Literature DB >> 21435217

High throughput MLVA-16 typing for Brucella based on the microfluidics technology.

Riccardo De Santis1, Andrea Ciammaruconi, Giovanni Faggioni, Silvia Fillo, Bernardina Gentile, Elisabetta Di Giannatale, Massimo Ancora, Florigio Lista.   

Abstract

BACKGROUND: Brucellosis, a zoonosis caused by the genus Brucella, has been eradicated in Northern Europe, Australia, the USA and Canada, but remains endemic in most areas of the world. The strain and biovar typing of Brucella field samples isolated in outbreaks is useful for tracing back source of infection and may be crucial for discriminating naturally occurring outbreaks versus bioterrorist events, being Brucella a potential biological warfare agent. In the last years MLVA-16 has been described for Brucella spp. genotyping. The MLVA band profiles may be resolved by different techniques i.e. the manual agarose gels, the capillary electrophoresis sequencing systems or the microfluidic Lab-on-Chip electrophoresis. In this paper we described a high throughput system of MLVA-16 typing for Brucella spp. by using of the microfluidics technology.
RESULTS: The Caliper LabChip 90 equipment was evaluated for MLVA-16 typing of sixty-three Brucella samples. Furthermore, in order to validate the system, DNA samples previously resolved by sequencing system and Agilent technology, were de novo genotyped. The comparison of the MLVA typing data obtained by the Caliper equipment and those previously obtained by the other analysis methods showed a good correlation. However the outputs were not accurate as the Caliper DNA fragment sizes showed discrepancies compared with real data and a conversion table from observed to expected data was created.
CONCLUSION: In this paper we described the MLVA-16 using a rapid, sophisticated microfluidics technology for detection of amplification product sizes. The comparison of the MLVA typing data produced by Caliper LabChip 90 system with the data obtained by different techniques showed a general concordance of the results. Furthermore this platform represents a significant improvement in terms of handling, data acquiring, computational efficiency and rapidity, allowing to perform the strain genotyping in a time equal to one sixth respect to other microfluidics systems as e.g. the Agilent 2100 bioanalyzer.Finally, this platform can be considered a valid alternative to standard genotyping techniques, particularly useful dealing with a large number of samples in short time. These data confirmed that this technology represents a significative advancement in high-throughput accurate Brucella genotyping.

Entities:  

Mesh:

Year:  2011        PMID: 21435217      PMCID: PMC3078841          DOI: 10.1186/1471-2180-11-60

Source DB:  PubMed          Journal:  BMC Microbiol        ISSN: 1471-2180            Impact factor:   3.605


