Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis. / Eldholm, Vegard; Pettersson, John H.O.; Brynildsrud, Ola B.; Kitchen, Andrew; Rasmussen, Erik Michael; Lillebaek, Troels; Rønning, Janne O.; Crudu, Valeriu; Mengshoel, Anne Torunn; Debech, Nadia; Alfsnes, Kristian; Bohlin, Jon; Pepperell, Caitlin S.; Balloux, Francois.
In: Proceedings of the National Academy of Sciences of the United States of America, Vol. 113, No. 48, 29.11.2016, p. 13881-13886.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis
AU - Eldholm, Vegard
AU - Pettersson, John H.O.
AU - Brynildsrud, Ola B.
AU - Kitchen, Andrew
AU - Rasmussen, Erik Michael
AU - Lillebaek, Troels
AU - Rønning, Janne O.
AU - Crudu, Valeriu
AU - Mengshoel, Anne Torunn
AU - Debech, Nadia
AU - Alfsnes, Kristian
AU - Bohlin, Jon
AU - Pepperell, Caitlin S.
AU - Balloux, Francois
PY - 2016/11/29
Y1 - 2016/11/29
N2 - The "Beijing" Mycobacterium tuberculosis (Mtb) lineage 2 (L2) is spreading globally and has been associated with accelerated disease progression and increased antibiotic resistance. Here we performed a phylodynamic reconstruction of one of the L2 sublineages, the central Asian clade (CAC), which has recently spread to western Europe. We find that recent historical events have contributed to the evolution and dispersal of the CAC. Our timing estimates indicate that the clade was likely introduced to Afghanistan during the 1979-1989 Soviet-Afghan war and spread further after population displacement in the wakeof the American invasion in 2001. We also find that drug resistance mutations accumulated on a massive scale in Mtb isolates from former Soviet republics after the fall of the Soviet Union, a pattern that was not observed in CAC isolates from Afghanistan. Our results underscore the detrimental effects of political instability and population displacement on tuberculosis control and demonstrate the power of phylodynamic methods in exploring bacterial evolution in space and time.
AB - The "Beijing" Mycobacterium tuberculosis (Mtb) lineage 2 (L2) is spreading globally and has been associated with accelerated disease progression and increased antibiotic resistance. Here we performed a phylodynamic reconstruction of one of the L2 sublineages, the central Asian clade (CAC), which has recently spread to western Europe. We find that recent historical events have contributed to the evolution and dispersal of the CAC. Our timing estimates indicate that the clade was likely introduced to Afghanistan during the 1979-1989 Soviet-Afghan war and spread further after population displacement in the wakeof the American invasion in 2001. We also find that drug resistance mutations accumulated on a massive scale in Mtb isolates from former Soviet republics after the fall of the Soviet Union, a pattern that was not observed in CAC isolates from Afghanistan. Our results underscore the detrimental effects of political instability and population displacement on tuberculosis control and demonstrate the power of phylodynamic methods in exploring bacterial evolution in space and time.
KW - Antimicrobial resistance
KW - Evolution
KW - Mycobacterium tuberculosis
KW - Phylodynamic analysis
KW - Tip-dating
U2 - 10.1073/pnas.1611283113
DO - 10.1073/pnas.1611283113
M3 - Journal article
C2 - 27872285
AN - SCOPUS:84999098763
VL - 113
SP - 13881
EP - 13886
JO - Proceedings of the National Academy of Sciences of the United States of America
JF - Proceedings of the National Academy of Sciences of the United States of America
SN - 0027-8424
IS - 48
ER -
ID: 247161733