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Published on: September 5, 2013
Multiplex Determination of K-Antigen and Colanic Acid Capsule Variants of Cronobacter sakazakii
Khaled M Ibrahim1, Abdlrhman M Alsonosi2, Mahmoud B Agena3
1Microbiology Department, Libyan Biotechnology Research Center, Tripoli P.O. Box 30313, Libya.
Insights
Cronobacter sakazakii infections in infants are linked to contaminated formula. This study developed a multiplex PCR to identify K-antigen and colanic acid types, aiding in diagnosing and investigating foodborne illnesses.
Area of Science:
- Microbiology
- Food Safety
- Molecular Biology
Background:
- Cronobacter sakazakii is a pathogen linked to infant formula, causing severe infections like meningitis.
- Capsular polysaccharides, specifically K-antigen and colanic acid (CA), are potential virulence factors in C. sakazakii.
- The K2:CA2 capsule variant is strongly associated with neonatal meningitis cases.
Purpose of the Study:
- To develop and validate a multiplex PCR assay for identifying C. sakazakii K-antigen and colanic acid types.
- To correlate these virulence factors with specific sequence types and serotypes of C. sakazakii.
Main Methods:
- A multiplex PCR assay was designed and applied to 26 C. sakazakii strains.
- Strains were previously isolated from food and environmental sources, covering 18 multilocus sequence types.
- PCR results were compared with whole-genome sequencing data for validation.
Main Results:
- The study identified two K-antigen types (K1 and K2) and two colanic acid types (CA1 and CA2) within the tested C. sakazakii strains.
- Specific sequence types were associated with each K-antigen and colanic acid type.
- PCR results showed complete agreement with genomic analysis, confirming assay accuracy.
Conclusions:
- The developed multiplex PCR assay is a reliable tool for rapid identification of C. sakazakii, K-antigen, and colanic acid types.
- This assay can aid in routine diagnostics and foodborne outbreak investigations.
- Findings contribute to understanding virulence factors associated with severe C. sakazakii infections in neonates.
Abstract:
Cronobacter sakazakii is associated with the ingestion of contaminated reconstituted powdered infant formula (PIF), resulting in necrotizing enterocolitis, sepsis and meningitis in neonatal infants. Potential virulence determinants include the variable capsular polysaccharides; K-antigen and colanic acid (CA). Strains encoding for the capsule variant K2:CA2 have been strongly associated with neonatal meningitis cases. This study aimed to develop and apply a multiplex PCR assay to determine C. sakazakii K-antigen and colanic acid types. Twenty-six strains of C. sakazakii which had previously been isolated from food and environmental sources were used. These cover 18 multilocus sequence types and four serotypes. Based on our research findings, we have identified two K-antigen types present. Specifically, the K1-antigen was observed in sequence types ST1, ST8, ST20, ST23, ST64, ST198, ST263, ST264 and ST406, while the K2-antigen was present in ST4, ST9, ST12, ST13, ST136, ST233, ST245 and ST405. Additionally, we detected colanic acid (CA) type 1 in sequence types ST1, ST8, ST9, ST20, ST245 and ST405, and colanic acid (CA) type 2 in ST4, ST12, ST13, ST23, and ST64. We compared the predicted K-antigen and colanic acid types with the entire genome sequences of the strains. The comparison showed complete agreement between the PCR amplification results and the genomic analysis of the K-antigen and colanic acid-encoding regions. This assay is a useful tool for rapid identification of C. sakazakii, K-antigen and colanic acid types, in routine diagnoses and foodborne investigations. In addition, it will contribute to our knowledge of virulence factors associated with life-threatening neonatal meningitis.
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