Increase in invasive Streptococcus pyogenes M1 infections with close evolutionary genetic relationship, Iceland and Scotland, 2022 to 2023

Author:

Beres Stephen B1ORCID,Olsen Randall J21ORCID,Long S Wesley21ORCID,Langley Ross3,Williams Thomas4,Erlendsdottir Helga56,Smith Andrew78,Kristinsson Karl G56ORCID,Musser James M21

Affiliation:

1. Laboratory of Molecular and Translational Human Infectious Disease Research, Center for Infectious Diseases, Department of Pathology and Genomic Medicine, Houston Methodist Research Institute and Houston Methodist Hospital, Houston, United States

2. Departments of Pathology and Laboratory Medicine and Microbiology and Immunology, Weill Cornell Medical College, New York, United States

3. Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Children, Glasgow, Scotland

4. Department of Child Life and Health, University of Edinburgh, Edinburgh, Scotland

5. Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland

6. Department of Clinical Microbiology, Landspitali – the National University Hospital of Iceland, Reykjavik, Iceland

7. Scottish Microbiology Reference Laboratory, New Lister Building, Glasgow, Scotland

8. College of Medical, Veterinary and Life Sciences, Glasgow Dental Hospital and School, University of Glasgow, Glasgow, Scotland

Abstract

Group A Streptococcus isolates of the recently described M1UK clade have emerged to cause human infections in several European countries and elsewhere. Full-genome sequence analysis of M1 isolates discovered a close genomic relationship between some isolates from Scotland and the majority of isolates from Iceland causing serious infections in 2022 and 2023. Phylogenetic analysis strongly suggests that an isolate from or related to Scotland was the precursor to an M1UK variant responsible for almost all recent M1 infections in Iceland.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Reference24 articles.

1. Emergence of dominant toxigenic M1T1 Streptococcus pyogenes clone during increased scarlet fever activity in England: a population-based molecular epidemiological study.;Lynskey;Lancet Infect Dis,2019

2. Detection of Streptococcus pyogenes M1UK in Australia and characterization of the mutation driving enhanced expression of superantigen SpeA.;Davies;Nat Commun,2023

3. Characterization of emergent toxigenic M1UK Streptococcus pyogenes and associated sublineages.;Li;Microb Genom,2023

4. Increases in group A streptococcal infections in the pediatric population in Houston, TX, 2022.;Aboulhosn;Clin Infect Dis,2023

5. Insights gained from sequencing Australian non-invasive and invasive Streptococcus pyogenes isolates.;Butler;Microb Genom,2024

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