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Abstract
Campylobacter is the leading bacterial cause of gastroenteritis worldwide and its incidence is especially high in low- and middle-income countries (LMIC). Disease epidemiology in LMICs is different compared to high income countries like the USA or in Europe. Children in LMICs commonly have repeated and chronic infections even in the absence of symptoms, which can lead to deficits in early childhood development. In this study, we sequenced and characterized C. jejuni (n = 62) from a longitudinal cohort study of children under the age of 5 with and without diarrheal symptoms, and contextualized them within a global C. jejuni genome collection. Epidemiological differences in disease presentation were reflected in the genomes, specifically by the absence of some of the most common global disease-causing lineages. As in many other countries, poultry-associated strains were likely a major source of human infection but almost half of local disease cases (15 of 31) were attributable to genotypes that are rare outside of Peru. Asymptomatic infection was not limited to a single (or few) human adapted lineages but resulted from phylogenetically divergent strains suggesting an important role for host factors in the cryptic epidemiology of campylobacteriosis in LMICs.
Original language | English |
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Article number | e0008533 |
Pages (from-to) | 1-19 |
Number of pages | 19 |
Journal | PLoS Neglected Tropical Diseases |
Volume | 14 |
Issue number | 8 |
DOIs | |
Publication status | Published - 10 Aug 2020 |
Bibliographical note
Funding Information:SKS is funded by the Medical Research Council (MR/L015080/1; https://mrc.ukri.org/) and Biotechnology and Biological Sciences Research Council (BB/P504750/1; https://bbsrc.ukri.org/). Isolate sampling and collection was funded by the National Institute of Health (K01-TW05717; https:// www.nih.gov/) and MK received further support from the Bill & Melinda Gates Foundation (OPP1066146; https://www.gatesfoundation.org/). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2020, Public Library of Science. All rights reserved.
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Genomic Epidemiology of Campylobacter to Improve Disease Control in Low and Middle Income Countries
Pascoe, B. (PI), Sheppard, S. (CoI) & Mourkas, E. (Researcher)
15/03/21 → 14/03/26
Project: Other