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Bacteriology

tcdC Genotypes Associated with Severe TcdC Truncation in an Epidemic Clone and Other Strains of Clostridium difficile

Scott R. Curry, Jane W. Marsh, Carlene A. Muto, Mary M. O'Leary, A. William Pasculle, Lee H. Harrison
Scott R. Curry
1Division of Infectious Diseases, Department of Medicine, University of Pittsburgh School of Medicine
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Jane W. Marsh
1Division of Infectious Diseases, Department of Medicine, University of Pittsburgh School of Medicine
4Infectious Diseases Epidemiology Research Unit, University of Pittsburgh School of Medicine and Graduate School of Public Health, Pittsburgh, Pennsylvania 15261
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Carlene A. Muto
1Division of Infectious Diseases, Department of Medicine, University of Pittsburgh School of Medicine
2Division of Hospital Epidemiology and Infection Control and Division of Infectious Diseases, University of Pittsburgh Medical Center, Presbyterian Campus
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Mary M. O'Leary
2Division of Hospital Epidemiology and Infection Control and Division of Infectious Diseases, University of Pittsburgh Medical Center, Presbyterian Campus
4Infectious Diseases Epidemiology Research Unit, University of Pittsburgh School of Medicine and Graduate School of Public Health, Pittsburgh, Pennsylvania 15261
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A. William Pasculle
1Division of Infectious Diseases, Department of Medicine, University of Pittsburgh School of Medicine
3Division of Microbiology, Department of Pathology, University of Pittsburgh School of Medicine
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Lee H. Harrison
1Division of Infectious Diseases, Department of Medicine, University of Pittsburgh School of Medicine
4Infectious Diseases Epidemiology Research Unit, University of Pittsburgh School of Medicine and Graduate School of Public Health, Pittsburgh, Pennsylvania 15261
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  • For correspondence: lharriso@edc.pitt.edu
DOI: 10.1128/JCM.01599-06
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    FIG. 1.

    Comparison of TcdC nucleotide and amino acid sequences to the published sequence for the reference strain VPI10463. Dots and dashes indicate identical bases and deletions, respectively. Only amino acid changes are depicted. Stop codons are underlined. Genotype tcdC-sc2 is not depicted but is identical to tcdC-sc1 with the exception of an inserted nucleotide (t) in the untranslated region at position 212.

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    FIG. 2.

    Minimum-spanning tree of MLVA data depicting genetic relatedness of 199 isolates of C. difficile from cases of CDAD at UPMC-P in 2001 and 2005. Each circle depicts one MLVA genotype, with the STRD between adjacent isolates displayed in gray. Where no numeral is shown, the STRD equals 1. STRDs of ≥11 are depicted with dashed lines. Clouds of gray surround isolates with an STRD of ≤2; these complexes represent closely related isolates. White circles depict genotypes represented by one isolate; light gray circles with black numerals, dark gray circles with white numerals, and black circles with white numerals depict genotypes represented by 2, 3, and ≥5 isolates, respectively. The circles are labeled with the tcdC genotype described in Fig. 1 (wild-type tcdC = 0, tcdC-A = A, tcdC-B = B, tcdC-sc1 = 1, tcdC-sc2 = 2, tcdC-sc3 = 3, etc.); available REA types are displayed below the tcdC genotype. The tree has been redrawn for ease of viewing and is not to scale.

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  • TABLE 1.

    Characteristics of tcdC genotypes of isolates from 199 cases of CDAD at UPMC 2001 and 2005

    tcdC genotypeaNo. of cases (%)Predicted truncating mutationsNucleotide deletions (>1 bp)Deletion (>1 bp) beyond stop codon?Predicted TcdC length (amino acid residues)No. of residue changes in TcdC (no. deleted)REA type(s) within group (no. typed)
    Wild type (VPI10463)36 (18.1)2320 (0)K (1)
    tcdC-A 3 (1.5)C184T39Yes612 (171)
    tcdC-B 9 (4.5)None18No2260 (6)
    tcdC-sc1 91 (45.7)Δ117A18Yes6527 (167)BI 9 (3), BI10 (2)
    tcdC-sc2* 1 (0.5)Δ117A18Yes6527 (167)BR2 (1)
    tcdC-sc3 23 (11.9)NoneNone2321 (0)J9, 28-31 (6)
    tcdC-sc4 1 (0.5)None18No2261 (6)
    tcdC-sc5 5 (2.5)NoneNone2322 (0)
    tcdC-sc7 6 (3.0)NoneNone2322 (0)
    tcdC-sc8 1 (0.5)Δ117ANone6526 (167)
    tcdC-sc9 9 (4.5)NoneNone2321 (0)CL (1)
    tcdC-sc10 1 (0.5)NoneNone2322 (0)
    tcdC-sc12 2 (1.0)NoneNone2322 (0)
    tcdC-sc13 1 (0.5)NoneNone2320 (0)
    tcdC-sc14 3 (1.5)NoneNone2321 (0)BM (1)
    tcdC-sc15 5 (2.5)NoneNone2320 (0)
    tcdC-sc16 1 (0.5)C191A36Yes632 (169)
    tcdC-sc17 1 (0.5)G258A18Yes850 (147)
    • ↵ a *, Genotype tcdC-sc2 is identical to genotype tcdC-sc1 except for the insertion of a single nucleotide (t) at position 212.

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tcdC Genotypes Associated with Severe TcdC Truncation in an Epidemic Clone and Other Strains of Clostridium difficile
Scott R. Curry, Jane W. Marsh, Carlene A. Muto, Mary M. O'Leary, A. William Pasculle, Lee H. Harrison
Journal of Clinical Microbiology Dec 2006, 45 (1) 215-221; DOI: 10.1128/JCM.01599-06

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tcdC Genotypes Associated with Severe TcdC Truncation in an Epidemic Clone and Other Strains of Clostridium difficile
Scott R. Curry, Jane W. Marsh, Carlene A. Muto, Mary M. O'Leary, A. William Pasculle, Lee H. Harrison
Journal of Clinical Microbiology Dec 2006, 45 (1) 215-221; DOI: 10.1128/JCM.01599-06
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KEYWORDS

Bacterial Proteins
Clostridium difficile
Disease Outbreaks
Enterocolitis, Pseudomembranous
Repressor Proteins
Sequence Deletion

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