Phylogenetic analysis of Mycobacterium bovis Reveals Evidence Of Animal And Zoonotic Tuberculosis Transmission Between Morocco And European Countries

Livestock production is a fundamental pillar of the Moroccan economy. Infectious diseases of cattle and other species represent a significant threat to the livestock industry, animal health, and food safety and security. Bovine tuberculosis (bTB), mainly caused by Mycobacterium bovis ( M. bovis ), generates considerable direct and indirect economic losses, in addition to the unknown human health burden caused by zoonotic transmission. Previous studies have suggested likely M. bovis transmission links between Morocco and Southern Europe, however, limitations inherent with the methods used prevented more definitive conclusions from being drawn. In this study, we employed whole genome sequencing analysis of a large set of M. bovis isolates to better define the phylogenetic links between strains from Morocco and neighboring countries. A total of 780 M. bovis sequences representing 36 countries were included in the study. The results of SNP analysis showed a close genetic relationship between M. bovis from Morocco and each of Spain, France, Portugal and Germany, this is supported by animal trade between Morocco and these countries, in addition to the important human migration from Morocco to Europe and North America. Regarding zoonotic tuberculosis (TB) transmission, we were able to find genetic links between M. bovis isolates from cattle in Morocco and humans in Italy, Germany, and the UK. These results support our hypothesis of significant transmission of M. bovis from cattle to humans, which calls for further investigations of zoonotic TB transmission in Morocco and in other countries. The fact that no M. bovis sequences from North Africa in the present database were classified as AF1 or AF2 clonal complexes suggests that the Sahara might play a role in preventing M. bovis transmission between North Africa and Sub-Saharan Africa. Our study benefits from a large sample size and a rich dataset that includes sequences from cattle, wildlife, and humans from Morocco and neighboring countries, enabling the delineation of M. bovis transmission routes within the animal-human interface. ### Competing Interest Statement The authors have declared no competing interest.