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Modified multiplex PCR for serotyping and pathotyping of Streptococcus suis
Rujirat Hatrongjit1, Kulsatri Sittichottumrong2, Parichart Boueroy2
1Faculty of Science and Engineering, Kasetsart University Chalermphrakiat Sakon Nakhon Province Campus, Sakon Nakhon 47000, Thailand.
Journal of Medical Microbiology
|January 8, 2025
Summary
A new multiplex PCR method accurately identifies all 29 Streptococcus suis serotypes and distinguishes pathogenic strains using the ROK gene, aiding One Health surveillance. This tool is crucial for monitoring this zoonotic pathogen in both human and pig populations.
Area of Science:
- Microbiology
- Molecular Biology
- Public Health
Background:
- Streptococcus suis is a zoonotic pathogen causing invasive infections in humans through contact with pigs or pork products.
- Current methods lack universal markers to differentiate pathogenic from non-pathogenic S. suis strains.
- A diagnostic tool is needed for effective surveillance and implementing a One Health approach.
Purpose of the Study:
- To enhance a multiplex PCR assay for identifying all 29 recognized Streptococcus suis serotypes.
- To distinguish pathogenic S. suis strains by targeting capsule and ROK pathogenic marker genes.
- To develop a single assay for simultaneous serotyping and pathotyping.
Main Methods:
- Modification and improvement of four sets of multiplex PCR reactions.
- Utilizing primers targeting capsule genes for serotype identification.
- Employing the ROK gene as a marker for pathogenic pathotypes.
Main Results:
- The multiplex PCR successfully amplified S. suis-specific, serotype-specific, and pathogenic markers simultaneously.
- The ROK gene demonstrated high accuracy (84.7%), sensitivity (96.4%), and specificity (67.6%) for pathotyping.
- Significant statistical indicators (P<0.001, OR 55.1) support the ROK gene's utility as a pathogenic marker.
- No cross-reactions were observed with other bacterial species, confirming assay specificity.
Conclusions:
- The modified multiplex PCR assay effectively differentiates 29 Streptococcus suis serotypes and predicts pathogenic potential in a single reaction.
- This assay is a valuable tool for One Health surveillance of S. suis in both human and pig populations.
- The ROK gene is a reliable marker for identifying pathogenic S. suis strains.

