Genomic epidemiology and evolution of Bordetella pertussis under the vaccination pressure of acellular vaccines in Beijing, China, 2020–2023

Pertussis (or whooping cough) has experienced a global resurgence despite widespread vaccine efforts. In China, the incidence of pertussis has rapidly increased, particularly following the COVID-19 pandemic. Whole-genome sequencing analysis was performed on 60 Bordetella pertussis strains isolated i...

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Main Authors: Zhen Li, Fei Xiao, Yue Hou, Bin Jia, Ji Zhuang, Yang Cao, Jianxin Ma, Jianhong Zhao, Zengquan Xu, Zhe Jia, Fang Liu, Lin Pang, Jie Liu
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Emerging Microbes and Infections
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Online Access:https://www.tandfonline.com/doi/10.1080/22221751.2024.2447611
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author Zhen Li
Fei Xiao
Yue Hou
Bin Jia
Ji Zhuang
Yang Cao
Jianxin Ma
Jianhong Zhao
Zengquan Xu
Zhe Jia
Fang Liu
Lin Pang
Jie Liu
author_facet Zhen Li
Fei Xiao
Yue Hou
Bin Jia
Ji Zhuang
Yang Cao
Jianxin Ma
Jianhong Zhao
Zengquan Xu
Zhe Jia
Fang Liu
Lin Pang
Jie Liu
author_sort Zhen Li
collection DOAJ
description Pertussis (or whooping cough) has experienced a global resurgence despite widespread vaccine efforts. In China, the incidence of pertussis has rapidly increased, particularly following the COVID-19 pandemic. Whole-genome sequencing analysis was performed on 60 Bordetella pertussis strains isolated in Beijing from 2020–2023, and the sequences were compared with those of 635 strains from China and 943 strains from other countries. In this study, the genetic evolution of B. pertussis was investigated, focusing on key virulence genes (ptxP, ptxA, prn, fim2, fim3, tcfA) and the resistance-related locus A2047 across different periods and regions. The dominant antigen genotype among the 60 isolates was ptxP3/prn2/ptxA1/fim2-1/fim3-1/tcfA2 (88.3%), differing from the prevalent genotype ptxP-1/prn-1/ptxA-1 in Beijing prior to 2019 and the vaccine strain genotype ptxP-1/prn-1/ptxA-2/fim2-1/fim3-1/tcfA2. Evolutionary analysis revealed significant genetic shifts associated with the introduction of vaccines, particularly acellular vaccines. Initially, the prevalent genotypes included ptxP-1, prn-1, ptxA-2, fim2-2, and fim3-2. However, currently, ptxP-3, prn-2 and ptxA-1 have become predominant globally, indicating vaccine-induced selection pressure. Additionally, all 60 isolated strains (100%) presented the A2047G mutation associated with erythromycin resistance, of which ptxP3 accounted for 91.7%. Macrolide-resistant Bordetella pertussis (MRBP) is widespread in China, and the prevalence of ptxP3-MRBP may be increasing. The significant changes of dominance of subtypes in Beijing in recent years underscore the need for continuous surveillance and adaptation of pertussis vaccination strategies.
