RT Journal Article SR Electronic T1 Origin of modern syphilis and emergence of a contemporary pandemic cluster JF bioRxiv FD Cold Spring Harbor Laboratory SP 051037 DO 10.1101/051037 A1 Natasha Arora A1 Verena J. Schuenemann A1 Günter Jäger A1 Alexander Peltzer A1 Alexander Seitz A1 Alexander Herbig A1 Michal Strouhal A1 Linda Grillová A1 Leonor Sánchez-Busó A1 Denise Kühnert A1 Kirsten I. Bos A1 Leyla Rivero Davis A1 Lenka Mikalová A1 Sylvia Bruisten A1 Peter Komericki A1 Patrick French A1 Paul R. Grant A1 María A. Pando A1 Lucía Gallo Vaulet A1 Marcelo Rodríguez Fermepin A1 Antonio Martinez A1 Arturo Centurion Lara A1 Lorenzo Giacani A1 Steven J. Norris A1 David Šmajs A1 Philipp P. Bosshard A1 Fernando González-Candelas A1 Kay Nieselt A1 Johannes Krause A1 Homayoun C. Bagheri YR 2016 UL http://biorxiv.org/content/early/2016/04/29/051037.abstract AB Syphilis swept across the world in the 16th century as one of most prominent documented pandemics and is re-emerging worldwide despite the availability of effective antibiotics. Little is known about the genetic patterns in current infections or the evolutionary origins of the disease due to the non-cultivable and clonal nature of the causative bacterium Treponema pallidum subsp. pallidum. In this study, we used DNA capture and next generation sequencing to obtain whole genome data from syphilis patient specimens and from treponemes propagated in laboratory settings. Phylogenetic analyses indicate that the syphilis strains examined here share a common ancestor after the 15th century. Moreover, most contemporary strains are azithromycin resistant and members of a globally dominant cluster named here as SS14-Ω. This cluster diversified from a common ancestor in the mid-20th century and has the population genetic and epidemiological features indicative of the emergence of a pandemic strain cluster.