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. 2021 Feb 18;59(3):e02331-20.
doi: 10.1128/JCM.02331-20. Print 2021 Feb 18.

A Short-Tandem-Repeat Assay (Mmy STR) for Studying Genetic Variation in Madurella mycetomatis

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A Short-Tandem-Repeat Assay (Mmy STR) for Studying Genetic Variation in Madurella mycetomatis

Bertrand Nyuykonge et al. J Clin Microbiol. .

Abstract

Madurella mycetomatis is the major causative agent of eumycetoma, a neglected tropical infection characterized by painless subcutaneous lesions, inflammation, and grains draining from multiple sinuses. To study the epidemiology of mycetoma, a robust discriminatory typing technique is needed. We describe the use of a short-tandem-repeat assay (MmySTR) for genotyping of M. mycetomatis isolates predominantly from Sudan. Eleven microsatellite markers (3 dinucleotides, 4 trinucleotide repeats, and 4 tetranucleotide repeats) were selected from the M. mycetomatis MM55 genome using the Tandem Repeats Finder software. PCR amplification primers were designed for each microsatellite marker using primer3 software and amplified in a multicolor multiplex PCR approach. To establish the extent of genetic variation within the population, a collection of 120 clinical isolates from different regions was genotyped with this assay. The 11 selected MmySTR markers showed a large genotypic heterogeneity. From a collection of 120 isolates, 108 different genotypes were obtained. Simpson's diversity index (D) value for individual markers ranged from 0.081 to 0.881, and the combined panel displayed an overall D value of 0.997. The MmySTR assay demonstrated high stability, reproducibility, and specificity. The MmySTR assay is a promising new typing technique that can be used to genotype isolates of M. mycetomatis Apart from the possible contribution of host factors, the genetic diversity observed among this group of isolates might contribute to the different clinical manifestations of mycetoma. We recommend that the MmySTR assay be used to establish a global reference database for future study of M. mycetomatis isolates.

Keywords: Madurella mycetomatis; MmySTR; genotyping; microsatellites; mycetoma; short tandem repeats.

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Figures

FIG 1
FIG 1
Minimum spanning tree based on an 11-STR-marker panel of 120 M. mycetomatis isolates illustrating their genetic diversity. Each circle represents a genotype; the size of each circle corresponds to the number of isolates with that genotype. Colors represent the origins of the isolates. The size and thickness of connecting lines are proportional to the number of different markers between the genotypes. One hundred eight genotypes were obtained from 120 isolates using the MmySTR assay, yielding a D value of 0.997.
FIG 2
FIG 2
Minimum spanning tree of 77 isolates showing MmySTR genotypes and the size of the lesion they were isolated from. Lesions were categorized as small (<5 cm), medium (5 to 10 cm), and large (>10 cm). Each circle represents a genotype; the size of each circle corresponds to the number of isolates with that genotype. Colors represent lesion sizes. The size and thickness of connecting lines are proportional to the number of different markers between the genotypes.
FIG 3
FIG 3
Minimum spanning tree showing the correlation between MmySTR genotypes and AFLP genotypes. Each circle represents a genotype; the size of each circle corresponds to the number of isolates with that genotype. Colors represent AFLP genotypes. The size and thickness of connecting lines are proportional to the number of different markers between the genotypes. A collection of 33 isolates consisting of 3 AFLP genotypes resulted in 30 MmySTR genotypes.
FIG 4
FIG 4
Minimum spanning tree showing the correlation between MmySTR genotypes and VNTR genotypes. Each circle represents a genotype; the size of each circle corresponds to the number of isolates with that genotype. Colors represent VNTR genotypes. The size and thickness of connecting lines are proportional to the number of different markers between the genotypes. A collection of 77 isolates consisting of 12 VNTR genotypes resulted in 73 MmySTR genotypes.

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