Genomic Surveillance of Listeria monocytogenes in Taiwan, 2014 to 2019

ABSTRACT Listeria monocytogenes is a life-threatening foodborne pathogen. Here, we report the genomic characterization of a nationwide dataset of 411 clinical and 82 food isolates collected in Taiwan between 2014 and 2019. The observed incidence of listeriosis increased from 0.83 to 7 cases per mill...

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Main Authors: Yu-Huan Tsai, Alexandra Moura, Zi-Qi Gu, Jui-Hsien Chang, Ying-Shu Liao, Ru-Hsiou Teng, Kuo-Yao Tseng, Dai-Ling Chang, Wei-Ren Liu, Yu-Tsung Huang, Alexandre Leclercq, Hsiu-Jung Lo, Marc Lecuit, Chien-Shun Chiou
Format: Article
Language:English
Published: American Society for Microbiology 2022-12-01
Series:Microbiology Spectrum
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/spectrum.01825-22
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author Yu-Huan Tsai
Alexandra Moura
Zi-Qi Gu
Jui-Hsien Chang
Ying-Shu Liao
Ru-Hsiou Teng
Kuo-Yao Tseng
Dai-Ling Chang
Wei-Ren Liu
Yu-Tsung Huang
Alexandre Leclercq
Hsiu-Jung Lo
Marc Lecuit
Chien-Shun Chiou
author_facet Yu-Huan Tsai
Alexandra Moura
Zi-Qi Gu
Jui-Hsien Chang
Ying-Shu Liao
Ru-Hsiou Teng
Kuo-Yao Tseng
Dai-Ling Chang
Wei-Ren Liu
Yu-Tsung Huang
Alexandre Leclercq
Hsiu-Jung Lo
Marc Lecuit
Chien-Shun Chiou
author_sort Yu-Huan Tsai
collection DOAJ
description ABSTRACT Listeria monocytogenes is a life-threatening foodborne pathogen. Here, we report the genomic characterization of a nationwide dataset of 411 clinical and 82 food isolates collected in Taiwan between 2014 and 2019. The observed incidence of listeriosis increased from 0.83 to 7 cases per million population upon implementation of mandatory notification in 2018. Pregnancy-associated cases accounted for 2.8% of human listeriosis and all-cause 7-day mortality was of 11.9% in nonmaternal-neonatal listeriosis. L. monocytogenes was isolated from 90% of raw pork and 34% of chicken products collected in supermarkets. Sublineages SL87, SL5, and SL378 accounted for the majority (65%) of clinical cases. SL87 and SL378 were also predominant (57%) in food products. Five cgMLST clusters accounted for 57% clinical cases, suggesting unnoticed outbreaks spanning up to 6 years. Mandatory notification allowed identifying the magnitude of listeriosis in Taiwan. Continuous real-time genomic surveillance will allow reducing contaminating sources and disease burden. IMPORTANCE Understanding the phylogenetic relationship between clinical and food isolates is important to identify the transmission routes of foodborne diseases. Here, we performed a nationwide study between 2014 and 2019 of both clinical and food Listeria monocytogenes isolates and sequenced their genomes. We show a 9-fold increase in listeriosis reporting upon implementation of mandatory notification. We found that sublineages SL87 and SL378 predominated among both clinical (50%) and food (57%) isolates, and identified five cgMLST clusters accounting for 57% of clinical cases, suggestive of potential protracted sources of contamination over up to 6 years in Taiwan. These findings highlight that mandatory declaration is critical in identifying the burden of listeriosis, and the importance of genome sequencing for a detailed characterization of the pathogenic L. monocytogenes genotypes circulating in Asia.
