Genetic Characterization of Non-<i>Lymphogranuloma venereum Chlamydia trachomatis</i> Indicates Distinct Infection Transmission Networks in Spain

<i>Chlamydia trachomatis</i> infection is an important public health problem. Our objective was to assess the dynamics of the transmission of this infection, analysing the distribution of circulating <i>ompA</i> genotypes and multilocus sequence types of <i>C. trachomat...

Full description

Bibliographic Details
Main Authors: Luis Piñeiro, Laura Villa, Paula Salmerón, Maria Dolores Maciá, Luis Otero, Martí Vall-Mayans, Ana Milagro, Samuel Bernal, Ayla Manzanal, Iñigo Ansa, Gustavo Cilla
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/8/6941
_version_ 1797605124651089920
author Luis Piñeiro
Laura Villa
Paula Salmerón
Maria Dolores Maciá
Luis Otero
Martí Vall-Mayans
Ana Milagro
Samuel Bernal
Ayla Manzanal
Iñigo Ansa
Gustavo Cilla
author_facet Luis Piñeiro
Laura Villa
Paula Salmerón
Maria Dolores Maciá
Luis Otero
Martí Vall-Mayans
Ana Milagro
Samuel Bernal
Ayla Manzanal
Iñigo Ansa
Gustavo Cilla
author_sort Luis Piñeiro
collection DOAJ
description <i>Chlamydia trachomatis</i> infection is an important public health problem. Our objective was to assess the dynamics of the transmission of this infection, analysing the distribution of circulating <i>ompA</i> genotypes and multilocus sequence types of <i>C. trachomatis</i> in Spain as a function of clinical and epidemiological variables. During 2018 and 2019, we genetically characterized <i>C. trachomatis</i> in tertiary hospitals in six areas in Spain (Asturias, Barcelona, Gipuzkoa, Mallorca, Seville and Zaragoza), with a catchment population of 3.050 million people. Genotypes and sequence types were obtained using polymerase chain reaction techniques that amplify a fragment of the <i>ompA</i> gene, and five highly variable genes (<i>hctB</i>, CT058, CT144, CT172 and <i>pbpB</i>), respectively. Amplicons were sequenced and phylogenetic analysis was conducted. We obtained genotypes in 636/698 cases (91.1%). Overall and by area, genotype E was the most common (35%). Stratifying by sex, genotypes D and G were more common among men, and genotypes F and I among women (<i>p</i> < 0.05). Genotypes D, G and J were more common in men who have sex with men (MSM) than in men who have sex with women (MSW), in whom the most common genotypes were E and F. The diversity index was higher in sequence typing (0.981) than in genotyping (0.791), and the most common sequence types were ST52 and ST108 in MSM, and ST30, ST148, ST276 and ST327 in MSW. Differences in genotype distribution between geographical areas were attributable to differences in population characteristics. The transmission dynamics varied with sexual behaviour: the predominant genotypes and most frequent sequence types found in MSM were different to those detected in MSW and women.
first_indexed 2024-03-11T04:56:43Z
format Article
id doaj.art-05e2c428f10b43af83bd92ecf12ee4e0
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-11T04:56:43Z
publishDate 2023-04-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-05e2c428f10b43af83bd92ecf12ee4e02023-11-17T19:32:46ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-04-01248694110.3390/ijms24086941Genetic Characterization of Non-<i>Lymphogranuloma venereum Chlamydia trachomatis</i> Indicates Distinct Infection Transmission Networks in SpainLuis Piñeiro0Laura Villa1Paula Salmerón2Maria Dolores Maciá3Luis Otero4Martí Vall-Mayans5Ana Milagro6Samuel Bernal7Ayla Manzanal8Iñigo Ansa9Gustavo Cilla10Microbiology Department, Donostia University Hospital-Biodonostia Health Research Institute, 20014 San Sebastian, SpainSexually Transmitted Infections Study Group of the Infectious Diseases and Clinical Microbiology Spanish Society (GEITS-SEIMC), 28003 Madrid, SpainSexually Transmitted Infections Study Group of the Infectious Diseases and Clinical Microbiology Spanish Society (GEITS-SEIMC), 28003 Madrid, SpainSexually Transmitted Infections Study Group of the Infectious Diseases and Clinical Microbiology Spanish Society (GEITS-SEIMC), 28003 Madrid, SpainSexually Transmitted Infections Study Group of the Infectious Diseases and Clinical Microbiology Spanish Society (GEITS-SEIMC), 28003 Madrid, SpainSexually Transmitted Infections Study Group of the Infectious Diseases and Clinical Microbiology Spanish Society (GEITS-SEIMC), 28003 Madrid, SpainSexually Transmitted Infections Study Group of the Infectious Diseases and Clinical Microbiology Spanish Society (GEITS-SEIMC), 28003 Madrid, SpainSexually Transmitted Infections Study Group of the Infectious Diseases and Clinical Microbiology Spanish Society (GEITS-SEIMC), 28003 