Genetic diversity of Mycobacterium tuberculosis isolates from foreign-born and Japan- born residents in Tokyo  M. Kato-Miyazawa, T. Miyoshi-Akiyama, Y.

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Genetic diversity of Mycobacterium tuberculosis isolates from foreign-born and Japan- born residents in Tokyo  M. Kato-Miyazawa, T. Miyoshi-Akiyama, Y. Kanno, J. Takasaki, T. Kirikae, N. Kobayashi  Clinical Microbiology and Infection  Volume 21, Issue 3, Pages 248.e1-248.e8 (March 2015) DOI: 10.1016/j.cmi.2014.09.013 Copyright © 2014 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

FIG. 1 Maximum-likelihood phylogenic trees of 259 clinical isolates and 18 published strains based on whole genome analysis. Radial and rectangular tree layouts are shown in (a) and (b), respectively. Branches are colored according to isolates from foreign-born patients (pink: born in China, Korea, Mongolia and Taiwan; blue: other countries and regions), Japan-born (green) and published strains (black). Clinical isolates in oval (a) and square brackets (b) belong to indicated lineages/sub-lineages. Bootstrap values are shown in the phylogenic trees. All lineages and two sub-genotypes in Lineage 2 were identified as clusters of isolates with over 0.7 bootstrap support. *Two isolates in (a) and (b) that could be categorized as of the atypical Beijing sub-lineage, but Rv0069-0075 was deleted rather than RD105. “F” and “J” in (b) indicate clusters comprising isolates specific to foreign- or Japan-born patients, respectively. Scale bar indicates nucleotide substitutions per site. Clinical Microbiology and Infection 2015 21, 248.e1-248.e8DOI: (10.1016/j.cmi.2014.09.013) Copyright © 2014 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

FIG. 2 Numbers of strain-specific single-nucleotide polymorphisms (SNPs) and insertions and deletions (indels) in Mycobacterium tuberculosis isolates from (A) foreign-born and (B) Japan-born patients. Of the 259 isolates, 244 had strain-specific SNPs and indels. (C) Minimum to maximum number of strain-specific SNPs and indels of isolates in Lineage 1 (Indo-Oceanic), Typical/Atypical Beijing sub-genotype of Lineage 2 (East Asian or Beijing), Lineage 3 (East African-Indian), and Lineage 4 (Euro-American) are represented by black lines. Median numbers of strain-specific SNPs and indels from foreign- and Japan-born patients are represented as white and grey squares, respectively. Significant differences among foreign-/Japan-born groupings were present in isolates belonging to the typical/atypical Beijing sub-genotype in Lineage 2 and the Lineage 4. *p <0.01; **p <0.05. Clinical Microbiology and Infection 2015 21, 248.e1-248.e8DOI: (10.1016/j.cmi.2014.09.013) Copyright © 2014 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions