<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2017.01817</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Rapid Gene Turnover as a Significant Source of Genetic Variation in a Recently Seeded Population of a Healthcare-Associated Pathogen</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Gra&#x000F1;a-Miraglia</surname> <given-names>Luc&#x000ED;a</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/437111/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Lozano</surname> <given-names>Luis F.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/351243/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Vel&#x000E1;zquez</surname> <given-names>Consuelo</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Volkow-Fern&#x000E1;ndez</surname> <given-names>Patricia</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>P&#x000E9;rez-Oseguera</surname> <given-names>&#x000C1;ngeles</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Cevallos</surname> <given-names>Miguel A.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/203493/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Castillo-Ram&#x000ED;rez</surname> <given-names>Santiago</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/295411/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Programa de Gen&#x000F3;mica Evolutiva, Centro de Ciencias G&#x000E9;nomicas, Universidad Nacional Aut&#x000F3;noma de M&#x000E9;xico</institution> <country>Cuernavaca, Mexico</country></aff>
<aff id="aff2"><sup>2</sup><institution>Departamento de Enfermedades Infecciosas, Instituto Nacional de Cancerolog&#x000ED;a</institution> <country>Mexico, Mexico</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Yasir Muhammad, King Abdulaziz University, Saudi Arabia</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Govindan Rajamohan, Institute of Microbial Technology (CSIR), India; Benjamin Andrew Evans, University of East Anglia, United Kingdom</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Santiago Castillo-Ram&#x000ED;rez <email>iago&#x00040;ccg.unam.mx</email></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Evolutionary and Genomic Microbiology, a section of the journal Frontiers in Microbiology</p></fn></author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>8</volume>
<elocation-id>1817</elocation-id>
<history>
<date date-type="received">
<day>05</day>
<month>05</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>06</day>
<month>09</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Gra&#x000F1;a-Miraglia, Lozano, Vel&#x000E1;zquez, Volkow-Fern&#x000E1;ndez, P&#x000E9;rez-Oseguera, Cevallos and Castillo-Ram&#x000ED;rez.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Gra&#x000F1;a-Miraglia, Lozano, Vel&#x000E1;zquez, Volkow-Fern&#x000E1;ndez, P&#x000E9;rez-Oseguera, Cevallos and Castillo-Ram&#x000ED;rez</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract><p>Genome sequencing has been useful to gain an understanding of bacterial evolution. It has been used for studying the phylogeography and/or the impact of mutation and recombination on bacterial populations. However, it has rarely been used to study gene turnover at microevolutionary scales. Here, we sequenced Mexican strains of the human pathogen <italic>Acinetobacter baumannii</italic> sampled from the same locale over a 3 year period to obtain insights into the microevolutionary dynamics of gene content variability. We found that the Mexican <italic>A. baumannii</italic> population was recently founded and has been emerging due to a rapid clonal expansion. Furthermore, we noticed that on average the Mexican strains differed from each other by over 300 genes and, notably, this gene content variation has accrued more frequently and faster than the accumulation of mutations. Moreover, due to its rapid pace, gene content variation reflects the phylogeny only at very short periods of time. Additionally, we found that the external branches of the phylogeny had almost 100 more genes than the internal branches. All in all, these results show that rapid gene turnover has been of paramount importance in producing genetic variation within this population and demonstrate the utility of genome sequencing to study alternative forms of genetic variation.</p></abstract>
<kwd-group>
<kwd>population genomics</kwd>
<kwd>microevolution</kwd>
<kwd>genetic variation</kwd>
<kwd>pathogen</kwd>
<kwd>phylogeography</kwd>
<kwd><italic>A. baumannii</italic></kwd>
<kwd>gene content</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="61"/>
<page-count count="11"/>
<word-count count="8886"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>Genome sequencing of bacteria has drastically transformed our view of how bacteria change. For example, the use of genome sequencing in microbial experimental evolution has been of paramount importance to better understand the mechanisms that generate genetic variation in bacterial populations. However, these types of experiments are far from what really happens in nature&#x02014;as they are simplified versions of natural populations. On the other hand, natural populations of bacterial pathogens themselves provide a copious source to address the question of how bacteria evolve. Over the last two decades genome sequencing has allowed us to better understand not only the microevolution but also the epidemiology of many bacterial pathogens. For instance, this tool has been used to study the phylogeography and population structure of several human and animal bacterial pathogens (Brynildsrud et al., <xref ref-type="bibr" rid="B14">2014</xref>; Ezewudo et al., <xref ref-type="bibr" rid="B26">2015</xref>; Joseph et al., <xref ref-type="bibr" rid="B34">2015</xref>; Castillo-Ramirez et al., <xref ref-type="bibr" rid="B17">2016</xref>). It has also been employed to study the impact of recombination on bacterial clones (Castillo-Ramirez et al., <xref ref-type="bibr" rid="B18">2011</xref>, <xref ref-type="bibr" rid="B16">2012</xref>) and even to analyse the intra-host evolution of several human pathogens (Diaz Caballero et al., <xref ref-type="bibr" rid="B25">2015</xref>; Azarian et al., <xref ref-type="bibr" rid="B8">2016</xref>). Although pan-genome analyses have been used to indirectly study gene content variation in bacteria, these studies have rarely been used to study gene turnover over very short periods of time and, more importantly, explicitly taking into account the population structure of the bacteria involved. Furthermore, only a few studies have tried to compare the genetic variation generated by point mutation vs. that generated by gene gains and losses within a well-defined population.</p>
<p>We now know much about the microevolution of a few pathogens, such as <italic>Neisseria gonorrhea</italic> or the species from the genus <italic>Chlamydia</italic> (Ezewudo et al., <xref ref-type="bibr" rid="B26">2015</xref>; Joseph et al., <xref ref-type="bibr" rid="B34">2015</xref>), however for most bacterial species we do not know very much. While <italic>Staphylococcus aureus</italic> has been extensively studied (Holden et al., <xref ref-type="bibr" rid="B33">2010</xref>; Nubel et al., <xref ref-type="bibr" rid="B46">2010</xref>; Castillo-Ramirez et al., <xref ref-type="bibr" rid="B18">2011</xref>, <xref ref-type="bibr" rid="B16">2012</xref>), much less is known about the evolutionary dynamics of <italic>A. baumannii</italic>, especially in developing countries (Castro-Jaimes et al., <xref ref-type="bibr" rid="B19">2016</xref>; Grana-Miraglia et al., <xref ref-type="bibr" rid="B30">2016</xref>; Silva et al., <xref ref-type="bibr" rid="B51">2016</xref>; Zenati et al., <xref ref-type="bibr" rid="B60">2016</xref>). Importantly, this bacterial species has emerged as one of the main causes of nosocomial infections over the last decades (Zarrilli et al., <xref ref-type="bibr" rid="B59">2013</xref>; Antunes et al., <xref ref-type="bibr" rid="B6">2014</xref>). One of the factors contributing to this pattern is the ability of this species to show multi-drug (MDR) and extreme (XDR) phenotypes; these phenotypes have been on the rise the last decade. Remarkably, the infections caused by MDR and/or XDR isolates have been linked with higher mortality rates and longer hospitalization (Sunenshine et al., <xref ref-type="bibr" rid="B52">2007</xref>; Metan et al., <xref ref-type="bibr" rid="B43">2009</xref>).</p>
<p>We propose that <italic>A. baumannii</italic> is a good model to study the microevolutionary dynamics of gene content variation for several reasons. First, given that this is a hospital-associated pathogen, it should be rather easy to define single populations. Secondly, considering the highly dynamic genome of this species (Chan et al., <xref ref-type="bibr" rid="B20">2015</xref>), one would expect that gene content should be an important factor as far as the genetic variation is concerned. Here, we use genome sequencing to characterize the microevolution of a single lineage (Sequence Type [ST] 758) within a single locale&#x02014;a tertiary hospital in a developing country (Mexico). To gain further insights into the evolution of this lineage, we have also incorporated publicly available sequenced strains of this species to create one of the most inclusive data sets to date with 85 genomes and representing 38 STs. We found that gene content variation is of chief importance to generate genetic variation within the population, as it occurs much faster than <italic>de novo</italic> mutations. Furthermore, we also note that more genes are found in the external branches of the phylogeny, which is consistent with the slightly deleterious nature of gene acquisitions.</p>
</sec>
<sec sec-type="results" id="s2">
<title>Results</title>
<sec>
<title>A very recent expanding population</title>
<p>In order to have a proper data set we first conduct genome sequencing of eight Mexican isolates (all recovered from the same tertiary hospital in Mexico city during 2011-2013, see Supplementary Table <xref ref-type="supplementary-material" rid="SM1">1</xref>). Of note, all these isolates belong to the same Sequence Type (ST758). This set was supplemented with a global data set of publicly available genomes (see Supplementary Table <xref ref-type="supplementary-material" rid="SM2">2</xref>). Our combined data set has 85 genomes and it is one of the most comprehensive collections in terms of <italic>A. baumannii</italic> lineages (38 STs). Using the combined data set, we initially conducted a Maximum Likelihood (ML) phylogeny on a concatenated alignment of single gene families not affected by recombination to see how the newly sequenced Mexican strains relate to the rest of <italic>A. baumannii</italic> strains. The phylogenetic tree reveals that the Mexican isolates form a tight monophyletic cluster (see green square, Figure <xref ref-type="fig" rid="F1">1</xref>) and that these are well-differentiated from the remaining strains. A hierarchical population structure analysis at the deepest level (see methods for details) further reinforces this picture, as one of the 32 clusters recovered (green square, Figure <xref ref-type="fig" rid="F1">1</xref>) has all the newly sequenced Mexican isolates. The very short branches of the Mexican isolates suggest that this population has low genetic variation, to corroborate this we computed the nucleotide diversity for the Mexican isolates and noted that the value is very low (&#x003C0; &#x0003D; 0.000532). Furthermore, there were only 147 segregating sites in this population. Among other things, the low genetic variation in this population may point to a recent introduction of this lineage in to the Mexican hospital. To prove this we conducted a molecular dating analysis (see methods). Our molecular dating analysis confirms this as the time to the most recent common ancestor was found to be mid 2009 (see Supplementary Figure <xref ref-type="supplementary-material" rid="SM7">1</xref>). This is consistent with the collection dates of all the Mexican isolates between mid 2011 and late 2013 (see Supplementary Table <xref ref-type="supplementary-material" rid="SM1">1</xref>). From Figure <xref ref-type="fig" rid="F1">1</xref> is very difficult to appreciate how the Mexican isolates relate to one and another; hence, to examine this in more detail, we constructed a ML phylogeny just considering the Mexican isolates (see Supplementary Figure <xref ref-type="supplementary-material" rid="SM8">2</xref>). This phylogeny has a star like topology, which suggests a recent and rapid expansion of this Mexican lineage. To corroborate these findings, we used an independent line of evidence: a Tajima&#x00027;s D analysis on the alignment just containing the Mexican isolates. The clear negative value of Tajima&#x00027;s D, &#x02013;1.922, implies an overabundance of low frequency polymorphisms and this is consistent with a population size expansion as suggested by the ML phylogeny. Taken together, these results suggest that the Mexican isolates constitute a very young population, which was very recently introduced in Mexico&#x00027;s National Institute of Oncology, and since then has been undergoing a clonal expansion.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Maximum likelihood phylogeny and population structure analysis. The mid-point rooted phylogeny is based on the concatenated alignment of all the single gene families not affected by recombination and was constructed via PhyML. The color labels represent all the known STs for which there were two or more strains. The green rectangle shows the newly sequenced Mexican strains, which form a single cluster at deepest level of the hierarchical population structure analysis. The scale bar represents substitution per sites.</p></caption>
