Evolutionary dynamics and genomic features of the Elizabethkingia anophelis 2015 to 2016 Wisconsin outbreak strain.

Evolutionary dynamics and genomic features of the Elizabethkingia anophelis 2015 to 2016 Wisconsin outbreak strain.
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DOI:
10.1038/ncomms15483
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发表时间:
2017-05-24
影响因子:
16.6
通讯作者:
Brisse S
Brisse S
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Perrin A;Larsonneur E;Nicholson AC;Edwards DJ;Gundlach KM;Whitney AM;Gulvik CA;Bell ME;Rendueles O;Cury J;Hugon P;Clermont D;Enouf V;Loparev V;Juieng P;Monson T;Warshauer D;Elbadawi LI;Walters MS;Crist MB;Noble-Wang J;Borlaug G;Rocha EPC;Criscuolo A;Touchon M;Davis JP;Holt KE;McQuiston JR;Brisse S

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An atypically large outbreak of Elizabethkingia anophelis infections occurred in Wisconsin. Here we show that it was caused by a single strain with thirteen characteristic genomic regions. Strikingly, the outbreak isolates show an accelerated evolutionary rate and an atypical mutational spectrum. Six phylogenetic sub-clusters with distinctive temporal and geographic dynamics are revealed, and their last common ancestor existed approximately one year before the first recognized human infection. Unlike other E. anophelis, the outbreak strain had a disrupted DNA repair mutY gene caused by insertion of an integrative and conjugative element. This genomic change probably contributed to the high evolutionary rate of the outbreak strain and may have increased its adaptability, as many mutations in protein-coding genes occurred during the outbreak. This unique discovery of an outbreak caused by a naturally occurring mutator bacterial pathogen provides a dramatic example of the potential impact of pathogen evolutionary dynamics on infectious disease epidemiology. Elizabethkingia anophelis is an emerging pathogen of high antimicrobial resistance. Perrin and colleagues sequenced isolates of a 2015/2016 E. anophelis outbreak in Wisconsin and found substantial genetic diversity, accelerated evolutionary rate and a disruptive mutation in the DNA repair gene mutY.