48 results on '"Rory M. Welsh"'
Search Results
2. Tracing the Evolutionary History and Global Expansion of Candida auris Using Population Genomic Analyses
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Nancy A. Chow, José F. Muñoz, Lalitha Gade, Elizabeth L. Berkow, Xiao Li, Rory M. Welsh, Kaitlin Forsberg, Shawn R. Lockhart, Rodney Adam, Alexandre Alanio, Ana Alastruey-Izquierdo, Sahar Althawadi, Ana Belén Araúz, Ronen Ben-Ami, Amrita Bharat, Belinda Calvo, Marie Desnos-Ollivier, Patricia Escandón, Dianne Gardam, Revathi Gunturu, Christopher H. Heath, Oliver Kurzai, Ronny Martin, Anastasia P. Litvintseva, and Christina A. Cuomo
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Candida auris ,antifungal resistance ,emerging species ,genome analysis ,population genetics ,Microbiology ,QR1-502 - Abstract
ABSTRACT Candida auris has emerged globally as a multidrug-resistant yeast that can spread via nosocomial transmission. An initial phylogenetic study of isolates from Japan, India, Pakistan, South Africa, and Venezuela revealed four populations (clades I, II, III, and IV) corresponding to these geographic regions. Since this description, C. auris has been reported in more than 30 additional countries. To trace this global emergence, we compared the genomes of 304 C. auris isolates from 19 countries on six continents. We found that four predominant clades persist across wide geographic locations. We observed phylogeographic mixing in most clades; clade IV, with isolates mainly from South America, demonstrated the strongest phylogeographic substructure. C. auris isolates from two clades with opposite mating types were detected contemporaneously in a single health care facility in Kenya. We estimated a Bayesian molecular clock phylogeny and dated the origin of each clade within the last 360 years; outbreak-causing clusters from clades I, III, and IV originated 36 to 38 years ago. We observed high rates of antifungal resistance in clade I, including four isolates resistant to all three major classes of antifungals. Mutations that contribute to resistance varied between the clades, with Y132F in ERG11 as the most widespread mutation associated with azole resistance and S639P in FKS1 for echinocandin resistance. Copy number variants in ERG11 predominantly appeared in clade III and were associated with fluconazole resistance. These results provide a global context for the phylogeography, population structure, and mechanisms associated with antifungal resistance in C. auris. IMPORTANCE In less than a decade, C. auris has emerged in health care settings worldwide; this species is capable of colonizing skin and causing outbreaks of invasive candidiasis. In contrast to other Candida species, C. auris is unique in its ability to spread via nosocomial transmission and its high rates of drug resistance. As part of the public health response, whole-genome sequencing has played a major role in characterizing transmission dynamics and detecting new C. auris introductions. Through a global collaboration, we assessed genome evolution of isolates of C. auris from 19 countries. Here, we described estimated timing of the expansion of each C. auris clade and of fluconazole resistance, characterized discrete phylogeographic population structure of each clade, and compared genome data to sensitivity measurements to describe how antifungal resistance mechanisms vary across the population. These efforts are critical for a sustained, robust public health response that effectively utilizes molecular epidemiology.
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- 2020
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3. Candida auris Whole-Genome Sequence Benchmark Dataset for Phylogenomic Pipelines
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Rory M. Welsh, Elizabeth Misas, Kaitlin Forsberg, Meghan Lyman, and Nancy A. Chow
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Candida auris ,emerging fungal diseases ,drug-resistant fungi ,genomic ,whole-genome sequencing WGS ,Biology (General) ,QH301-705.5 - Abstract
Candida auris is a multidrug-resistant pathogen that represents a serious public health threat due to its rapid global emergence, increasing incidence of healthcare-associated outbreaks, and high rates of antifungal resistance. Whole-genome sequencing and genomic surveillance have the potential to bolster C. auris surveillance networks moving forward. Laboratories conducting genomic surveillance need to be able to compare analyses from various national and international surveillance partners to ensure that results are mutually trusted and understood. Therefore, we established an empirical outbreak benchmark dataset consisting of 23 C. auris genomes to help validate comparisons of genomic analyses and facilitate communication among surveillance networks. Our outbreak benchmark dataset represents a polyclonal phylogeny with three subclades. The genomes in this dataset are from well-vetted studies that are supported by multiple lines of evidence, which demonstrate that the whole-genome sequencing data, phylogenetic tree, and epidemiological data are all in agreement. This C. auris benchmark set allows for standardized comparisons of phylogenomic pipelines, ultimately promoting effective C. auris collaborations.
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- 2021
- Full Text
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4. Alien vs. predator: bacterial challenge alters coral microbiomes unless controlled by Halobacteriovorax predators
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Rory M. Welsh, Stephanie M. Rosales, Jesse R. Zaneveld, Jérôme P. Payet, Ryan McMinds, Steven L. Hubbs, and Rebecca L. Vega Thurber
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BALOs ,Halobacteriovorax ,Vibrio coralliilyticus ,Microbiome ,Bacterial challenge ,Medicine ,Biology (General) ,QH301-705.5 - Abstract
Coral microbiomes are known to play important roles in organismal health, response to environmental stress, and resistance to disease. The coral microbiome contains diverse assemblages of resident bacteria, ranging from defensive and metabolic symbionts to opportunistic bacteria that may turn harmful in compromised hosts. However, little is known about how these bacterial interactions influence the mechanism and controls of overall structure, stability, and function of the microbiome. We sought to test how coral microbiome dynamics were affected by interactions between two bacteria: Vibrio coralliilyticus, a known temperature-dependent pathogen of some corals, and Halobacteriovorax, a unique bacterial predator of Vibrio and other gram-negative bacteria. We challenged reef-building coral with V. coralliilyticus in the presence or absence of Halobacteriovorax predators, and monitored microbial community dynamics with 16S rRNA gene profiling time-series. Vibrio coralliilyticus inoculation increased the mean relative abundance of Vibrios by greater than 35% from the 4 to 8 hour time point, but not in the 24 & 32 hour time points. However, strong secondary effects of the Vibrio challenge were also observed for the rest of the microbiome such as increased richness (observed species), and reduced stability (increased beta-diversity). Moreover, after the transient increase in Vibrios, two lineages of bacteria (Rhodobacterales and Cytophagales) increased in coral tissues, suggesting that V. coralliilyticus challenge opens niche space for these known opportunists. Rhodobacterales increased from 6.99% (±0.05 SEM) to a maximum mean relative abundance of 48.75% (±0.14 SEM) in the final time point and Cytophagales from
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- 2017
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5. Rapid Implementation of High-Frequency Wastewater Surveillance of SARS-CoV-2
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Meghan M. Holst, John Person, Wiley Jennings, Rory M. Welsh, Michael J. Focazio, Paul M. Bradley, William B. Schill, Amy E. Kirby, and Zachary A. Marsh
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Chemistry (miscellaneous) ,Environmental Chemistry ,Chemical Engineering (miscellaneous) ,Water Science and Technology - Published
- 2022
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6. Positive Correlation Between Candida auris Skin-Colonization Burden and Environmental Contamination at a Ventilator-Capable Skilled Nursing Facility in Chicago
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D Joseph Sexton, Ausaf Ahmad, Judith Noble-Wang, Kaitlin Forsberg, Anastasia P. Litvintseva, William A Furin, Stephanie R. Black, Tristan D. McPherson, Gordana Derado, Massimo Pacilli, Meghan L Bentz, Brendan R Jackson, Rory M. Welsh, Sarah K Kemble, Owen Herzegh, and Laura J. Rose
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Microbiology (medical) ,Veterinary medicine ,media_common.quotation_subject ,Environmental pollution ,Positive correlation ,Hygiene ,Medicine ,Infection control ,Colonization ,media_common ,Candida ,Skilled Nursing Facilities ,Chicago ,Infection Control ,Ventilators, Mechanical ,HAI ,business.industry ,transmission ,Outbreak ,Contamination ,Candida auris ,Major Articles and Commentaries ,Infectious Diseases ,AcademicSubjects/MED00290 ,fungi ,business - Abstract
Background Candida auris is an emerging multidrug-resistant yeast that contaminates healthcare environments causing healthcare-associated outbreaks. The mechanisms facilitating contamination are not established. Methods C. auris was quantified in residents’ bilateral axillary/inguinal composite skin swabs and environmental samples during a point-prevalence survey at a ventilator-capable skilled-nursing facility (vSNF A) with documented high colonization prevalence. Environmental samples were collected from all doorknobs, windowsills and handrails of each bed in 12 rooms. C. auris concentrations were measured using culture and C. auris-specific quantitative polymerase chain reaction (qPCR) The relationship between C. auris concentrations in residents’ swabs and associated environmental samples were evaluated using Kendall’s tau-b (τ b) correlation coefficient. Results C. auris was detected in 70/100 tested environmental samples and 31/57 tested resident skin swabs. The mean C. auris concentration in skin swabs was 1.22 × 105 cells/mL by culture and 1.08 × 106 cells/mL by qPCR. C. auris was detected on all handrails of beds occupied by colonized residents, as well as 10/24 doorknobs and 9/12 windowsills. A positive correlation was identified between the concentrations of C. auris in skin swabs and associated handrail samples based on culture (τ b = 0.54, P = .0004) and qPCR (τ b = 0.66, P = 3.83e−6). Two uncolonized residents resided in beds contaminated with C. auris. Conclusions Colonized residents can have high C. auris burdens on their skin, which was positively related with contamination of their surrounding healthcare environment. These findings underscore the importance of hand hygiene, transmission-based precautions, and particularly environmental disinfection in preventing spread in healthcare facilities., Candidaauris causes healthcare-associated outbreaks that are difficult to control. Environmental contamination is common in these settings. At a ventilator-capable skilled-nursing facility, we found environmental contamination was positively related to the colonization burdens on associated residents’ skin.
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- 2021
7. MycoSNP: A Portable Workflow for Performing Whole-Genome Sequencing Analysis of Candida auris
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Ujwal R, Bagal, John, Phan, Rory M, Welsh, Elizabeth, Misas, Darlene, Wagner, Lalitha, Gade, Anastasia P, Litvintseva, Christina A, Cuomo, and Nancy A, Chow
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Antifungal Agents ,Whole Genome Sequencing ,Candidiasis ,Humans ,Candida auris ,United States ,Workflow - Abstract
Candida auris is an urgent public health threat characterized by high drug-resistant rates and rapid spread in healthcare settings worldwide. As part of the C. auris response, molecular surveillance has helped public health officials track the global spread and investigate local outbreaks. Here, we describe whole-genome sequencing analysis methods used for routine C. auris molecular surveillance in the United States; methods include reference selection, reference preparation, quality assessment and control of sequencing reads, read alignment, and single-nucleotide polymorphism calling and filtration. We also describe the newly developed pipeline MycoSNP, a portable workflow for performing whole-genome sequencing analysis of fungal organisms including C. auris.
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- 2022
8. MycoSNP: A Portable Workflow for Performing Whole-Genome Sequencing Analysis of Candida auris
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Ujwal R. Bagal, John Phan, Rory M. Welsh, Elizabeth Misas, Darlene Wagner, Lalitha Gade, Anastasia P. Litvintseva, Christina A. Cuomo, and Nancy A. Chow
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- 2022
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9. Skin Metagenomic Sequence Analysis of Early Candida auris Outbreaks in U.S. Nursing Homes
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Meghan L Bentz, Brendan R Jackson, Clay Deming, Heidi H. Kong, Nisc Comparative Sequencing Program, Julia A. Segre, Anastasia P. Litvintseva, Snigdha Vallabhaneni, Tom Chiller, Susan S. Huang, Xin Huang, Gabrielle M. Gussin, Diana M. Proctor, Rory M. Welsh, Sean Conlan, Kaitlin Forsberg, Pamela J. Thomas, and Young, Vincent B
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ITS1 ,Antifungal drug ,Human pathogen ,NISC Comparative Sequencing Program ,Biology ,Microbiology ,Disease Outbreaks ,mycobiome ,Antibiotic resistance ,Risk Factors ,Clinical Research ,Genetics ,Humans ,2.2 Factors relating to the physical environment ,Microbiome ,Aetiology ,fungal pathogen ,Molecular Biology ,Skin ,Human Genome ,Candidiasis ,Outbreak ,Health Services ,Candida auris ,Amplicon ,United States ,QR1-502 ,Nursing Homes ,Infectious Diseases ,Good Health and Well Being ,Metagenomics ,Metagenome ,Antimicrobial Resistance ,Infection ,medical mycology - Abstract
Candida auris is a human fungal pathogen classified as an urgent threat to the delivery of health care due to its extensive antimicrobial resistance and the high mortality rates associated with invasive infections. Global outbreaks have occurred in health care facilities, particularly, long-term care hospitals and nursing homes. Skin is the primary site of colonization for C. auris. To accelerate research studies, we developed microbiome sequencing protocols, including amplicon and metagenomic sequencing, directly from patient samples at health care facilities with ongoing C. auris outbreaks. We characterized the skin mycobiome with a database optimized to classify Candida species and C. auris to the clade level. While Malassezia species were the predominant skin-associated fungi, nursing home residents also harbored Candida species, including C. albicans, and C. parapsilosis. Amplicon sequencing was concordant with culturing studies to identify C. auris-colonized patients and provided further resolution that distinct clades of C. auris are colonizing facilities in New York and Illinois. Shotgun metagenomic sequencing from a clinical sample with a high fungal bioburden generated a skin-associated profile of the C. auris genome. Future larger scale clinical studies are warranted to more systematically investigate the effects of commensal microbes and patient risk factors on the colonization and transmission of C. auris. IMPORTANCE Candida auris is a human pathogen of high concern due to its extensive antifungal drug resistance and high mortality rates associated with invasive infections. Candida auris skin colonization and persistence on environmental surfaces make this pathogen difficult to control once it enters a health care facility. Residents in long-term care hospitals and nursing homes are especially vulnerable. In this study, we developed microbiome sequencing protocols directly from surveillance samples, including amplicon and metagenomic sequencing, demonstrating concordance between sequencing results and culturing.