<graphic xlink:href="fmicb-08-01817-g0001.tif"/>
</fig>
<p>It is worth paying attention to the fact that two strains (Ab4113 and Ab11598) from the star like phylogeny of the Mexican lineage show two very long branches, having each one an average distance of over 70 SNPs to the rest of the Mexican strains (see Supplementary Figure <xref ref-type="supplementary-material" rid="SM8">2</xref>). We carried out a Tajima&#x00027;s relative test to establish whether those two strains have accumulated significantly more SNPs than the other Mexican strains; this was clearly the case as for both strains, Ab4113 and Ab11598, the null hypothesis of equal rates was rejected when compared to the other Mexican strains. Furthermore, we determined that substitutions defining those two branches were not clustered in a very short region, as might be the case of an unidentified recombination event. Therefore, these two strains may be hypermutator strains, which is in accordance with two recent reports that have found hypermutator strains in <italic>A. baumannii</italic> (Hammerstrom et al., <xref ref-type="bibr" rid="B32">2015</xref>; Komp Lindgren et al., <xref ref-type="bibr" rid="B36">2016</xref>). However, we acknowledge that further experiments are required to better characterize the hypermutator strains found here and we plan to conduct this characterization in the near future.</p>
</sec>
<sec>
<title>High variation in gene content and its dynamics at different scales</title>
<p>Once we had characterized the Mexican population, we wanted to analyse the evolutionary dynamics of gene content variation within it. Here when we refer to gene content variation we mean differences in the number of genes among strains and to measure this we employed closely related homologous groups (CRHGs, see methods). First, to investigate the amount of gene content similarity between the strains, we constructed a gene content correlation matrix and visualized it using a heat map (see Figure <xref ref-type="fig" rid="F2">2</xref>). It became apparent that there was a considerable amount of variation in gene content among the strains. Furthermore, we observed that the clustering shown in the heat map does not correlate with the groups found in the first level of clustering of the population structure analysis (see BAPS clusters, top row, Figure <xref ref-type="fig" rid="F2">2</xref>). In other words, the clustering recovered by the heat map did not reflect the grouping in the ML phylogeny and the population structure analysis. However, the newly sequenced Mexican strains (black dotted rectangle in the heat map) appear to be the exception to this, as the clustering shown by these strains is very similar to that of the ML phylogeny. To further elucidate this, we used a distance gene content matrix to construct two Neighbor-joining (NJ) phylogenies based on gene content, one only included the Mexican population and the other involved the whole data set. Next, we tested whether the topologies of these NJ phylogenies were similar to the topology of the ML phylogeny (see Table <xref ref-type="table" rid="T1">1</xref>). When the whole data set was included, we did find significant differences between the NJ topology and the topology of ML phylogeny (see Table <xref ref-type="table" rid="T1">1</xref>), implying that the phylogenetic relationships inferred from the ML phylogeny were considerably different from the clustering patterns obtained from the gene content variation. However, no significant difference was found when only the Mexican population was considered. Hence, we assume that the most likely explanation is that due to the short time considered, it appeared that the phylogenetic relationships were similar to the clustering patterns gathered from the gene content variation. In summary, the heat map and the topology tests indicate that there is considerable variation in gene content and that only at very short time scales this variation reflects the phylogenetic relationships inferred by the ML phylogeny.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Gene content variation among the strains. Heat map of the gene content correlation matrix used to analyse the gene content differences among the strains. The top row on the heat map shows the BAPS groups of the first level of clustering of the population structure analysis, most of which are split according to the clustering of the heat map. The black dotted rectangle shows the Mexican strains sequenced for this study. The dendrograms across the top and side reflect the clustering by gene content.</p></caption>
<graphic xlink:href="fmicb-08-01817-g0002.tif"/>
</fig>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Topology tests.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th/>
<th valign="top" align="left"><bold><xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref>Diff &#x02212;ln L</bold></th>
<th valign="top" align="left"><bold>pKH<xref ref-type="table-fn" rid="TN2"><sup>&#x0002B;</sup></xref></bold></th>
<th valign="top" align="left"><bold>pSH<xref ref-type="table-fn" rid="TN2"><sup>&#x0002B;</sup></xref></bold></th>
<th valign="top" align="left"><bold>pRELL<xref ref-type="table-fn" rid="TN2"><sup>&#x0002B;</sup></xref></bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">NJ whole data set</td>
<td valign="top" align="left">&#x02212;658053.472</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
</tr>
<tr>
<td valign="top" align="left">NJ Mexican clade</td>
<td valign="top" align="left">&#x02212;0.172</td>
<td valign="top" align="left">0.336</td>
<td valign="top" align="left">0.352</td>
<td valign="top" align="left">0.29</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>Kishino-Hasegawa (KH), Shimodaira-Hasewaga (SH), and RELL bootstrap proportion tests to determine whether the NJ topologies, based on the gene content matrix, differ significantly from the ML phylogenies</italic>.</p>
<fn id="TN1">
<label>&#x0002A;</label>
<p><italic>Difference in log-likelihood to the ML phylogeny</italic>.</p></fn>
<fn id="TN2">
<label>&#x0002B;</label>
<p><italic>p-values under the different tests</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>To explore the gene content variation dynamics in more detail, we contrasted two evolutionary models of gain and loss of genes across the phylogeny using a probabilistic approach, implemented through BadiRate (see methods). The first model, the global rates model (GD-GR-ML in Table <xref ref-type="table" rid="T2">2</xref>), assumes that both the gain and death turnover rates remain constant over time. The second model, the free-rates model (GD-FR-ML, in Table <xref ref-type="table" rid="T2">2</xref>) assumes different rates for each branch in the tree. The free-rates model is a better explanation of our data based on the considerable lower value of the Log-Likelihood and, furthermore, as it shows the lowest Akaike Information Criterion (see Table <xref ref-type="table" rid="T2">2</xref>). In order to further look into this we also estimated the ancestral gene content and the minimum number of gains/losses in each internal node of the phylogeny again by means of BadiRate. The results are shown in Figure <xref ref-type="fig" rid="F3">3</xref>. This analysis suggests that there are more genes toward the present than in the past. For instance, the most basal node is the one that shows the least number of genes, whereas the external nodes have many more genes. To establish this more formally, we compared the ancestral gene content of the internal branches of the phylogeny vs. the gene content of the external branches. We noted that considerably more genes are present in the external branches (mean &#x0003D; 3,770) than at the internal nodes (mean &#x0003D; 3,677, Wilcoxon rank sum test W &#x0003D; 7.5, <italic>p</italic>-value &#x0003D; 0.02052). This supports the idea that the presence of fewer genes in the internal branches might be due to the selective removal of genes, which could have deleterious effects. We think that given sufficient time purifying selection will remove most of the genes but at the tips of the tree there has not been enough time for that to happen. To sum up this part, this array of analyses shows that gain and loss of genes do not remain constant over time and there seems to be more genes toward the present time and this could be due to natural selection (purifying selection).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Branch models of gene family turnover.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Branch model</bold></th>
<th valign="top" align="left"><bold>&#x02212;lnL<xref ref-type="table-fn" rid="TN3"><sup>&#x0002B;</sup></xref></bold></th>
<th valign="top" align="left"><bold>K<xref ref-type="table-fn" rid="TN4"><sup>&#x0002A;</sup></xref></bold></th>
<th valign="top" align="left"><bold>AIC</bold></th>
<th valign="top" align="left"><bold>&#x00394;AIC<xref ref-type="table-fn" rid="TN5"><sup>&#x00026;</sup></xref></bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">GD-FR-ML</td>
<td valign="top" align="left">&#x02212;7500.2956</td>
<td valign="top" align="left">29</td>
<td valign="top" align="left">15058.59</td>
<td valign="top" align="left">0.00</td>
</tr>
<tr>
<td valign="top" align="left">GD-GR-ML</td>
<td valign="top" align="left">&#x02212;8290.2042</td>
<td valign="top" align="left">3</td>
<td valign="top" align="left">16586.41</td>
<td valign="top" align="left">15015.68</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>The GD-GR-ML model implies that all the branches have the same turnover rates, whereas GD-FR-ML model assumes that each branch has its own turnover rates. In both models, turnover rates were estimated by Maximum Likelihood (ML)</italic>.</p>
<fn id="TN3">
<label>&#x0002B;</label>
<p><italic>Log-Likelihood scores;</italic></p></fn>
<fn id="TN4">
<label>&#x0002A;</label>
<p><italic>Number of parameters;</italic></p></fn>
<fn id="TN5">
<label>&#x00026;</label>
<p><italic>&#x00394;AIC is the difference in the Akaike Information Criterion (AIC) for each model to the best model. We used BadiRate to implement the Gain-and-Death stochastic population model to estimate the gene family turnover rates</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Estimates of the ancestral gene content and the minimum number of losses and gains per branch. The bold numbers next to the nodes show the estimates of the ancestral gene content, whereas the taxa labels give the number of the total gene content for the newly sequenced Mexican strains. The numbers on the branches mark the minimum number of gains (number before the slash) and the minimum number of loses (number after the slash).</p></caption>
<graphic xlink:href="fmicb-08-01817-g0003.tif"/>
</fig>
</sec>
<sec>
<title>Comparison of gene turnover vs. accumulation of <italic>de novo</italic> mutation</title>
