Abstract
The application of next generation sequencing technologies has opened the door to a new molecular epidemiology of tuberculosis, in which we can now look at transmission at a resolution not possible before. At the same time, new technical and analytical challenges have appeared, and we are still exploring the wider potential of this new technology. Whole genome sequencing in tuberculosis still requires bacterial cultures. Thus, although whole genome sequencing has revolutionized the interpretation of transmission patterns, it is not yet ready to be applied at the point-of-care. In this chapter, I will review the promises and challenges of genomic epidemiology, as well as some of the new questions that have arisen from the use of this new technology. In addition, I will examine the role of molecular epidemiology within the general frame of global tuberculosis control and how genomic epidemiology can contribute towards the elimination of the disease.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Andries K, Villellas C, Coeck N et al (2014) Acquired resistance of Mycobacterium tuberculosis to bedaquiline. PLoS One 9:e102135
Biek R, Pybus OG, Lloyd-Smith JO, Didelot X (2015) Measurably evolving pathogens in the genomic era. Trends Ecol Evol 30:306ā313
Black PA, de Vos M, Louw GE et al (2015) Whole genome sequencing reveals genomic heterogeneity and antibiotic purification in Mycobacterium tuberculosis isolates. BMC Genomics 16:857
Bloemberg GV, Keller PM, Stucki D et al (2015) Acquired resistance to bedaquiline and delamanid int for tuberculosis. N Engl J Med 373:1986ā1988
Bradley P, Gordon NC, Walker TM et al (2015) Rapid antibiotic-resistance predictions from genome sequence data for Staphylococcus aureus and Mycobacterium tuberculosis. Nat Commun 6:10063
Brown AC, Bryant JM, Einer-Jensen K et al (2015) Rapid whole-genome sequencing of Mycobacterium tuberculosis isolates directly from clinical samples. J Clin Microbiol 53:2230ā2237
Bryant JM, Harris SR, Parkhill J et al (2013a) Whole-genome sequencing to establish relapse or re-infection with Mycobacterium tuberculosis: a retrospective observational study. Lancet Respir Med 1:786ā792
Bryant JM, SchĆ¼rch AC, van Deutekom H et al (2013b) Inferring patient to patient transmission of Mycobacterium tuberculosis from whole genome sequencing data. BMC Infect Dis 13:110
Casali N, Nikolayevskyy V, Balabanova Y et al (2014) Evolution and transmission of drug-resistant tuberculosis in a Russian population. Nat Genet 46:279ā286
Cohen K, Abeel T, Manson McGuire A et al (2015) Evolution of extensively drug-resistant tuberculosis over four decades: whole genome sequencing and dating analysis of Mycobacterium tuberculosis isolates from KwaZulu-Natal. PLoS Med 12:1ā22
Colangeli R, Arcus VL, Cursons RT et al (2014) Whole genome sequencing of Mycobacterium tuberculosis reveals slow growth and low mutation rates during latent infections in humans. PLoS One 9:e91024
Cole ST, Brosch R, Parkhill J et al (1998) Deciphering the biology of Mycobacterium tuberculosis from the complete genome sequence. Nature 393:537ā544
Colman RE, Schupp JM, Hicks ND et al (2015) Detection of low-level mixed-population drug resistance in Mycobacterium tuberculosis using high fidelity amplicon sequencing. PLoS One 10:e0126626
Comas I, Gagneux S (2009) The past and future of tuberculosis research. PLoS Pathog 5:e1000600
Comas I, Chakravartti J, Small PM et al (2010) Human T cell epitopes of Mycobacterium tuberculosis are evolutionarily hyperconserved. Nat Genet 42:498ā503
Comas I, Borrell S, Roetzer A et al (2012) Whole-genome sequencing of rifampicin-resistant Mycobacterium tuberculosis strains identifies compensatory mutations in RNA polymerase genes. Nat Genet 44:106ā110
Copin R, Coscolla M, Seiffert SN et al (2014) Sequence diversity in the pe_pgrs genes of Mycobacterium tuberculosis is independent of human T cell recognition. MBio 5:e00960āe00913
Coscolla M, Barry PM, Oeltmann JE et al (2015) Genomic epidemiology of multidrug-resistant Mycobacterium tuberculosis during transcontinental spread. J Infect Dis 15:383ā388
Didelot X, Gardy J, Colijn C (2013) Bayesian inference of infectious disease transmission from whole genome sequence data. Mol Biol Evol 31:1869ā1879
Didelot X, Walker AS, Peto TE et al (2016) Within-host evolution of bacterial pathogens. Nat Rev Microbiol 14:150ā162
Doughty EL, Sergeant MJ, Adetifa I et al (2014) Culture-independent detection and characterisation of Mycobacterium tuberculosis and M. africanum in sputum samples using shotgun metagenomics on a benchtop sequencer. PeerJ 2:e585
