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Journal of Clinical Microbiology, April 2000, p. 1482-1487, Vol. 38, No. 4
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

A Simple PCR Method for Rapid Genotype Analysis of Mycobacterium ulcerans

Timothy Stinear,1,* John K. Davies,1 Grant A. Jenkin,1 Françoise Portaels,2 Bruce C. Ross,3 Frances OppEdIsano,4 Maria Purcell,5 John A. Hayman,6 and Paul D. R. Johnson1,4,7

Department of Microbiology, Monash University,1 and Department of Infectious Diseases and Clinical Epidemiology, Monash Medical Centre,7 Clayton, Research and Development, CSL Limited,3 and Microbiology Research Unit, Royal Children's Hospital,4 Parkville, Victorian Infectious Diseases Reference Laboratory, North Melbourne,5 and Department of Pathology, Box Hill Hospital, Box Hill,6 Victoria, Australia, and Institute of Tropical Medicine, Antwerp, Belgium2

Received 3 November 1999/Accepted 23 January 2000

Two high-copy-number insertion sequences, IS2404 and IS2606, were recently identified in Mycobacterium ulcerans and were shown by Southern hybridization to possess restriction fragment length polymorphism between strains from different geographic origins. We have designed a simple genotyping method that captures these differences by PCR amplification of the region between adjacent copies of IS2404 and IS2606. We have called this system 2426 PCR. The method is rapid, reproducible, sensitive, and specific for M. ulcerans, and it has confirmed previous studies suggesting a clonal population structure of M. ulcerans within a geographic region. M. ulcerans isolates from Australia, Papua New Guinea, Malaysia, Surinam, Mexico, Japan, China, and several countries in Africa were easily differentiated based on an array of 4 to 14 PCR products ranging in size from 200 to 900 bp. Numerical analysis of the banding patterns suggested a close evolutionary link between M. ulcerans isolates from Africa and southeast Asia. The application of 2426 PCR to total DNA, extracted directly from M. ulcerans-infected tissue specimens without culture, demonstrated the sensitivity and specificity of this method and confirmed for the first time that both animal and human isolates from areas of endemicity in southeast Australia have the same genotype.

* Corresponding author. Mailing address: Department of Microbiology, Monash University, Wellington Rd., Clayton 3168, Australia. Phone: 61 3 9905 4809. Fax: 61 3 9905 4811. E-mail: tim.stinear{at}med.monash.edu.au.

Journal of Clinical Microbiology, April 2000, p. 1482-1487, Vol. 38, No. 4
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.


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