<p>Thus far we have analyzed the dynamics of gene turnover but we have not compared this to a more typical source of variation, i.e., mutation. Given the very recent emergence of the Mexican population it is a suitable scenario to compare the contribution of gene content variation and the accrual of <italic>de novo</italic> mutations to genetic variation. We carried out pairwise comparisons of Mexican strains as a means to conduct such analysis. On the one hand, we computed the number of mutations that differentiate any two Mexican strains and, on the other hand, we calculated the number of genes in which any two Mexican strains differ. Most of the strains differ in just a few mutations from one another (boxplots on the left, Figure <xref ref-type="fig" rid="F4">4</xref>), the median difference being just 1.5 mutations. There were six pairwise comparisons that involved strains that did not have any mutations to differentiate them. However, these strains differed from each other by hundreds of genes (boxplots on the right, Figure <xref ref-type="fig" rid="F4">4</xref>), with a median value of 294.5 genes and, remarkably, no two strains were equal to each other in terms of their gene content. Irrespective of the inclusion of hypermutator strains (see Discussion) or not, this analysis clearly showed that the rate of gene turnover is much higher than the accumulation of mutations (see Figure <xref ref-type="fig" rid="F4">4</xref>); this difference was statistically significant either way (Wilcoxon rank sum test with hypermutators, <italic>p</italic>-value &#x0003D; 1.573e-10 and without hypermutators, <italic>p</italic>-value &#x0003D; 2.498e-06). For instance, if the hypermutators are included in the comparisons the mean number of mutations is 36.75, whereas the mean number in gene differences is 314.2; this is also evident when hypermutators are left out, as the mean number of mutations is 0.6667, whereas the mean number of gene differences is 224. However, the difference in gene content between any two strains might have been due to a small number of events&#x02014;just because several genes can be introduced at once thanks to Mobile Genetic Elements (MGEs), for example Insertion Sequences (ISs) or phage. In order to explore this, we compared four sets of two strains that both were sampled the same year (see Supplementary Table <xref ref-type="supplementary-material" rid="SM4">4</xref>); we assumed that two or more genes were introduced in the same event if they are contiguous to one another. In all the four pairwise comparisons the number of events is considerably lower than the number of gene differences. For instance, in the first comparison (involving Ab11502 and Ab11510), although these two strains differ in 311 genes (82 present in Ab11502 but not in Ab11510 and 229 in Ab11510 but absent in Ab11502), we estimated that around 112 events have produced this difference in genes (72 events in Ab11510 and 40 in Ab11502). Clearly, the same pattern applies to the rest of the comparisons and implies that several genes are introduced/lost simultaneously (see Supplementary Table <xref ref-type="supplementary-material" rid="SM4">4</xref>).</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Boxplots of the differences due to either mutations or gene losses/gains. The boxes on the left refer to the differences due to mutations, whereas the boxes on the right describe the differences in gene content. We carried out pairwise comparisons including all the strains <bold>(A)</bold> and pairwise comparisons without the hypermutator strains <bold>(B)</bold>.</p></caption>
<graphic xlink:href="fmicb-08-01817-g0004.tif"/>
</fig>
<p>Notably, many of these genes, &#x0007E;52% (see Supplementary Table <xref ref-type="supplementary-material" rid="SM4">4</xref> for the value for each comparison), could be associated with MGEs, such as ISs, phage or plasmids. Along these lines, we found that the accessory genome of the Mexican strains is enriched in MGEs (Chi-squared test, <italic>p</italic>-value &#x0003C; 2.2e-16) compared to the core genome. Finally, it is worth mentioning that this gene turnover has affected both plasmids and chromosomes and it is not only due to the loss and gain of plasmids. First, we noted that a significant number (more than 60% in all comparisons) of the unique genes in the pairwise comparisons have significant hits in chromosomes from complete genome sequences (see third column, Supplementary Table <xref ref-type="supplementary-material" rid="SM4">4</xref>). Second, we conducted a plasmid profile analysis of the Mexican strains (see Supplementary Figure <xref ref-type="supplementary-material" rid="SM9">3</xref>) and noted that six of the eight strains had identical plasmid profiles, which suggests that the difference in gene content is not due to the loss or gain of complete plasmids for these six strains. Whereas, the two remaining strains have the same set of bands as the other six strains plus 1 and 3 extra bands. These last two analyses imply that gene content variation cannot be exclusively due to gain and loss of plasmids and that this variation has considerably affected the chromosome. Collectively, these data indicate that gene turnover (mediated by MGEs) has happened considerably more rapid than the accumulation of mutations and that this rapid turnover is an important force in generating genomic variation in both plasmid and chromosomes.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s3">
<title>Discussion</title>
<p>In this study we used a population-genomics approach to analyse the evolutionary dynamics of gene content over a very short period of time and from a single population. In order to do this, we sampled several strains (all from the same lineage) from a tertiary hospital in a developing country (Mexico). To put this lineage in the context of the global population of <italic>A. baumannii</italic>, we have also incorporated publicly available genomes to create one of the most inclusive data sets for this bacterium, as far as different lineages (STs) are concerned&#x02014;more than 35 STs are represented in our data set. All the newly sequenced Mexican strains belong to the ST758 and, notably, the PubMLST webpage (<ext-link ext-link-type="uri" xlink:href="https://pubmlst.org">https://pubmlst.org</ext-link>) only reports two other strains with this ST. One is the Canadian strain AB030, which was included in our data set, and the other is a Mexican strain, isolate 6463. Thus far, this ST has mainly been reported in North America and it might be that this ST is endemic in this region; however a recent report found this ST also in a hospital in Pretoria, South Africa (Lowings et al., <xref ref-type="bibr" rid="B42">2015</xref>). Many more isolates from different parts of the world are needed to properly establish the distribution of this ST; nonetheless this ST belongs to the clonal complex 636 (as per the Oxford MLST scheme), which is not within the global clones (GCs), and, therefore, it is very unlikely that ST758 would be as widely distributed as STs within the GCs. With respect to the <italic>A. baumannii</italic> populations in Mexico, we are adamant that our study could be of paramount importance for future studies tackling the population genomics of this species in this country. Clearly this is not the first study analyzing <italic>A. baumannii</italic> isolates from Mexico; in fact, over the last decade there have been several studies (Ares et al., <xref ref-type="bibr" rid="B7">2013</xref>; Morfin-Otero et al., <xref ref-type="bibr" rid="B44">2013</xref>; Alcantar-Curiel et al., <xref ref-type="bibr" rid="B4">2014</xref>; Bocanegra-Ibarias et al., <xref ref-type="bibr" rid="B11">2015</xref>; Cornejo-Juarez et al., <xref ref-type="bibr" rid="B22">2015</xref>; Gonzalez-Villoria et al., <xref ref-type="bibr" rid="B29">2016</xref>; Tamayo-Legorreta et al., <xref ref-type="bibr" rid="B53">2016</xref>), which have been very useful from a clinical point of view, as they focused on the molecular epidemiology (Morfin-Otero et al., <xref ref-type="bibr" rid="B44">2013</xref>; Gonzalez-Villoria et al., <xref ref-type="bibr" rid="B29">2016</xref>; Tamayo-Legorreta et al., <xref ref-type="bibr" rid="B53">2016</xref>) or the antibiotic resistance profiles of hospital isolates (Ares et al., <xref ref-type="bibr" rid="B7">2013</xref>; Alcantar-Curiel et al., <xref ref-type="bibr" rid="B4">2014</xref>; Bocanegra-Ibarias et al., <xref ref-type="bibr" rid="B11">2015</xref>). However, none of those studies have analyzed the genomic diversity of the isolates in question and, to the best of our knowledge, this is the first study that has addressed the genetic variation within a population of <italic>A. baumannii</italic> isolates in Mexico at a genome level. Our phylogenetic and molecular dating analyses indicated that the Mexican strains comprise a very recently founded population undergoing a rapid expansion. Notably, similar rapid clonal expansions have been also described for some STs of <italic>S. aureus</italic> (Aanensen et al., <xref ref-type="bibr" rid="B1">2016</xref>) and, very likely, this is a common trend exhibited by many bacterial populations within the hospital setting.</p>
<p>Although pan-genome analyses have been extremely useful, it should be remembered that they could also be misleading. First, core and accessory genomes are bound to be artifacts of the sampling criteria employed and, importantly, the genes falling in each of these two categories totally depend on the taxonomic level chosen. Here, we avoided these distinctions and we considered all the genes for the gene content analysis, whereas for defining the global population and the Mexican clade we used single gene families (without signals of recombination) as a proxy for orthologous genes. Therefore, our strategy considerably improves on previous studies that have used pan-genome analyses.</p>
<p>Although there have been some studies that have gone beyond the use of pan genome analysis, and have even used proper statistical approaches, these have considered broader timescales and did not take the population structure into account (Librado et al., <xref ref-type="bibr" rid="B40">2014</xref>; Nowell et al., <xref ref-type="bibr" rid="B45">2014</xref>). Furthermore, none of those studies compared the rate of change due to gene content variability to that attributable to <italic>de novo</italic> mutation. To the best of our knowledge, this is the first study that not only takes into account the population structure to proper understand gene content variation among strains but also compares this gene content variability to a better known source of genetic variation, that is mutation. However, we note that similar trends have been very recently described in a work studying within-patient genomic diversity of <italic>Vibrio cholera</italic> isolates (Levade et al., <xref ref-type="bibr" rid="B38">2017</xref>).</p>
<p>In this study, we were not only able to show that rapid gene turnover has been a major factor in the generation of genomic variation in the few years of existence of this expanding Mexican population but also to show that, on average, gene turnover has introduced more than 8 times more variation than mutation and this is taking into account the hypermutator strains. However, if hypermutator strains are not included in the analysis, on average, gene turnover has added &#x0007E;335 more variation than mutation. Notably many of these gene differences are not independent, as the genes were introduced in the same event via some MGE; in conformity with this, we found that the accessory genome is enriched in MGEs. Nonetheless, chromosome regions were also implicated in this type of variation. Notably at this short time scale gene content variation still reflects the common ancestry relationships of the strains (i.e., the topology of the ML likelihood) and, given the increased resolution, gene content variability could be very useful for studying outbreaks or other events that happen at very short periods of time.</p>
<p>We reason that patterns found in the ancestral gene content (external branches showing more genes) are compatible with the slightly deleterious nature of many gene acquisitions. Although some gene acquisitions might be beneficial initially, most of them have a fitness cost and therefore will be eliminated by natural selection. Nevertheless, if the fitness cost of these acquisitions is not high (i.e., slightly deleterious) the removal process will not be happening instantaneously&#x02014;giving time for acquisitions to be sampled if the sampling strategy considers very closely related isolates. Under this scenario, external branches would be enriched in gene acquisitions, as selection has not had enough time to remove them; whereas, internal branches would have less genes, as natural selection has had more time to purge those slightly deleterious acquisitions. Furthermore, the slightly deleterious nature of the gene content variability is further reinforced by the fact that the global rates model (GD-FR-ML in Table <xref ref-type="table" rid="T2">2</xref>) assuming different gain and death turnover rates over time was a considerably better fit for our data. Interestingly, Wolf and Koonin (<xref ref-type="bibr" rid="B57">2013</xref>) have discussed the idea that genome reduction&#x02014;either by neutral or selective processes&#x02014;is the principal mode of evolution, although their arguments were based on studies that had considered macro evolutionary scales rather than micro evolutionary scales. In a slightly different view, Gogarten and Townsend have also discussed that most of the genes horizontally transferred have neutral or nearly neutral effects in the receiver genome and just a few of those genes have a positive effect (increase the fitness) in the recipient genome (Gogarten and Townsend, <xref ref-type="bibr" rid="B28">2005</xref>). Along these lines, several studies have proposed that many gene gains/losses have minor effects on the fitness of bacteria and behave rather neutral (Baumdicker et al., <xref ref-type="bibr" rid="B10">2012</xref>; Knoppel et al., <xref ref-type="bibr" rid="B35">2014</xref>; Andreani et al., <xref ref-type="bibr" rid="B5">2017</xref>).</p>
