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Nyunt MH, Soe HO, Aye KT, Aung WW, Kyaw YY, Kyaw AK, Myat TW, Latt AZ, Win MM, Win AA, Htun YM, Zaw KM, Ei PW, Hein KT, San LL, Oo NAT, Lin H, Mon NCN, Yee KT, Htun KL, Aye LPP, Ko YK, Htoo THH, Aung KM, Azili H, Han SS, Zaw NN, Win SM, Thwe WM, Aye TT, Hlaing MS, Minn WY, Thu PP, Thu HM, Htun ZT. Surge of severe acute respiratory syndrome coronavirus 2 infections linked to single introduction of a virus strain in Myanmar, 2020. Sci Rep 2021; 11:10203. [PMID: 33986354 PMCID: PMC8119731 DOI: 10.1038/s41598-021-89361-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Accepted: 03/23/2021] [Indexed: 01/19/2023] Open
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is a major health concern globally. Genomic epidemiology is an important tool to assess the pandemic of coronavirus disease 2019 (COVID-19). Several mutations have been reported by genome analysis of the SARS-CoV-2. In the present study, we investigated the mutational and phylogenetic analysis of 30 whole-genome sequences for the virus's genomic characteristics in the specimens collected in the early phase of the pandemic (March-June, 2020) and the sudden surge of local transmission (August-September, 2020). The four samples in the early phase of infection were B.6 lineage and located within a clade of the samples collected at the same time in Singapore and Malaysia, while five returnees by rescue flights showed the lineage B. 1.36.1 (three from India), B.1.1 (one from India) and B.1.80 (one from China). However, there was no evidence of local spread from these returnees. Further, all 19 whole-genome sequences collected in the sudden surge of local transmission showed lineage B.1.36. The surge of the second wave on SARS-CoV-2 infection was linked to the single-introduction of a variant (B.1.36) that may result from the strict restriction of international travel and containment efforts. These genomic data provides the useful information to disease control and prevention strategy.
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Affiliation(s)
- Myat Htut Nyunt
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar.
| | - Hnin Ohnmar Soe
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Kay Thi Aye
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Wah Wah Aung
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Yi Yi Kyaw
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Aung Kyaw Kyaw
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Theingi Win Myat
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Aung Zaw Latt
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Min Min Win
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Aye Aye Win
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Yin Min Htun
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Khaing Mar Zaw
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Phyu Win Ei
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Kyaw Thu Hein
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Lai Lai San
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Nan Aye Thida Oo
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Htin Lin
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Nan Cho Nwe Mon
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Khin Than Yee
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Khin Lapyae Htun
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Lynn Pa Pa Aye
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Yamin Ko Ko
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Thitsar Htet Htet Htoo
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Kham Mo Aung
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Hnin Azili
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Soe Soe Han
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Ni Ni Zaw
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Su Mon Win
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Wai Myat Thwe
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Thin Thin Aye
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Myat Su Hlaing
- Department of Microbiology, University of Medicine-2, Yangon, Republic of the Union of Myanmar
| | - Wai Yan Minn
- Department of Microbiology, University of Medicine-2, Yangon, Republic of the Union of Myanmar
| | - Pyae Phyo Thu
- Department of Microbiology, University of Medicine-2, Yangon, Republic of the Union of Myanmar
| | - Hlaing Myat Thu
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
| | - Zaw Than Htun
- Department of Medical Research, Ministry of Health and Sports, 5, Ziwaka Road, Dagon, Yangon, 11191, Republic of the Union of Myanmar
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Imwong M, Dhorda M, Myo Tun K, Thu AM, Phyo AP, Proux S, Suwannasin K, Kunasol C, Srisutham S, Duanguppama J, Vongpromek R, Promnarate C, Saejeng A, Khantikul N, Sugaram R, Thanapongpichat S, Sawangjaroen N, Sutawong K, Han KT, Htut Y, Linn K, Win AA, Hlaing TM, van der Pluijm RW, Mayxay M, Pongvongsa T, Phommasone K, Tripura R, Peto TJ, von Seidlein L, Nguon C, Lek D, Chan XHS, Rekol H, Leang R, Huch C, Kwiatkowski DP, Miotto O, Ashley EA, Kyaw MP, Pukrittayakamee S, Day NPJ, Dondorp AM, Smithuis FM, Nosten FH, White NJ. Molecular epidemiology of resistance to antimalarial drugs in the Greater Mekong subregion: an observational study. Lancet Infect Dis 2020; 20:1470-1480. [PMID: 32679084 PMCID: PMC7689289 DOI: 10.1016/s1473-3099(20)30228-0] [Citation(s) in RCA: 77] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 02/19/2020] [Accepted: 03/16/2020] [Indexed: 12/17/2022]
Abstract
BACKGROUND The Greater Mekong subregion is a recurrent source of antimalarial drug resistance in Plasmodium falciparum malaria. This study aimed to characterise the extent and spread of resistance across this entire region between 2007 and 2018. METHODS P falciparum isolates from Myanmar, Thailand, Laos, and Cambodia were obtained from clinical trials and epidemiological studies done between Jan 1, 2007, and Dec 31, 2018, and were genotyped for molecular markers (pfkelch, pfcrt, pfplasmepsin2, and pfmdr1) of antimalarial drug resistance. Genetic relatedness was assessed using microsatellite and single nucleotide polymorphism typing of flanking sequences around target genes. FINDINGS 10 632 isolates were genotyped. A single long pfkelch Cys580Tyr haplotype (from -50 kb to +31·5 kb) conferring artemisinin resistance (PfPailin) now dominates across the eastern Greater Mekong subregion. Piperaquine resistance associated with pfplasmepsin2 gene amplification and mutations in pfcrt downstream of the Lys76Thr chloroquine resistance locus has also developed. On the Thailand-Myanmar border a different pfkelch Cys580Tyr lineage rose to high frequencies before it was eliminated. Elsewhere in Myanmar the Cys580Tyr allele remains widespread at low allele frequencies. Meanwhile a single artemisinin-resistant pfkelch Phe446Ile haplotype has spread across Myanmar. Despite intense use of dihydroartemisinin-piperaquine in Kayin state, eastern Myanmar, both in treatment and mass drug administrations, no selection of piperaquine resistance markers was observed. pfmdr1 amplification, a marker of resistance to mefloquine, remains at low prevalence across the entire region. INTERPRETATION Artemisinin resistance in P falciparum is now prevalent across the Greater Mekong subregion. In the eastern Greater Mekong subregion a multidrug resistant P falciparum lineage (PfPailin) dominates. In Myanmar a long pfkelch Phe446Ile haplotype has spread widely but, by contrast with the eastern Greater Mekong subregion, there is no indication of artemisinin combination therapy (ACT) partner drug resistance from genotyping known markers, and no evidence of spread of ACT resistant P falciparum from the east to the west. There is still a window of opportunity to prevent global spread of ACT resistance. FUNDING Thailand Science Research and Innovation, Initiative 5%, Expertise France, Wellcome Trust.
