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Journal of Clinical Microbiology, August 2006, p. 2838-2843, Vol. 44, No. 8
0095-1137/06/$08.00+0     doi:10.1128/JCM.00156-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

Genetic Diversity of PspA Types among Nasopharyngeal Isolates Collected during an Ongoing Surveillance Study of Children in Brazil

Fabiana Cristina Pimenta,1 Fátima Ribeiro-Dias,1 Maria Cristina C. Brandileone,2 Eliane N. Miyaji,3 Luciana C. C. Leite,3 and Ana Lúcia S. Sgambatti de Andrade1*

Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, Brazil,1 Laboratório de Bacteriologia, Instituto Adolfo Lutz, São Paulo, Brazil,2 Centro de Biotecnologia, Instituto Butantan, São Paulo, Brazil3

Received 4 January 2006/ Returned for modification 6 March 2006/ Accepted 11 May 2006

Pneumococcal surface protein A (PspA) has been considered a potential candidate for human vaccines because of its serotype-independent protective immunity. Nasopharyngeal (NP) pneumococcal colonization is highly prevalent in infants and precedes the invasive disease. Thus, prevention of NP colonization may reduce the burden of pneumococcal disease in children. Scarce information focusing on PspA from pneumococcal carriage in humans is available. We examined the genetic diversity of PspA from NP isolates obtained during an ongoing pneumococcal surveillance study with children. PspA families and clades of 183 community-acquired Streptococcus pneumoniae NP isolates from healthy children (n = 97) and children with respiratory tract infections (n = 48), pneumonia (n = 33), or meningitis (n = 5) were investigated. Overall, 79.8% (n = 146) of the pneumococcal isolates were classified as PspA family 1 (35.5%) and family 2 (44.3%), whereas 20.2% of the isolates could not be typed. The distribution of PspA families and clades did not differ significantly according to the clinical status of the children. A dendrogram comparing the genetic relationship between the amino acid sequences of the clade-defining region of PspA from NP strains together with 24 invasive reference strains (GenBank) closely reproduced the profile of the families and clades previously reported for pneumococcal invasive strains. These findings strengthen the idea that the use of PspA as a vaccine antigen may protect children against carriage as well as invasive pneumococcal disease.

* Corresponding author. Mailing address: Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Rua 235, esq com 1a. Avenida, St. Universitário, CEP 74605-050, Goiânia, Goiás, Brazil. Phone and fax: 55 62 3202 7942. E-mail: ana{at}iptsp.ufg.br.

Journal of Clinical Microbiology, August 2006, p. 2838-2843, Vol. 44, No. 8
0095-1137/06/$08.00+0     doi:10.1128/JCM.00156-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.



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