Temporal nucleotide changes in pertactin and pertussis toxin
genes in Bordetella pertussis strains isolated from clinical cases in Poland.
Gzyl A, Augustynowicz E, van Loo I, Slusarczyk J.
Department of Sera and Vaccines Evaluation, National Institute of Hygiene,
Chocimska Street 24, 00-791 Warsaw, Poland. agzyl@pzh.gov.pl
Growing number of Bordetella pertussis infections in 1997-1998 in Poland
overshadowed the successful national vaccination program. This situation
prompted us to investigate if this shift reflects changes in the B. pertussis
population. We investigated the possible divergence in genes encoding pertussis
toxin subunit 1 (PtxS1) and pertactin (P.69) in B. pertussis population strains
during the period of 1960-2000. The pertussis toxin and pertactin variants
(ptxS1B and prn1) were found in strains used for production of the whole-cell
pertussis vaccine (WCV) production in Poland. Results of the study indicate that
the ptxS1A-allele replaced the vaccine variant in 69% in the 1960s, and in 100%
in 1990s, and although the prn1-allele was found in all strains from the 1960s
and 1970s, after 1995 was gradually replaced by prn2 and prn4 variants.
Presumably, vaccination could affect the population structure of B. pertussis in
Poland and resulted in antigenic shift in both genes analyzed. Our findings may
have implications for the composition of polish WCV and the currently licensed
acellular pertussis vaccines.
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