Madrid, SpainMicrobiology Department, Donostia University Hospital-Biodonostia Health Research Institute, 20014 San Sebastian, SpainMicrobiology Department, Donostia University Hospital-Biodonostia Health Research Institute, 20014 San Sebastian, SpainMicrobiology Department, Donostia University Hospital-Biodonostia Health Research Institute, 20014 San Sebastian, Spain<i>Chlamydia trachomatis</i> infection is an important public health problem. Our objective was to assess the dynamics of the transmission of this infection, analysing the distribution of circulating <i>ompA</i> genotypes and multilocus sequence types of <i>C. trachomatis</i> in Spain as a function of clinical and epidemiological variables. During 2018 and 2019, we genetically characterized <i>C. trachomatis</i> in tertiary hospitals in six areas in Spain (Asturias, Barcelona, Gipuzkoa, Mallorca, Seville and Zaragoza), with a catchment population of 3.050 million people. Genotypes and sequence types were obtained using polymerase chain reaction techniques that amplify a fragment of the <i>ompA</i> gene, and five highly variable genes (<i>hctB</i>, CT058, CT144, CT172 and <i>pbpB</i>), respectively. Amplicons were sequenced and phylogenetic analysis was conducted. We obtained genotypes in 636/698 cases (91.1%). Overall and by area, genotype E was the most common (35%). Stratifying by sex, genotypes D and G were more common among men, and genotypes F and I among women (<i>p</i> < 0.05). Genotypes D, G and J were more common in men who have sex with men (MSM) than in men who have sex with women (MSW), in whom the most common genotypes were E and F. The diversity index was higher in sequence typing (0.981) than in genotyping (0.791), and the most common sequence types were ST52 and ST108 in MSM, and ST30, ST148, ST276 and ST327 in MSW. Differences in genotype distribution between geographical areas were attributable to differences in population characteristics. The transmission dynamics varied with sexual behaviour: the predominant genotypes and most frequent sequence types found in MSM were different to those detected in MSW and women.https://www.mdpi.com/1422-0067/24/8/6941<i>Chlamydia trachomatis</i><i>ompA</i> genotypingmultilocus sequence typingsexual behaviour
spellingShingle Luis Piñeiro
Laura Villa
Paula Salmerón
Maria Dolores Maciá
Luis Otero
Martí Vall-Mayans
Ana Milagro
Samuel Bernal
Ayla Manzanal
Iñigo Ansa
Gustavo Cilla
Genetic Characterization of Non-<i>Lymphogranuloma venereum Chlamydia trachomatis</i> Indicates Distinct Infection Transmission Networks in Spain
International Journal of Molecular Sciences
<i>Chlamydia trachomatis</i>
<i>ompA</i> genotyping
multilocus sequence typing
sexual behaviour
title Genetic Characterization of Non-<i>Lymphogranuloma venereum Chlamydia trachomatis</i> Indicates Distinct Infection Transmission Networks in Spain
title_full Genetic Characterization of Non-<i>Lymphogranuloma venereum Chlamydia trachomatis</i> Indicates Distinct Infection Transmission Networks in Spain
title_fullStr Genetic Characterization of Non-<i>Lymphogranuloma venereum Chlamydia trachomatis</i> Indicates Distinct Infection Transmission Networks in Spain
title_full_unstemmed Genetic Characterization of Non-<i>Lymphogranuloma venereum Chlamydia trachomatis</i> Indicates Distinct Infection Transmission Networks in Spain
title_short Genetic Characterization of Non-<i>Lymphogranuloma venereum Chlamydia trachomatis</i> Indicates Distinct Infection Transmission Networks in Spain
title_sort genetic characterization of non i lymphogranuloma venereum chlamydia trachomatis i indicates distinct infection transmission networks in spain
topic <i>Chlamydia trachomatis</i>
<i>ompA</i> genotyping
multilocus sequence typing
sexual behaviour
url https://www.mdpi.com/1422-0067/24/8/6941
work_keys_str_mv AT luispineiro geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT lauravilla geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT paulasalmeron geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT mariadoloresmacia geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT luisotero geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT martivallmayans geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT anamilagro geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT samuelbernal geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT aylamanzanal geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT inigoansa geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain
AT gustavocilla geneticcharacterizationofnonilymphogranulomavenereumchlamydiatrachomatisiindicatesdistinctinfectiontransmissionnetworksinspain