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Ma D, Deng L, Huang L, Peng A, Bi W, Li R. Genome Mining of Novel Targets and Construction of Ladder-shaped melting temperature isothermal amplification Assays for the Identification of Cronobacter sakazakii and Cronobacter malonaticus. Foodborne Pathog Dis 2024; 21:586-592. [PMID: 38963769 DOI: 10.1089/fpd.2024.0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/06/2024] Open
Abstract
Cronobacter species are potential pathogens that can contaminate powdered infant formula. C. sakazakii and C. malonaticus are the most common species of Cronobacter associated with infections. This study mined new molecular targets for the detection of C. sakazakii and C. malonaticus by using comparative genome approaches. Specific target genes mngB and ompR were obtained and used to detect C. sakazakii and C. malonaticus, respectively. A novel detection method, termed ladder-shape melting temperature isothermal amplification (LMTIA), was developed and evaluated. The detection limit for pure C. sakazakii DNA was 1 pg per reaction and 1 fg per reaction for C. malonaticus. The C. sakazakii, C. malonaticus, and the reference stains were all correctly identified. The amplicons can be successfully visualized and identified by naked eyes when hydroxy naphthol blue dye (HNB dye) was used in the reaction. Therefore, the LMTIA assays developed in this study showed potential application for microorganism identification and detection.
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Affiliation(s)
- Da Ma
- Department of Biotechnology and Science, School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, China
| | - Ling Deng
- Department of Biotechnology and Science, School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, China
- State Key Laboratory of Microbial Technology, Shandong University, Qingdao, China
| | - Liangpi Huang
- Department of Biotechnology and Science, School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, China
| | - Aoxiang Peng
- Department of Biotechnology and Science, School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, China
| | - Wanglai Bi
- Department of Biotechnology and Science, School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, China
| | - Rui Li
- Department of Biotechnology and Science, School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, China
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2
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Berthold-Pluta A, Stefańska I, Forsythe S, Aleksandrzak-Piekarczyk T, Stasiak-Różańska L, Garbowska M. Genomic Analysis of Cronobacter condimenti s37: Identification of Resistance and Virulence Genes and Comparison with Other Cronobacter and Closely Related Species. Int J Mol Sci 2024; 25:8622. [PMID: 39201307 PMCID: PMC11354601 DOI: 10.3390/ijms25168622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2024] [Revised: 08/03/2024] [Accepted: 08/05/2024] [Indexed: 09/02/2024] Open
Abstract
Cronobacter condimenti are environmental commensals that have not been associated with any clinical infections. To date, they are the least understood and described Cronobacter species within the genus. The objective of this study was to use a draft genome sequence (DGS) of the Cronobacter condimenti strain s37 to screen for genes encoding for antibiotic resistance, virulence, response to environmental stress, and biofilm formation. The strain was isolated in Poland from commercial small radish sprouts. This is the second genome of this species available in the GenBank database. The comparative genome analysis (cgMLST) of C. condimenti s37 with other Cronobacter spp. including the pathogenic species C. sakazakii and the plant-associated closely related genera Franconibacter and Siccibacter was also performed. The assembled and annotated genome of the C. condimenti s37 genome was 4,590,991 bp in length, with a total gene number of 4384, and a GC content of 55.7%. The s 37 genome encoded for genes associated with resistance to stressful environmental conditions (metal resistance genes: zinc, copper, osmotic regulation, and desiccation stress), 17 antimicrobial resistance genes encoding resistance to various classes of antibiotics and 50 genes encoding for the virulence factors. The latter were mainly genes associated with adhesion, chemotaxis, hemolysis, and biofilm formation. Cg-MLST analysis (3991 genes) revealed a greater similarity of C. condimenti s37 to S. turicensis, F. pulveris, and C. dublinensis than to other species of the genus Cronobacter. Studies on the diversity, pathogenicity, and virulence of Cronobacter species isolated from different sources are still insufficient and should certainly be continued. Especially the analysis of rare strains such as s37 is very important because it provides new information on the evolution of these bacteria. Comparative cgMLST analysis of s37 with other Cronobacter species, as well as closely related genera Franconibacter and Siccibacter, complements the knowledge on their adaptability to specific environments such as desiccation.
