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Emerging of ptxP3 lineage in Bordetella pertussis strains circulating in a population in northeastern Mexico
J L Gutiérrez-Ferman1, L Villarreal-Treviño2, J M Ramírez-Aranda3
1Servicio de Gastroenterología,Hospital Universitario 'Dr José Eleuterio González', Universidad Autónoma de Nuevo León,Monterrey, Nuevo León,México.
Abstract:
We determined the molecular epidemiology of Bordetella pertussis isolates to evaluate its potential impact on pertussis reemergence in a population of Mexico. Symptomatic and asymptomatic cases were included. Pertussis infection was confirmed by culture and real-time polymerase chain reaction (PCR). Selected B. pertussis isolates were further analysed; i.e. clonality was analysed by pulsed-field gel electrophoresis (PFGE) and ptxP-ptxA, prn, fim2 and fim3 typing was performed by PCR and sequencing. Out of 11 864 analysed samples, 687 (5.8%) were positive for pertussis, with 244 (36%) confirmed by both culture and PCR whereas 115 (17%) were positive only by culture and 328 (48%) were positive only by PCR. One predominant clone (clone A, n = 62/113; 55%) and three major subtypes (A1, A2 and A3) were identified by PFGE. All 113 selected isolates had the allelic combination ptxP3-ptxA1. The predominant clone A and the three major subtypes (A1, A2 and A3) corresponded to the emerging genotypes ptxP3-ptxA1-prn2-fim2-1-fim3-2 and ptxP3-ptxA1-prn2-fim2-1-fim3-1. In conclusion, the presence of an endemic clone and three predominant subtypes belonging to the genotypes ptxP3-ptxA1-prn2-fim2-1-fim3-2 and ptxP3-ptxA1-prn2-fim2-1-fim3-1 were detected. This finding supports the global spread/expansion reported for these outbreaks associated genotypes.
Insights
Molecular epidemiology of Bordetella pertussis in Mexico revealed an endemic clone and three subtypes. These findings, linked to global pertussis outbreaks, suggest a potential impact on the reemergence of whooping cough.
Area of Science:
- Microbiology
- Epidemiology
- Genetics
Background:
- Pertussis (whooping cough) reemergence is a global public health concern.
- Understanding the molecular characteristics of Bordetella pertussis is crucial for disease control.
Purpose of the Study:
- To determine the molecular epidemiology of Bordetella pertussis isolates in Mexico.
- To evaluate the potential impact of these isolates on pertussis reemergence.
Main Methods:
- Analysis of 11,864 samples for pertussis infection using culture and real-time PCR.
- Molecular typing of Bordetella pertussis isolates using pulsed-field gel electrophoresis (PFGE) and PCR sequencing for specific genes (ptxP, ptxA, prn, fim2, fim3).
Main Results:
- Pertussis was confirmed in 5.8% of samples.
- One predominant clone (clone A) and three major subtypes (A1, A2, A3) were identified by PFGE.
- All analyzed isolates possessed the ptxP3-ptxA1 allelic combination, corresponding to emerging genotypes associated with global outbreaks.
Conclusions:
- An endemic Bordetella pertussis clone and three predominant subtypes were identified in Mexico.
- These genotypes (ptxP3-ptxA1-prn2-fim2-1-fim3-2 and ptxP3-ptxA1-prn2-fim2-1-fim3-1) are associated with global pertussis outbreaks.
- The findings support the ongoing global spread of these specific Bordetella pertussis genotypes.
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