Toxin Profile, Biofilm Formation, and Molecular Characterization of Emetic Toxin-Producing Bacillus cereus Group

Su Kyung Oh1, Hyun-Joo Chang2, Sung-Wook Choi2

  • 11 Research Group of Gut Microbiome, Korea Food Research Institute , Gyeonggi, Korea.

Insights

Emetic Bacillus cereus strains were found in 0.07% of Korean food poisoning cases. These strains produced NHE enterotoxin but lacked hemolysin BL toxin, with no link found between toxin production and biofilm formation.

Area of Science:

  • Food Microbiology
  • Bacterial Pathogenesis
  • Public Health

Background:

  • Bacillus cereus group species producing emetic toxins pose a significant risk, particularly in Korea where rice is a staple food.
  • Understanding the prevalence and characteristics of emetic B. cereus is crucial for food safety.
  • Sporadic food poisoning cases provide a valuable source for identifying foodborne pathogens.

Purpose of the Study:

  • To determine the prevalence of emetic Bacillus cereus in sporadic food poisoning cases in Korea.
  • To investigate the toxin gene profile, toxin production, and biofilm-forming ability of emetic B. cereus isolates.
  • To assess the intraspecific biodiversity of emetic B. cereus using repetitive element sequence polymorphism polymerase chain reaction (rep-PCR) fingerprints.

Main Methods:

  • Analysis of 36,745 stool samples from Korean food poisoning cases between 2007 and 2008.
  • Detection of toxin genes (nheABC, entFM) and assessment of NHE enterotoxin and hemolysin BL production.
  • Evaluation of biofilm-forming ability in emetic B. cereus isolates.
  • rep-PCR fingerprinting to analyze genetic diversity and discriminate between emetic and non-emetic isolates.

Main Results:

  • Emetic B. cereus was identified in 24 out of 129 isolates (0.07% of cases).
  • All identified emetic isolates possessed nheABC and entFM genes and produced NHE enterotoxin, but not hemolysin BL toxin.
  • No significant relationship was observed between biofilm formation and toxin production.
  • rep-PCR assay showed discrimination between emetic and non-emetic isolates, though not perfectly.

Conclusions:

  • Emetic B. cereus is a relevant pathogen in Korean food poisoning outbreaks, primarily associated with NHE enterotoxin production.
  • Biofilm formation does not appear to be directly correlated with emetic toxin production in these isolates.
  • The rep-PCR assay demonstrates potential for subtyping emetic B. cereus, but further studies with diverse isolates are needed for improved discrimination.

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