Phylogeographical analysis of the dominant multidrug-resistant H58 clade of Salmonella Typhi identifies inter- and intracontinental transmission events.


Wong, VK; Baker, S; Pickard, DJ; Parkhill, J; Page, AJ; Feasey, NA; Kingsley, RA; Thomson, NR; Keane, JA; Weill, FX; Edwards, DJ; Hawkey, J; Harris, SR; Mather, AE; Cain, AK; Hadfield, J; Hart, PJ; Thieu, NT; Klemm, EJ; Glinos, DA; Breiman, RF; Watson, CH; Kariuki, S; Gordon, MA; Heyderman, RS; Okoro, C; Jacobs, J; Lunguya, O; Edmunds, WJ; Msefula, C; Chabalgoity, JA; Kama, M; Jenkins, K; Dutta, S; Marks, F; Campos, J; Thompson, C; Obaro, S; MacLennan, CA; Dolecek, C; Keddy, KH; Smith, AM; Parry, CM; Karkey, A; Mulholland, EK; Campbell, JI; Dongol, S; Basnyat, B; Dufour, M; Bandaranayake, D; Naseri, TT; Singh, SP; Hatta, M; Newton, P; Onsare, RS; Isaia, L; Dance, D; Davong, V; Thwaites, G; Wijedoru, L; Crump, JA; De Pinna, E; Nair, S; Nilles, EJ; Thanh, DP; Turner, P; Soeng, S; Valcanis, M; Powling, J; Dimovski, K; Hogg, G; Farrar, J; Holt, KE; Dougan, G; (2015) Phylogeographical analysis of the dominant multidrug-resistant H58 clade of Salmonella Typhi identifies inter- and intracontinental transmission events. Nature genetics, 47 (6). pp. 632-9. ISSN 1061-4036 DOI: 10.1038/ng.3281

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Abstract

: The emergence of multidrug-resistant (MDR) typhoid is a major global health threat affecting many countries where the disease is endemic. Here whole-genome sequence analysis of 1,832 Salmonella enterica serovar Typhi (S. Typhi) identifies a single dominant MDR lineage, H58, that has emerged and spread throughout Asia and Africa over the last 30 years. Our analysis identifies numerous transmissions of H58, including multiple transfers from Asia to Africa and an ongoing, unrecognized MDR epidemic within Africa itself. Notably, our analysis indicates that H58 lineages are displacing antibiotic-sensitive isolates, transforming the global population structure of this pathogen. H58 isolates can harbor a complex MDR element residing either on transmissible IncHI1 plasmids or within multiple chromosomal integration sites. We also identify new mutations that define the H58 lineage. This phylogeographical analysis provides a framework to facilitate global management of MDR typhoid and is applicable to similar MDR lineages emerging in other bacterial species.<br/>

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Infectious and Tropical Diseases > Dept of Pathogen Molecular Biology
Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Research Centre: Antimicrobial Resistance Centre (AMR)
PubMed ID: 25961941
Web of Science ID: 355386500014
URI: http://researchonline.lshtm.ac.uk/id/eprint/2167343

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