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Unraveling Mycobacterium tuberculosis genomic diversity and evolution in Lisbon, Portugal, a highly drug resistant setting

dc.contributor.authorPerdigão, João
dc.contributor.authorSilva, Hugo
dc.contributor.authorMachado, Diana
dc.contributor.authorMacedo, Rita
dc.contributor.authorMaltez, Fernando
dc.contributor.authorSilva, Carla
dc.contributor.authorJordão, Luísa
dc.contributor.authorCouto, Isabel
dc.contributor.authorMallard, Kim
dc.contributor.authorColi, Francesc
dc.contributor.authorHill-Cawthorne, Grant A.
dc.contributor.authorMcNerney, Ruth
dc.contributor.authorPain, Arnab
dc.contributor.authorClark, Taane G.
dc.contributor.authorViveiros, Miguel
dc.contributor.authorPortugal, Isabel
dc.date.accessioned2015-02-19T15:51:17Z
dc.date.available2015-02-19T15:51:17Z
dc.date.issued2014-11-18
dc.description.abstractBACKGROUND: Multidrug- (MDR) and extensively drug resistant (XDR) tuberculosis (TB) presents a challenge to disease control and elimination goals. In Lisbon, Portugal, specific and successful XDR-TB strains have been found in circulation for almost two decades. RESULTS: In the present study we have genotyped and sequenced the genomes of 56 Mycobacterium tuberculosis isolates recovered mostly from Lisbon. The genotyping data revealed three major clusters associated with MDR-TB, two of which are associated with XDR-TB. Whilst the genomic data contributed to elucidate the phylogenetic positioning of circulating MDR-TB strains, showing a high predominance of a single SNP cluster group 5. Furthermore, a genome-wide phylogeny analysis from these strains, together with 19 publicly available genomes of Mycobacterium tuberculosis clinical isolates, revealed two major clades responsible for M/XDR-TB in the region: Lisboa3 and Q1 (LAM).The data presented by this study yielded insights on microevolution and identification of novel compensatory mutations associated with rifampicin resistance in rpoB and rpoC. The screening for other structural variations revealed putative clade-defining variants. One deletion in PPE41, found among Lisboa3 isolates, is proposed to contribute to immune evasion and as a selective advantage. Insertion sequence (IS) mapping has also demonstrated the role of IS6110 as a major driver in mycobacterial evolution by affecting gene integrity and regulation. CONCLUSIONS: Globally, this study contributes with novel genome-wide phylogenetic data and has led to the identification of new genomic variants that support the notion of a growing genomic diversity facing both setting and host adaptation.por
dc.description.sponsorshipThis work was partially supported by Project Ref. SDH49: “Early Molecular Detection of M/XDRTB in the Great Lisbon Healthcare Region” from Fundação Calouste Gulbenkian (FCG, Portugal) and PTDC/SAU-EPI/122400/ 2010 from Fundação para a Ciência e Tecnologia (FCT). The sequencing was funded by the KAUST Research Fund. J. Perdigão, D. Machado and C. Silva were supported by FCT grants SFRH/BPD/95406/2013, SFRH/BD/65060/2009 and SFRH/BD/73579/2010, respectively. TGC is funded by the Medical Research Council (UK) and Wellcome Trust.por
dc.identifier.citationBMC Genomics. 2014 Nov 18;15:991. doi: 10.1186/1471-2164-15-991por
dc.identifier.doi1471-2164-15-991
dc.identifier.issn1471-2164
dc.identifier.urihttp://hdl.handle.net/10400.18/2931
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherBioMed Centralpor
dc.relationSDH49-FCG - Early Molecular Detection of M/XDRTB in the Great Lisbon Healthcare Regionpor
dc.relationPTDC/SAU-EPI/122400/ 2010-FCTpor
dc.relation.publisherversionhttp://www.biomedcentral.com/1471-2164/15/991por
dc.subjectWhole Genome Sequencingpor
dc.subjectMDR-TBpor
dc.subjectXDR-TBpor
dc.subjectLisboa Familypor
dc.subjectMicroevolutionpor
dc.subjectPortugalpor
dc.subjectInfecções Respiratóriaspor
dc.titleUnraveling Mycobacterium tuberculosis genomic diversity and evolution in Lisbon, Portugal, a highly drug resistant settingpor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage991-20por
oaire.citation.startPage991-1por
oaire.citation.titleBMC Genomicspor
oaire.citation.volume15por
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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