Genomic epidemiology and multilevel genome typing of Bordetella pertussis

Bordetella pertussis causes pertussis (or whooping cough), a severe respiratory infectious disease in infants, although it can be prevented by whole cell and acellular vaccines. The recent pertussis resurgence in industrialised countries is partly attributed to pathogen adaptation to vaccines, while...

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Main Authors: Michael Payne, Zheng Xu, Dalong Hu, Sandeep Kaur, Sophie Octavia, Vitali Sintchenko, Ruiting Lan
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Emerging Microbes and Infections
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Online Access:https://www.tandfonline.com/doi/10.1080/22221751.2023.2239945
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author Michael Payne
Zheng Xu
Dalong Hu
Sandeep Kaur
Sophie Octavia
Vitali Sintchenko
Ruiting Lan
author_facet Michael Payne
Zheng Xu
Dalong Hu
Sandeep Kaur
Sophie Octavia
Vitali Sintchenko
Ruiting Lan
author_sort Michael Payne
collection DOAJ
description Bordetella pertussis causes pertussis (or whooping cough), a severe respiratory infectious disease in infants, although it can be prevented by whole cell and acellular vaccines. The recent pertussis resurgence in industrialised countries is partly attributed to pathogen adaptation to vaccines, while emergence of antimicrobial resistance, specifically to macrolides in China, has become a concern. Surveillance of current circulating and emerging strains is therefore vital to understand the risks they pose to public health. Although the use of genomics-based typing is increasing a genomic nomenclature for this pathogen has not been well established. Here, we implemented the multilevel genome typing (MGT) system for B. pertussis with five levels of resolution, which provide targeted typing of relevant lineages and discrimination of closely related strains at the finest scale. The lower resolution levels (MGT2 and MGT3) describe the distribution of major vaccine antigen alleles including ptxP, fim3, fhaB and prn, as well as temporal and spatial trends within the B. pertussis global population. Mid-resolution levels (MGT3 and MGT4) enable typing of antibiotic-resistant lineages and Prn deficient lineages within the ptxP3 clade. The high-resolution level (MGT5) can capture finer-scale epidemiology such as outbreaks and local transmission events, with comparable resolution to existing genomic methods of strain-relatedness assessment. The scheme offers stable MGT-type assignments aiding harmonisation of typing and communication between laboratories. The scheme is available at https://mgtdb.unsw.edu.au/pertussis, is regularly updated from global data repositories and accepts public submissions. The MGT scheme provides a comprehensive, robust, and scalable system for global surveillance of B. pertussis.
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spelling doaj-art-f0776b5fbd6a44ceb7f254e4e5090e832025-07-02T17:45:38ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512023-12-0112210.1080/22221751.2023.2239945Genomic epidemiology and multilevel genome typing of Bordetella pertussisMichael Payne0Zheng Xu1Dalong Hu2Sandeep Kaur3Sophie Octavia4Vitali Sintchenko5Ruiting Lan6School of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, AustraliaSchool of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, AustraliaSchool of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, AustraliaSchool of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, AustraliaSchool of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, AustraliaCentre for Infectious Diseases and Microbiology – Public Health, Institute of Clinical Pathology and Medical Research – NSW Health Pathology, Westmead Hospital, Sydney, AustraliaSchool of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, AustraliaBordetella pertussis causes pertussis (or whooping cough), a severe respiratory infectious disease in infants, although it can be prevented by whole cell and acellular vaccines. The recent pertussis resurgence in industrialised countries is partly attributed to pathogen adaptation to vaccines, while emergence of antimicrobial resistance, specifically to macrolides in China, has become a concern. Surveillance of current circulating and emerging strains is therefore vital to understand the risks they pose to public health. Although the use of genomics-based typing is increasing a genomic nomenclature for this pathogen has not been well established. Here, we implemented the multilevel genome typing (MGT) system for B. pertussis with five levels of resolution, which provide targeted typing of relevant lineages and discrimination of closely related strains at the finest scale. The lower resolution levels (MGT2 and MGT3) describe the distribution of major vaccine antigen alleles including ptxP, fim3, fhaB and prn, as well as temporal and spatial trends within the B. pertussis global population. Mid-resolution levels (MGT3 and MGT4) enable typing of antibiotic-resistant lineages and Prn deficient lineages within the ptxP3 clade. The high-resolution level (MGT5) can capture finer-scale epidemiology such as outbreaks and local transmission events, with comparable resolution to existing genomic methods of strain-relatedness assessment. The scheme offers stable MGT-type assignments aiding harmonisation of typing and communication between laboratories. The scheme is available at https://mgtdb.unsw.edu.au/pertussis, is regularly updated from global data repositories and accepts public submissions. The MGT scheme provides a comprehensive, robust, and scalable system for global surveillance of B. pertussis.https://www.tandfonline.com/doi/10.1080/22221751.2023.2239945EpidemiologyBordetella pertussissurveillancegenomic typing nomenclaturemultilevel genome typinggenomics
spellingShingle Michael Payne
Zheng Xu
Dalong Hu
Sandeep Kaur
Sophie Octavia
Vitali Sintchenko
Ruiting Lan
Genomic epidemiology and multilevel genome typing of Bordetella pertussis
Emerging Microbes and Infections
Epidemiology
Bordetella pertussis
surveillance
genomic typing nomenclature
multilevel genome typing
genomics
title Genomic epidemiology and multilevel genome typing of Bordetella pertussis
title_full Genomic epidemiology and multilevel genome typing of Bordetella pertussis
title_fullStr Genomic epidemiology and multilevel genome typing of Bordetella pertussis
title_full_unstemmed Genomic epidemiology and multilevel genome typing of Bordetella pertussis
title_short Genomic epidemiology and multilevel genome typing of Bordetella pertussis
title_sort genomic epidemiology and multilevel genome typing of bordetella pertussis
topic Epidemiology
Bordetella pertussis
surveillance
genomic typing nomenclature
multilevel genome typing
genomics
url https://www.tandfonline.com/doi/10.1080/22221751.2023.2239945
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