Neisseria gonorrhoeae LIN codes: a Robust, Multi-Resolution Lineage Nomenclature

Reviewer #1 (Public review):

Summary:

Bacterial species that frequently undergo horizontal gene transfer events tend to have genomes that approach linkage equilibrium, making it challenging to analyze population structure and establish the relationships between isolates. To overcome this problem, researchers have established several effective schemes for analyzing N. gonorrhoeae isolates, including MLST and NG-STAR. This report shows that Life Identification Number (LIN) Codes provide for a robust and improved discrimination between different N. gonorrhoeae isolates.

Strengths:

The description of the system is clear, the analysis is convincing, and the comparisons to other methods show the improvements offered by LIN Codes.

Weaknesses:

No major weaknesses were identified by this reviewer.

Reviewer #2 (Public review):

Summary:

This paper describes a new approach for analyzing genome sequences.

Strengths:

The work was performed with great rigor and provides much greater insights than earlier classification systems.

Weaknesses:

A minor weakness is that the clinical application of LIN coding could be articulated in a more in-depth way. The LIN coding system is very impressive and is certainly superior to other protocols. My recommendation, although not necessary for this paper, is that the authors expand their analysis to noncoding sequences, especially those upstream of open reading frames. In this respect, important cis-acting regulatory mutations that might help to further distinguish strains could be identified.

Reviewer #3 (Public review):

Summary:

In this well-written manuscript, Unitt and colleagues propose a new, hierarchical nomenclature system for the pathogen Neisseria gonorrhoeae. The proposed nomenclature addresses a longstanding problem in N. gonorrhoeae genomics, namely that the highly recombinant population complicates typing schemes based on only a few loci and that previous typing systems, even those based on the core genome, group strains at only one level of genomic divergence without a system for clustering sequence types together. In this work, the authors have revised the core genome MLST scheme for N. gonorrhoeae and devised life identification numbers (LIN) codes to describe the N. gonorrhoeae population structure.

Strengths:

The LIN codes proposed in this manuscript are congruent with previous typing methods for Neisseria gonorrhoeae, like cgMLST groups, Ng-STAR, and NG-MAST. Importantly, they improve upon many of these methods as the LIN codes are also congruent with the phylogeny and represent monophyletic lineages/sublineages.

The LIN code assignment has been implemented in PubMLST, allowing other researchers to assign LIN codes to new assemblies and put genomes of interest in context with global datasets.

Weaknesses:

The authors correctly highlight that cgMLST-based clusters can be fused due to "intermediate isolates" generated through processes like horizontal gene transfer. However, the LIN codes proposed here are also based on single linkage clustering of cgMLST at multiple levels. It is unclear if future recombination or sequencing of previously unsampled diversity within N. gonorrhoeae merges together higher-level clusters, and if so, how this will impact the stability of the nomenclature.

The authors have defined higher resolution thresholds for the LIN code scheme. However, they do not investigate how these levels correspond to previously identified transmission clusters from genomic epidemiology studies. It would be useful for future users of the scheme to know the relevant LIN code thresholds for these investigations.

Author response:

Public Reviews:

Reviewer #1 (Public review):

Summary:

Bacterial species that frequently undergo horizontal gene transfer events tend to have genomes that approach linkage equilibrium, making it challenging to analyze population structure and establish the relationships between isolates. To overcome this problem, researchers have established several effective schemes for analyzing N. gonorrhoeae isolates, including MLST and NG-STAR. This report shows that Life Identification Number (LIN) Codes provide for a robust and improved discrimination between different N. gonorrhoeae isolates.

Strengths:

The description of the system is clear, the analysis is convincing, and the comparisons to other methods show the improvements offered by LIN Codes.

Weaknesses:

No major weaknesses were identified by this reviewer.

We thank the reviewer for their assessment of our paper.

Reviewer #2 (Public review):

Summary:

This paper describes a new approach for analyzing genome sequences.

Strengths:

The work was performed with great rigor and provides much greater insights than earlier classification systems.

Weaknesses:

A minor weakness is that the clinical application of LIN coding could be articulated in a more in-depth way. The LIN coding system is very impressive and is certainly superior to other protocols. My recommendation, although not necessary for this paper, is that the authors expand their analysis to noncoding sequences, especially those upstream of open reading frames. In this respect, important cis-acting regulatory mutations that might help to further distinguish strains could be identified.

We thank the reviewer for their comments. LIN code could be applied clinically, for example in the analysis of antibiotic resistant isolates, or to investigate outbreaks associated with a particular lineage. We will update the text to describe this more thoroughly.

