Genome-wide identification of lineage and locus specific variation associated with pneumococcal carriage duration

John A Lees1, Nicholas J Croucher2, David Goldblatt3

  • 1Infection Genomics, Wellcome Trust Sanger Institute, Hinxton, United Kingdom.

Elife
|July 26, 2017
PubMed

Insights

Genomic variation in Streptococcus pneumoniae explains most carriage duration differences, not host factors. Prophage sequences significantly reduce carriage time, impacting bacterial competition and antibiotic resistance dynamics.

Area of Science:

  • Microbiology
  • Genomics
  • Epidemiology

Background:

  • Streptococcus pneumoniae causes invasive infant disease, particularly in low-income regions.
  • Nasopharyngeal carriage is essential for disease but its duration varies.
  • Current understanding of carriage duration variability is limited, primarily at the serotype level.

Purpose of the Study:

  • To develop a model for calculating pneumococcal carriage episode duration.
  • To investigate the contribution of genomic variation to carriage duration.
  • To identify specific genomic factors influencing pneumococcal carriage duration.

Main Methods:

  • Developed a model to estimate carriage duration from longitudinal swab data.
  • Integrated carriage duration data with whole genome sequencing data.
  • Performed a pan-genome-wide association study (GWAS) to identify genetic associations.

Main Results:

  • Pneumococcal genomic variation accounted for 63% of carriage duration variation; host traits explained <5%.
  • Serotype (17%), drug resistance (9%), and other loci contributed significantly to duration variation.
  • Prophage sequences were associated with decreased carriage duration, independent of serotype.

Conclusions:

  • Genomic factors, particularly prophages, are major drivers of pneumococcal carriage duration.
  • Findings support models of pneumococcal competition and the evolution of antibiotic resistance.
  • Understanding genomic influences on carriage duration can inform public health strategies.

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