Literature DB >> 30606844

Metagenomic sequencing at the epicenter of the Nigeria 2018 Lassa fever outbreak.

E Ogbaini-Emovon1, S Günther2,3, S Duraffour4,3, L E Kafetzopoulou5,6,4, S T Pullan5,6, P Lemey7, M A Suchard8, D U Ehichioya4,3, M Pahlmann4,3, A Thielebein4,3, J Hinzmann4,3, L Oestereich4,3, D M Wozniak4,3, K Efthymiadis9, D Schachten4, F Koenig4, J Matjeschk4, S Lorenzen4, S Lumley5, Y Ighodalo1, D I Adomeh1, T Olokor1, E Omomoh1, R Omiunu1, J Agbukor1, B Ebo1, J Aiyepada1, P Ebhodaghe1, B Osiemi1, S Ehikhametalor1, P Akhilomen1, M Airende1, R Esumeh1, E Muoebonam1, R Giwa1, A Ekanem1, G Igenegbale1, G Odigie1, G Okonofua1, R Enigbe1, J Oyakhilome1, E O Yerumoh1, I Odia1, C Aire1, M Okonofua1, R Atafo1, E Tobin1, D Asogun1,10, N Akpede1, P O Okokhere1,10, M O Rafiu1, K O Iraoyah1, C O Iruolagbe1, P Akhideno1, C Erameh1, G Akpede1,10, E Isibor1, D Naidoo11, R Hewson5,6,12,13, J A Hiscox6,14,15, R Vipond5,6, M W Carroll5,6, C Ihekweazu16, P Formenty11, S Okogbenin1,10.   

Abstract

The 2018 Nigerian Lassa fever season saw the largest ever recorded upsurge of cases, raising concerns over the emergence of a strain with increased transmission rate. To understand the molecular epidemiology of this upsurge, we performed, for the first time at the epicenter of an unfolding outbreak, metagenomic nanopore sequencing directly from patient samples, an approach dictated by the highly variable genome of the target pathogen. Genomic data and phylogenetic reconstructions were communicated immediately to Nigerian authorities and the World Health Organization to inform the public health response. Real-time analysis of 36 genomes and subsequent confirmation using all 120 samples sequenced in the country of origin revealed extensive diversity and phylogenetic intermingling with strains from previous years, suggesting independent zoonotic transmission events and thus allaying concerns of an emergent strain or extensive human-to-human transmission.
Copyright © 2019 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

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Year:  2019        PMID: 30606844      PMCID: PMC6855379          DOI: 10.1126/science.aau9343

Source DB:  PubMed          Journal:  Science        ISSN: 0036-8075            Impact factor:   47.728


  26 in total

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Journal:  Science       Date:  2018-08-23       Impact factor: 47.728

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  72 in total

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