Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis

Research output: Contribution to journalJournal articleResearchpeer-review

  • Vegard Eldholm
  • John H.O. Pettersson
  • Ola B. Brynildsrud
  • Andrew Kitchen
  • Erik Michael Rasmussen
  • Lillebæk, Troels
  • Janne O. Rønning
  • Valeriu Crudu
  • Anne Torunn Mengshoel
  • Nadia Debech
  • Kristian Alfsnes
  • Jon Bohlin
  • Caitlin S. Pepperell
  • Francois Balloux

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.

Original languageEnglish
JournalProceedings of the National Academy of Sciences of the United States of America
Volume113
Issue number48
Pages (from-to)13881-13886
Number of pages6
ISSN0027-8424
DOIs
Publication statusPublished - 29 Nov 2016
Externally publishedYes

    Research areas

  • Antimicrobial resistance, Evolution, Mycobacterium tuberculosis, Phylodynamic analysis, Tip-dating

ID: 247161733