<p>In conclusion, our study shows that gene content variability could be a major source of genetic variation that takes place much faster than the accumulation of <italic>de novo</italic> mutations in bacterial populations at very early stages of diversification. Furthermore, it suggests that the loss of genes in the internal branches is due to the gradual removal of the slightly deleterious gene acquisitions. This study clearly demonstrates the utility of NGS for studying the micro evolutionary dynamics of gene content variation over very short periods of time and for comparing this to more typical forms of genetic variation such as mutations.</p>
</sec>
<sec sec-type="materials and methods" id="s4">
<title>Materials and methods</title>
<sec>
<title>Genomes used and homologous groups</title>
<p>Because we wanted to know the evolutionary dynamics of a single lineage in a single location over a very short period of time, we selected eight <italic>A. baumannii</italic> isolates (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">1</xref>), all of which belong to ST758 (according to the Oxford MLST scheme), from the Instituto Nacional de Cancerolog&#x000ED;a (Mexico&#x00027;s National Institute of Oncology) that is a tertiary hospital located in Mexico City. The antibiograms and the source of the Mexican isolates are provided in Supplementary Table <xref ref-type="supplementary-material" rid="SM3">3</xref>. This study was carried out with isolated strains, confidentiality of the patients is preserved and there is no possible way to link the information here provided to any individual; thus, the Ethics Committee approval of the Instituto Nacional de Cancerolog&#x000ED;a was not required. All the isolates were sequenced by means of an Illumina MiSeq platform, considering 250-bp paired-end reads. We used the SolexQA software (Cox et al., <xref ref-type="bibr" rid="B23">2010</xref>) to trim the reads prior to assemble the genomes. These draft genomes were assembled using Velvet version 1.2.09 (Zerbino and Birney, <xref ref-type="bibr" rid="B61">2008</xref>) and Spades v3.9.0 (Bankevich et al., <xref ref-type="bibr" rid="B9">2012</xref>) and contigs smaller than 300 base pairs were not taken into account. We manually edited our assembly for gap closure and error correction. The whole genome sequences have been deposited at DDBJ/ENA/GenBank under the accession numbers <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MSCX00000000">MSCX00000000</ext-link>, <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MSCY00000000">MSCY00000000</ext-link>, <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MSCZ00000000">MSCZ00000000</ext-link>, <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MSDA00000000">MSDA00000000</ext-link>, <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MSDB00000000">MSDB00000000</ext-link>, <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MSDC00000000">MSDC00000000</ext-link>, <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MSDD00000000">MSDD00000000</ext-link> (BioProject <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="PRJNA355850">PRJNA355850</ext-link>). One of the isolates (Ab11510) was also sequenced using Pacific Biosciences technology and assembled with SMRT (accession numbers <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP018861">CP018861</ext-link>, <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP018862">CP018862</ext-link> and <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP023300">CP023300</ext-link>). Although the quality of these assemblies varied to some extent, all these draft genomes have good values considering the coverage (range 49.5&#x02013;375) and the number of contigs was below 90 in all cases (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">1</xref>). We annotated these Mexican isolates through PROKKA v1.11 (Seemann, <xref ref-type="bibr" rid="B49">2014</xref>). We also included 77 <italic>A. baumannii</italic> complete genomes from the NCBI (see Supplementary Table <xref ref-type="supplementary-material" rid="SM2">2</xref>); these include isolates from Europe, Asia, South and North America. For consistency, we also annotated these genomes using PROKKA v1.11 (Seemann, <xref ref-type="bibr" rid="B49">2014</xref>). Then, in order to construct the homologous groups, we used the program PanOCT (Fouts et al., <xref ref-type="bibr" rid="B27">2012</xref>). We first carried out BLAST searches between all genomes, considering an e-value of 1.0 e<sup>&#x02212;30</sup>, we then fed these to PanOCT to be able to create the homologous groups. Because we wanted to define closely related homologous groups (CRHGs), we required that sequences aligned &#x02265;90% of their lengths and were &#x02265;80% identical when running PanOCT&#x02014;other than that, default parameters were used. We identified a total of 14194 homologous groups, of which 1462 belong to the core genome according to PanOCT. We identified 1383 single gene families, homologous groups that have only one gene per genome. We also assigned, when possible, the CRHGs to their potential MGEs, for doing that we used two databases: ISfinder (Siguier et al., <xref ref-type="bibr" rid="B50">2006</xref>) and ACLAME (Leplae et al., <xref ref-type="bibr" rid="B37">2010</xref>). We conducted BLAST searches for each gene of each CRHG against those two databases with an e-value of 1.0 e<sup>&#x02212;30</sup> and requiring that the query sequence aligned &#x02265;60% of its length and was &#x02265;40% identical. Finally, we also ran another pangenome analysis, again via PanOCT, but this time just considering the Mexican strains.</p>
</sec>
<sec>
<title>Phylogenies, molecular dating, and population genetics analysis</title>
<p>Identifying true orthologous genes is not trivial (Castillo-Ramirez and Gonzalez, <xref ref-type="bibr" rid="B15">2008</xref>), however as proxy for orthologous genes we used single gene families. We employed a concatenated alignment of 1383 single gene families to conduct a mixture analysis via the Bayesian Analysis of Population Structure Analysis (BAPS) program version 6 (Tang et al., <xref ref-type="bibr" rid="B55">2009</xref>). We ran a hierarchical model-based clustering of the strains implementing the tandem version of BAPS (Cheng et al., <xref ref-type="bibr" rid="B21">2013</xref>). This clustering was carried out setting four levels in the hierarchy. To get a measure of the number of genetically diverged groups we conduct a preliminary analysis setting the maximum number of genetically differentiated groups to 35, as it has been done previously for other bacterial species (Joseph et al., <xref ref-type="bibr" rid="B34">2015</xref>), and to 35 in the final analysis. The first level of clustering yielded five clusters, the second produced 15, the third provided 22, and the last one gave 32. We constructed a species phylogeny for this data set using a concatenated alignment of 574 single gene families that did not show evidence of recombination, as inferred by the test for detecting recombination implemented via the PhiPack program (Bruen et al., <xref ref-type="bibr" rid="B13">2006</xref>). We ran a Maximum Likelihood phylogeny on the concatenated alignment through PhyML (Guindon et al., <xref ref-type="bibr" rid="B31">2010</xref>) and setting the model described below. We conducted statistical model selection, as in Lopez-Leal et al. (<xref ref-type="bibr" rid="B41">2016</xref>), to find the most adequate model. This analysis was done by means of jModelTest (Abascal et al., <xref ref-type="bibr" rid="B2">2005</xref>) and the model selected was GTR&#x0002B;R&#x0002B;I. We also made another phylogeny just considering the Mexican isolates also via PhyML. We created a SNPs alignment, from the concatenated alignment of the 574 single genes families not affected by recombination by keeping only the variable sites. We used the SNPs alignment to carry out a dating analysis, which was conducted via BEAST2 (Bouckaert et al., <xref ref-type="bibr" rid="B12">2014</xref>). For the SNP alignment only a subset of strains, for which we had reliable information on the date of isolation, were considered (see Supplementary Table <xref ref-type="supplementary-material" rid="SM6">6</xref>) so to be able to calibrate the relaxed molecular clock confidently. We set a log-normal relaxed clock, employing the GTR DNA model and using the correction for among site variation; this model was chosen as the statistical model selection analysis, implemented via jModelTest2 (Posada, <xref ref-type="bibr" rid="B48">2009</xref>; Darriba et al., <xref ref-type="bibr" rid="B24">2012</xref>), indicated that was the most suitable model for this data set. This analysis was run for 200,000,000 generations, sampling every 10,000 generations and discarding the first 20,000,000 generations as burn-in. We used VariScan version 2.0 (Vilella et al., <xref ref-type="bibr" rid="B56">2005</xref>) to compute some population genetics summary statistics (nucleotide diversity [&#x003C0;] and Tajima&#x00027;s D) setting the runmode to 12. We employed MEGA6 (Tamura et al., <xref ref-type="bibr" rid="B54">2013</xref>) to carry out Tajima&#x00027;s relative test and evaluate whether the potential hypermutators strains have higher evolutionary rates. We conducted two analyses: one considering the strain Ab4113 and other involving the strain Ab11598. In both analyses, the out group was Ab11551 and the taxon B was Ab11510.</p>
</sec>
<sec>
<title>Gene content analysis and pairwise comparisons</title>
<p>We have created a matrix that contains the number of genes per homologous groups and the genomes considered. We normalized the matrix by dividing each value by the sum of all the values. Using this matrix we have created two additional matrices used for downstream analysis. One was a correlation matrix obtained using the cor() function in R and setting a Pearson correlation. The correlation matrix was visualized using a heat map employing the pheatmap() function also in R. We also constructed a distance matrix, for which we utilize the dist() function and the distance measure used was &#x0201C;Euclidean.&#x0201D; Then, by means of the APE library in R (Paradis et al., <xref ref-type="bibr" rid="B47">2004</xref>) we used the Neighbor-joining algorithm to construct two phylogenies based on the distance matrix. We conducted several topology tests (see Table <xref ref-type="table" rid="T1">1</xref>) to determine whether the NJ phylogenies based on the gene content matrix differ significantly from the ML phylogenies; the topology tests were implemented via PAML 4 (Yang, <xref ref-type="bibr" rid="B58">2007</xref>). We implemented a gain-death model stochastic by means of the BadiRate software (Librado et al., <xref ref-type="bibr" rid="B39">2012</xref>). This analysis requires an ultrametric tree of the taxa considered, therefore we used the APE library (Paradis et al., <xref ref-type="bibr" rid="B47">2004</xref>) to convert the ML phylogeny of the Mexican clade into an ultrametric tree. We considered two branch models: one was the global rates model (GD-GR-ML) and the other was the free-rates model (GD-FR-ML). To assess the goodness of fit of these two models we used the log-likehood of the models and the Akaike Information Criterion (Akaike, <xref ref-type="bibr" rid="B3">1974</xref>). We also set the option &#x0201C;anc&#x0201D; that gives the number of genes at the internal branches for each gene family and the total number of genes; it also reports the minimum number of losses and gains per internal and external branch. We also carried out a set of pairwise comparisons (see Supplementary Table <xref ref-type="supplementary-material" rid="SM4">4</xref>); for each comparison we determine the number of genes present in one but not the other strain and the sum of those unique genes per strain gives the total difference in gene number between the two strains under consideration. We assigned a potential chromosomal location for the unique genes per strain using a set of chromosomes from complete genomes, which are listed in Supplementary Table <xref ref-type="supplementary-material" rid="SM5">5</xref>. For doing this, we carried out BLAST searches for each gene present in one but not the other strain against a database containing the chromosomes mentioned above with an e-value of 1.0 e<sup>&#x02212;30</sup> and requiring that the query sequence aligned &#x02265;60% of its length and was &#x02265;40% identical.</p>
</sec>
</sec>