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Affiliation(s)
- Anna Berthold-Pluta
- Department of Technology and Food Assessment, Division of Milk Technology, Institute of Food Sciences, Warsaw University of Life Sciences—SGGW, 02-787 Warsaw, Poland; (A.B.-P.); (L.S.-R.)
| | - Ilona Stefańska
- Department of Preclinical Sciences, Institute of Veterinary Medicine, Warsaw University of Life Sciences—SGGW, 02-787 Warsaw, Poland;
| | | | | | - Lidia Stasiak-Różańska
- Department of Technology and Food Assessment, Division of Milk Technology, Institute of Food Sciences, Warsaw University of Life Sciences—SGGW, 02-787 Warsaw, Poland; (A.B.-P.); (L.S.-R.)
| | - Monika Garbowska
- Department of Technology and Food Assessment, Division of Milk Technology, Institute of Food Sciences, Warsaw University of Life Sciences—SGGW, 02-787 Warsaw, Poland; (A.B.-P.); (L.S.-R.)
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3
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Mousavi ZE, Hunt K, Koolman L, Butler F, Fanning S. Cronobacter Species in the Built Food Production Environment: A Review on Persistence, Pathogenicity, Regulation and Detection Methods. Microorganisms 2023; 11:1379. [PMID: 37374881 DOI: 10.3390/microorganisms11061379] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 05/17/2023] [Accepted: 05/22/2023] [Indexed: 06/29/2023] Open
Abstract
The powdered formula market is large and growing, with sales and manufacturing increasing by 120% between 2012 and 2021. With this growing market, there must come an increasing emphasis on maintaining a high standard of hygiene to ensure a safe product. In particular, Cronobacter species pose a risk to public health through their potential to cause severe illness in susceptible infants who consume contaminated powdered infant formula (PIF). Assessment of this risk is dependent on determining prevalence in PIF-producing factories, which can be challenging to measure with the heterogeneity observed in the design of built process facilities. There is also a potential risk of bacterial growth occurring during rehydration, given the observed persistence of Cronobacter in desiccated conditions. In addition, novel detection methods are emerging to effectively track and monitor Cronobacter species across the food chain. This review will explore the different vehicles that lead to Cronobacter species' environmental persistence in the food production environment, as well as their pathogenicity, detection methods and the regulatory framework surrounding PIF manufacturing that ensures a safe product for the global consumer.
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Affiliation(s)
- Zeinab Ebrahimzadeh Mousavi
- UCD-Centre for Food Safety, School of Public Health, Physiotherapy and Sports Science, University College Dublin, D04 V1W8 Dublin, Ireland
- School of Biosystems and Food Engineering, University College Dublin, Belfield, Dublin 4, D04 V1W8 Dublin, Ireland
- Department of Food Science and Engineering, Faculties of Agriculture and Natural Resources, University of Tehran, Karaj 6719418314, Iran
| | - Kevin Hunt
- School of Biosystems and Food Engineering, University College Dublin, Belfield, Dublin 4, D04 V1W8 Dublin, Ireland
| | - Leonard Koolman
- UCD-Centre for Food Safety, School of Public Health, Physiotherapy and Sports Science, University College Dublin, D04 V1W8 Dublin, Ireland
| | - Francis Butler
- School of Biosystems and Food Engineering, University College Dublin, Belfield, Dublin 4, D04 V1W8 Dublin, Ireland
| | - Séamus Fanning
- UCD-Centre for Food Safety, School of Public Health, Physiotherapy and Sports Science, University College Dublin, D04 V1W8 Dublin, Ireland
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4
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Braga LMPDS, Saad BAA, de Oliveira CTF, Volpe‐Chaves CE, Lacerda MLGG, Forsythe SJ, Venturini J, de Oliveira SMDVL, Paniago AMM, da Costa LV, Lage RVDS, dos Reis CMF, Brandão MLL. Case report of
Curtobacterium
isolated from a catheter tip sample misidentified as
