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Published on: May 30, 2017
Molecular characterization of Vibrio cholerae O1 El Tor strains in Malaysia revealed genetically diverse variant
Kwai Lin Thong1, Kathryn Bee Lin Tham2, Soo Tein Ngoi3
1Nanotechnology & Catalysis Research Centre (NANOCAT), Universiti Malaya, Kuala Lumpur, Malaysia.
Abstract:
Vibrio cholerae O1 El Tor variants have been the major causative agents of cholera worldwide since their emergence in the 2000s. Cholera remains endemic in some regions in Malaysia. Therefore, we aimed to investigate the genetic characteristics of the V. cholerae O1 El Tor strains associated with outbreaks and sporadic cases to elucidate the molecular evolution among the strains circulating in this region. A total of 45 V. cholerae O1 El Tor strains isolated between 1991 and 2011 were examined. All strains were subjected to phenotypic characterization, and molecular characterization including detection of virulence genes and CTX prophage (CTXΦ) by Polymerase Chain Reaction (PCR) and genotyping by Pulsed-Field Gel Electrophoresis (PFGE). All strains were phenotypically confirmed as El Tor biotype and were mostly Ogawa serotype (96%). Antimicrobial susceptibility testing showed that the outbreak strains isolated in 1991 (Sabah) and 2009 (Terengganu) were all multidrug-resistant while the sporadic strains were resistant to erythromycin and furazolidone only. All strains (n = 45) were resistant to erythromycin. The virulence genes ctxA, ctxB, ompW, rfb, rtxC, tcpA, tcpI, rstR, zot and hlyA were present in all strains. The outbreak strains isolated in 1991 harboured El Tor cholera toxin gene (ctxB3) while sporadic strains from 2004 to 2011 harboured classical ctxB1. Four distinctive CTXΦ arrays were identified among the El Tor variants, one of which co-occurred with El Tor strains during the 2009 outbreak in Terengganu. PFGE analysis revealed that a genetically diverse El Tor variants population persisted in Sabah. The co-existence of multiple El Tor variants together with the prototypic El Tor strains suggested a multiclonal emergence of V. cholerae O1 El Tor variants in this region.
Insights
Vibrio cholerae O1 El Tor variants are key cholera agents. This study investigated their genetic traits in Malaysia, revealing diverse strains and multiclonal emergence, crucial for understanding cholera evolution.
Area of Science:
- Microbiology
- Genetics
- Epidemiology
Background:
- Vibrio cholerae O1 El Tor variants have caused global cholera outbreaks since the 2000s.
- Cholera remains endemic in parts of Malaysia, necessitating regional strain characterization.
Purpose of the Study:
- To investigate the genetic characteristics of V. cholerae O1 El Tor strains from Malaysian outbreaks and sporadic cases.
- To elucidate the molecular evolution of circulating V. cholerae strains in the region.
Main Methods:
- Phenotypic and molecular characterization of 45 V. cholerae O1 El Tor strains (1991-2011).
- Included virulence gene detection and CTX prophage (CTXΦ) analysis via PCR.
- Genotyping utilized Pulsed-Field Gel Electrophoresis (PFGE).
Main Results:
- All strains were El Tor biotype, predominantly Ogawa serotype (96%).
- Outbreak strains showed multidrug resistance; sporadic strains were resistant to erythromycin and furazolidone.
- Distinct CTXΦ arrays were identified, with evidence of multiclonal emergence of V. cholerae O1 El Tor variants.
Conclusions:
- Genetic diversity and multiclonal emergence of V. cholerae O1 El Tor variants are evident in Malaysia.
- Understanding these genetic characteristics is vital for regional cholera surveillance and control efforts.
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