Serotypes of Listeria m onocytogenes strains isolated from clinical and food samples Trkov 1 M. , Rupel 1 T. , 2 M. , Műller – Premru Lorenčič Robnik 5 1 Fišer J. , Paragi M. 3 S. , Štrumbelj 4 I. , National Institute of Public Health of the Republic of Slovenia, Ljubljana, Slovenia; 2 University of Ljubljana, Medical Faculty, Institute of Microbiology and Immunology, Ljubljana, Slovenia; 3 Institute of Public Health Maribor, Maribor, Slovenia; 4 Institute of Public Health Murska Sobota, Murska Sobota, Slovenia; Hospital of “Dr. Franc Derganc” Nova Gorica, Nova Gorica, Slovenia 1 5 Introduction Listeria m onocytogenes is the causative agent of listeriosis, a serious illness of humans that can be transmitted with contaminated food. The disease primarily affects older adults, pregnant women, newborns, and immunocompromised patients. Listeriosis remains of great public health concern due to its high mortality rate. L. m onocytogenes serotyping is commonly used at the first level of characterisation in the long-term epidemiological surveillance of food and clinical isolates. For the species L. m onocytogenes 13 serotypes are described (1/2a, 1/2b. 1/2c, 3a, 3b, 3c, 4a, 4ab, 4b, 4c, 4d, 4e, 7). Materials and methods 16 No. of L. monocytogenes isolates 78 L. m onocytogenes strains isolated from 11 clinical, 66 food and 1 environmental sample were serotyped. All clinical strains were isolated in the year 2010 and environmental isolate in 2009. Food strains from different food samples: various meat products (53 %), fishery products (28.8 %), fresh and processed vegetables (4.6 %), ready-to-eat foods (13.6 %) were isolated in the years 2007 (6 isolates), 2008 (32 isolates), 2009 (21 isolates) and 2010 (7 isolates) (Fig. 1). All strains were isolated and identified by standard bacteriological methods. The species L. m onocytogenes was confirmed by polymerase chain reaction (PCR) with primers described by Chen and Knabel (2007). Serotyping was performed with commercial sera for somatic (O) and flagellar (H) antigens according to the manufacturer’s protocol (Denka Seiken, Tokyo, Japan) and with PCR method developed by Doumith et al. (2004). This multiplex PCR do not distinguish, within L. m onocytogenes , serotype 1/2a from 3a, 1/2c from 3c, 1/2b from 3b and 7, or 4b from 4d and 4e. 14 12 10 8 6 4 2 0 2007 2008 2009 2010 Year Meat products Fishery products Fresh and processed vegetables Ready-to-eat foods Figure 1: Number of L. monocytogenes strains isolated from different food samples by years. 40 No. of L. monocytogenes isolates 35 30 4e 25 4b 4 4c 1/2 1/2a 20 15 10 1/2c 5 1/2b 0 Meat products Fishery products 1/2a 1/2b Fresh and processed vegetables 1/2c 1/2 RTE 4b 4c Human 4d 4e Environmental 4 Figure 2: Serotypes / serogroups of L. monocytogenes isoleted from different sources. 1/2a 1/2b 1/2c 1/2 4e 4b 4 4c Figure 3: Serotype / serogroup distribution of food L. monocytogenes isolates. Results and conclusions The results showed that 73 isolates belonged to the following serotypes 1/2a, 1/2b, 1/2c, 4b, 4e, 4c, 4d. For three and two food isolates only serogroups 1/2 and 4 were detected (Fig. 2). Altogether 63 isolates (81%) belonged to the serogroup 1/2 and 15 isolates (19 %) to serogroup 4, no isolate belonged to serogrups 3 and 7. Figure 3 shows serotype / serogroup distribution of L. m onocytogenes isolated from food samples. The most prevalent serotype in foods was 1/2a (46.3 % of isolates), followed by serotype 1/2c (23.9 % of isolates). Serotype 1/2b and serogroup 4 were represented equally (7.5 % each). Serotypes determined in clinical L. m onocytogenes isolates (1/2a, 1/2c and 4e) were represented also in food samples (Fig. 3). Serogroups 1/2 and 4 were determined in all groups of food. Serotype 4e was not detected in meat products but was the most prevalent in RTE (ready-to-eat) food items. Pulsed-field gel electrophoresis (PFGE) typing with two restriction enzymes enables further characterization and comparison of human and food L. m onocytogenes isolates. Acknowledgment: The authors wish to thank Vesna Malus and Maja Klopčič for their diligent work on serotyping. References: 1. Chen Y, Knabel S. Appl Environ Microbiol 2007:73, 6299-304. 2. Doumith M et al. J Clin Microbiol 2004:42, 3819-22.
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