Title Pneumocystis jirovecii multilocus genotyping profiles in patients from Portugal and Spain
Authors Esteves, F. , Montes-Cano, M. A. , DE LA HORRA PADILLA, CARMEN, Costa, M. C. , Calderon, E. J. , Antunes, F. , Matos, O.
External publication Si
Means CLINICAL MICROBIOLOGY AND INFECTION
Scope Article
Nature Científica
JCR Quartile 1
SJR Quartile 1
JCR Impact 3.554
SJR Impact 1.664
Publication date 01/04/2008
ISI 000253757800010
DOI 10.1111/j.1469-0691.2007.01944.x
Abstract Pneumonia caused by the opportunistic organism Pneumocystis jirovecii is a clinically important infection affecting AIDS and other immunocompromised patients. The present study aimed to compare and characterise the frequency pattern of DNA sequences from the P. jirovecii mitochondrial large-subunit rRNA (mtLSU rRNA) gene, the dihydropteroate synthase (DHPS) gene and the internal transcribed spacer (ITS) regions of the nuclear rRNA operon in specimens from Lisbon (Portugal) and Seville (Spain). Total DNA was extracted and used for specific molecular sequence analysis of the three loci. In both populations, mtLSU rRNA gene analysis revealed an overall prevalence of genotype 1. In the Portuguese population, genotype 2 was the second most common, followed by genotype 3. Inversely, in the Spanish population, genotype 3 was the second most common, followed by genotype 2. The DHPS wild-type sequence was the genotype observed most frequently in both populations, and the DHPS genotype frequency pattern was identical to distribution patterns revealed in other European studies. ITS types showed a significant diversity in both populations because of the high sequence variability in these genomic regions. The most prevalent ITS type in the Portuguese population was Eg, followed by Cg. In contrast to other European studies, Bi was the most common ITS type in the Spanish samples, followed by Eg. A statistically significant association between mtLSU rRNA genotype 1 and ITS type Eg was revealed.
Keywords dihydropteroate synthase; genotyping; ITS types; mtLSU rRNA analysis; multilocus genotyping; Pneumocystis jirovecii
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