Utilizing large and diverse bacterial genome datasets to improve the detection and identification of Streptococcus

Femke M Ahlers1, David J Litt2, Melissa J Jansen van Rensburg1

  • 1Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Microbial Genomics
|June 9, 2025
PubMed

Insights

Accurate identification of Streptococcus pneumoniae (pneumococcus) is vital for disease control. This study developed and validated new PCR assays, Xisco and SP2020, showing high sensitivity and specificity for pneumococcal detection.

Area of Science:

  • Microbiology
  • Genomics
  • Molecular Diagnostics

Background:

  • Accurate identification of Streptococcus pneumoniae (pneumococcus) is critical for diagnostics and surveillance.
  • Existing molecular assays can misidentify non-pneumococcal Streptococcus (NPS) species, complicating accurate detection.

Purpose of the Study:

  • To evaluate existing and develop new PCR assays for the precise molecular detection and identification of pneumococci.
  • To assess assay performance using both in silico and in vitro analyses, accounting for genomic diversity.

Main Methods:

  • In silico analysis of over 9,300 pneumococcal and NPS genomes to assess seven gene targets (lytA, piaB, ply, psaA, Spn9802, SP2020, Xisco).
  • Design and in vitro evaluation of new diagnostic assays for Xisco and SP2020 targets.
  • Comparison of new assays against established lytA and piaB assays using diverse bacterial isolates.

Main Results:

  • In vitro specificity was 100% for all tested assays.
  • In vitro sensitivity reached 100% for lytA, SP2020_new, and Xisco assays, and 99.6% for piaB.
  • New Xisco and SP2020 assays demonstrated high sensitivity and specificity, detecting as few as two pneumococcal genome copies.

Conclusions:

  • Large-scale in silico genomic analysis is valuable for designing effective diagnostic targets.
  • The developed Xisco and SP2020 assays are highly sensitive and specific for pneumococcal detection.
  • In vitro validation incorporating population diversity is essential for reliable molecular diagnostic assays.