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Affiliation(s)
- Mallika Imwong
- Department of Molecular Tropical Medicine and Genetics, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
| | - Mehul Dhorda
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Worldwide Antimalarial Resistance Network, Bangkok, Thailand
| | - Kyaw Myo Tun
- Department of Preventive and Social Medicine, Defence Services Medical Academy, Yangon, Myanmar
| | - Aung Myint Thu
- Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand
| | - Aung Pyae Phyo
- Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand; Myanmar Oxford Clinical Research Unit, Yangon, Myanmar
| | - Stephane Proux
- Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand
| | - Kanokon Suwannasin
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Chanon Kunasol
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Suttipat Srisutham
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Jureeporn Duanguppama
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | | | | | - Aungkana Saejeng
- Bureau of Vector-borne Diseases, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand
| | | | - Rungniran Sugaram
- Bureau of Vector-borne Diseases, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand
| | | | - Nongyao Sawangjaroen
- Department of Microbiology, Faculty of Science, Prince of Songkla University, Songkhla, Thailand
| | - Kreepol Sutawong
- Buntharik Hospital, Amphoe Buntharik, Ubon Ratchathani, Thailand
| | - Kay Thwe Han
- Department of Medical Research, Ministry of Health and Sports, Yangon, Myanmar
| | - Ye Htut
- Department of Medical Research, Ministry of Health and Sports, Yangon, Myanmar
| | - Khin Linn
- Department of Medical Research, Ministry of Health and Sports, Yangon, Myanmar
| | - Aye Aye Win
- Department of Tropical and Infectious Diseases, University of Medicine 1, Yangon, Myanmar
| | - Tin M Hlaing
- Defence Services Medical Research Centre, Naypyitaw, Myanmar
| | - Rob W van der Pluijm
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Mayfong Mayxay
- Institute of Research and Education Development, University of Health Sciences, Ministry of Health, Vientiane, Laos; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Vientiane, Laos
| | - Tiengkham Pongvongsa
- Savannakhet Provincial Health Department, Phonsavangnuea village, Kaysone-Phomvihan district, Savannakhet, Laos
| | - Koukeo Phommasone
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Vientiane, Laos
| | - Rupam Tripura
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Thomas J Peto
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Lorenz von Seidlein
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Chea Nguon
- National Center for Parasitology, Entomology, and Malaria Control, Phnom Penh, Cambodia
| | - Dysoley Lek
- National Center for Parasitology, Entomology, and Malaria Control, Phnom Penh, Cambodia
| | - Xin Hui S Chan
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Huy Rekol
- National Center for Parasitology, Entomology, and Malaria Control, Phnom Penh, Cambodia
| | - Rithea Leang
- National Center for Parasitology, Entomology, and Malaria Control, Phnom Penh, Cambodia
| | - Cheah Huch
- National Center for Parasitology, Entomology, and Malaria Control, Phnom Penh, Cambodia
| | - Dominic P Kwiatkowski
- Wellcome Sanger Institute, Hinxton, UK; Medical Research Council Centre for Genomics and Global Health, Big Data Institute, University of Oxford, Oxford, UK
| | - Olivo Miotto
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Wellcome Sanger Institute, Hinxton, UK; Medical Research Council Centre for Genomics and Global Health, Big Data Institute, University of Oxford, Oxford, UK
| | - Elizabeth A Ashley
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Vientiane, Laos
| | - Myat Phone Kyaw
- Department of Medical Research, Myanmar Health Network Organization, Yangon, Myanmar
| | - Sasithon Pukrittayakamee
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; The Royal Society of Thailand, Dusit, Bangkok, Thailand
| | - Nicholas P J Day
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Arjen M Dondorp
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Frank M Smithuis
- Myanmar Oxford Clinical Research Unit, Yangon, Myanmar; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK; Medical Action Myanmar, Yangon, Myanmar
| | - Francois H Nosten
- Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Nicholas J White
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
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Aye KS, Nakajima C, Yamaguchi T, Win MM, Shwe MM, Win AA, Lwin T, Nyunt WW, Ti T, Suzuki Y. Genotypic characterization of multi-drug-resistant Mycobacterium tuberculosis isolates in Myanmar. J Infect Chemother 2016; 22:174-9. [PMID: 26806152 DOI: 10.1016/j.jiac.2015.12.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Revised: 12/14/2015] [Accepted: 12/16/2015] [Indexed: 10/22/2022]
Abstract
The number of multi-drug-resistant tuberculosis (MDR-TB) cases is rising worldwide. As a countermeasure against this situation, the implementation of rapid molecular tests to identify MDR-TB would be effective. To develop such tests, information on the frequency and distribution of mutations associating with phenotypic drug resistance in Mycobacterium tuberculosis is required in each country. During 2010, the common mutations in the rpoB, katG and inhA of 178 phenotypically MDR M. tuberculosis isolates collected by the National Tuberculosis Control Program (NTP) in Myanmar were investigated by DNA sequencing. Mutations affecting the 81-bp rifampicin (RIF) resistance-determining region (RRDR) of the rpoB were identified in 127 of 178 isolates (71.3%). Two of the most frequently affected codons were 531 and 526, with percentages of 48.3% and 14.0% respectively. For isoniazid (INH) resistance, 114 of 178 MDR-TB isolates (64.0%) had mutations in the katG in which a mutation-conferring amino acid substitution at codon 315 from Ser to Thr was the most common. Mutations in the inhA regulatory region were also detected in 20 (11.2%) isolates, with the majority at position -15. Distinct mutation rate and pattern from surrounding countries might suggest that MDR-TB has developed and spread domestically in Myanmar.
