Abstract

Multilocus sequence typing (MLST) has become a useful tool for studying the genetic diversity of important public health pathogens, such as Chlamydia trachomatis (Ct). Four MLST schemes have been proposed for Ct (data available from Chlamydiales MLST databases). However, the lack of a sole standardized scheme represents the greatest limitation regarding typing this species. This study was thus aimed at evaluating the usefulness of the four MLST schemes available for Ct, describing each molecular marker's pattern and its contribution toward a description of intra-specific genetic diversity and population structure. The markers for each scheme, showed a variable power of dicrimination, exhibiting in some cases over estimation in the determination of Sequence Types (STs). However, individual analysis of each locus's typing efficiency and discrimination power led to identifying 8 markers as having a suitable pattern for intra-specific typing. analyzing the 8 candidate markers gave a combination of 3 of these loci as an optimal scheme for identifying a large amount of STs, maximizing discrimination power whilst maintaining suitable typing efficiency. One scheme was compared against core genome phylogenies, finding a higher typing resolution through the last approach. These results confirm once again that although complete genome data, in particular from core genome MLST (cgMLST) allow a high resolution clustering for Ct isolates. There are combinations of molecular markers that could generate equivalent results, with the advantage of representing an easy implementation strategy and lower costs leading to contribute to the monitoring and molecular epidemiology of Ct.

Highlights

  • Chlamydia trachomatis (Ct) has been the species having the greatest clinical and epidemiological importance; it infects the human genital-urinary tract, being the most common bacterial sexuallytransmitted infection (STI) worldwide (WHO, 2011; O’connell and Ferone, 2016)

  • There is a secure, open-access database for Chlamydiales (Chlamydiales Multilocus sequence typing (MLST) database https://pubmlst.org/chlamydiales/) which has information regarding the isolates obtained from different parts

  • The results obtained in these databases allowed us to conduct a descriptive analysis of the information contained therein and althought the original data is not population based, allowed us to compare them with was currently reported in the literature

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Summary

Introduction

Chlamydia trachomatis (Ct) has been the species having the greatest clinical and epidemiological importance; it infects the human genital-urinary tract, being the most common bacterial sexuallytransmitted infection (STI) worldwide (WHO, 2011; O’connell and Ferone, 2016). Ct has a single circular chromosome having more than 1 million base pairs (bp) as well as a 7.5 kb highly conserved plasmid having multiple copies within a cell (Tam et al, 1992; Seth-Smith et al, 2013; Nunes and Gomes, 2014; de Vries et al, 2015; Pawlikowska-Warych et al, 2015; Anaene et al, 2016; Jelocnik et al, 2016) This species is characterized by conserved genomes and by the low level of genetic diversity among variants (

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