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Group B streptococcus virulence factors associated with different clinical syndromes: Asymptomatic carriage in pregnant women and early-onset disease in the newborn
Ist Teil von
Frontiers in microbiology, 2023-02, Vol.14, p.1093288-1093288
Ort / Verlag
Switzerland: Frontiers Media S.A
Erscheinungsjahr
2023
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Group B streptococcus (GBS) harbors many virulence factors but there is limited data regarding their importance in colonization in pregnancy and early-onset disease (EOD) in the newborn. We hypothesized that colonization and EOD are associated with different distribution and expression of virulence factors.
We studied 36 GBS EOD and 234 GBS isolates collected during routine screening. Virulence genes (pilus-like structures-
;
and
) presence and expression were identified by PCR and qRT-PCR. Whole genome sequencing (WGS) and comparative genomic analyses were used to compare coding sequences (CDSs) of colonizing and EOD isolates.
Serotype III (ST17) was significantly associated with EOD and serotype VI (ST1) with colonization.
and
genes were more prevalent among EOD isolates (58.3 and 77.8%, respectively;
< 0.01). The pilus loci
and
were more prevalent among EOD isolates (61.1%,
< 0.01), while the pilus loci
and
among colonizing isolates (89.7 and 93.1% vs. 55.6 and 69.4%,
< 0.01). qRT PCR analysis revealed that
was barely expressed in colonizing isolates, even though the gene was detected. Expression of the
gene and
was two-fold higher in EOD isolates compared to colonizing isolates. Transcription of
was three-fold higher in colonizing isolates compared to EOD isolates. ST17 isolates (associated with EOD) had a smaller genome size compared ST1 and the genome was more conserved relative to the reference strain and ST17 isolates. In a multivariate logistic regression analysis virulence factors independently associated with EOD were serotype 3, and
and
was protective.
There was a significant difference in the distribution of
,
, and
genes among EOD (serotype III/ST17) and colonizing (serotype VI/ST1) isolates suggesting an association between invasive disease and these virulence factors. Further study is needed to understand the contribution of these genes to GBS virulence.