In regards to non-coding sequences: unfortunately, intergenic regions are generally unsuitable for use in typing systems as (i) they are subject to phase variation, which can occlude relationships based on descent; (ii) they are inherently difficult to assemble and therefore can introduce variation due to the sequencing procedure rather than biology. For the type of variant typing that LIN code represents, which aims to replicate phylogenetic clustering, protein encoding sequences are the best choice for convenience, stability, and accuracy. This is not to say that it is not a valid object to base a nomenclature on intergenic regions, which might be especially suitable for predicting some phenotypic characters, but this will still be subject to problem (ii), depending on the sequencing technology used. Such a nomenclature system should stand beside, rather than be combined with or used in place of, phylogenetic typing. However, we could certainly investigate the relationship between an isolates LIN code and regulatory mutations in the future.

Reviewer #3 (Public review):

Summary:

In this well-written manuscript, Unitt and colleagues propose a new, hierarchical nomenclature system for the pathogen Neisseria gonorrhoeae. The proposed nomenclature addresses a longstanding problem in N. gonorrhoeae genomics, namely that the highly recombinant population complicates typing schemes based on only a few loci and that previous typing systems, even those based on the core genome, group strains at only one level of genomic divergence without a system for clustering sequence types together. In this work, the authors have revised the core genome MLST scheme for N. gonorrhoeae and devised life identification numbers (LIN) codes to describe the N. gonorrhoeae population structure.

Strengths:

The LIN codes proposed in this manuscript are congruent with previous typing methods for Neisseria gonorrhea, like cgMLST groups, Ng-STAR, and NG-MAST. Importantly, they improve upon many of these methods as the LIN codes are also congruent with the phylogeny and represent monophyletic lineages/sublineages.

The LIN code assignment has been implemented in PubMLST, allowing other researchers to assign LIN codes to new assemblies and put genomes of interest in context with global datasets.

Weaknesses:

The authors correctly highlight that cgMLST-based clusters can be fused due n to "intermediate isolates" generated through processes like horizontal gene transfer. However, the LIN codes proposed here are also based on single linkage clustering of cgMLST at multiple levels. It is unclear if future recombination or sequencing of previously unsampled diversity within N. gonorrhoeae merges together higher-level clusters, and if so, how this will impact the stability of the nomenclature.

The authors have defined higher resolution thresholds for the LIN code scheme. However, they do not investigate how these levels correspond to previously identified transmission clusters from genomic epidemiology studies. It would be useful for future users of the scheme to know the relevant LIN code thresholds for these investigations.

We thank the reviewer for their insightful comments. LIN codes do use multi-level single linkage clustering to define the cluster number of isolates. However, unlike previous applications of simple single linkage clustering such as N. gonorrhoeae core genome groups (Harrison et al., 2020), once assigned in LIN code, these cluster numbers are fixed within an unchanging barcode assigned to each isolate. Therefore, the nomenclature is stable, as the addition of new isolates cannot change previously established LIN codes.

Cluster stability was considered during the selection of allelic mismatch thresholds. By choosing thresholds based on natural breaks in population structure (Figure 3), applying clustering statistics such as the silhouette score, and by assessing where cluster stability has been maintained within the previous core genome groups nomenclature, we can have confidence that the thresholds which we have selected will form stable clusters. For example, with core genome groups there has been significant group fusion with clusters formed at a threshold of 400 allelic differences, while clustering at a threshold of 300 allelic differences has remained cohesive over time (supported by a high silhouette score) and so was selected as an important threshold in the gonococcal LIN code. LIN codes have now been applied to >27000 isolates in PubMLST, and the nomenclature has remained effective despite the continual addition of new isolates to this collection. The manuscript will be revised to emphasise these points.

Work is in progress to explore what LIN code thresholds are generally associated with transmission chains. These will likely be the last 7 thresholds (25, 10, 7, 5, 3, 1, 0) as previous work has suggested that isolates linked by transmission within one year are associated with <14 single nucleotide polymorphism differences (De Silva et al., 2016). The results of this analysis will be described in a future article, currently in preparation.

Harrison, O.B., et al. Neisseria gonorrhoeae Population Genomics: Use of the Gonococcal Core Genome to Improve Surveillance of Antimicrobial Resistance. The Journal of Infectious Diseases 2020.

De Silva, D., et al. Whole-genome sequencing to determine transmission of Neisseria gonorrhoeae: an observational study. The Lancet Infectious Diseases 2016;16(11):1295-1303.