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Journal of Clinical Microbiology, September 2002, p. 3261-3268, Vol. 40, No. 9
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.9.3261-3268.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Distribution of Environmentally Regulated Genes of Streptococcus suis Serotype 2 among S. suis Serotypes and Other Organisms
Astrid de Greeff,1,2* Herma Buys,2 Robin Verhaar,2 Loek van Alphen,1,3 and Hilde E. Smith2
Department of Medical Microbiology, Academic Medical Center, University of Amsterdam, 1100 DD, Amsterdam,1
Division of Infectious Diseases and Food Chain Quality, Cluster of Endemic Diseases, Institute for Animal Science and Health, 8200 AB Lelystad,2
Laboratory for Vaccine Research, RIVM, National Institute of Public Health and the Environment, 3720 BA Bilthoven, The Netherlands3
Received 14 January 2002/
Returned for modification 2 June 2002/
Accepted 17 June 2002

ABSTRACT
The occurrence of 36 environmentally regulated genes of
Streptococcus suis strain 10 among all 35
S. suis serotypes was determined
by using hybridization with the amplified genes as probes. In
addition, the distribution of these genes among the virulence
phenotypes of serotypes 1 and 2 was assessed. Hybridization
was also performed with various other streptococcal species
and nonstreptococcal bacterial species which may be present
in pigs. Interestingly, probe ivs-25/iri-1, similar to
agrA and
sapR, hybridized only with
S. suis serotype 1 and 2 strains
with virulent phenotypes and is therefore suitable as a diagnostic
parameter. Only one probe was specific for
S. suis. This probe's
sequence was identical to the
epf gene, a putative virulence
factor of
S. suis. Probe ivs-31 was similar to a virulence factor
of
S. suis, namely, a gene encoding a fibronectin- and fibrinogen-binding
protein. This probe hybridized only with oral streptococci.
Nearly half of the probes (45%) hybridized with the oral streptococci
(
S. oralis,
S. milleri,
S. sanguis,
S. gordonii, and
S. mitis)
and with
Streptococcus pneumoniae. This indicates a close relationship
between
S. suis, the oral streptococci, and
S. pneumoniae with
respect to the selected environmentally regulated genes. One
probe only hybridized with gram-negative species and therefore
seems to be obtained by
S. suis from a gram-negative organism
by horizontal transfer.

INTRODUCTION
Streptococcus suis is a major problem in the swine industry.
S. suis causes a wide variety of infections in young piglets,
including septicemia, meningitis, polyarthritis, and endocarditis
(
7,
22), and most often infected piglets do not survive. Occasionally,
S. suis causes meningitis in humans (
3). To undertake preventive
health measures in the swine industry, it is important to recognize
virulent bacteria and to distinguish such organisms from avirulent
isolates from carriers. Adult pigs can carry
S. suis in their
noses and on their tonsils without exhibiting symptoms (
2).
From these adult carrier pigs, bacteria are transmitted to young
pigs. Within pig herds, carrier rates of up to 100% have been
described (
8,
14). Despite this high carrier rate, the prevalence
of disease in such herds is less than 5% (
8,
14).
The discrepancy between the prevalences of carriership and disease may be related to the differences in virulence between S. suis strains and serotypes (21, 23, 24, 25). To date, 35 capsular serotypes have been described for S. suis (20), of which serotypes 1, 2, 7, 9, 14, and 1/2 are most frequently isolated from diseased pigs in Europe (27). Weakly virulent and avirulent phenotypes are found in serotype 2, and virulent and highly virulent phenotypes are found in serotype 1. These virulence phenotypes are differentiated by the expression of two proteins, muramidase-released protein (MRP) and extracellular factor (EF) (24). Recently, PCR tests were developed to detect serotypes 1, 2, 7, and 9 and to distinguish virulent serotype 2 strains from avirulent serotype 2 strains (19, 26, 28). For other serotypes, no reliable diagnostic methods are available.
Although there is a strong correlation between the expression of MRP and EF and the virulence of S. suis serotype 1 and 2 strains, MRP- and EF-negative S. suis strains still cause disease (18). Therefore, other factors must contribute to their virulence. The main goal of this study was to examine the possibility of using environmentally regulated genes for the development of diagnostic tools to detect virulent strains.
