The MSG is encoded by a multi-copy gene family, with an estimated 80 copies per genome, which are clustered in tandem arrays near the telomeres of each chromosome. Pneumocystis can vary its expressed MSG, presumably as a mechanism to avoid the host immune system (Keely & Stringer, 2009;Cornillot et al., 2002;Keely et al., 2005).The MSG gene is located immediately downstream of a region called the upstream conserved sequence (UCS). The UCS is considered to be essential for the expression of MSG and contains a region of 10 nt tandem repeats with variation in the sequence and in the number of repeats (Kutty et al., 2001;Ma et al., 2002; Esteves et al., 2009).The aim of the present study was to analyse the tandem repeats in the UCS intron of MSG by direct sequencing and to develop a simple and rapid capillary electrophoresis method for typing P. jirovecii and for the detection of mixed infection.
METHODSThe study was performed on samples from 13 immunocompromised patients, including 10 HIV-positive patients, two kidney transplant patients and one leukaemia patient. These patients were identified as positive after the amplification of the P. jirovecii mtLSUrRNA gene by PCR (Jarboui et al., 2010).Clinical specimens [bronchoalveolar lavage (BAL) and sputum] isolated from these patients were centrifuged at 1500 g for 5 min and the pellet was digested overnight by proteinase K at 56 uC. DNA was extracted using a commercial kit from Qiagen (QIAamp DNA Minikit; Qiagen).PCR amplification. The PCR assay for the mtLSUrRNA gene was carried out in 50 ml, containing 2.5 mM MgCl 2 ; 0.25 mM each of dATP, dTTP, dCTP and dGTP; 0.25 mM of each primer; and 2.5 U of Taq DNA polymerase (Promega).For the amplification of the UCS genomic DNA sequence of the P. jirovecii MSG gene, we used four primers ( Fig. 1