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Rapid expansion and international spread of M1 UK in the post-pandemic UK upsurge of Streptococcus pyogenes
by
Coelho, Juliana
, Didelot, Xavier
, Vieira, Ana
, Brown, Colin S
, Razaei, Maryam
, Croucher, Nicholas J
, Jauneikaite, Elita
, Mills, Ewurabena A
, Wan, Yu
, Reeves, Lucy C
, Broughton, Karen
, Soo, Valerie W C
, Guy, Rebecca L
, Harley, Alessandra
, Daniel, Roger
, Mok, Kai Yi
, Mumin, Zaynab
, Ganner, Marjorie A
, Li, Ho Kwong
, Mammadov, Rufat
, Papangeli, Maria
, Huse, Kristin K
, Ganner, Mark
, Rundberg, Emma
, Sgro, Vincenzo
, Lamagni, Theresa
, Ryan, Yan
, Dhami, Chenchal
, Sriskandan, Shiranee
in
Bacterial Proteins
/ COVID-19 - epidemiology
/ Europe - epidemiology
/ Genome, Bacterial
/ Humans
/ Mutation
/ Pandemics
/ Phylogeny
/ Repressor Proteins - genetics
/ SARS-CoV-2 - genetics
/ SARS-CoV-2 - isolation & purification
/ Scarlet Fever - epidemiology
/ Scarlet Fever - microbiology
/ Streptococcal Infections - epidemiology
/ Streptococcal Infections - microbiology
/ Streptococcus pyogenes - genetics
/ Streptococcus pyogenes - isolation & purification
/ Streptococcus pyogenes - pathogenicity
/ United Kingdom - epidemiology
2024
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Rapid expansion and international spread of M1 UK in the post-pandemic UK upsurge of Streptococcus pyogenes
by
Coelho, Juliana
, Didelot, Xavier
, Vieira, Ana
, Brown, Colin S
, Razaei, Maryam
, Croucher, Nicholas J
, Jauneikaite, Elita
, Mills, Ewurabena A
, Wan, Yu
, Reeves, Lucy C
, Broughton, Karen
, Soo, Valerie W C
, Guy, Rebecca L
, Harley, Alessandra
, Daniel, Roger
, Mok, Kai Yi
, Mumin, Zaynab
, Ganner, Marjorie A
, Li, Ho Kwong
, Mammadov, Rufat
, Papangeli, Maria
, Huse, Kristin K
, Ganner, Mark
, Rundberg, Emma
, Sgro, Vincenzo
, Lamagni, Theresa
, Ryan, Yan
, Dhami, Chenchal
, Sriskandan, Shiranee
in
Bacterial Proteins
/ COVID-19 - epidemiology
/ Europe - epidemiology
/ Genome, Bacterial
/ Humans
/ Mutation
/ Pandemics
/ Phylogeny
/ Repressor Proteins - genetics
/ SARS-CoV-2 - genetics
/ SARS-CoV-2 - isolation & purification
/ Scarlet Fever - epidemiology
/ Scarlet Fever - microbiology
/ Streptococcal Infections - epidemiology
/ Streptococcal Infections - microbiology
/ Streptococcus pyogenes - genetics
/ Streptococcus pyogenes - isolation & purification
/ Streptococcus pyogenes - pathogenicity
/ United Kingdom - epidemiology
2024
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Rapid expansion and international spread of M1 UK in the post-pandemic UK upsurge of Streptococcus pyogenes
by
Coelho, Juliana
, Didelot, Xavier
, Vieira, Ana
, Brown, Colin S
, Razaei, Maryam
, Croucher, Nicholas J
, Jauneikaite, Elita
, Mills, Ewurabena A
, Wan, Yu
, Reeves, Lucy C
, Broughton, Karen
, Soo, Valerie W C
, Guy, Rebecca L
, Harley, Alessandra
, Daniel, Roger
, Mok, Kai Yi
, Mumin, Zaynab
, Ganner, Marjorie A
, Li, Ho Kwong
, Mammadov, Rufat
, Papangeli, Maria
, Huse, Kristin K
, Ganner, Mark
, Rundberg, Emma
, Sgro, Vincenzo
, Lamagni, Theresa
, Ryan, Yan
, Dhami, Chenchal
, Sriskandan, Shiranee
in
Bacterial Proteins
/ COVID-19 - epidemiology
/ Europe - epidemiology
/ Genome, Bacterial
/ Humans
/ Mutation
/ Pandemics
/ Phylogeny
/ Repressor Proteins - genetics
/ SARS-CoV-2 - genetics
/ SARS-CoV-2 - isolation & purification
/ Scarlet Fever - epidemiology
/ Scarlet Fever - microbiology
/ Streptococcal Infections - epidemiology
/ Streptococcal Infections - microbiology
/ Streptococcus pyogenes - genetics
/ Streptococcus pyogenes - isolation & purification
/ Streptococcus pyogenes - pathogenicity
/ United Kingdom - epidemiology
2024
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Rapid expansion and international spread of M1 UK in the post-pandemic UK upsurge of Streptococcus pyogenes
Journal Article
Rapid expansion and international spread of M1 UK in the post-pandemic UK upsurge of Streptococcus pyogenes
2024
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Overview
The UK observed a marked increase in scarlet fever and invasive group A streptococcal infection in 2022 with severe outcomes in children and similar trends worldwide. Here we report lineage M1
to be the dominant source of invasive infections in this upsurge. Compared with ancestral M1
strains, invasive M1
strains exhibit reduced genomic diversity and fewer mutations in two-component regulator genes covRS. The emergence of M1
is dated to 2008. Following a bottleneck coinciding with the COVID-19 pandemic, three emergent M1
clades underwent rapid nationwide expansion, despite lack of detection in previous years. All M1
isolates thus-far sequenced globally have a phylogenetic origin in the UK, with dispersal of the new clades in Europe. While waning immunity may promote streptococcal epidemics, the genetic features of M1
point to a fitness advantage in pathogenicity, and a striking ability to persist through population bottlenecks.
Subject
/ Humans
/ Mutation
/ Repressor Proteins - genetics
/ SARS-CoV-2 - isolation & purification
/ Scarlet Fever - epidemiology
/ Scarlet Fever - microbiology
/ Streptococcal Infections - epidemiology
/ Streptococcal Infections - microbiology
/ Streptococcus pyogenes - genetics
/ Streptococcus pyogenes - isolation & purification
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