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- 2021
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10. Evaluation of nine surface disinfectants against Candida auris using a quantitative disk carrier method: EPA SOP-MB-35
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Elizabeth L. Berkow, Anastasia P. Litvintseva, Meghan L Bentz, Brendan Jackson, D. Joseph Sexton, Kaitlin Forsberg, and Rory M. Welsh
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Microbiology (medical) ,0303 health sciences ,03 medical and health sciences ,Infectious Diseases ,Chromatography ,Candida auris ,030306 microbiology ,Epidemiology ,Chemistry ,Disinfectant ,030501 epidemiology ,0305 other medical science - Abstract
We tested 9 disinfectants against Candida auris using the quantitative disk carrier method EPA-MB-35-00: 5 products with hydrogen peroxide or alcohol-based chemistries were effective and 4 quaternary ammonium compound-based products were not. This work supported a FIFRA Section 18 emergency exemption granted by the US Environmental Protection Agency to expand disinfectant guidance for C. auris.
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- 2020
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11. Integrated genomic, epidemiologic investigation of Candida auris skin colonization in a skilled nursing facility
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Thelma Dangana, Qiong Chen, Mary Stanley, Morgan Park, Heidi H. Kong, Anastasia P. Litvintseva, Stephanie R. Black, Sean Conlan, Michael Schoeny, Mary K. Hayden, D Joseph Sexton, Michael Y. Lin, Julia A. Segre, Diana M. Proctor, Christine Fukuda, Tom Chiller, Rory M. Welsh, Massimo Pacilli, Kaitlin Forsberg, Rachel D Yelin, Pamela B Bell, Clay Deming, Sangeetha Baskaran, and Snigdha Vallabhaneni
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0301 basic medicine ,medicine.medical_specialty ,General Biochemistry, Genetics and Molecular Biology ,Article ,03 medical and health sciences ,0302 clinical medicine ,Epidemiology ,Chlorhexidine gluconate ,medicine ,Dermatomycoses ,Humans ,Colonization ,Microbiome ,Intensive care medicine ,Candida ,Skin ,business.industry ,Transmission (medicine) ,Candidiasis ,Outbreak ,General Medicine ,Genomics ,Nursing Homes ,030104 developmental biology ,Candida auris ,030220 oncology & carcinogenesis ,Skilled Nursing Facility ,business - Abstract
Candida auris is a fungal pathogen of high concern due to its ability to cause healthcare-associated infections and outbreaks, its resistance to antimicrobials and disinfectants and its persistence on human skin and in the inanimate environment. To inform surveillance and future mitigation strategies, we defined the extent of skin colonization and explored the microbiome associated with C. auris colonization. We collected swab specimens and clinical data at three times points between January and April 2019 from 57 residents (up to ten body sites each) of a ventilator-capable skilled nursing facility with endemic C. auris and routine chlorhexidine gluconate (CHG) bathing. Integrating microbial-genomic and epidemiologic data revealed occult C. auris colonization of multiple body sites not targeted commonly for screening. High concentrations of CHG were associated with suppression of C. auris growth but not with deleterious perturbation of commensal microbes. Modeling human mycobiome dynamics provided insight into underlying alterations to the skin fungal community as a possible modifiable risk factor for acquisition and persistence of C. auris. Failure to detect the extensive, disparate niches of C. auris colonization may reduce the effectiveness of infection-prevention measures that target colonized residents, highlighting the importance of universal strategies to reduce C. auris transmission. Longitudinal skin site sampling of residents in a skilled nursing facility sheds light on persistent niches of the emerging fungal pathogen Candida auris.
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- 2021
12. Clade-specific chromosomal rearrangements and loss of subtelomeric adhesins in Candida auris
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Lori A Rowe, Dakota Howard, Christina A. Cuomo, Lalitha Gade, Jacques F. Meis, Dhwani Batra, Terrance Shea, Anastasia P. Litvintseva, Rory M. Welsh, and José F. Muñoz
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AcademicSubjects/SCI01140 ,AcademicSubjects/SCI00010 ,Karyotype ,Ear infection ,selection ,Chromosomal rearrangement ,Biology ,AcademicSubjects/SCI01180 ,Genome ,Chromosomes ,03 medical and health sciences ,Genome and Systems Biology ,chromosome rearrangement ,Genetics ,Clade ,Gene ,Phylogeny ,Candida ,030304 developmental biology ,Synteny ,Chromosome Aberrations ,Gene Rearrangement ,Investigation ,0303 health sciences ,Phylogenetic tree ,030306 microbiology ,Genomics ,Candida auris ,Telomere ,cell wall proteins ,subtelomeric variation ,fungal genome ,karyotype variation ,AcademicSubjects/SCI00960 ,Genome, Fungal - Abstract
Candida auris is an emerging fungal pathogen of rising concern due to global spread, the ability to cause healthcare-associated outbreaks, and antifungal resistance. Genomic analyses revealed that early contemporaneously detected cases of C. auris were geographically stratified into four major clades. While Clades I, III, and IV are responsible for ongoing outbreaks of invasive and multidrug-resistant infections, Clade II, also termed the East Asian clade, consists primarily of cases of ear infection, is often susceptible to all antifungal drugs, and has not been associated with outbreaks. Here, we generate chromosome-level assemblies of twelve isolates representing the phylogenetic breadth of these four clades and the only isolate described to date from Clade V. This Clade V genome is highly syntenic with those of Clades I, III, and IV, although the sequence is highly divergent from the other clades. Clade II genomes appear highly rearranged, with translocations occurring near GC-poor regions, and large subtelomeric deletions in most chromosomes, resulting in a substantially different karyotype. Rearrangements and deletion lengths vary across Clade II isolates, including two from a single patient, supporting ongoing genome instability. Deleted subtelomeric regions are enriched in Hyr/Iff-like cell-surface proteins, novel candidate cell wall proteins, and an ALS-like adhesin. Cell wall proteins from these families and other drug-related genes show clade-specific signatures of selection in Clades I, III, and IV. Subtelomeric dynamics and the conservation of cell surface proteins in the clades responsible for global outbreaks causing invasive infections suggest an explanation for the different phenotypes observed between clades.
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- 2021
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13. Candida auris Whole-Genome Sequence Benchmark Dataset for Phylogenomic Pipelines
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Meghan Lyman, Rory M. Welsh, Nancy A. Chow, Elizabeth Misas, and Kaitlin Forsberg
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Microbiology (medical) ,Antifungal ,Candida auris ,medicine.drug_class ,Sequencing data ,Plant Science ,Computational biology ,Biology ,Genome ,Article ,genomic ,03 medical and health sciences ,Phylogenetics ,medicine ,emerging fungal diseases ,lcsh:QH301-705.5 ,Ecology, Evolution, Behavior and Systematics ,030304 developmental biology ,Whole genome sequencing ,0303 health sciences ,Phylogenetic tree ,030306 microbiology ,drug-resistant fungi ,whole-genome sequencing WGS ,lcsh:Biology (General) ,Benchmark (computing) - Abstract
Candida auris is a multidrug-resistant pathogen that represents a serious public health threat due to its rapid global emergence, increasing incidence of healthcare-associated outbreaks, and high rates of antifungal resistance. Whole-genome sequencing and genomic surveillance have the potential to bolster C. auris surveillance networks moving forward. Laboratories conducting genomic surveillance need to be able to compare analyses from various national and international surveillance partners to ensure that results are mutually trusted and understood. Therefore, we established an empirical outbreak benchmark dataset consisting of 23 C. auris genomes to help validate comparisons of genomic analyses and facilitate communication among surveillance networks. Our outbreak benchmark dataset represents a polyclonal phylogeny with three subclades. The genomes in this dataset are from well-vetted studies that are supported by multiple lines of evidence, which demonstrate that the whole-genome sequencing data, phylogenetic tree, and epidemiological data are all in agreement. This C. auris benchmark set allows for standardized comparisons of phylogenomic pipelines, ultimately promoting effective C. auris collaborations.
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- 2021
- Full Text
- View/download PDF
14. Riddles in the cold: Antarctic endemism and microbial succession impact methane cycling in the Southern Ocean
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Rory M. Welsh, Andrew R. Thurber, and Sarah Seabrook
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Geologic Sediments ,010504 meteorology & atmospheric sciences ,microbial succession ,Antarctic Regions ,Ecological and Environmental Phenomena ,01 natural sciences ,General Biochemistry, Genetics and Molecular Biology ,Methane ,03 medical and health sciences ,chemistry.chemical_compound ,ecosystem function ,Seawater ,Microbial mat ,Sulfate ,microbial biogeography ,Phylogeny ,030304 developmental biology ,0105 earth and related environmental sciences ,General Environmental Science ,0303 health sciences ,General Immunology and Microbiology ,biology ,Ecology ,Sulfates ,Microbiota ,methane ,Sediment ,General Medicine ,Sequence Analysis, DNA ,biology.organism_classification ,Archaea ,Cold Temperature ,Petroleum seep ,Oceanography ,chemistry ,Microbial population biology ,Greenhouse gas ,Environmental science ,Antarctica ,General Agricultural and Biological Sciences ,Research Article - Abstract
Antarctica is estimated to contain as much as a quarter of earth's marine methane, however we have not discovered an active Antarctic methane seep limiting our understanding of the methane cycle. In 2011, an expansive (70 m × 1 m) microbial mat formed at 10 m water depth in the Ross Sea, Antarctica which we identify here to be a high latitude hydrogen sulfide and methane seep. Through 16S rRNA gene analysis on samples collected 1 year and 5 years after the methane seep formed, we identify the taxa involved in the Antarctic methane cycle and quantify the response rate of the microbial community to a novel input of methane. One year after the seep formed, ANaerobic MEthane oxidizing archaea (ANME), the dominant sink of methane globally, were absent. Five years later, ANME were found to make up to 4% of the microbial community, however the dominant member of this group observed (ANME-1) were unexpected considering the cold temperature (−1.8°C) and high sulfate concentrations (greater than 24 mM) present at this site. Additionally, the microbial community had not yet formed a sufficient filter to mitigate the release of methane from the sediment; methane flux from the sediment was still significant at 3.1 mmol CH4m−2d−1. We hypothesize that this 5 year time point represents an early successional stage of the microbiota in response to methane input. This study provides the first report of the evolution of a seep system from a non-seep environment, and reveals that the rate of microbial succession may have an unrealized impact on greenhouse gas emission from marine methane reservoirs.
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- 2020
15. Evaluation of nine surface disinfectants against
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D Joseph, Sexton, Rory M, Welsh, Meghan L, Bentz, Kaitlin, Forsberg, Brendan, Jackson, Elizabeth L, Berkow, and Anastasia P, Litvintseva
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Humans ,Intercellular Signaling Peptides and Proteins ,Hydrogen Peroxide ,Candida ,Disinfectants - Abstract
We tested 9 disinfectants against Candida auris using the quantitative disk carrier method EPA-MB-35-00: 5 products with hydrogen peroxide or alcohol-based chemistries were effective and 4 quaternary ammonium compound-based products were not. This work supported a FIFRA Section 18 emergency exemption granted by the US Environmental Protection Agency to expand disinfectant guidance for C. auris.
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- 2020
16. Performance Evaluation of Culture-Independent SYBR Green Candida auris Quantitative PCR Diagnostics on Anterior Nares Surveillance Swabs
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Colleen Lysen, Elizabeth L. Berkow, D. Joseph Sexton, Natalie S. Nunnally, Milena Kordalewska, Rory M. Welsh, Ourania Georgacopoulos, Ngoc H Le, and David S. Perlin
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0301 basic medicine ,Microbiology (medical) ,Antifungal Agents ,Enrichment broth ,business.industry ,030106 microbiology ,Candidiasis ,Gold standard (test) ,Real-Time Polymerase Chain Reaction ,Microbiology ,Anterior nares ,03 medical and health sciences ,0302 clinical medicine ,Real-time polymerase chain reaction ,medicine.anatomical_structure ,Candida auris ,Medicine ,Humans ,030212 general & internal medicine ,business ,Culture independent ,Letter to the Editor ,Candida - Abstract
Early identification of Candida auris is important for timely implementation of infection prevention and control actions. Here, we evaluated performance of the C. auris-specific SYBR Green qPCR assay on a panel of 70 anterior nares swabs. Enrichment broth culture was used as "gold standard". After performing a receiver operating curve (ROC) to optimize signal threshold, we found perfect agreement between culture and qPCR. Additionally, we found no indication of inhibitors in the anterior nares swabs.
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- 2020
17. Tracing the Evolutionary History and Global Expansion of Candida auris Using Population Genomic Analyses
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Ana Belén Araúz, Elizabeth L. Berkow, Oliver Kurzai, Christopher H. Heath, Rodney Adam, Sahar Althawadi, Xiao Li, Shawn R. Lockhart, Patricia Escandón, Ronen Ben-Ami, Anastasia P. Litvintseva, Lalitha Gade, Alexandre Alanio, Revathi Gunturu, Kaitlin Forsberg, Ana Alastruey-Izquierdo, Nancy A. Chow, Christina A. Cuomo, Amrita Bharat, Marie Desnos-Ollivier, Dianne Gardam, Belinda Calvo, Ronny Martin, José F. Muñoz, Rory M. Welsh, Centers for Disease Control and Prevention (CDC), Broad Institute [Cambridge], Massachusetts Institute of Technology (MIT)-Harvard University [Cambridge], Aga Khan University Hospital (AKUH), Nairobi, Mycologie moléculaire - Molecular Mycology, Centre National de la Recherche Scientifique (CNRS)-Institut Pasteur [Paris], Centre National de Référence Mycoses Invasives et Antifongiques - National Reference Center Invasive Mycoses & Antifungals (CNRMA), Institut Pasteur [Paris], Laboratoire de Parasitologie-Mycologie [CHU Saint Louis, Paris], Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université de Paris (UP), Instituto de Salud Carlos III [Madrid] (ISC), King Faisal Specialist Hospital and Research Centre, Riyadh, Hospital Santo Tomás, Tel Aviv Sourasky Medical Center [Te Aviv], Tel Aviv University [Tel Aviv], Public Health Agency of Canada (PHAC), Universidad del Zulia (LUZ), Instituto Nacional de Salud [Bogota], Fiona Stanley Hospital [Murdoch], Royal Perth Hospital, The University of Western Australia (UWA), Leibniz Institute for Natural Product Research and Infection Biology (Hans Knoell Institute), University of Würzburg = Universität Würzburg, This project has been funded in part with federal funds from the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Department of Health and Human Services, under award U19AI110818 to the Broad Institute. C.A.C. is a CIFAR fellow in the Fungal Kingdom Program. This work was also made possible through support from the Advanced Molecular Detection (AMD) initiative at CDC., National Institute of Allergy and Infectious Diseases (United States), Harvard University-Massachusetts Institute of Technology (MIT), Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS), Institut Pasteur [Paris] (IP), Université Paris Cité (UPCité), King Faisal Specialist Hospital and Research Centre (KFSH & RC), and Tel Aviv University (TAU)
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Azoles ,Antifungal Agents ,Population genetics ,Emerging species ,Echinocandins ,MESH: Azoles ,Molecular clock ,Clade ,MESH: Phylogeny ,Fluconazole ,Phylogeny ,[SDV.MP.MYC]Life Sciences [q-bio]/Microbiology and Parasitology/Mycology ,Candida ,genome analysis ,emerging species ,0303 health sciences ,education.field_of_study ,Molecular Epidemiology ,Candida auris ,antifungal resistance ,Biological Evolution ,QR1-502 ,3. Good health ,Phylogeography ,MESH: Phylogeography ,MESH: Genome, Fungal ,MESH: Fluconazole ,Genome, Fungal ,MESH: Metagenomics ,MESH: Whole Genome Sequencing ,Research Article ,MESH: Mutation ,Population ,Genes, Fungal ,MESH: Genetics, Population ,Context (language use) ,MESH: Biological Evolution ,Ecological and Evolutionary Science ,Biology ,Microbiology ,MESH: Drug Resistance, Fungal ,03 medical and health sciences ,Phylogenetics ,Drug Resistance, Fungal ,MESH: Candida ,Virology ,Humans ,MESH: Molecular Epidemiology ,Candidiasis, Invasive ,education ,030304 developmental biology ,MESH: Humans ,Molecular epidemiology ,Whole Genome Sequencing ,030306 microbiology ,MESH: Echinocandins ,population genetics ,Antifungal resistance ,Genome analysis ,MESH: Antifungal Agents ,MESH: Candidiasis, Invasive ,Genetics, Population ,Evolutionary biology ,Mutation ,Metagenomics ,MESH: Genes, Fungal - Abstract
In less than a decade, C. auris has emerged in health care settings worldwide; this species is capable of colonizing skin and causing outbreaks of invasive candidiasis. In contrast to other Candida species, C. auris is unique in its ability to spread via nosocomial transmission and its high rates of drug resistance. As part of the public health response, whole-genome sequencing has played a major role in characterizing transmission dynamics and detecting new C. auris introductions. Through a global collaboration, we assessed genome evolution of isolates of C. auris from 19 countries. Here, we described estimated timing of the expansion of each C. auris clade and of fluconazole resistance, characterized discrete phylogeographic population structure of each clade, and compared genome data to sensitivity measurements to describe how antifungal resistance mechanisms vary across the population. These efforts are critical for a sustained, robust public health response that effectively utilizes molecular epidemiology., Candida auris has emerged globally as a multidrug-resistant yeast that can spread via nosocomial transmission. An initial phylogenetic study of isolates from Japan, India, Pakistan, South Africa, and Venezuela revealed four populations (clades I, II, III, and IV) corresponding to these geographic regions. Since this description, C. auris has been reported in more than 30 additional countries. To trace this global emergence, we compared the genomes of 304 C. auris isolates from 19 countries on six continents. We found that four predominant clades persist across wide geographic locations. We observed phylogeographic mixing in most clades; clade IV, with isolates mainly from South America, demonstrated the strongest phylogeographic substructure. C. auris isolates from two clades with opposite mating types were detected contemporaneously in a single health care facility in Kenya. We estimated a Bayesian molecular clock phylogeny and dated the origin of each clade within the last 360 years; outbreak-causing clusters from clades I, III, and IV originated 36 to 38 years ago. We observed high rates of antifungal resistance in clade I, including four isolates resistant to all three major classes of antifungals. Mutations that contribute to resistance varied between the clades, with Y132F in ERG11 as the most widespread mutation associated with azole resistance and S639P in FKS1 for echinocandin resistance. Copy number variants in ERG11 predominantly appeared in clade III and were associated with fluconazole resistance. These results provide a global context for the phylogeography, population structure, and mechanisms associated with antifungal resistance in C. auris.
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- 2020
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18. Multiple introductions and subsequent transmission of multidrug-resistant Candida auris in the USA: a molecular epidemiological survey
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Erin Epson, Massimo Pacilli, Vivian Leung, Emily Lutterloh, Nychie Dotson, Kimberly A Skrobarcek, Janna L. Kerins, Rebecca Greeley, Patricia M Barrett, Alexander J. Kallen, Stephanie R. Black, Anastasia P. Litvintseva, D J Shannon, Tara Fulton, Joyce Peterson, Rafael Fernandez, Shawn R. Lockhart, Snigdha Vallabhaneni, Randy Kuykendall, Nancy A. Chow, Jane Greenko, Sarah K Kemble, Monica Quinn, Elizabeth L. Berkow, Sudha Chaturvedi, Sharon Tsay, Meghan L Bentz, Ngoc H Le, Monina Klevens, Kerri Barton, Brendan R Jackson, Kaitlin Forsberg, Karen Southwick, Jarred McAteer, Tom Chiller, Melissa Cumming, Rory M. Welsh, Kathleen Ross, Eleanor Adams, Kristy Bradley, Lalitha Gade, Richard Brooks, Yan Zhu, Faye M Rozwadowski, Alfred DeMaria, Karlyn D. Beer, and Whitney J Clegg
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Adult ,Male ,0301 basic medicine ,medicine.medical_specialty ,Antifungal Agents ,Genotype ,030106 microbiology ,Prevalence ,Biology ,Article ,Young Adult ,03 medical and health sciences ,Communicable Diseases, Imported ,Surveys and Questionnaires ,Drug Resistance, Multiple, Fungal ,Epidemiology ,Disease Transmission, Infectious ,medicine ,Humans ,Prospective Studies ,Aged ,Candida ,Aged, 80 and over ,Molecular Epidemiology ,Travel ,Genetic diversity ,Whole Genome Sequencing ,Molecular epidemiology ,Public health ,Candidiasis ,Outbreak ,Middle Aged ,United States ,Infectious Diseases ,Candida auris ,Female ,Public Health ,Demography - Abstract
Summary Background Transmission of multidrug-resistant Candida auris infection has been reported in the USA. To better understand its emergence and transmission dynamics and to guide clinical and public health responses, we did a molecular epidemiological investigation of C auris cases in the USA. Methods In this molecular epidemiological survey, we used whole-genome sequencing to assess the genetic similarity between isolates collected from patients in ten US states (California, Connecticut, Florida, Illinois, Indiana, Maryland, Massachusetts, New Jersey, New York, and Oklahoma) and those identified in several other countries (Colombia, India, Japan, Pakistan, South Africa, South Korea, and Venezuela). We worked with state health departments, who provided us with isolates for sequencing. These isolates of C auris were collected during the normal course of clinical care (clinical cases) or as part of contact investigations or point prevalence surveys (screening cases). We integrated data from standardised case report forms and contact investigations, including travel history and epidemiological links (ie, patients that had shared a room or ward with a patient with C auris ). Genetic diversity of C auris within a patient, a facility, and a state were evaluated by pairwise differences in single-nucleotide polymorphisms (SNPs). Findings From May 11, 2013, to Aug 31, 2017, isolates that corresponded to 133 cases (73 clinical cases and 60 screening cases) were collected. Of 73 clinical cases, 66 (90%) cases involved isolates related to south Asian isolates, five (7%) cases were related to South American isolates, one (1%) case to African isolates, and one (1%) case to east Asian isolates. Most (60 [82%]) clinical cases were identified in New York and New Jersey; these isolates, although related to south Asian isolates, were genetically distinct. Genomic data corroborated five (7%) clinical cases in which patients probably acquired C auris through health-care exposures abroad. Among clinical and screening cases, the genetic diversity of C auris isolates within a person was similar to that within a facility during an outbreak (median SNP difference three SNPs, range 0–12). Interpretation Isolates of C auris in the USA were genetically related to those from four global regions, suggesting that C auris was introduced into the USA several times. The five travel-related cases are examples of how introductions can occur. Genetic diversity among isolates from the same patients, health-care facilities, and states indicates that there is local and ongoing transmission. Funding US Centers for Disease Control and Prevention
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- 2018
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19. Differential distributions of Synechococcus subgroups across the California Current System.
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Ryan William Paerl, Kenneth S Johnson, Rory M Welsh, Alexandra Z Worden, Francisco P Chavez, and Jonathan P Zehr
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Synechococcus ,qPCR ,biogeography ,CCS ,eastern-Pacific ,narB ,Microbiology ,QR1-502 - Abstract
Synechococcus is an abundant marine cyanobacterial genus composed of different populations that vary physiologically. Synechococcus narB gene sequences (encoding for nitrate reductase in cyanobacteria) obtained previously from isolates and the environment (e.g. North Pacific Gyre Station ALOHA, Hawaii or Monterey Bay, California) were used to develop quantitative PCR (qPCR) assays. These qPCR assays were used to quantify populations from specific narB phylogenetic clades across the California Current System (CCS), a region composed of dynamic zones between a coastal-upwelling zone and the oligotrophic Pacific Ocean. Targeted populations (narB subgroups) had different biogeographic patterns across the CCS, which appear to be driven by environmental conditions. Subgroups C_C1, D_C1 and D_C2 were abundant in coastal-upwelling to coastal-transition zone waters with relatively high to intermediate ammonium, nitrate and chl. a concentrations. Subgroups A_C1 and F_C1 were most abundant in coastal-transition zone waters with intermediate nutrient concentrations. E_O1 and G_O1 were most abundant at different depths of oligotrophic open-ocean waters (either in the upper mixed layer or just below). E_O1, A_C1 and F_C1 distributions differed from other narB subgroups and likely possess unique ecologies enabling them to be most abundant in waters between coastal and open-ocean waters. Different CCS zones possessed distinct Synechococcus communities. Core California Current (CC) water possessed low numbers of narB subgroups relative to counted Synechococcus cells, and coastal-transition waters contained high abundances of Synechococcus cells and total number of narB subgroups. The presented biogeographic data provides insight on the distributions and ecologies of Synechococcus present in an eastern boundary current system.
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- 2011
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20. Survival, Persistence, and Isolation of the Emerging Multidrug-Resistant Pathogenic Yeast Candida auris on a Plastic Health Care Surface
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Amanda Lyons, Hollis Houston, Alicia Shams, Anastasia P. Litvintseva, Rory M. Welsh, Laura J. Rose, and Meghan L Bentz
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0301 basic medicine ,Microbiology (medical) ,Antifungal Agents ,Candida parapsilosis ,Isolation (health care) ,030106 microbiology ,Mycology ,Microbial Sensitivity Tests ,Microbiology ,03 medical and health sciences ,Drug Resistance, Fungal ,Global health ,Humans ,Colonization ,Candida ,Cross Infection ,biology ,Transmission (medicine) ,Candidiasis ,Outbreak ,biology.organism_classification ,Multiple drug resistance ,030104 developmental biology ,Candida auris ,Plastics - Abstract
The emerging multidrug-resistant pathogenic yeast Candida auris represents a serious threat to global health. Unlike most other Candida species, this organism appears to be commonly transmitted within health care facilities and causes health care-associated outbreaks. To better understand the epidemiology of this emerging pathogen, we investigated the ability of C. auris to persist on plastic surfaces common in health care settings compared with that of Candida parapsilosis , a species known to colonize the skin and plastics. Specifically, we compiled comparative and quantitative data essential to understanding the vehicles of spread and the ability of both species to survive and persist on plastic surfaces under controlled conditions (25°C and 57% relative humidity), such as those found in health care settings. When a test suspension of 10 4 cells was applied and dried on plastic surfaces, C. auris remained viable for at least 14 days and C. parapsilosis for at least 28 days, as measured by CFU. However, survival measured by esterase activity was higher for C. auris than C. parapsilosis throughout the 28-day study. Given the notable length of time Candida species survive and persist outside their host, we developed methods to more effectively culture C. auris from patients and their environment. Using our enrichment protocol, public health laboratories and researchers can now readily isolate C. auris from complex microbial communities (such as patient skin, nasopharynx, and stool) as well as environmental biofilms, in order to better understand and prevent C. auris colonization and transmission.