Since it is known that many important virulence factors are regulated and induced at specific stages of the infection process (13), we identified environmentally regulated genes of S. suis serotype 2 by using two different selection conditions (15). To do this, chromosomal DNA fragments of a pathogenic S. suis strain were cloned in a plasmid in front of a promoterless erythromycin resistance gene. The resulting plasmid library was introduced into a pathogenic S. suis strain. Subsequently, we selected S. suis clones in which erythromycin resistance had been induced under iron-restricted conditions and after infection of piglets with the library and treatment of the piglets with erythromycin. Infected animals developed specific signs of disease 3 to 8 days after infection. High numbers of bacteria were recovered from various tissues, and plasmid inserts were isolated from these recovered bacteria. Sequence analysis of these inserts revealed that a limited number of clones had been selected and that these clones were greatly enriched in the affected tissues (15). In total, 36 genes were identified as being environmentally regulated in S. suis serotype 2 (15); among these genes, regulatory genes, virulence factors, and metabolic genes were found.
We describe the presence and absence of the selected environmentally regulated genes in all 35 S. suis serotypes with various virulence phenotypes and in various other streptococci and bacterial species which may be present in pigs. Based on these data, we found one gene, homologous to a gene in the database that encodes Agr, that could discriminate virulent serotype 1 and 2 strains from avirulent serotype 1 and 2 strains. This gene is very suitable for the development of a diagnostic test.

MATERIALS AND METHODS
Bacteria and growth conditions.
The bacterial isolates are listed in Tables
1 and
2. Streptococci
were grown in Todd-Hewitt broth (Biotrading, Mijdrecht, The
Netherlands) and plated on Columbia agar blood base plates (Biotrading)
containing
6% (vol/vol) horse blood.
Actinobacillus pleuropneumoniae was grown in brain heart infusion broth (BHI; Biotrading) plus
0.05% NAD (Fluka, Buchs, Switzerland) and plated on Columbia
agar blood base plates (Biotrading) containing 5% heated sheep
blood and 0.05% NAD (Fluka).
Haemophilus parasuis was grown
in BHI (Biotrading) and plated on Columbia agar blood base plates
(Biotrading) containing 5% heated sheep blood. All other bacterial
species were grown in BHI (Biotrading) and plated on heart infusion
agar plates (Biotrading) containing 5% sheep blood.
Yersinia enterocolitica was grown at a temperature of 30°C; all other
species were grown at 37°C.
Chromosomal DNA isolation.
Chromosomal DNA of the various bacterial species was isolated
from 50-ml samples of stationary-phase growing cells. Bacterial
cultures were centrifuged at 2,500
x g for 10 min. The cell
pellet was resuspended in 5 ml of lysis buffer (20 mM Tris-HCl
[pH 7.4], 10 mM disodium EDTA, 50 mM NaCl) containing 10 mg
of lysozyme (Roche, Mannheim, Germany) per ml (or 10 µg
of lysostaphin [Sigma, St. Louis, Mo.] per ml for
Staphylococcus aureus) at 37°C for 10 min (or at 37°C for 30 min for
S. aureus). Subsequently, 250 µl of 10% sodium dodecyl
sulfate (SDS) and 40 µl of proteinase K (Merck, Darmstadt,
Germany; 20 mg/ml) were added and the mixture was incubated
at 70°C for 20 min (1 h for
S. aureus). Suspensions containing
the chromosomal DNA were extracted three to five times with
equal volumes of phenol-chloroform-isoamyl ethanol (25:24:1)
to remove proteins. Extracted DNA was incubated with 15 µl
of DNase-free RNase A (Roche; 10 mg/ml) at 37°C for 15 min.
Subsequently, chromosomal DNA was precipitated with 0.1 volume
of 3 M sodium acetate (pH 5.4) and 2.5 volumes of 96% ethanol
and then washed with an equal volume of 70% ethanol. The chromosomal
DNA was dissolved in ultrapure water.
Radiolabeling of DNA probes.
Probes for ivs and iri genes (ivs/iri probes) were amplified by PCR as described by Smith et al. (15) for the analysis of the genomic S. suis library in pIVS-E. GenBank accession numbers for the sequences of the probes are AF302190 to AF302207 for the iri gene probes and AF303226 to AF303247 for the ivs gene probes (15). The PCR products were purified by using the High Pure PCR product purification kit (Roche). Approximately 1 µg of DNA was radiolabeled with [
-32P]dCTP (3,000 Ci/mmol, 111 TBq/mmol; Amersham) by use of a random-primed labeling kit (Roche) as described by the manufacturers.
Detection of ivs and iri genes by dot blotting.
One microgram of chromosomal DNA was spotted onto Genescreen Plus membranes. The membranes were incubated in 0.4 M NaOH-1 M NaCl at room temperature for 10 min to denature the DNA and incubated at room temperature for at least 10 min in 2x sodium chloride-sodium citrate (0.3 M NaCl, 0.03 M sodium citrate [pH 7.0]) for neutralization. The membranes were blocked in (pre)hybridization buffer (0.5 M sodium phosphate buffer [pH 7.2], 7% SDS, 1 mM EDTA) at 65°C for at least 30 min. Subsequently, the 32P-radiolabeled probe was added to the membranes in 30 ml of hybridization buffer and the mixture was incubated overnight at 65°C. The membranes were washed twice with washing buffer 1 (40 mM sodium phosphate buffer [pH 7.2], 5% SDS, 1 mM EDTA) at 65°C for 30 min and twice with washing buffer 2 (40 mM NaPO4 [pH 7.2], 1% SDS, 1 mM EDTA) at 65°C for 30 min. The signal was visualized with a STORM phosphorimager (Molecular Dynamics, Sunnyvale, Calif.). As a positive control, a probe specific for S. suis 16S ribosomal DNA (rDNA) was used (17).

RESULTS
Distribution of ivs and iri gene sequences among all known S. suis serotypes.
To examine the presence or absence of the selected
ivs and
iri genes in all 35
S. suis serotypes, we performed cross-hybridization
experiments. The 16S rDNA positive control probe, as well as
the probes for
iri-7 (similar to
rgpG),
iri-8 (homologous to
gln tRNA),
ivs-1 (similar to a transposase gene), and
ivs-29 (similar to a hypothetical gene), hybridized with all
S. suis serotypes (Table
3). None of the probes reacted serotype specifically.
Most probes hybridized with DNA of most serotypes, except those
for
ivs-21 (
epf gene),
ivs-25 and
iri-1 (similar to
agrA and
sapR), and
ivs-8 (similar to a transposase gene). Serotypes
32 and 34 did not hybridize with 27 probes. Also, for serotypes
33, 20, 22, and 26, limited hybridization was seen (Table
3).
Probes ivs
-21, ivs-25/iri-1, and ivs-8 hybridized with a limited
number of serotypes (Table
3).
Distribution of ivs and iri genes among S. suis virulence phenotypes.
We previously showed that serotype 1 and 2 strains differ in
virulence (
21,
23,
24,
25). Serotype 2 comprises virulent, weakly
virulent, and avirulent strains; serotype 1 comprises highly
virulent and virulent strains. The association of virulence
with the occurrence of the various
ivs and
iri genes was studied.
A 16S rDNA probe was used as a positive control. One probe,
ivs-25/iri-1 (similar to
agrA and
sapR), discriminated between
the virulence phenotypes of
S. suis serotype 2 (data not shown).
To confirm that there was a relationship between virulence and
the presence of the
ivs-25 and
iri-1 genes, four strains of
each virulence phenotype of serotype 1 and 2 were tested, where
possible by using strains whose virulence had been tested in
a pig model. The tests of four strains of each virulence phenotype
invariably resulted in identical hybridization data. As shown
in Table
4, all serotypes with virulence phenotypes hybridized
with probe ivs-25/iri-1, while the avirulent serotype 2 strains
did not hybridize. Therefore, probe ivs-25/iri-1 can be used
to detect virulent
S. suis strains among serotypes 1 and 2.
View this table:
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TABLE 4. Distribution of ivs-21, ivs-25, and iri-1 among different virulence phenotypes of S. suis serotypes 1 and 2
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Hybridization of ivs and iri genes with various streptococci and other bacterial species.
We next investigated the hybridization of the environmentally
regulated genes with other bacterial species. The selected bacterial
species from pigs included 17 streptococci besides
S. suis,
6 additional gram-positive bacteria and 11 gram-negative bacteria.
