Title
A Streptococcus pneumoniae lineage usually associated with pneumococcal conjugate vaccine (PCV) serotypes is the most common cause of serotype 35B invasive disease in South Africa, following routine use of PCV
Date Issued
01 January 2022
Access level
open access
Resource Type
journal article
Author(s)
Ndlangisa K.M.
du Plessis M.
Lo S.
de Gouveia L.
Chaguza C.
Antonio M.
Kwambana-Adams B.
Cornick J.
Everett D.B.
Dagan R.
Hawkins P.A.
Beall B.
Corso A.
Almeida S.C.G.
Obaro S.
Shakoor S.
Donkor E.S.
Gladstone R.A.
Ho P.L.
Paragi M.
Doiphode S.
Srifuengfung S.
Ford R.
Moïsi J.
Saha S.K.
Bigogo G.
Sigauque B.
Eser Ö.K.
Elmdaghri N.
Titov L.
Turner P.
Ravi Kumar K.L.
Kandasamy R.
Egorova E.
Margaret I.P.
Breiman R.F.
Klugman K.P.
McGee L.
Bentley S.D.
von Gottberg A.
Publisher(s)
Microbiology Society
Abstract
Pneumococcal serotype 35B is an important non-conjugate vaccine (non-PCV) serotype. Its continued emergence, post-PCV7 in the USA, was associated with expansion of a pre-existing 35B clone (clonal complex [CC] 558) along with post-PCV13 emergence of a non-35B clone previously associated with PCV serotypes (CC156). This study describes lineages circulating among 35B isolates in South Africa before and after PCV introduction. We also compared 35B isolates belonging to a predominant 35B lineage in South Africa (GPSC5), with isolates belonging to the same lineage in other parts of the world. Serotype 35B isolates that caused invasive pneumococcal disease in South Africa in 2005–2014 were characterized by whole-genome sequencing (WGS). Multi-locus sequence types and global pneumococcal sequence clusters (GPSCs) were derived from WGS data of 63 35B isolates obtained in 2005–2014. A total of 262 isolates that belong to GPSC5 (115 isolates from South Africa and 147 from other countries) that were sequenced as part of the global pneumococcal sequencing (GPS) project were included for comparison. Serotype 35B isolates from South Africa were differentiated into seven GPSCs and GPSC5 was most common (49%, 31/63). While 35B was the most common serotype among GPSC5/CC172 isolates in South Africa during the PCV13 period (66%, 29/44), 23F was the most common serotype during both the pre-PCV (80%, 37/46) and PCV7 period (32%, 8/25). Serotype 35B represented 15% (40/262) of GPSC5 isolates within the global GPS database and 75% (31/40) were from South Africa. The predominance of the GPSC5 lineage within non-vaccine serotype 35B, is possibly unique to South Africa and warrants further molecular surveillance of pneumococci.
Volume
8
Issue
4
Language
English
OCDE Knowledge area
Biología celular, Microbiología
Subjects
Scopus EID
2-s2.0-85127720873
PubMed ID
Source
Microbial Genomics
ISSN of the container
20575858
Sponsor(s)
IPD Surveillance was funded by the United States Agency for International Development?s Antimicrobial Resistance Initiative (cooperative agreement numbers U60/CCU022088, U62/CCU022901 and 5U2GPS001328) and whole genome sequencing by the Bill and Melinda Gates Foundation (grant code OPP1034556). We would like to thank all members of the Global Pneumococcal Sequencing Consortium for their contributions to create this rich global dataset. We are also grateful for the technical support from Wellcome Sanger Institute sequencing facility and Pathogen Informatics team. For the purpose of Open Access, the author has applied a CC BY public copyright license to any Author Accepted Manuscript version arising from this submission. Global Pneumococcal Sequencing Consortium members: Diego Faccone, Paula Gagetti, Abdullah W Brooks, Md Hasanuzzaman, Roly Malaker, Alexander Davydov, Maria Cristina de Cunto Brandileone, Pierra Law, Chunjiang Zhao, Hui Wang, Jeremy Keenan, Balaji Veeraraghavan, Geetha Nagaraj, Noga Givon-Lavi, Nurit Porat, Rachel Benisty, Jennifer Verani, Anmol Kiran, Maaike Alaerts, Shamala Devi Sekaran, Stuart C Clarke, Houria Belabb?s, Idrissa Diawara, Khalid Zerouali, Benild Moiane, Helio Mucavele, Andrew J Pollard, Philip E Carter, Imran Nisar, Deborah Lehmann, Anna Skoczynska, Ewa Sadowy, Waleria Hryniewicz, Elena Voropaeva, Yulia Urban, Tamara Kastrin, Mushal Ali, Nicole Wolter, Shabir A. Madhi, Susan A Nzenze, Ebenezer Foster-Nyarko, Ebrima Bojang, Peggy-Estelle Tientcheu, Michele Nurse-Lucas, Patrick E Akpaka, Alison Maguire, David Aanensen, Leon Bentley, Jyothish N Nair Thulasee Bhai, Nicholas Croucher, Rafal Mostowy, John A Lees, Rebecca Henderson, David Cleary.
Professor Anne von Gottberg and Dr Mignon du Plessis received funding from Pfizer Vaccines Research and Sanofi Pasteur. Dr Gladstone reports PhD studentship from Pfizer outside the submitted work (2009–2012). The other authors declare that they have no conflicts of interest directly relating to this manuscript.
IPD Surveillance was funded by the United States Agency for International Development’s Antimicrobial Resistance Initiative (cooperative agreement numbers U60/CCU022088, U62/CCU022901 and 5U2GPS001328) and whole genome sequencing by the Bill and Melinda Gates Foundation (grant code OPP1034556).
Sources of information:
Directorio de Producción Científica
Scopus