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- 2017
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21. Candida auris for the Clinical Microbiology Laboratory: Not Your Grandfather's Candida Species
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Shawn R. Lockhart, Rory M. Welsh, Nancy A. Chow, and Elizabeth L. Berkow
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0301 basic medicine ,Microbiology (medical) ,Antifungal ,Susceptibility testing ,medicine.drug_class ,030106 microbiology ,Biology ,Article ,Microbiology ,03 medical and health sciences ,Clinical microbiology ,Infectious Diseases ,Human gut ,Candida auris ,medicine - Abstract
Candida auris is a newly emerging species that was first identified in Asia in 2009 but has rapidly spread across the world. C. auris differs from most other Candida species in that antifungal resistance is the norm rather than the exception, it is a commensal of human skin rather than the human gut, and it can be easily transmitted from person to person in a health care setting. This review discusses the emergence of C. auris , global epidemiology, identification, antifungal susceptibility testing, and precautions to be taken when it is identified from a patient specimen.
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- 2017
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22. Investigation of the First Seven Reported Cases of Candida auris, a Globally Emerging Invasive, Multidrug-Resistant Fungus—United States, May 2013–August 2016
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Sharon Tsay, Karen Southwick, T. N. Palmore, Anastasia P. Litvintseva, Tom Chiller, David P. Calfee, Janna L. Kerins, Stephanie R. Black, Ryan Fagan, Alexander J. Kallen, Jessica P Ridgway, Gopi Patel, Patricia M Barrett, Brendan R Jackson, Rory M. Welsh, Elizabeth L. Berkow, Nancy A. Chow, Eleanor Adams, Monica Quinn, Rafael Fernandez, Sudha Chaturvedi, Heather Moulton-Meissner, C. Hamula, Jane Greenko, Shawn R. Lockhart, A. Zelzany, Emily Landon, E. Y. Furuya, Snigdha Vallabhaneni, Sarah K Kemble, Judith Noble-Wang, P. Lafaro, and Massimo Pacilli
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0301 basic medicine ,medicine.medical_specialty ,Antifungal Agents ,Time Factors ,030106 microbiology ,Drug resistance ,Global Health ,Communicable Diseases, Emerging ,03 medical and health sciences ,Risk Factors ,Drug Resistance, Multiple, Fungal ,Environmental health ,Health care ,Global health ,Humans ,Immunology and Allergy ,Infection control ,Medicine ,Pharmacology (medical) ,Candida ,Transplantation ,business.industry ,Transmission (medicine) ,Public health ,Candidiasis ,Outbreak ,Prognosis ,United States ,Biotechnology ,030104 developmental biology ,Candida auris ,business - Abstract
November 11, 2016/65(44);1234-1237. What is already known about this topic? Candida auris is an emerging pathogenic fungus that has been reported from at least a dozen countries on four continents during 2009-2015. The organism is difficult to identify using traditional biochemical methods, some isolates have been found to be resistant to all three major classes of antifungal medications, and C. auris has caused health care-associated outbreaks. What is added by this report? This is the first description of C. auris cases in the United States. C. auris appears to have emerged in the United States only in the last few years, and U.S. isolates are related to isolates from South America and South Asia. Evidence from U.S. case investigations suggests likely transmission of the organism occurred in health care settings. What are the implications for public health practice? It is important that U.S. laboratories accurately identify C. auris and for health care facilities to implement recommended infection control practices to prevent the spread of C. auris. Local and state health departments and CDC should be notified of possible cases of C. auris and of isolates of C. haemulonii and Candida spp. that cannot be identified after routine testing.
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- 2017
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23. Phenotypic switching in newly emerged multidrug-resistant pathogen Candida auris
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Meghan L Bentz, Anastasia P. Litvintseva, D. Joseph Sexton, and Rory M. Welsh
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0303 health sciences ,030306 microbiology ,Strain (biology) ,Phenotypic switching ,General Medicine ,Biology ,Phenotype ,Microbiology ,Multiple drug resistance ,03 medical and health sciences ,Infectious Diseases ,Candida auris ,Healthcare settings ,Chromagar candida ,Pathogen ,030304 developmental biology - Abstract
Candida auris is an emerging, multidrug-resistant yeast that can spread rapidly in healthcare settings. Phenotypic switching has been observed in other Candida species and can potentially interfere with correct identification. The aim of this study is to address misidentification of C. auris by describing alternate phenotypes after broth enrichment and subculturing on CHROMagar Candida. Each isolate displayed different frequencies of phenotypic switching, suggesting a strain to strain variability. Increased knowledge of the multiple phenotypes of C. auris increases the chance of isolating and identifying C. auris by reducing the risk of discarding false negative alternate colony morphologies.
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- 2018
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24. Candida auris: A Review of Recommendations for Detection and Control in Healthcare Settings
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Shawn R. Lockhart, Brendan R Jackson, Tom Chiller, Rory M. Welsh, Diego H. Cáceres, David Joseph Sexton, and Kaitlin Forsberg
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0301 basic medicine ,Microbiology (medical) ,medicine.medical_specialty ,diagnosis ,030106 microbiology ,detection ,Early detection ,Plant Science ,Review ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Infection control ,030212 general & internal medicine ,Intensive care medicine ,Ecology, Evolution, Behavior and Systematics ,Laboratory methods ,healthcare settings ,outbreak ,business.industry ,High mortality ,Outbreak ,infection control practices ,Fungal pathogen ,Candida auris ,Healthcare settings ,business - Abstract
Candida auris is an emerging multidrug-resistant fungal pathogen. Since first reported in 2009, C. auris has caused healthcare outbreaks around the world, often involving high mortality. Identification of C. auris has been a major challenge as many common conventional laboratory methods cannot accurately detect it. Early detection and implementation of infection control practices can prevent its spread. The aim of this review is to describe recommendations for the detection and control of C. auris in healthcare settings.
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- 2019
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25. Chromosomal rearrangements and loss of subtelomeric adhesins linked to clade-specific phenotypes in Candida auris
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Anastasia P. Litvintseva, Dhwani Batra, Terrance Shea, Lalitha Gade, Christina A. Cuomo, José F. Muñoz, and Rory M. Welsh
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Genetics ,0303 health sciences ,Mutation ,030306 microbiology ,Ear infection ,Chromosome ,Virulence ,Biology ,medicine.disease_cause ,Genome ,3. Good health ,03 medical and health sciences ,Candida auris ,medicine ,Clade ,Gene ,030304 developmental biology - Abstract
Candida auris is an emerging fungal pathogen of rising concern due to its increasing incidence, its ability to cause healthcare-associated outbreaks and antifungal resistance. Genomic analysis revealed that early cases of C. auris that were detected contemporaneously were geographically stratified into four major clades. Clade II, also termed East Asian clade, consists of the initial isolates described from cases of ear infection, is less frequently resistant to antifungal drugs and to date, the isolates from this group have not been associated with outbreaks. Here, we generate nearly complete genomes (“telomere-to-telomere”) of an isolate of this clade and of the more widespread Clade IV. By comparing these to genome assemblies of the other two clades, we find that the Clade II genome appears highly rearranged, with 2 inversions and 9 translocations resulting in a substantially different karyotype. In addition, large subtelomeric regions have been lost from 10 of 14 chromosome ends in the Clade II genomes. We find that shorter telomeres and genome instability might be a consequence of a naturally occurring loss-of-function mutation in DCC1 exclusively found in Clade II isolates, resulting in a hypermutator phenotype. We also determine that deleted subtelomeric regions might be linked to clade-specific adaptation as these regions are enriched in Hyr/Iff-like cell surface proteins, novel candidate cell surface proteins, and an ALS-like adhesin. The presence of these cell surface proteins in the clades responsible for global outbreaks causing invasive infections suggests an explanation for the different phenotypes observed between clades.IMPORTANCECandida auris was unknown prior to 2009 and since then it has quickly spread around the world, causing outbreaks in healthcare facilities and representing a high fraction of candidemia cases in some regions. The emergence of C. auris is a major concern, since it is often multidrug-resistant, easily spread between patients, and causes invasive infections. While isolates from three global clades cause invasive infections, isolates from Clade II primarily cause ear infections and have not been implicated in outbreaks, though cases of Clade II infections have been reported on different continents. Here, we describe genetic differences between Clade II and Clades I, III and IV, including a loss-of-function mutation in a gene associated with telomere length maintenance and genome stability, and the loss of cell wall proteins involved in adhesion and biofilm formation, that may suggest an explanation for the lower virulence and potential for transmission of Clade II isolates.
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- 2019
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26. Insights into the Unique Nature of the East Asian Clade of the Emerging Pathogenic Yeast Candida auris
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Rory M. Welsh, Anastasia P. Litvintseva, D. Joseph Sexton, Kaitlin Forsberg, and Snigdha Vallabhaneni
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Microbiology (medical) ,Lineage (genetic) ,Antifungal Agents ,Candidiasis ,Outbreak ,Microbial Sensitivity Tests ,Biology ,Clinical microbiology ,Candida auris ,Evolutionary biology ,Pathogenic yeast ,South american ,Drug Resistance, Multiple, Fungal ,Commentary ,Humans ,East Asia ,Otitis ,Clade ,Candida - Abstract
The emerging yeast Candida auris can be highly drug resistant, causing invasive infections, and large outbreaks. C. auris went from an unknown pathogen a decade ago to being reported in over thirty countries on six continents. C. auris consists of four discrete clades, based on where the first isolates of the clade were reported, South Asian (clade I), East Asian (clade II), African (clade III), and South American (clade IV). These clades have unique genetic and biochemical characteristics that are important to understand and inform the global response to C. auris. Clade II has been underrepresented in the literature despite being the first one discovered. In this issue of the Journal of Clinical Microbiology, Y. J. Kwon et al. (J Clin Microbiol 57:e01624-18, 2019, https://doi.org/10.1128/JCM.01624-18) describe the largest collection of clinical isolates from Clade II, which is also the longest-running span of clinical cases, 20 years, from any single region to date. Clade II appears to have a propensity for the ear that is uncharacteristic of the other clades, which typically cause invasive infections and large-scale outbreaks. This study provides new information on an understudied lineage of C. auris and has important implications for future surveillance.
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- 2019
27. Investigation of the First Seven Reported Cases ofCandida auris,a Globally Emerging Invasive, Multidrug-Resistant Fungus — United States, May 2013–August 2016
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Monica Quinn, Camille Hamula, Heather Moulton-Meissner, Sarah K Kemble, Massimo Pacilli, Karen Southwick, Alex Kallen, Adrian Zelzany, Patricia M Barrett, Gopi Patel, Elizabeth L. Berkow, Eleanor Adams, Ryan Fagan, Rory M. Welsh, Snigdha Vallabhaneni, Anastasia P. Litvintseva, Rafael Fernandez, Patricia Lafaro, Judith Noble-Wang, David P. Calfee, Jane Greenko, Sudha Chaturvedi, Emily Landon, Sharon Tsay, Jessica P Ridgway, Janna L. Kerins, Nancy A. Chow, Tom Chiller, Stephanie R. Black, Tara N Palmore, Brendan R Jackson, E. Yoko Furuya, and Shawn R. Lockhart
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0301 basic medicine ,Gerontology ,medicine.medical_specialty ,Antifungal Agents ,Health (social science) ,Epidemiology ,Health, Toxicology and Mutagenesis ,030106 microbiology ,Drug resistance ,Global Health ,Communicable Diseases, Emerging ,03 medical and health sciences ,Fatal Outcome ,Health Information Management ,Drug Resistance, Multiple, Fungal ,Health care ,Global health ,medicine ,Humans ,Infection control ,Candida ,business.industry ,Transmission (medicine) ,Public health ,Candidiasis ,General Medicine ,United States ,030104 developmental biology ,Candida auris ,Emergency medicine ,business ,Infection Control Practitioners - Abstract
Candida auris, an emerging fungus that can cause invasive infections, is associated with high mortality and is often resistant to multiple antifungal drugs. C. auris was first described in 2009 after being isolated from external ear canal discharge of a patient in Japan (1). Since then, reports of C. auris infections, including bloodstream infections, have been published from several countries, including Colombia, India, Israel, Kenya, Kuwait, Pakistan, South Africa, South Korea, Venezuela, and the United Kingdom (2-7). To determine whether C. auris is present in the United States and to prepare for the possibility of transmission, CDC issued a clinical alert in June 2016 informing clinicians, laboratorians, infection control practitioners, and public health authorities about C. auris and requesting that C. auris cases be reported to state and local health departments and CDC (8). This report describes the first seven U.S. cases of C. auris infection reported to CDC as of August 31, 2016. Data from these cases suggest that transmission of C. auris might have occurred in U.S. health care facilities and demonstrate the need for attention to infection control measures to control the spread of this pathogen.