A 16S rDNA probe of
S. suis serotype 2 containing the variable
region as well as the conserved region that was used as a positive
control showed a strongly positive signal in all cases. Probe
iri-8 (homologous to
gln tRNA) strongly hybridized with DNA
of all streptococci and almost all other bacterial species (Tables
5 and
6). Apparently,
iri-8 is highly conserved among various
bacterial species. Probes for a number of genes, namely,
ivs-21 (
epf gene),
ivs-16 (similar to
atlR),
iri-31 (
cps2A gene),
iri-23 (similar to
yvyD),
iri-11 (similar to
nrdD),
iri-32 (similar
to
ruvB),
ivs-32 (similar to
fliF),
ivs-36 (similar to
yqeG),
and
iri-13 (similar to MTCY336_33), did not hybridize to any
of the other streptococci or to any of the other species tested,
suggesting that these genes might be
S. suis specific (Tables
5 and
6). However, except for
ivs-21 (
epf gene), these genes
showed homology to sequences in the database of bacteria present
in our assay. Therefore, similar genes are present in bacterial
species other than
S. suis, and therefore the genes are not
specific for
S. suis. This finding indicates that the homology
between the probes used and the genes present in the bacterial
species was too low to detect the genes in the hybridization
assay used and under the conditions applied. Probe ivs-21 (
epf gene) hybridized only to
S. suis and showed no homology in the
database. Therefore, the
epf gene is the only
S. suis-specific
gene that we found by using the selection procedures described
above. Two probes, ivs-23/iri-24 (similar to
cpsY and
oxyR)
and iri-16 (similar to
trmU), hybridized to most of the streptococcal
species but did not hybridize to other bacterial species except
for
S. aureus. Apparently,
ivs-23,
iri-24, and
iri-16 are conserved
among the various streptococcal species. In contrast to other
probes tested, ivs-2/iri-10 (similar to
yoaE) hybridized to
none of the streptococcal species except for
S. suis but did
hybridize with four gram-negative bacteria,
Escherichia coli,
Klebsiella pneumoniae,
Salmonella enterica serovar Typhimurium,
and
Y. enterocolitica (Tables
5 and
6).

DISCUSSION
In this study, we examined the distribution of 36 environmentally
regulated genes of
S. suis strain 10 among all 35
S. suis serotypes
in order to improve detection of virulent
S. suis strains. The
probe ivs-25/iri-1 (similar to
agrA and
sapR) detected virulent
and weakly virulent serotype 2 strains as well as virulent and
highly virulent serotype 1 strains. Since this probe hybridized
only with virulent strains, it is suitable as a diagnostic parameter
to detect virulent
S. suis strains among serotypes 1 and 2.
ivs-25 was selected in vivo and
iri-1 was induced under iron
restriction (
15). Both selected fragments are part of one gene
in
S. suis (unpublished results). This gene showed significant
similarity to the
sapR gene of
S. mutans and to the
agrA gene
of
S. aureus. In
S. aureus, AgrA is a very strong regulator
of several virulence factors (
11). These data suggest that the
agrA gene regulates transcription of genes that are important
for virulence.
The data showed that one probe, ivs-21, was S. suis specific. Hybridization was not found between this probe and any of the other bacterial species used, and no homology was found in the database. This probe sequence was identical to the epf gene, a putative virulence factor of S. suis encoding EF, which was present in 25 of 35 S. suis serotypes. The ivs-21 probe did not react with serotypes 1, 16, 20, 22, 26, 27, 31, 32, 33, and 34. The ivs-21 probe hybridized with strains of S. suis serotypes 1 and 2 with all MRP and EF phenotypes.
Probe ivs-31 contained part of the fibronectin- and fibrinogen-binding protein gene of S. suis serotype 2. Its corresponding protein bound fibronectin and fibrinogen and was involved in the virulence of S. suis serotype 2 (10). This probe hybridized with four of the oral streptococci, S. oralis, S. sanguis, S. gordonii, and S. mitis. To date, the presence of such fibronectin- and fibrinogen-binding protein in S. oralis, S. sanguis, S. gordonii, and S. mitis has been unknown.
ivs-8, similar to a transposase gene, was found to be present in a small number of serotypes, including serotypes 1, 2, 7, 14, and 1/2. Serotype 9, another serotype often isolated from diseased piglets, did not have this transposase gene. Transposases may be involved in the insertion into the genome of foreign DNA-containing genes that are involved in virulence (9). Therefore, it might be very interesting to determine the genes flanking this transposase gene. The 5' end of ivs-8 shows homology to capsular genes of S. pneumoniae. For S. suis, the capsule is also an important virulence factor (16).
