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1.
Genet Mol Res ; 7(3): 872-82, 2008 Sep 23.
Article in English | MEDLINE | ID: mdl-18949706

ABSTRACT

Trypanosoma cruzi is the epidemiological agent of Chagas' disease, affecting most of Central and South America, constituting a significant health and socio-economic problem. The parasite has a metabolism largely based on the consumption of amino acids, which participate in a diversity of metabolic pathways, leading to many crucial compounds for the survival of this parasite. Study of its enzymes has the potential to disclose new therapeutic targets and foster the development of new drugs. In this study, we employed computational approaches to reconstruct in silico the amino acid metabolic pathways of T. cruzi, aiming to link genomic information with functional information. For that, protein sequences from 570 EC classes belonging to 25 different pathways in general amino acid metabolism were downloaded from KEGG. A subset of 471 EC classes had at least one sequence deposited. Clustering of the proteins belonging to each EC class was performed using a similarity-based approach implemented in the tool AnEnPi. Reconstruction of the metabolic pathways comprising the amino acid metabolism of T. cruzi was performed by analyzing the output of BLASTP, using as query the dataset of predicted proteins of T. cruzi against all sequences of each individual cluster. This approach allowed us to identify 764 T. cruzi proteins probably involved in the metabolism of amino acids as well as the identification of several putative cases of analogy. Furthermore, we were able to identify several enzymatic activities of T. cruzi that were not previously included in KEGG.


Subject(s)
Amino Acids/metabolism , Computational Biology/methods , Metabolic Networks and Pathways , Trypanosoma cruzi/metabolism , Amino Acids/genetics , Animals , Protozoan Proteins/genetics , Protozoan Proteins/metabolism , Trypanosoma cruzi/genetics
2.
Genet Mol Res ; 7(3): 861-71, 2008 Sep 23.
Article in English | MEDLINE | ID: mdl-18949705

ABSTRACT

Optimizing and monitoring the data flow in high-throughput sequencing facilities is important for data input and output, for tracking the status of results for the users of the facility, and to guarantee a good, high-quality service. In a multi-user system environment with different throughputs, each user wants to access his/her data easily, track his/her sequencing history, analyze sequences and their quality, and apply some basic post-sequencing analysis, without the necessity of installing further software. Recently, Fiocruz established such a core facility as a "technological platform". Infrastructure includes a 48-capillary 3730 DNA Sequence Analyzer (Applied Biosystems) and supporting equipment. The service includes running samples for large-scale users, performing DNA sequencing reactions and runs for medium and small users, and participation in partial or full genome projects. We implemented a workflow that fulfills these requirements for small and high throughput users. Our implementation also includes the monitoring of data for continuous quality improvement (reports by plate, month and user) by the sequencing staff. For the user, different analyses of the chromatograms, such as visualization of good quality regions, as well as processing, such as comparisons or assemblies, are available. So far, 180 users have made use of the service, generating 155,000 sequences, 35% of which were produced for the BCG Moreau-RJ genome project. The pipeline (named ChromaPipe for Chromatogram Pipeline) is available for download by the scientific community at the url http://bioinfo.pdtis.fiocruz.br/ChromaPipe/. The support for assembly is also configured as a web service: http://bioinfo.pdtis.fiocruz.br/Assembly/.


Subject(s)
Computational Biology/methods , Sequence Analysis, DNA/methods , Software , Quality Control , Reproducibility of Results
3.
Mol Biochem Parasitol ; 66(2): 261-71, 1994 Aug.
Article in English | MEDLINE | ID: mdl-7808476

ABSTRACT

We have used polymerase chain reaction to amplify the mini-exon gene repeat from 18 Leishmania strains. DNA sequence analysis of the cloned products reveals high conservation of both the exon and intron (i.e. transcribed region). In contrast, variation is evident in both the length and primary sequence of the non-transcribed spacers. Dermotropic species of the New World subgenus Leishmania possess a 0.3-kb gene that differs from the 0.25-kb gene of New World dermotropic species of the subgenus Viannia. The Old/New World viscerotropic species and Old World dermotropic species possess a 0.4-kb mini-exon gene. However, the genes from the viscerotropic and dermotropic groups may be distinguished on the basis of sequence differences in the non-transcribed spacer. Comparative analysis of the -86 to -1 region from all species has been used to measure relatedness within the genus. In general, all the observed differences correlate with the four major groups of Leishmania (New World dermotropic Leishmania, New World dermotropic Viannia, Old World dermotropic Leishmania and viscerotropic Leishmania). Two of the three repeats cloned from L. donovani show short deletions. The missing sequence is flanked by direct, 7-bp repeats suggesting that the sequences may have been deleted by homologous recombination. Such rearrangements could account for the diversity detected in the non-transcribed spacers of the mini-exon genes.


