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Journal of Clinical Microbiology, January 2004, p. 250-256, Vol. 42, No. 1
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.1.250-256.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

Serotype 14 Variants of the France 9V^-3 Clone from Baltimore, Maryland, Can Be Differentiated by the cpsB Gene

M. Catherine McEllistrem,^1* Anna C. Noller,^1,2 Shyam Visweswaran,^3,4 Jennifer M. Adams,¹ and Lee H. Harrison^1,5

Infectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine,¹ Center for Biomedical Informatics,³ Intelligent Systems Program,⁴ Department of Infectious Diseases and Microbiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania,² Department of International Health, Bloomberg School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland⁵

Received 6 April 2003/ Returned for modification 19 July 2003/ Accepted 22 September 2003

European serotype 14 variants of the France 9V^-3 clone, which have arisen through recombination events involving the penicillin binding protein 1a (pbp1a) gene, have cpsB sequences distinct from those of the 9V^-3 clone. Serotype 14 variants of the 9V^-3 clone have not been compared to genetically diverse serotype 14 strains isolated from an entire metropolitan area in the United States. All serotype 14 non-penicillin-susceptible Streptococcus pneumoniae strains causing invasive disease in Baltimore, Md., from 1995 to 1996 were compared by using pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST), pbp1a PCR restriction profiles, and cpsB and pbp1a sequences. The cpsB genes from strains of 13 serotypes also were analyzed to assess the correlation with serotype. Twenty-seven percent (3 of 11) of the serotype 14 strains were related by PFGE and MLST to the 9V^-3 clone. The serotype 14 variants from Baltimore, unlike the European variants, were related neither to the 9V^-3 clone nor to the R6 strain from positions 1498 to 1710 of the pbp1a gene. All serotype 14 strains had cpsB sequences that differed by 1% (0 to 5 of 476 bp) from each other and that were 16% (78 to 83 of 476 bp) divergent from that of the 9V^-3 clone. Allowing for a 2-bp difference in the cpsB sequence resulted in the highest correlation between the cpsB gene and serotype. Overall, 95% (84 of 88) of the strains were classified correctly by serotype with the cpsB sequence. The distal recombination site of the Baltimore serotype 14 variants of the 9V^-3 clone was not identical to that of the European serotype 14 variants. The cpsB gene was serotype specific regardless of whether capsular switching occurred. Although the correlation between serotype and the cpsB sequence was high, the overall diversity of the cpsB gene within a serotype likely will limit the role of this gene in a sequence-based serotyping method.

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* Corresponding author. Mailing address: Infectious Diseases Epidemiology Research Unit, Division of Infectious Diseases, School of Medicine, University of Pittsburgh, 3601 Fifth Ave., Falk Medical Building, Suite 3A, Pittsburgh, PA 15229. Phone: (412) 648-6301. Fax: (412) 648-6399. E-mail: mcellistremc{at}msx.dept-med.pitt.edu.

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Journal of Clinical Microbiology, January 2004, p. 250-256, Vol. 42, No. 1
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.1.250-256.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

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