Genotyping of Haemophilus influenzae type b strains and their incidence in the clinical samples isolated from Iranian patients
Abstract
Background and Objective: Haemophilus influenzae type b (Hib) is divided into two distinct genotypes, type I and type II, based on the structure of capsular polysaccharides. The capsulation locus of Haemophilus influenzae type b consists of three functionally distinct regions, designated regions 1 to 3. Region III contains hcsA and hcsB genes; however, notable sequence variation in this region can be used to recognize different Hib genotypes. The purpose of this study was to investigate the prevalence and genotype of the Hib strains isolated from patients with invasive disease in Iran.
Materials and Methods: In the present study, 8 pairs of primers were used for identification and serotyping of encapsulated Haemophilus influenzae strains, as well as confirmation of species identification. Additionally, in order to identify the cap- sular genotypes of Haemophilus influenzae type b (type I and II), two additional primer pairs were used to amplify the hcsA gene.
Results: Out of 50 isolates of H. influenzae, four were found to be type b. Interestingly, among these 4 Hib isolates, 2 strains belonged to the type-II category.
Conclusion: Our study shows that the prevalence of both Hib types I and II seems to be high in Iran.
Davis GS, Sandstedt SA, Patel M, Marrs CF, Gilsdorf JR. Use of bexB to detect the capsule locus in Hae- mophilus influenzae. J Clin Microbiol 2011; 49: 2594-2601.
Pittman M. Variation and type specificity in the bac- terial species Hemophilus Influenzae. J Exp Med 1931;53: 471-492.
Waksman G, Caparon M, Hultgren S (2005). Struc- tural biology of bacterial pathogenesis. ASM Press. Washington DC.
Winn W, Allen S, Janda W, Koneman E, Procop G, Schreckenbeger P, et al (2006). Koneman's Color At- las and Textbook of Diagnostic Microbiology. 6nd ed. Lippincott Williams and Wilkins, Philadelphia.
Ueno K, Nishi J, Imuta N, Tokuda K, Kawano Y. Pres- ence of multiple copies of capsulation loci in invasive Haemophilus influenzae type b (Hib) strains in Japan before introduction of the Hib conjugate vaccine. Mi- crobiol Immunol 2010; 54: 160-163.
Moloney AC, Fogarty I, Clarke P, Musser JM. Invasive Haemophilus influenzae in the Republic of Ireland. Eur J Clin Microbiol Infect Dis 1997; 16: 377-380.
Musser JM, Kroll JS, Granoff DM, Moxon ER, Bro- deur BR, Campos J, et al. Global genetic structure and molecular epidemiology of encapsulated Haemophilus influenzae. Rev Infect Dis 1990; 12: 75-111.
Musser J, Kroll JS, Moxon ER, Selander RK. Evolu- tionary genetics of the encapsulated strains of Hae- mophilus influenzae. Proc Natl Acad Sci USA 1988;85: 7758-7762.
Satola SW, Schirmer PL, Farley MM. Complete se- quence of the Cap locus of Haemophilus influenzae serotype b and nonencapsulated b capsule-negative variants. Infect Immun 2003; 71: 3639-3644.
Kroll JS, Zamze S, Loynds BM, Moxon ER. Common organization of chromosomal loci for production of different capsular polysaccharides in Haemophilus in- fluenzae. J Bacteriol 1989; 171: 3343-3347.
Zhou J, Law D, Sill M, Tsang R. Nucleotide sequence diversity of the bexA gene in serotypeable Haemophi- lus influenzae strains recovered from invasive disease patients in Canada. J Clin Microbiol 2007; 45: 1996-1999.
Sukupolvi-Petty S, Grass S, St Geme JW. The Hae- mophilus influenzae Type b hcsA and hcsB gene prod- ucts facilitate transport of capsular polysaccharide across the outer membrane and are essential for viru- lence. J Bacteriol 2006; 188: 3870-3877.
Van Eldere J, Brophy L, Loynds B, Celis P, Hancock I, Carman S, et al. Region II of the Haemophilus in- fluenzae type be capsulation locus is involved in sero- type-specific polysaccharide synthesis. Mol Microbiol 1995; 15: 107-118.
Kroll JS, Loynds BM, Moxon ER. The Haemophilus influenzae capsulation gene cluster: a compound trans- poson. Mol Microbiol 1991; 5: 1549-1560.
Karlsson E, Melhus A. Nontypeable Haemophilus influenzae strains with the capsule-associated insertion element IS1016 may mimic encapsulated strains. APMIS; 2006. 114: 633-640.
Kilian M. A taxonomic study of the genus Haemophilus, with the proposal of a new species. J Gen Microbiol 1976; 93: 9-62.
Falla TJ, Crook DW, Brophy LN, Maskell D, Kroll JS, Moxon ER. PCR for capsular typing of Haemophilus influenzae. J Clin Microbiol 1994; 32: 2382-2386.
Ueyama T, Kurono Y, Shirabe K, Takeshita M, Mogi G. High incidence of Haemophilus influenzae in naso- pharyngeal secretions and middle ear effusions as de- tected by PCR. J Clin Microbiol 1995; 33: 1835-1838.
Mojgani N, Rahbar M, Taqizadeh M, Ashtiani MP, Mohammadzadeh M. Biotyping, capsular typing, and antibiotic resistance pattern of Haemophilus influen- zae strains in Iran. Jpn J Infect Dis 2011; 64: 66-68.
Taheri Kalani M, Akbari Nakhjavani F, Kazemi B, Bonakdar Hashemi F, Haghi Ashteiani M, Nouri K, et al. Survey rate isolation of Heamophilus influenzae type b in csf of pediatrics suspected to meningitis by culture and pcr in tehran center of medical children. TUMJ 2005;63: 1006-1014(Persian).
Shiva F. Vaccination in children. SBMU 2007; 32:1-4(Persian).
Jalali P, Mousavi SF, Rezaei N. Carriage rate of naso- pharyngeal Haemophilus Influenzae among children under 6 Years Old in Tehran, Iran. J Med Microbiol Infect Dis 2014; 2: 23-27.
Schouls L, van der Heide H, Witteveen S, Zomer B, van der Ende A, Burger M, et al. Two variants among Haemophilus influenzae serotype b strains with distinct bcs4, hcsA and hcsB genes display differences in expression of the polysaccharide capsule. BMC Microbiol 2008; 8: 35.
Files | ||
Issue | Vol 7 No 3 (2015) | |
Section | Articles | |
Keywords | ||
Hib genotype hcsA Iranian patients |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |