Each locus was amplified individually and
analysed by conventional agarose gel electrophoresis. To confirm that length polymorphisms were the result of repeat copy number variations, the PCR products were purified using the Wizard PCR Preps DNA Purification System (Promega, Charbonnières-les-Bains, France) and double-strand sequenced (Additional file 2: Figure S1). This approach showed that only seven loci were polymorphic with different allele sizes. After evaluation of a large collection of M. hominis isolates, two of these seven VNTRs were rejected due to a lack of adequate discrimination, and the five remaining VNTR loci were chosen for further assessment. The five VNTR markers ultimately selected for use in MLVA were Thiazovivin multiplexed in two solutions named T1 and T2. The markers Mho-50, Mho-52 and Mho-53 were amplified using the solution check details T1, and the markers Mho-114 and Mho-116 were amplified using the solution T2. The amplifications were performed with a Mastercycler ep Gradient S thermocycler (Eppendorf, Hamburg, Germany) in a final volume of 25 μl. The reaction mixtures contained 1X Qiagen PCR buffer with 1.5 mM MgCl2, 0.2 mM
deoxynucleotide triphosphate, 3 mM MgCl2, 0.625 U of Hot Start Taq DNA polymerase (Qiagen, Hilden, Germany), 0.125 μM of each primer BCKDHB and 1 μl of template DNA from clinical isolates. The forward primers were fluorescently labelled at the 5’ end using 4,4,7,2’,4’,5’,7’-hexachloro-6-carboxy-fluorescein (HEX), 6-carboxyfluorescein (FAM; Eurogentec, Angers, France)
or NED (2’-chloro-5’-fluoro-7’,8’-fused phenyl-1,4-dichloro-6-carboxyfluorescein; SRT2104 solubility dmso Applied Biosystems, Life Technologies, Carlsbad, CA, USA), depending on the locus to be amplified (Additional file 3: Table S2). All of the solutions were run under the same cycling conditions: 95°C for 15 min followed by 25 cycles of 95°C for 1 min, 56°C for 1 min and 72°C for 1 min with a final extension at 72°C for 10 min. Prior to GeneScan analysis, 0.3 μl of GeneScan ROX 500 size standard (Applied Biosystems) was added to 1 μl of each PCR product. After heat denaturation for 5 min at 95°C, the fragments were separated using an ABI 3130 Genetic Analyzer (Applied Biosystems). The GeneScan data were subsequently analysed using GeneMapper software (version 3.7; Applied Biosystems) to perform sizing and to calculate the number of repeats in the PCR fragments. Each locus was identified according to colour fluorescence. An allele number string based on the number of repeats at each locus was assigned to each isolate. Data analysis The calculated numbers of repeats were imported into BioNumerics (version 6.1; Applied Maths).