1. Comparative genomics and full-length Tprk profiling of Treponema pallidum subsp. pallidum reinfection
- Author
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Hong Xie, Meei-Li Huang, Amin Addetia, Alexander L. Greninger, Christina M. Marra, Lauren C. Tantalo, and Michelle J. Lin
- Subjects
0301 basic medicine ,Bacterial Diseases ,Male ,Physiology ,Cell Membranes ,RC955-962 ,Artificial Gene Amplification and Extension ,Pathology and Laboratory Medicine ,Polymerase Chain Reaction ,Genome ,Treponematoses ,0302 clinical medicine ,Recurrence ,Arctic medicine. Tropical medicine ,Medicine and Health Sciences ,Treponema Pallidum ,Mammals ,Genetics ,Treponema ,biology ,Eukaryota ,High-Throughput Nucleotide Sequencing ,Animal Models ,Genomics ,Bacterial Pathogens ,Body Fluids ,Infectious Diseases ,Blood ,Experimental Organism Systems ,Medical Microbiology ,Vertebrates ,Leporids ,Rabbits ,Pathogens ,Cellular Structures and Organelles ,Anatomy ,Public aspects of medicine ,RA1-1270 ,Research Article ,Neglected Tropical Diseases ,Bacterial Outer Membrane Proteins ,Adult ,Urology ,030231 tropical medicine ,Sexually Transmitted Diseases ,Research and Analysis Methods ,Microbiology ,Deep sequencing ,Neurosyphilis ,03 medical and health sciences ,medicine ,Antigenic variation ,Animals ,Humans ,Syphilis ,Molecular Biology Techniques ,Microbial Pathogens ,Molecular Biology ,Gene ,Comparative genomics ,Sequence Assembly Tools ,Genitourinary Infections ,Public Health, Environmental and Occupational Health ,Organisms ,Biology and Life Sciences ,Computational Biology ,Membrane Proteins ,Genetic Variation ,Cell Biology ,Comparative Genomics ,Tropical Diseases ,Genome Analysis ,Outer Membrane Proteins ,medicine.disease ,biology.organism_classification ,030104 developmental biology ,Amniotes ,Animal Studies - Abstract
Developing a vaccine against Treponema pallidum subspecies pallidum, the causative agent of syphilis, remains a public health priority. Syphilis vaccine design efforts have been complicated by lack of an in vitro T. pallidum culture system, prolific antigenic variation in outer membrane protein TprK, and lack of functional annotation for nearly half of the genes. Understanding the genetic basis of T. pallidum reinfection can provide insights into variation among strains that escape cross-protective immunity. Here, we present comparative genomic sequencing and deep, full-length tprK profiling of two T. pallidum isolates from blood from the same patient that were collected six years apart. Notably, this patient was diagnosed with syphilis four times, with two of these episodes meeting the definition of neurosyphilis, during this interval. Outside of the highly variable tprK gene, we identified 14 coding changes in 13 genes. Nine of these genes putatively localized to the periplasmic or outer membrane spaces, consistent with a potential role in serological immunoevasion. Using a newly developed full-length tprK deep sequencing protocol, we profiled the diversity of this gene that far outpaces the rest of the genome. Intriguingly, we found that the reinfecting isolate demonstrated less diversity across each tprK variable region compared to the isolate from the first infection. Notably, the two isolates did not share any full-length TprK sequences. Our results are consistent with an immunodominant-evasion model in which the diversity of TprK explains the ability of T. pallidum to successfully reinfect individuals, even when they have been infected with the organism multiple times., Author summary The causative agent of syphilis, Treponema pallidum subspecies pallidum, is capable of repeat infections in people, suggesting that the human immune response does not develop sufficiently broad or long-lasting immunity to cover treponemal diversity. Here, we examined the genomes from two blood-derived isolates of T. pallidum derived 6 years apart from a patient who had syphilis four times during the same period to understand the genetic basis of reinfection. We found a paucity of coding changes across the genome outside of the highly variable tprK gene. Using deep profiling of the full-length tprK gene, we found surprisingly that the two isolates did not share any full-length TprK sequences.
- Published
- 2020