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spelling doaj.art-172798d974a544b4b3d908e89d640b702022-12-22T03:03:12ZengAmerican Society for MicrobiologyMicrobiology Spectrum2165-04972022-12-0110610.1128/spectrum.01825-22Genomic Surveillance of Listeria monocytogenes in Taiwan, 2014 to 2019Yu-Huan Tsai0Alexandra Moura1Zi-Qi Gu2Jui-Hsien Chang3Ying-Shu Liao4Ru-Hsiou Teng5Kuo-Yao Tseng6Dai-Ling Chang7Wei-Ren Liu8Yu-Tsung Huang9Alexandre Leclercq10Hsiu-Jung Lo11Marc Lecuit12Chien-Shun Chiou13Laboratory of Host-Microbe Interactions and Cell Dynamics, Institute of Microbiology and Immunology, National Yang Ming Chiao Tung University, Taipei, TaiwanBiology of Infection Unit, Institut Pasteur, Université Paris Cité, Inserm U1117, Paris, FranceLaboratory of Host-Microbe Interactions and Cell Dynamics, Institute of Microbiology and Immunology, National Yang Ming Chiao Tung University, Taipei, TaiwanCenter for Diagnostics and Vaccine Development, Centers for Disease Control, Taichung, TaiwanCenter for Diagnostics and Vaccine Development, Centers for Disease Control, Taichung, TaiwanCenter for Diagnostics and Vaccine Development, Centers for Disease Control, Taichung, TaiwanLaboratory of Host-Microbe Interactions and Cell Dynamics, Institute of Microbiology and Immunology, National Yang Ming Chiao Tung University, Taipei, TaiwanLaboratory of Host-Microbe Interactions and Cell Dynamics, Institute of Microbiology and Immunology, National Yang Ming Chiao Tung University, Taipei, TaiwanLaboratory of Host-Microbe Interactions and Cell Dynamics, Institute of Microbiology and Immunology, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartments of Laboratory Medicine and Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, TaiwanBiology of Infection Unit, Institut Pasteur, Université Paris Cité, Inserm U1117, Paris, FranceNational Institute of Infectious Disease and Vaccinology, National Health Research Institutes, Miaoli, TaiwanBiology of Infection Unit, Institut Pasteur, Université Paris Cité, Inserm U1117, Paris, FranceCenter for Diagnostics and Vaccine Development, Centers for Disease Control, Taichung, TaiwanABSTRACT Listeria monocytogenes is a life-threatening foodborne pathogen. Here, we report the genomic characterization of a nationwide dataset of 411 clinical and 82 food isolates collected in Taiwan between 2014 and 2019. The observed incidence of listeriosis increased from 0.83 to 7 cases per million population upon implementation of mandatory notification in 2018. Pregnancy-associated cases accounted for 2.8% of human listeriosis and all-cause 7-day mortality was of 11.9% in nonmaternal-neonatal listeriosis. L. monocytogenes was isolated from 90% of raw pork and 34% of chicken products collected in supermarkets. Sublineages SL87, SL5, and SL378 accounted for the majority (65%) of clinical cases. SL87 and SL378 were also predominant (57%) in food products. Five cgMLST clusters accounted for 57% clinical cases, suggesting unnoticed outbreaks spanning up to 6 years. Mandatory notification allowed identifying the magnitude of listeriosis in Taiwan. Continuous real-time genomic surveillance will allow reducing contaminating sources and disease burden. IMPORTANCE Understanding the phylogenetic relationship between clinical and food isolates is important to identify the transmission routes of foodborne diseases. Here, we performed a nationwide study between 2014 and 2019 of both clinical and food Listeria monocytogenes isolates and sequenced their genomes. We show a 9-fold increase in listeriosis reporting upon implementation of mandatory notification. We found that sublineages SL87 and SL378 predominated among both clinical (50%) and food (57%) isolates, and identified five cgMLST clusters accounting for 57% of clinical cases, suggestive of potential protracted sources of contamination over up to 6 years in Taiwan. These findings highlight that mandatory declaration is critical in identifying the burden of listeriosis, and the importance of genome sequencing for a detailed characterization of the pathogenic L. monocytogenes genotypes circulating in Asia.https://journals.asm.org/doi/10.1128/spectrum.01825-22core genome multilocus sequence typingListeria monocytogeneslisteriosiswhole-genome sequencing
spellingShingle Yu-Huan Tsai
Alexandra Moura
Zi-Qi Gu
Jui-Hsien Chang
Ying-Shu Liao
Ru-Hsiou Teng
Kuo-Yao Tseng
Dai-Ling Chang
Wei-Ren Liu
Yu-Tsung Huang
Alexandre Leclercq
Hsiu-Jung Lo
Marc Lecuit
Chien-Shun Chiou
Genomic Surveillance of Listeria monocytogenes in Taiwan, 2014 to 2019
Microbiology Spectrum
core genome multilocus sequence typing
Listeria monocytogenes
listeriosis
whole-genome sequencing
title Genomic Surveillance of Listeria monocytogenes in Taiwan, 2014 to 2019
title_full Genomic Surveillance of Listeria monocytogenes in Taiwan, 2014 to 2019
title_fullStr Genomic Surveillance of Listeria monocytogenes in Taiwan, 2014 to 2019
title_full_unstemmed Genomic Surveillance of Listeria monocytogenes in Taiwan, 2014 to 2019
title_short Genomic Surveillance of Listeria monocytogenes in Taiwan, 2014 to 2019
title_sort genomic surveillance of listeria monocytogenes in taiwan 2014 to 2019
topic core genome multilocus sequence typing
Listeria monocytogenes
listeriosis
whole-genome sequencing
url https://journals.asm.org/doi/10.1128/spectrum.01825-22
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