A new rapid and cost-effective method for detection of phages, ICEs and virulence factors encoded by Streptococcus

Anna L Borek1, Joanna Wilemska, Radosław Izdebski

  • 1Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Warsaw, Poland.

Insights

This study introduces a new PCR method to detect virulence factors in Streptococcus pyogenes (group A Streptococcus). This rapid, cost-effective system aids in differentiating GAS strains and understanding disease severity.

Area of Science:

  • Microbiology and Infectious Diseases
  • Molecular Biology and Genetics

Background:

  • Streptococcus pyogenes (group A Streptococcus, GAS) is a significant human pathogen causing a spectrum of illnesses, from mild pharyngitis to severe invasive infections.
  • Virulence factors, often encoded by mobile genetic elements like phages and integrative conjugative elements (ICEs), play a crucial role in GAS pathogenicity and disease severity.
  • Existing methods for strain differentiation and virulence factor detection can be time-consuming and costly.

Purpose of the Study:

  • To develop a novel, rapid, and cost-effective multiplex PCR system for the simultaneous detection of multiple GAS virulence factor genes.
  • To identify and characterize phage and ICE integration sites associated with S. pyogenes virulence.
  • To establish a system for differentiating GAS strains based on their virulence factor and mobile genetic element profiles.

Main Methods:

  • Design and implementation of eight low-volume multiplex PCR and one singleplex PCR reactions.
  • Detection of genes encoding twenty specific virulence factors (e.g., speB, spyCEP, scpA) and twenty-one known phage/ICE integration sites in S. pyogenes.
  • Correlation of PCR-based classification with established typing methods such as PFGE, MLST, and emm typing.

Main Results:

  • A comprehensive PCR system was successfully developed to detect twenty GAS virulence factors and twenty-one mobile genetic element integration sites.
  • Strain classification based on the presence or absence of detected virulence factors and integration sites showed strong correlation with PFGE, MLST, and emm typing data.
  • The developed system provides a fast and cost-effective means for identifying GAS virulence determinants.

Conclusions:

  • The novel multiplex PCR system offers an efficient and effective tool for detecting Streptococcus pyogenes virulence factors.
  • This system serves as a valuable alternative for differentiating GAS strains, aiding in epidemiological surveillance and understanding pathogen evolution.
  • The findings highlight the importance of mobile genetic elements in shaping GAS virulence and disease potential.