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- 2016
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28. Overfishing and nutrient pollution interact with temperature to disrupt coral reefs down to microbial scales
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Stephanie M. Rosales, Rory M. Welsh, Jesse R. Zaneveld, Andrew A. Shantz, Ryan McMinds, Catharine E. Pritchard, Deron E. Burkepile, Corinne Fuchs, Rebecca Vega Thurber, Nathan P. Lemoine, Adrienne M. S. Correa, Jérôme P. Payet, Jeffrey Maynard, Department of Microbiology, Oregon State University (OSU), Department of Ecology, Evolution and Marine Biology [Santa Barbara] (EEMB), University of California [Santa Barbara] (UCSB), University of California-University of California, Department of Biological Sciences, Florida International University [Miami] (FIU), Department of Ecosystem Sciences, Pennsylvania State University (Penn State), Penn State System-Penn State System, Department of BioSciences, Rice University [Houston], Department of Biology [Gainesville] (UF|Biology), University of Florida [Gainesville] (UF), Laboratoire d'Excellence CORAIL (LabEX CORAIL), Institut de Recherche pour le Développement (IRD)-Université des Antilles et de la Guyane (UAG)-École des hautes études en sciences sociales (EHESS)-École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut Français de Recherche pour l'Exploitation de la Mer (IFREMER)-Université de La Réunion (UR)-Université de la Polynésie Française (UPF)-Université de la Nouvelle-Calédonie (UNC)-Institut d'écologie et environnement-Université des Antilles (UA), Centre de recherches insulaires et observatoire de l'environnement (CRIOBE), Université de Perpignan Via Domitia (UPVD)-École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Centre National de la Recherche Scientifique (CNRS), University of California [Santa Barbara] (UC Santa Barbara), University of California (UC)-University of California (UC), Institut de Recherche pour le Développement (IRD)-Université des Antilles et de la Guyane (UAG)-École des hautes études en sciences sociales (EHESS)-École Pratique des Hautes Études (EPHE), and Université de Perpignan Via Domitia (UPVD)-École Pratique des Hautes Études (EPHE)
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0301 basic medicine ,Coral ,Science ,Fisheries ,General Physics and Astronomy ,General Biochemistry, Genetics and Molecular Biology ,Article ,03 medical and health sciences ,Animals ,natural sciences ,14. Life underwater ,Parrotfish ,Herbivory ,Reef ,Trophic level ,[SDV.EE]Life Sciences [q-bio]/Ecology, environment ,geography ,Multidisciplinary ,geography.geographical_feature_category ,biology ,Overfishing ,Resilience of coral reefs ,Ecology ,Coral Reefs ,Microbiota ,fungi ,Temperature ,technology, industry, and agriculture ,General Chemistry ,Coral reef ,Biodiversity ,Eutrophication ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,Anthozoa ,Fishery ,030104 developmental biology ,13. Climate action ,Nutrient pollution ,Predatory Behavior ,Seasons ,[SDE.BE]Environmental Sciences/Biodiversity and Ecology ,Environmental Pollution ,geographic locations - Abstract
Losses of corals worldwide emphasize the need to understand what drives reef decline. Stressors such as overfishing and nutrient pollution may reduce resilience of coral reefs by increasing coral–algal competition and reducing coral recruitment, growth and survivorship. Such effects may themselves develop via several mechanisms, including disruption of coral microbiomes. Here we report the results of a 3-year field experiment simulating overfishing and nutrient pollution. These stressors increase turf and macroalgal cover, destabilizing microbiomes, elevating putative pathogen loads, increasing disease more than twofold and increasing mortality up to eightfold. Above-average temperatures exacerbate these effects, further disrupting microbiomes of unhealthy corals and concentrating 80% of mortality in the warmest seasons. Surprisingly, nutrients also increase bacterial opportunism and mortality in corals bitten by parrotfish, turning normal trophic interactions deadly for corals. Thus, overfishing and nutrient pollution impact reefs down to microbial scales, killing corals by sensitizing them to predation, above-average temperatures and bacterial opportunism., Overfishing and nutrient pollution can damage coral reefs in part by increasing coral-algal competition. Here the authors simulate these stressors in a three year field experiment, and show that they interact to enhance sensitivity to temperature, predation and bacterial opportunism.
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- 2016
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29. Bacterial Predators in Host Microbiomes
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Rory M. Welsh and Rebecca Vega Thurber
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0301 basic medicine ,Community ,Host (biology) ,Ecology ,media_common.quotation_subject ,030106 microbiology ,Biology ,Microbiology ,Competition (biology) ,Predation ,03 medical and health sciences ,Microbial ecology ,Symbiosis ,Microbiome ,Macroecology ,media_common - Abstract
In macroecology, predators play major roles in structuring ecosystem function and community diversity. Yet relatively little is understood about the roles of bacterial predators in the community ecology of microorganisms and host-associated microbiomes. Host-associated microbial community dynamics are affected by extrinsic environmental factors such as resource availability, temperature, and salinity, as well as host diet, genetic background, and health. Cooperative symbioses, antagonisms, competition, and predation also occur within a microbiome.
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- 2016
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30. Direct Detection of Emergent Fungal Pathogen Candida auris in Clinical Skin Swabs by SYBR Green-Based Quantitative PCR Assay
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Rory M. Welsh, Meghan L Bentz, Anastasia P. Litvintseva, Milena Kordalewska, David S. Perlin, and D. Joseph Sexton
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Microbiological Techniques ,0301 basic medicine ,Microbiology (medical) ,Time Factors ,030106 microbiology ,Mycology ,Biology ,Real-Time Polymerase Chain Reaction ,Sensitivity and Specificity ,Specimen Handling ,Microbiology ,03 medical and health sciences ,Emerging pathogen ,0302 clinical medicine ,Humans ,Infection control ,In patient ,030212 general & internal medicine ,DNA, Fungal ,Candida ,Fluorescent Dyes ,Skin ,Candidiasis ,Gold standard (test) ,Fungal pathogen ,Amplicon ,Real-time polymerase chain reaction ,Candida auris - Abstract
The recent emergence of the multidrug-resistant and pathogenic yeast Candida auris continues to cause public health concern worldwide. C. auris is alarming because it causes health care-associated outbreaks and can establish invasive infections with high mortality rates. Transmission between patients is facilitated by the ability of C. auris to persistently colonize multiple body sites, including the skin, and survive for weeks on surfaces in health care settings. Rapid identification of colonized patients is needed to implement timely infection control measures. Currently, CDC laboratories use an enrichment culture-based approach that can take up to 2 weeks to identify C. auris from composite swabs from the bilateral axillae and groin. A rapid SYBR green quantitative PCR (qPCR) assay that can identify C. auris in a single day was recently described. In this study, we developed the SYBR green qPCR assay further by incorporating a DNA extraction procedure for skin swabs and by including an internal amplification control based on the distinguishable melt curve of a lambda DNA amplicon. The assay was conducted using 103 clinical axilla/groin skin swab samples. Using the enrichment culture-based approach as a gold standard, we determined that the SYBR green C. auris qPCR has a sensitivity of 0.93 and specificity of 0.96. Overall, we found that the SYBR green C. auris qPCR assay can be successfully applied for rapid and accurate detection of C. auris in patient skin swabs, thereby increasing diagnostic options for this emerging pathogen.
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- 2018
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31. Evaluation of a new T2 Magnetic Resonance assay for rapid detection of emergent fungal pathogen Candida auris on clinical skin swab samples
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D. Joseph Sexton, Rory M. Welsh, Meghan L Bentz, and Anastasia P. Litvintseva
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0301 basic medicine ,Microbiological Techniques ,Magnetic Resonance Spectroscopy ,Time Factors ,030106 microbiology ,Skin flora ,Dermatology ,Rapid detection ,Sensitivity and Specificity ,Microbiology ,03 medical and health sciences ,medicine ,Infection control ,Humans ,Mass Screening ,Candida ,Skin ,medicine.diagnostic_test ,biology ,business.industry ,Diagnostic Tests, Routine ,Candidiasis ,Magnetic resonance imaging ,General Medicine ,Fungal pathogen ,Gold standard (test) ,biology.organism_classification ,Axilla ,030104 developmental biology ,Infectious Diseases ,medicine.anatomical_structure ,Candida auris ,Carrier State ,business - Abstract
Candida auris is a multidrug-resistant pathogenic yeast whose recent emergence is of increasing public-health concern. C. auris can colonise multiple body sites, including patients' skin, and survive for weeks in the health care environment, facilitating patient-to-patient transmission and fueling health care-associated outbreaks. Rapid and accurate detection of C. auris colonisation is essential for timely implementation of infection control measures and to prevent transmission. Currently, axilla/groin composite swabs, used to assess colonisation status, are processed using a culture-based method that is sensitive and specific but requires 14 days. This delay limits the opportunity to respond and highlights the need for a faster alternative. The culture-independent T2 Magnetic Resonance (T2MR) system is a rapid diagnostic platform shown to detect target pathogens of interest from unprocessed blood samples in
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- 2018
32. Molecular Epidemiology of Candida auris in Colombia Reveals a Highly Related, Countrywide Colonization With Regional Patterns in Amphotericin B Resistance
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Shawn R. Lockhart, Lalitha Gade, Anastasia P. Litvintseva, Mauricio Beltrán, Sandra Rivera, Carolina Duarte, Andres Espinosa-Bode, Claudia Parra, Elizabeth Misas, Soraya Salcedo, Tom Chiller, Elizabeth L. Berkow, Brendan R Jackson, Rory M. Welsh, Heather Moulton-Meissner, Carmen Varón, Diego H. Cáceres, Luz Angela Pescador, Nohora Villalobos, Indira Berrio, Patricia Escandón, Nancy A. Chow, and Paige A. Armstrong
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0301 basic medicine ,Microbiology (medical) ,Veterinary medicine ,Antifungal Agents ,030106 microbiology ,Microbial Sensitivity Tests ,Drug resistance ,Colombia ,03 medical and health sciences ,Drug Resistance, Fungal ,Amphotericin B ,Environmental Microbiology ,Humans ,Medicine ,Infection control ,Colonization ,Mycological Typing Techniques ,Candida ,Molecular Epidemiology ,Whole Genome Sequencing ,Molecular epidemiology ,Transmission (medicine) ,business.industry ,Candidiasis ,Outbreak ,Molecular Typing ,Infectious Diseases ,Candida auris ,Carrier State ,business ,medicine.drug - Abstract
Background Candida auris is a multidrug-resistant yeast associated with hospital outbreaks worldwide. During 2015-2016, multiple outbreaks were reported in Colombia. We aimed to understand the extent of contamination in healthcare settings and to characterize the molecular epidemiology of C. auris in Colombia. Methods We sampled patients, patient contacts, healthcare workers, and the environment in 4 hospitals with recent C. auris outbreaks. Using standardized protocols, people were swabbed at different body sites. Patient and procedure rooms were sectioned into 4 zones and surfaces were swabbed. We performed whole-genome sequencing (WGS) and antifungal susceptibility testing (AFST) on all isolates. Results Seven of the 17 (41%) people swabbed were found to be colonized. Candida auris was isolated from 37 of 322 (11%) environmental samples. These were collected from a variety of items in all 4 zones. WGS and AFST revealed that although isolates were similar throughout the country, isolates from the northern region were genetically distinct and more resistant to amphotericin B (AmB) than the isolates from central Colombia. Four novel nonsynonymous mutations were found to be significantly associated with AmB resistance. Conclusions Our results show that extensive C. auris contamination can occur and highlight the importance of adherence to appropriate infection control practices and disinfection strategies. Observed genetic diversity supports healthcare transmission and a recent expansion of C. auris within Colombia with divergent AmB susceptibility.
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- 2018
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33. On the Origins of a Species: What Might Explain the Rise of Candida auris?
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Kaitlin Forsberg, Brendan R Jackson, Shawn R. Lockhart, Tom Chiller, Anastasia P. Litvintseva, Snigdha Vallabhaneni, Rory M. Welsh, and Nancy A. Chow
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Microbiology (medical) ,Antifungal ,Candida auris ,medicine.drug_class ,Niche ,Zoology ,Plant Science ,Fungus ,yeast ,03 medical and health sciences ,medicine ,ecological niche ,lcsh:QH301-705.5 ,Ecology, Evolution, Behavior and Systematics ,030304 developmental biology ,Ecological niche ,0303 health sciences ,biology ,Resistance (ecology) ,emerging infections ,030306 microbiology ,fungal infection ,Human microbiome ,Outbreak ,biology.organism_classification ,lcsh:Biology (General) ,Perspective - Abstract
Candida auris is an emerging multidrug-resistant yeast first described in 2009 that has since caused healthcare-associated outbreaks of severe human infections around the world. In some hospitals, it has become a leading cause of invasive candidiasis. C. auris is markedly different from most other pathogenic Candida species in its genetics, antifungal resistance, and ability to spread between patients. The reasons why this fungus began spreading widely in the last decade remain a mystery. We examine available data on C. auris and related species, including genomic epidemiology, phenotypic characteristics, and sites of detection, to put forth hypotheses on its possible origins. C. auris has not been detected in the natural environment; related species have been detected in in plants, insects, and aquatic environments, as well as from human body sites. It can tolerate hypersaline environments and higher temperatures than most Candida species. We explore hypotheses about the pre-emergence niche of C. auris, whether in the environmental or human microbiome, and speculate on factors that might have led to its spread, including the possible roles of healthcare, antifungal use, and environmental changes, including human activities that might have expanded its presence in the environment or caused increased human contact.