Background

The members of the genus Brucella are Gram-negative, facultative intracellular bacteria responsible of a considerable human morbidity and in animals of enormous economic losses [1] due to abortion and infertility in livestock (cattle, goats, and sheep). As brucellosis is a zoonotic disease, practically all human Brucella infections develop from direct or indirect contact to animals. In particular, brucellosis in humans occurs as a sub-acute or chronic illness, that is generally not lethal in previously healthy patients, and can result in a wide variety of manifestations and significant morbidity if the diagnosis is unobserved and treatment is not rapidly initiated [2]. There are nine recognized species of Brucella [3] that differ in their host preference [4]. In particular, the nine recognized host-specific Brucella spp. are: B. abortus which preferentially infects cattle; B. melitensis infects sheep and goats; B. suis infects pigs; B. canis the dog; B. ovis, sheep and goats; B. neotomae the desert wood rat; B. microti the common vole [5]; B.ceti, cetaceans [6]; B. pinnipedialis, seals [6,7]. Recently, an additional novel species, B. inopinata sp., isolated from a human breast implant infection, was described [8]. Currently, the division in species and between biovars of a given species is performed using differential tests based on phenotypic characterization of lipopolysaccharide (LPS) antigens, phage typing, dye sensitivity, requirement for CO2, H2S production, and metabolic properties [9]. The genotyping of Brucella field strain isolated in outbreaks is an essential tool to better understand the epidemiology of the disease and to give support to the trace-back of infection sources. It is also essential to identify the presence of Brucella strains that can affect livestock populations and new strains that were previously considered to be exotic [10], thus improving the outcomes of the national brucellosis eradication programme. Although brucellosis has been eradicated in Northern Europe, Australia, the USA and Canada, this disease remains endemic in most areas of the world [11]. Therefore, the knowledge of the prevailing genotypes of Brucella spp. present in a country is an important epidemiological tool to assess the necessary steps required for the formulation of policies and strategies for the control of brucellosis in animal populations. In addition, Brucella spp. represent potential biological warfare agents due to the high contagious rates for humans and animals, the non-specific symptoms associated with the infection, and the fact that the organism can be readily aerosolized [12-14]. Therefore, the discrimination between natural outbreaks and/or intentional release of micro-organism agents may be of crucial importance in the context of the bioterrorism. Brucella species are characterised by >80% interspecies homology by DNA-DNA hybridization studies [15,16] and >98% sequence similarity by comparative genomics [17]. In fact, the sequencing of 16 S rRNA showed a 100% of identity between all of the Brucella spp. [18]. The simple identification of genus and, in some cases, species by PCR assays [19,20], is adequate for purposes as diagnosis of human/animal disease or identification of food contamination but not for the tracing of outbreaks or bioterrorist attack. Therefore, the development of strain typing methods is essential in order to investigate the source of an epidemic event. Molecular DNA technology such as repetitive intergenic palindromic sequence-PCR (REP-PCR) [21], random amplified polymorphic DNA-PCR (RAPD-PCR) [22], arbitrary primed-PCR (AP-PCR) [23], amplified fragment length polymorphism (AFLP) [24], single nucleotide polymorphism (SNP) [25,26], and polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) [27] has been employed to sub-type Brucella spp. In the last years the variable number of tandem repeats (VNTR), allelic hypervariability related to variation in the number of tandemly repeated sequences, were used for the discrimination of bacterial species that display very little genomic diversity. Polymorphic tandem repeat loci have been identified by analysing published genome sequences of B. melitensis 16 M, B. suis 1330, and B. abortus 9-941 [16,28]. Schemes based on multiple locus VNTR analysis (MLVA) were tested. In Brucella, MLVA schemes with 21 loci (MLVA-21), 15 and 16 loci (MLVA-15 and MLVA-16) were published [12,16,29]. The authors used a subset of loci that preserved the clusters corresponding to classical species, comprising markers with repeat unit sizes of 9 bp or greater and good species identification capability ('minisatellites') and markers with repeat unit sizes of up to 8 bp and higher discriminatory power ('microsatellites') [30]. The MLVA band profiles may be resolved by different techniques ranging from low cost manual agarose gels to the more expensive capillary electrophoresis sequencing systems. The most frequently used method is the agarose gel. Recently, a more rapid and inexpensive method based on the Lab on a chip technology has been proposed [31]. This miniaturized platform for electrophoresis applications is able to size and quantify PCR fragments, and was previously used for studying the genetic variability of Brucella spp. [32]. Recently a new high throughput micro-fluidics system, the LabChip 90 equipment (Caliper Life Sciences), was developed. This platform can be considered particularly useful when dealing with a large number of samples in short time. Therefore we evaluated the LabChip 90 system for MLVA typing of Brucella strains applying the selected subset of 16 loci proposed by Al-Dahouk et al. [12] to fifty-three field isolates and ten DNA samples provided in 2006 for Brucella suis ring-trial. Furthermore, twelve DNA samples, provided in 2007 for a MLVA VNTR ring trial and seventeen human Brucella isolates whose MLVA fingerprinting profiles were previously resolved [32,33], were de novo genotyped.

Results

By means of MLVA-16 on LabChip 90 (Caliper Life Sciences) sixty-three DNA samples, fifty-three field isolates of Brucella (Table 1) and ten DNA provided for Brucella suis ring-trial, were analysed for investigating a broader number of loci. In order to set up the system, DNA samples, previously genotyped by sequencing system and Agilent technology [32,33], were reanalyzed. DNA from all ninety-two isolates was amplified at 16 loci (MLVA-16 typing assay) to generate multiple band profiles. The LabChip 90 equipment acquires the sample in less than a minute and the analysis of 96 samples in less than an hour. After PCR amplification 5 μl of each reaction was loaded into a 96-well plate and the amplification product size estimates were obtained by the LabChip Gx Software. The data produced by the Caliper system showed band sizing discrepancies compared with data obtained from other electrophoresis platforms. Therefore a conversion table that would allow the allocation of the correct alleles to the range of fragment sizes was created. The table contained for each locus the expected size, the range of observed sizes, including arithmetical average ± standard deviation, and the corresponding allele (Table 2). The variability range for each allele was established experimentally by the analysis of different strain amplification products. Furthermore, in order to look at intra- and interchip variability, each allele was analyzed by repeating five times the analysis on the same chip and different chips. The comparison of the average and standard deviations obtained by the analysis of the intra- and interchip variability by t-test (confidence of interval 95%) shown a P value > 0.005 (data not shown).
Table 1

The fifty-three strains provided by Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise - G. Caporale-(Istituto G. Caporale).