Cronobacter. Lett Appl Microbiol 2022; 75:396-400. [DOI: 10.1111/lam.13741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 05/13/2022] [Accepted: 05/16/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Lygia Maria Paulo da Silva Braga
- Institute of Technology in Immunobiologicals Oswaldo Cruz Foundation Rio de Janeiro, Rio de Janeiro Brazil
- Federal University of Rio de Janeiro Rio de Janeiro, Rio de Janeiro Brazil
| | - Bruna Abdul Ahad Saad
- Federal University of Mato Grosso do Sul
- Regional Hospital of Mato Grosso do Sul Mato Grosso do Sul Campo Grande Brazil
| | | | | | | | | | | | | | | | - Luciana Veloso da Costa
- Institute of Technology in Immunobiologicals Oswaldo Cruz Foundation Rio de Janeiro, Rio de Janeiro Brazil
| | - Rebeca Vitória da Silva Lage
- Institute of Technology in Immunobiologicals Oswaldo Cruz Foundation Rio de Janeiro, Rio de Janeiro Brazil
- National Institute of Quality Control in Health Oswaldo Cruz Foundation Rio de Janeiro, Rio de Janeiro Brazil
| | | | - Marcelo Luiz Lima Brandão
- Institute of Technology in Immunobiologicals Oswaldo Cruz Foundation Rio de Janeiro, Rio de Janeiro Brazil
- National Institute of Quality Control in Health Oswaldo Cruz Foundation Rio de Janeiro, Rio de Janeiro Brazil
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5
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Horinouchi N, Shiota S, Takakura T, Yoshida A, Kikuchi K, Nishizono A, Miyazaki E. Bacteremia caused by Enterobacter asburiae misidentified biochemically as Cronobacter sakazakii and accurately identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry: a case report. J Med Case Rep 2022; 16:19. [PMID: 35042553 PMCID: PMC8767734 DOI: 10.1186/s13256-021-03241-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Accepted: 12/22/2021] [Indexed: 11/10/2022] Open
Abstract
Background Biochemical analyses of causative bacteria do not always result in clear identification, and new technologies aimed at improving diagnostic accuracy continue to be developed. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry is a rapid and accurate technique for bacterial identification. Misidentification of Cronobacter sakazakii is related to clinical and industrial problems. Here, we encountered a case of rare bacteremia in which the causative organism Enterobacter asburiae was biochemically misidentified as C. sakazakii before being correctly identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. Case presentation An 87-year-old Asian man with no diabetes or active disease developed bacteremia and was admitted to our hospital. While the route of infection could not be determined despite various examinations, the clinical course was good following antibiotic therapy. Biochemical analyses identified the causative organism as C. sakazakii, but colonies on the blood agar medium showed a grayish coloration, differing from the yellowish coloration of typical Cronobacter colonies. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry was therefore performed, identifying the bacterium as E. asburiae on three independent analyses. This result was confirmed by multilocus sequence analysis using five housekeeping genes. Conclusions Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry may reduce misidentification of bacteria as C. sakazakii and improve the reporting rate of E. asburiae. This technique should be considered when biochemical bacterial misidentification is suspected.
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Affiliation(s)
- Noboru Horinouchi
- Department of General Medicine, Almeida Memorial Hospital, 1509-2 Miyazaki, Oita, Oita, 870-1195, Japan.,Department of General Medicine, Faculty of Medicine, Oita University, 1-1 Idaigaoka Hasama-machi, Yufu, Oita, 879-5593, Japan
| | - Seiji Shiota
- Department of General Medicine, Almeida Memorial Hospital, 1509-2 Miyazaki, Oita, Oita, 870-1195, Japan. .,Department of General Medicine, Faculty of Medicine, Oita University, 1-1 Idaigaoka Hasama-machi, Yufu, Oita, 879-5593, Japan.
