Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis
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Общие вопросы военных операций. Тактика. Оперативное искусство. Стратегия. Театр военных действий. История войн (160)
Вирусология (444)
Патология. Клиническая медицина (6983)
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ELDHOLM, Vegard, PETTERSSON, John H.O, BRYNILDSRUD, Ola Bronstad, KITCHEN, Andrew, RASMUSSEN, Erik, LILLEBÆK, Troels, RONNING, Janne O, MENGSHOEL, Anne_Torunn Orunn, DEBECH, Nadia, ALFSNES, Kristian, BOHLIN, Jon, PEPPERELL, Caitlin, BALLOUX, Francois, KRUDU, V.. Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis. In: Proceedings of the National Academy of Sciences of the United States of America, 2016, vol. 113, pp. 1881-1886. ISSN 0027-8424.
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Proceedings of the National Academy of Sciences of the United States of America
Volumul 113 / 2016 / ISSN 0027-8424 /ISSNe 1091-6490

Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis

CZU: 355.48+578.8:616-002.5-036.1

Pag. 1881-1886

Eldholm Vegard1, Pettersson John H.O2, Brynildsrud Ola Bronstad1, Kitchen Andrew3, Rasmussen Erik4, Lillebæk Troels4, Ronning Janne O1, Mengshoel Anne_Torunn Orunn1, Debech Nadia1, Alfsnes Kristian5, Bohlin Jon1, Pepperell Caitlin6, Balloux Francois7, Krudu V.8
 
1 Norwegian Institute of Public Health,
2 University of Sydney,
3 Iowa State University, Ames,
4 Statens Serum Institut, Copenhagen,
5 University of Oslo,
6 University of Wisconsin,
7 University College London (UCL), London,
8 Institute of Phtysiopneumology „Chiril Draganiuc”
 
 
Disponibil în IBN: 7 noiembrie 2017


Rezumat

The "Beijing" Mycobacterium tuberculosis (Mtb) lineage 2 (L2) is spreading globally and has been associated with accelerated disease progression and increased antibiotic resistance. Here we performed a phylodynamic reconstruction of one of the L2 sublineages, the central Asian clade (CAC), which has recently spread to western Europe. We find that recent historical events have contributed to the evolution and dispersal of the CAC. Our timing estimates indicate that the clade was likely introduced to Afghanistan during the 1979-1989 Soviet-Afghan war and spread further after population displacement in the wakeof the American invasion in 2001. We also find that drug resistance mutations accumulated on a massive scale in Mtb isolates from former Soviet republics after the fall of the Soviet Union, a pattern that was not observed in CAC isolates from Afghanistan. Our results underscore the detrimental effects of political instability and population displacement on tuberculosis control and demonstrate the power of phylodynamic methods in exploring bacterial evolution in space and time.