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Updated: Apr 28, 2026

Constructing Mutants in Serotype 1 Streptococcus pneumoniae strain 519/43
Published on: September 11, 2020
Novel clones of Streptococcus pneumoniae causing invasive disease in Malaysia
Johanna M Jefferies1, Mohd Yasim Mohd Yusof2, Shamala Devi Sekaran2
1Faculty of Medicine and Institute of Life Sciences, University of Southampton, Southampton, United Kingdom; NIHR Southampton Respiratory Biomedical Research Unit, Southampton, United Kingdom; Department of Medical Microbiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Abstract:
Although Streptococcus pneumoniae is a leading cause of childhood disease in South East Asia, little has previously been reported regarding the epidemiology of invasive pneumococcal disease in Malaysia and very few studies have explored pneumococcal epidemiology using multilocus sequence typing (MLST). Here we describe serotype, multilocus sequence type (ST), and penicillin susceptibility of thirty pneumococcal invasive disease isolates received by the University of Malaya Medical Centre between February 2000 and January 2007 and relate this to the serotypes included in current pneumococcal conjugate vaccines. A high level of diversity was observed; fourteen serotypes and 26 sequence types (ST), (11 of which were not previously described) were detected from 30 isolates. Penicillin non-susceptible pneumococci accounted for 33% of isolates. The extent of molecular heterogeneity within carried and disease-causing Malaysian pneumococci remains unknown. Larger surveillance and epidemiological studies are now required in this region to provide robust evidence on which to base future vaccine policy.
Insights
This study identified significant diversity in Streptococcus pneumoniae strains causing invasive disease in Malaysia, with many novel types and 33% penicillin non-susceptibility. Further surveillance is crucial for effective pneumococcal vaccine policy.
Area of Science:
- Microbiology
- Epidemiology
- Public Health
Background:
- Streptococcus pneumoniae is a major cause of childhood illness in Southeast Asia.
- Limited data exists on invasive pneumococcal disease (IPD) epidemiology in Malaysia.
- Multilocus sequence typing (MLST) is underutilized for pneumococcal studies in the region.
Purpose of the Study:
- To characterize serotype, MLST, and penicillin susceptibility of IPD isolates in Malaysia.
- To assess the relevance of findings to current pneumococcal conjugate vaccines.
- To highlight the need for expanded epidemiological surveillance.
Main Methods:
- Analysis of 30 invasive pneumococcal disease isolates from University of Malaya Medical Centre (2000-2007).
- Serotyping and multilocus sequence typing (MLST) were performed.
- Penicillin susceptibility testing was conducted.
Main Results:
- High diversity observed: 14 serotypes and 26 sequence types (STs) identified.
- 11 of the 26 STs were previously undescribed.
- 33% of isolates exhibited penicillin non-susceptibility.
Conclusions:
- Malaysian pneumococcal isolates display considerable molecular heterogeneity.
- Current pneumococcal conjugate vaccine serotypes may not cover the observed diversity.
- Larger epidemiological studies are essential for informed vaccine policy in Malaysia and Southeast Asia.
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