Emergence of a globally dominant IncHI1 plasmid type associated with multiple drug resistant typhoid

Typhoid fever, caused by Salmonella enterica serovar Typhi (S. Typhi), remains a serious global health concern. Since their emergence in the mid-1970s multi-drug resistant (MDR) S. Typhi now dominate drug sensitive equivalents in many regions. MDR in S. Typhi is almost exclusively conferred by self-...

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Main Authors: Holt, K, Phan, MD, Baker, S, Duy, P, Nga, T, Nair, S, Turner, A, Walsh, C, Fanning, S, Farrell-Ward, S, Dutta, S, Kariuki, S, Weill, F, Parkhill, J, Dougan, G, Wain, J
Format: Journal article
Language:English
Published: Public Library of Science 2011
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author Holt, K
Phan, MD
Baker, S
Duy, P
Nga, T
Nair, S
Turner, A
Walsh, C
Fanning, S
Farrell-Ward, S
Dutta, S
Kariuki, S
Weill, F
Parkhill, J
Dougan, G
Wain, J
author_facet Holt, K
Phan, MD
Baker, S
Duy, P
Nga, T
Nair, S
Turner, A
Walsh, C
Fanning, S
Farrell-Ward, S
Dutta, S
Kariuki, S
Weill, F
Parkhill, J
Dougan, G
Wain, J
author_sort Holt, K
collection OXFORD
description Typhoid fever, caused by Salmonella enterica serovar Typhi (S. Typhi), remains a serious global health concern. Since their emergence in the mid-1970s multi-drug resistant (MDR) S. Typhi now dominate drug sensitive equivalents in many regions. MDR in S. Typhi is almost exclusively conferred by self-transmissible IncHI1 plasmids carrying a suite of antimicrobial resistance genes. We identified over 300 single nucleotide polymorphisms (SNPs) within conserved regions of the IncHI1 plasmid, and genotyped both plasmid and chromosomal SNPs in over 450 S. Typhi dating back to 1958. Prior to 1995, a variety of IncHI1 plasmid types were detected in distinct S. Typhi haplotypes. Highly similar plasmids were detected in co-circulating S. Typhi haplotypes, indicative of plasmid transfer. In contrast, from 1995 onwards, 98% of MDR S. Typhi were plasmid sequence type 6 (PST6) and S. Typhi haplotype H58, indicating recent global spread of a dominant MDR clone. To investigate whether PST6 conferred a selective advantage compared to other IncHI1 plasmids, we used a phenotyping array to compare the impact of IncHI1 PST6 and PST1 plasmids in a common S. Typhi host. The PST6 plasmid conferred the ability to grow in high salt medium (4.7% NaCl), which we demonstrate is due to the presence in PST6 of the Tn6062 transposon encoding BetU.
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spelling oxford-uuid:06017070-578f-4f27-a00f-7182cd01699e2022-03-26T09:00:18ZEmergence of a globally dominant IncHI1 plasmid type associated with multiple drug resistant typhoidJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:06017070-578f-4f27-a00f-7182cd01699eEnglishSymplectic Elements at OxfordPublic Library of Science2011Holt, KPhan, MDBaker, SDuy, PNga, TNair, STurner, AWalsh, CFanning, SFarrell-Ward, SDutta, SKariuki, SWeill, FParkhill, JDougan, GWain, JTyphoid fever, caused by Salmonella enterica serovar Typhi (S. Typhi), remains a serious global health concern. Since their emergence in the mid-1970s multi-drug resistant (MDR) S. Typhi now dominate drug sensitive equivalents in many regions. MDR in S. Typhi is almost exclusively conferred by self-transmissible IncHI1 plasmids carrying a suite of antimicrobial resistance genes. We identified over 300 single nucleotide polymorphisms (SNPs) within conserved regions of the IncHI1 plasmid, and genotyped both plasmid and chromosomal SNPs in over 450 S. Typhi dating back to 1958. Prior to 1995, a variety of IncHI1 plasmid types were detected in distinct S. Typhi haplotypes. Highly similar plasmids were detected in co-circulating S. Typhi haplotypes, indicative of plasmid transfer. In contrast, from 1995 onwards, 98% of MDR S. Typhi were plasmid sequence type 6 (PST6) and S. Typhi haplotype H58, indicating recent global spread of a dominant MDR clone. To investigate whether PST6 conferred a selective advantage compared to other IncHI1 plasmids, we used a phenotyping array to compare the impact of IncHI1 PST6 and PST1 plasmids in a common S. Typhi host. The PST6 plasmid conferred the ability to grow in high salt medium (4.7% NaCl), which we demonstrate is due to the presence in PST6 of the Tn6062 transposon encoding BetU.
spellingShingle Holt, K
Phan, MD
Baker, S
Duy, P
Nga, T
Nair, S
Turner, A
Walsh, C
Fanning, S
Farrell-Ward, S
Dutta, S
Kariuki, S
Weill, F
Parkhill, J
Dougan, G
Wain, J
Emergence of a globally dominant IncHI1 plasmid type associated with multiple drug resistant typhoid
title Emergence of a globally dominant IncHI1 plasmid type associated with multiple drug resistant typhoid
title_full Emergence of a globally dominant IncHI1 plasmid type associated with multiple drug resistant typhoid
title_fullStr Emergence of a globally dominant IncHI1 plasmid type associated with multiple drug resistant typhoid
title_full_unstemmed Emergence of a globally dominant IncHI1 plasmid type associated with multiple drug resistant typhoid
title_short Emergence of a globally dominant IncHI1 plasmid type associated with multiple drug resistant typhoid
title_sort emergence of a globally dominant inchi1 plasmid type associated with multiple drug resistant typhoid
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