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- 2019
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34. Public Health Response to US Cases of Candida auris, a Globally Emerging, Multidrug-Resistant Yeast, 2013–2017
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Brendan R Jackson, Emily Lutterloh, Sarah K Kemble, Shawn R. Lockhart, Nancy A. Chow, Rory M. Welsh, Karen Southwick, Rafael Fernandez, Jane Greenko, Anastasia P. Litvintseva, Rosalie Giardina, Janna L. Kerins, Elizabeth L. Berkow, Rebecca Greeley, Monica Quinn, Alexander J. Kallen, Snigdha Vallabhaneni, Sharon Tsay, Kerri Barton, Eleanor Adams, Tom Chiller, Stephanie R. Black, Patricia M Barrett, Sudha Chaturvedi, Alicia Shugart, Lalitha Gade, and Dj Shannon
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medicine.medical_specialty ,business.industry ,Public health ,Poster Abstract ,Yeast ,Microbiology ,Multiple drug resistance ,Abstracts ,Infectious Diseases ,Oncology ,Candida auris ,medicine ,Artificial intelligence ,business - Abstract
Background Candida auris is an often multidrug-resistant yeast that causes invasive infections and, unlike most Candida species, spreads in healthcare facilities. CDC released a clinical alert in June 2016 requesting reporting of C. auris cases. We investigated cases to contain transmission and inform prevention measures for this novel organism. Methods Clinical cases were defined as C. auris from any clinical specimen from a patient in the United States. Response to cases included implementation of infection control measures, enhanced cleaning and disinfection, and testing of close contacts for C. auris colonisation (isolation from a person’s axilla or groin was defined as a screening case). Microbiology records were reviewed at reporting facilities for missed cases. All isolates were forwarded to CDC for confirmation, antifungal susceptibility testing, and whole-genome sequencing (WGS). Results As of April 13, 2017, 61 clinical cases of C. auris were reported from six states: New York (39), New Jersey (15), Illinois (4), Indiana (1), Maryland (1), and Massachusetts (1). All but two occurred since 2016 (Figure). An additional 32 screening cases were identified among contacts. Median age of clinical case-patients was 70 years (range 21–96); 56% were male. Nearly, all had underlying medical conditions and extensive exposure to healthcare facilities before infection. Most clinical isolates were from blood (38, 62%), followed by urine (8, 13%) and respiratory tract (5, 8%). Among the first 35 isolates, 30 (86%) were resistant to fluconazole, 15 (43%) to amphotericin B, and one (3%) to caspofungin. No isolate was resistant to all three. WGS revealed isolates from each state were highly related and different from other states, suggestive of transmission. Microbiology record reviews did not identify additional cases before 2016. Conclusion C. auris is an emerging pathogen, with similarities to multidrug-resistant bacteria, that has been transmitted in US healthcare settings. CDC and public health partners are committed to prompt and aggressive action through investigation of cases and heightened infection control practices to halt its spread. Disclosures All authors: No reported disclosures.
- Published
- 2017
35. Notes from the Field: Ongoing Transmission of Candida auris in Health Care Facilities — United States, June 2016–May 2017
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Rory M. Welsh, Sharon Tsay, Emily Lutterloh, Alicia Shugart, Brendan R Jackson, Eugenie Poirot, Snigdha Vallabhaneni, Patricia M Barrett, Janna L. Kerins, Lalitha Gade, Heather Moulton-Meissner, D J Shannon, Alex Kallen, Anastasia P. Litvintseva, Kristy Bradley, Monica Quinn, Tom Chiller, Sarah K Kemble, Eleanor Adams, Stephanie R. Black, Nancy A. Chow, Sudha Chaturvedi, Elizabeth L. Berkow, Kerri Barton, and Shawn R. Lockhart
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0301 basic medicine ,Adult ,Male ,medicine.medical_specialty ,Health (social science) ,Epidemiology ,Health, Toxicology and Mutagenesis ,030106 microbiology ,03 medical and health sciences ,Young Adult ,Health Information Management ,Health care ,medicine ,Humans ,Intensive care medicine ,Aged ,Candida ,Aged, 80 and over ,Cross Infection ,business.industry ,Transmission (medicine) ,Candidiasis ,General Medicine ,Drug susceptibility ,Middle Aged ,United States ,Candida auris ,Family medicine ,Female ,business ,Disease transmission ,Notes from the Field - Published
- 2017
36. Phosphate transporters in marine phytoplankton and their viruses: cross-domain commonalities in viral-host gene exchanges
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Jonathan A. Eisen, Erica Sodergren, Alexandra Z. Worden, Adam Monier, E. Virginia Armbrust, George M. Weinstock, Rory M. Welsh, and Chelle L. Gentemann
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Genetics ,0303 health sciences ,education.field_of_study ,biology ,030306 microbiology ,Population ,biology.organism_classification ,Microbiology ,Genome ,Bathycoccus ,03 medical and health sciences ,Marine bacteriophage ,Metagenomics ,Phylogenetics ,Botany ,14. Life underwater ,Phycodnaviridae ,education ,Gene ,Ecology, Evolution, Behavior and Systematics ,030304 developmental biology - Abstract
Phosphate (PO4) is an important limiting nutrient in marine environments. Marine cyanobacteria scavenge PO4 using the high-affinity periplasmic phosphate binding protein PstS. The pstS gene has recently been identified in genomes of cyanobacterial viruses as well. Here, we analyse genes encoding transporters in genomes from viruses that infect eukaryotic phytoplankton. We identified inorganic PO4 transporter-encoding genes from the PHO4 superfamily in several virus genomes, along with other transporter-encoding genes. Homologues of the viral pho4 genes were also identified in genome sequences from the genera that these viruses infect. Genome sequences were available from host genera of all the phytoplankton viruses analysed except the host genus Bathycoccus. Pho4 was recovered from Bathycoccus by sequencing a targeted metagenome from an uncultured Atlantic Ocean population. Phylogenetic reconstruction showed that pho4 genes from pelagophytes, haptophytes and infecting viruses were more closely related to homologues in prasinophytes than to those in what, at the species level, are considered to be closer relatives (e.g. diatoms). We also identified PHO4 superfamily members in ocean metagenomes, including new metagenomes from the Pacific Ocean. The environmental sequences grouped with pelagophytes, haptophytes, prasinophytes and viruses as well as bacteria. The analyses suggest that multiple independent pho4 gene transfer events have occurred between marine viruses and both eukaryotic and bacterial hosts. Additionally, pho4 genes were identified in available genomes from viruses that infect marine eukaryotes but not those that infect terrestrial hosts. Commonalities in marine host-virus gene exchanges indicate that manipulation of host-PO4 uptake is an important adaptation for viral proliferation in marine systems. Our findings suggest that PO4-availability may not serve as a simple bottom-up control of marine phytoplankton.
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- 2011
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37. 161. Prevalence and Risk Factors for Candida auris Colonization Among Patients in a Long-term Acute Care Hospital—New Jersey, 2017
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Stephanie Dietz, Kaitlin Forsberg, Patricia M Barrett, Julia W Wells, Faye M Rozwadowski, Rebecca Greeley, Jarred McAteer, Nancy A. Chow, Gordana Derado, Rory M. Welsh, Snigdha Vallabhaneni, Tara Fulton, Brendan R Jackson, and Kimberly A Skrobarcek
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0301 basic medicine ,medicine.medical_specialty ,030505 public health ,business.industry ,Transmission (medicine) ,Medical record ,medicine.medical_treatment ,030106 microbiology ,Outbreak ,Abstracts ,03 medical and health sciences ,Infectious Diseases ,Oncology ,Candida auris ,A. Oral Abstracts ,Acute care ,Healthcare settings ,Emergency medicine ,Medicine ,Colonization ,Hemodialysis ,0305 other medical science ,business - Abstract
Background Candida auris can be transmitted in healthcare settings, and patients can become asymptomatically colonized, increasing risk for invasive infection and transmission. We investigated an ongoing C. auris outbreak at a 30-bed long-term acute care hospital to identify colonization for C. auris prevalence and risk factors. Methods During February–June 2017, we conducted point prevalence surveys every 2 weeks among admitted patients. We abstracted clinical information from medical records and collected axillary and groin swabs. Swabs were tested for C. auris. Data were analyzed to identify risk factors for colonization with C. auris by evaluating differences between colonized and noncolonized patients. Results All 101 hospitalized patients were surveyed, and 33 (33%) were colonized with C. auris. Prevalence of colonization ranged from 8% to 38%; incidence ranged from 5% to 20% (figure). Among colonized patients with available data, 19/27 (70%) had a tracheostomy, 20/31 (65%) had gastrostomy tubes, 24/33 (73%) ventilator use, and 12/27 (44%) had hemodialysis. Also, 31/33 (94%) had antibiotics and 13/33 (34%) antifungals during hospitalization. BMI for colonized patients (mean = 30.3, standard deviation (SD) = 10) was higher than for noncolonized patients (mean = 26.5, SD = 7.9); t = −2.1; P = 0.04). Odds of colonization were higher among Black patients (33%) vs. White patients (16%) (odds ratio [OR] 3.5; 95% confidence interval [CI] 1.3–9.8), and those colonized with other multidrug-resistant organism (MDRO) (72%) vs. noncolonized (44%) (OR 3.2; CI 1.3–8.0). Odds of death were higher among colonized patients (OR 4.6; CI 1.6—13.6). Conclusion Patients in long-term acute care facilities and having high prevalences of MDROs might be at risk for C. auris. Such patients with these risk factors could be targeted for enhanced surveillance to facilitate early detection of C. auris. Infection control measures to reduce MDROs’ spread, including hand hygiene, contact precautions, and judicious use of antimicrobials, could prevent further C. auris transmission. Acknowledgements The authors thank Janet Glowicz and Kathleen Ross. Disclosures All authors: No reported disclosures.
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- 2018
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38. 923. Rapid Emergence of Candida auris in the Chicago Region
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Olufemi Jegede, Gregory A. Raczniak, Michelle Ealy, Stephanie R. Black, Elizabeth B Murphy, Massimo Pacilli, Sarah K Kemble, Kaitlin Forsberg, Maroya Spalding Walters, Amy E Fealy, Snigdha Vallabhaneni, Janna L. Kerins, Rory M. Welsh, and Angela S Tang
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0301 basic medicine ,medicine.medical_specialty ,Groin ,business.industry ,030106 microbiology ,Intensive care unit ,law.invention ,Infectious disease prevention / control ,Abstracts ,03 medical and health sciences ,Axilla ,0302 clinical medicine ,Infectious Diseases ,medicine.anatomical_structure ,Oncology ,Candida auris ,A. Oral Abstracts ,law ,Acute care ,medicine ,Microbial colonization ,030212 general & internal medicine ,Skilled Nursing Facility ,Intensive care medicine ,business - Abstract
Background In 2016, Candida auris was first reported in the United States, with 2 Illinois patients among the first cases. In response, the state and 3 Chicago-area health departments (HDs) investigated clinical cases and performed point prevalence surveys (PPSs) to identify colonized cases. Methods Clinical cases had positive C. auris cultures obtained for clinical care; colonized cases had positive surveillance cultures during PPSs. In August 2016–January 2018, PPSs were performed in Chicago-area acute care hospital (ACH) intensive care units, long-term acute-care hospitals (LTACHs), and high-acuity floors of skilled nursing facilities (SNFs) and SNFs caring for ventilated patients (vSNFs). Facility and HD staff obtained composite axilla/groin swabs from assenting patients to detect colonization. Facilities with an epidemiologic link to a clinical case or a shared patient population with a facility housing a clinical case were prioritized for PPSs. Results During May 2016–January 2018, Chicago-area facilities reported 24 clinical cases, including 10 bloodstream infections. HDs performed 33 PPSs at 20 facilities (5 ACHs, 5 LTACHs, 3 SNFs, and 7 vSNFs) during August 2016–January 2018. Of 1,364 patients screened, 92 (6.7%) were colonized with C. auris; 10 (50%) facilities had ≥1 colonized patient. A significantly higher proportion screened positive from September 2017 to January 2018 (84/822, 10.2%) than in August 2016–August 2017 (8/542, 1.5%; z-test P < 0.01). Prevalence of C. auris colonization was highest in vSNFs (median: 7.7%; range: 0%–43.3%), compared with ACHs (0%; 0%–6.3%), LTACHs (0%; 0%–14.3%), and SNFs (0%, 0%–1.5%). PPSs in vSNFs identified 91% (84/92) of colonized cases. Among 5 vSNFs with repeat PPSs, 4 had higher prevalence on repeat screening (median: 26.1%; range: 0%–43.3%) than at baseline (1.2%; 0%–17.0%). Conclusion C. auris has rapidly emerged in the Chicago area. Increasing prevalence of C. auris colonization during repeat PPSs indicates transmission and amplification within vSNFs. To prevent spread, state and local HDs provided infection control recommendations, disseminated health alerts, and recommended placing vSNF patients from high-acuity floors on transmission-based precautions. Disclosures All authors: No reported disclosures.
