Translational Genomics Research Institute, Phoenix, Arizona, USA.
Emerg Infect Dis. 2011 Feb;17(2):227-32. doi: 10.3201/eid1702.100620.
Next-generation sequencing enables use of whole-genome sequence typing (WGST) as a viable and discriminatory tool for genotyping and molecular epidemiologic analysis. We used WGST to confirm the linkage of a cluster of Coccidioides immitis isolates from 3 patients who received organ transplants from a single donor who later had positive test results for coccidioidomycosis. Isolates from the 3 patients were nearly genetically identical (a total of 3 single-nucleotide polymorphisms identified among them), thereby demonstrating direct descent of the 3 isolates from an original isolate. We used WGST to demonstrate the genotypic relatedness of C. immitis isolates that were also epidemiologically linked. Thus, WGST offers unique benefits to public health for investigation of clusters considered to be linked to a single source.
下一代测序使全基因组序列分型 (WGST) 成为基因分型和分子流行病学分析的可行且有区别的工具。我们使用 WGST 来确认三例患者的一组从同一供体接受器官移植的新型隐球菌分离株的关联,该供体后来对球孢子菌病检测结果呈阳性。这 3 位患者的分离株几乎完全相同(在它们之间总共鉴定出 3 个单核苷酸多态性),从而证明这 3 个分离株直接来源于原始分离株。我们使用 WGST 来证明也是流行病学关联的新型隐球菌分离株的基因型相关性。因此,WGST 为公共卫生调查被认为与单一来源相关的集群提供了独特的好处。