Epidemiological characteristic of human brucellosis and MLVA genotyping for Brucella isolates in Fujian,China,2008-2017
HAN Teng-wei1, LIN Dai-hua1, LIU Jing1, LIU Wei-jun1, XIAO Fang-zhen1, CHEN Zhi-ping2, DENG Yan-qin1, 2
1.Fujian Center for Disease Control and Prevention, Fujian Provincial Key Laboratory for Zoonosis Research,Fuzhou 350001,China; 2.College of Public Health, Fujian Medical University, Fuzhou 350122, China
Abstract:To explore the epidemiological characteristics of human brucellosis in Fujian Province and the typing of Brucella isolates, the data of brucellosis cases during 2008-2017 were extracted from China Information System for Disease Control and Prevention and analyzed; molecular biological methods(BCSP31-PCR,AMOS-PCR and MLVA-16)were used for Brucella typing. The results showed that during 2008-2017, the incidence of brucellosis in Fujian increased year by year with an annual incidence of 0.11/105; a total of 416 cases were reported and distributed sporadically in 70 counties (80%) in the province; the peak of brucellosis occurred from April to August; 261 (62.7%) cases aged 40-64; the highest incidence rate was at age group 60-64 years old (0.27/105); the incidence ratio of male to female was 2.50:1; farmers and herdsmen accounted for 211(50.7%) cases. With classical biotyping and molecular genotyping, two species (B. melitensis and B.suis) and two biovars (B. melitensis biovar 3, n=35; and B. suis biovar 3, n=5) were identified in the 40 Brucella isolates, and B. melitensis species (35, 87.5%) were dominant in Fujian Province. MLVA-16 revealed 28 genotypes in 35 B. melitensis isolates and 4 genotypes in 5 B. suis isolates respectively, including 26 unique and 6 shared genotypes (14 isolates, 35.0%). Comparison with 147 isolates from other provinces showed that 4 genotypes of B. melitensis in Fujian were shared with that in Inner Mongolia or Guangdong. And some isolates were genetically closed with isolates in other provinces, mainly concentrated in panel 2B, with differences only in 1-3 sites. Our study indicates that the epidemic intensity of human brucellosis in Fujian increased yearly. It is necessary to strengthen surveillances and take corresponding measures in high-risk population for brucellosis control and prevention. MLVA-16 revealed highly genetic polymorphism in Fujian Brucella isolates suqqests that this method is a useful tool for genetic diversity analysis and molecular epidemiology trace-back investigations in brucellosis surveillance.
韩腾伟, 林代华, 刘菁, 刘维俊, 肖方震, 陈志平, 邓艳琴. 福建省2008-2017年人间布鲁氏菌病流行特征及分离株MLVA分型研究[J]. 中国人兽共患病学报, 2019, 35(5): 382-388.
HAN Teng-wei, LIN Dai-hua, LIU Jing, LIU Wei-jun, XIAO Fang-zhen, CHEN Zhi-ping, DENG Yan-qin. Epidemiological characteristic of human brucellosis and MLVA genotyping for Brucella isolates in Fujian,China,2008-2017. Chinese Journal of Zoonoses, 2019, 35(5): 382-388.
[1] 王大力,李晔,李铁锋,等.中国布鲁氏菌病防控新方法的探索[M].北京:人民卫生出版社,2018:1. [2] 姜海,荣蓉,田国忠,等.利用多重聚合酶链反应和多色毛细管电泳分析布氏菌多位点可变数目串联重复序列[J].中国人兽共患病学报,2015,31(4):303-310.DOI:10.3969/j.issn.1002-2694.2015.04.003 [3] Chen SY,Zhang H,Liu XN,et al.Increasing Threat of Brucellosis to Low-Risk Persons in Urban Settings, China[J].Emerg Infect Dis,2014,20(1):126-130.DOI:10.3201/eid2001.130324 [4] 祝寒松,王灵岚,林代华,等.福建省2011-2016年人间布鲁氏菌病流行病学分析和时空聚集探测[J].中华流行病学杂志,2017,38(9):1212-1217.DOI:10.3760/cma.j.issn.0254-6450.2017.09.014 [5] 卫生部疾病预防控制局.布鲁氏菌病防治手册[M].北京:人民卫生出版社,2008:17-38. [6] 姜海,崔步云,赵鸿雁,等.AMOS-PCR对布鲁氏菌种型鉴定的应用[J].中国人兽共患病学报,2009,25(2): 107-109. [7] 邓艳琴,王加熊,林代华,等.福建省布鲁氏菌分离株的分子生物学鉴定[J].中国人兽共患病学报,2009,25(7): 636-639. [8] Le Flèche P,Jacques I, Grayon M, et a1. Evaluation and selection of tandem repeat loci for a Brucella MLVA typing assy[J].BMC Microbiol,2006,6:9.DOI:10.1186/1471-2180-6-9 [9] Jiang H,Fan MG,Chen JD,et al.MLVA genotyping of Chinese human Brucella melitensis biovar 1,2 and 3 isolates[J].BMC Microbiol,2011,11:256. DOI:10.1186/1471-2180-11-256 [10] Li ZJ, Cui BY, Chen H,et al.Molecular Typing of Brucella Suis Collected from 1960s to 2010s in China by MLVA and PFGE[J].Biomed Environ Sci,2013,26(6):504-508. DOI:10.3967/0895-3988.2013.06.013 [11] De Santis R,Ciammaruconi A,Faggioni G,et al.High throughput MLVA-16 typing for Brucella based on the microfluidics technology[J].BMC Microbiol,2011,11:60.DOI:10.1186/1471-2180-11-60 [12] 杨杰,赵素莲,崔步云,等.多位点可变数目串联重复序列分型方法检测布鲁氏菌分型标准化操作方法的建立和应用[J].疾病监测,2012,27(2):137-140.DOI:10.3784/j.issn.1003-9961.2012.2.017 [13] 崔步云. 中国布鲁菌病疫情监测与控制[J].疾病监测,2007,22(10):649-651. DOI:10.3784/j.issn.1003-9961.2007.10.001 [14] 刘志国,王妙,刘日宏,等.内蒙古乌兰察布布氏菌分离株种型鉴定及流行病学特征分析[J].中国人兽共患病学报,2016,32(7):618-622,631. DOI:10.3969/j.issn.1002- 2694.2016.07.006 [15] 刘志国,崔步云,刘日宏,等.布鲁菌分子分型方法应用研究进展[J].中国人兽共患病学报,2015,31(2):163-168. DOI:10.3969/j. issn.1002-2694.2015.02.015 [16] 杨红霞,张秋香,郝瑞娥,等.布鲁菌多位点可变数目串联重复序列分析的分型研究[J].中华地方病学杂志,2016,35(4):247-250.DOI:10.3760/cma.j.issn.2095-4255. 2016.04.004 [17] 赵鸿雁,杨杰,张旭,等.多位点可变数目串联重复序列分析方法在布鲁杆菌病监测中的应用[J].中国地方病学杂志,2012,31(4):441-447. DOI:10.3760/cma.j.issn.1000-4955.2012.04.024 [18] Kiliç S,Ivanov IN, Durmaz R,et al.Multiple-Locus Variable-Number Tandem-Repeat Analysis Genotyping of Human Brucella Isolates from Turkey[J].J Clin Microbiol, 2011,49(9):3276-3283. DOI:10.1128/ JCM. 02538-10. [19] Allen A,Breadon E,Byrne A,et al.Molecular Epidemiology of Brucella abortus in Northern Ireland-1991 to 2012[J]. PLoS One,2015,10(9):e0136721.DOI:10.1371/journal.pone.0136721