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- 2018
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39. Alien vs. Predator: Pathogens open niche space for opportunists, unless controlled by predators
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Stephanie M. Rosales, Jesse R. Zaneveld, Rebecca Vega Thurber, Ryan McMinds, Jérôme P. Payet, Steven L. Hubbs, and Rory M. Welsh
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Montastraea cavernosa ,Rhodobacterales ,biology ,Vibrio coralliilyticus ,Ecology ,Coral ,fungi ,Niche ,Microbiome ,biology.organism_classification ,Pathogen ,Vibrio - Abstract
Coral microbiomes are known to play important roles in organismal health, response to environmental stress, and resistance to disease. Pathogens invading the coral microbiome encounter diverse assemblages of resident bacteria, ranging from defensive and metabolic symbionts to opportunistic bacteria that may turn harmful in compromised hosts. However, little is known about how these bacterial interactions influence the overall structure, stability, and function of the microbiome during the course of pathogen challenge. We sought to test how coral microbiome dynamics were affected by interactions between two of its members: Vibrio coralliilyticus, a known temperature-dependent coral pathogen, and Halobacteriovorax, a unique bacterial predator of Vibrio and other gram-negative bacteria. We challenged specimens of the important reef-building coral Montastraea cavernosa with Vibrio coralliilyticus pathogens in the presence or absence of Halobacteriovorax predators, and monitored microbial community dynamics with 16S rRNA gene time-series. In addition to its direct effects on corals, pathogen challenge reshaped coral microbiomes in ways that allowed for secondary blooms of opportunistic bacteria. As expected, Vibrio coralliilyticus addition increased the infiltration of Vibrio into coral tissues. This increase of Vibrios in coral tissue was accompanied by increased richness, and reduced stability (increased beta-diversity) of the rest of the microbiome, suggesting strong secondary effects of pathogen invasion on commensal and mutualistic coral bacteria. Moreover, after an initial increase in Vibrios, two opportunistic lineages (Rhodobacterales and Cytophagales) increased in coral tissues, suggesting that this pathogen opens niche space for opportunists. Based on the keystone role of predators in many ecosystems, we hypothesized that Halobacteriovorax predators might help protect corals by consuming gram-negative pathogens. In keeping with a protective role, Halobacteriovorax addition alone had only minor effects on the microbiome, and no infiltration of Halobacteriovorax into coral tissues was detected in amplicon libraries. Simultaneous challenge with both pathogen and predator eliminated detectable V. corallyticus infiltration into coral tissue samples, ameliorated changes to the rest of the coral microbiome, and prevented secondary blooms of opportunistic Rhodobacterales and Cytophagales. Thus, we show that primary infection by a coral pathogen is sufficient to cause increases in opportunists, as seen in correlational studies. These data further provide a proof-of-principle demonstration that, under certain circumstances, host-associated bacterial predators can mitigate the ability of pathogens to infiltrate host tissue, and stabilize the microbiome against complex secondary changes that favor growth of opportunistic lineages.
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- 2015
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40. Bacterial predation in a marine host-associated microbiome
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Jesse R. Zaneveld, Stephanie M. Rosales, Jérôme P. Payet, Rory M. Welsh, Rebecca Vega Thurber, and Deron E. Burkepile
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0301 basic medicine ,biology ,Host (biology) ,Ecology ,Coral Reefs ,Coral ,Microbiota ,Short Communication ,030106 microbiology ,Porites ,biology.organism_classification ,Anthozoa ,Microbiology ,Biota ,Vibrio ,Predation ,03 medical and health sciences ,Microbial ecology ,Proteobacteria ,Animals ,Microbial Interactions ,Microbiome ,Ecology, Evolution, Behavior and Systematics - Abstract
In many ecological communities, predation has a key role in regulating community structure or function. Although predation has been extensively explored in animals and microbial eukaryotes, predation by bacteria is less well understood. Here we show that predatory bacteria of the genus Halobacteriovorax are prevalent and active predators on the surface of several genera of reef-building corals. Across a library of 198 16S rRNA samples spanning three coral genera, 79% were positive for carriage of Halobacteriovorax. Cultured Halobacteriovorax from Porites asteroides corals tested positive for predation on the putative coral pathogens Vibrio corallyticus and Vibrio harveyii. Co-occurrence network analysis showed that Halobacteriovorax's interactions with other bacteria are influenced by temperature and inorganic nutrient concentration, and further suggested that this bacterial predator's abundance may be driven by prey availability. Thus, animal microbiomes can harbor active bacterial predators, which may regulate microbiome structure and protect the host by consuming potential pathogens.
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- 2015
41. Alien vs. predator: bacterial challenge alters coral microbiomes unless controlled byHalobacteriovoraxpredators
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Jérôme P. Payet, Stephanie M. Rosales, Rory M. Welsh, Jesse R. Zaneveld, Ryan McMinds, Rebecca Vega Thurber, and Steven L. Hubbs
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0301 basic medicine ,Gram-negative bacteria ,Bioinformatics ,Coral ,030106 microbiology ,lcsh:Medicine ,Marine Biology ,Microbiology ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Bacterial challenge ,14. Life underwater ,Microbiome ,Vibrio coralliilyticus ,Predator ,Halobacteriovorax ,Ecology ,biology ,General Neuroscience ,BALOs ,lcsh:R ,General Medicine ,biology.organism_classification ,Vibrio ,Rhodobacterales ,030104 developmental biology ,General Agricultural and Biological Sciences ,Bacteria - Abstract
Coral microbiomes are known to play important roles in organismal health, response to environmental stress, and resistance to disease. The coral microbiome contains diverse assemblages of resident bacteria, ranging from defensive and metabolic symbionts to opportunistic bacteria that may turn harmful in compromised hosts. However, little is known about how these bacterial interactions influence the mechanism and controls of overall structure, stability, and function of the microbiome. We sought to test how coral microbiome dynamics were affected by interactions between two bacteria:Vibrio coralliilyticus, a known temperature-dependent pathogen of some corals, andHalobacteriovorax, a unique bacterial predator ofVibrioand other gram-negative bacteria. We challenged reef-building coral withV. coralliilyticusin the presence or absence ofHalobacteriovoraxpredators, and monitored microbial community dynamics with 16S rRNA gene profiling time-series.Vibrio coralliilyticusinoculation increased the mean relative abundance ofVibriosby greater than 35% from the 4 to 8 hour time point, but not in the 24 & 32 hour time points. However, strong secondary effects of theVibriochallenge were also observed for the rest of the microbiome such as increased richness (observed species), and reduced stability (increased beta-diversity). Moreover, after the transient increase inVibrios,two lineages of bacteria (RhodobacteralesandCytophagales) increased in coral tissues, suggesting thatV. coralliilyticuschallenge opens niche space for these known opportunists.Rhodobacteralesincreased from 6.99% (±0.05 SEM) to a maximum mean relative abundance of 48.75% (±0.14 SEM) in the final time point andCytophagalesfrom Halobacteriovoraxpredators are commonly present at low-abundance on coral surfaces. Based on the keystone role of predators in many ecosystems, we hypothesized thatHalobacteriovoraxpredators might help protect corals by consuming foreign or “alien” gram negative bacteria.Halobacteriovoraxinoculation also altered the microbiome but to a lesser degree thanV. coralliilyticus, andHalobacteriovoraxwere never detected after inoculation. Simultaneous challenge with bothV. coralliilyticusand predatoryHalobacteriovoraxeliminated the increase inV. coralliilyticus, ameliorated changes to the rest of the coral microbiome, and prevented the secondary blooms of opportunisticRhodobacteralesandCytophagalesseen in theV. coralliilyticuschallenge. These data suggest that, under certain circumstances, host-associated bacterial predators may mitigate the ability of other bacteria to destabilize the microbiome.
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- 2017
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42. Unique nucleocytoplasmic dsDNA and +ssRNA viruses are associated with the dinoflagellate endosymbionts of corals
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Rebecca Vega Thurber, Adrienne M. S. Correa, and Rory M. Welsh
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viruses ,Microbiology ,Symbiodinium ,Phylogenetics ,Animals ,Humans ,Phycodnaviridae ,RNA Viruses ,Symbiosis ,Gene ,Ecology, Evolution, Behavior and Systematics ,Phylogeny ,Genetics ,biology ,Ecology ,Coral Reefs ,fungi ,Dinoflagellate ,RNA ,DNA virus ,RNA virus ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,Anthozoa ,Dinoflagellida ,Original Article ,geographic locations - Abstract
The residence of dinoflagellate algae (genus: Symbiodinium) within scleractinian corals is critical to the construction and persistence of tropical reefs. In recent decades, however, acute and chronic environmental stressors have frequently destabilized this symbiosis, ultimately leading to coral mortality and reef decline. Viral infection has been suggested as a trigger of coral–Symbiodinium dissociation; knowledge of the diversity and hosts of coral-associated viruses is critical to evaluating this hypothesis. Here, we present the first genomic evidence of viruses associated with Symbiodinium, based on the presence of transcribed +ss (single-stranded) RNA and ds (double-stranded) DNA virus-like genes in complementary DNA viromes of the coral Montastraea cavernosa and expressed sequence tag (EST) libraries generated from Symbiodinium cultures. The M. cavernosa viromes contained divergent viral sequences similar to the major capsid protein of the dinoflagellate-infecting +ssRNA Heterocapsa circularisquama virus, suggesting a highly novel dinornavirus could infect Symbiodinium. Further, similarities to dsDNA viruses dominated (∼69%) eukaryotic viral similarities in the M. cavernosa viromes. Transcripts highly similar to eukaryotic algae-infecting phycodnaviruses were identified in the viromes, and homologs to these sequences were found in two independently generated Symbiodinium EST libraries. Phylogenetic reconstructions substantiate that these transcripts are undescribed and distinct members of the nucleocytoplasmic large DNA virus (NCLDVs) group. Based on a preponderance of evidence, we infer that the novel NCLDVs and RNA virus described here are associated with the algal endosymbionts of corals. If such viruses disrupt Symbiodinium, they are likely to impact the flexibility and/or stability of coral–algal symbioses, and thus long-term reef health and resilience.
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- 2012
43. Global distribution of a wild alga revealed by targeted metagenomics
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Patrick J. Keeling, Rory M. Welsh, Stephanie Malfatti, Susannah G. Tringe, Augustin C. Engman, Jan Janouškovec, Alexandra Z. Worden, and Darcy L. McRose
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0106 biological sciences ,Environmental change ,Population ,Molecular Sequence Data ,Biology ,01 natural sciences ,Genome ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Phytoplankton ,14. Life underwater ,education ,Genome, Chloroplast ,Gene ,030304 developmental biology ,Population Density ,0303 health sciences ,education.field_of_study ,Picoeukaryote ,Agricultural and Biological Sciences(all) ,Biochemistry, Genetics and Molecular Biology(all) ,Ecology ,010604 marine biology & hydrobiology ,biology.organism_classification ,Biological Evolution ,Carbon ,13. Climate action ,Metagenomics ,General Agricultural and Biological Sciences ,Stramenopiles ,Reference genome - Abstract
Summary Eukaryotic phytoplankton play key roles in atmospheric CO 2 uptake and sequestration in marine environments [1,2]. Community shifts attributed to climate change have already been reported in the Arctic ocean, where tiny, photosynthetic picoeukaryotes (≤3 μm diameter) have increased, while larger taxa have decreased [3]. Unfortunately, for vast regions of the world's oceans, little is known about distributions of different genera and levels of genetic variation between ocean basins. This lack of baseline information makes it impossible to assess the impacts of environmental change on phytoplankton diversity, and global carbon cycling. A major knowledge impediment is that these organisms are highly diverse, and most remain uncultured [2]. Metagenomics avoids the culturing step and provides insights into genes present in the environment without some of the biases associated with conventional molecular survey methods. However, connecting metagenomic sequences to the organisms containing them is challenging. For many unicellular eukaryotes the reference genomes needed to make this connection are not available. We circumvented this problem using at-sea fluorescence activated cell sorting (FACS) to separate abundant natural populations of photosynthetic eukaryotes and sequence their DNA, generating reference genome information while eliminating the need for culturing [2]. Here, we present the complete chloroplast genome from an Atlantic picoeukaryote population and discoveries it enabled on the evolution, distribution, and potential carbon sequestration role of a tiny, wild alga.
- Published
- 2012
44. Macroalgae decrease growth and alter microbial community structure of the reef-building coral, Porites astreoides
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Rory M. Welsh, Stephanie M. Rosales, Andrew A. Shantz, Adrienne M. S. Correa, Deron E. Burkepile, Catharine Pritchard, Rebecca Vega Thurber, and Andrew R. Thurber
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0106 biological sciences ,Coral ,Population Dynamics ,lcsh:Medicine ,Plant Science ,01 natural sciences ,lcsh:Science ,Multidisciplinary ,geography.geographical_feature_category ,Ecology ,Coral Reefs ,Microbial Mutation ,Marine Ecology ,Coral reef ,Plants ,Anthozoa ,Host-Pathogen Interaction ,Community Ecology ,Benthic zone ,Corals ,Seasons ,Coastal Ecology ,Research Article ,Algae ,Marine Biology ,Biology ,010603 evolutionary biology ,Porites astreoides ,Microbiology ,Models, Biological ,Microbial Ecology ,Animals ,14. Life underwater ,Microbiome ,Reef ,Microbial Pathogens ,Ecosystem ,geography ,Population Biology ,Resilience of coral reefs ,010604 marine biology & hydrobiology ,lcsh:R ,biology.organism_classification ,Seaweed ,Species Interactions ,Emerging Infectious Diseases ,lcsh:Q - Abstract
With the continued and unprecedented decline of coral reefs worldwide, evaluating the factors that contribute to coral demise is of critical importance. As coral cover declines, macroalgae are becoming more common on tropical reefs. Interactions between these macroalgae and corals may alter the coral microbiome, which is thought to play an important role in colony health and survival. Together, such changes in benthic macroalgae and in the coral microbiome may result in a feedback mechanism that contributes to additional coral cover loss. To determine if macroalgae alter the coral microbiome, we conducted a field-based experiment in which the coral Porites astreoides was placed in competition with five species of macroalgae. Macroalgal contact increased variance in the coral-associated microbial community, and two algal species significantly altered microbial community composition. All macroalgae caused the disappearance of a γ-proteobacterium previously hypothesized to be an important mutualist of P. astreoides. Macroalgal contact also triggered: 1) increases or 2) decreases in microbial taxa already present in corals, 3) establishment of new taxa to the coral microbiome, and 4) vectoring and growth of microbial taxa from the macroalgae to the coral. Furthermore, macroalgal competition decreased coral growth rates by an average of 36.8%. Overall, this study found that competition between corals and certain species of macroalgae leads to an altered coral microbiome, providing a potential mechanism by which macroalgae-coral interactions reduce coral health and lead to coral loss on impacted reefs.
