Clonal structure of Streptococcus sanguinis strains isolated from endocarditis cases and the oral cavity

T. Do, S. C. Gilbert, J. Klein, S. Warren, W. G. Wade, D. Beighton

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    Abstract

    A collection of Streptococcus sanguinis strains from patients with endocarditis (n = 21) and from the oral cavity (n = 34) was subjected to a multilocus sequence typing analysis using seven housekeeping genes, carbamoyl-phosphate synthetase (carB), Co/Zn/Cd efflux system component (czcD), D-alanyl-D-alanine ligase (ddl), DNA polymerase III (dnaX), glucose-6-phosphate dehydrogenase (gdh), DNA-directed RNA polymerase, beta subunit (rpoB) and superoxide dismutase (sodA). The scheme was expanded by the inclusion of two the putative virulence genes, bacitracin-resistance protein (bacA) and saliva-binding protein (ssaB), to increase strain discrimination. Extensive intra-species recombination was apparent in all genes but inter-species recombination was also apparent with strains apparently harbouring gdh and ddl from unidentified sources and one isolate harboured a sodA allele apparently derived from Streptococcus oralis. The recombination/mutation ratio for the concatenated housekeeping gene sequences was 1.67 (95% confidence limits 1.25-2.72) and for the two virulence genes the r/m ratio was 3.99 (95% confidence limits 1.61-8.72); recombination was the major driver for genetic variation. All isolates were distinct and the endocarditis strains did not form distinct sub-clusters when the data were analysed using CLONALFRAME. These data support the widely held opinion that infecting S. sanguinis strains are opportunistic human pathogens.
    Original languageEnglish
    Pages (from-to)291 - 302
    Number of pages12
    JournalMolecular Oral Microbiology
    Volume26
    Issue number5
    DOIs
    Publication statusPublished - Oct 2011

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