To understand the domestic population structure of Mycobacterium tuberculosis clinical isolates in the Republic of Korea, we genotypically analysed 80 isolates obtained from various geographical origins in the country. Of these, 64 (80.0 %) isolates were identified as Beijing family strains. It is particularly interesting that their phylogenetic classification, based on the ancient/ modern separation and the presence/absence of the genomic region RD181, revealed a majority of the ancient (RD181+) subfamily in the population. The 15 loci of variable number of tandem repeat(s) of mycobacterial interspersed repetitive units (15-MIRU-VNTR) were also analysed. Combination with the previous VNTR data reported from surrounding countries revealed that the topology of the minimum spanning tree was linked tightly not to the geographical origins of the patients but to the phylogenetic characteristics of the isolates. These results show that the phylogeographical distribution of the M. tuberculosis Beijing family around far-eastern Asia could be estimated using international accumulation and comparison of VNTR genotyping data.
INTRODUCTIONThe Beijing family, a lineage of Mycobacterium tuberculosis, is well known for its highly endemic prevalence around East Asian countries and as a causative agent of tuberculosis (TB) (van Soolingen et al., 1995). In the Republic of Korea (South Korea), TB is still a major public health concern, with 34 157 (70.3 per 100 000) registered new TB patients in 2008 and 2376 deaths attributable to TB in 2007 (Korea Centers for Disease Control & Prevention, 2008). More than 70 % of M. tuberculosis strains isolated from Korean pulmonary TB patients belong to the Beijing family. 'K strain' (Park et al., 2000), one of the Beijing family strains, has been reported as the cause of a severe outbreak of TB in South Korea (Kim et al., 2001). Although their phylogenetic position in the Beijing family lineage has been unclear, Shamputa et al. (2010) reported recently that K strains show genetic diversity by some genotyping methods, even in isolates obtained from a single hospital.The detailed phylogenetic variation of the Beijing family has been unveiled by various genetic markers such as single nucleotide polymorphisms, regions of difference and variable number of tandem repeat (VNTR) loci (Filliol et al., 2006;Tsolaki et al., 2005;. A notable characteristic of the lineage is the insertion of IS6110 in a genomic region named NTF (Mokrousov et al., 2005;Plikaytis et al., 1994). This phylogenetic marker can classify the Beijing family into two distinct sublineages: ancient and modern. The modern Beijing sublineage has been more predominant than the ancient sublineage throughout the world, including countries surrounding South Korea (Bifani et al., 2002;Dou et al., 2008; Kremer et al., 2009; Mokrousov et al., 2005Mokrousov et al., , 2006 van Soolingen & Kremer, 2009). However, reported that the ancient Beijing sublineage has been observed to be exceptionally predominant in Japan.Abbreviations: MIRU-VNTR, ...