| | - Takeshi Takakura
- Department of General Medicine, Almeida Memorial Hospital, 1509-2 Miyazaki, Oita, Oita, 870-1195, Japan
| | - Atsushi Yoshida
- Department of Infectious Diseases, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan
| | - Ken Kikuchi
- Department of Infectious Diseases, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan
| | - Akira Nishizono
- Department of Microbiology, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5593, Japan
| | - Eishi Miyazaki
- Department of General Medicine, Faculty of Medicine, Oita University, 1-1 Idaigaoka Hasama-machi, Yufu, Oita, 879-5593, Japan
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6
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Arslan S, Ertürk HG. Occurrence, Virulence and Antimicrobial Susceptibility Profiles of Cronobacter spp. from Ready-to-Eat Foods. Curr Microbiol 2021; 78:3403-3416. [PMID: 34241669 DOI: 10.1007/s00284-021-02585-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 06/17/2021] [Indexed: 10/20/2022]
Abstract
Cronobacter spp. can cause foodborne diseases in infants, but Cronobacter infections in healthy adults and vulnerable people have also been reported. These bacteria have ubiquitous nature and can contaminate various foods. Therefore, we assessed the presence of Cronobacter spp. in popularly consumed ready-to-eat (RTE) food products. In the present study, 51 (15%) of the 340 RTE food samples were contaminated with Cronobacter spp The highest contamination rates were found in spices (46.7%), meat-free cig koftes (44.4%), desserts (23.3%), cereals (23.1%), doners (12.2%), and ice cream (11.1%). Phenotypic and molecular methods, including 16S rRNA, gluA, rpoB, cgcA genes, and fusA allele sequencing were tested to identify Cronobacter species. Of the 51 contaminated samples, 54 isolates were identified as C. sakazakii (n = 43), C. malonaticus (n = 7), C. muytjensii (n = 3) and C. turicensis (n = 1) using fusA analysis. These isolates were assigned to 15 different fusA alleles, two of which (191 and 192) were new alleles. Putative virulence factors such as the ompA and zpx gene, biofilms, and siderophores were detected in most of the Cronobacter isolates (> 85%). Cronobacter isolates were resistant to cephalothin (85.2%), cefoxitin (33.3%), cefotaxime (14.8%), ampicillin (11.1%), cefepime (5.6%), aztreonam (5.6%), and piperacillin (1.9%). The multidrug resistance (against three or more classes of antimicrobial agents) was 7.4%. The results indicated presence of Cronobacter spp. in RTE foods, which may be a risk to human health. It is important to adopt rigorous hygiene and sanitization practices to ensure the microbiological safety of these foods consuming without any processing.
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Affiliation(s)
- Seza Arslan
- Department of Biology, Faculty of Arts and Sciences, Bolu Abant Izzet Baysal University, Gölköy, 14030, Bolu, Turkey.
| | - Hafize Gizem Ertürk
- Department of Biology, Faculty of Arts and Sciences, Bolu Abant Izzet Baysal University, Gölköy, 14030, Bolu, Turkey
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7
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Parra-Flores J, Holý O, Riffo F, Lepuschitz S, Maury-Sintjago E, Rodríguez-Fernández A, Cruz-Córdova A, Xicohtencatl-Cortes J, Mancilla-Rojano J, Troncoso M, Figueroa G, Ruppitsch W, Forsythe S. Profiling the Virulence and Antibiotic Resistance Genes of Cronobacter sakazakii Strains Isolated From Powdered and Dairy Formulas by Whole-Genome Sequencing. Front Microbiol 2021; 12:694922. [PMID: 34276629 PMCID: PMC8278472 DOI: 10.3389/fmicb.2021.694922] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 06/03/2021] [Indexed: 11/13/2022] Open
Abstract
Cronobacter sakazakii is an enteropathogen that causes neonatal meningitis, septicemia, and necrotizing enterocolitis in preterm infants and newborns with a mortality rate of 15 to 80%. Powdered and dairy formulas (P-DF) have been implicated as major transmission vehicles and subsequently the presence of this pathogen in P-DF led to product recalls in Chile in 2017. The objective of this study was to use whole genome sequencing (WGS) and laboratory studies to characterize Cronobacter strains from the contaminated products. Seven strains were identified as C. sakazakii, and the remaining strain was Franconibacter helveticus. All C. sakazakii strains adhered to a neuroblastoma cell line, and 31 virulence genes were predicted by WGS. The antibiograms varied between strains. and included mcr-9.1 and bla CSA genes, conferring resistance to colistin and cephalothin, respectively. The C. sakazakii strains encoded I-E and I-F CRISPR-Cas systems, and carried IncFII(pECLA), Col440I, and Col(pHHAD28) plasmids. In summary, WGS enabled the identification of C. sakazakii strains and revealed multiple antibiotic resistance and virulence genes. These findings support the decision to recall the contaminated powdered and dairy formulas from the Chilean market in 2017.
