Guimaraes Ana M S, Zimpel Cristina K
Laboratory of Applied Research in Mycobacteria, Department of Microbiology, University of São Paulo, São Paulo 01246-904, SP, Brazil.
Department of Preventive Veterinary Medicine and Animal Health, University of São Paulo, São Paulo 01246-904, SP, Brazil.
Microorganisms. 2020 May 3;8(5):667. doi: 10.3390/microorganisms8050667.
is the main pathogen of bovine, zoonotic, and wildlife tuberculosis. Despite the existence of programs for bovine tuberculosis (bTB) control in many regions, the disease remains a challenge for the veterinary and public health sectors, especially in developing countries and in high-income nations with wildlife reservoirs. Current bTB control programs are mostly based on test-and-slaughter, movement restrictions, and post-mortem inspection measures. In certain settings, contact tracing and surveillance has benefited from genotyping techniques. More recently, whole-genome sequencing (WGS) has become the preferential technique to inform outbreak response through contact tracing and source identification for many infectious diseases. As the cost per genome decreases, the application of WGS to bTB control programs is inevitable moving forward. However, there are technical challenges in data analyses and interpretation that hinder the implementation of WGS as a molecular epidemiology tool. Therefore, the aim of this review is to describe genotyping techniques and discuss current standards and challenges of the use of WGS for transmission investigation, surveillance, and global lineages distribution. We compiled a series of associated research gaps to be explored with the ultimate goal of implementing WGS in a standardized manner in bTB control programs.
是牛、人畜共患和野生动物结核病的主要病原体。尽管许多地区都存在牛结核病(bTB)控制计划,但该疾病仍然是兽医和公共卫生部门面临的挑战,特别是在发展中国家和有野生动物宿主的高收入国家。当前的牛结核病控制计划主要基于检测和屠宰、移动限制以及死后检查措施。在某些情况下,接触者追踪和监测受益于基因分型技术。最近,全基因组测序(WGS)已成为通过接触者追踪和源头识别为许多传染病的疫情应对提供信息的首选技术。随着每个基因组成本的降低,将WGS应用于牛结核病控制计划在未来是不可避免的。然而,数据分析和解释存在技术挑战,阻碍了将WGS用作分子流行病学工具。因此,本综述的目的是描述基因分型技术,并讨论使用WGS进行传播调查、监测和全球谱系分布的当前标准及挑战。我们梳理了一系列相关研究空白以待探索,最终目标是以标准化方式在牛结核病控制计划中实施WGS。