SamplesSpecies-biovar according MLVA Database GenotypingaYearHostGeographic origin
BruIT200B.melitensis biovar 32002humanSardinia, Italy
BruIT201B.abortus biovar 12002bovinePiemonte, Italy
BruIT202B.melitensis biovar 32002bovineLazio, Italy
BruIT203B.abortus biovar 12002bovineLazio, Italy
BruIT204B.abortus biovar 32002bovinePiemonte, Italy
BruIT205B.melitensis biovar 32002water buffaloCampania, Italy
BruIT206B.melitensis biovar 32002water buffaloCampania, Italy
BruIT207B.abortus biovar 12003water buffaloCampania, Italy
BruIT208B.melitensis biovar 32003milkEmilia-Romagna, Italy
BruIT209B.melitensis biovar 32003bovineAbruzzo, Italy
BruIT210B.abortus biovar 32001bovinePiemonte, Italy
BruIT211B.abortus biovar 32001bovinePiemonte, Italy
BruIT212B.abortus biovar 32002bovinePiemonte, Italy
BruIT213B.abortus biovar 32007bovineItaly
BruIT214B.abortus biovar 32002bovinePiemonte, Italy
BruIT215B.melitensis biovar 32001ovineLazio, Italy
BruIT216B.melitensis biovar 32001ovineLazio, Italy
BruIT217B.melitensis biovar 32001water buffaloLazio, Italy
BruIT218B.melitensis biovar 32002bovineCampania, Italy
BruIT219B.melitensis biovar 32001wild boarCampania, Italy
BruIT220B.melitensis biovar 32001bovinePiemonte, Italy
BruIT221B.melitensis biovar 32001ovinePiemonte, Italy
BruIT222B.melitensis biovar 32001ovineLazio, Italy
BruIT223B.melitensis biovar 32001ovineLazio, Italy
BruIT224B.abortus biovar 32001bovineLazio, Italy
BruIT225B.abortus biovar 32001bovinePiemonte, Italy
BruIT226B.melitensis biovar 32001humanLazio, Italy
BruIT227B.suis biovar 22003hareEmilia-Romagna, Italy
BruIT228B.suis biovar 22003hareEmilia-Romagna, Italy
BruIT239B.abortus biovar 32008bovineMolise, Italy
BruIT240B.abortus biovar 32008bovineMolise, Italy
BruIT241B.abortus biovar 32008bovineMolise, Italy
BruIT242B.abortus biovar 32008bovineMolise, Italy
BruIT243B.abortus biovar 32008bovineMolise, Italy
BruIT244B.abortus biovar 32008bovineMolise, Italy
BruIT245B.abortus biovar 32007water buffaloCampania, Italy
BruIT246B.melitensis biovar 32007water buffaloCampania, Italy
BruIT247B.abortus biovar 32007bovineCalabria, Italy
BruIT248B.abortus biovar 32007water buffaloPuglia, Italy
BruIT249B.abortus biovar 32009bovineCampania, Italy
BruIT250B.abortus biovar 32009bovineCalabria, Italy
BruIT251B.abortus biovar 32009bovineCalabria, Italy
BruIT252B.abortus biovar 62009bovineCalabria, Italy
BruIT253B.abortus biovar 62009ovinePuglia, Italy
BruIT254B.melitensis biovar 32001bovinePiemonte, Italy
BruIT255B.abortus biovar 32002bovinePiemonte, Italy
BruIT256B.suis biovar 22002bovinePiemonte, Italy
BruIT257B.suis biovar 22001ovineLazio, Italy
BruIT258B.suis biovar 22005water buffaloCampania, Italy
BruIT259B.suis biovar 22002wild boarPiemonte, Italy
BruIT260B.abortus biovar 12007bovineCampania, Italy
BruIT261B.abortus biovar 32007bovineItaly
BruIT262B.abortus biovar 12007bovineCalabria, Italy

aMLVA bank for bacterial genotyping http://mlva.u-psud.fr/[35].

