Characterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil

Detalhes bibliográficos
Autor(a) principal: Amanda Nadia Diniz
Data de Publicação: 2022
Outros Autores: Francisco Carlos Faria Lobato, Rodrigo Otávio Silveira Silva, Loren Nery Fontoura Moura, Diogo Soares Gonçalves Cruz, Carlos Augusto de Oliveira Junior, Henrique César Pereira Figueiredo, João Luís Reis Cunha, Eduardo Garcia Vilela, Edward J. Kuijper, Mark H Wilcox
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: https://doi.org/10.1371/journal.pone.0273013
http://hdl.handle.net/1843/61840
https://orcid.org/0000-0002-5287-5779
https://orcid.org/0000-0002-8577-6849
https://orcid.org/0000-0002-4565-2868
https://orcid.org/0000-0003-0074-2488
Resumo: CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
id UFMG_844a52845d5dd9fccdabf4b4d8ba0c82
oai_identifier_str oai:repositorio.ufmg.br:1843/61840
network_acronym_str UFMG
network_name_str Repositório Institucional da UFMG
repository_id_str
spelling 2023-12-07T21:25:09Z2023-12-07T21:25:09Z2022-08-26178e027301321https://doi.org/10.1371/journal.pone.02730131932-6203http://hdl.handle.net/1843/61840https://orcid.org/0000-0002-5287-5779https://orcid.org/0000-0002-8577-6849https://orcid.org/0000-0002-4565-2868https://orcid.org/0000-0003-0074-2488CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorClostridioides (Clostridium) difficile infection (CDI) is an evolving global healthcare problem, and owing to the diverse and dynamic molecular epidemiology of C. difficile, new strains continue to emerge. In Brazil, only two cases of CDI due to the so called hypervirulent PCR ribotype (RT) 027 belonging to clade 2 have ever been reported, whereas incidence of CDI due to another “hypervirulent” RT078 (clade 5) has not yet been reported. In contrast, novel clade 2 strains have been identified in different hospitals. To better understand the epidemiology of CDIs in Brazil, this study aimed to genotypically and phenotypically characterize three novel Brazilian clade 2 strains (RT883, 884, and 885) isolated from patients with confirmed CDI. In addition, to better understand the circulating RTs, a two-year sampling was conducted in patients from the same hospital and in several domestic and wild animal species. The three strains examined showed lower production of A/B toxins than the control RT027, although two of these strains harbored a truncated tcdC gene. All strains showed swimming motility similar to that of RT027, while RT883 showed higher spore production than the reference strain. In the in vivo hamster model, the lethality of all strains was found to be similar to that of RT027. Both cgMLST and cgMLSA analyses revealed a high genetic similarity among the three-novel clade 2 isolates. In the two-year survey in animals and humans, RT883, 884, and 885 were not detected; however, three new RTs (RT988, RT989, and RT990) were isolated, two of which were genetically related to the three previously reported clade 2 strains. RT106 and RT126 were most frequently detected in humans (47.9%) and animals (57.9%), respectively. Furthermore, RT027 and RT078 were not detected in humans. The results of this study suggest that these novel clade 2 strains have virulence potential and that new strains from clade 2 continue to emerge in our setting, indicating the need for long-term local surveillance.engUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE CLÍNICA MÉDICAMEDICINA - FACULDADE DE MEDICINAVET - DEPARTAMENTO DE MEDICINA VETERINÁRIA PREVENTIVAPLoS ONEProgramas de RastreamentoVirulênciaBrasilProgramas de RastreamentoVirulênciaBrasilCharacterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0273013Amanda Nadia DinizFrancisco Carlos Faria LobatoRodrigo Otávio Silveira SilvaLoren Nery Fontoura MouraDiogo