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Journal of Clinical Microbiology, August 2005, p. 3727-3733, Vol. 43, No. 8
0095-1137/05/$08.00+0 doi:10.1128/JCM.43.8.3727-3733.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Multilocus Sequence Typing of Swedish Invasive Group B Streptococcus Isolates Indicates a Neonatally Associated Genetic Lineage and Capsule Switching
Shi-Lu Luan,1*
Margareta Granlund,2
Mats Sellin,2
Teresa Lagergård,3
Brian G. Spratt,4 and
Mari Norgren1
Department of Biomedical Laboratory Science, Umeå University, Umeå,1
Department of Clinical Bacteriology, Umeå University, Umeå,2
Department of Microbiology and Immunology, Gothenburg University, Gothenburg, Sweden,3
Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College, St. Mary's Hospital, London, United Kingdom4
Received 17 February 2005/
Returned for modification 15 April 1005/
Accepted 11 May 2005
Streptococcus agalactiae, also designated group B streptococcus (GBS), is an important pathogen in neonates, pregnant women, and nonpregnant adults with predisposing conditions. We used multilocus sequence typing (MLST) to characterize 158 GBS isolates that were associated with neonatal and adult invasive disease and that were collected in northern and western Sweden from 1988 to 1997. Five major genetic lineages (sequence type [ST] 19, ST-17, ST-1, ST-23, and ST-9 complexes) were identified among the isolates, including serotype Ia, Ib, and II to V isolates, indicating a highly clonal population structure among invasive GBS isolates. A number of STs were found to contain isolates of different serotypes, which indicates that capsule switching occurred rather frequently. Two distantly related genetic lineages were identified among isolates of serotype III, namely, clonal complex 19 (CC19), and CC17. CC19 was equally common among isolates from adult and neonatal disease (accounting for 10.3% of GBS isolates from adult disease and 18.7% from neonatal disease), whereas CC17 significantly appeared to be associated with neonatal invasive disease (isolated from 21.9% of neonatal isolates but only 2.6% of adult isolates). The distribution of the mobile elements GBSi1 and IS1548 reveals that they can act as genetic markers for lineages CC17 and CC19, respectively.
* Corresponding author. Mailing address: Department of Clinical Bacteriology, Umeå University, S-90 185 Umeå, Sweden. Phone: 46-90-785 23 47. Fax: 46-90-785 22 25. E-mail:
shilu.luan{at}climi.umu.se.
Journal of Clinical Microbiology, August 2005, p. 3727-3733, Vol. 43, No. 8
0095-1137/05/$08.00+0 doi:10.1128/JCM.43.8.3727-3733.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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