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Journal article

Within-host evolution of bacterial pathogens

Abstract:
Whole-genome sequencing has opened the way for investigating the dynamics and genomic evolution of bacterial pathogens during the colonization and infection of humans. The application of this technology to the longitudinal study of adaptation in an infected host — in particular, the evolution of drug resistance and host adaptation in patients who are chronically infected with opportunistic pathogens — has revealed remarkable patterns of convergent evolution, suggestive of an inherent repeatability of evolution. In this Review, we describe how these studies have advanced our understanding of the mechanisms and principles of within-host genome evolution, and we consider the consequences of findings such as a potent adaptive potential for pathogenicity. Finally, we discuss the possibility that genomics may be used in the future to predict the clinical progression of bacterial infections and to suggest the best option for treatment.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/nrmicro.2015.13

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
NDM Experimental Medicine
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
NDM Experimental Medicine
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
RDM
Sub department:
RDM Clinical Laboratory Sciences
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
NDM Experimental Medicine
Role:
Author


More from this funder
Funding agency for:
Wilson, DJ
Grant:
Sir Henry Dale Fellow 101237/Z/13/Z
More from this funder
Funding agency for:
Wilson, DJ
Grant:
Sir Henry Dale Fellow 101237/Z/13/Z
WT098615
More from this funder
Funding agency for:
Peto, TE
Crook, DW
Grant:
HPRU-2012-10041


Publisher:
Nature Publishing Group
Journal:
Nature Reviews Microbiology More from this journal
Volume:
14
Issue:
3
Pages:
150–162
Publication date:
2016-01-19
DOI:
EISSN:
1740-1534
ISSN:
1740-1526


Language:
English
Pubs id:
pubs:598010
UUID:
uuid:905a2ae3-d556-47c2-b6d2-91dae4ecf488
Local pid:
pubs:598010
Source identifiers:
598010
Deposit date:
2016-02-04

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