Table 2

Comparison between Brucella product sizes estimated by LabChip GX software (Observed size) and actual sizes obtained by direct sequencing of the PCR product or data available in Genbank (Expected size).

PCRLocus (UL bps)aAlleleExpected sizeObserved sizex ± sb
Singleplex 1Bruce08 (18)2312
3330346-359352,63 ± 5,37
4348369-383376 ± 4,62
5366385-410399,09 ± 6,58
6384411-434419,29 ± 6,71

Singleplex 2Bruce43 (12)1170179-188183,17 ± 2
2182191-200196,07 ± 2,32
3194

Singleplex 3Bruce12 (15)7302
8317
9332
10347359-369362,8 ± 3,7
11362379-388384,13 ± 3,64
12377390-400395,16 ± 3,05
13'392409-420413 ± 2,55
14407424-433428,82 ± 3,05
15422434-440438,25 ± 2,87
17452

Singleplex 4Bruce18 (8)3130143
4138150-157153,57 ± 2,64
5146159-162160,33 ± 1,37
6154164-176171,62 ± 2,95
7162178-184181,65 ± 1,53
8170187-194191 ± 2,24
9178

Singleplex 5Bruce11 (63)2257266-270268 ± 2,82
3320321-344337,82 ± 4,31
4383407-422410,52 ± 3,56
6509504-536515,8 ± 12,52
8635623-649639,6 ± 8,71
9698680-724696,67 ± 15,6
12887
151076

Singleplex 6Bruce21 (8)5140
6148162
7156178-179178,5 ± 0,71
8164180-186182,55 ± 1,19
9172192-199194,05 ± 1,94

Singleplex 7Bruce06 (134)1140151
2274282-294285,9 ± 3,33
3408429-454439,89 ± 6,04
4542518-624575,4 ± 24,92

Singleplex 8Bruce42 (125)1164172-198175,1 ± 3,13
2289279-298288,88 ± 2,14
3414420-442428,27 ± 6,18
4539504-569529,31 ± 14,1
5664642-647644 ± 2,64
6789695-763726,4 ± 22,02
7914

Singleplex 9Bruce45 (18)2133
3151156-169162.01 ± 1,93
4169
5187196-206198,95 ± 2,63

Singleplex 10Bruce55 (40)1193204-209207,05 ± 1,67
2233243-259248,36 ± 4,09
3273275-308282,85 ± 2,5
4313327
5353
6393418-422420,25 ± 1,7
7433

Singleplex 11Bruce30 (8)2119130
3127132-144139,29 ± 2,11
4135146-152148,87 ± 1,7
5143155-160157,77 ± 1,78
6151165-169167 ± 2
7159174
8167
9175
10183205-206202,25 ± 0,5
11191
12199

Singleplex 12Bruce04 (8)2152161-164162.5 ± 2.1
3160169-175171.6 ± 2
4168177-182179.1 ± 1.3
5176185-191187.3 ± 1.8
6184194-198195.7 ± 1.3
7192201-207203.4 ± 2.2
8200213-214213.7 ± 0.6
9208219-222220.5 ± 2.1
10216241
11224248-254250.2 ± 2.4
12232
13240
14248
15256
17272
18280
19288
20296
22312

Singleplex 13Bruce07 (8)2134
3142
4150150-154151.9 ± 1.5
5158157-162159.8 ± 1.4
6166166-171168.1 ± 1.4
7174175-178176.8 ± 1
8182183-186184.4 ± 1.1
9190192-195195 ± 1.5
10198200
11206
12214
13222
14230

Singleplex 14Bruce 09 (8)3124131-140135,52 ± 2,6
4132147
5140155-158156,33 ± 1,52
6148162-167165,4 ± 1,89
7156172-177174,42 ± 1,19
8164182-187184,42 ± 1,61
9172191-198193,75 ± 2,5
10180201-203202,12 ± 0,83
11188209-212210,75 ± 1,25
12196220
13204228-230228,66 ± 1,15
14212
15220
16228249-255252,66 ± 3,21
17236
18244266-271268,85 ± 1,86
19252
20260
22276
23284
24292

