1Melbourne Medical School, University of Melbourne, Melbourne, Victoria, Australia.
2Global and Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.
Microb Genom. 2016 Jul 11;2(7):e000067. doi: 10.1099/mgen.0.000067. eCollection 2016 Jul.
Melioidosis, caused by the highly recombinogenic bacterium , is a disease with high mortality. Tracing the origin of melioidosis outbreaks and understanding how the bacterium spreads and persists in the environment are essential to protecting public and veterinary health and reducing mortality associated with outbreaks. We used whole-genome sequencing to compare isolates from a historical quarter-century outbreak that occurred between 1966 and 1991 in the Avon Valley, Western Australia, a region far outside the known range of endemicity. All Avon Valley outbreak isolates shared the same multilocus sequence type (ST-284), which has not been identified outside this region. We found substantial genetic diversity among isolates based on a comparison of genome-wide variants, with no clear correlation between genotypes and temporal, geographical or source data. We observed little evidence of recombination in the outbreak strains, indicating that genetic diversity among these isolates has primarily accrued by mutation. Phylogenomic analysis demonstrated that the isolates confidently grouped within the Australian clade, thereby ruling out introduction from a melioidosis-endemic region outside Australia. Collectively, our results point to ST-284 being present in the Avon Valley for longer than previously recognized, with its persistence and genomic diversity suggesting long-term, low-prevalence endemicity in this temperate region. Our findings provide a concerning demonstration of the potential for environmental persistence of far outside the conventional endemic regions. An expected increase in extreme weather events may reactivate latent populations in this region.
类鼻疽病由高度重组的细菌引起,是一种死亡率很高的疾病。追踪类鼻疽病暴发的起源,了解细菌如何在环境中传播和持续存在,对于保护公共卫生和兽医健康以及降低与暴发相关的死亡率至关重要。我们使用全基因组测序来比较 1966 年至 1991 年在澳大利亚西部的埃文谷发生的历史上长达四分之一个世纪的暴发的分离株,该地区远在已知的流行范围之外。埃文谷暴发的所有分离株都具有相同的多位点序列型(ST-284),这种序列型在该地区之外尚未被发现。我们根据全基因组变异的比较发现,分离株之间存在大量遗传多样性,基因型与时间、地理位置或来源数据之间没有明显的相关性。我们在暴发菌株中观察到很少的重组证据,表明这些分离株之间的遗传多样性主要是通过突变积累的。系统发育基因组分析表明,这些分离株在澳大利亚分支内被准确分组,从而排除了从澳大利亚以外的类鼻疽流行地区引入的可能性。总的来说,我们的结果表明,ST-284 在埃文谷存在的时间比以前认识的要长,其持久性和基因组多样性表明在这个温带地区存在长期、低流行的地方性感染。我们的发现令人担忧地表明,细菌在常规流行地区之外具有潜在的环境持久性。极端天气事件的增加可能会使该地区潜伏的细菌种群重新活跃起来。