Assessment of the Utility of Whole Genome Sequencing of Measles Virus in the Characterisation of Outbreaks.

BACKGROUND:Measles is a highly infectious disease caused by measles virus (MeV). Despite the availability of a safe and cost-effective vaccine, measles is one of the world-leading causes of death in young children. Within Europe, there is a target for eliminating endemic measles in 2015, with molecu...

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Main Authors: Ana Raquel Penedos, Richard Myers, Besma Hadef, Farah Aladin, Kevin E Brown
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4646484?pdf=render
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author Ana Raquel Penedos
Richard Myers
Besma Hadef
Farah Aladin
Kevin E Brown
author_facet Ana Raquel Penedos
Richard Myers
Besma Hadef
Farah Aladin
Kevin E Brown
author_sort Ana Raquel Penedos
collection DOAJ
description BACKGROUND:Measles is a highly infectious disease caused by measles virus (MeV). Despite the availability of a safe and cost-effective vaccine, measles is one of the world-leading causes of death in young children. Within Europe, there is a target for eliminating endemic measles in 2015, with molecular epidemiology required on 80% of cases for inclusion/exclusion of outbreak transmission chains. Currently, MeV is genotyped on the basis of a 450 nucleotide region of the nucleoprotein gene (N-450) and the hemagglutinin gene (H). However, this is not sufficiently informative for distinguishing endemic from imported MeV. We have developed an amplicon-based method for obtaining whole genome sequences (WGS) using NGS or Sanger methodologies from cell culture isolates or oral fluid specimens, and have sequenced over 60 samples, including 42 from the 2012 outbreak in the UK. RESULTS:Overall, NGS coverage was over 90% for approximately 71% of the samples tested. Analysis of 32 WGS excluding 3' and 5' termini (WGS-t) obtained from the outbreak indicates that the single nucleotide difference found between the two major groups of N-450 sequences detected during the outbreak is most likely a result of stochastic viral mutation during endemic transmission rather than of multiple importation events: earlier strains appear to have evolved into two distinct strain clusters in 2013, one containing strains with both outbreak-associated N-450 sequences. Additionally, phylogenetic analysis of each genomic region of MeV for the strains in this study suggests that the most information is acquired from the non-coding region located between the matrix and fusion protein genes (M/F NCR) and the N-450 genotyping sequence, an observation supported by entropy analysis across genotypes. CONCLUSIONS:We suggest that both M/F NCR and WGS-t could be used to complement the information from classical epidemiology and N-450 sequencing to address specific questions in the context of measles elimination.
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spelling doaj.art-ab083f99e8744c318e114919a7b6dc172022-12-22T00:21:55ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011011e014308110.1371/journal.pone.0143081Assessment of the Utility of Whole Genome Sequencing of Measles Virus in the Characterisation of Outbreaks.Ana Raquel PenedosRichard MyersBesma HadefFarah AladinKevin E BrownBACKGROUND:Measles is a highly infectious disease caused by measles virus (MeV). Despite the availability of a safe and cost-effective vaccine, measles is one of the world-leading causes of death in young children. Within Europe, there is a target for eliminating endemic measles in 2015, with molecular epidemiology required on 80% of cases for inclusion/exclusion of outbreak transmission chains. Currently, MeV is genotyped on the basis of a 450 nucleotide region of the nucleoprotein gene (N-450) and the hemagglutinin gene (H). However, this is not sufficiently informative for distinguishing endemic from imported MeV. We have developed an amplicon-based method for obtaining whole genome sequences (WGS) using NGS or Sanger methodologies from cell culture isolates or oral fluid specimens, and have sequenced over 60 samples, including 42 from the 2012 outbreak in the UK. RESULTS:Overall, NGS coverage was over 90% for approximately 71% of the samples tested. Analysis of 32 WGS excluding 3' and 5' termini (WGS-t) obtained from the outbreak indicates that the single nucleotide difference found between the two major groups of N-450 sequences detected during the outbreak is most likely a result of stochastic viral mutation during endemic transmission rather than of multiple importation events: earlier strains appear to have evolved into two distinct strain clusters in 2013, one containing strains with both outbreak-associated N-450 sequences. Additionally, phylogenetic analysis of each genomic region of MeV for the strains in this study suggests that the most information is acquired from the non-coding region located between the matrix and fusion protein genes (M/F NCR) and the N-450 genotyping sequence, an observation supported by entropy analysis across genotypes. CONCLUSIONS:We suggest that both M/F NCR and WGS-t could be used to complement the information from classical epidemiology and N-450 sequencing to address specific questions in the context of measles elimination.http://europepmc.org/articles/PMC4646484?pdf=render
spellingShingle Ana Raquel Penedos
Richard Myers
Besma Hadef
Farah Aladin
Kevin E Brown
Assessment of the Utility of Whole Genome Sequencing of Measles Virus in the Characterisation of Outbreaks.
PLoS ONE
title Assessment of the Utility of Whole Genome Sequencing of Measles Virus in the Characterisation of Outbreaks.
title_full Assessment of the Utility of Whole Genome Sequencing of Measles Virus in the Characterisation of Outbreaks.
title_fullStr Assessment of the Utility of Whole Genome Sequencing of Measles Virus in the Characterisation of Outbreaks.
title_full_unstemmed Assessment of the Utility of Whole Genome Sequencing of Measles Virus in the Characterisation of Outbreaks.
title_short Assessment of the Utility of Whole Genome Sequencing of Measles Virus in the Characterisation of Outbreaks.
title_sort assessment of the utility of whole genome sequencing of measles virus in the characterisation of outbreaks
url http://europepmc.org/articles/PMC4646484?pdf=render
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