Emergence of a multidrug-resistant and virulent Streptococcus pneumoniae lineage mediates serotype replacement after PCV13: an international whole-genome sequencing study
Author
WLo, Stephanie
Mellor, Kate
Cohen, Robert
Redin Alonso, Alba
Belman, Sophie
Kumar, Narender
Hawkins, Paulina A.
Gladstone, Rebecca A.
Von Gottberg, Anne
Veeraraghavan, Balaji
Ravikumar, K. L.
Kandasamy, Rama
Pollard, Andrew J.
Saha, Samir K.
Bigogo, Godfrey
Antonio, Martin
Kwambana-Adams, Brenda
Mirza, Shaper
Shakoor, Sadia
Nisar, Imran
Cornick, Jennifer E.
Lehmann, Deborah
Ford, Rebecca L.
Sigauque, Betuel
Turner, Paul
Moïsi, Jennifer
Obaro, Stephen K.
Dagan, Ron
Diawara, Idrissa
Skoczyńska, Anna
Wang, Hui
Carter, Philip E.
Klugman, Keith P.
Rodgers, Gail
Breiman, Robert F.
McGee, Lesley
Bentley, Stephen D.
Varon, Emmanuelle
The Global Pneumococcal Sequencing Consortium
Publication date
2022-10ISSN
2666-5247
Abstract
Background: Serotype 24F is one of the emerging pneumococcal serotypes after the introduction of pneumococcal conjugate vaccine (PCV). We aimed to identify lineages driving the increase of serotype 24F in France and place these findings into a global context. Methods: Whole-genome sequencing was performed on a collection of serotype 24F pneumococci from asymptomatic colonisation (n=229) and invasive disease (n=190) isolates among individuals younger than 18 years in France, from 2003 to 2018. To provide a global context, we included an additional collection of 24F isolates in the Global Pneumococcal Sequencing (GPS) project database for analysis. A Global Pneumococcal Sequence Cluster (GPSC) and a clonal complex (CC) were assigned to each genome. Phylogenetic, evolutionary, and spatiotemporal analysis were conducted using the same 24F collection and supplemented with a global collection of genomes belonging to the lineage of interest from the GPS project database (n=25 590). Findings: Serotype 24F was identified in numerous countries mainly due to the clonal spread of three lineages: GPSC10 (CC230), GPSC16 (CC156), and GPSC206 (CC7701). GPSC10 was the only multidrug-resistant lineage. GPSC10 drove the increase in 24F in France and had high invasive disease potential. The international dataset of GPSC10 (n=888) revealed that this lineage expressed 16 other serotypes, with only six included in 13-valent PCV (PCV13). All serotype 24F isolates were clustered in a single clade within the GPSC10 phylogeny and long-range transmissions were detected from Europe to other continents. Spatiotemporal analysis showed GPSC10-24F took 3–5 years to spread across France and a rapid change of serotype composition from PCV13 serotype 19A to 24F during the introduction of PCV13 was observed in neighbouring country Spain. Interpretation: Our work reveals that GPSC10 alone is a challenge for serotype-based vaccine strategy. More systematic investigation to identify lineages like GPSC10 will better inform and improve next-generation preventive strategies against pneumococcal diseases.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Bill & Melinda Gates Foundation
Centres per al Control i la Prevenció de Malalties dels EUA
Bill & Melinda Gates Foundation
Centros para el Control y la Prevención de Enfermedades de EE.UU
Bill & Melinda Gates Foundation
US Centers for Disease Control and Prevention
Streptococcus pneumoniae
Genoma
Pages
9
Publisher
Elsevier
Collection
3; 10
Is part of
The Lancet Microbe
Citation
WLo, Stephanie; Mellor, Kate; Cohen, Robert [et al.]. Emergence of a multidrug-resistant and virulent Streptococcus pneumoniae lineage mediates serotype replacement after PCV13: an international whole-genome sequencing study. The Lancet Microbe, 2022, 3(10), e735-e743. Disponible en: <https://www.sciencedirect.com/science/article/pii/S2666524722001586?via%3Dihub#!<. Fecha de acceso: 18 oct. 2022. DOI: 10.1016/S2666-5247(22)00158-6
Link to the related item
This item appears in the following Collection(s)
- Ciències de la Salut [745]
Rights
Under a Creative Commons license
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/