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Published on: November 4, 2016
Molecular typing of Chinese Streptococcus pyogenes isolates
Yuanhai You1, Haibin Wang2, Zhenwang Bi3
1State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, 102206, China; Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou, 310003, China.
Abstract:
Streptococcus pyogenes causes human infections ranging from mild pharyngitis and impetigo to serious diseases including necrotizing fasciitis and streptococcal toxic shock syndrome. The objective of this study was to compare molecular emm typing and pulsed field gel electrophoresis (PFGE) with multiple-locus variable-number tandem-repeat analysis (MLVA) for genotyping of Chinese S. pyogenes isolates. Molecular emm typing and PFGE were performed using standard protocols. Seven variable number tandem repeat (VNTR) loci reported in a previous study were used to genotype 169 S. pyogenes geographically-diverse isolates from China isolated from a variety of disease syndromes. Multiple-locus variable-number tandem-repeat analysis provided greater discrimination between isolates when compared to emm typing and PFGE. Removal of a single VNTR locus (Spy2) reduced the sensitivity by only 0.7%, which suggests that Spy2 was not informative for the isolates screened. The results presented support the use of MLVA as a powerful epidemiological tool for genotyping S. pyogenes clinical isolates.
Insights
Multiple-locus variable-number tandem-repeat analysis (MLVA) effectively genotypes Streptococcus pyogenes clinical isolates. This molecular typing method offers superior discrimination compared to emm typing and pulsed field gel electrophoresis (PFGE) for epidemiological surveillance.
Area of Science:
- Microbiology
- Epidemiology
- Molecular Biology
Background:
- Streptococcus pyogenes causes a spectrum of human infections, from mild to life-threatening.
- Accurate genotyping is crucial for tracking S. pyogenes outbreaks and understanding disease transmission.
Purpose of the Study:
- To compare the discriminatory power of multiple-locus variable-number tandem-repeat analysis (MLVA) against emm typing and pulsed field gel electrophoresis (PFGE).
- To evaluate MLVA as an epidemiological tool for genotyping Chinese S. pyogenes isolates.
Main Methods:
- emm typing and pulsed field gel electrophoresis (PFGE) were performed using standard protocols.
- Seventeen geographically diverse Chinese S. pyogenes isolates were genotyped using seven VNTR loci for MLVA.
Main Results:
- MLVA demonstrated superior discriminatory capacity for S. pyogenes isolates compared to emm typing and PFGE.
- Excluding the Spy2 VNTR locus minimally impacted typing sensitivity (0.7%), indicating its limited informativeness in this isolate set.
Conclusions:
- MLVA is a powerful and effective tool for the epidemiological genotyping of S. pyogenes clinical isolates.
- The findings support the routine use of MLVA in public health surveillance for S. pyogenes.
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