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Pertactin-negative variants of Bordetella pertussis in New York State: a retrospective analysis, 2004-2013
Tammy Quinlan1, Kimberlee A Musser1, Salvatore A Currenti2
1Wadsworth Center, New York State Department of Health, PO Box 22002, Albany, NY 12201-2002, United States.
Abstract:
The first report of pertactin-negative variants of Bordetella pertussis in the United States has raised questions about the role of acellular pertussis vaccines in the recent increase of pertussis cases. Our laboratory utilized a sequence-based method to identify mutations in the pertactin gene responsible for these variants and assessed vaccination status from the associated cases.
Insights
Pertactin-negative Bordetella pertussis variants emerged in the US, prompting investigation into their link with acellular pertussis vaccines and rising pertussis cases. Sequence analysis identified specific gene mutations in these variants.
Area of Science:
- Microbiology
- Vaccinology
- Genetics
Background:
- Recent increases in pertussis (whooping cough) cases have been observed in the United States.
- The emergence of pertactin-negative variants of Bordetella pertussis has been reported.
- Pertactin is a key component of current acellular pertussis vaccines.
Purpose of the Study:
- To identify the specific genetic mutations responsible for pertactin-negative Bordetella pertussis variants.
- To investigate the association between these variants and the vaccination status of affected individuals.
Main Methods:
- Utilized a sequence-based method for genetic analysis of Bordetella pertussis isolates.
- Collected and analyzed data on the vaccination status of patients with pertussis.
Main Results:
- Identified specific mutations within the pertactin gene correlating with the emergence of pertactin-negative variants.
- Assessed the vaccination history of individuals infected with these variants.
Conclusions:
- The study provides genetic insights into the evolution of Bordetella pertussis.
- Further research is needed to understand the implications of these variants for vaccine efficacy and public health strategies against pertussis.
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