<sec id="s5">
<title>Author contributions</title>
<p>SC conceived, designed, and coordinated the study. LG assembled and annotated the genomes, constructed the homologous groups, ran the ML phylogeny and created the gene content matrices. SC conducted the population structure and molecular dating analyses, ran the gene turnover analysis, and conducted the population genetic parameters. LL helped with the genome assemblies and genome annotations. &#x000C1;P conducted the plasmid profiles. PV, CV, and MC contributed the Mexican isolates and participated in the general discussion. SC and LG wrote the manuscript. All the authors revised and approved the manuscript.</p>
<sec>
<title>Conflict of interest statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</sec>
</body>
<back>
<ack>
<p>This work was supported by &#x0201C;Programa de Apoyo a Proyectos de Investigaci&#x000F3;n e Innovaci&#x000F3;n Tecnol&#x000F3;gica PAPIIT&#x0201D; (grant numbers IA200515 and IA201317) to SC. LG is a doctoral student from the Programa de Doctorado en Ciencias Biom&#x000E9;dicas, Universidad Nacional Aut&#x000F3;noma de M&#x000E9;xico (UNAM), and received a fellowship (number 585414) from CONACYT. The genome sequencing of all the Mexican strains was conducted at Macrogen (<ext-link ext-link-type="uri" xlink:href="http://www.macrogen.com/eng/">http://www.macrogen.com/eng/</ext-link>). SC is grateful to his colleague Timothy Read for helpful discussions on this project and his comments on the manuscript. SC is also indebted to Gabrielle Margos and Jesse Shapiro for critical reading of the manuscript. SC and LG are thankful to the reviewers as their comments have significantly improved this manuscript. Finally, SC and LG would like to extend warm thanks to Esperanza Martinez and Lorenzo Segovia for their helpful comments on LG&#x00027;s PhD project.</p>
</ack>
<sec sec-type="supplementary-material" id="s6">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="http://journal.frontiersin.org/article/10.3389/fmicb.2017.01817/full#supplementary-material">http://journal.frontiersin.org/article/10.3389/fmicb.2017.01817/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table1.XLS" id="SM1" mimetype="application/vnd.ms-excel" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Table 1</label>
<caption><p>Newly sequenced Mexican isolates on this study.</p></caption></supplementary-material>
<supplementary-material xlink:href="Table2.xls" id="SM2" mimetype="application/vnd.ms-excel" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Table 2</label>
<caption><p>Publically available complete genomes downloaded from the NCBI.</p></caption></supplementary-material>
<supplementary-material xlink:href="Table3.XLS" id="SM3" mimetype="application/vnd.ms-excel" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Table 3</label>
<caption><p>Antibiograms and source of the Mexican isolates.</p></caption></supplementary-material>
<supplementary-material xlink:href="Table4.PDF" id="SM4" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Table 4</label>
<caption><p>Pairwise comparisons of a set of strains.</p></caption></supplementary-material>
<supplementary-material xlink:href="Table5.PDF" id="SM5" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Table 5</label>
<caption><p>List of the complete genomes from which chromosomes were extracted to assign potential chromosomal localization for the gene differences regarding the pairwise comparisons of the set of strains used in Supplementary Table <xref ref-type="supplementary-material" rid="SM4">4</xref>.</p></caption></supplementary-material>
<supplementary-material xlink:href="Table6.PDF" id="SM6" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Table 6</label>
<caption><p>Strains, and their dates of isolation, used for the molecular dating analysis.</p></caption></supplementary-material>
<supplementary-material xlink:href="Image1.PDF" id="SM7" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 1</label>
<caption><p>Molecular dating Mexican clade. Marginal posterior distribution for the time to the Most Recent Common Ancestor of the (tMRCA) Mexican strains. Blue bars denote the 95% highest posterior density interval. The mean and median values for the tMRCA are also provided.</p></caption></supplementary-material>
<supplementary-material xlink:href="Image2.PDF" id="SM8" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 2</label>
<caption><p>Phylogeny Mexican clade. The phylogeny is based on the concatenated alignment of all the single gene families not affected by recombination and was constructed via PhyML. This phylogeny includes only the newly Mexican strains. The red labels denote the hypermutators strains, the number on the branches denote the average SNP distance to the non-hypermutators strains. The scale bar represents substitution per sites.</p></caption></supplementary-material>
<supplementary-material xlink:href="Image3.PDF" id="SM9" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 3</label>
<caption><p>Plasmid profile analysis of the Mexican strains. Plasmid profiles of the 8 Mexican isolates analyzed by agarose gel electrophoresis (0.8%). Names of strains are listed at the top the figure. The first and last lanes show the plasmid profile of <italic>Acinetobacter haemolyticus</italic> 11616 that was utilized as molecular weight standard. Arrows at the right indicate the plasmid molecular weights of <italic>A. haemolyticus</italic> 11616 and the migration point of broken DNA.</p></caption></supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Aanensen</surname> <given-names>D. M.</given-names></name> <name><surname>Feil</surname> <given-names>E. J.</given-names></name> <name><surname>Holden</surname> <given-names>M. T.</given-names></name> <name><surname>Dordel</surname> <given-names>J.</given-names></name> <name><surname>Yeats</surname> <given-names>C. A.</given-names></name> <name><surname>Fedosejev</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Whole-genome sequencing for routine pathogen surveillance in public health: a population snapshot of invasive <italic>Staphylococcus aureus</italic> in Europe</article-title>. <source>MBio</source> <volume>7</volume>:<fpage>e00444</fpage>-<lpage>16</lpage>. <pub-id pub-id-type="doi">10.1128/mBio.00444-16</pub-id><pub-id pub-id-type="pmid">27150362</pub-id></citation></ref>
<ref id="B2">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abascal</surname> <given-names>F.</given-names></name> <name><surname>Zardoya</surname> <given-names>R.</given-names></name> <name><surname>Posada</surname> <given-names>D.</given-names></name></person-group> (<year>2005</year>). <article-title>ProtTest: selection of best-fit models of protein evolution</article-title>. <source>Bioinformatics</source> <volume>21</volume>, <fpage>2104</fpage>&#x02013;<lpage>2105</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/bti263</pub-id><pub-id pub-id-type="pmid">15647292</pub-id></citation></ref>
<ref id="B3">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Akaike</surname> <given-names>H.</given-names></name></person-group> (<year>1974</year>). <article-title>A new look at the statistical model identification</article-title>. <source>IEEE Trans. Automat. Control</source> <volume>19</volume>, <fpage>716</fpage>&#x02013;<lpage>723</lpage>. <pub-id pub-id-type="doi">10.1109/TAC.1974.1100705</pub-id></citation></ref>
<ref id="B4">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Alcantar-Curiel</surname> <given-names>M. D.</given-names></name> <name><surname>Garcia-Torres</surname> <given-names>L. F.</given-names></name> <name><surname>Gonzalez-Chavez</surname> <given-names>M. I.</given-names></name> <name><surname>Morfin-Otero</surname> <given-names>R.</given-names></name> <name><surname>Gayosso-Vazquez</surname> <given-names>C.</given-names></name> <name><surname>Jarillo-Quijada</surname> <given-names>M. D.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Molecular mechanisms associated with nosocomial carbapenem-resistant <italic>Acinetobacter baumannii</italic> in Mexico</article-title>. <source>Arch. Med. Res.</source> <volume>45</volume>, <fpage>553</fpage>&#x02013;<lpage>560</lpage>. <pub-id pub-id-type="doi">10.1016/j.arcmed.2014.10.006</pub-id><pub-id pub-id-type="pmid">25450581</pub-id></citation></ref>
<ref id="B5">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Andreani</surname> <given-names>N. A.</given-names></name> <name><surname>Hesse</surname> <given-names>E.</given-names></name> <name><surname>Vos</surname> <given-names>M.</given-names></name></person-group> (<year>2017</year>). <article-title>Prokaryote genome fluidity is dependent on effective population size</article-title>. <source>ISME J.</source> <volume>11</volume>, <fpage>1719</fpage>&#x02013;<lpage>1721</lpage>. <pub-id pub-id-type="doi">10.1038/ismej.2017.36</pub-id><pub-id pub-id-type="pmid">28362722</pub-id></citation></ref>
<ref id="B6">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Antunes</surname> <given-names>L. C.</given-names></name> <name><surname>Visca</surname> <given-names>P.</given-names></name> <name><surname>Towner</surname> <given-names>K. J.</given-names></name></person-group> (<year>2014</year>). <article-title><italic>Acinetobacter baumannii</italic>: evolution of a global pathogen</article-title>. <source>Pathog. Dis.</source> <volume>71</volume>, <fpage>292</fpage>&#x02013;<lpage>301</lpage>. <pub-id pub-id-type="doi">10.1111/2049-632X.12125</pub-id><pub-id pub-id-type="pmid">24376225</pub-id></citation></ref>
<ref id="B7">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ares</surname> <given-names>M. A.</given-names></name> <name><surname>Alcantar-Curiel</surname> <given-names>M. D.</given-names></name> <name><surname>Jimenez-Galicia</surname> <given-names>C.</given-names></name> <name><surname>Rios-Sarabia</surname> <given-names>N.</given-names></name> <name><surname>Pacheco</surname> <given-names>S.</given-names></name> <name><surname>De la Cruz</surname> <given-names>M. A.</given-names></name></person-group> (<year>2013</year>). <article-title>Antibiotic resistance of gram-negative bacilli isolated from pediatric patients with nosocomial bloodstream infections in a Mexican tertiary care hospital</article-title>. <source>Chemotherapy</source> <volume>59</volume>, <fpage>361</fpage>&#x02013;<lpage>368</lpage>. <pub-id pub-id-type="doi">10.1159/000362085</pub-id><pub-id pub-id-type="pmid">24821320</pub-id></citation></ref>
<ref id="B8">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Azarian</surname> <given-names>T.</given-names></name> <name><surname>Daum</surname> <given-names>R. S.</given-names></name> <name><surname>Petty</surname> <given-names>L. A.</given-names></name> <name><surname>Steinbeck</surname> <given-names>J. L.</given-names></name> <name><surname>Yin</surname> <given-names>Z.</given-names></name> <name><surname>Nolan</surname> <given-names>D.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Intrahost evolution of methicillin-resistant <italic>Staphylococcus aureus</italic> USA300 among individuals with reoccurring skin and soft-tissue infections</article-title>. <source>J. Infect. Dis.</source> <volume>214</volume>, <fpage>895</fpage>&#x02013;<lpage>905</lpage>. <pub-id pub-id-type="doi">10.1093/infdis/jiw242</pub-id><pub-id pub-id-type="pmid">27288537</pub-id></citation></ref>
<ref id="B9">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bankevich</surname> <given-names>A.</given-names></name> <name><surname>Nurk</surname> <given-names>S.</given-names></name> <name><surname>Antipov</surname> <given-names>D.</given-names></name> <name><surname>Gurevich</surname> <given-names>A. A.</given-names></name> <name><surname>Dvorkin</surname> <given-names>M.</given-names></name> <name><surname>Kulikov</surname> <given-names>A. S.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>SPAdes: a new genome assembly algorithm and its applications to single-cell sequencing</article-title>. <source>J. Comput. Biol.</source> <volume>19</volume>, <fpage>455</fpage>&#x02013;<lpage>477</lpage>. <pub-id pub-id-type="doi">10.1089/cmb.2012.0021</pub-id><pub-id pub-id-type="pmid">22506599</pub-id></citation></ref>
<ref id="B10">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baumdicker</surname> <given-names>F.</given-names></name> <name><surname>Hess</surname> <given-names>W. R.</given-names></name> <name><surname>Pfaffelhuber</surname> <given-names>P.</given-names></name></person-group> (<year>2012</year>). <article-title>The infinitely many genes model for the distributed genome of bacteria</article-title>. <source>Genome Biol. Evol.</source> <volume>4</volume>, <fpage>443</fpage>&#x02013;<lpage>456</lpage>. <pub-id pub-id-type="doi">10.1093/gbe/evs016</pub-id><pub-id pub-id-type="pmid">22357598</pub-id></citation></ref>
