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High resolution multi-locus sequence typing scheme for Giardia duodenalis assemblage B outbreak and population

Christian Klotz1, Katja Winter2, Marc W Schmid3

  • 1Department of Infectious Diseases, Unit for Mycotic and Parasitic Agents and Mycobacteria, Robert Koch-Institute, Berlin, Germany.

Plos Neglected Tropical Diseases
|July 15, 2026
PubMed
Summary

A new multi-locus sequence typing (MLST) scheme effectively differentiates Giardia duodenalis assemblage B strains. This tool aids in tracking giardiasis outbreaks and identifying infection sources by analyzing allelic sequence heterogeneity (ASH).

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Published on: December 7, 2021

Area of Science:

  • Parasitology
  • Molecular Epidemiology
  • Genomics

Background:

  • Giardia duodenalis is a protozoan parasite causing human giardiasis, a common gastrointestinal illness.
  • Assemblages A and B are the primary groups responsible for human infections, exhibiting distinct genetic characteristics.
  • Accurate typing schemes are crucial for epidemiological investigations, including outbreak tracing and source attribution of Giardia duodenalis assemblage B.

Purpose of the Study:

  • To identify genomic markers for molecular typing of Giardia duodenalis assemblage B.
  • To develop and evaluate a novel multi-locus sequence typing (MLST) scheme for assemblage B.
  • To assess the utility of the MLST scheme in distinguishing between epidemiologically related and unrelated isolates.

Main Methods:

  • Whole genome datasets from 18 axenically cultured Giardia duodenalis assemblage B isolates were analyzed.
  • Genomic loci were identified, and primer sets were designed for nested PCR and sequencing.
  • A seven-marker MLST scheme was developed and applied to 146 assemblage B samples, including analysis of allelic sequence heterogeneity (ASH).

Main Results:

  • The developed MLST scheme successfully genotyped 75% (109/146) of tested Giardia duodenalis assemblage B samples.
  • Analysis of epidemiologically unrelated samples revealed a bipartite population structure based on low or high ASH.
  • Samples from a waterborne outbreak and epidemiologically linked cases formed distinct clusters, differentiating them from sporadic cases.

Conclusions:

  • The novel MLST scheme is informative for molecular typing of Giardia duodenalis assemblage B.
  • The scheme effectively distinguishes between different genetic profiles within assemblage B, including those with varying ASH.
  • This tool can significantly assist in future epidemiological studies, outbreak investigations, and source attribution of Giardia duodenalis assemblage B.