du Plessis L, Stadler T (2015) Getting to the root of epidemic spread with phylodynamic analysis of genomic data. Trends Microbiol 23:383ā386
Dye C, Glaziou P, Floyd K, Raviglione M (2013) Prospects for tuberculosis elimination. Annu Rev Public Health 34:271ā286
Eldholm V, Norheim G, von der Lippe B et al (2014) Evolution of extensively drug-resistant Mycobacterium tuberculosis from a susceptible ancestor in a single patient. Genome Biol 15:490
Eldholm V, Monteserin J, Rieux A et al (2015) Four decades of transmission of a multidrug-resistant Mycobacterium tuberculosis outbreak strain. Nat Commun 6:7119
Ford CB, Lin PL, Chase MR et al (2011) Use of whole genome sequencing to estimate the mutation rate of Mycobacterium tuberculosis during latent infection. Nat Genet 43:482ā486
Ford CB, Shah RR, Maeda MK et al (2013) Mycobacterium tuberculosis mutation rate estimates from different lineages predict substantial differences in the emergence of drug-resistant tuberculosis. Nat Genet 45:784ā790
Gardy JL, Johnston JC, Sui SJH et al (2011) Whole-genome sequencing and social-network analysis of a tuberculosis outbreak. N Engl J Med 364:730ā739
Gillespie SH, Crook AM, McHugh TD et al (2014) Four-month moxifloxacin-based regimens for drug-sensitive tuberculosis. N Engl J Med 371:1577ā1587
Gordienko EN, Kazanov MD, Gelfand MS (2013) Evolution of pan-genomes of Escherichia coli, Shigella spp., and Salmonella enterica. J Bacteriol 195:2786ā2792
Grenfell BT, Pybus OG, Gog JR et al (2004) Unifying the epidemiological and evolutionary dynamics of pathogens. Science 303(80):327ā332
Guerra-AssunĆ§Ć£o JA, Crampin AC, Houben RMGJ et al (2015a) Large-scale whole genome sequencing of M. tuberculosis provides insights into transmission in a high prevalence area. elife 4:1ā17
Guerra-AssunĆ§Ć£o JA, Houben RMGJ, Crampin AC et al (2015b) Recurrence due to relapse or reinfection with Mycobacterium tuberculosis: a whole-genome sequencing approach in a large, population-based cohort with a high HIV infection prevalence and active follow-up. J Infect Dis 211:1154ā1163
Hatherell H-A, Colijn C, Stagg HR et al (2016) Interpreting whole genome sequencing for investigating tuberculosis transmission: a systematic review. BMC Med 14:21
Johnston JC, Khan FA, Dowdy DW (2015) Reducing relapse in tuberculosis treatment: is it time to reassess WHO treatment guidelines? Int J Tuberc Lung Dis 19:624
Jombart T, Cori A, Didelot X et al (2014) Bayesian eeconstruction of disease outbreaks by combining epidemiologic and genomic data. PLoS Comput Biol 10:e1003457
Kay GL, Sergeant MJ, Zhou Z et al (2015) Eighteenth-century genomes show that mixed infections were common at time of peak tuberculosis in Europe. Nat Commun 6:6717
KĆ¼hnert D, Stadler T, Vaughan TG, Drummond AJ (2014) Simultaneous reconstruction of evolutionary history and epidemiological dynamics from viral sequences with the birth-death SIR model. J R Soc Interface 11:20131106
Liu Q, Via LE, Luo T et al (2015) Within patient microevolution of Mycobacterium tuberculosis correlates with heterogeneous responses to treatment. Sci Rep 5:17507
Loman NJ, Pallen MJ (2015) Twenty years of bacterial genome sequencing. Nat Rev Microbiol:1ā9
Niemann S, Kƶser CU, Gagneux S et al (2009) Genomic diversity among drug sensitive and multidrug resistant isolates of Mycobacterium tuberculosis with identical DNA fingerprints. PLoS One 4:e7407
OāRawe J, Jiang T, Sun G et al (2013) Low concordance of multiple variant-calling pipelines: practical implications for exome and genome sequencing. Genome Med 5:28
Pai M, Schito M (2015) Tuberculosis diagnostics in 2015: landscape, priorities, needs, and prospects. J Infect Dis 211(Suppl):S21āS28
PĆ©rez-Lago L, Comas I, Navarro Y et al (2013) Whole genome sequencing analysis of intrapatient microevolution in Mycobacterium tuberculosis: potential impact on the inference of tuberculosis transmission. J Infect Dis:1ā11
Perez-Lago L, Martinez Lirola M, Herranz M et al (2015) Fast and low-cost decentralized surveillance of transmission of tuberculosis based on strain-specific PCRs tailored from whole genome sequencing data: a pilot study. Clin Microbiol Infect 21:249.e1ā249.e9
PĆ©rez-Lago L, Navarro Y, Montilla P et al (2015) Persistent infection by a Mycobacterium tuberculosis strain that was theorized to have advantageous properties, as it was responsible for a massive outbreak. J Clin Microbiol 53:3423ā3429
Phelan JE, Coll F, Bergval I et al (2016) Recombination in pe/ppe genes contributes to genetic variation in Mycobacterium tuberculosis lineages. BMC Genomics 17:151
