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Årsrapport 2011 - Region Sjælland

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KMA_0811<br />

Application of DNA sequence analysis of 16S-23S Intergenic Spacer (ITS) region for<br />

species identification of strains belonging to the genera Abiotrophia, Aerococcus,<br />

Alloiococcus, Dolocicoccus, Dolosigranulum, Facklamia, Gemella, Globicatella,<br />

Granulicatella, Ignavigranum, Leuconostoc, and Rothia.<br />

X. C. Nielsen 1 , R. Dargis 2 , M. Hammer 2 , A. Hesselbjerg 2 , L. Hannecke 1 , U. S. Justesen 3 , M. Kemp 3 , J. J. Christensen 1<br />

Department of Clinical Microbiology, Slagelse Hospital, Slagelse 1 ; Department of Microbiological Surveillance and Research, Statens Serum Institut,<br />

Copenhagen 2 ; Department of Clinical Microbiology, Odense University Hosptial, Odense 3 , Denmark.<br />

Introduction and Purpose<br />

The 16S-23S Intergenic Spacer (ITS) region has been found<br />

useful in separating most of the clinically relevant nonhaemolytic<br />

streptococci (NHS)1. The group of catalasenegative<br />

gram-positive cocci not belonging to the<br />

Streptococcus genus cause endocarditis and can easily be<br />

misidentified with conventional methods as well2. In this<br />

study we have included 40 species belonging to the genera of<br />

Abiotrophia (1), Aerococcus (7), Alloiococcus (1), Dolocicoccus<br />

(1), Dolosigranulum (1), Facklamia (6), Gemella (7), Globicatella<br />

(2), Granulicatella (3), Ignavigranum (1), Leuconostoc (4), and<br />

Rothia (6). The purpose was to investigate the possibility of<br />

using the ITS sequence analysis for species identification of<br />

the strains belonging to these genera.<br />

Methods<br />

39 type strains were purchased from CCUG.<br />

Six pairs of primers were designed based on the available<br />

16S and 23S sequences from the included species from<br />

GenBank.<br />

Optimization of PCR conditions for the six primer pairs.<br />

ITS PCR performed on all 39 strains with the optimal primer<br />

pair.<br />

PCR product analysis using 2% agarose gel electrophoresis<br />

and automatic capillary electrophoresis system Qiaxcel<br />

(Qiagen)<br />

Sequencing of the PCR products using ABI Prism 3100<br />

Avant genetic analyzer (Applied Biosystems, USA).<br />

Sequence editing and analysis using CLC-DNA workbench<br />

(Aarhus, Denmark) and MultAlin (http://multalin.toulouse.<br />

inra.fr/multalin/)<br />

A. M 1 2 3 4 5 6 7 8 9<br />

B. M 1 2 3 4 5 6 7 8 9<br />

108 ÅRSRAPPORT <strong>2011</strong><br />

Results<br />

1. The primer pair with the best PCR result is:<br />

6R-IGS 5’-GGG TTC CCC CAT TCG GAH AT- 3’<br />

Strep16S_1471F 5’-GTG GGA TAG ATG ATT GGG GTG AAG T-3’<br />

2. PCR from all strains generated one<br />

major product (Figure 1.)<br />

3. ITS sequences were generated for 33 out of 40 strains<br />

(Table 1). Sizes of the edited ITS sequences ranged from<br />

195- 384 bp. The two species belonging to Globicatella did<br />

not generate a reasonable sequence.<br />

4. Alignment of the ITS sequences showed that there was<br />

great interspecies variation among the different species,<br />

including those belonging to the same genus (>5%).<br />

Conclusions<br />

ITS gene sequence analysis seems to be a good candidate<br />

for species identification of strains belonging to the genera<br />

Abiotrophia, Aerococcus, Alloiococcus, Dolocicoccus,<br />

Dolosigranulum, Facklamia, Gemella, Granulicatella,<br />

Ignavigranum, Leuconostoc, and Rothia. Also, the potential<br />

usefulness of ITS for identification for Globicatella has to be<br />

explored further as, if possible, ITS can be used as the initial<br />

step in identifying this large group of genera, including NHS.<br />

References<br />

Nielsen, X.C., U. S. Justesen, R. Dargis, M. Kemp, and J. J. Chrsitensen. 2009. J. Clin. Microbiol. 47: 932-939<br />

Brouqui, P., and D. Raoult. 2001. Clin. Microbiology. Rev. 14:177-207<br />

Results Table 1. ITS sequencing results.<br />

Figure 1. Detection of PCR<br />

products after ITS PCR.<br />

A. 2% agarose gel<br />

B. Qiaxcel<br />

M. DNA ladder<br />

1. Abiotrophia defectiva<br />

2. Aerococcus christensenii<br />

3. Aerococcus sanuinicola<br />

4. Aerococcus suis<br />

5. Aerococcus urinae<br />

6. Aerococcus urinaeequi<br />

7. Aerococcus urinaehomonis<br />

8. Aerococcus viridans<br />

9. Alloiococcus otitis<br />

Correspondence author: Xiaohui Chen Nielsen, Department of Clinical Microbiology, Slagelse Hospital,<br />

<strong>Region</strong> Zealand, Denmark. Phone: 0045 5855 9404. E-mail: xcn@regionsjaelland.dk<br />

Genus<br />

Included species Species achieved ITS<br />

(n)<br />

sequence (n)<br />

ITS size (bp)<br />

Species achieved ITS sequence<br />

(taxon)<br />

Species NOT achieved ITS<br />

sequence (taxon)<br />

Abiotrophia 1 1 242 A. defectiva<br />

A. christensenii, A. sanguinicola, A.<br />

Aerococcus 7 7 218-242 suis, A.urinae, A. urinaehominis, A.<br />

viridans<br />

Alloiococcus 1 1 238 A. otitis<br />

Dolosicoccus 1 1 264 D. paucivorans<br />

Dolosigranulum 1 1 249 D. pigrum<br />

Facklamia 6 4 226-280<br />

F. hominis, F. languida, F.<br />

miroungae, F. sourekii<br />

F. ignava, F. tabacinasalis<br />

G. bergeri, G. cuniculi, G.<br />

Gemella 7 6 195-217 morbillorum, G. palaticanis, G.<br />

sanguinis<br />

G. asaccharolytica,<br />

Granulicatella 3 3 209-228<br />

G. elegans, G. balaenopterae,G.<br />

adiascens<br />

Globicatella 2 0 G. sanguinis, G. sulfidificiens<br />

Ignavigranum 1 1 208 I. ruoffiae<br />

Leuconostoc 4 3 382<br />

Rothia 6 5 317-384<br />

L. mensenteroides (subspp.<br />

Mesenteroides, cremoris,<br />

dextranicum)<br />

R. amarae, R. dentocariosa, R.<br />

mucilaginosa, R. terrae, R.<br />

nasimurium<br />

L. lactis<br />

R. aeria

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