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Updated: Jun 14, 2026

Genotyping of Staphylococcus aureus by Ribosomal Spacer PCR (RS-PCR)
Published on: November 4, 2016
Group A streptococcal genotypes from throat and skin isolates in the United Arab Emirates
1Department of pathology & Laboratory medicine, Zayed Military Hospital, PO BOX 3740, Abudhabi, UAE. uaenow@emirates.net.ae.
Background:
The bacterium Streptococcus pyogenes causes a variety of human diseases that range from relatively mild skin infections to severe invasive diseases, such as acute rheumatic fever, glomerulonephritis, puerperal sepsis, necrotizing fasciitis, meningitis, and streptococcal toxic shock syndrome. Accurate identification and typing of group A hemolytic streptococci (GAS) is essential for epidemiological and pathogenetic studies of streptococcal diseases. For this reason, The genetic diversity of group A streptococcal (GAS) isolates from subjects in the United Arab Emirates with streptococcal disease was studied using emm gene sequence analysis. The emm typing system which is based on sequence analysis of PCR products of the N-terminal hypervariable region of the M protein gene, concurs with M serotyping almost 1:1.
Findings:
A total of 38 GAS isolates were analyzed, including 35 isolates from throat and 3 from skin. Among the 38 isolates, a total of 25 different emm/st types were detected: 20 isolates (53%) belonged to 16 validated standard reference emm types and 18 isolates (47%) belonged to 9 recognized sequence types.
Conclusions:
This is the first emm typing study in the United Arab Emirates to demonstrate the heterogeneity of the GAS population.
Insights
Streptococcus pyogenes, a cause of various diseases, shows genetic diversity in the UAE. This study used emm gene sequencing to analyze 38 isolates, revealing 25 distinct types and highlighting population heterogeneity.
Area of Science:
- Microbiology
- Genetics
- Epidemiology
Background:
- Streptococcus pyogenes causes diverse human diseases, from skin infections to severe invasive conditions.
- Accurate identification and typing of Group A Streptococcus (GAS) are crucial for disease studies.
- emm gene sequencing is a reliable method for GAS typing, correlating closely with M serotyping.
Purpose of the Study:
- To investigate the genetic diversity of Group A Streptococcus (GAS) isolates in the United Arab Emirates (UAE).
- To characterize GAS strains causing streptococcal diseases in the UAE using emm gene sequencing.
Main Methods:
- Analysis of 38 GAS isolates (35 throat, 3 skin) from patients in the UAE.
- emm gene sequence analysis of the M protein gene's hypervariable region.
- Comparison of emm types with established reference types and sequence types.
Main Results:
- A total of 25 different emm/st types were identified among the 38 GAS isolates.
- 53% of isolates belonged to 16 validated standard emm types.
- 47% of isolates belonged to 9 recognized sequence types, indicating significant genetic diversity.
Conclusions:
- This study is the first to report emm typing of GAS in the UAE.
- The findings demonstrate considerable genetic heterogeneity within the GAS population in the UAE.
- emm typing provides valuable insights into the epidemiology of streptococcal diseases in the region.
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