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spelling doaj-art-a45eba17c5ee47c0841632d7938bdbb02025-01-08T19:20:01ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512025-12-0114110.1080/22221751.2024.2447611Genomic epidemiology and evolution of Bordetella pertussis under the vaccination pressure of acellular vaccines in Beijing, China, 2020–2023Zhen Li0Fei Xiao1Yue Hou2Bin Jia3Ji Zhuang4Yang Cao5Jianxin Ma6Jianhong Zhao7Zengquan Xu8Zhe Jia9Fang Liu10Lin Pang11Jie Liu12Department of Immunization and Prevention, Beijing Chaoyang District Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaExperimental research center, Capital Institute of Pediatrics, Beijing, People’s Republic of ChinaTranslational Medicine Center, Beijing Chest Hospital, Capital Medical University, Beijing, People’s Republic of ChinaDepartment of Immunization and Prevention, Beijing Chaoyang District Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaSchool of Public Health, Bao Tou Medical College, Baotou, People’s Republic of ChinaDepartment of Immunization and Prevention, Beijing Chaoyang District Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaDepartment of Immunization and Prevention, Beijing Chaoyang District Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaDepartment of Immunization and Prevention, Beijing Chaoyang District Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaSchool of Public Health, Hebei Medical University, Shijiazhuang, People’s Republic of ChinaSchool of Public Health, Bao Tou Medical College, Baotou, People’s Republic of ChinaDepartment of Immunization and Prevention, Beijing Chaoyang District Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaDepartment of Pediatrics, Beijing Ditan Hospital, Capital Medical University, Beijing, People’s Republic of ChinaDepartment of Immunization and Prevention, Beijing Chaoyang District Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaPertussis (or whooping cough) has experienced a global resurgence despite widespread vaccine efforts. In China, the incidence of pertussis has rapidly increased, particularly following the COVID-19 pandemic. Whole-genome sequencing analysis was performed on 60 Bordetella pertussis strains isolated in Beijing from 2020–2023, and the sequences were compared with those of 635 strains from China and 943 strains from other countries. In this study, the genetic evolution of B. pertussis was investigated, focusing on key virulence genes (ptxP, ptxA, prn, fim2, fim3, tcfA) and the resistance-related locus A2047 across different periods and regions. The dominant antigen genotype among the 60 isolates was ptxP3/prn2/ptxA1/fim2-1/fim3-1/tcfA2 (88.3%), differing from the prevalent genotype ptxP-1/prn-1/ptxA-1 in Beijing prior to 2019 and the vaccine strain genotype ptxP-1/prn-1/ptxA-2/fim2-1/fim3-1/tcfA2. Evolutionary analysis revealed significant genetic shifts associated with the introduction of vaccines, particularly acellular vaccines. Initially, the prevalent genotypes included ptxP-1, prn-1, ptxA-2, fim2-2, and fim3-2. However, currently, ptxP-3, prn-2 and ptxA-1 have become predominant globally, indicating vaccine-induced selection pressure. Additionally, all 60 isolated strains (100%) presented the A2047G mutation associated with erythromycin resistance, of which ptxP3 accounted for 91.7%. Macrolide-resistant Bordetella pertussis (MRBP) is widespread in China, and the prevalence of ptxP3-MRBP may be increasing. The significant changes of dominance of subtypes in Beijing in recent years underscore the need for continuous surveillance and adaptation of pertussis vaccination strategies.https://www.tandfonline.com/doi/10.1080/22221751.2024.2447611Bordetella pertussisgenotypevaccinemolecular epidemiologyvirulence genes
spellingShingle Zhen Li
Fei Xiao
Yue Hou
Bin Jia
Ji Zhuang
Yang Cao
Jianxin Ma
Jianhong Zhao
Zengquan Xu
Zhe Jia
Fang Liu
Lin Pang
Jie Liu
Genomic epidemiology and evolution of Bordetella pertussis under the vaccination pressure of acellular vaccines in Beijing, China, 2020–2023
Emerging Microbes and Infections
Bordetella pertussis
genotype
vaccine
molecular epidemiology
virulence genes
title Genomic epidemiology and evolution of Bordetella pertussis under the vaccination pressure of acellular vaccines in Beijing, China, 2020–2023
title_full Genomic epidemiology and evolution of Bordetella pertussis under the vaccination pressure of acellular vaccines in Beijing, China, 2020–2023
title_fullStr Genomic epidemiology and evolution of Bordetella pertussis under the vaccination pressure of acellular vaccines in Beijing, China, 2020–2023
title_full_unstemmed Genomic epidemiology and evolution of Bordetella pertussis under the vaccination pressure of acellular vaccines in Beijing, China, 2020–2023
title_short Genomic epidemiology and evolution of Bordetella pertussis under the vaccination pressure of acellular vaccines in Beijing, China, 2020–2023
title_sort genomic epidemiology and evolution of bordetella pertussis under the vaccination pressure of acellular vaccines in beijing china 2020 2023
topic Bordetella pertussis
genotype
vaccine
molecular epidemiology
virulence genes
url https://www.tandfonline.com/doi/10.1080/22221751.2024.2447611
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