Molecular subtyping of Treponema pallidum in Paris, France

Philippe Alain Grange1, Caroline Allix-Beguec, Johan Chanal

  • 1Laboratoire de Recherche en Dermatologie, EA 1833, Centre National de Référence Syphilis, Faculté de Médecine, Université Sorbonne Paris Descartes, Paris, France.

Insights

Two Treponema pallidum subtypes, 14 d/g and 14 d/f, were found in Paris syphilis patients. A new subtype, 11 q/j, was identified, along with a reinfection case.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Epidemiology

Background:

  • Syphilis remains a significant public health concern globally.
  • Treponema pallidum subtypes are crucial for understanding transmission dynamics and disease progression.
  • The epidemiology of syphilis, particularly among men who have sex with men (MSM), requires ongoing surveillance.

Purpose of the Study:

  • To characterize Treponema pallidum subtypes in a Parisian syphilis patient cohort.
  • To identify novel subtypes and document reinfection cases.
  • To contribute to the understanding of syphilis epidemiology in a high-prevalence population.

Main Methods:

  • Molecular typing of Treponema pallidum isolates from 119 syphilis patients.
  • Analysis of specific genetic markers to differentiate subtypes.
  • Case investigation to identify and confirm reinfection.

Main Results:

  • Identification of two major Treponema pallidum subtypes: 14 d/g and 14 d/f.
  • Characterization of a newly identified subtype, designated 11 q/j.
  • Confirmation of a syphilis reinfection case in a patient with a 19-month interval between infections.

Conclusions:

  • The study identified key Treponema pallidum subtypes circulating in Paris.
  • The emergence of a new subtype highlights the evolving nature of the pathogen.
  • Documenting reinfection underscores the importance of sustained prevention and treatment efforts.