title: First baseline of circulating genotypic lineages of Mycobacterium tuberculosis in patients from the brazilian borders with Argentina and Paraguay.
abstract: BACKGROUND
  At the triple border Brazil/Paraguay/Argentina there is easy mobility from one city to another for economic and tourism activities. This constant and fast population mobility is mainly to visit Iguazu Falls, in the Iguazu River, on the border of the Brazilian state of Paraná and the Argentina. As the incidence of tuberculosis is high in this setting, our study aimed to establish a first baseline of circulating genotypic lineages of Mycobacterium tuberculosis.
  
  
  RESULTS
  This study included 120 patients from 10 cities in southwestern Paraná, Brazil with pulmonary symptoms, from July 2009 to July 2011. Information about sex, age, clinical features and address was collected by reviewing the national tuberculosis notification database. Of these, 96 (80%) isolates were identified as M. tuberculosis and 22 (22.9%) were drug resistant (20, 20.8% INH mono-resistant and 2, 2.1% multidrug-resistant). All isolates were subjected to genotyping by Spoligotyping and MIRU-VNTR typing. The distribution of the isolates analyzed by spoligotyping revealed 30 distinct patterns. The four mainly detected clades were Latin American and Mediterranean (LAM), ill-defined T, Haarlem (H) and S. The MIRU-VNTR showed 85 distinct patterns. Spoligotyping combined to MIRU-VNTR allowed 90 distinct patterns.
  
  
  CONCLUSIONS
  Our study demonstrated that there is significant molecular diversity in circulating M. tuberculosis, with predominance of the LAM and T clades in cities of southwestern Paraná, Brazil, bordering Argentina and Paraguay.
authors.affiliation: Postgraduate Program in Biosciences and Physiopatology, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: Luzia Neri C
authors.initials: LN
authors.lastname: Machado
authors.affiliation: Center of Medical and Pharmaceutical Sciences, State University of Western Paraná, Cascavel, Paraná, Brazil.
authors.forename: Nadir R
authors.initials: NR
authors.lastname: Marcondes
authors.affiliation: School of Pharmaceutical Sciences, Department of Biological Sciences, Paulista State University, Araraquara, São Paulo, Brazil.
authors.forename: Clarice Q Fijimura
authors.initials: CQ
authors.lastname: Leite
authors.affiliation: School of Pharmaceutical Sciences, Department of Biological Sciences, Paulista State University, Araraquara, São Paulo, Brazil.
authors.forename: Adolfo C Barreto
authors.initials: AC
authors.lastname: Santos
authors.affiliation: School of Pharmaceutical Sciences, Department of Biological Sciences, Paulista State University, Araraquara, São Paulo, Brazil.
authors.forename: Fernando Rogério
authors.initials: FR
authors.lastname: Pavan
authors.affiliation: Postgraduate Program in Biosciences and Physiopatology, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: Vanessa Pietrowski
authors.initials: VP
authors.lastname: Baldin
authors.affiliation: Department of Clinical Analysis and Biomedicine, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: Aline Lemes
authors.initials: AL
authors.lastname: Castilho
authors.affiliation: Department of Clinical Analysis and Biomedicine, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: Vera Lúcia D
authors.initials: VL
authors.lastname: Siqueira
authors.affiliation: Department of Clinical Analysis and Biomedicine, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: Lilian Cristiane
authors.initials: LC
authors.lastname: Baeza
authors.affiliation: Fairport Ltda, São Paulo, Brazil.
authors.forename: Henri
authors.initials: H
authors.lastname: Berghs
authors.affiliation: Department of Clinical Analysis and Biomedicine, State University of Maringá, Maringá, Paraná, Brazil.
authors.forename: Rosilene Fressatti
authors.initials: RF
authors.lastname: Cardoso
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015373:Bacterial Typing Techniques / Q000379:methods; D004269:DNA, Bacterial / Q000235:genetics; D005260:Female; D005838:Genotype; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000145:classification* / Q000235:genetics*; D013020:South America; D014376:Tuberculosis / Q000382:microbiology*; D055815:Young Adult
chemical_list: D004269:DNA, Bacterial