Singleplex 15Bruce 16 (8)2144153-157154,9 ± 1,59
3152158-166163,04 ± 2,38
4160167-172168,53 ± 1,66
5168177-185181,52 ± 2
6176186-194189,83 ± 2,55
7184199-203200,8 ± 1,4
8192207-209207,66 ± 1,15
9200216-219217,37 ± 1,18
10208224-227224,75 ± 1,5
11216231
12224242-248244,75 ± 2,5
14240
15248

Singleplex 16Bruce 19 (6)479
585
691
15145
16151
18163173-177175 ± 1,4
19169180-183182,5 ± 0,5
20175184-188186 ± 1,8
21181189-193190,6 ± 1,2
22187194-201197,9 ± 1,1
23193202
25205

a Unit Length size

b Arithmetic average (x) ± standard deviation (σ) of the observed sizes

The fifty-three strains provided by Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise - G. Caporale-(Istituto G. Caporale). aMLVA bank for bacterial genotyping http://mlva.u-psud.fr/[35]. Comparison between Brucella product sizes estimated by LabChip GX software (Observed size) and actual sizes obtained by direct sequencing of the PCR product or data available in Genbank (Expected size). a Unit Length size b Arithmetic average (x) ± standard deviation (σ) of the observed sizes The required precision is directly related to the repeat unit size of the loci. Only data with a standard deviation lower than the 50% of the repeat unit size were considered valid. The LabChip 90 equipment MLVA-16 products were separated and DNA fragment sizes were correlated to the alleles by the conversion table. Generally, close alleles were not observed to overlap allowing to assign the correct allele to each observed value. However, the markers Bruce 08, Bruce 21, Bruce 16 and Bruce 19 showed continuity between some neighboring range which may lead to incorrect assignment of allele to the observed value (Table 2). The identified species were compared with the results of the previous analysis [32,33], obtaining a full concordance for 15 markers while the marker Bruce 19 did not show agreement with the results obtained by the different analysis systems. For the loci including alleles spanning into ambiguous ranges, we performed sequencing of the amplicons showing on Caliper maximum or minimum allele values. Furthermore we performed some random sequencing of the amplicons obtaining a confirmation of the correct assignment (data not shown).

Discussion

Many methods have been developed to differentiate Brucella strains but MLVA currently represents one of the most promising technologies regarding the epidemiology of bacteria with a high genetic homogeneity, such as Brucella ssp. In 2003 Bricker et al [28] published a MLVA based on eight locus scheme. In 2006 Whatmore et al [16] described a new scheme that included the eight of the original loci of Bricker as well as an additional 13 newly VNTR loci to give a 21 locus scheme, VNTR-21, that allowed to provide some resolution at the species level. In the same year a scheme labelled MLVA-15, based on a subset of 15 loci that comprises 8 markers with good species identification capability and 7 with higher discriminatory power, was published [29], and followed by MLVA-16, a slight modification of MLVA-15 [12]. The different alleles, amplified by standard PCR techniques, can be analysed by several electrophoretic techniques as agarose gel, or capillary electrophoresis sequencing. In this paper the attention was addressed on the LabChip 90 equipment (Caliper), a platform based on microfluidics technology specifically developed for measuring the length of DNA fragments and that do not require fluorescent primers. This electrophoresis machine represents a compromise between the more expensive capillary electrophoresis apparatus and the traditional agarose gel electrophoresis. In spite of a lower precision respect to the automated capillary electrophoresis, the ability to acquire 96 amplification product sizes in less than a hour represent an increased time-reduction over the traditional ethidium bromide slab gel electrophoresis, with 40-50 amplification product sizes for the same analysed markers acquired in a higher time [34]. The LabChip 90 represents also a significant improvement respect to other microfluidics systems as e.g. the Agilent 2100 bioanalyzer (Agilent Technologies, Palo Alto, Ca). In effect the LabChip 90 allows performing the strain genotyping in a time equal to one sixth respect to Agilent. Furthermore this system requires less handling as a single plate can be read directly after the PCR reaction, while the Agilent equipment needs a manual charge of the single PCR products for each single chip well. Finally, the LabChip GX software improves efficiency of data acquiring by automating the data flows. In fact, the software allows to export the summary of analysis results to a spreadsheet application, with the consequent elimination of the paper-based flows. As described previously [31,32] the sizing proposed by the Lab on chip technology does not correspond to the real size, resulting in a shift of a variable value (offset) respect to the real size estimated by sequencing. Therefore, a correspondence table which allows for each range of observed values to assign the expected size and corresponding allele (Table 2) was created. We did not observe in general the overlap among close alleles, allowing to unambiguously assign the correct allele to each observed value. However, for some contiguous alleles we observed a continuity between ranges which may lead to incorrect assignment of allele to the observed value (Table 2). Furthermore, the instrument was not in agreement with the results obtained by the different analysis systems for the marker Bruce 19. The reduced discriminatory ability could be due to the different resolution achieved by such platform related to the fragment sizes (routinely ± 10% in a 150-500 -bp range, ± 15% in a 100-150 -bp range and in a 500-1500 -bp range and ± 20% in a 1500-5000 -bp range). However, the comparison of the results obtained by the MLVA-16 method on the Caliper LabChip 90 platform and those previously resolved by capillary electrophoresis sequencing system and the Lab on a chip technology (Agilent Technologies) showed a good size correlation. Therefore, this platform can be considered a valid alternative to standard genotyping technique, particularly useful dealing with a large number of samples in short time.

