State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, China CDC, P.O. Box 5, Changping, Beijing, China.
J Clin Microbiol. 2011 Nov;49(11):3766-70. doi: 10.1128/JCM.01259-11. Epub 2011 Aug 31.
Shigella flexneri is the major Shigella species that causes diarrheal disease in developing countries. It is further subdivided into 15 serotypes based on O-antigen structure. Serotyping of S. flexneri is important for epidemiological purposes. In this study, we developed a multiplex PCR assay targeting the O-antigen synthesis gene wzx and the O-antigen modification genes gtrI, gtrIC, gtrII, oac, gtrIV, gtrV, and gtrX for molecular serotyping of S. flexneri. The multiplex PCR assay contained eight sets of specific PCRs in a single tube and can identify 14 of the 15 serotypes (the exception being serotype Xv) of S. flexneri recognized thus far. A nearly perfect concordance (97.8%) between multiplex PCR assay and slide agglutination was observed when 358 S. flexneri strains of various serotypes were analyzed, except that 8 strains were carrying additional cryptic and/or defective serotype-specific genes. The multiplex PCR assay provides a rapid and specific method for the serotype identification of S. flexneri.
福氏志贺菌是引起发展中国家腹泻病的主要志贺氏菌血清型。它进一步根据 O 抗原结构分为 15 个血清型。福氏志贺菌的血清型鉴定对于流行病学目的很重要。在本研究中,我们开发了一种针对 O 抗原合成基因 wzx 和 O 抗原修饰基因 gtrI、gtrIC、gtrII、oac、gtrIV、gtrV 和 gtrX 的多重 PCR 检测方法,用于福氏志贺菌的分子血清型鉴定。该多重 PCR 检测方法在一个管中包含 8 组特定的 PCR,可以鉴定迄今为止已识别的 14 种福氏志贺菌血清型(除外血清型 Xv)。当分析 358 株不同血清型的福氏志贺菌菌株时,多重 PCR 检测方法与玻片凝集法之间存在几乎完全一致(97.8%),但有 8 株携带额外的隐匿性和/或缺陷型血清型特异性基因。该多重 PCR 检测方法为福氏志贺菌的血清型鉴定提供了一种快速且特异的方法。