Quail M, Smith ME, Coupland P et al (2012) A tale of three next generation sequencing platforms: comparison of Ion torrent, pacific biosciences and illumina MiSeq sequencers. BMC Genomics 13:1
Quick J, Loman NJ, Duraffour S et al (2016) Real-time, portable genome sequencing for Ebola surveillance. Nature 530:228ā232
Rasmussen DA, Ratmann O, Koelle K (2011) Inference for nonlinear epidemiological models using genealogies and time series. PLoS Comput Biol 7:e1002136
Rocha EPC, Smith JM, Hurst LD et al (2006) Comparisons of dN/dS are time dependent for closely related bacterial genomes. J Theor Biol 239:226ā235
Roetzer A, Diel R, Kohl TA et al (2013) Whole genome sequencing versus traditional genotyping for investigation of a Mycobacterium tuberculosis outbreak: a longitudinal molecular epidemiological study. PLoS Med 10:e1001387
Schurch AC, Kremer K, Daviena O et al (2010) High resolution typing by integration of genome sequencing data in a large tuberculosis cluster. J Clin Microbiol 48:3403ā3406
Stadler T, KĆ¼hnert D, Bonhoeffer S, Drummond AJ (2012) Birth ā death skyline plot reveals temporal changes of epidemic spread in HIV and hepatitis C virus (HCV). Proc Natl Acad Sci U S A 110:228ā233
Sterling TR, Lehmann HP, Frieden TR (2003) Impact of DOTS compared with DOTS-plus on multidrug resistant tuberculosis and tuberculosis deaths: decision analysis. BMJ 326:574
Stucki D, Ballif M, Bodmer T et al (2015a) Tracking a tuberculosis outbreak over 21 years: strain-specific single-nucleotide polymorphism typing combined with targeted whole-genome sequencing. J Infect Dis 211:1306ā1316
Stucki D, Ballif M, Egger M et al (2015b) Standard genotyping overestimates transmission of Mycobacterium tuberculosis among immigrants in a low-incidence country. J Clin Microbiol 7:1862ā1870
Sun G, Luo T, Yang C et al (2012) Dynamic population changes in Mycobacterium tuberculosis during acquisition and fixation of drug resistance in patients. J Infect Dis 206:1724ā1733
Tameris MD, Hatherill M, Landry BS et al (2013) Safety and efficacy of MVA85A, a new tuberculosis vaccine, in infants previously vaccinated with BCG: a randomised, placebo-controlled phase 2b trial. Lancet 6736:1ā8
Van Rie A, Victor TC, Richardson M et al (2005) Reinfection and mixed infection cause changing Mycobacterium tuberculosis drug-resistance patterns. Am J Respir Crit Care Med 172:636ā642
Van Soolingen D (2014) Whole-genome sequencing of Mycobacterium tuberculosis as an epidemiological marker. Lancet Respir Med 4:251ā252
Votintseva AA, Bradley P, Pankhurst L, Del Ojo Elias C, Loose M, Nilgiriwala K, Chatterjee A, Smith EG, Sanderson N, Walker TM, Morgan MR, Wyllie DH, Walker AS, Peto TEA, Crook DW, Iqbal Z (2017) Same-day diagnostic and surveillance data for tuberculosis via whole-genome sequencing of direct respiratory samples. J Clin Microbiol 55(5):1285ā1298
Walker TM, Ip CL, Harrell RH et al (2013a) Whole-genome sequencing to delineate Mycobacterium tuberculosis outbreaks: a retrospective observational study. Lancet Infect Dis 13:137ā146
Walker TM, Monk P, Smith EG, Peto TE a (2013b) Contact investigations for outbreaks of Mycobacterium tuberculosis: advances through whole genome sequencing. Clin Microbiol Infect 19:796ā802
World Health Organization (2015). Global tuberculosis report
Yates TA, Khan PY, Knight GM et al (2016) The transmission of Mycobacterium tuberculosis in high burden settings. Lancet Infect Dis 16:227ā238
Yozwiak NL, Schaffner SF, Sabeti PC (2015) Data sharing: make outbreak research open access. Nature 518:477ā479
Zumla A, Memish ZA, Maeurer M et al (2014) Emerging novel and antimicrobial-resistant respiratory tract infections: new drug development and therapeutic options. Lancet Infect Dis 14:1136ā1149
Acknowledgements
I thank the members of my group for stimulating discussions. Work in my laboratory is supported by the Spanish National Foundation (MINECO SAF2013-43521-R) and the European Research Council (638553-TB-ACCELERATE).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
Ā© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Comas, I. (2017). Genomic Epidemiology of Tuberculosis. In: Gagneux, S. (eds) Strain Variation in the Mycobacterium tuberculosis Complex: Its Role in Biology, Epidemiology and Control. Advances in Experimental Medicine and Biology, vol 1019. Springer, Cham. https://doi.org/10.1007/978-3-319-64371-7_4
Download citation
DOI: https://doi.org/10.1007/978-3-319-64371-7_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-64369-4
Online ISBN: 978-3-319-64371-7
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)