El Tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics

The phenotypic and molecular genetic properties of 133 strains of genetically modified (genovariant) Vibrio cholerae O1 El Tor biovar isolated from patients in Dagestan (1993, 1994, 1998), and compared with 246 strains of a typical toxigenic cholera vibrio El Tor biovar isolated in 1970–1990 at the...

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Autores principales:	I. V. Savelyeva, A. N. Kulichenko, V. N. Saveliev, D. A. Kovalev, T. V. Taran, E. I. Podoprigora, O. V. Vasilieva, N. A. Shapakov
Formato:	article
Lenguaje:	RU
Publicado:	Sankt-Peterburg : NIIÈM imeni Pastera 2021
Materias:	cholera el tor evolution of the pathogen gene variants of biovar el tor pathogenesis clinic epidemiology pcr diagnostics epidemiological surveillance Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/b6af1cfdb12045cc97722941f2ea266a
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spelling	oai:doaj.org-article:b6af1cfdb12045cc97722941f2ea266a2021-11-22T07:09:55ZEl Tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics2220-76192313-739810.15789/2220-7619-ETC-1476https://doaj.org/article/b6af1cfdb12045cc97722941f2ea266a2021-11-01T00:00:00Zhttps://www.iimmun.ru/iimm/article/view/1476https://doaj.org/toc/2220-7619https://doaj.org/toc/2313-7398The phenotypic and molecular genetic properties of 133 strains of genetically modified (genovariant) Vibrio cholerae O1 El Tor biovar isolated from patients in Dagestan (1993, 1994, 1998), and compared with 246 strains of a typical toxigenic cholera vibrio El Tor biovar isolated in 1970–1990 at the Caucasus Region. It was found that 48.7% of the studied genetically modified strain variants had mixed phenotypic properties of the El Tor and classic biovars that evidences about a need to include the marker genes of the classical biovar (ctxBCl+, rtxC–) and the El Tor biovar (ctxBEl+, rtxC+) into the existing biotyping scheme. The genes of the El Tor biovar, isolated from patients in Dagestan, contain in addition to the El Tor ones, the genes of the classical biovar (ctxBCl and/or rstRCl), as well as the typical toxigenic cholera vibrios of El Tor, islands of persistence (EPI), pathogenicity (VPI-1 and VPI-2) and pandemicity (VSP-I and VSP-II). However, only the El Tor biovar genovariants were found to bear an integrative and conjugative SXT element with antibiotic polyresistance genes. Epidemic cholera outbreaks caused by the El Tor biovar genovariants that occurred in 1993–1998 at the Caucasus Region, correspond to classical (Asian) cholera based on disease severity. The epidemiological features of modern cholera were studied: the main way for transmission via fecal-oral route for typical El Tor cholera vibrio is waterborne, whereas for the El Tor gene variant — household. Primary infections upon water drinking and using domestic water from surface water bodies infected with typical El Tor vibrios occur outside the family hearth. In case of cholera caused by hybrid El Tor variants, infection is transmitted among family members via domestic factors under low sanitary level. The development of laboratory diagnostics and epidemiological surveillance of modern El Tor cholera is based on the development of PCR test systems taking into account the evolutionary genome transformations.I. V. SavelyevaA. N. KulichenkoV. N. SavelievD. A. KovalevT. V. TaranE. I. PodoprigoraO. V. VasilievaN. A. ShapakovSankt-Peterburg : NIIÈM imeni Pasteraarticlecholera el torevolution of the pathogengene variants of biovar el torpathogenesisclinicepidemiologypcr diagnosticsepidemiological surveillanceInfectious and parasitic diseasesRC109-216RUInfekciâ i Immunitet, Vol 11, Iss 5, Pp 917-926 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	cholera el tor evolution of the pathogen gene variants of biovar el tor pathogenesis clinic epidemiology pcr diagnostics epidemiological surveillance Infectious and parasitic diseases RC109-216
spellingShingle	cholera el tor evolution of the pathogen gene variants of biovar el tor pathogenesis clinic epidemiology pcr diagnostics epidemiological surveillance Infectious and parasitic diseases RC109-216 I. V. Savelyeva A. N. Kulichenko V. N. Saveliev D. A. Kovalev T. V. Taran E. I. Podoprigora O. V. Vasilieva N. A. Shapakov El Tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics
description	The phenotypic and molecular genetic properties of 133 strains of genetically modified (genovariant) Vibrio cholerae O1 El Tor biovar isolated from patients in Dagestan (1993, 1994, 1998), and compared with 246 strains of a typical toxigenic cholera vibrio El Tor biovar isolated in 1970–1990 at the Caucasus Region. It was found that 48.7% of the studied genetically modified strain variants had mixed phenotypic properties of the El Tor and classic biovars that evidences about a need to include the marker genes of the classical biovar (ctxBCl+, rtxC–) and the El Tor biovar (ctxBEl+, rtxC+) into the existing biotyping scheme. The genes of the El Tor biovar, isolated from patients in Dagestan, contain in addition to the El Tor ones, the genes of the classical biovar (ctxBCl and/or rstRCl), as well as the typical toxigenic cholera vibrios of El Tor, islands of persistence (EPI), pathogenicity (VPI-1 and VPI-2) and pandemicity (VSP-I and VSP-II). However, only the El Tor biovar genovariants were found to bear an integrative and conjugative SXT element with antibiotic polyresistance genes. Epidemic cholera outbreaks caused by the El Tor biovar genovariants that occurred in 1993–1998 at the Caucasus Region, correspond to classical (Asian) cholera based on disease severity. The epidemiological features of modern cholera were studied: the main way for transmission via fecal-oral route for typical El Tor cholera vibrio is waterborne, whereas for the El Tor gene variant — household. Primary infections upon water drinking and using domestic water from surface water bodies infected with typical El Tor vibrios occur outside the family hearth. In case of cholera caused by hybrid El Tor variants, infection is transmitted among family members via domestic factors under low sanitary level. The development of laboratory diagnostics and epidemiological surveillance of modern El Tor cholera is based on the development of PCR test systems taking into account the evolutionary genome transformations.
format	article
author	I. V. Savelyeva A. N. Kulichenko V. N. Saveliev D. A. Kovalev T. V. Taran E. I. Podoprigora O. V. Vasilieva N. A. Shapakov
author_facet	I. V. Savelyeva A. N. Kulichenko V. N. Saveliev D. A. Kovalev T. V. Taran E. I. Podoprigora O. V. Vasilieva N. A. Shapakov
author_sort	I. V. Savelyeva
title	El Tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics
title_short	El Tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics
title_full	El Tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics
title_fullStr	El Tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics
title_full_unstemmed	El Tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics
title_sort	el tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics
publisher	Sankt-Peterburg : NIIÈM imeni Pastera
publishDate	2021
url	https://doaj.org/article/b6af1cfdb12045cc97722941f2ea266a
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El Tor cholera at the contemporary stage of the seventh pandemia: pathogen evolution, clinical and epidemiological features, laboratory diagnostics

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