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Affiliation(s)
- Julio Parra-Flores
- Department of Nutrition and Public Health, Universidad del Bío-Bío, Chillán, Chile
| | - Ondrej Holý
- Department of Public Health, Palacký University Olomouc, Olomouc, Czechia
| | | | - Sarah Lepuschitz
- Austrian Agency for Health and Food Safety, Institute for Medical Microbiology and Hygiene, Vienna, Austria
| | | | | | - Ariadnna Cruz-Córdova
- Intestinal Bacteriology Research Laboratory, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
| | - Juan Xicohtencatl-Cortes
- Intestinal Bacteriology Research Laboratory, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
| | - Jetsi Mancilla-Rojano
- Intestinal Bacteriology Research Laboratory, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
- Faculty of Medicine, Biological Sciences Graduate Program, Posgrado en Ciencias Biológicas, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Miriam Troncoso
- Microbiology and Probiotics Laboratory, Institute of Nutrition and Food Technology, Universidad de Chile, Santiago, Chile
| | - Guillermo Figueroa
- Microbiology and Probiotics Laboratory, Institute of Nutrition and Food Technology, Universidad de Chile, Santiago, Chile
| | - Werner Ruppitsch
- Austrian Agency for Health and Food Safety, Institute for Medical Microbiology and Hygiene, Vienna, Austria
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8
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The Changing Face of the Family Enterobacteriaceae (Order: " Enterobacterales"): New Members, Taxonomic Issues, Geographic Expansion, and New Diseases and Disease Syndromes. Clin Microbiol Rev 2021; 34:34/2/e00174-20. [PMID: 33627443 DOI: 10.1128/cmr.00174-20] [Citation(s) in RCA: 77] [Impact Index Per Article: 25.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
The family Enterobacteriaceae has undergone significant morphogenetic changes in its more than 85-year history, particularly during the past 2 decades (2000 to 2020). The development and introduction of new and novel molecular methods coupled with innovative laboratory techniques have led to many advances. We now know that the global range of enterobacteria is much more expansive than previously recognized, as they play important roles in the environment in vegetative processes and through widespread environmental distribution through insect vectors. In humans, many new species have been described, some associated with specific disease processes. Some established species are now observed in new infectious disease settings and syndromes. The results of molecular taxonomic and phylogenetics studies suggest that the current family Enterobacteriaceae should possibly be divided into seven or more separate families. The logarithmic explosion in the number of enterobacterial species described brings into question the relevancy, need, and mechanisms to potentially identify these taxa. This review covers the progression, transformation, and morphogenesis of the family from the seminal Centers for Disease Control and Prevention publication (J. J. Farmer III, B. R. Davis, F. W. Hickman-Brenner, A. McWhorter, et al., J Clin Microbiol 21:46-76, 1985, https://doi.org/10.1128/JCM.21.1.46-76.1985) to the present.