Subject(s)
Genes, Protozoan , Genetic Variation , Leishmania/genetics , Animals , Base Sequence , Cloning, Molecular , DNA Primers/genetics , DNA, Protozoan/genetics , Exons , Gene Rearrangement , Humans , Introns , Leishmania/classification , Leishmania/pathogenicity , Molecular Sequence Data , Polymerase Chain Reaction , Recombination, Genetic , Repetitive Sequences, Nucleic Acid , Sequence Deletion , Sequence Homology, Nucleic Acid , Species Specificity
4.
Int J Parasitol ; 31(5-6): 532-6, 2001 May 01.
Article in English | MEDLINE | ID: mdl-11334938

ABSTRACT

During 1993-1994, scientists from developing and developed countries planned and initiated a number of parasite genome projects and several consortiums for the mapping and sequencing of these medium-sized genomes were established, often based on already ongoing scientific collaborations. Financial and other support came from WHO/TDR, Wellcome Trust and other funding agencies. Thus, the genomes of Plasmodium falciparum, Schistosoma mansoni, Trypanosoma cruzi, Leishmania major, Trypanosoma brucei, Brugia malayi and other pathogenic nematodes are now under study. From an initial phase of network formation, mapping efforts and resource building (EST, GSS, phage, cosmid, BAC and YAC library constructions), sequencing was initiated in gene discovery projects but soon also on a small chromosome, and now on a fully fledged genome scale. Proteomics, functional analysis, genetic manipulation and microarray analysis are ongoing to different degrees in the respective genome initiatives, and as the funding for the whole genome sequencing becomes secured, most of the participating laboratories, apart from larger sequencing centres, become oriented to post-genomics. Bioinformatics networks are being expanded, including in developing countries, for data mining, annotation and in-depth analysis.


Subject(s)
Genome, Protozoan , Leishmania major/genetics , Trypanosoma brucei brucei/genetics , Trypanosoma cruzi/genetics , Animals , DNA, Protozoan/chemistry , Leishmania major/chemistry , Sequence Analysis, DNA , Trypanosoma brucei brucei/chemistry , Trypanosoma cruzi/chemistry
5.
Res Microbiol ; 151(5): 343-51, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10919514

ABSTRACT

Strains of Mycobacterium tuberculosis isolated from 219 different tuberculosis patients, 115 from patients residing in Rio de Janeiro, 79 from Rio Grande do Sul and the remaining from other regions of the country, were analyzed by IS6110-restriction fragment length polymorphism fingerprinting. The IS6110-DNA patterns from these strains were highly polymorphic: 174 different patterns were observed and 25 patterns were shared by 70 isolates (32%). Most strains (93.4%) had multicopy patterns and only 17% of clustered strains had less than six IS6110 copies. Strain clustering was significantly higher for isolates from Rio Grande do Sul (36.7%) in comparison with strains from Rio de Janeiro (22.6%), but only when using high stringency during cluster analysis. Upon screening of an international database containing 3,970 fingerprints of M. tuberculosis strains, 15% of the patterns of Brazilian strains (21% of the strains) were identical to a fingerprint of an isolate from another country and one particular eight-band pattern forming the largest Brazilian cluster was detected in seven additional countries, suggesting that international transmission of tuberculosis from and to Brazil could be occurring frequently. Alternatively,preferential use of certain IS6110 integration sites could also be important in high-copy number strains, having important consequences for the use of databases for epidemiological studies on a large scale.


