2011
DOI: 10.1126/science.1198545
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Rapid Pneumococcal Evolution in Response to Clinical Interventions

Abstract: Epidemiological studies of the naturally transformable bacterial pathogen Streptococcus pneumoniae have previously been confounded by high rates of recombination. Sequencing 240 isolates of the PMEN1 (Spain(23F)-1) multidrug-resistant lineage enabled base substitutions to be distinguished from polymorphisms arising through horizontal sequence transfer. More than 700 recombinations were detected, with genes encoding major antigens frequently affected. Among these were 10 capsule-switching events, one of which a… Show more

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Cited by 820 publications
(1,030 citation statements)
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“…When we included branch lengths in the distance measure ( λ = 1 in the KC metric), very short branch lengths contribute far less to the tree distance than longer lengths, and the ribosomal genes are no longer outliers. Many of the furthest gene trees from the core genome tree are from genes known to be involved in recombination events 46 , as shown in Supplementary Table 1 ( Supplementary File 1). Recombinations result in a large number of SNPs against a reference; because phylogenetic methods assume vertical evolution, recombination tends to inflate estimated branch lengths.…”
Section: Resultsmentioning
confidence: 99%
“…When we included branch lengths in the distance measure ( λ = 1 in the KC metric), very short branch lengths contribute far less to the tree distance than longer lengths, and the ribosomal genes are no longer outliers. Many of the furthest gene trees from the core genome tree are from genes known to be involved in recombination events 46 , as shown in Supplementary Table 1 ( Supplementary File 1). Recombinations result in a large number of SNPs against a reference; because phylogenetic methods assume vertical evolution, recombination tends to inflate estimated branch lengths.…”
Section: Resultsmentioning
confidence: 99%
“…After the introduction of the PCV7 vaccine there was a significant increase in strain 19A, a non-vaccine type strain. 29 Importantly, the amount of antibiotic-resistance in this serotype also increased. 30 Serotypes 6A, 6B, 9V, 14, 15A, 19F, and 23F have also shown the most antibiotic-resistance to penicillin and erythromycin, with many of these serotypes being included in the vaccines.…”
Section: Characteristics Of the Bacteriummentioning
confidence: 96%
“…However, the reliability of this index is questionable, because it may vary greatly among studies (35). For example, in Streptococcus pneumoniae the r/m has been estimated at 66 by MLST (38) but at 7.2 by WGS (39).…”
Section: Some Problems With the Semiclonal/epidemic Clonality Modelmentioning
confidence: 99%