Genomic diversity and transmission patterns of Yersinia pestis in Inner Mongolia Autonomous Region, China
Xiujuan Zuo1,2, Fang Liu3, Yanhong Hu3
1School of Public Health, Anhui Medical University, Hefei, China.
Abstract:
According to WHO, plague, caused by Yersinia pestis, has resurged since 2000. Inner Mongolia, harboring a quarter of China's plague foci, has accounted for 80% of national plague cases in the past five years. Despite its pivotal role in Chinese plague epidemiology, the genetic diversity and transmission dynamics of Y. pestis in this region remain under-investigated. Our analysis of 585 Y. pestis strains from Inner Mongolia (1948-2021) revealed three primary lineages, with 2.MED3 being predominant. We further delineated seven sub-phylogroups in 2.MED3, with 2.MED3.1.2 and 2.MED3.1.4 showing recent dominance. These two subgroups reveal dual transmission patterns: localized short-distance spread and long-distance dispersals over 300 km. Xilingol League is highlighted as a key source and reservoir for Y. pestis, predominantly spreading from central-eastern to southwestern Inner Mongolia, including occasional reverse transmissions. These findings enhance understanding of Y. pestis diversity and transmission in Inner Mongolia, aiding in enhanced surveillance and control measures.
Insights
Plague (Yersinia pestis) is resurging, with Inner Mongolia a key hotspot. This study reveals genetic diversity and dual transmission patterns, aiding future plague control efforts in the region.
Area of Science:
- * Epidemiology and Microbiology
- * Genetics and Evolutionary Biology
Background:
- * The World Health Organization (WHO) notes a resurgence of plague, caused by Yersinia pestis, since 2000.
- * Inner Mongolia, China, is a significant plague focus, responsible for 80% of national cases in recent years.
- * Genetic diversity and transmission dynamics of Y. pestis in Inner Mongolia are not well understood.
Purpose of the Study:
- * To investigate the genetic diversity of Yersinia pestis strains in Inner Mongolia.
- * To elucidate the transmission dynamics of Y. pestis within this region.
- * To provide insights for enhanced plague surveillance and control.
Main Methods:
- * Analysis of 585 Yersinia pestis strains collected from Inner Mongolia between 1948 and 2021.
- * Phylogenetic analysis to identify lineages and sub-phylogroups.
- * Mapping of strain distribution to understand transmission patterns.
Main Results:
- * Identified three primary Y. pestis lineages, with 2.MED3 being predominant.
- * Delineated seven sub-phylogroups within 2.MED3, with 2.MED3.1.2 and 2.MED3.1.4 showing recent dominance.
- * Observed dual transmission patterns: localized short-distance spread and long-distance dispersal (>300 km).
- * Highlighted Xilingol League as a key source and reservoir, with predominant spread from central-eastern to southwestern Inner Mongolia.
Conclusions:
- * The study enhances understanding of Yersinia pestis genetic diversity and transmission in Inner Mongolia.
- * Findings reveal complex spread patterns, including significant long-distance dispersal.
- * Identified key reservoirs and transmission routes crucial for targeted surveillance and control strategies.