Subject(s)
DNA Fingerprinting , DNA Transposable Elements , Databases, Factual , Mycobacterium tuberculosis/classification , Polymorphism, Restriction Fragment Length , Tuberculosis, Pulmonary/microbiology , Bacterial Typing Techniques , Brazil , Humans , International Cooperation , Mycobacterium tuberculosis/genetics , Tuberculosis, Pulmonary/transmission
6.
J Med Microbiol ; 39(4): 298-304, 1993 Oct.
Article in English | MEDLINE | ID: mdl-8411091

ABSTRACT

DNA of Mycobacterium leprae, obtained by a highly efficient nucleic acid extraction procedure, was used for standardisation of the amplification of an M. leprae-specific repetitive sequence by use of the polymerase chain reaction (PCR). With pure DNA, M. leprae-specific amplification was obtained with as low as 100 ag (1 ag = 10(-18) g) of target DNA, a quantity equal to about one-tenth of the bacterial genome. Optimal processing of different types of clinical samples such as biopsy material, blood and lymph fluid, from multibacillary leprosy patients, was studied. Simple freezing-boiling cycles in the presence of Triton X100, with some additional sample-specific modifications such as pre-treatment with NaOH to eliminate PCR inhibitors, was found to be sufficient to yield amplification of bacterial DNA in samples from paucibacillary patients. Clinical samples from 27 untreated leprosy patients, covering the various clinical forms of the disease, and with a bacterial index ranging from 5+ to 0, were collected and processed for PCR analysis. After hybridisation of the amplified material with a specific sequence, 25 of 27 patients analysed gave positive results for M. leprae in at least one of the samples. The potential of PCR for the diagnosis of leprosy is discussed.


Subject(s)
DNA, Bacterial/analysis , Leprosy/diagnosis , Mycobacterium leprae/isolation & purification , Polymerase Chain Reaction , Base Sequence , Blotting, Southern , Humans , Leprosy, Borderline/diagnosis , Leprosy, Lepromatous/diagnosis , Leprosy, Tuberculoid/diagnosis , Leukocytes, Mononuclear/microbiology , Lymph/microbiology , Molecular Sequence Data , Mycobacterium leprae/genetics , Sensitivity and Specificity , Skin/microbiology
7.
J Med Microbiol ; 46(2): 170-2, 1997 Feb.
Article in English | MEDLINE | ID: mdl-9060878

ABSTRACT

One of the main limitations for successful epidemiological control of leprosy is the lack of a method for its diagnosis in subclinical cases. Because of the long incubation period of the disease, liberation and spread of Mycobacterium leprae during subclinical stages-principally in cases of untreated multibacillary forms of leprosy-constitute the main source of infection. This report describes the use of the polymerase chain reaction (PCR) for the detection of M. leprae in different types of tissue samples (blood, lymph, nasal secretion and hair) from an individual who was suspected of having leprosy. Although no conclusive diagnosis could be made by traditional diagnostic methods, the individual was found to be infected with M. leprae after amplification of the bacterial DNA.


Subject(s)
DNA, Bacterial/analysis , Leprosy/diagnosis , Mycobacterium leprae/isolation & purification , Polymerase Chain Reaction , Adult , DNA, Bacterial/blood , Diagnosis, Differential , Female , Hair/microbiology , Humans , Mycobacterium leprae/genetics , Nasal Mucosa/microbiology
8.
FEMS Immunol Med Microbiol ; 11(2): 113-20, 1995 Apr.
Article in English | MEDLINE | ID: mdl-7640671

ABSTRACT

DNA from Mycobacterium leprae, present in non-invasive clinical samples from leprosy patients, such as nasal secretion and hair bulbs, was submitted to amplification by the polymerase chain reaction using a M. leprae-specific repetitive sequence as a target. After optimization of sample processing and of the PCR conditions, we were able to detect DNA from M. leprae in both types of clinical samples, even from paucibacillary leprosy patients. The use of hair bulbs and nasal secretion as clinical samples for screening of household contacts and for the evaluation of a risk population, or for the follow-up of patients under chemotherapy, and monitoring of bacterial load is discussed.