- Published
- 2012
45. Phosphate transporters in marine phytoplankton and their viruses: cross-domain commonalities in viral-host gene exchanges
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Adam, Monier, Rory M, Welsh, Chelle, Gentemann, George, Weinstock, Erica, Sodergren, E Virginia, Armbrust, Jonathan A, Eisen, and Alexandra Z, Worden
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Pacific Ocean ,Genes, Viral ,Molecular Sequence Data ,Phytoplankton ,Metagenome ,Phosphate Transport Proteins ,Phycodnaviridae ,Genome, Viral ,Cyanobacteria ,Atlantic Ocean ,Phylogeny ,Research Articles ,Phosphates - Abstract
Phosphate (PO(4)) is an important limiting nutrient in marine environments. Marine cyanobacteria scavenge PO(4) using the high-affinity periplasmic phosphate binding protein PstS. The pstS gene has recently been identified in genomes of cyanobacterial viruses as well. Here, we analyse genes encoding transporters in genomes from viruses that infect eukaryotic phytoplankton. We identified inorganic PO(4) transporter-encoding genes from the PHO4 superfamily in several virus genomes, along with other transporter-encoding genes. Homologues of the viral pho4 genes were also identified in genome sequences from the genera that these viruses infect. Genome sequences were available from host genera of all the phytoplankton viruses analysed except the host genus Bathycoccus. Pho4 was recovered from Bathycoccus by sequencing a targeted metagenome from an uncultured Atlantic Ocean population. Phylogenetic reconstruction showed that pho4 genes from pelagophytes, haptophytes and infecting viruses were more closely related to homologues in prasinophytes than to those in what, at the species level, are considered to be closer relatives (e.g. diatoms). We also identified PHO4 superfamily members in ocean metagenomes, including new metagenomes from the Pacific Ocean. The environmental sequences grouped with pelagophytes, haptophytes, prasinophytes and viruses as well as bacteria. The analyses suggest that multiple independent pho4 gene transfer events have occurred between marine viruses and both eukaryotic and bacterial hosts. Additionally, pho4 genes were identified in available genomes from viruses that infect marine eukaryotes but not those that infect terrestrial hosts. Commonalities in marine host-virus gene exchanges indicate that manipulation of host-PO(4) uptake is an important adaptation for viral proliferation in marine systems. Our findings suggest that PO(4) -availability may not serve as a simple bottom-up control of marine phytoplankton.
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- 2011
46. Targeted metagenomics and ecology of globally important uncultured eukaryotic phytoplankton
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Marie L. Cuvelier, Adam Monier, Mathangi Thiagarajan, Tanja Woyke, Alexandra Z. Worden, Andrew E. Allen, Francisco P. Chavez, Roger S. Lasken, Christopher L. Dupont, Thomas Ishoey, Jae-Hyeok Lee, Cedric M. Guigand, Elisabet Caler, Susannah G. Tringe, Rory M. Welsh, Betsy A. Read, Monique Messié, John P. McCrow, Jason A. Hilton, Kurt R. Buck, Mikel Latasa, and Brian J. Binder
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Lineage (evolution) ,Oceans and Seas ,Molecular Sequence Data ,Biology ,Genome ,18S ribosomal RNA ,Evolution, Molecular ,03 medical and health sciences ,Gene density ,RNA, Ribosomal, 16S ,RNA, Ribosomal, 18S ,14. Life underwater ,Amino Acid Sequence ,Biomass ,Medio Marino ,Ecosystem ,Phylogeny ,Centro Oceanográfico de Gijón ,030304 developmental biology ,Comparative genomics ,0303 health sciences ,Multidisciplinary ,Primary production ,Geography ,Sequence Homology, Amino Acid ,030306 microbiology ,Ecology ,fungi ,Temperature ,Eukaryota ,Marine photosynthesis ,15. Life on land ,Biological Sciences ,biology.organism_classification ,Haptophytes ,Metagenomics ,Phytoplankton ,Prymnesiophytes ,Florida ,Metagenome ,Prochlorococcus ,Seasons ,Adaptation - Abstract
Cuvelier, Marie L. ... et al.-- 6 pages, 4 figures, 1 table, this article contains supporting information online at https://www.pnas.org/content/pnas/suppl/2010/07/27/1001665107.DCSupplemental/pnas.201001665SI.pdf.-- Data deposition: The sequences reported in this paper have been deposited in the Gen-Bank database (accession nos. HM581528–HM581638 and HM565909–HM565914). Other scaffolds with predicted genes from this Whole Genome Shotgun/454 project have been deposited at DNA Data Bank of Japan/European Molecular Biology Laboratory/GenBank under the accession no. AEAR00000000. The version described in this paper is the first version, AEAR01000000, Among eukaryotes, four major phytoplankton lineages are responsible for marine photosynthesis; prymnesiophytes, alveolates, stramenopiles, and prasinophytes. Contributions by individual taxa, however, are not well known, and genomes have been analyzed fromonly the latter two lineages. Tiny >picoplanktonic> members of the prymnesiophyte lineage have long been inferred to be ecologically important but remain poorly characterized. Here, we examine pico-prymnesiophyte evolutionary history and ecology using cultivation-independent methods. 18S rRNA gene analysis showed picoprymnesiophytes belonged to broadly distributed uncultivated taxa. Therefore, we used targeted metagenomics to analyze uncultured pico-prymnesiophytes sorted by flow cytometry from subtropical North Atlantic waters. The data reveal a composite nuclear-encoded gene repertoire with strong green-lineage affiliations, which contrasts with the evolutionary history indicated by the plastid genome. Measured pico-prymnesiophyte growth rates were rapid in this region, resulting in primary production contributions similar to the cyanobacterium Prochlorococcus. On average, pico-prymnesiophytes formed 25% of global picophytoplankton biomass, with differing contributions in five biogeographical provinces spanning tropical to subpolar systems. Elements likely contributing to success include high gene density and genes potentially involved in defense and nutrient uptake. Our findings have implications reaching beyond pico-prymnesiophytes, to the prasinophytes and stramenopiles. For example, prevalence of putative Ni-containing superoxide dismutases (SODs), instead of Fe-containing SODs, seems to be a common adaptation among eukaryotic phytoplankton for reducing Fe quotas in low-Fe modern oceans. Moreover, highly mosaic gene repertoires, although compositionally distinct for each major eukaryotic lineage, now seem to be an underlying facet of successful marine phytoplankton, Sequencing was under DE-AC02- 05CH11231, by a Department of Energy Community Sequencing Program award to A.Z.W. and J. Eisen. Support was in part by DE-FC02-02ER63453, NSF OCE-0722374, and NSF-MCB-0732448 (to A.E.A.); a National Human Genomic Research Institute, National Institutes of Health grant (to R.S.L.); National Oceanic and Atmospheric Administration and David and Lucile Packard Foundation (DLPF) grants (F.P.C.); NSF-OCE-0241740 (to B.J.B.); and major funding by NSF-OCE-0836721, the DLPF, and a Moore Foundation Young Investigator Award as well as Moore 1668 (to A.Z.W.). Author contribution details are given in SI Materials and Methods, Section 12
- Published
- 2010
47. Widespread occurrence and genetic diversity of marine parasitoids belonging to Syndiniales ( Alveolata )
- Author
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Aurélie Chambouvet, Laure Guillou, Alexandra Z. Worden, Amy R. Kirkham, Ramon Massana, Rory M. Welsh, Dave J. Scanlan, Manon Viprey, Adaptation et diversité en milieu marin (AD2M), Station biologique de Roscoff [Roscoff] (SBR), Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS), Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS), Institute of Marine Sciences / Institut de Ciències del Mar [Barcelona] (ICM), Consejo Superior de Investigaciones Científicas [Madrid] (CSIC), Institut des Neurosciences de Montpellier - Déficits sensoriels et moteurs (INM), and Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)
- Subjects
0106 biological sciences ,[SDV.BID]Life Sciences [q-bio]/Biodiversity ,DNA, Ribosomal ,01 natural sciences ,Microbiology ,Alveolate ,[SDV.MP.PRO]Life Sciences [q-bio]/Microbiology and Parasitology/Protistology ,18S ribosomal RNA ,03 medical and health sciences ,Monophyly ,Phylogenetics ,Mediterranean Sea ,RNA, Ribosomal, 18S ,Animals ,Cluster Analysis ,Seawater ,[SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology ,14. Life underwater ,Clade ,Atlantic Ocean ,Phylogeny ,Ecology, Evolution, Behavior and Systematics ,ComputingMilieux_MISCELLANEOUS ,030304 developmental biology ,0303 health sciences ,biology ,Ecology ,010604 marine biology & hydrobiology ,Eukaryota ,Genes, rRNA ,Biodiversity ,Sequence Analysis, DNA ,DNA, Protozoan ,biology.organism_classification ,[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology ,Evolutionary biology ,Taxonomy (biology) ,[SDE.BE]Environmental Sciences/Biodiversity and Ecology ,Syndiniales ,Dinophyceae - Abstract
Summary Syndiniales are a parasitic order within the eukaryotic lineage Dinophyceae (Alveolata). Here, we analysed the taxonomy of this group using 43655 18S rRNA gene sequences obtained either from environmental data sets or cultures, including 6874 environmental sequences from this study derived from Atlantic and Mediterranean waters. A total of 5571 out of the 43655 sequences analysed fell within the Dinophyceae. Both bayesian and maximum likelihood phylogenies placed Syndiniales in five main groups (I‐V), as a monophyletic lineage at the base of ‘core’ dinoflagellates (all Dinophyceae except Syndiniales), although the latter placement was not bootstrap supported. Thus, the two uncultured novel marine alveolate groups I and II, which have been highlighted previously, are confirmed to belong to the Syndiniales. These groups were the most diverse and highly represented in environmental studies. Within each, 8 and 44 clades were identified respectively. Co-evolutionary trends between parasitic Syndiniales and their putative hosts were not clear, suggesting they may be relatively ‘general’ parasitoids. Based on the overall distribution patterns of the Syndinialesaffiliated sequences, we propose that Syndiniales are exclusively marine. Interestingly, sequences belonging to groups II, III and V were largely retrieved from the photic zone, while Group I dominated samples from anoxic and suboxic ecosystems. Nevertheless, both groups I and II contained specific clades preferentially, or exclusively, retrieved from these latter ecosystems. Given the broad distribution of Syndiniales, our work indicates that parasitism may be a major force in ocean food webs, a force that is neglected in current conceptualizations of the marine carbon cycle.
- Published
- 2008
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- View/download PDF
48. Bacterial taxa that limit sulfur flux from the ocean
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Christopher R. Reisch, William B. Whitman, Alison Buchan, Ronald P. Kiene, Wenying Ye, Mary Ann Moran, Rory M. Welsh, Kimberly Mace, Samantha B. Joye, José M. González, James R. Henriksen, Erinn C. Howard, and Helmut Bürgmann
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Food Chain ,Ruegeria ,Oceans and Seas ,Molecular Sequence Data ,Sulfonium Compounds ,chemistry.chemical_element ,Sulfides ,Dimethylsulfoniopropionate ,chemistry.chemical_compound ,Seawater ,Sulfhydryl Compounds ,Rhodobacteraceae ,Phylogeny ,Multidisciplinary ,Microbial food web ,biology ,Bacteria ,Sulfur Compounds ,fungi ,Bacterioplankton ,Roseobacter ,biology.organism_classification ,Plankton ,Sulfur ,Oceanography ,chemistry ,Genes, Bacterial ,Phytoplankton ,Propionates ,Oxidoreductases ,Flux (metabolism) ,Surface water ,Genome, Bacterial - Abstract
Flux of dimethylsulfide (DMS) from ocean surface waters is the predominant natural source of sulfur to the atmosphere and influences climate by aerosol formation. Marine bacterioplankton regulate sulfur flux by converting the precursor dimethylsulfoniopropionate (DMSP) either to DMS or to sulfur compounds that are not climatically active. Through the discovery of a glycine cleavage T-family protein with DMSP methyltransferase activity, marine bacterioplankton in the Roseobacter and SAR11 taxa were identified as primary mediators of DMSP demethylation to methylmercaptopropionate. One-third of surface ocean bacteria harbor a DMSP demethylase homolog and thereby route a substantial fraction of global marine primary production away from DMS formation and into the marine microbial food web.
- Published
- 2006
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