Conclusion

In this paper we evaluated high throughput system as the LabChip 90 for MLVA-16 typing of Brucella strains. The MLVA typing data obtained on this equipment showed accurate correlation for those obtained by capillary electrophoresis sequencing and the Agilent 2100 Bioanalyzer, with the exception of Bruce 19. This new platform represents a significant improvement of the genotyping techniques in terms of turnaround times and computational efficiency.

Methods

Brucella strains and DNA extraction

In this study fifty-three field isolates submitted for typing by the Istituti Zooprofilattici Sperimentali to the National Reference Laboratory for brucellosis at the Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise-G. Caporale (Istituto G. Caporale) during the 2001-2008 period (Table 1), ten DNA samples, collected in UK, provided at the Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise-G. Caporale (Istituto G. Caporale) for Brucella suis ring-trial 2006 (COST 845-Brucellosis in man and animals), seventeen Brucella strains isolated from Sicilian hospitalized patients with acute brucellosis [33], and twelve DNA samples, provided by Dr. Falk Melzer for the Ring trial Brucella 2007 [32], were analysed. The provided DNA samples were extracted by Maxwell 16 Cell DNA purification kit (Promega), according to the manufacturer's instructions.

VNTR amplification

VNTR amplifications were performed according to the method described by Le Flèche et al. [29] and then adapted by Al Dahouk et al [12]. Sixteen sets of primers previously proposed were used in sixteen singleplex: Bruce06, Bruce08, Bruce11, Bruce12, Bruce42, Bruce43, Bruce45, Bruce55 (panel 1), Bruce18, Bruce 19, Bruce21, Bruce04, Bruce07, Bruce09, Bruce16, and Bruce30 (panel 2). Amplification reaction mixtures were prepared in 15 μl volumes using 1U FastStart polymerase Taq (Roche) and containing 1 ng of DNA, 1 × PCR Roche reaction buffer (10 mM Tris-HCl, 2,5 mM MgCl2, 50 mM KCl pH 8.3), 0.2 mM dNTPs (Roche) and 0.3 μM of each flanking primer. The amplification was run in a Peltier Thermal Cycler DNA Engine DYAD (MJ Research) thermocycler as follows: an initial heating at 95°C for 5 min, 35 cycles denaturation at 95°C for 30 sec, annealing at 60°C for 30 sec and extension at 70°C for 60 sec. A final extension was performed at 70°C for 5 min [32].

MLVA-16 analysis

The amplification was performed in 96-well or 384-well PCR plates. The chip was prepared according to manufacturer recommendations (Caliper HT DNA 5 K Kit). Each chip contains 5 active wells: 1 for the DNA marker and 4 for gel-dye solution. For each run it was prepared also a strip well with the ladder (containing eight MW size standards of 100 300 500 700 1100 1900 2900 4900 bp) that was inserted into the appropriate groove of the instrument. The number of samples per chip preparation is 400, equivalent or four 96-well plates or one 384-well plate. After gel preparation, the sample plate was loaded into the plate carrier attached to the robot of the Caliper LabChip 90. During the separation of the fragments, the samples were analyzed sequentially and electropherograms, virtual gel images and table data were shown. Amplification product size estimates were obtained by using the LabChip GX (Caliper Life Sciences). The software allows importing the data to a spreadsheet software and subsequently to the conversion table that, by a special macro set up by our laboratory, allows to assign each size to the corresponding allele. The maximum and minimum value of the observed sizes for each allele was thus established experimentally while the arithmetic average and the corresponding standard deviation (Table 2) were calculated by a statistical function.