Subject(s)
Leprosy/diagnosis , Mycobacterium leprae/isolation & purification , Polymerase Chain Reaction , Adolescent , Adult , Aged , Child , DNA, Bacterial/analysis , Evaluation Studies as Topic , Female , Hair/microbiology , Humans , Leprosy/microbiology , Male , Middle Aged , Mycobacterium leprae/genetics , Nasal Mucosa/metabolism , Nasal Mucosa/microbiology
9.
J Microbiol Methods ; 37(3): 223-9, 1999 Sep.
Article in English | MEDLINE | ID: mdl-10480266

ABSTRACT

Polymerase chain reaction amplification of part of the gene coding for the heat shock protein hsp65 followed by restriction enzyme analysis (PRA) is a recently described tool for rapid identification of mycobacteria. In this study, the speed and simplicity of PRA for identification of isolates of mycobacteria from patients with clinical symptoms of tuberculosis was evaluated and compared with identification results obtained by commercially available methods. Established PRA patterns were observed for nineteen isolates of Mycobacterium tuberculosis, eleven belonging to the complex M. avium-intracellulare, four of M. kansasii, one of M. fortuitum, one of M. abscessus, three of M. gordonae and one of the recently described species M. lentiflavum, as identified by commercially available methods. Two isolates of M. fortuitum and one of M. gordonae had unique and so far undescribed PRA patterns, suggesting geographically-related intra-species variation within the hsp65 sequence. We propose the inclusion of these new patterns in the PRA identification algorithm and have defined more accurately the molecular weight values of the restriction fragments. This is the first report on the isolation of M. lentiflavum in Brazil suggesting that identification by means of PRA could be useful for detection of mycobacterial species that are usually unnoticed. Where the use of several commercial techniques in combination was necessary for correct identification, PRA demonstrated to be a simple technique with good cost-benefit for characterization of all mycobacterial isolates in this study.


Subject(s)
Bacterial Proteins , Chaperonins/genetics , Mycobacterium Infections/microbiology , Mycobacterium/classification , Polymerase Chain Reaction/methods , Polymorphism, Restriction Fragment Length , Brazil , Chaperonin 60 , DNA, Bacterial/analysis , Deoxyribonucleases, Type II Site-Specific/metabolism , Humans , Image Processing, Computer-Assisted/methods , Molecular Sequence Data , Mycobacterium/genetics , Tuberculosis/microbiology
10.
Braz J Med Biol Res ; 31(3): 369-72, 1998 Mar.
Article in English | MEDLINE | ID: mdl-9698784

ABSTRACT

Isolates of Mycobacterium tuberculosis derived from patients with AIDS from a single hospital in Rio de Janeiro were typed using a standardized RFLP technique detecting IS6110 polymorphism. Nineteen isolates were obtained from 15 different patients. Eleven distinct IS6110 patterns were found, with 4 banding patterns shared by 2 patients. The clustering value of 53% was much higher in comparison with clustering of M. tuberculosis strains from TB patients without clinical signs for HIV infection from randomly selected health centers. We present these results as preliminary data on M. tuberculosis strain polymorphism in Brazil and on the higher risk for recent transmission amongst patients with AIDS.


Subject(s)
DNA Fingerprinting , HIV Infections/complications , Mycobacterium tuberculosis/genetics , Tuberculosis/complications , Brazil/epidemiology , HIV Infections/epidemiology , HIV Infections/microbiology , Humans , Mycobacterium tuberculosis/isolation & purification , Tuberculosis/epidemiology , Tuberculosis/microbiology
13.
J Mol Evol ; 50(1): 45-55, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10654259

ABSTRACT

Mycobacterium tuberculosis and Mycobacterium leprae are the ethiological agents of tuberculosis and leprosy, respectively. After performing extensive comparisons between genes from these two GC-rich bacterial species, we were able to construct a set of 275 homologous genes. Since these two bacterial species also have a very low growth rate, translational selection could not be so determinant in their codon preferences as it is in other fast-growing bacteria. Indeed, principal-components analysis of codon usage from this set of homologous genes revealed that the codon choices in M. tuberculosis and M. leprae are correlated not only with compositional constraints and translational selection, but also with the degree of amino acid conservation and the hydrophobicity of the encoded proteins. Finally, significant correlations were found between GC3 and synonymous distances as well as between synonymous and nonsynonymous distances.