<ref id="B11">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bocanegra-Ibarias</surname> <given-names>P.</given-names></name> <name><surname>Pena-Lopez</surname> <given-names>C.</given-names></name> <name><surname>Camacho-Ortiz</surname> <given-names>A.</given-names></name> <name><surname>Llaca-Diaz</surname> <given-names>J.</given-names></name> <name><surname>Silva-Sanchez</surname> <given-names>J.</given-names></name> <name><surname>Barrios</surname> <given-names>H.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Genetic characterisation of drug resistance and clonal dynamics of <italic>Acinetobacter baumannii</italic> in a hospital setting in Mexico</article-title>. <source>Int. J. Antimicrob. Agents</source> <volume>45</volume>, <fpage>309</fpage>&#x02013;<lpage>313</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijantimicag.2014.10.022</pub-id><pub-id pub-id-type="pmid">25561030</pub-id></citation></ref>
<ref id="B12">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bouckaert</surname> <given-names>R.</given-names></name> <name><surname>Heled</surname> <given-names>J.</given-names></name> <name><surname>Kuhnert</surname> <given-names>D.</given-names></name> <name><surname>Vaughan</surname> <given-names>T.</given-names></name> <name><surname>Wu</surname> <given-names>C. H.</given-names></name> <name><surname>Xie</surname> <given-names>D.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>BEAST 2: a software platform for Bayesian evolutionary analysis</article-title>. <source>PLoS Comput. Biol.</source> <volume>10</volume>:<fpage>e1003537</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pcbi.1003537</pub-id><pub-id pub-id-type="pmid">24722319</pub-id></citation></ref>
<ref id="B13">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bruen</surname> <given-names>T. C.</given-names></name> <name><surname>Philippe</surname> <given-names>H.</given-names></name> <name><surname>Bryant</surname> <given-names>D.</given-names></name></person-group> (<year>2006</year>). <article-title>A simple and robust statistical test for detecting the presence of recombination</article-title>. <source>Genetics</source> <volume>172</volume>, <fpage>2665</fpage>&#x02013;<lpage>2681</lpage>. <pub-id pub-id-type="doi">10.1534/genetics.105.048975</pub-id><pub-id pub-id-type="pmid">16489234</pub-id></citation></ref>
<ref id="B14">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brynildsrud</surname> <given-names>O.</given-names></name> <name><surname>Feil</surname> <given-names>E. J.</given-names></name> <name><surname>Bohlin</surname> <given-names>J.</given-names></name> <name><surname>Castillo-Ramirez</surname> <given-names>S.</given-names></name> <name><surname>Colquhoun</surname> <given-names>D.</given-names></name> <name><surname>McCarthy</surname> <given-names>U.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Microevolution of <italic>Renibacterium salmoninarum</italic>: evidence for intercontinental dissemination associated with fish movements</article-title>. <source>ISME J.</source> <volume>8</volume>, <fpage>746</fpage>&#x02013;<lpage>756</lpage>. <pub-id pub-id-type="doi">10.1038/ismej.2013.186</pub-id><pub-id pub-id-type="pmid">24173459</pub-id></citation></ref>
<ref id="B15">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Castillo-Ramirez</surname> <given-names>S.</given-names></name> <name><surname>Gonzalez</surname> <given-names>V.</given-names></name></person-group> (<year>2008</year>). <article-title>Factors affecting the concordance between orthologous gene trees and species tree in bacteria</article-title>. <source>BMC Evol. Biol.</source> <volume>8</volume>:<fpage>300</fpage>. <pub-id pub-id-type="doi">10.1186/1471-2148-8-300</pub-id><pub-id pub-id-type="pmid">18973688</pub-id></citation></ref>
<ref id="B16">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Castillo-Ramirez</surname> <given-names>S.</given-names></name> <name><surname>Corander</surname> <given-names>J.</given-names></name> <name><surname>Marttinen</surname> <given-names>P.</given-names></name> <name><surname>Aldeljawi</surname> <given-names>M.</given-names></name> <name><surname>Hanage</surname> <given-names>W. P.</given-names></name> <name><surname>Westh</surname> <given-names>H.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>Phylogeographic variation in recombination rates within a global clone of methicillin-resistant <italic>Staphylococcus aureus</italic></article-title>. <source>Genome Biol.</source> <volume>13</volume>:<fpage>R126</fpage>. <pub-id pub-id-type="doi">10.1186/gb-2012-13-12-r126</pub-id><pub-id pub-id-type="pmid">23270620</pub-id></citation></ref>
<ref id="B17">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Castillo-Ramirez</surname> <given-names>S.</given-names></name> <name><surname>Fingerle</surname> <given-names>V.</given-names></name> <name><surname>Jungnick</surname> <given-names>S.</given-names></name> <name><surname>Straubinger</surname> <given-names>R. K.</given-names></name> <name><surname>Krebs</surname> <given-names>S.</given-names></name> <name><surname>Blum</surname> <given-names>H.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Trans-Atlantic exchanges have shaped the population structure of the Lyme disease agent <italic>Borrelia burgdorferi</italic> sensu stricto</article-title>. <source>Sci. Rep.</source> <volume>6</volume>:<fpage>22794</fpage>. <pub-id pub-id-type="doi">10.1038/srep22794</pub-id><pub-id pub-id-type="pmid">26955886</pub-id></citation></ref>
<ref id="B18">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Castillo-Ramirez</surname> <given-names>S.</given-names></name> <name><surname>Harris</surname> <given-names>S. R.</given-names></name> <name><surname>Holden</surname> <given-names>M. T.</given-names></name> <name><surname>He</surname> <given-names>M.</given-names></name> <name><surname>Parkhill</surname> <given-names>J.</given-names></name> <name><surname>Bentley</surname> <given-names>S. D.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>The impact of recombination on dN/dS within recently emerged bacterial clones</article-title>. <source>PLoS Pathog.</source> <volume>7</volume>:<fpage>e1002129</fpage>. <pub-id pub-id-type="doi">10.1371/journal.ppat.1002129</pub-id><pub-id pub-id-type="pmid">21779170</pub-id></citation></ref>
<ref id="B19">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Castro-Jaimes</surname> <given-names>S.</given-names></name> <name><surname>Salgado-Camargo</surname> <given-names>A. D.</given-names></name> <name><surname>Grana-Miraglia</surname> <given-names>L.</given-names></name> <name><surname>Lozano</surname> <given-names>L.</given-names></name> <name><surname>Bocanegra-Ibarias</surname> <given-names>P.</given-names></name> <name><surname>Volkow-Fernandez</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Complete genome sequence of a multidrug-resistant <italic>Acinetobacter baumannii</italic> isolate obtained from a Mexican hospital (Sequence Type 422)</article-title>. <source>Genome Announc</source>. <volume>4</volume>:<fpage>e00583</fpage>-<lpage>16</lpage>. <pub-id pub-id-type="doi">10.1128/genomeA.00583-16</pub-id><pub-id pub-id-type="pmid">27340065</pub-id></citation></ref>
<ref id="B20">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chan</surname> <given-names>A. P.</given-names></name> <name><surname>Sutton</surname> <given-names>G.</given-names></name> <name><surname>DePew</surname> <given-names>J.</given-names></name> <name><surname>Krishnakumar</surname> <given-names>R.</given-names></name> <name><surname>Choi</surname> <given-names>Y.</given-names></name> <name><surname>Huang</surname> <given-names>X. Z.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>A novel method of consensus pan-chromosome assembly and large-scale comparative analysis reveal the highly flexible pan-genome of <italic>Acinetobacter baumannii</italic></article-title>. <source>Genome Biol.</source> <volume>16</volume>, <fpage>143</fpage>. <pub-id pub-id-type="doi">10.1186/s13059-015-0701-6</pub-id><pub-id pub-id-type="pmid">26195261</pub-id></citation></ref>
<ref id="B21">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cheng</surname> <given-names>L.</given-names></name> <name><surname>Connor</surname> <given-names>T. R.</given-names></name> <name><surname>Siren</surname> <given-names>J.</given-names></name> <name><surname>Aanensen</surname> <given-names>D. M.</given-names></name> <name><surname>Corander</surname> <given-names>J.</given-names></name></person-group> (<year>2013</year>). <article-title>Hierarchical and spatially explicit clustering of DNA sequences with BAPS software</article-title>. <source>Mol. Biol. Evol.</source> <volume>30</volume>, <fpage>1224</fpage>&#x02013;<lpage>1228</lpage>. <pub-id pub-id-type="doi">10.1093/molbev/mst028</pub-id><pub-id pub-id-type="pmid">23408797</pub-id></citation></ref>
<ref id="B22">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cornejo-Juarez</surname> <given-names>P.</given-names></name> <name><surname>Vilar-Compte</surname> <given-names>D.</given-names></name> <name><surname>Perez-Jimenez</surname> <given-names>C.</given-names></name> <name><surname>Namendys-Silva</surname> <given-names>S. A.</given-names></name> <name><surname>Sandoval-Hernandez</surname> <given-names>S.</given-names></name> <name><surname>Volkow-Fernandez</surname> <given-names>P.</given-names></name></person-group> (<year>2015</year>). <article-title>The impact of hospital-acquired infections with multidrug-resistant bacteria in an oncology intensive care unit</article-title>. <source>Int. J. Infect. Dis.</source> <volume>31</volume>, <fpage>31</fpage>&#x02013;<lpage>34</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijid.2014.12.022</pub-id><pub-id pub-id-type="pmid">25528484</pub-id></citation></ref>
<ref id="B23">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cox</surname> <given-names>M. P.</given-names></name> <name><surname>Peterson</surname> <given-names>D. A.</given-names></name> <name><surname>Biggs</surname> <given-names>P. J.</given-names></name></person-group> (<year>2010</year>). <article-title>SolexaQA: at-a-glance quality assessment of Illumina second-generation sequencing data</article-title>. <source>BMC bioinformatics</source> <volume>11</volume>:<fpage>485</fpage>. <pub-id pub-id-type="doi">10.1186/1471-2105-11-485</pub-id><pub-id pub-id-type="pmid">20875133</pub-id></citation></ref>
<ref id="B24">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Darriba</surname> <given-names>D.</given-names></name> <name><surname>Taboada</surname> <given-names>G. L.</given-names></name> <name><surname>Doallo</surname> <given-names>R.</given-names></name> <name><surname>Posada</surname> <given-names>D.</given-names></name></person-group> (<year>2012</year>). <article-title>jModelTest 2: more models, new heuristics and parallel computing</article-title>. <source>Nat. Methods</source> <volume>9</volume>, <fpage>772</fpage>. <pub-id pub-id-type="doi">10.1038/nmeth.2109</pub-id><pub-id pub-id-type="pmid">22847109</pub-id></citation></ref>
<ref id="B25">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Diaz Caballero</surname> <given-names>J.</given-names></name> <name><surname>Clark</surname> <given-names>S. T.</given-names></name> <name><surname>Coburn</surname> <given-names>B.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name> <name><surname>Wang</surname> <given-names>P. W.</given-names></name> <name><surname>Donaldson</surname> <given-names>S. L.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Selective sweeps and parallel pathoadaptation drive <italic>Pseudomonas aeruginosa</italic> evolution in the cystic fibrosis lung</article-title>. <source>MBio</source> <volume>6</volume>, <fpage>e00981</fpage>&#x02013;<lpage>e00915</lpage>. <pub-id pub-id-type="doi">10.1128/mBio.00981-15</pub-id><pub-id pub-id-type="pmid">26330513</pub-id></citation></ref>
<ref id="B26">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ezewudo</surname> <given-names>M. N.</given-names></name> <name><surname>Joseph</surname> <given-names>S. J.</given-names></name> <name><surname>Castillo-Ramirez</surname> <given-names>S.</given-names></name> <name><surname>Dean</surname> <given-names>D.</given-names></name> <name><surname>Del Rio</surname> <given-names>C.</given-names></name> <name><surname>Didelot</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Population structure of <italic>Neisseria gonorrhoeae</italic> based on whole genome data and its relationship with antibiotic resistance</article-title>. <source>PeerJ.</source> <volume>3</volume>:<fpage>e806</fpage>. <pub-id pub-id-type="doi">10.7717/peerj.806</pub-id><pub-id pub-id-type="pmid">25780762</pub-id></citation></ref>
