina S., Savilov E. 'Lethal' combination of Mycobacterium tuberculosis Beijing genotype and human CD209 -336G allele in Russian male population. Infect. Genet. Evol., 2012, vol. 12, no. 4, pp. 732-736. https://doi.org/10.1016/j.meegid.2011.10.005
16. Shitikov E., Vyazovaya A., Malakhova M., Guliaev A., Bespyatykh J., Proshina E., Pasechnik O., Mokrousov I. Simple assay for detection of the Central Asia outbreak clade of the Mycobacterium tuberculosis Beijing genotype. J. Clin. Microbiol., 2019, vol. 57, no. 7, pp. e00215-19. https://doi.org/10.1128/JCM.00215-19
17. Van Embden J., Cave M., Crawford J., Dale J., Eisenach K., Gicquel B., Hermans P., Martin C., McAdam R., Shinnick T., Small P. Strain identification of Mycobacterium tuberculosis by DNA fingerprinting: recommendations for a standardized methodology. J. Clin. Microbiol., 1993, vol. 31, no. 2, pp. 406-409. https://doi.org/10.1128/JCM.31.2.406-409.1993
18. Vyazovaya A., Gerasimova A., Mudarisova R., Terentieva D., Solovieva N., Zhuravlev V., Mokrousov I. Genetic diversity and primary drug resistance of Mycobacterium tuberculosis Beijing genotype strains in Northwestern Russia. Microorganisms, 2023, vol. 11, no. 2. pp. 255. https://doi.org/10.3390/microorganisms11020255
Review
For citations:
Gerasimova A.A., Vyazovaya A.A., Mayskaya M.Yu., Panteleev A.M., Mokrousov I.V. Molecular Genetic Characteristics of Mycobacterium tuberculosis Isolates from Patients with HIV-Associated Tuberculosis. Tuberculosis and Lung Diseases. 2024;102(5):70-75. (In Russ.) https://doi.org/10.58838/2075-1230-2024-102-5-70-75