Subject(s)
Codon/genetics , Mycobacterium leprae/genetics , Mycobacterium tuberculosis/genetics , Amino Acid Sequence , Base Pairing , Conserved Sequence , Evolution, Molecular , Gene Expression Regulation, Bacterial , Genetic Variation , Nucleotides/genetics
14.
Mem Inst Oswaldo Cruz ; 92(3): 297-316, 1997.
Article in English | MEDLINE | ID: mdl-9332592

ABSTRACT

About one third of the world population is infected with tubercle bacilli, causing eight million new cases of tuberculosis (TB) and three million deaths each year. After years of lack of interest in the disease, World Health Organization recently declared TB a global emergency and it is clear that there is need for more efficient national TB programs and newly defined research priorities. A more complete epidemiology of tuberculosis will lead to a better identification of index cases and to a more efficient treatment of the disease. Recently, new molecular tools became available for the identification of strains of Mycobacterium tuberculosis (M. tuberculosis), allowing a better recognition of transmission routes of defined strains. Both a standardized restriction-fragment-length-polymorphism-based methodology for epidemiological studies on a large scale and deoxyribonucleic acids (DNA) amplification-based methods that allow rapid detection of outbreaks with multidrug-resistant (MDR) strains, often characterized by high mortality rates, have been developed. This review comments on the existing methods of DNA-based recognition of M. tuberculosis strains and their peculiarities. It also summarizes literature data on the application of molecular fingerprinting for detection of outbreaks of M. tuberculosis, for identification of index cases, for study of interaction between TB and infection with the human immuno-deficiency virus, for analysis of the behavior of MDR strains, for a better understanding of risk factors for transmission of TB within communities and for population-based studies of TB transmission within and between countries.


Subject(s)
Mycobacterium tuberculosis/classification , Tuberculosis/epidemiology , Humans , Tuberculosis/diagnosis
15.
Parasitol Res ; 86(10): 809-12, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11068813

ABSTRACT

The kDNA minicircle size was analyzed in 15 species of choanomastigote-shaped trypanosomatids and four main groups of species were identified: (1) "Crithidia" deanei, "C." desouzai and "Herpetomonas" roitmani, which presented the largest molecules (> or = 3,800 bp), (2) "C." oncopelti with minicircles of at least four different sizes within 1,300-2,650 bp, (3) C. fasciculata, C. guilhermei and C. luciliae, having at least two sizes of minicircle (2,650 bp and 3,000 bp) and (4) a heterogeneous group of species presenting minicircles of a single size, including several Crithidia spp. (having 1,600 bp or 1,700 bp minicircles) and two Proteomonas spp. presenting the smallest minicircles (about 1,500 bp). These results were compared with other observations and discussed from a taxonomic point of view.


Subject(s)
DNA, Circular/genetics , DNA, Kinetoplast/genetics , Genetic Heterogeneity , Trypanosomatina/classification , Trypanosomatina/genetics , Animals , Crithidia/classification , Crithidia/genetics , Species Specificity
16.
Mem Inst Oswaldo Cruz ; 91(3): 279-84, 1996.
Article in English | MEDLINE | ID: mdl-9040846

ABSTRACT

Sequence analysis of Leishmania (Viannia) kDNA minicircles and analysis of multiple sequence alignments of the conserved region (minirepeats) of five distinct minicircles from L. (V.) braziliensis species with corresponding sequences derived from other dermotropic leishmanias indicated the presence of a sub-genus specific sequence. An oligonucleotide bearing this sequence was designed and used as a molecular probe, being able to recognize solely the sub-genus Viannia species in hybridization experiments. A dendrogram reflecting the homologies among the minirepeat sequences was constructed. Sequence clustering was obtained corresponding to the traditional classification based on similarity of biochemical, biological and parasitological characteristics of these Leishmania species, distinguishing the Old World dermotropic leishmanias, the New World dermotropic leishmanias of the sub-genus Leishmania and of the sub-genus Viannia.


Subject(s)
DNA, Kinetoplast/analysis , Leishmania/isolation & purification , Oligonucleotides , Animals , Base Sequence , DNA, Kinetoplast/isolation & purification , Hybridization, Genetic , Leishmania/genetics , Leishmania braziliensis/genetics , Leishmania braziliensis/isolation & purification , Leishmania guyanensis/genetics , Leishmania guyanensis/isolation & purification , Molecular Sequence Data , Polymerase Chain Reaction , Sequence Analysis, DNA
17.
Bioessays ; 21(2): 131-47, 1999 Feb.
Article in English | MEDLINE | ID: mdl-10193187

ABSTRACT

Despite the advances of modern medicine, the threat of chronic illness, disfigurement, or death that can result from parasitic infection still affects the majority of the world population, retarding economic development. For most parasitic diseases, current therapeutics often leave much to be desired in terms of administration regime, toxicity, or effectiveness and potential vaccines are a long way from market. Our best prospects for identifying new targets for drug, vaccine, and diagnostics development and for dissecting the biological basis of drug resistance, antigenic diversity, infectivity and pathology lie in parasite genome analysis, and international mapping and gene discovery initiatives are under way for a variety of protozoan and helminth parasites. These are far from ideal experimental organisms, and the influence of biological and genomic characteristics on experimental approaches is discussed, progress is reviewed and future prospects are examined.


