Macro and micro diversity of Clostridium difficile isolates from diverse sources and geographical locations.

Clostridium difficile has emerged rapidly as the leading cause of antibiotic-associated diarrheal disease, with the temporal and geographical appearance of dominant PCR ribotypes such as 017, 027 and 078. Despite this continued threat, we have a poor understanding of how or why particular variants e...

Full description

Bibliographic Details
Main Authors: Richard A Stabler, Lisa F Dawson, Esmeralda Valiente, Michelle D Cairns, Melissa J Martin, Elizabeth H Donahue, Thomas V Riley, J Glenn Songer, Ed J Kuijper, Kate E Dingle, Brendan W Wren
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3292544?pdf=render
_version_ 1811282842280263680
author Richard A Stabler
Lisa F Dawson
Esmeralda Valiente
Michelle D Cairns
Melissa J Martin
Elizabeth H Donahue
Thomas V Riley
J Glenn Songer
Ed J Kuijper
Kate E Dingle
Brendan W Wren
author_facet Richard A Stabler
Lisa F Dawson
Esmeralda Valiente
Michelle D Cairns
Melissa J Martin
Elizabeth H Donahue
Thomas V Riley
J Glenn Songer
Ed J Kuijper
Kate E Dingle
Brendan W Wren
author_sort Richard A Stabler
collection DOAJ
description Clostridium difficile has emerged rapidly as the leading cause of antibiotic-associated diarrheal disease, with the temporal and geographical appearance of dominant PCR ribotypes such as 017, 027 and 078. Despite this continued threat, we have a poor understanding of how or why particular variants emerge and the sources of strains that dominate different human populations. We have undertaken a breadth genotyping study using multilocus sequence typing (MLST) analysis of 385 C. difficile strains from diverse sources by host (human, animal and food), geographical locations (North America, Europe and Australia) and PCR ribotypes. Results identified 18 novel sequence types (STs) and 3 new allele sequences and confirmed the presence of five distinct clonal lineages generally associated with outbreaks of C. difficile infection in humans. Strains of animal and food origin were found of both ST-1 and ST-11 that are frequently associated with human disease. An in depth MLST analysis of the evolutionary distant ST-11/PCR ribotype 078 clonal lineage revealed that ST-11 can be found in alternative but closely related PCR ribotypes and PCR ribotype 078 alleles contain mutations generating novel STs. PCR ribotype 027 and 017 lineages may consist of two divergent subclades. Furthermore evidence of microdiversity was present within the heterogeneous clade 1. This study helps to define the evolutionary origin of dominant C. difficile lineages and demonstrates that C. difficile is continuing to evolve in concert with human activity.
first_indexed 2024-04-13T01:59:49Z
format Article
id doaj.art-c2a515999c964cf890d228ec3f0aed44
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-13T01:59:49Z
publishDate 2012-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-c2a515999c964cf890d228ec3f0aed442022-12-22T03:07:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0173e3155910.1371/journal.pone.0031559Macro and micro diversity of Clostridium difficile isolates from diverse sources and geographical locations.Richard A StablerLisa F DawsonEsmeralda ValienteMichelle D CairnsMelissa J MartinElizabeth H DonahueThomas V RileyJ Glenn SongerEd J KuijperKate E DingleBrendan W WrenClostridium difficile has emerged rapidly as the leading cause of antibiotic-associated diarrheal disease, with the temporal and geographical appearance of dominant PCR ribotypes such as 017, 027 and 078. Despite this continued threat, we have a poor understanding of how or why particular variants emerge and the sources of strains that dominate different human populations. We have undertaken a breadth genotyping study using multilocus sequence typing (MLST) analysis of 385 C. difficile strains from diverse sources by host (human, animal and food), geographical locations (North America, Europe and Australia) and PCR ribotypes. Results identified 18 novel sequence types (STs) and 3 new allele sequences and confirmed the presence of five distinct clonal lineages generally associated with outbreaks of C. difficile infection in humans. Strains of animal and food origin were found of both ST-1 and ST-11 that are frequently associated with human disease. An in depth MLST analysis of the evolutionary distant ST-11/PCR ribotype 078 clonal lineage revealed that ST-11 can be found in alternative but closely related PCR ribotypes and PCR ribotype 078 alleles contain mutations generating novel STs. PCR ribotype 027 and 017 lineages may consist of two divergent subclades. Furthermore evidence of microdiversity was present within the heterogeneous clade 1. This study helps to define the evolutionary origin of dominant C. difficile lineages and demonstrates that C. difficile is continuing to evolve in concert with human activity.http://europepmc.org/articles/PMC3292544?pdf=render
spellingShingle Richard A Stabler
Lisa F Dawson
Esmeralda Valiente
Michelle D Cairns
Melissa J Martin
Elizabeth H Donahue
Thomas V Riley
J Glenn Songer
Ed J Kuijper
Kate E Dingle
Brendan W Wren
Macro and micro diversity of Clostridium difficile isolates from diverse sources and geographical locations.
PLoS ONE
title Macro and micro diversity of Clostridium difficile isolates from diverse sources and geographical locations.
title_full Macro and micro diversity of Clostridium difficile isolates from diverse sources and geographical locations.
title_fullStr Macro and micro diversity of Clostridium difficile isolates from diverse sources and geographical locations.
title_full_unstemmed Macro and micro diversity of Clostridium difficile isolates from diverse sources and geographical locations.
title_short Macro and micro diversity of Clostridium difficile isolates from diverse sources and geographical locations.
title_sort macro and micro diversity of clostridium difficile isolates from diverse sources and geographical locations
url http://europepmc.org/articles/PMC3292544?pdf=render
work_keys_str_mv AT richardastabler macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT lisafdawson macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT esmeraldavaliente macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT michelledcairns macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT melissajmartin macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT elizabethhdonahue macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT thomasvriley macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT jglennsonger macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT edjkuijper macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT kateedingle macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations
AT brendanwwren macroandmicrodiversityofclostridiumdifficileisolatesfromdiversesourcesandgeographicallocations