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Affiliation(s)
- Khin Saw Aye
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Yangon, Myanmar
| | - Chie Nakajima
- Division of Bioresources, Hokkaido University Research Center for Zoonosis Control, Sapporo, Japan; Hokkaido University, The Global Station for Zoonosis Control, Sapparo, Japan
| | - Tomoyuki Yamaguchi
- Division of Bioresources, Hokkaido University Research Center for Zoonosis Control, Sapporo, Japan
| | - Min Min Win
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Yangon, Myanmar
| | - Mu Mu Shwe
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Yangon, Myanmar
| | - Aye Aye Win
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Yangon, Myanmar
| | - Thandar Lwin
- National TB Control Programme, Department of Health, Yangon, Myanmar
| | - Wint Wint Nyunt
- National TB Control Programme, Department of Health, Yangon, Myanmar
| | - Ti Ti
- National TB Control Programme, Department of Health, Yangon, Myanmar
| | - Yasuhiko Suzuki
- Division of Bioresources, Hokkaido University Research Center for Zoonosis Control, Sapporo, Japan; Hokkaido University, The Global Station for Zoonosis Control, Sapparo, Japan.
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Abstract
The polymorphism of TTC repeats in Mycobacterium leprae was examined using bacilli from slit skin samples of leprosy patients attending at Central Special Skin Clinic, Yangon General Hospital and nasal swabs of their contacts to elucidate the possible mode of leprosy transmission. It was found that bacilli with different TTC genotypes were distributed among same household contacts and also harbored bacilli in patients were different TTC genotype from that harbored on the nasal mucus of the healthy contacts. Genotypes of TTC repeats were found to differ between husband under treatment and his wife and also mother under treatment and her sons living in same house. This study revealed that TTC genotype of bacilli harbored by household contacts was different with the TTC genotype by index cases. These results indicate that the family members get transmission from outside the dwellings rather than from commonly supposed their MB index cases. There might have been some infectious sources to which the populace had been commonly exposed outside the dwellings.
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Affiliation(s)
- Khin Saw Aye
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Yangon, Myanmar
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Aye KS, Matsuoka M, Kai M, Kyaw K, Win AA, Shwe MM, Thein M, Htoo MM, Htoon MT. FTA Card Utility for PCR Detection of <i>Mycobacterium leprae</i>. Jpn J Infect Dis 2011. [DOI: 10.7883/yoken.64.246] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Khin Saw Aye
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Myanmar
| | - Masanori Matsuoka
- Department of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases, Japan
| | - Masanori Kai
- Department of Mycobacteriology, Leprosy Research Center, National Institute of Infectious Diseases, Japan
| | - Kyaw Kyaw
- Central Special Skin Center, Yangon General Hospital, Department of Health, Myanmar
| | - Aye Aye Win
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Myanmar
| | - Mu Mu Shwe
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Myanmar
| | - Min Thein
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Myanmar
| | - Maung Maung Htoo
- Central Special Skin Center, Yangon General Hospital, Department of Health, Myanmar
| | - Myo Thet Htoon
- Global Leprosy Program, South-East Asia Regional Office, World Health Organization, India
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Aye KS, Matsuoka M, Kai M, Kyaw K, Win AA, Shwe MM, Thein M, Htoo MM, Htoon MT. FTA card utility for PCR detection of Mycobacterium leprae. Jpn J Infect Dis 2011; 64:246-248. [PMID: 21617312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The suitability of the FTA® elute card for the collection of slit skin smear (SSS) samples for PCR detection of Mycobacterium leprae was evaluated. A total of 192 SSS leprosy samples, of bacillary index (BI) 1 to 5, were collected from patients attending two skin clinics in Myanmar and preserved using both FTA® elute cards and 70% ethanol tubes. To compare the efficacy of PCR detection of DNA from each BI class, PCR was performed to amplify an M. leprae-specific repetitive element. Of the 192 samples, 116 FTA® elute card and 112 70% ethanol samples were PCR positive for M. leprae DNA. When correlated with BI, area under the curve (AUC) values of the respective receiver-operating characteristic curves were similar for the FTA® elute card and ethanol collection methods (AUC=0.6). Taken together, our results indicate that the FTA® elute card, which enables the collection, transport, and archiving of clinical samples, is an attractive alternative to ethanol preservation for the detection of M. leprae DNA.
