- Paper Report
- Open Access
Micro-array analysis of tuberculosis and BCG
- Timothy Ho
© Current Science Ltd 1999
- Published: 21 June 1999
Tuberculosis is still the single most deadly pathogen to afflict man with total deaths for this decade predicted to exceed 80 million. Diagnosis and treatment of the disease is hampered by the organism's slow culture time and fastidious nature and the failure of skin tests to differentiate between active and latent disease and those previously vaccinated with BCG. The BCG vaccine has been widely used since it was first developed by Calmette and Guerin in 1921. It was developed by serial passage of a strain of Mycobacterium bovis (a member of the M. tuberculosis complex) over 13 years, until it became non-pathogenic to man. Since then several daughter strains have been propagated and used for vaccination. However there is considerable variation in BCG's efficacy and this may be related to the different BCG strains used for vaccination. Previous studies comparing the genomes of M. bovis BCG and M. tuberculosis have demonstrated deletions from the M. bovis BCG genome. These deleted areas may relate to those genes which confer pathogenicity to M. tuberculosis. The identification of further genomic deletions would help narrow down the list of candidate pathogenic genes. In turn this may allow the development of better vaccines and/or improved tests to detect tuberculosis. The completed sequencing of a strain of M. tuberculosis has facilitated further deletions to be identified.
To identify regions of M. tuberculosis that have been deleted from different strains of M. bovis BCG using DNA microarrays.
The sequencing of the M. tuberculosis strain H37Rv allowed the polymerase chain reaction (PCR) amplification of internal fragments representing 3902 of the 3924 predicted open reading frames which make up the H37Rv genome. Each of these PCR fragments was then spotted and bound to a glass slide. Genomic DNA from a test M. bovis strain and H37Rv were randomly labelled with a fluorescent nucleotide analog (red in the case of H37Rv and green for the test M. bovis strain). These labelled DNAs were then mixed and applied to the glass slide. If a particular DNA had a sequence corresponding to a fragment it would bind to the fragment. Binding of the genomic DNAs were then assessed using a scanning laser microscope to assess the fluorescence emitted from each 'spot'. Red flourescence would indicate H37Rv binding predominantly; green M. bovis predominance and yellow indicating that both had bound. Since the screening of the genomes was based on PCR fragments based on the M. tuberculosis sequence, this method only allowed a unidirectional comparison of the M. tuberculosis genome with different strains of M. bovis. Thus deletions present in M. tuberculosis were not looked for.
Eight different strains of M. bovis and 13 different M. bovis BCGs were screened. From this a total of 16 deleted areas from M. bovis BCG/ M. bovis were identified, four of these have previously been documented. Nine deletion areas are absent from all BCGs and M. bovis strains, one from all BCG strains, four from certain BCG strains only and two are missing from BCG and some virulent M. bovis strains. A genealogic relationship between different strains of BCG based on their different deletion patterns is also created.
By identifying differences in the regions of the M. tuberculosis and M. bovis , insights into the phenotypically differences between these two bacterial strains may be possible. Among the possible causes of reduced virulence of M. bovis compared to that of M.tuberculosis may be the absence of three phospholipase C genes from M. bovis . Phospholipase C activity is known to contribute to the virulence of other lung pathogens. Clinically, the differences in open reading frames could be used to develop a diagnostic test, to distinguish between infections caused by M. tuberculosis and those who have been vaccinated by BCG, which at present are indistinguishable. This would be of great use for vaccination programs in countries that have a low prevalence of the wild-type infection. The loss of virulence of the BGC vaccine may be attributed to the deletion areas from the M. bovis strain. The authors investigated the predicted function of these deletion areas using previously published data on the M. tuberculosis gene. None of the deletion areas corresponded to virulence elements, but a variety of functions, such as transcriptional regulation, was suggested. Loss of efficacy of the BCG vaccine could be attributed to the ongoing deletion of genetic material. The authors propose that the deletions detected in the BCG vaccine, compared to the M. bovis gene, reflect a progressive adaptation to laboratory conditions. This may affect their capacity to survive within the host and therefore impair the ability to stimulate a durable immune response.