Sequencing analysis

The PCR amplicons were purified and sequenced by CEQ 8000 automatic DNA Analysis System (Beckman-Coulter, Fullerton, CA, USA) using a commercial Kit (GenomeLab™ DTCS-Quick Start Kit, Beckman-Coulter) according to the manufacturer instructions.

Authors' contributions

RDes and ACia did the set up of the Brucella MLVA-16 assay. Rdes, ACia and CMa participated to typing work. FL, EDG and MAn did the error checking analysis. SFi and GFa did various sequence analysis. FL, BGe and RDes were in charge of the database and clustering analyses. FL, MAn, and RDes conceived the study. FL and RDes wrote the report. All authors read and approved the final manuscript
  28 in total

1.  Differentiation of Brucella species by random amplified polymorphic DNA analysis.

Authors:  E Tcherneva; N Rijpens; B Jersek; L M Herman
Journal:  J Appl Microbiol       Date:  2000-01       Impact factor: 3.772

Review 2.  Identification of brucella species and biotypes using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP).

Authors:  Sascha Al Dahouk; Herbert Tomaso; Ellen Prenger-Berninghoff; Wolf D Splettstoesser; Holger C Scholz; Heinrich Neubauer
Journal:  Crit Rev Microbiol       Date:  2005       Impact factor: 7.624

Review 3.  The new global map of human brucellosis.

Authors:  Georgios Pappas; Photini Papadimitriou; Nikolaos Akritidis; Leonidas Christou; Epameinondas V Tsianos
Journal:  Lancet Infect Dis       Date:  2006-02       Impact factor: 25.071

4.  Identification and characterization of variable-number tandem-repeat markers for typing of Brucella spp.

Authors:  Adrian M Whatmore; Stephen J Shankster; Lorraine L Perrett; Terry J Murphy; Simon D Brew; Rachel E Thirlwall; Sally J Cutler; Alastair P MacMillan
Journal:  J Clin Microbiol       Date:  2006-06       Impact factor: 5.948

5.  Real-time PCR assays of single-nucleotide polymorphisms defining the major Brucella clades.

Authors:  Jeffrey T Foster; Richard T Okinaka; Rita Svensson; Kathryn Shaw; Barun K De; Richard A Robison; William S Probert; Leo J Kenefic; William D Brown; Paul Keim
Journal:  J Clin Microbiol       Date:  2007-11-21       Impact factor: 5.948

Review 6.  Current understanding of the genetic diversity of Brucella, an expanding genus of zoonotic pathogens.

Authors:  Adrian M Whatmore
Journal:  Infect Genet Evol       Date:  2009-07-21       Impact factor: 3.342

Review 7.  Human brucellosis: a classical infectious disease with persistent diagnostic challenges.

Authors:  G F Araj
Journal:  Clin Lab Sci       Date:  1999 Jul-Aug

8.  Brucella inopinata sp. nov., isolated from a breast implant infection.

Authors:  Holger C Scholz; Karsten Nöckler; Cornelia Göllner; Peter Bahn; Gilles Vergnaud; Herbert Tomaso; Sascha Al Dahouk; Peter Kämpfer; Axel Cloeckaert; Marianne Maquart; Michel S Zygmunt; Adrian M Whatmore; Martin Pfeffer; Birgit Huber; Hans-Jürgen Busse; Barun Kumar De
Journal:  Int J Syst Evol Microbiol       Date:  2009-08-06       Impact factor: 2.747

9.  Differentiation of Brucella abortus bv. 1, 2, and 4, Brucella melitensis, Brucella ovis, and Brucella suis bv. 1 by PCR.

Authors:  B J Bricker; S M Halling
Journal:  J Clin Microbiol       Date:  1994-11       Impact factor: 5.948

10.  Evaluation of a multilocus variable-number tandem-repeat analysis scheme for typing human Brucella isolates in a region of brucellosis endemicity.

