RT Journal A1 Wirth, Thierry A1 Morelli, Giovanna A1 Kusecek, Barica A1 van Belkum, Alex A1 van der Schee, Cindy A1 Meyer, Axel A1 Achtman, Mark T1 The rise and spread of a new pathogen: Seroresistant Moraxella catarrhalis JF Genome Research JO Genome Research YR 2007 FD November 01 VO 17 IS 11 SP 1647 OP 1656 DO 10.1101/gr.6122607 UL http://genome.cshlp.org/content/17/11/1647.abstract AB The nosocomial human pathogen Moraxella catarrhalis is one the most important agents of human respiratory tract infections. This species is composed of two distinct lineages, one of only moderate virulence, the so-called serosensitive subpopulation, and a second, the seroresistant one, which is enriched among strains that harbor two major virulence traits: complement resistance and adherence to epithelial cells. Using a suite of population genetics tools, we show that the seroresistant lineage is also characterized by higher homologous recombination and mutation rates at housekeeping genes relative to its less pathogenic counterpart. Thus, sex and virulence have evolved in tandem in M. catarrhalis. Moreover, phylogenetic and Bayesian analyses that take into account recombination between the two clades show that the ancestral group was avirulent, is possibly 70 million years old, and must have infected mammals prior to the evolution of humans, which occurred later. The younger seroresistant isolates went through an important population expansion some 5 million years ago, coincident with the hominid expansion. This rise and spread was possibly coupled with a host shift and the acquisition of virulence genes.