1. Coinfection of a yaws patient with two closely related Treponema pallidum subsp. pertenue strains: A rare event with potential evolutionary implications.
- Author
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Medappa, Monica, Pospíšilová, Petra, John, Lucy N., González-Beiras, Camila, Mitjà, Oriol, and Šmajs, David
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TREPONEMA pallidum , *MIXED infections , *MOLECULAR cloning , *RECOMBINANT DNA , *SPIROCHETES , *SUBSPECIES - Abstract
• Multiple studies reported inter-strain recombination events in Treponema pallidum. • Treponema pallidum lacks vectors for horizontal DNA transfer. • Here, we elucidate the first step in recombination as a coinfection with two strains. • No compelling evidence of coinfection by two Treponema strains was reported so far. • PCR chimeric clones amplified from the sample resembled recombinant treponemal loci. The etiological agent of yaws is the spirochete Treponema pallidum (TP) subsp. pertenue (TPE) and infects the children of Papua New Guinea, causing ulcerative skin lesions that impairs normal growth and development. Closely related strains of Treponema pallidum subsp. pertenue, J E 11, and T E 13 were detected in an ulcer biospecimen derived from a 5-year-old yaws patient. Cloning experiments validated the presence of two distinct but similar genotypes, namely T E 13 and J E 11, co-occurring within a single host. While coinfection with highly related TPE strains has only limited epidemiological and clinical relevance, this is the first documented coinfection with genetically distinct TP strains in a single patient. Similar coinfections in the past were explained by the existence of over a dozen recombinant loci present in the TP genomes as a result of inter-strain or inter-subspecies recombination events following an anticipated scenario of TP coinfection, i.e., uptake of foreign DNA and DNA recombination. [Display omitted] [ABSTRACT FROM AUTHOR]
- Published
- 2024
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