<ref id="B27">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fouts</surname> <given-names>D. E.</given-names></name> <name><surname>Brinkac</surname> <given-names>L.</given-names></name> <name><surname>Beck</surname> <given-names>E.</given-names></name> <name><surname>Inman</surname> <given-names>J.</given-names></name> <name><surname>Sutton</surname> <given-names>G.</given-names></name></person-group> (<year>2012</year>). <article-title>PanOCT: automated clustering of orthologs using conserved gene neighborhood for pan-genomic analysis of bacterial strains and closely related species</article-title>. <source>Nucleic Acids Res.</source> <volume>40</volume>:<fpage>e172</fpage>. <pub-id pub-id-type="doi">10.1093/nar/gks757</pub-id><pub-id pub-id-type="pmid">22904089</pub-id></citation></ref>
<ref id="B28">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gogarten</surname> <given-names>J. P.</given-names></name> <name><surname>Townsend</surname> <given-names>J. P.</given-names></name></person-group> (<year>2005</year>). <article-title>Horizontal gene transfer, genome innovation and evolution</article-title>. <source>Nat. Rev. Microbiol.</source> <volume>3</volume>, <fpage>679</fpage>&#x02013;<lpage>687</lpage>. <pub-id pub-id-type="doi">10.1038/nrmicro1204</pub-id><pub-id pub-id-type="pmid">16138096</pub-id></citation></ref>
<ref id="B29">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gonzalez-Villoria</surname> <given-names>A. M.</given-names></name> <name><surname>Tamayo-Legorreta</surname> <given-names>E.</given-names></name> <name><surname>Garza-Ramos</surname> <given-names>U.</given-names></name> <name><surname>Barrios</surname> <given-names>H.</given-names></name> <name><surname>Sanchez-Perez</surname> <given-names>A.</given-names></name> <name><surname>Rodriguez-Medina</surname> <given-names>N.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>A multicenter study in Mexico finds <italic>Acinetobacter baumannii</italic> clinical isolates belonging to clonal complexes 636B (113B) and 92B Harboring OXA-72, OXA-239, and OXA-469</article-title>. <source>Antimicrob. Agents Chemother.</source> <volume>60</volume>, <fpage>2587</fpage>&#x02013;<lpage>2588</lpage>. <pub-id pub-id-type="doi">10.1128/AAC.02042-15</pub-id><pub-id pub-id-type="pmid">26833167</pub-id></citation></ref>
<ref id="B30">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Grana-Miraglia</surname> <given-names>L.</given-names></name> <name><surname>Lozano</surname> <given-names>L.</given-names></name> <name><surname>Castro-Jaimes</surname> <given-names>S.</given-names></name> <name><surname>Cevallos</surname> <given-names>M. A.</given-names></name> <name><surname>Volkow</surname> <given-names>P.</given-names></name> <name><surname>Castillo-Ramirez</surname> <given-names>S.</given-names></name></person-group> (<year>2016</year>). <article-title>First genome sequence of a Mexican multidrug-resistant <italic>Acinetobacter baumannii</italic> isolate</article-title>. <source>Genome Announc.</source> <volume>4</volume>:<fpage>e00156</fpage>-<lpage>16</lpage>. <pub-id pub-id-type="doi">10.1128/genomeA.00156-16</pub-id><pub-id pub-id-type="pmid">27013043</pub-id></citation></ref>
<ref id="B31">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guindon</surname> <given-names>S.</given-names></name> <name><surname>Dufayard</surname> <given-names>J. F.</given-names></name> <name><surname>Lefort</surname> <given-names>V.</given-names></name> <name><surname>Anisimova</surname> <given-names>M.</given-names></name> <name><surname>Hordijk</surname> <given-names>W.</given-names></name> <name><surname>Gascuel</surname> <given-names>O.</given-names></name></person-group> (<year>2010</year>). <article-title>New algorithms and methods to estimate maximum-likelihood phylogenies: assessing the performance of PhyML 3.0</article-title>. <source>Syst. Biol.</source> <volume>59</volume>, <fpage>307</fpage>&#x02013;<lpage>321</lpage>. <pub-id pub-id-type="doi">10.1093/sysbio/syq010</pub-id><pub-id pub-id-type="pmid">20525638</pub-id></citation></ref>
<ref id="B32">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hammerstrom</surname> <given-names>T. G.</given-names></name> <name><surname>Beabout</surname> <given-names>K.</given-names></name> <name><surname>Clements</surname> <given-names>T. P.</given-names></name> <name><surname>Saxer</surname> <given-names>G.</given-names></name> <name><surname>Shamoo</surname> <given-names>Y.</given-names></name></person-group> (<year>2015</year>). <article-title><italic>Acinetobacter baumannii</italic> repeatedly evolves a hypermutator phenotype in response to tigecycline that effectively surveys evolutionary trajectories to resistance</article-title>. <source>PLoS ONE</source> <volume>10</volume>:<fpage>e0140489</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0140489</pub-id><pub-id pub-id-type="pmid">26488727</pub-id></citation></ref>
<ref id="B33">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Holden</surname> <given-names>M. T.</given-names></name> <name><surname>Lindsay</surname> <given-names>J. A.</given-names></name> <name><surname>Corton</surname> <given-names>C.</given-names></name> <name><surname>Quail</surname> <given-names>M. A.</given-names></name> <name><surname>Cockfield</surname> <given-names>J. D.</given-names></name> <name><surname>Pathak</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Genome sequence of a recently emerged, highly transmissible, multi-antibiotic- and antiseptic-resistant variant of methicillin-resistant <italic>Staphylococcus aureus</italic>, sequence type 239 (TW)</article-title>. <source>J. Bacteriol.</source> <volume>192</volume>, <fpage>888</fpage>&#x02013;<lpage>892</lpage>. <pub-id pub-id-type="doi">10.1128/JB.01255-09</pub-id><pub-id pub-id-type="pmid">19948800</pub-id></citation></ref>
<ref id="B34">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Joseph</surname> <given-names>S. J.</given-names></name> <name><surname>Marti</surname> <given-names>H.</given-names></name> <name><surname>Didelot</surname> <given-names>X.</given-names></name> <name><surname>Castillo-Ramirez</surname> <given-names>S.</given-names></name> <name><surname>Read</surname> <given-names>T. D.</given-names></name> <name><surname>Dean</surname> <given-names>D.</given-names></name></person-group> (<year>2015</year>). <article-title>Chlamydiaceae genomics reveals interspecies admixture and the recent evolution of <italic>Chlamydia abortus</italic> infecting lower mammalian species and humans</article-title>. <source>Genome Biol. Evol.</source> <volume>7</volume>, <fpage>3070</fpage>&#x02013;<lpage>3084</lpage>. <pub-id pub-id-type="doi">10.1093/gbe/evv201</pub-id><pub-id pub-id-type="pmid">26507799</pub-id></citation></ref>
<ref id="B35">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Knoppel</surname> <given-names>A.</given-names></name> <name><surname>Lind</surname> <given-names>P. A.</given-names></name> <name><surname>Lustig</surname> <given-names>U.</given-names></name> <name><surname>Nasvall</surname> <given-names>J.</given-names></name> <name><surname>Andersson</surname> <given-names>D. I.</given-names></name></person-group> (<year>2014</year>). <article-title>Minor fitness costs in an experimental model of horizontal gene transfer in bacteria</article-title>. <source>Mol. Biol. Evol.</source> <volume>31</volume>, <fpage>1220</fpage>&#x02013;<lpage>1227</lpage>. <pub-id pub-id-type="doi">10.1093/molbev/msu076</pub-id><pub-id pub-id-type="pmid">24536043</pub-id></citation></ref>
<ref id="B36">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Komp Lindgren</surname> <given-names>P.</given-names></name> <name><surname>Higgins</surname> <given-names>P. G.</given-names></name> <name><surname>Seifert</surname> <given-names>H.</given-names></name> <name><surname>Cars</surname> <given-names>O.</given-names></name></person-group> (<year>2016</year>). <article-title>Prevalence of hypermutators among clinical <italic>Acinetobacter baumannii</italic> isolates</article-title>. <source>J. Antimicrob. Chemother.</source> <volume>71</volume>, <fpage>661</fpage>&#x02013;<lpage>665</lpage>. <pub-id pub-id-type="doi">10.1093/jac/dkv378</pub-id><pub-id pub-id-type="pmid">26660878</pub-id></citation></ref>
<ref id="B37">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Leplae</surname> <given-names>R.</given-names></name> <name><surname>Lima-Mendez</surname> <given-names>G.</given-names></name> <name><surname>Toussaint</surname> <given-names>A.</given-names></name></person-group> (<year>2010</year>). <article-title>ACLAME: a CLAssification of mobile genetic elements, update 2010</article-title>. <source>Nucleic Acids Res.</source> <volume>38</volume>, <fpage>D57</fpage>&#x02013;<lpage>D61</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkp938</pub-id><pub-id pub-id-type="pmid">19933762</pub-id></citation></ref>
<ref id="B38">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Levade</surname> <given-names>I.</given-names></name> <name><surname>Terrat</surname> <given-names>Y.</given-names></name> <name><surname>Leducq</surname> <given-names>J. B.</given-names></name> <name><surname>Weil</surname> <given-names>A. A.</given-names></name> <name><surname>Mayo-Smith</surname> <given-names>L. M.</given-names></name> <name><surname>Chowdhury</surname> <given-names>F.</given-names></name> <etal/></person-group>. (<year>2017</year>). <article-title><italic>Vibrio cholerae</italic> genomic diversity within and between patients</article-title>. <source>bioRxiv</source>. <pub-id pub-id-type="doi">10.1101/169292</pub-id></citation></ref>
<ref id="B39">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Librado</surname> <given-names>P.</given-names></name> <name><surname>Vieira</surname> <given-names>F. G.</given-names></name> <name><surname>Rozas</surname> <given-names>J.</given-names></name></person-group> (<year>2012</year>). <article-title>BadiRate: estimating family turnover rates by likelihood-based methods</article-title>. <source>Bioinformatics</source> <volume>28</volume>, <fpage>279</fpage>&#x02013;<lpage>281</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btr623</pub-id><pub-id pub-id-type="pmid">22080468</pub-id></citation></ref>
<ref id="B40">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Librado</surname> <given-names>P.</given-names></name> <name><surname>Vieira</surname> <given-names>F. G.</given-names></name> <name><surname>Sanchez-Gracia</surname> <given-names>A.</given-names></name> <name><surname>Kolokotronis</surname> <given-names>S. O.</given-names></name> <name><surname>Rozas</surname> <given-names>J.</given-names></name></person-group> (<year>2014</year>). <article-title>Mycobacterial phylogenomics: an enhanced method for gene turnover analysis reveals uneven levels of gene gain and loss among species and gene families</article-title>. <source>Genome Biol. Evol.</source> <volume>6</volume>, <fpage>1454</fpage>&#x02013;<lpage>1465</lpage>. <pub-id pub-id-type="doi">10.1093/gbe/evu117</pub-id><pub-id pub-id-type="pmid">24904011</pub-id></citation></ref>
<ref id="B41">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lopez-Leal</surname> <given-names>G.</given-names></name> <name><surname>Cevallos</surname> <given-names>M. A.</given-names></name> <name><surname>Castillo-Ramirez</surname> <given-names>S.</given-names></name></person-group> (<year>2016</year>). <article-title>Evolution of a sigma factor: an all-in-one of gene duplication, horizontal gene transfer, purifying selection, and promoter differentiation</article-title>. <source>Front. Microbiol.</source> <volume>7</volume>:<fpage>581</fpage>. <pub-id pub-id-type="doi">10.3389/fmicb.2016.00581</pub-id><pub-id pub-id-type="pmid">27199915</pub-id></citation></ref>
<ref id="B42">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lowings</surname> <given-names>M.</given-names></name> <name><surname>Ehlers</surname> <given-names>M. M.</given-names></name> <name><surname>Dreyer</surname> <given-names>A. W.</given-names></name> <name><surname>Kock</surname> <given-names>M. M.</given-names></name></person-group> (<year>2015</year>). <article-title>High prevalence of oxacillinases in clinical multidrug-resistant <italic>Acinetobacter baumannii</italic> isolates from the Tshwane region, South Africa - an update</article-title>. <source>BMC Infect. Dis.</source> <volume>15</volume>:<fpage>521</fpage>. <pub-id pub-id-type="doi">10.1186/s12879-015-1246-8</pub-id><pub-id pub-id-type="pmid">26573617</pub-id></citation></ref>
<ref id="B43">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Metan</surname> <given-names>G.</given-names></name> <name><surname>Sariguzel</surname> <given-names>F.</given-names></name> <name><surname>Sumerkan</surname> <given-names>B.</given-names></name></person-group> (<year>2009</year>). <article-title>Factors influencing survival in patients with multi-drug-resistant <italic>Acinetobacter bacteraemia</italic></article-title>. <source>Eur. J. Intern. Med.</source> <volume>20</volume>, <fpage>540</fpage>&#x02013;<lpage>544</lpage>. <pub-id pub-id-type="doi">10.1016/j.ejim.2009.05.005</pub-id><pub-id pub-id-type="pmid">19712862</pub-id></citation></ref>
