Molecular assessment of invasive Streptococcus pneumoniae serotype 1 in Brazil: evidence of clonal replacement

Ana-Carolina Chiou1, Soraya Sgambatti Andrade2, Samanta Cristine G Almeida1

  • 1Bacteriology Department, Adolfo Lutz Institute, São Paulo, Brazil.

Insights

Two Streptococcus pneumoniae serotype 1 lineages circulated in Brazil between 1977-2005. A temporal switch occurred, with lineage A, particularly clone Sweden(1)-40, becoming dominant in recent years.

Area of Science:

  • Microbiology
  • Epidemiology
  • Genetics

Background:

  • Streptococcus pneumoniae serotype 1 is a leading cause of severe infections in Brazil.
  • Understanding the genetic diversity and evolution of prevalent serotypes is crucial for public health strategies.

Purpose of the Study:

  • To investigate the genetic relatedness of Streptococcus pneumoniae serotype 1 isolates from invasive diseases in Brazil between 1977 and 2005.
  • To identify major genetic lineages and their temporal dynamics.

Main Methods:

  • Molecular typing using Pulse Field Gel Electrophoresis (PFGE).
  • Analysis of 134 serotype 1 Streptococcus pneumoniae isolates from invasive diseases.
  • Visual inspection and computer-assisted analysis of PFGE patterns.

Main Results:

  • Two major lineages (Type A and Type B) were identified among the 134 isolates.
  • Type A (70.2%) had four subtypes, and Type B (29.8%) had eight subtypes.
  • Subtype A3, representing clone Sweden(1)-40 (ST304), was the most frequent (65%) and increased significantly from 1990, associated with pneumonia and young patients.

Conclusions:

  • A temporal switch between two major lineages of Streptococcus pneumoniae serotype 1 was observed in Brazil.
  • Clone Sweden(1)-40 (ST304) has become widely dispersed in recent years.
  • This genetic shift has implications for understanding pneumococcal disease epidemiology in Brazil.

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