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Capsular transformation of a multidrug-resistant Streptococcus pneumoniae in vivo

M Nesin1, M Ramirez, A Tomasz

  • 1Laboratory of Microbiology, Rockefeller University, New York, New York 10021, USA.

Insights

Multidrug-resistant Streptococcus pneumoniae isolates with specific capsular types (9N, 14, 19F, 3) likely resulted from capsular transformation. The Spanish/USA epidemic clone (capsular type 23F) appears to be the recipient in these events.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Epidemiology

Background:

  • Multidrug-resistant (MDR) Streptococcus pneumoniae strains pose significant public health challenges.
  • Epidemic clones of Streptococcus pneumoniae are often associated with specific capsular types and antibiotic resistance patterns.

Purpose of the Study:

  • To investigate the genetic relatedness and virulence of MDR Streptococcus pneumoniae isolates with different capsular types.
  • To determine if certain capsular types represent in vivo transformation events involving an epidemic clone.

Main Methods:

  • Antibiotype analysis to assess drug resistance profiles.
  • Pulsed-field gel electrophoresis (PFGE) for genomic fingerprinting.
  • Restriction fragment length polymorphism (RFLP) analysis of penicillin-binding protein genes.
  • Mouse model of intraperitoneal infection to evaluate virulence.

Main Results:

  • MDR isolates expressing capsular types 9N, 14, 19F, and 3 were indistinguishable from the Spanish/USA epidemic clone (capsular type 23F) based on antibiotype and genetic markers.
  • Streptococcus pneumoniae isolates expressing capsular type 3 were highly lethal in a mouse model, causing 100% mortality at a low dose.
  • In contrast, capsular type 23F isolates from the same epidemic clone showed low virulence, with no mortality even at a high dose.

Conclusions:

  • The findings suggest that Streptococcus pneumoniae isolates with capsular types 9N, 14, 19F, and 3 have arisen through in vivo capsular transformation.
  • The multidrug-resistant, epidemic capsular type 23F Spanish/USA clone likely served as the recipient in these transformation events.
  • Capsular type switching may be a mechanism for the emergence and spread of novel, virulent pneumococcal strains.

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