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Dissecting the molecular evolution of fluoroquinolone-resistant Shigella sonnei.

Published version
Peer-reviewed

Type

Article

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Authors

Boinett, Christine 
Pham Thanh, Duy 
Jenkins, Claire 
Weill, Francois-Xavier  ORCID logo  https://orcid.org/0000-0001-9941-5799

Abstract

Shigella sonnei increasingly dominates the international epidemiological landscape of shigellosis. Treatment options for S. sonnei are dwindling due to resistance to several key antimicrobials, including the fluoroquinolones. Here we analyse nearly 400 S. sonnei whole genome sequences from both endemic and non-endemic regions to delineate the evolutionary history of the recently emergent fluoroquinolone-resistant S. sonnei. We reaffirm that extant resistant organisms belong to a single clonal expansion event. Our results indicate that sequential accumulation of defining mutations (gyrA-S83L, parC-S80I, and gyrA-D87G) led to the emergence of the fluoroquinolone-resistant S. sonnei population around 2007 in South Asia. This clone was then transmitted globally, resulting in establishments in Southeast Asia and Europe. Mutation analysis suggests that the clone became dominant through enhanced adaptation to oxidative stress. Experimental evolution reveals that under fluoroquinolone exposure in vitro, resistant S. sonnei develops further intolerance to the antimicrobial while the susceptible counterpart fails to attain complete resistance.

Description

Keywords

Anti-Bacterial Agents, Asia, Southeastern, Asia, Western, Bayes Theorem, Ciprofloxacin, DNA Gyrase, DNA Topoisomerase IV, Directed Molecular Evolution, Drug Resistance, Bacterial, Dysentery, Bacillary, Europe, Evolution, Molecular, Fluoroquinolones, Genome, Bacterial, Humans, Molecular Epidemiology, Mutation, Phylogeny, Polymorphism, Single Nucleotide, Shigella sonnei

Journal Title

Nat Commun

Conference Name

Journal ISSN

2041-1723
2041-1723

Volume Title

10

Publisher

Springer Science and Business Media LLC