2016
DOI: 10.1038/nrmicro.2015.13
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Within-host evolution of bacterial pathogens

Abstract: Whole-genome sequencing has opened the way for investigating the dynamics and genomic evolution of bacterial pathogens during the colonization and infection of humans. The application of this technology to the longitudinal study of adaptation in an infected host--in particular, the evolution of drug resistance and host adaptation in patients who are chronically infected with opportunistic pathogens--has revealed remarkable patterns of convergent evolution, suggestive of an inherent repeatability of evolution. … Show more

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Cited by 396 publications
(406 citation statements)
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References 148 publications
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“…This relationship is distinct from those of hosts and their pathogens, which can also exhibit within-host evolution (44); for obligate, heritable symbiotic partners, hosts must maintain a viable symbiosis even if it involves a fitness cost. This study shows that intraspecific variation in hosts affects the regulation of obligate symbiosis and sheds light on its potential long-term evolutionary consequences.…”
Section: Discussionmentioning
confidence: 99%
“…This relationship is distinct from those of hosts and their pathogens, which can also exhibit within-host evolution (44); for obligate, heritable symbiotic partners, hosts must maintain a viable symbiosis even if it involves a fitness cost. This study shows that intraspecific variation in hosts affects the regulation of obligate symbiosis and sheds light on its potential long-term evolutionary consequences.…”
Section: Discussionmentioning
confidence: 99%
“…This frequent horizontal gene transfer incidence among community, together with previously observed high abundance of ARGs against vancomycin in human feces samples (Li et al, 2015), implied rapid adaptation towards newly introduced antibiotics of human pathogens under current infectious treatment. In addition, majority of these exogenous ARG-carrying fragments (68%) from clinically important pathogen species of Escherichia coli, Shigella flexneri, Acinetobacter baumannii and Enterococcus faecium, suggesting gene transfer, has had crucial role in adaptation to antibiotic stress in these pathogen species (Dijkshoorn et al, 2007;Stokes and Gillings, 2011;Didelot et al, 2016). Overall, both genetic linkage and composition-based analysis revealed surprisingly high extent and relevance of horizontal gene transfer events to resistome development in human-associated bacteria, especially human pathogens.…”
Section: Transfer Potential Of Args and Mrgsmentioning
confidence: 99%
“…Whole-genome sequencing provides single-base resolution of bacterial evolution in CF lung infections (Didelot et al 2016). Similar approaches in P. aeruginosa, Burkholderia dolosa, and Burkholderia multivorans have shown that mutations accumulate in clonal lineages during adaptation to the lung.…”
mentioning
confidence: 99%