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都柏林血清型内不同基因型的独特适应性和流行病学成功情况。

Distinct adaptation and epidemiological success of different genotypes within serovar Dublin.

作者信息

Sia Cheryll M, Ambrose Rebecca L, Valcanis Mary, Andersson Patiyan, Ballard Susan A, Howden Benjamin P, Williamson Deborah A, Pearson Jaclyn S, Ingle Danielle J

机构信息

Department of Microbiology and Immunology, The University of Melbourne at The Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.

Microbiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The University of Melbourne at The Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.

出版信息

Elife. 2025 Jun 25;13:RP102253. doi: 10.7554/eLife.102253.

Abstract

Dublin is a host-adapted, invasive nontyphoidal (iNTS) serovar that causes bloodstream infections in humans and demonstrates increasing prevalence of antimicrobial resistance (AMR). Using a global dataset of 1303 genomes, coupled with in vitro assays, we examined the evolutionary, resistance, and virulence characteristics of . Dublin. Our analysis revealed strong geographical associations between AMR profiles and plasmid types, with highly resistant isolates confined predominantly to North America, linked to IncC plasmids co-encoding AMR and heavy metal resistance. By contrast, Australian isolates were largely antimicrobial-susceptible, reflecting differing AMR pressures. We identified two phylogenetically distinct Australian lineages, ST10 and ST74, with a small number of ST10 isolates harbouring a novel hybrid plasmid encoding both AMR and mercuric resistance. Whereas the ST10 lineage remains globally dominant, the ST74 lineage was less prevalent. ST74 exhibited unique genomic features including a larger pan genome compared to ST10 and the absence of key virulence loci, including pathogenicity island (SPI)-19 which encodes a type VI secretion system (T6SS). Despite these genomic differences, the ST74 lineage displayed enhanced intracellular replication in human macrophages and induced less pro-inflammatory responses compared with ST10, suggesting alternative virulence strategies that may support systemic dissemination of ST74. The Vi antigen was absent in all ST10 and ST74 genomes, highlighting challenges for serotyping and vaccine development, and has implications for current diagnostic and control strategies for Dublin infections. Collectively, this study represents the most comprehensive investigation of . Dublin to date and, importantly, has revealed distinct adaptations of two genotypes within the same serovar, leading to different epidemiological success. The regional emergence and evolution of distinct Dublin lineages highlight the need to understand the divergence of intra-serovar virulence mechanisms which may impact the development of effective control measures against this important global pathogen.

摘要

都柏林是一种宿主适应性强的侵袭性非伤寒(iNTS)血清型,可导致人类血流感染,且抗菌药物耐药性(AMR)患病率不断上升。我们利用1303个基因组的全球数据集,并结合体外试验,研究了都柏林血清型的进化、耐药性和毒力特征。我们的分析揭示了AMR谱与质粒类型之间存在很强的地理关联,高耐药菌株主要局限于北美,与共编码AMR和重金属抗性的IncC质粒有关。相比之下,澳大利亚的菌株大多对抗菌药物敏感,这反映了不同的AMR压力。我们鉴定出两个系统发育上不同的澳大利亚谱系,ST10和ST74,少数ST10分离株携带一种编码AMR和汞抗性的新型杂交质粒。虽然ST10谱系在全球仍占主导地位,但ST74谱系不太常见。ST74表现出独特的基因组特征,包括与ST10相比具有更大的泛基因组,以及缺乏关键的毒力基因座,包括编码VI型分泌系统(T6SS)的致病岛(SPI)-19。尽管存在这些基因组差异,但与ST10相比,ST74谱系在人类巨噬细胞中表现出增强的细胞内复制能力,且诱导的促炎反应较少,这表明可能存在支持ST74全身扩散的替代毒力策略。所有ST10和ST74基因组中均不存在Vi抗原,这凸显了血清分型和疫苗开发面临的挑战,并对当前都柏林感染的诊断和控制策略产生影响。总体而言,这项研究是迄今为止对都柏林血清型最全面的调查,重要的是,揭示了同一血清型内两种基因型的不同适应性,导致了不同的流行病学结果。都柏林不同谱系的区域出现和进化凸显了了解血清型内毒力机制差异的必要性,这可能会影响针对这种重要全球病原体的有效控制措施的制定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c703/12194135/4cd0c0e1b972/elife-102253-fig1.jpg

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