Emergence of a novel lineage containing a prophage in emm/M3 group A Streptococcus associated with upsurge in invasive disease in the UK
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Published version
Author(s)
Type
Journal Article
Abstract
A sudden increase in invasive Group A Streptococcus (iGAS) infections associated with emm/M3 isolates during the winter of 2008/09 prompted the initiation of enhanced surveillance in England. In order to characterise the population of emm/M3 GAS within the UK and determine bacterial factors that might be responsible for this upsurge, 442 emm/M3 isolates from cases of invasive and non-invasive infections during the period 2001 to 2013 were subjected to whole genome sequencing. MLST analysis differentiated emm/M3 isolates into three sequence types (STs): ST15, ST315 and ST406. Analysis of the whole genome SNP-based phylogeny showed that the majority of isolates from the 2008-2009 upsurge period belonged to a distinct lineage characterised by the presence of a prophage carrying the speC exotoxin and spd1 DNAase genes but loss of two other prophages considered typical of the emm/M3 lineage. This lineage was significantly associated with the upsurge in iGAS cases and we postulate that the upsurge could be attributed in part to expansion of this novel prophage-containing lineage within the population. The study underlines the importance of prompt genomic analysis of changes in the GAS population, providing an advanced public health warning systems for newly emergent, pathogenic strains.
Date Issued
2016-06-24
Date Acceptance
2016-04-07
Citation
Microbial Genomics, 2016, 2
ISSN
2057-5858
Publisher
Microbiology Society: Microbial Genomics
Journal / Book Title
Microbial Genomics
Volume
2
Copyright Statement
© 2016 The Authors. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
License URL
Sponsor
Imperial College Trust
Wellcome Trust
Medical Research Council (MRC)
Medical Research Council (MRC)
Public Health England
National Institute for Health Research
National Institute for Health Research
Grant Number
PC1992, ICT
087732/Z/08/Z
G0800777
G0800777
N/A
HPRU-2012-10047
HPRU-2012-10047
Publication Status
Accepted