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.

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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