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Journal of Clinical Microbiology, October 2002, p. 3741-3749, Vol. 40, No. 10
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.10.3741-3749.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Molecular Epidemiology of Neisseria gonorrhoeae: Sequence Analysis of the porB Gene Confirms Presence of Two Circulating Strains
Magnus Unemo,1* Per Olcén,1 Torsten Berglund,2,3 Jan Albert,4 and Hans Fredlund1,5
National Reference Laboratory for Pathogenic Neisseria,1
Unit for Infectious Disease Control, Department of Clinical Microbiology, Örebro University Hospital, Örebro,5
Department of Medical Epidemiology, Karolinska Institute,2
Department of Clinical Virology, Karolinska Institute, Huddinge University Hospital, Stockholm,4
Unit for Infectious Disease Epidemiology, Swedish Institute for Infectious Disease Control, Solna, Sweden3
Received 6 May 2002/
Returned for modification 19 June 2002/
Accepted 10 July 2002
The phenotypic and genotypic characteristics of Neisseria gonorrhoeae strains fluctuate over time both locally and globally, and highly discriminative and precise characterization of the strains is essential. Conventional characterization of N. gonorrhoeae strains for epidemiological purposes is mostly based on phenotypic methods, which have some inherent limitations. In the present study sequence analysis of porB1b gene sequences was used for examination of the genetic relationships among N. gonorrhoeae strains. Substantial genetic heterogeneity was identified in the porB genes of serovar IB-2 isolates (8.1% of the nucleotide sites were polymorphic) and serovar IB-3 isolates (5.2% of the nucleotide sites were polymorphic) as well as between isolates of different serovars. The highest degree of diversity was identified in the gene segments encoding the surface-exposed loops of the mature PorB protein. Phylogenetic analysis of the porB1b gene sequences confirmed previous findings that have indicated the circulation of one N. gonorrhoeae strain each of serovar IB-2 and serovar IB-3 in the Swedish community. These strains caused the majority of the cases in two domestic core groups comprising homosexual men and young heterosexuals, respectively, and were also detected in other patients. The phylogenetic analyses of porB gene sequences in the present study showed congruence, but not complete identity, with previous results obtained by pulsed-field gel electrophoresis of the same isolates. In conclusion, porB gene sequencing can be used as a molecular epidemiological tool for examination of genetic relationships among emerging and circulating N. gonorrhoeae strains, as well as for confirmation or discrimination of clusters of gonorrhea cases.
* Corresponding author. Mailing address: National Reference Laboratory for Pathogenic Neisseria, Department of Clinical Microbiology, Örebro University Hospital, SE-701 85 Örebro, Sweden. Phone: 46 19 602 15 20. Fax: 46 19 127 416. E-mail:
magnus.unemo{at}orebroll.se.
Journal of Clinical Microbiology, October 2002, p. 3741-3749, Vol. 40, No. 10
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.10.3741-3749.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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