Clonal expansion within pneumococcal serotype 6C after use of seven-valent vaccine.

Streptococcus pneumoniae causes invasive infections, primarily at the extremes of life. A seven-valent conjugate vaccine (PCV7) is used to protect against invasive pneumococcal disease in children. Within three years of PCV7 introduction, we observed a fourfold increase in serotype 6C carriage, pred...

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Main Authors: Nicholas J Loman, Rebecca A Gladstone, Chrystala Constantinidou, Anna S Tocheva, Johanna M C Jefferies, Saul N Faust, Leigh O'Connor, Jacqueline Chan, Mark J Pallen, Stuart C Clarke
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0064731&type=printable
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author Nicholas J Loman
Rebecca A Gladstone
Chrystala Constantinidou
Anna S Tocheva
Johanna M C Jefferies
Saul N Faust
Leigh O'Connor
Jacqueline Chan
Mark J Pallen
Stuart C Clarke
author_facet Nicholas J Loman
Rebecca A Gladstone
Chrystala Constantinidou
Anna S Tocheva
Johanna M C Jefferies
Saul N Faust
Leigh O'Connor
Jacqueline Chan
Mark J Pallen
Stuart C Clarke
author_sort Nicholas J Loman
collection DOAJ
description Streptococcus pneumoniae causes invasive infections, primarily at the extremes of life. A seven-valent conjugate vaccine (PCV7) is used to protect against invasive pneumococcal disease in children. Within three years of PCV7 introduction, we observed a fourfold increase in serotype 6C carriage, predominantly due to a single clone. We determined the whole-genome sequences of nineteen S. pneumoniae serotype 6C isolates, from both carriage (n = 15) and disease (n = 4) states, to investigate the emergence of serotype 6C in our population, focusing on a single multi-locus sequence type (MLST) clonal complex 395 (CC395). A phylogenetic network was constructed to identify different lineages, followed by analysis of variability in gene sets and sequences. Serotype 6C isolates from this single geographical site fell into four broad phylogenetically distinct lineages. Variation was seen in the 6C capsular locus and in sequences of genes encoding surface proteins. The largest clonal complex was characterised by the presence of lantibiotic synthesis locus. In our population, the 6C capsular locus has been introduced into multiple lineages by independent capsular switching events. However, rapid clonal expansion has occurred within a single MLST clonal complex. Worryingly, plasticity exists within current and potential vaccine-associated loci, a consideration for future vaccine use, target selection and design.
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spelling doaj-art-2e1b479eb8eb4142ac87d2e52d4484e42025-08-20T02:05:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0185e6473110.1371/journal.pone.0064731Clonal expansion within pneumococcal serotype 6C after use of seven-valent vaccine.Nicholas J LomanRebecca A GladstoneChrystala ConstantinidouAnna S TochevaJohanna M C JefferiesSaul N FaustLeigh O'ConnorJacqueline ChanMark J PallenStuart C ClarkeStreptococcus pneumoniae causes invasive infections, primarily at the extremes of life. A seven-valent conjugate vaccine (PCV7) is used to protect against invasive pneumococcal disease in children. Within three years of PCV7 introduction, we observed a fourfold increase in serotype 6C carriage, predominantly due to a single clone. We determined the whole-genome sequences of nineteen S. pneumoniae serotype 6C isolates, from both carriage (n = 15) and disease (n = 4) states, to investigate the emergence of serotype 6C in our population, focusing on a single multi-locus sequence type (MLST) clonal complex 395 (CC395). A phylogenetic network was constructed to identify different lineages, followed by analysis of variability in gene sets and sequences. Serotype 6C isolates from this single geographical site fell into four broad phylogenetically distinct lineages. Variation was seen in the 6C capsular locus and in sequences of genes encoding surface proteins. The largest clonal complex was characterised by the presence of lantibiotic synthesis locus. In our population, the 6C capsular locus has been introduced into multiple lineages by independent capsular switching events. However, rapid clonal expansion has occurred within a single MLST clonal complex. Worryingly, plasticity exists within current and potential vaccine-associated loci, a consideration for future vaccine use, target selection and design.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0064731&type=printable
spellingShingle Nicholas J Loman
Rebecca A Gladstone
Chrystala Constantinidou
Anna S Tocheva
Johanna M C Jefferies
Saul N Faust
Leigh O'Connor
Jacqueline Chan
Mark J Pallen
Stuart C Clarke
Clonal expansion within pneumococcal serotype 6C after use of seven-valent vaccine.
PLoS ONE
title Clonal expansion within pneumococcal serotype 6C after use of seven-valent vaccine.
title_full Clonal expansion within pneumococcal serotype 6C after use of seven-valent vaccine.
title_fullStr Clonal expansion within pneumococcal serotype 6C after use of seven-valent vaccine.
title_full_unstemmed Clonal expansion within pneumococcal serotype 6C after use of seven-valent vaccine.
title_short Clonal expansion within pneumococcal serotype 6C after use of seven-valent vaccine.
title_sort clonal expansion within pneumococcal serotype 6c after use of seven valent vaccine
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0064731&type=printable
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