Distinct transmission networks of Chlamydia trachomatis in men who have sex with men and heterosexual adults in Amsterdam, The Netherlands

Genovar distributions of Chlamydia trachomatis based on ompA typing differ between men who have sex with men (MSM) and heterosexuals. We investigated clonal relationships using a high resolution typing method to characterize C. trachomatis types in these two risk groups. C. trachomatis positive samp...

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Veröffentlicht in:PloS one 2013-01, Vol.8 (1), p.e53869-e53869
Hauptverfasser: Bom, Reinier J M, van der Helm, Jannie J, Schim van der Loeff, Maarten F, van Rooijen, Martijn S, Heijman, Titia, Matser, Amy, de Vries, Henry J C, Bruisten, Sylvia M
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creator Bom, Reinier J M
van der Helm, Jannie J
Schim van der Loeff, Maarten F
van Rooijen, Martijn S
Heijman, Titia
Matser, Amy
de Vries, Henry J C
Bruisten, Sylvia M
description Genovar distributions of Chlamydia trachomatis based on ompA typing differ between men who have sex with men (MSM) and heterosexuals. We investigated clonal relationships using a high resolution typing method to characterize C. trachomatis types in these two risk groups. C. trachomatis positive samples were collected at the STI outpatient clinic in Amsterdam between 2008 and 2010 and genotyped by multilocus sequence typing. Clusters were assigned using minimum spanning trees and these were combined with epidemiological data of the hosts. We typed 526 C. trachomatis positive samples: 270 from MSM and 256 from heterosexuals. Eight clusters, containing 10-128 samples were identified of which 4 consisted of samples from MSM (90%-100%), with genovars D, G, J, and L2b. The other 4 clusters consisted mainly of samples from heterosexuals (87%-100%) with genovars D, E, F, I, and J. Genetic diversity was much lower in the MSM clusters than in heterosexual clusters. Significant differences in number of sexual partners and HIV-serostatus were observed for MSM-associated clusters. C. trachomatis transmission patterns among MSM and heterosexuals were largely distinct. We hypothesize that these differences are due to sexual host behavior, but bacterial factors may play a role as well.
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subjects Adult
Adults
Ambulatory care facilities
Bacteria
Bacterial Outer Membrane Proteins - genetics
Biology
Chlamydia
Chlamydia Infections - epidemiology
Chlamydia Infections - transmission
Chlamydia trachomatis
Chlamydia trachomatis - classification
Chlamydia trachomatis - genetics
Chlamydia trachomatis - physiology
Clusters
Condoms
Epidemiology
Female
Genetic diversity
Genomes
Genotype
Graph theory
Health services
Hepatitis
Heterosexuality - statistics & numerical data
Homosexuality, Male - statistics & numerical data
Humans
Immunology
Infections
Laboratories
Male
Medicine
Men
Mens health
Middle Aged
Multilocus sequence typing
Netherlands - epidemiology
Population
Public health
Risk
Risk groups
Sex
Sexual behavior
Sexual partners
Sexually transmitted diseases
STD
Studies
Urine
Women
Young Adult
title Distinct transmission networks of Chlamydia trachomatis in men who have sex with men and heterosexual adults in Amsterdam, The Netherlands
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