Authors:  Mireille M Kattar; Rola F Jaafar; George F Araj; Philippe Le Flèche; Ghassan M Matar; Roland Abi Rached; Simon Khalife; Gilles Vergnaud
Journal:  J Clin Microbiol       Date:  2008-10-15       Impact factor: 5.948

View more
  10 in total

1.  Characterization and evaluation of an arbitrary primed Polymerase Chain Reaction (PCR) product for the specific detection of Brucella species.

Authors:  Jafar A Qasem; Sabah AlMomin; Salwa A Al-Mouqati; Vinod Kumar
Journal:  Saudi J Biol Sci       Date:  2014-09-28       Impact factor: 4.219

2.  Molecular strain typing of Brucella abortus isolates from Italy by two VNTR allele sizing technologies.

Authors:  Riccardo De Santis; Massimo Ancora; Fabrizio De Massis; Andrea Ciammaruconi; Katiuscia Zilli; Elisabetta Di Giannatale; Valentina Pittiglio; Silvia Fillo; Florigio Lista
Journal:  Mol Biotechnol       Date:  2013-10       Impact factor: 2.695

3.  Link between geographical origin and occurrence of Brucella abortus biovars in cow and water buffalo herds.

Authors:  Giorgia Borriello; Simone Peletto; Maria G Lucibelli; Pier L Acutis; Danilo Ercolini; Giorgio Galiero
Journal:  Appl Environ Microbiol       Date:  2012-11-26       Impact factor: 4.792

4.  Reliable identification at the species level of Brucella isolates with MALDI-TOF-MS.

Authors:  Florigio Lista; Frans A G Reubsaet; Riccardo De Santis; Rene R Parchen; Ad L de Jong; Jasper Kieboom; Anton L van der Laaken; Ingrid A I Voskamp-Visser; Silvia Fillo; Hugo-Jan Jansen; Jan Van der Plas; Armand Paauw
Journal:  BMC Microbiol       Date:  2011-12-23       Impact factor: 3.605

Review 5.  Microfluidic Organ/Body-on-a-Chip Devices at the Convergence of Biology and Microengineering.

Authors:  Ana Rubina Perestrelo; Ana C P Águas; Alberto Rainer; Giancarlo Forte
Journal:  Sensors (Basel)       Date:  2015-12-10       Impact factor: 3.576

6.  Epidemiology of Brucellosis and Genetic Diversity of Brucella abortus in Kazakhstan.

Authors:  Elena Shevtsova; Alexandr Shevtsov; Kasim Mukanov; Maxim Filipenko; Dinara Kamalova; Igor Sytnik; Marat Syzdykov; Andrey Kuznetsov; Assel Akhmetova; Mira Zharova; Talgat Karibaev; Pavel Tarlykov; Erlan Ramanculov
Journal:  PLoS One       Date:  2016-12-01       Impact factor: 3.240

7.  Evaluation of Different Primers for Detection of Brucella by Using PCR Method.

Authors:  Zahra Moulana; Mohammad Reza Hasanjani Roushan; Seyed Mahmoud Amin Marashi
Journal:  Electron Physician       Date:  2016-11-25

8.  Species identification and molecular typing of human Brucella isolates from Kuwait.

Authors:  Abu S Mustafa; Nazima Habibi; Amr Osman; Faraz Shaheed; Mohd W Khan
Journal:  PLoS One       Date:  2017-08-11       Impact factor: 3.240

Review 9.  Assays for Identification and Differentiation of Brucella Species: A Review.

Authors:  Berzhan Kurmanov; Diansy Zincke; Wanwen Su; Ted L Hadfield; Alim Aikimbayev; Talgat Karibayev; Maxat Berdikulov; Mukhit Orynbayev; Mikeljon P Nikolich; Jason K Blackburn
Journal:  Microorganisms       Date:  2022-08-06

Review 10.  Polymerase chain reaction-based assays for the diagnosis of human brucellosis.

Authors:  Ying Wang; Zhanli Wang; Yaxian Zhang; Liyun Bai; Yue Zhao; Chunfang Liu; An Ma; Hui Yu
Journal:  Ann Clin Microbiol Antimicrob       Date:  2014-08-01       Impact factor: 3.944

  10 in total

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