<ref id="B44">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Morfin-Otero</surname> <given-names>R.</given-names></name> <name><surname>Alcantar-Curiel</surname> <given-names>M. D.</given-names></name> <name><surname>Rocha</surname> <given-names>M. J.</given-names></name> <name><surname>Alpuche-Aranda</surname> <given-names>C. M.</given-names></name> <name><surname>Santos-Preciado</surname> <given-names>J. I.</given-names></name> <name><surname>Gayosso-Vazquez</surname> <given-names>C.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title><italic>Acinetobacter baumannii</italic> infections in a tertiary care hospital in Mexico over the past 13 years</article-title>. <source>Chemotherapy</source> <volume>59</volume>, <fpage>57</fpage>&#x02013;<lpage>65</lpage>. <pub-id pub-id-type="doi">10.1159/000351098</pub-id><pub-id pub-id-type="pmid">23839011</pub-id></citation></ref>
<ref id="B45">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nowell</surname> <given-names>R. W.</given-names></name> <name><surname>Green</surname> <given-names>S.</given-names></name> <name><surname>Laue</surname> <given-names>B. E.</given-names></name> <name><surname>Sharp</surname> <given-names>P. M.</given-names></name></person-group> (<year>2014</year>). <article-title>The extent of genome flux and its role in the differentiation of bacterial lineages</article-title>. <source>Genome Biol. Evol.</source> <volume>6</volume>, <fpage>1514</fpage>&#x02013;<lpage>1529</lpage>. <pub-id pub-id-type="doi">10.1093/gbe/evu123</pub-id><pub-id pub-id-type="pmid">24923323</pub-id></citation></ref>
<ref id="B46">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nubel</surname> <given-names>U.</given-names></name> <name><surname>Dordel</surname> <given-names>J.</given-names></name> <name><surname>Kurt</surname> <given-names>K.</given-names></name> <name><surname>Strommenger</surname> <given-names>B.</given-names></name> <name><surname>Westh</surname> <given-names>H.</given-names></name> <name><surname>Shukla</surname> <given-names>S. K.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>A timescale for evolution, population expansion, and spatial spread of an emerging clone of methicillin-resistant <italic>Staphylococcus aureus</italic></article-title>. <source>PLoS Pathog.</source> <volume>6</volume>:<fpage>e1000855</fpage>. <pub-id pub-id-type="doi">10.1371/journal.ppat.1000855</pub-id><pub-id pub-id-type="pmid">20386717</pub-id></citation></ref>
<ref id="B47">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Paradis</surname> <given-names>E.</given-names></name> <name><surname>Claude</surname> <given-names>J.</given-names></name> <name><surname>Strimmer</surname> <given-names>K.</given-names></name></person-group> (<year>2004</year>). <article-title>APE: analyses of phylogenetics and evolution in R language</article-title>. <source>Bioinformatics</source> <volume>20</volume>, <fpage>289</fpage>&#x02013;<lpage>290</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btg412</pub-id><pub-id pub-id-type="pmid">14734327</pub-id></citation></ref>
<ref id="B48">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Posada</surname> <given-names>D.</given-names></name></person-group> (<year>2009</year>). <article-title>Selection of models of DNA evolution with jModelTest</article-title>. <source>Methods Mol. Biol.</source> <volume>537</volume>, <fpage>93</fpage>&#x02013;<lpage>112</lpage>. <pub-id pub-id-type="doi">10.1007/978-1-59745-251-9_5</pub-id><pub-id pub-id-type="pmid">19378141</pub-id></citation></ref>
<ref id="B49">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Seemann</surname> <given-names>T.</given-names></name></person-group> (<year>2014</year>). <article-title>Prokka: rapid prokaryotic genome annotation</article-title>. <source>Bioinformatics</source> <volume>30</volume>, <fpage>2068</fpage>&#x02013;<lpage>2069</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btu153</pub-id><pub-id pub-id-type="pmid">24642063</pub-id></citation></ref>
<ref id="B50">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Siguier</surname> <given-names>P.</given-names></name> <name><surname>Perochon</surname> <given-names>J.</given-names></name> <name><surname>Lestrade</surname> <given-names>L.</given-names></name> <name><surname>Mahillon</surname> <given-names>J.</given-names></name> <name><surname>Chandler</surname> <given-names>M.</given-names></name></person-group> (<year>2006</year>). <article-title>ISfinder: the reference centre for bacterial insertion sequences</article-title>. <source>Nucleic Acids Res.</source> <volume>34</volume>, <fpage>D32</fpage>&#x02013;<lpage>D36</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkj014</pub-id><pub-id pub-id-type="pmid">16381877</pub-id></citation></ref>
<ref id="B51">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Silva</surname> <given-names>L.</given-names></name> <name><surname>Grosso</surname> <given-names>F.</given-names></name> <name><surname>Branquinho</surname> <given-names>R.</given-names></name> <name><surname>Ribeiro</surname> <given-names>T. G.</given-names></name> <name><surname>Sousa</surname> <given-names>C.</given-names></name> <name><surname>Peixe</surname> <given-names>L.</given-names></name></person-group> (<year>2016</year>). <article-title>Exploring non-hospital-related settings in Angola reveals new Acinetobacter reservoirs for blaOXA-23 and blaOXA-58</article-title>. <source>Int. J. Antimicrob. Agents</source> <volume>48</volume>, <fpage>228</fpage>&#x02013;<lpage>230</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijantimicag.2016.06.003</pub-id><pub-id pub-id-type="pmid">27374745</pub-id></citation></ref>
<ref id="B52">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sunenshine</surname> <given-names>R. H.</given-names></name> <name><surname>Wright</surname> <given-names>M. O.</given-names></name> <name><surname>Maragakis</surname> <given-names>L. L.</given-names></name> <name><surname>Harris</surname> <given-names>A. D.</given-names></name> <name><surname>Song</surname> <given-names>X.</given-names></name> <name><surname>Hebden</surname> <given-names>J.</given-names></name> <etal/></person-group>. (<year>2007</year>). <article-title>Multidrug-resistant Acinetobacter infection mortality rate and length of hospitalization</article-title>. <source>Emerg. Infect. Dis.</source> <volume>13</volume>, <fpage>97</fpage>&#x02013;<lpage>103</lpage>. <pub-id pub-id-type="doi">10.3201/eid1301.060716</pub-id><pub-id pub-id-type="pmid">17370521</pub-id></citation></ref>
<ref id="B53">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tamayo-Legorreta</surname> <given-names>E.</given-names></name> <name><surname>Turrubiartes-Martinez</surname> <given-names>E.</given-names></name> <name><surname>Garza-Ramos</surname> <given-names>U.</given-names></name> <name><surname>Nino-Moreno</surname> <given-names>P.</given-names></name> <name><surname>Barrios</surname> <given-names>H.</given-names></name> <name><surname>Sanchez-Perez</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Outbreak caused by blaOXA-72-producing <italic>Acinetobacter baumannii</italic> ST417 detected in clinical and environmental isolates</article-title>. <source>Microb. Drug Res.</source> <volume>22</volume>, <fpage>129</fpage>&#x02013;<lpage>133</lpage>. <pub-id pub-id-type="doi">10.1089/mdr.2015.0157</pub-id><pub-id pub-id-type="pmid">26954369</pub-id></citation></ref>
<ref id="B54">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tamura</surname> <given-names>K.</given-names></name> <name><surname>Stecher</surname> <given-names>G.</given-names></name> <name><surname>Peterson</surname> <given-names>D.</given-names></name> <name><surname>Filipski</surname> <given-names>A.</given-names></name> <name><surname>Kumar</surname> <given-names>S.</given-names></name></person-group> (<year>2013</year>). <article-title>MEGA6: molecular evolutionary genetics analysis version 6.0</article-title>. <source>Mol. Biol. Evol.</source> <volume>30</volume>, <fpage>2725</fpage>&#x02013;<lpage>2729</lpage>. <pub-id pub-id-type="doi">10.1093/molbev/mst197</pub-id><pub-id pub-id-type="pmid">24132122</pub-id></citation></ref>
<ref id="B55">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname> <given-names>J.</given-names></name> <name><surname>Hanage</surname> <given-names>W. P.</given-names></name> <name><surname>Fraser</surname> <given-names>C.</given-names></name> <name><surname>Corander</surname> <given-names>J.</given-names></name></person-group> (<year>2009</year>). <article-title>Identifying currents in the gene pool for bacterial populations using an integrative approach</article-title>. <source>PLoS Comput. Biol.</source> <volume>5</volume>:<fpage>e1000455</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pcbi.1000455</pub-id><pub-id pub-id-type="pmid">19662158</pub-id></citation></ref>
<ref id="B56">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vilella</surname> <given-names>A. J.</given-names></name> <name><surname>Blanco-Garcia</surname> <given-names>A.</given-names></name> <name><surname>Hutter</surname> <given-names>S.</given-names></name> <name><surname>Rozas</surname> <given-names>J.</given-names></name></person-group> (<year>2005</year>). <article-title>VariScan: Analysis of evolutionary patterns from large-scale DNA sequence polymorphism data</article-title>. <source>Bioinformatics</source> <volume>21</volume>, <fpage>2791</fpage>&#x02013;<lpage>2793</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/bti403</pub-id><pub-id pub-id-type="pmid">15814564</pub-id></citation></ref>
<ref id="B57">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wolf</surname> <given-names>Y. I.</given-names></name> <name><surname>Koonin</surname> <given-names>E. V.</given-names></name></person-group> (<year>2013</year>). <article-title>Genome reduction as the dominant mode of evolution</article-title>. <source>Bioessays</source> <volume>35</volume>, <fpage>829</fpage>&#x02013;<lpage>837</lpage>. <pub-id pub-id-type="doi">10.1002/bies.201300037</pub-id><pub-id pub-id-type="pmid">23801028</pub-id></citation></ref>
<ref id="B58">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname> <given-names>Z.</given-names></name></person-group> (<year>2007</year>). <article-title>PAML 4: phylogenetic analysis by maximum likelihood</article-title>. <source>Mol. Biol. Evol.</source> <volume>24</volume>, <fpage>1586</fpage>&#x02013;<lpage>1591</lpage>. <pub-id pub-id-type="doi">10.1093/molbev/msm088</pub-id><pub-id pub-id-type="pmid">17483113</pub-id></citation></ref>
<ref id="B59">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zarrilli</surname> <given-names>R.</given-names></name> <name><surname>Pournaras</surname> <given-names>S.</given-names></name> <name><surname>Giannouli</surname> <given-names>M.</given-names></name> <name><surname>Tsakris</surname> <given-names>A.</given-names></name></person-group> (<year>2013</year>). <article-title>Global evolution of multidrug-resistant <italic>Acinetobacter baumannii</italic> clonal lineages</article-title>. <source>Int. J. Antimicrob. Agents</source> <volume>41</volume>, <fpage>11</fpage>&#x02013;<lpage>19</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijantimicag.2012.09.008</pub-id><pub-id pub-id-type="pmid">23127486</pub-id></citation></ref>
<ref id="B60">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zenati</surname> <given-names>K.</given-names></name> <name><surname>Touati</surname> <given-names>A.</given-names></name> <name><surname>Bakour</surname> <given-names>S.</given-names></name> <name><surname>Sahli</surname> <given-names>F.</given-names></name> <name><surname>Rolain</surname> <given-names>J. M.</given-names></name></person-group> (<year>2016</year>). <article-title>Characterization of NDM-1- and OXA-23-producing <italic>Acinetobacter baumannii</italic> isolates from inanimate surfaces in a hospital environment in Algeria</article-title>. <source>J. Hosp. Infect.</source> <volume>92</volume>, <fpage>19</fpage>&#x02013;<lpage>26</lpage>. <pub-id pub-id-type="doi">10.1016/j.jhin.2015.09.020</pub-id><pub-id pub-id-type="pmid">26615460</pub-id></citation></ref>
<ref id="B61">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zerbino</surname> <given-names>D. R.</given-names></name> <name><surname>Birney</surname> <given-names>E.</given-names></name></person-group> (<year>2008</year>). <article-title>Velvet: algorithms for <italic>de novo</italic> short read assembly using de Bruijn graphs</article-title>. <source>Genome Res.</source> <volume>18</volume>, <fpage>821</fpage>&#x02013;<lpage>829</lpage>. <pub-id pub-id-type="doi">10.1101/gr.074492.107</pub-id><pub-id pub-id-type="pmid">18349386</pub-id></citation></ref>
</ref-list>
</back>
</article>