1. Molecular Surveillance of Clinical Neisseria gonorrhoeaeIsolates in Russia
- Author
-
Ilina, Elena N., Oparina, Nina Y., Shitikov, Egor A., Borovskaya, Alexandra D., and Govorun, Vadim M.
- Abstract
ABSTRACTThe choice of adequate methods for epidemiological purposes remains a challenging problem in Neisseria gonorrhoeaemolecular monitoring. In this study, the collection of geographically unrelated gonococci (n= 103) isolated in Russian clinics was comparably tested by (i) a traditional serotyping scheme, (ii) portyping, (iii) Neisseria gonorrhoeaemultiantigen sequence typing (NG-MAST), and (iv) multilocus sequence typing (MLST). It is shown that, according to sequencing data, a third of the strains carried new porB1alleles, as well as tbpBones, and more than half of the samples had new sequence types (STs) as determined by NG-MAST or MLST. The discriminatory power for each typing method was calculated by using the Hunter-Gaston discriminatory index, D. Commonly, modern nucleic acid-based typing methods (portyping, NG-MAST, and MLST) appeared to be more efficient than the classical serotyping scheme. While the traditional serotyping gave a Dvalue of 0.82, the portyping, NG-MAST, and MLST approaches yielded Dvalues of 0.97, 0.98, and 0.91, respectively. Each typing technique revealed the distribution of gonococci slightly correlated with their geographical sources. However, only the MLST method STs were highly associated with certain phenotypes. Although ST1594, ST1892, and ST6720 were typical for susceptible gonococci, ST1901 and ST6716 were undoubtedly associated with a multidrug-resistant phenotype. We conclude that every tested nucleic acid-based typing method is suitable for N. gonorrhoeaemolecular surveillance. However, the MLST method seems to serve large-scale epidemiological purposes, whereas the NG-MAST and portyping approaches are more appropriate for the investigation of local outbreaks.
- Published
- 2010
- Full Text
- View/download PDF