Probe ivs-9, similar to comE of B. subtilis, hybridized only to S. suis, S. pneumoniae, and to the oral streptococci, S. oralis, S. milleri, S. sanguis, S. gordonii, and S. mitis. Håvarstein et al. (12) described another competence gene that was present in the same streptococcal species. In B. subtilis, ComE is involved in competence development (1). For S. pneumoniae, it was shown that genes that are involved in competence are also involved in virulence (4). Although a natural transformation system has not been described for S. suis, the potential involvement of ivs-9 in competence and in the pathogenesis of S. suis infections needs to be further investigated.
A number of genes, namely, ivs-21 (epf gene), ivs-16 (similar to atlR), iri-31 (cps2A gene), iri-23 (similar to yvyD), iri-11 (similar to nrdD), iri-32 (similar to ruvB), ivs-32 (similar to fliF), ivs-36 (similar to yqeG), and iri-13 (similar to MTCY336_33), hybridized only with S. suis DNA. Although these probes were S. suis specific, they showed similarity to sequences in the database of bacteria included in our assay. This means that the genes are not unique for S. suis but that the homology with other bacterial species was nonetheless too low to give a positive hybridization signal under the conditions used. Control hybridization experiments showed that fragments showing 75 to 80% homology on the DNA level will result in positive hybridization signals. Probes iri-3, iri-4, and iri-18 showed no similarity to DNA in the database, but all three probes hybridized with at least one other streptococcal species and therefore are also not S. suis specific. Probe iri-8, homologous to a gln tRNA gene, hybridized to almost all bacterial species tested, including tRNAs of many gram-negative organisms. tRNA genes are very conserved among bacterial species.
Most probes hybridized with the majority of the S. suis serotypes, except with serotypes 20, 22, 26, 32, 33, and 34. Chatellier et al. (6) and Brousseau et al. (5) determined the sequences of the 16S rDNA cluster and the chaperonin 60 gene, respectively, of all reference strains of S. suis. They showed that serotypes 20, 22, 26, 32, 33, and 34 were the most divergent serotypes.
Two other probes, ivs-23 and iri-16, hybridized with all 35 S. suis serotypes, with nearly all other streptococcal species, and with S. aureus. In the database, probe ivs-23 showed similarity to cpsY and oxyR of various streptococcal species. It is known that transcription regulators, such as cpsY and oxyR, are very conserved sequences. The other probe, iri-16, is similar to trmU, which encodes an RNA methyl transferase that is involved in the modification of nucleosides in bacterial tRNA. The function of this protein and its role in pathogenesis of infections are unknown. The fact that nearly all streptococci hybridized with the probe for iri-16 indicates that this gene is highly conserved among streptococci.
Some probes showed hybridization only to S. suis and other streptococcal species. Apparently, such genes are highly conserved among streptococci. Interestingly, nearly half of the probes (45%) hybridized with the oral streptococci (S. oralis, S. milleri, S. sanguis, S. gordonii, and S. mitis) and S. pneumoniae. This indicates a close relationship between S. suis, the oral streptococci, and S. pneumoniae with respect to the selected environmentally regulated genes. Based on 16S rRNA sequencing, S. suis was most closely related to S. bovis and S. equinus (6).
Probe ivs-2 (similar to yoaE) hybridized with four gram-negative species, E. coli, K. pneumoniae, S. enterica serovar Typhimurium, and Y. enterocolitica. This gene had a considerable higher a G+C content than did the other selected ivs and iri genes (15), suggesting that the yoaE gene of S. suis was obtained by horizontal transfer from E. coli or another gram-negative organism.
In conclusion, the most promising candidate for improvement of S. suis diagnostics is probe ivs-25/iri-1, which encodes a putative general virulence regulator. It discriminates between virulent and avirulent serotype 1 and 2 strains. This probe can detect all virulent serotype 1 and 2 strains, while the present diagnostic methods are unable to detect virulent serotype 1 strains.

FOOTNOTES
* Corresponding author. Mailing address: Institute for Animal Science and Health, Division of Infectious Diseases and Food Chain Quality, Cluster of Endemic Diseases, P. O. Box 65, 8200 AB Lelystad, The Netherlands. Phone: 31 320 238403. Fax: 31 320 238153. E-mail:
a.degreeff{at}id.wag-ur.nl.