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Affiliation(s)
- Khin Saw Aye
- Immunology Research Division, Department of Medical Research (Lower Myanmar), Yangon, Maynmar
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Abstract
The iron status of 31 patients with sickle cell anaemia (Hb SS) and balanced globin chain synthesis was studied. Twelve patients (group I) had never been transfused; 14 had received up to 4 units of blood in the past (group II) and five had been hypertransfused for 6 months to 2 years (group III). The hypertransfused group had significantly higher MCV and MCH than the nontransfused one, and significantly lower total iron binding capacity and higher serum ferritin concentration than either groups I or II. The serum ferritin concentration was lower than normal in eight patients (five in group I and three in group II), and higher than normal in seven patients (four in group III and three in group II). The remaining 16 patients had normal serum ferritin concentrations. Our results indicate that iron overload is uncommon in adults with Hb SS who have not been transfused, and that a proportion of patients have lower than normal serum ferritin concentrations. Transfused patients, even 6 months after the last transfusion, show increased haemoglobin content of red cells, which may have an adverse effect on the frequency and severity of sickle crises.
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Thinkhamrop J, Limpongsanurak S, Festin MR, Daly S, Schuchat A, Lumbiganon P, Zell E, Chipato T, Win AA, Perilla MJ, Tolosa JE, Whitney CG. Infections in international pregnancy study: performance of the optical immunoassay test for detection of group B streptococcus. J Clin Microbiol 2003; 41:5288-90. [PMID: 14605186 PMCID: PMC262473 DOI: 10.1128/jcm.41.11.5288-5290.2003] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2003] [Revised: 04/16/2003] [Accepted: 08/27/2003] [Indexed: 11/20/2022] Open
Abstract
We evaluated the Strep B optical immunoassay (OIA; ThermoBiostar, Inc.) for detecting light and heavy group B streptococcus colonization in 1,306 pregnant women. The women were examined at 20 to 32 weeks gestation and were from six countries. Compared to culture, the sensitivity and specificity of OIA were 13.3 and 98.4%, respectively, for light colonization and 41.5 and 97.7%, respectively, for heavy colonization.
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Affiliation(s)
- Jadsada Thinkhamrop
- Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Bangkok, Thailand.
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Abstract
25 consecutive episodes of acute chest syndrome in 13 adult patients with sickle-cell disease were studied retrospectively. Chest symptoms were present on admission in 23 of 25 episodes. Abnormal chest signs and an abnormal chest X-ray were present on admission in only 11 and 9 episodes, respectively, but developed later in the remainder. The 9 episodes with bilateral radiological changes were associated with higher pulse rates, longer-lasting fever, more profound arterial hypoxaemia, and greater falls in haemoglobin than the 16 unilateral episodes. 2 patients with bilateral disease died; both had platelet counts less than 100 X 10(9)/litre. In 12 episodes (6 bilateral, 6 unilateral) exchange transfusion was required and produced striking improvement in 11. Despite intensive microbiological investigation, infection was found in only 2 episodes--1 mycoplasma and 1 evidence of Escherichia coli. Pulmonary intravascular sickling may account for much of the clinical picture.
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