Abstract:
:Clostridium difficile has rapidly emerged as the leading cause of antibiotic-associated diarrheal disease, with the transcontinental spread of various PCR ribotypes, including 001, 017, 027 and 078. However, the genetic basis for the emergence of C. difficile as a human pathogen is unclear. Whole genome sequencing was used to analyze genetic variation and virulence of a diverse collection of thirty C. difficile isolates, to determine both macro and microevolution of the species. Horizontal gene transfer and large-scale recombination of core genes has shaped the C. difficile genome over both short and long time scales. Phylogenetic analysis demonstrates C. difficile is a genetically diverse species, which has evolved within the last 1.1-85 million years. By contrast, the disease-causing isolates have arisen from multiple lineages, suggesting that virulence evolved independently in the highly epidemic lineages.
journal_name
Proc Natl Acad Sci U S Aauthors
He M,Sebaihia M,Lawley TD,Stabler RA,Dawson LF,Martin MJ,Holt KE,Seth-Smith HM,Quail MA,Rance R,Brooks K,Churcher C,Harris D,Bentley SD,Burrows C,Clark L,Corton C,Murray V,Rose G,Thurston S,van Tonder A,Walker Ddoi
10.1073/pnas.0914322107subject
Has Abstractpub_date
2010-04-20 00:00:00pages
7527-32issue
16eissn
0027-8424issn
1091-6490pii
0914322107journal_volume
107pub_type
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