Use of a Whole Genome Sequencing-based approach for Mycobacterium tuberculosis surveillance in Europe in 2017–2019: an ECDC pilot study
| Autor: | Vlad Nikolayevskyy, Daniela Maria Cirillo, Thomas Kohl, Elisa Tagliani, Florian P. Maurer, Marieke J. van der Werf, Albert J. de Neeling, Csaba Ködmön, Stefan Niemann, Dick van Soolingen, Richard M. Anthony |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Pulmonary and Respiratory Medicine Whole genome sequencing biology business.industry Integrated systems biology.organism_classification Mycobacterium tuberculosis 03 medical and health sciences Molecular typing 030104 developmental biology 0302 clinical medicine Mycobacterium tuberculosis complex Environmental health Medicine Multilocus sequence typing media_common.cataloged_instance 030212 general & internal medicine Genetic relatedness European union business media_common |
| Zdroj: | European Respiratory Journal. :2002272 |
| ISSN: | 1399-3003 0903-1936 |
| Popis: | Whole genome sequencing (WGS) can be used for molecular typing and characterisation ofMycobacterium tuberculosiscomplex (MTBC) strains. We evaluated the systematic use of a WGS-based approach for MTBC surveillance involving all European Union/European Economic Area (EU/EEA) countries and highlight the challenges and lessons learned to be considered for the future development of a WGS-based surveillance system.WGS and epidemiological data of patients with rifampicin (RR) and multi-drug resistant (MDR)-tuberculosis (TB) were collected from EU/EEA countries between January 2017 and December 2019. WGS-based genetic relatedness analysis was performed using a standardised approach including both core genome multilocus sequence typing (cgMLST), and single nucleotide polymorphism (SNP)-based calculation of distances on all WGS data that fulfilled minimum quality criteria to ensure data comparability.From 25 countries, 2218 RR/MDR-MTBC isolates were collected. Fifty-six cross-border clusters with increased likelihood of recent transmission (≤5 SNPs distance) comprising a total of 316 RR/MDR-MTBC isolates were identified. The cross-border clusters included between two and thirty resistant isolates from two to six countries unravelling different RR/MDR-TB transmission patterns in Western and Eastern EU.This pilot study shows that a WGS-based surveillance system is not only feasible but can efficiently elucidate the dynamics of in-country and cross-border RR/MDR-TB transmission across EU/EEA countries. Lessons learned from this study highlight how the establishment of an EU/EEA centralised WGS-based surveillance system for TB will require strengthening of national integrated systems performing prospective WGS surveillance and the development of clear procedures to facilitate international collaboration for the investigation of cross-border clusters. |
| Databáze: | OpenAIRE |
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