Emergence and spread of a human-transmissible multidrug-resistant nontuberculous mycobacterium

Author:

Bryant Josephine M.12,Grogono Dorothy M.23,Rodriguez-Rincon Daniela2,Everall Isobel1,Brown Karen P.23,Moreno Pablo4,Verma Deepshikha5,Hill Emily5,Drijkoningen Judith2,Gilligan Peter6,Esther Charles R.6,Noone Peadar G.6,Giddings Olivia6,Bell Scott C.789,Thomson Rachel10,Wainwright Claire E.811,Coulter Chris12,Pandey Sushil12,Wood Michelle E.789,Stockwell Rebecca E.78,Ramsay Kay A.78,Sherrard Laura J.7,Kidd Timothy J.1314,Jabbour Nassib1516,Johnson Graham R.16,Knibbs Luke D.17,Morawska Lidia16,Sly Peter D.18,Jones Andrew19,Bilton Diana19,Laurenson Ian20,Ruddy Michael21,Bourke Stephen22,Bowler Ian C. J. W.23,Chapman Stephen J.23,Clayton Andrew24,Cullen Mairi25,Dempsey Owen26,Denton Miles27,Desai Maya28,Drew Richard J.29,Edenborough Frank30,Evans Jason21,Folb Jonathan31,Daniels Thomas32,Humphrey Helen32,Isalska Barbara25,Jensen-Fangel Søren33,Jönsson Bodil34,Jones Andrew M.25,Katzenstein Terese L.35,Lillebaek Troels36,MacGregor Gordon37,Mayell Sarah29,Millar Michael38,Modha Deborah39,Nash Edward F.40,O’Brien Christopher22,O’Brien Deirdre41,Ohri Chandra39,Pao Caroline S.38,Peckham Daniel27,Perrin Felicity42,Perry Audrey22,Pressler Tania35,Prtak Laura30,Qvist Tavs35,Robb Ali22,Rodgers Helen43,Schaffer Kirsten41,Shafi Nadia3,van Ingen Jakko44,Walshaw Martin45,Watson Danie38,West Noreen46,Whitehouse Joanna40,Haworth Charles S.3,Harris Simon R.1,Ordway Diane5,Parkhill Julian1,Floto R. Andres23

Affiliation:

1. Wellcome Trust Sanger Institute, Hinxton, UK.

2. Molecular Immunity Unit, Department of Medicine, University of Cambridge, Medical Research Council (MRC)–Laboratory of Molecular Biology, Cambridge, UK.

3. Cambridge Centre for Lung Infection, Papworth Hospital, Cambridge, UK.

4. European Molecular Biology Laboratory (EMBL) European Bioinformatics Institute, Hinxton, UK.

5. Mycobacteria Research Laboratory, Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins CO, USA.

6. University of North Carolina School of Medicine, NC, USA.

7. Queensland Institute of Medical Research (QIMR) Berghofer Medical Research Institute, Brisbane, Australia.

8. School of Medicine, The University of Queensland, Australia.

9. The Prince Charles Hospital (TPCH), Brisbane, Australia.

10. Gallipoli Medical Research Centre, University of Queensland, Brisbane, Australia.

11. Lady Cilento Children’s Hospital, Brisbane, Australia.

12. Queensland Mycobacterial Reference Laboratory, Brisbane, Australia.

13. Centre for Experimental Medicine, Queen’s University Belfast, Belfast, UK.

14. School of Chemistry and Biomolecular Sciences, University of Queensland, Brisbane, Australia.

15. Queensland University of Technology, Brisbane, Australia.

16. International Laboratory for Air Quality and Health, Queensland University of Technology, Brisbane, Australia.

17. School of Public Health, University of Queensland, Brisbane, Australia.

18. Child Health Research Centre, University of Queensland, Brisbane, Australia.

19. Royal Brompton and Harefield National Health Service (NHS) Foundation Trust, London, UK.

20. Scottish Mycobacteria Reference Laboratory, Edinburgh, UK.

21. Wales Centre for Mycobacteria, Cardiff, UK.

22. The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.

23. Oxford University Hospitals NHS Foundation Trust,Oxford, UK.

24. Nottingham University Hospitals NHS Trust, Nottingham, UK.

25. University Hospital of South Manchester NHS Foundation Trust, Manchester, UK.

26. Aberdeen Royal Infirmary, NHS Grampian, Scotland, UK.

27. The Leeds Teaching Hospitals NHS Trust, Leeds, UK.

28. Birmingham Children’s Hospital NHS Foundation Trust, Birmingham, UK.

29. Alder Hey Children’s NHS Foundation Trust, Liverpool, UK.

30. Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

31. The Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.

32. University Hospital Southampton NHS Foundation Trust, Southampton, UK.

33. Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

34. Department of Infectious Medicine, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden.

35. Copenhagen Cystic Fibrosis Center, Department of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark.

36. International reference Laboratory of Mycobacteriology, Statens Serum Institut, Copenhagen, Denmark.

37. Gartnavel Hospital, Glasgow, NHS Greater Glasgow and Clyde, Scotland, UK.

38. Barts Health NHS Trust, London, UK.

39. University Hospitals of Leicester NHS Trust, Leicester, UK.

40. Heart of England NHS Foundation Trust, Birmingham, UK.

41. St Vincent’s University Hospital, Dublin, Ireland.

42. King’s College Hospital NHS Foundation Trust, London, UK.

43. Western General Hospital, NHS Lothian, Scotland, UK.

44. Department of Medical Microbiology, Radboud University Medical Centre, Nijmegen, Netherlands.

45. Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.

46. Sheffield Children’s NHS Foundation Trust, Sheffield, UK.

Abstract

Global spread of aggressive mycobacteria Many mycobacteria, in addition to those causing leprosy and tuberculosis, are capable of infecting humans. Some can be particularly dangerous in patients suffering from immunosuppression or chronic disease, such as cystic fibrosis (CF). Bryant et al. observed clusters of near-identical isolates of drug-resistant Mycobacterium abscessus in patients reporting to CF clinics. The similarity of the isolates suggests transmission between patients, rather than environmental acquisition. Although this bacterium is renowned for its environmental resilience, the mechanism for its long-distance transmission among the global CF patient community remains a puzzle. Science , this issue p. 751

Funder

Wellcome Trust

Medical Research Council

UK Cystic Fibrosis Trust

Papworth Hospital

National Institute for Health Research (NIHR) Cambridge Biomedical Research Centre

NIHR Specialist Respiratory Biomedical Research Unit

UK Clinical Research Collaboration Translational Infection Research Initiative

CF Foundation Therapeutics

Australian National Health and Medical Research Council

The Prince Charles Hospital Foundation

National Services Division, NHS Scotland

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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