Listeria monocytogenes (Lm) causes severe foodborne illness (listeriosis). Previous molecular subtyping methods, such as pulsed-field gel electrophoresis (PFGE), were critical in detecting outbreaks that led to food safety improvements and declining incidence, but PFGE provides limited genetic resolution. A multiagency collaboration began performing real-time, whole-genome sequencing (WGS) on all US Lm isolates from patients, food, and the environment in September 2013, posting sequencing data into a public repository. Compared with the year before the project began, WGS, combined with epidemiologic and product trace-back data, detected more listeriosis clusters and solved more outbreaks (2 outbreaks in pre-WGS year, 5 in WGS year 1, and 9 in year 2). Wholegenome multilocus sequence typing and single nucleotide polymorphism analyses provided equivalent phylogenetic relationships relevant to investigations; results were most useful when interpreted in context of epidemiological data. WGS has transformed listeriosis outbreak surveillance and is being implemented for other foodborne pathogens.
The FDA has created a United States-based open-source whole-genome sequencing network of state, federal, international, and commercial partners. The GenomeTrakr network represents a first-of-its-kind distributed genomic food shield for characterizing and tracing foodborne outbreak pathogens back to their sources. The GenomeTrakr network is leading investigations of outbreaks of foodborne illnesses and compliance actions with more accurate and rapid recalls of contaminated foods as well as more effective monitoring of preventive controls for food manufacturing environments. An expanded network would serve to provide an international rapid surveillance system for pathogen traceback, which is critical to support an effective public health response to bacterial outbreaks. R ecent devastating outbreaks associated with the consumption of fresh-cut produce have reinforced the notion that foodborne disease remains a substantial global challenge to public health. In the United States alone, one in six or an estimated 48 million people fall prey to foodborne pathogens, yielding 128,000 hospitalizations and 3,000 deaths per year (http://www.cdc.gov /foodborneburden). Economic burdens are estimated cumulatively at $152 billion dollars annually, $39 billion of which is attributed directly to the contamination of fresh, canned, and processed produce (see the Produce Safety Project, http://www .pewtrusts.org/en/about/news-room/press-releases/0001/01/01 /foodborne-illness-costs-nation-$152-billion-annually-nearly -$39-billion-loss-attributed-to-produce). Mitigating foodborne illness, at times, seems to be an intractable challenge.One longstanding problem is the ability to rapidly identify the food source of the contamination. Despite the best efforts of food safety experts, the previous technology, pulsed-field gel electrophoresis (PFGE), often lacks the resolution to effectively pinpoint the source of an outbreak. The promise of whole-genome sequencing (WGS) came in 2012 when scientists with the U.S. Food and Drug Administration's Center for Food Safety and Applied Nutrition (FDA-CFSAN) performed a retrospective outbreak study on a 2012 Salmonella outbreak that was linked to spicy tuna sushi rolls by PFGE. The clinical isolates, food isolates, and historical isolates of the same PFGE pattern were all sequenced on the Illumina MiSeq. In contrast to the PFGE results, where isolates from the current outbreak looked exactly the same as unrelated historical isolates, WGS uncovered a surprising level of resolution distinguishing all of the isolates. Moreover, the isolates from the outbreak were most closely related to a 5-year-old historical isolate that was linked to a processing facility only 8 km away from the source of the outbreak (1). This isolate was collected at the port of entry from an earlier inspection of contaminated seafood and, like many others, was saved in the freezer collection of the FDA-CFSAN. The idea that the FDA's historical isolates could all be sequenced, providing investigators with geographic clues from a ...
Summary1. We present data on the temporal dynamics of six viruses that infect lions (Panthera leo) in the Serengeti National Park and Ngorongoro Crater, Tanzania. These populations have been studied continuously for the past 30 years, and previous research has documented their seroprevalence for feline herpesvirus, feline immunode®ciency virus (FIV), feline calicivirus, feline parvovirus, feline coronavirus and canine distemper virus (CDV). A seventh virus, feline leukaemia virus (FeLV), was absent from these animals. 2. Comprehensive analysis reveals that feline herpesvirus and FIV were consistently prevalent at high levels, indicating that they were endemic in the host populations. Feline calici-, parvo-and coronavirus, and CDV repeatedly showed a pattern of seroprevalence that was indicative of discrete disease epidemics: a brief period of high exposure for each virus was followed by declining seroprevalence. 3. The timing of viral invasion suggests that dierent epidemic viruses are associated with dierent minimum threshold densities of susceptible hosts. Furthermore, the proportion of susceptibles that became infected during disease outbreaks was positively correlated with the number of susceptible hosts at the beginning of each outbreak. 4. Examination of the relationship between disease outbreaks and host ®tness suggest that these viruses do not aect birth and death rates in lions, with the exception of the 1994 outbreak of canine distemper virus. Although the endemic viruses (FHV and FIV) were too prevalent to measure precise health eects, there was no evidence that FIV infection reduced host longevity.
Many listeriosis outbreaks are caused by a few globally distributed clonal groups, designated clonal complexes or epidemic clones, of Listeria monocytogenes, several of which have been defined by classic multilocus sequence typing (MLST) schemes targeting 6 to 8 housekeeping or virulence genes. We have developed and evaluated core genome MLST (cgMLST) schemes and applied them to isolates from multiple clonal groups, including those associated with 39 listeriosis outbreaks. The cgMLST clusters were congruent with MLST-defined clonal groups, which had various degrees of diversity at the whole-genome level. Notably, cgMLST could distinguish among outbreak strains and epidemiologically unrelated strains of the same clonal group, which could not be achieved using classic MLST schemes. The precise selection of cgMLST gene targets may not be critical for the general identification of clonal groups and outbreak strains. cgMLST analyses further identified outbreak strains, including those associated with recent outbreaks linked to contaminated French-style cheese, Hispanic-style cheese, stone fruit, caramel apple, ice cream, and packaged leafy green salad, as belonging to major clonal groups. We further developed lineage-specific cgMLST schemes, which can include accessory genes when core genomes do not possess sufficient diversity, and this provided additional resolution over species-specific cgMLST. Analyses of isolates from different common-source listeriosis outbreaks revealed various degrees of diversity, indicating that the numbers of allelic differences should always be combined with cgMLST clustering and epidemiological evidence to define a listeriosis outbreak. IMPORTANCE Classic multilocus sequence typing (MLST) schemes targeting internal fragments of 6 to 8 genes that define clonal complexes or epidemic clones have been widely employed to study L. monocytogenes biodiversity and its relation to pathogenicity potential and epidemiology. We demonstrated that core genome MLST schemes can be used for the simultaneous identification of clonal groups and the differentiation of individual outbreak strains and epidemiologically unrelated strains of the same clonal group. We further developed lineage-specific cgMLST schemes that targeted more genomic regions than the species-specific cgMLST schemes. Our data revealed the genome-level diversity of clonal groups defined by classic MLST schemes. Our identification of U.S. and international outbreaks caused by major clonal groups can contribute to further understanding of the global epidemiology of L. monocytogenes.
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