Targeted Metagenomics for Clinical Detection and Discovery of Bacterial Tick-Borne Pathogens.

Abstract:

:Tick-borne diseases, due to a diversity of bacterial pathogens, represent a significant and increasing public health threat throughout the Northern Hemisphere. A high-throughput 16S V1-V2 rRNA gene-based metagenomics assay was developed and evaluated using >13,000 residual samples from patients suspected of having tick-borne illness and >1,000 controls. Taxonomic predictions for tick-borne bacteria were exceptionally accurate, as independently validated by secondary testing. Overall, 881 specimens were positive for bacterial tick-borne agents. Twelve tick-borne bacterial species were detected, including two novel pathogens, representing a 100% increase in the number of tick-borne bacteria identified compared to what was possible by initial PCR testing. In three blood specimens, two tick-borne bacteria were simultaneously detected. Seven bacteria, not known to be tick transmitted, were also confirmed to be unique to samples from persons suspected of having tick-borne illness. These results indicate that 16S V1-V2 metagenomics can greatly simplify diagnosis and accelerate the discovery of bacterial tick-borne pathogens.

journal_name

J Clin Microbiol

authors

Kingry L,Sheldon S,Oatman S,Pritt B,Anacker M,Bjork J,Neitzel D,Strain A,Berry J,Sloan L,Respicio-Kingry L,Dietrich E,Bloch K,Moncayo A,Srinivasamoorthy G,Hu B,Hinckley A,Mead P,Kugeler K,Petersen J

doi

10.1128/JCM.00147-20

subject

Has Abstract

pub_date

2020-10-21 00:00:00

issue

11

eissn

0095-1137

issn

1098-660X

pii

JCM.00147-20

journal_volume

58

pub_type

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