Distribution and clonal relationship of cell surface virulence genes among Streptococcus pneumoniae isolates in Japan

Streptococcus pneumoniae resides on mucosal surfaces in the nasopharynx, where selection for horizontal transfer of antimicrobial resistance genes and virulence factors may provide a survival advantage. We investigated the distribution of genes for pneumococcal cell surface proteins and their correl...

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Veröffentlicht in:Clinical microbiology and infection 2011-09, Vol.17 (9), p.1409-1414
Hauptverfasser: Imai, S., Ito, Y., Ishida, T., Hirai, T., Ito, I., Yoshimura, K., Maekawa, K., Takakura, S., Niimi, A., Iinuma, Y., Ichiyama, S., Mishima, M.
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container_title Clinical microbiology and infection
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creator Imai, S.
Ito, Y.
Ishida, T.
Hirai, T.
Ito, I.
Yoshimura, K.
Maekawa, K.
Takakura, S.
Niimi, A.
Iinuma, Y.
Ichiyama, S.
Mishima, M.
description Streptococcus pneumoniae resides on mucosal surfaces in the nasopharynx, where selection for horizontal transfer of antimicrobial resistance genes and virulence factors may provide a survival advantage. We investigated the distribution of genes for pneumococcal cell surface proteins and their correlations with multilocus sequence typing (MLST), Pneumococcal Molecular Epidemiology Network (PMEN) clones and antimicrobial resistance, to identify pneumococcal virulence factors predicting prevalent clones from 156 pneumococcal isolates recovered from adult patients with community-acquired pneumonia in Japan. Pneumococcal eno, pavA, piuA, cbpA and cbpG were present in all isolates, and hyl and piaA were distributed among the clinical isolates. In contrast, pneumococcal rlrA, pclA, psrP, nanC and pspA family 1-type genes were variably distributed and significantly associated with MLST (Wallace coefficients (W) were over 84%). Serotype was a weaker predictor of sequence type (W, 0.75) than vice versa (W, 0.97). A multiple logistic regression analysis adjusted to the presence of virulence genes, pspA family 1 genes and carriage serotypes revealed that pclA and rlrA correlated with PMEN clones and antimicrobial resistance, and are likely to contribute to the selection of prevalent clones.
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We investigated the distribution of genes for pneumococcal cell surface proteins and their correlations with multilocus sequence typing (MLST), Pneumococcal Molecular Epidemiology Network (PMEN) clones and antimicrobial resistance, to identify pneumococcal virulence factors predicting prevalent clones from 156 pneumococcal isolates recovered from adult patients with community-acquired pneumonia in Japan. Pneumococcal eno, pavA, piuA, cbpA and cbpG were present in all isolates, and hyl and piaA were distributed among the clinical isolates. In contrast, pneumococcal rlrA, pclA, psrP, nanC and pspA family 1-type genes were variably distributed and significantly associated with MLST (Wallace coefficients (W) were over 84%). Serotype was a weaker predictor of sequence type (W, 0.75) than vice versa (W, 0.97). A multiple logistic regression analysis adjusted to the presence of virulence genes, pspA family 1 genes and carriage serotypes revealed that pclA and rlrA correlated with PMEN clones and antimicrobial resistance, and are likely to contribute to the selection of prevalent clones.</description><identifier>ISSN: 1198-743X</identifier><identifier>EISSN: 1469-0691</identifier><identifier>DOI: 10.1111/j.1469-0691.2010.03446.x</identifier><identifier>PMID: 21143699</identifier><language>eng</language><publisher>Oxford, UK: Elsevier Ltd</publisher><subject>Adult ; Analysis of Variance ; Antimicrobial agents ; Bacterial diseases ; Bacterial Proteins - genetics ; Biological and medical sciences ; Carriage serotypes ; Cell surface ; Clinical isolates ; Cohort Studies ; Community-Acquired Infections - epidemiology ; Community-Acquired Infections - microbiology ; Drug resistance ; Epidemiology ; Genes ; Horizontal transfer ; Human bacterial diseases ; Humans ; Infectious diseases ; Japan - epidemiology ; Medical sciences ; Molecular Epidemiology ; Mucosa ; Multilocus Sequence Typing ; multilocus sequencing typing ; Nasopharynx ; pclA ; Pneumonia ; Pneumonia, Pneumococcal - epidemiology ; Pneumonia, Pneumococcal - microbiology ; PspA protein ; Regression analysis ; rlrA ; Serotypes ; Serotyping ; Staphylococcal infections, streptococcal infections, pneumococcal infections ; Streptococcus infections ; Streptococcus pneumoniae ; Streptococcus pneumoniae - genetics ; Streptococcus pneumoniae - isolation &amp; purification ; Streptococcus pneumoniae - pathogenicity ; virulence factors ; Virulence Factors - genetics</subject><ispartof>Clinical microbiology and infection, 2011-09, Vol.17 (9), p.1409-1414</ispartof><rights>2011 European Society of Clinical Infectious Diseases</rights><rights>2011 The Authors. 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subjects Adult
Analysis of Variance
Antimicrobial agents
Bacterial diseases
Bacterial Proteins - genetics
Biological and medical sciences
Carriage serotypes
Cell surface
Clinical isolates
Cohort Studies
Community-Acquired Infections - epidemiology
Community-Acquired Infections - microbiology
Drug resistance
Epidemiology
Genes
Horizontal transfer
Human bacterial diseases
Humans
Infectious diseases
Japan - epidemiology
Medical sciences
Molecular Epidemiology
Mucosa
Multilocus Sequence Typing
multilocus sequencing typing
Nasopharynx
pclA
Pneumonia
Pneumonia, Pneumococcal - epidemiology
Pneumonia, Pneumococcal - microbiology
PspA protein
Regression analysis
rlrA
Serotypes
Serotyping
Staphylococcal infections, streptococcal infections, pneumococcal infections
Streptococcus infections
Streptococcus pneumoniae
Streptococcus pneumoniae - genetics
Streptococcus pneumoniae - isolation & purification
Streptococcus pneumoniae - pathogenicity
virulence factors
Virulence Factors - genetics
title Distribution and clonal relationship of cell surface virulence genes among Streptococcus pneumoniae isolates in Japan
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