REFERENCES
1 - Albano, M., and D. A. Dubnau. 1989. Cloning and characterization of a cluster of linked Bacillus subtilis late competence mutations. J. Bacteriol. 171:5376-5385.[Abstract/Free Full Text]
2 - Arends, J. P., N. Hartwig, M. Rudolphy, and H. C. Zanen. 1984. Carrier rate of Streptococcus suis capsular type 2 in palatine tonsils of slaughtered pigs. J. Clin. Microbiol. 20:945-947.[Abstract/Free Full Text]
3 - Arends, J. P., and H. C. Zanen. 1988. Meningitis caused by Streptococcus suis in humans. Rev. Infect. Dis. 10:131-137.[Medline]
4 - Bartilson, M., A. Marra, J. Christine, J. S. Asundi, W. P. Schneider, and A. E. Hromockyj. 2001. Differential fluorescence induction reveals Streptococcus pneumoniae loci regulated by competence stimulatory peptide. Mol. Microbiol. 39:126-135.[CrossRef][Medline]
5 - Brousseau, R., J. E. Hill, G. Préfontaine, S.-H. Goh, J. Harel, and S. M. Hemmingsen. 2001. Streptococcus suis serotypes characterized by analysis of chaperonin 60 gene sequences. Appl. Environ. Microbiol. 67:4828-4833.[Abstract/Free Full Text]
6 - Chatellier, S., M. Gottschalk, R. Higgins, R. Brousseau, and J. Harel. 1999. Relatedness of Streptococcus suis serotype 2 isolates from different geographic origins as evaluated by molecular fingerprinting and phenotyping. J. Clin. Microbiol. 37:362-366.[Abstract/Free Full Text]
7 - Clifton-Hadley, F. A. 1983. Streptococcus suis type 2 infections. Br. Vet. J. 139:1-5.[Medline]
8 - Clifton-Hadley, F. A. 1986. The epidemiology, diagnosis, treatment and control of Streptococcus suis type 2 infections, p. 471-491. In J. D. McKean (ed.), Proceedings of the American Association of Swine Practitioners 1986. American Assocation of Swine Practitioners, Minneapolis, Minn.
9 - Conner, C. P., D. M. Heithoff, S. M. Julio, R. L. Sinsheimer, and M. J. Mahan. 1998. Differential patterns of acquired virulence genes distinguish Salmonella strains. Proc. Natl. Acad. Sci. USA 95:4641-4645.[Abstract/Free Full Text]
10 - de Greeff, A., H. Buys, R. Verhaar, J. Dijkstra, L. van Alphen, and H. E. Smith. 2001. Contribution of fibronectin-binding protein to pathogenesis of Streptococcus suis serotype 2. Infect. Immun. 70:1319-1325.[Abstract/Free Full Text]
11 - Dunman, P. M., E. Murphy, S. Haney, D. Palacios, G. Tucker-Kellogg, S. Wu, E. L. Brown, R. J. Zagursky, D. Shlaes, and S. J. Projan. 2001. Transcription profiling-based identification of Staphylococcus aureus genes regulated by the agr and/or sarA loci. J. Bacteriol. 183:7341-7353.[Abstract/Free Full Text]
12 - Håvarstein, L. S., R. Hakenbeck, and P. Gaustad. 1997. Natural competence in the genus Streptococcus: evidence that streptococci can change pherotype by interspecies recombinational exchanges. J. Bacteriol. 179:6589-6594.[Abstract/Free Full Text]
13 - Mahan, M. J., J. M. Slauch, and J. J. Mekalanos. 1993. Selection of bacterial virulence genes that are specifically induced in host tissues. Science 259:686-688.[Abstract/Free Full Text]
14 - Mwaniki, C. G., I. D. Robertson, D. J. Trott, R. F. Atyeo, B. J. Lee, and D. J. Hampson. 1994. Clonal analysis and virulence of Australian isolates of Streptococcus suis type 2. Epidemiol. Infect. 113:321-334.[Medline]
15 - Smith, H. E., H. Buijs, R. de Vries, H. J. Wisselink, N. Stockhofe-Zurwieden, and M. A. Smits. 2001. Environmentally regulated genes of Streptococcus suis: identification by the use of iron-restricted conditions in vitro and by experimental infection of piglets. Microbiology 147:271-280.[Abstract/Free Full Text]
