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Insights into the Emergent Bacterial Pathogen Cronobacter spp., Generated by Multilocus Sequence Typing and Analysis
Susan Joseph1, Stephen J Forsythe
1Pathogen Research Group, School of Science and Technology, Nottingham Trent University Nottingham, UK.
Insights
Multilocus sequence typing (MLST) advances Cronobacter spp. identification, aiding in the recognition of new species and understanding disease links. This DNA-based method improves detection of this pathogen, crucial for protecting infant health.
Area of Science:
- Microbiology
- Genomics
- Infectious Diseases
Background:
- Cronobacter spp. (formerly Enterobacter sakazakii) is a significant bacterial pathogen, particularly dangerous to neonates and infants through contaminated infant formula.
- Accurate detection and identification methods are crucial due to the pathogen's importance and regulatory oversight.
- Understanding Cronobacter diversity is essential for developing effective control strategies.
Purpose of the Study:
- To evaluate the utility of multilocus sequence typing (MLST) and multilocus sequence analysis (MLSA) for characterizing Cronobacter spp.
- To leverage MLST for improved understanding of Cronobacter diversity, species delineation, and pathogen-host associations.
- To highlight the advantages of DNA-based typing over traditional methods for emerging bacterial pathogens.
Main Methods:
- Utilized multilocus sequence typing (MLST) analyzing seven housekeeping genes (atpD, fusA, glnS, gltB, gyrB, infB, ppsA) with a total length of 3036 base pairs.
- Employed multilocus sequence analysis (MLSA) to interpret the sequence data and assess genetic relationships within the Cronobacter genus.
- Leveraged the curated and publicly accessible MLST database (http://www.pubMLST.org/cronobacter) for data analysis and comparison.
Main Results:
- MLST and MLSA facilitated the description of Cronobacter diversity and the formal recognition of new species, including C. universalis and C. condimenti.
- The study revealed a high degree of clonality among Cronobacter strains.
- A significant association was identified between clonal complex 4 and neonatal meningitis cases.
Conclusions:
- MLST provides a reliable and objective DNA-based approach for bacterial typing, surpassing subjective phenotyping methods.
- MLST has been instrumental in advancing the understanding of the Cronobacter genus and its pathogenic potential.
- The application of MLST contributes to improved control measures for protecting neonatal health against Cronobacter infections.
Abstract:
Cronobacter spp. (previously known as Enterobacter sakazakii) is a bacterial pathogen affecting all age groups, with particularly severe clinical complications in neonates and infants. One recognized route of infection being the consumption of contaminated infant formula. As a recently recognized bacterial pathogen of considerable importance and regulatory control, appropriate detection, and identification schemes are required. The application of multilocus sequence typing (MLST) and analysis (MLSA) of the seven alleles atpD, fusA, glnS, gltB, gyrB, infB, and ppsA (concatenated length 3036 base pairs) has led to considerable advances in our understanding of the genus. This approach is supported by both the reliability of DNA sequencing over subjective phenotyping and the establishment of a MLST database which has open access and is also curated; http://www.pubMLST.org/cronobacter. MLST has been used to describe the diversity of the newly recognized genus, instrumental in the formal recognition of new Cronobacter species (C. universalis and C. condimenti) and revealed the high clonality of strains and the association of clonal complex 4 with neonatal meningitis cases. Clearly the MLST approach has considerable benefits over the use of non-DNA sequence based methods of analysis for newly emergent bacterial pathogens. The application of MLST and MLSA has dramatically enabled us to better understand this opportunistic bacterium which can cause irreparable damage to a newborn baby's brain, and has contributed to improved control measures to protect neonatal health.
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