Soares Gonçalves CruzCarlos Augusto de Oliveira JuniorHenrique César Pereira FigueiredoJoão Luís Reis CunhaEduardo Garcia VilelaEdward J. KuijperMark H Wilcoxapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/61840/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALCharacterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil.pdfCharacterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil.pdfapplication/pdf1898945https://repositorio.ufmg.br/bitstream/1843/61840/2/Characterization%20of%20the%20virulence%20of%20three%20novel%20clade%202%20Clostridioides%20%28Clostridium%29%20difficile%20strains%20and%20a%20two-year%20screening%20in%20animals%20and%20humans%20in%20Brazil.pdf34699616cdb753704de3a6caf64bc2e4MD521843/618402023-12-07 18:25:09.481oai:repositorio.ufmg.br:1843/61840TElDRU7vv71BIERFIERJU1RSSUJVSe+/ve+/vU8gTu+/vU8tRVhDTFVTSVZBIERPIFJFUE9TSVTvv71SSU8gSU5TVElUVUNJT05BTCBEQSBVRk1HCiAKCkNvbSBhIGFwcmVzZW50Ye+/ve+/vW8gZGVzdGEgbGljZW7vv71hLCB2b2Pvv70gKG8gYXV0b3IgKGVzKSBvdSBvIHRpdHVsYXIgZG9zIGRpcmVpdG9zIGRlIGF1dG9yKSBjb25jZWRlIGFvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIChSSS1VRk1HKSBvIGRpcmVpdG8gbu+/vW8gZXhjbHVzaXZvIGUgaXJyZXZvZ++/vXZlbCBkZSByZXByb2R1emlyIGUvb3UgZGlzdHJpYnVpciBhIHN1YSBwdWJsaWNh77+977+9byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cu+/vW5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mg77+9dWRpbyBvdSB277+9ZGVvLgoKVm9j77+9IGRlY2xhcmEgcXVlIGNvbmhlY2UgYSBwb2zvv710aWNhIGRlIGNvcHlyaWdodCBkYSBlZGl0b3JhIGRvIHNldSBkb2N1bWVudG8gZSBxdWUgY29uaGVjZSBlIGFjZWl0YSBhcyBEaXJldHJpemVzIGRvIFJJLVVGTUcuCgpWb2Pvv70gY29uY29yZGEgcXVlIG8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVGTUcgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250Ze+/vWRvLCB0cmFuc3BvciBhIHN1YSBwdWJsaWNh77+977+9byBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHvv73vv71vLgoKVm9j77+9IHRhbWLvv71tIGNvbmNvcmRhIHF1ZSBvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPvv71waWEgZGUgc3VhIHB1YmxpY2Hvv73vv71vIHBhcmEgZmlucyBkZSBzZWd1cmFu77+9YSwgYmFjay11cCBlIHByZXNlcnZh77+977+9by4KClZvY++/vSBkZWNsYXJhIHF1ZSBhIHN1YSBwdWJsaWNh77+977+9byDvv70gb3JpZ2luYWwgZSBxdWUgdm9j77+9IHRlbSBvIHBvZGVyIGRlIGNvbmNlZGVyIG9zIGRpcmVpdG9zIGNvbnRpZG9zIG5lc3RhIGxpY2Vu77+9YS4gVm9j77+9IHRhbWLvv71tIGRlY2xhcmEgcXVlIG8gZGVw77+9c2l0byBkZSBzdWEgcHVibGljYe+/ve+/vW8gbu+/vW8sIHF1ZSBzZWphIGRlIHNldSBjb25oZWNpbWVudG8sIGluZnJpbmdlIGRpcmVpdG9zIGF1dG9yYWlzIGRlIG5pbmd177+9bS4KCkNhc28gYSBzdWEgcHVibGljYe+/ve+/vW8gY29udGVuaGEgbWF0ZXJpYWwgcXVlIHZvY++/vSBu77+9byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2Pvv70gZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc++/vW8gaXJyZXN0cml0YSBkbyBkZXRlbnRvciBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgcGFyYSBjb25jZWRlciBhbyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBvcyBkaXJlaXRvcyBhcHJlc2VudGFkb3MgbmVzdGEgbGljZW7vv71hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Tvv70gY2xhcmFtZW50ZSBpZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250Ze+/vWRvIGRhIHB1YmxpY2Hvv73vv71vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFBVQkxJQ0Hvv73vv71PIE9SQSBERVBPU0lUQURBIFRFTkhBIFNJRE8gUkVTVUxUQURPIERFIFVNIFBBVFJPQ++/vU5JTyBPVSBBUE9JTyBERSBVTUEgQUfvv71OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PLCBWT0Pvv70gREVDTEFSQSBRVUUgUkVTUEVJVE9VIFRPRE9TIEUgUVVBSVNRVUVSIERJUkVJVE9TIERFIFJFVklT77+9TyBDT01PIFRBTULvv71NIEFTIERFTUFJUyBPQlJJR0Hvv73vv71FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKTyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lKHMpIG91IG8ocykgbm9tZXMocykgZG8ocykgZGV0ZW50b3IoZXMpIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBkYSBwdWJsaWNh77+977+9bywgZSBu77+9byBmYXLvv70gcXVhbHF1ZXIgYWx0ZXJh77+977+9bywgYWzvv71tIGRhcXVlbGFzIGNvbmNlZGlkYXMgcG9yIGVzdGEgbGljZW7vv71hLgo=Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-12-07T21:25:09Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv Characterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil
title Characterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil
spellingShingle Characterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil
Amanda Nadia Diniz
Programas de Rastreamento
Virulência
Brasil
Programas de Rastreamento
Virulência
Brasil
title_short Characterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil
title_full Characterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil
title_fullStr Characterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil
title_full_unstemmed Characterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil
title_sort Characterization of the virulence of three novel clade 2 Clostridioides (Clostridium) difficile strains and a two-year screening in animals and humans in Brazil
author Amanda Nadia Diniz
author_facet Amanda Nadia Diniz
Francisco Carlos Faria Lobato
Rodrigo Otávio Silveira Silva
Loren Nery Fontoura Moura
Diogo Soares Gonçalves Cruz
Carlos Augusto de Oliveira Junior
Henrique César Pereira Figueiredo
João Luís Reis Cunha
Eduardo Garcia Vilela
Edward J. Kuijper
Mark H Wilcox
author_role author
author2 Francisco Carlos Faria Lobato
Rodrigo Otávio Silveira Silva
Loren Nery Fontoura Moura
Diogo Soares Gonçalves Cruz
Carlos Augusto de Oliveira Junior
Henrique César Pereira Figueiredo
João Luís Reis Cunha
Eduardo Garcia Vilela
Edward J. Kuijper
Mark H Wilcox
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Amanda Nadia Diniz
Francisco Carlos Faria Lobato
Rodrigo Otávio Silveira Silva
Loren Nery Fontoura Moura
Diogo Soares Gonçalves Cruz
Carlos Augusto de Oliveira Junior
Henrique César Pereira Figueiredo
João Luís Reis Cunha
Eduardo Garcia Vilela
Edward J. Kuijper
Mark H Wilcox
dc.subject.por.fl_str_mv Programas de Rastreamento
Virulência
Brasil
topic Programas de Rastreamento
Virulência
Brasil
Programas de Rastreamento
Virulência
Brasil
dc.subject.other.pt_BR.fl_str_mv Programas de Rastreamento
Virulência
Brasil
description CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
publishDate 2022
dc.date.issued.fl_str_mv 2022-08-26
dc.date.accessioned.fl_str_mv 2023-12-07T21:25:09Z
dc.date.available.fl_str_mv 2023-12-07T21:25:09Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/61840
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.1371/journal.pone.0273013
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.orcid.pt_BR.fl_str_mv https://orcid.org/0000-0002-5287-5779
https://orcid.org/0000-0002-8577-6849
https://orcid.org/0000-0002-4565-2868
https://orcid.org/0000-0003-0074-2488
url https://doi.org/10.1371/journal.pone.0273013
http://hdl.handle.net/1843/61840
https://orcid.org/0000-0002-5287-5779
https://orcid.org/0000-0002-8577-6849
https://orcid.org/0000-0002-4565-2868
https://orcid.org/0000-0003-0074-2488
identifier_str_mv 1932-6203
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv PLoS ONE
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv MED - DEPARTAMENTO DE CLÍNICA MÉDICA
MEDICINA - FACULDADE DE MEDICINA
VET - DEPARTAMENTO DE MEDICINA VETERINÁRIA PREVENTIVA
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
bitstream.url.fl_str_mv https://repositorio.ufmg.br/bitstream/1843/61840/1/License.txt
https://repositorio.ufmg.br/bitstream/1843/61840/2/Characterization%20of%20the%20virulence%20of%20three%20novel%20clade%202%20Clostridioides%20%28Clostridium%29%20difficile%20strains%20and%20a%20two-year%20screening%20in%20animals%20and%20humans%20in%20Brazil.pdf
bitstream.checksum.fl_str_mv fa505098d172de0bc8864fc1287ffe22
34699616cdb753704de3a6caf64bc2e4
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
repository.name.fl_str_mv Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv
_version_ 1803589295078899712