Microevolution of epidemic Australian Bordetella pertussis isolates (#322)
Despite high pertussis vaccination coverage, Australia experienced a prolonged epidemic in 2008-2012. The predominant B. pertussis genotype harboured pertussis toxin promoter allele, ptxP3, and pertactin gene allele, prn2. The emergence and expansion of non-expressing prn isolates (Prn negative), was also observed. In this study, whole genome sequencing was used to investigate the evolution and genomic diversity of 22 epidemic B. pertussis isolates, including 10 Prn-negative strains with three different modes of inactivation (IS481F, IS481R and IS1002). Five pre-epidemic strains were also sequenced for comparison. Five single nucleotide polymorphisms (SNPs) were common in the epidemic isolates and differentiated them from pre-epidemic isolates. We found that virulence-associated genes had higher numbers of non-synonymous SNPs, indicating selection pressure driving their evolution and that isolates not expressing Prn were derived independently multiple times. We conclude that SNPs play an important role in the adaptation and microevolution of the 2008-2012 epidemic B. pertussis.