Insertion sequences shared by Bordetella species and implications for the biological diagnosis of pertussis syndrome

A Tizolova1, N Guiso, S Guillot

  • 1Department of Biochemistry and Microbiology, Institute of Chemical Technology, Technicka 5, 166 28 Prague 6, Czech Republic.

Insights

Molecular diagnosis of pertussis and parapertussis using insertion sequences (IS) 481 and 1001 is not specific. These IS elements are found in multiple Bordetella species, impacting diagnostic accuracy.

Area of Science:

  • Microbiology
  • Genomics
  • Molecular Diagnostics

Background:

  • Molecular diagnosis of pertussis and parapertussis relies on detecting insertion sequences (IS) 481 and 1001.
  • These insertion sequences are not exclusive to Bordetella pertussis or Bordetella parapertussis, being present in other Bordetella species.

Purpose of the Study:

  • To assess the prevalence and sequence diversity of IS481, IS1001, and IS1002 in recently circulating Bordetella species.
  • To investigate copy number variations of IS481 and IS1001 in these isolates.
  • To determine the diagnostic specificity of IS481 and IS1001 for Bordetella species identification.

Main Methods:

  • Polymerase chain reaction (PCR) for screening and fragment preparation for sequencing.
  • DNA sequencing to analyze insertion sequence diversity.
  • Southern blotting and quantitative real-time PCR for insertion sequence copy number quantification.

Main Results:

  • No significant sequence diversity was observed in the insertion sequences across Bordetella isolates, with a minor exception in IS1002.
  • Insertion sequence copy numbers in recent isolates were comparable to reference strains.
  • IS481 was detected in B. pertussis, B. holmesii, and B. bronchiseptica; IS1001 was detected in B. parapertussis and B. bronchiseptica.

Conclusions:

  • The molecular detection of IS481 and IS1001 is not specific for B. pertussis and B. parapertussis, respectively.
  • These insertion sequences are present in other Bordetella species, including B. holmesii and B. bronchiseptica.
  • Current diagnostic methods targeting these IS elements require careful interpretation due to cross-reactivity.

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