Subject(s)
Parasites/genetics , Animals , Databases, Factual , Eukaryota/genetics , Genome , Helminths/genetics , Humans , Physical Chromosome Mapping , Research Design
18.
Mem Inst Oswaldo Cruz ; 88(2): 309-12, 1993.
Article in English | MEDLINE | ID: mdl-8107592

ABSTRACT

The delta F508 mutation in the cystic fibrosis (CF) gene was studied in a population of 18 Brazilian CF patients and their 17 families by use of PCR and differential hybridization with oligonucleotides. In a total of 34 chromosomes considered, 12 (35%) carried the F508 deletion, a frequency much lower than that reported in most other populations. As a consequence, CF in Brazil would be predominantly caused by mutations different from the F508 deletion.


Subject(s)
Cystic Fibrosis/genetics , Gene Frequency , Mutation/genetics , Base Sequence , Brazil , Chromosomes, Human, Pair 7 , Female , Humans , Male , Molecular Sequence Data , Pedigree , Polymerase Chain Reaction
19.
FEMS Microbiol Immunol ; 4(1): 11-9, 1991 Dec.
Article in English | MEDLINE | ID: mdl-1815706

ABSTRACT

A workshop organized by the Ibero-American Project of Biotechnology evaluated the diagnostic potential of several cloned Trypanosoma cruzi recombinant antigens for Chagas' disease serodiagnosis. A set of recombinants, Antigen 2, Antigen 13, SAPA, H49, A13, JL5, JL7, JL8, JL9, and RA1 provided by three different South American laboratories were probed with a panel of 236 South American serum samples. Antigens JL7, H49, Antigen 2, and A13 scored as the best diagnostic recombinant reagents. The results suggested that the main advantage of using cloned peptides for chronic Chagas' disease diagnosis resided in their highly specific immunoreactive properties.


Subject(s)
Antigens, Protozoan/immunology , Chagas Disease/diagnosis , Trypanosoma cruzi/immunology , Animals , Antibodies, Protozoan/immunology , Humans , Recombinant Proteins/immunology , Serologic Tests
20.
Mem Inst Oswaldo Cruz ; 96(8): 1129-33, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11784934

ABSTRACT

Thirty eight patients with indeterminate leprosy (HI), at least 4 to 6 years after discharge from multibacillary (MB) or paucibacillary (PB) schemes of anti leprosy multidrug therapy (MDT), were submitted to traditional diagnostic procedures for leprosy and to polymerase chain reaction (PCR) analysis of different clinical samples for detection of Mycobacterium leprae DNA. No significant difference was observed for any of the parameters analyzed between PB or MB schemes of treatment and no indications were found for more efficient outcome of HI using the MB scheme. Remarkably, 18 (54.5%) of the individuals were PCR positive in at least one of the samples: positivity of PCR was highest in blood samples and four individuals were PCR positive in blood and some other sample. Upon comparison of PCR results with clinical and histopathological parameters, no correlation was found between PCR-positivity and eventual relapse. This is the first report on detection of M. leprae DNA in PB patients, more than half a decade after completion of MDT, suggesting that live bacilli are present and circulating much longer than expected, although reinfection of the individuals can not be excluded. Overall, we feel that because of the high sensitivity of the assay, extreme care should be taken about association of PCR results, efficacy of treatment and disease status.


Subject(s)
DNA, Bacterial/blood , Leprostatic Agents/administration & dosage , Leprosy/drug therapy , Mycobacterium leprae/isolation & purification , Drug Administration Schedule , Humans , Lepromin/analysis , Leprosy/blood , Mycobacterium leprae/drug effects , Mycobacterium leprae/genetics , Polymerase Chain Reaction , Retrospective Studies
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