Genotyping of Treponema pallidum in Cuba (2018-2019): Increased Circulation of Recombinant Genotype and No New Treponema pallidum Subspecies endemicum Infection Among Syphilis Patients

. 2020 Oct ; 47 (10) : e39-e41.

Jazyk angličtina Země Spojené státy americké Médium print

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid32530859
Odkazy

PubMed 32530859
DOI 10.1097/olq.0000000000001217
PII: 00007435-202010000-00012
Knihovny.cz E-zdroje

OBJECTIVES: This study aimed to determine the allelic profiles of Treponema pallidum in patients confirmed with syphilis in Cuba (2018-2019) and to explore mutations leading to macrolide and tetracycline resistance. METHODS: Multilocus sequence typing and polymerase chain reaction of rrn loci (23S and 16S rDNA), followed by Sanger sequencing, were used to define the allelic profile of TPA and resistance mutations, respectively. RESULTS: Allelic profile 1.3.1 and the recombinant profile were identified, with 15.7.3 having an increased frequency. We did not detect the presence of the T. pallidum subspecies endemicum among syphilis patients, as in previous reports. A high frequency of macrolide-resistant strains and the absence of mutations potentially causing tetracycline resistance were found. CONCLUSIONS: Understanding the current status of treponemal infection in Cuban patients provides insights into the syphilis epidemiology.

Zobrazit více v PubMed

Šmajs D, Strouhal M, Knauf S. Genetics of human and animal uncultivable treponemal pathogens. Infect Genet Evol 2018; 61:92–107.

Grillova L, Jolley K, Šmajs D, et al. A public database for the new MLST scheme for Treponema pallidum subsp. pallidum: surveillance and epidemiology of the causative agent of syphilis. PeerJ 2019; 6:e6182.

Workowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015; 64(RR-03):1–137.

MINSAP. Anuario estadístico de salud 2018. Cuba: Dirección de Registros Médicos y Estadísticas de Salud, 2019.

Stamm LV. Syphilis: Antibiotic treatment and resistance. Epidemiol Infect 2015; 143:1567–1574.

Wu BR, Yang CJ, Tsai MS, et al. Multicentre surveillance of prevalence of the 23S rRNA A2058G and A2059G point mutations and molecular subtypes of Treponema pallidum in Taiwan, 2009–2013. Clin Microbiol Infect 2014; 20:802–807.

Petty-Saphon N, Brady M, Cullen G, et al. A proposal for changes to the European Union syphilis surveillance case definition using evidence from evaluations in Ireland. Euro Surveill 2019; 24:1900311.

Grillová L, Noda AA, Lienhard R, et al. Multilocus sequence typing of Treponema pallidum subsp. pallidum in Cuba from 2012 to 2017. J Infect Dis 2019; 219:1138–1145.

Grillová L, Bawa T, Mikalova L, et al. Molecular characterization of Treponema pallidum subsp. pallidum in Switzerland and France with a new multilocus sequence typing scheme. PLoS One 2018; 13:e0200773.

Pospíšilová P, Grange PA, Grillová L, et al. Multi-locus sequence typing of Treponema pallidum subsp. pallidum present in clinical samples from France: Infecting treponemes are genetically diverse and belong to 18 allelic profiles. PLoS One 2018; 13:e0201068.

Brinkman MB, McGill MA, Pettersson J, et al. A novel Treponema pallidum antigen, TP0136, is an outer membrane protein that binds human fibronectin. Infect Immun 2008; 76:1848–1857.

Grillová L, Oppelt J, Mikalová L, et al. Directly sequenced genomes of contemporary strains of syphilis reveal recombination-driven diversity in genes encoding predicted surface-exposed antigens. Front Microbiol 2019; 10:1691.

Noda AA, Grillová L, Lienhard R, et al. Bejel in Cuba: molecular identification of Treponema pallidum subsp. endemicum in patients diagnosed with venereal syphilis. Clin Microbiol Infect 2018; 24:1210.e1–1210.e5.

Giacani L, Lukehart SA. The endemic treponematoses. Clin Microbiol Rev 2014; 27:89–115.

Arora N, Schuenemann VJ, Jäger G, et al. Origin of modern syphilis and emergence of a pandemic Treponema pallidum cluster. Nat Microbiol 2016; 2:16245.

MINSAP. Plan Estratégico Nacional para la Prevención y Control de las ITS, el VIH y las Hepatitis 2019–2023.

Giacani L, Ciccarese G, Puga-Salazar C, et al. Enhanced molecular typing of Treponema pallidum subspecies pallidum strains from 4 Italian hospitals shows geographical differences in strain type heterogeneity, widespread resistance to macrolides, and lack of mutations associated with doxycycline resistance. Sex Transm Dis 2018; 45:237–242.

Grange PA, Mikalova L, Gaudin C, et al. Treponema pallidum 11qj subtype may correspond to a Treponema pallidum subsp. endemicum strain. Sex Transm Dis 2016; 43:517–518.

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...