Rapid Transmission of a Hyper-Virulent Meningococcal Clone Due to High Effective Contact Numbers and Super Spreaders.

Rapid Transmission of a Hyper-Virulent Meningococcal Clone Due to High Effective Contact Numbers and Super Spreaders.
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DOI:
10.3389/fgene.2020.579411
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发表时间:
2020
影响因子:
3.7
通讯作者:
Bayliss CD
Bayliss CD
中科院分区:
生物学3区
文献类型:
--
作者:
Holmes JC;Green LR;Oldfield NJ;Turner DPJ;Bayliss CD

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快速传播是侵袭性脑膜炎球菌病暴发的一个关键因素,需要naïve足够规模和混合的种群。我们研究了高毒性脑膜炎奈瑟菌血清群W ST-11克隆携带增加11倍的学生群体的基因组变异性和传播动力学。系统发育集群、突变和重组率通过全基因组测序数据的生物信息学分析得出。通过简单的SIS模型,结合观察到的运输率、集群大小和分布来确定传播动态。在7个宿舍楼中检测到9到15个遗传上不同的集群。集群突变积累率低,重组事件不常见。模型显示,在大学学期开始和中期之间,有效接触从每天10次减少到每天2次。传播率在1 - 4%之间波动,携带的R(t)从最初的47下降到1。传播值的降低与疫苗诱导免疫力的提高有关。观察到的携带动力学可以被含有20%的超级传播者的种群模拟,有效接触率提高2.3倍。我们得出结论,这种高毒性ST-11脑膜炎球菌克隆的传播取决于有效接触和免疫水平,而不是基因组变异性。此外,我们认为超级传播者增强了脑膜炎球菌的传播,70%的MenACWY免疫水平足以延缓(但不能完全预防)脑膜炎球菌在密切接触人群中的传播。
Rapid transmission, a critical contributory factor in outbreaks of invasive meningococcal disease, requires naïve populations of sufficient size and intermingling. We examined genomic variability and transmission dynamics in a student population subject to an 11-fold increase in carriage of a hypervirulent Neisseria meningitidis serogroup W ST-11 clone. Phylogenetic clusters, mutation and recombination rates were derived by bioinformatic analyses of whole-genome sequencing data. Transmission dynamics were determined by combining observed carriage rates, cluster sizes and distributions with simple SIS models. Between 9 and 15 genetically-distinct clusters were detected and associated with seven residential halls. Clusters had low mutation accumulation rates and infrequent recombination events. Modeling indicated that effective contacts decreased from 10 to 2 per day between the start and mid-point of the university term. Transmission rates fluctuated between 1 and 4% while the R(t) for carriage decreased from an initial rate of 47 to 1. Decreases in transmission values correlated with a rise in vaccine-induced immunity. Observed carriage dynamics could be mimicked by populations containing 20% of super spreaders with 2.3-fold higher effective contact rates. We conclude that spread of this hypervirulent ST-11 meningococcal clone depends on the levels of effective contacts and immunity rather than genomic variability. Additionally, we propose that super-spreaders enhance meningococcal transmission and that a 70% MenACWY immunization level is sufficient to retard, but not fully prevent, meningococcal spread in close-contact populations.
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