TY - JOUR
T1 - Rapid pneumococcal evolution in response to clinical interventions
AU - Croucher, Nicholas J.
AU - Harris, Simon R.
AU - Fraser, Christophe
AU - Quail, Michael A
AU - Burton, John
AU - Van Der Linden, Mark
AU - McGee, Lesley
AU - Von Gottberg, Anne
AU - Song, Jae Hoon
AU - Ko, Kwan Soo
AU - Pichon, Bruno
AU - Baker, Stephen
AU - Parry, Christopher M.
AU - Lambertsen, Lotte M.
AU - Shahinas, Dea
AU - Pillai, Dylan R.
AU - Mitchell, Timothy J.
AU - Dougan, Gordon
AU - Tomasz, Alexander
AU - Klugman, Keith P.
AU - Parkhill, Julian
AU - Hanage, William P.
AU - Bentley, Stephen D
PY - 2011/1/28
Y1 - 2011/1/28
N2 - Epidemiological studies of the naturally transformable bacterial pathogen Streptococcus pneumoniae have previously been confounded by high rates of recombination. Sequencing 240 isolates of the PMEN1 (Spain23F-1) multidrug-resistant lineage enabled base substitutions to be distinguished from polymorphisms arising through horizontal sequence transfer. More than 700 recombinations were detected, with genes encoding major antigens frequently affected. Among these were 10 capsule-switching events, one of which accompanied a population shift as vaccine-escape serotype 19A isolates emerged in the USA after the introduction of the conjugate polysaccharide vaccine. The evolution of resistance to fluoroquinolones, rifampicin, and macrolides was observed to occur on multiple occasions. This study details how genomic plasticity within lineages of recombinogenic bacteria can permit adaptation to clinical interventions over remarkably short time scales.
AB - Epidemiological studies of the naturally transformable bacterial pathogen Streptococcus pneumoniae have previously been confounded by high rates of recombination. Sequencing 240 isolates of the PMEN1 (Spain23F-1) multidrug-resistant lineage enabled base substitutions to be distinguished from polymorphisms arising through horizontal sequence transfer. More than 700 recombinations were detected, with genes encoding major antigens frequently affected. Among these were 10 capsule-switching events, one of which accompanied a population shift as vaccine-escape serotype 19A isolates emerged in the USA after the introduction of the conjugate polysaccharide vaccine. The evolution of resistance to fluoroquinolones, rifampicin, and macrolides was observed to occur on multiple occasions. This study details how genomic plasticity within lineages of recombinogenic bacteria can permit adaptation to clinical interventions over remarkably short time scales.
UR - http://www.scopus.com/inward/record.url?scp=79251544864&partnerID=8YFLogxK
U2 - 10.1126/science.1198545
DO - 10.1126/science.1198545
M3 - Article
C2 - 21273480
AN - SCOPUS:79251544864
SN - 0036-8075
VL - 331
SP - 430
EP - 434
JO - Science
JF - Science
IS - 6016
ER -