16 - Smith, H. E., M. Damman, J. van der Velde, F. Wagenaar, H. J. Wisselink, N. Stockhofe-Zurwieden, and M. A. Smits. 1999. Identification and characterization of the cps locus of Streptococcus suis serotype 2: the capsule protects against phagocytosis and is an important virulence factor. Infect. Immun. 67:1750-1756.[Abstract/Free Full Text]
17 - Smith, H. E., M. Rijnsburger, N. Stockhofe-Zurwieden, H. J. Wisselink, U. Vecht, and M. A. Smits. 1997. Virulent strains of Streptococcus suis serotype 2 and highly virulent strains of Streptococcus suis serotype 1 can be recognized by a unique ribotype profile. J. Clin. Microbiol. 35:1049-1053.[Abstract]
18 - Smith, H. E., U. Vecht, H. J. Wisselink, N. Stockhofe-Zurwieden, Y. Biermann, and M. A. Smits. 1996. Mutants of Streptococcus suis types 1 and 2 impaired in expression of murimidase-released protein and extracellular protein induce disease in newborn germfree pigs. Infect. Immun. 64:4409-4412.[Abstract]
19 - Smith, H. E., V. Veenbergen, J. van der Velde, M. Damman, H. J. Wisselink, and M. A. Smits. 1999. The cps genes of Streptococcus suis serotypes 1, 2, and 9: development of rapid serotype-specific PCR assays. J. Clin. Microbiol. 37:3146-3152.[Abstract/Free Full Text]
20 - Staats, J. J., I. Feder, O. Okwumabua, and M. M. Chengappa. 1995. Streptococcus suis: past and present. Vet. Res. Commun. 21:381-407.
21 - Stockhofe-Zurwieden, N., U. Vecht, H. J. Wisselink, H. Van Lieshout, H. E. Smith. 1996. Comparative studies on the pathogenicity of different Streptococcus suis type 1 strains, p. 299. In P. G. Monetti and G. Vignola (ed.), Proceedings of the 14th International Pig Veterinary Society Congress. University of Bologna, Bologna, Italy.
22 - Vecht, U., L. A. van Leengoed, and E. R. Verheyen. 1985. Streptococcus suis infections in pigs in The Netherlands, part I. Vet. Q. 7:315-321.[Medline]
23 - Vecht, U., H. J. Wisselink, J. E. van Dijk, and H. E. Smith. 1992. Virulence of Streptococcus suis type 2 strains in newborn germfree pigs depends on phenotype. Infect. Immun. 60:550-556.[Abstract/Free Full Text]
24 - Vecht, U., H. J. Wisselink, M. L. Jellema, and H. E. Smith. 1991. Identification of two proteins associated with virulence of Streptococcus suis type 2. Infect. Immun. 59:3156-3162.[Abstract/Free Full Text]
25 - Vecht, U., H. J. Wisselink, F. H. Reek, N. Stockhofe-Zurwieden, and H. E. Smith. 1996. Diagnosis of several capsular serotypes of Streptococcus suis by phenotype and PCR and the relation with virulence for pigs, p. 298. In P. G. Monetti and G. Vignola (ed.), Proceedings of the 14th International Pig Veterinary Society Congress. University of Bologna, Bologna, Italy.
26 - Wisselink, H. J., F. H. Reek, U. Vecht, N. Stockhofe-Zurwieden, M. A. Smits, and H. E. Smith. 1999. Detection of virulent strains of Streptococcus suis type 2 and highly virulent strains of Streptococcus suis type 1 in tonsillar specimens of pigs by PCR. Vet. Microbiol. 67:143-157.[CrossRef][Medline]
27 - Wisselink, H. J., H. E. Smith, N. Stockhofe-Zurwieden, K. Peperkamp, and U. Vecht. 2000. Distribution of capsular types and production of muramidase-released protein (MPR) and extracellular factor (EF) of Streptococcus suis strains isolated from diseased pigs in seven European countries. Vet. Microbiol. 74:237-248.[CrossRef][Medline]
28 - Wisselink, H. J., J. J. Joosten, and H. E. Smith. 2002. Multiplex PCR assays for simultaneous detection of six major serotypes and two virulence-associated phenotypes of Streptococcus suis in tonsillar specimens from pigs. J. Clin. Microbiol. 40:2922-2929.[Abstract/Free Full Text]
Journal of Clinical Microbiology, September 2002, p. 3261-3268, Vol. 40, No. 9
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.9.3261-3268.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.