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9
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Ling N, Jiang Y, Zeng H, Ding Y, Forsythe S. Advances in our understanding and distribution of the Cronobacter genus in China. J Food Sci 2021; 86:276-283. [PMID: 33438222 DOI: 10.1111/1750-3841.15577] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 11/25/2020] [Accepted: 12/04/2020] [Indexed: 12/11/2022]
Abstract
This review considers how research in China has progressed our understanding and subsequent improved control of Cronobacter. This emergent bacterial pathogen is associated with neonatal infections through the ingestion of contaminated prepared feed. The review includes large-scale surveys of various sources of the organism, including infant formula production facilities. The analysis of over 20,000 samples is presented. Over 10,000 being from powdered infant formula and other infant foods as well as environmental sampling of production facilities, the remaining being from food, food ingredients, and human carriage. A major advance in China was adopting DNA-sequence-based methods (that is, multilocus sequence typing, clustered regularly interspaced short palindromic repeats-cas array profiling, and single-nucleotide polymorphism analysis) for the identification and genotyping of the organism. These methods have considerably advanced our understanding of the taxonomy, ecology, and virulence of this organism. In turn, this has improved source tracking of the organism both in infant formula production facilities and epidemiological investigations. Furthermore, whole-genome sequencing has revealed a range of virulence and persistence mechanisms as well as plasmid-borne multidrug resistance traits. China now has reliable and robust methods for accurate microbial source tracking of Cronobacter for use both in the food production environment and epidemiological analysis.
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Affiliation(s)
- Na Ling
- School of Food and Biological Engineering, Hefei University of Technology, Hefei, 230009, China.,Guangdong Institute of Microbiology & Guangdong Academy of Sciences, State Key Laboratory of Applied Microbiology Southern China & Guangdong Provincial Key Laboratory of Microbiology Culture Collection and Application & Guangdong Open Laboratory of Applied Microbiology, Guangzhou, 510070, China
| | - Yujun Jiang
- Key Laboratory of Dairy Science, Ministry of Education, College of Food Science and Engineering, Northeast Agricultural University, Harbin, 150030, China
| | - Haiyan Zeng
- Guangdong Institute of Microbiology & Guangdong Academy of Sciences, State Key Laboratory of Applied Microbiology Southern China & Guangdong Provincial Key Laboratory of Microbiology Culture Collection and Application & Guangdong Open Laboratory of Applied Microbiology, Guangzhou, 510070, China
| | - Yu Ding
- Department of Food Science and Technology, Institute of Food Safety and Nutrition, College of Science & Engineering, Jinan University, Guangzhou, 510632, China
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10
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Craven H, McAuley C, Hannah M, Duffy L, Fegan N, Forsythe S. Applicability of Enterobacteriaceae and coliforms tests as indicators for Cronobacter in milk powder factory environments. Food Microbiol 2020; 94:103642. [PMID: 33279068 DOI: 10.1016/j.fm.2020.103642] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 09/10/2020] [Indexed: 11/24/2022]
Abstract
The emergence of Cronobacter as an important potential pathogen for newborn children and its occurrence in powdered infant formulae has generated a need to develop new management practices for this food group. This includes reduction of the prevalence of Cronobacter in manufacturing environments which can be a source of Cronobacter. This study was performed to assess the suitability of qualitative and quantitative Enterobacteriaceae and coliforms indicator tests for the presence and prevalence of Cronobacter. Environmental swabs (205) from five milk powder factories were examined. The qualitative indicator tests had good sensitivity but they lacked specificity for reliable routine use. Logistic regression analyses revealed a significant relationship between the quantitative indicator tests and Cronobacter prevalence, where the Enterobacteriaceae count was a slightly stronger predictor for Cronobacter than the coliforms count. The optimum test sensitivity (81%) and specificity (66%) was obtained when the indicator count thresholds were set at ≥1 cfu/cm2. However, since 11% of samples were Cronobacter positive when counts of Enterobacteriaceae and coliforms were less than 1 cfu/cm2, specific testing for Cronobacter is advised in addition to Enterobacteriaceae testing to minimise risk of transfer of Cronobacter from the factory environment into powdered infant formulae products.
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Affiliation(s)
- Heather Craven
- CSIRO, Agriculture and Food, Private Bag 16, Werribee, Victoria, 3030, Australia.
| | - Catherine McAuley
- CSIRO, Agriculture and Food, Private Bag 16, Werribee, Victoria, 3030, Australia
| | - Murray Hannah
- Department of Economic Development, Jobs, Transport and Resources (DEDJTR), 1301 Hazeldean Road, Ellinbank, Victoria, 3821, Australia
| | - Lesley Duffy
- CSIRO, Agriculture and Food, PO Box 745, Coopers Plains, Queensland, 4108, Australia
| | - Narelle Fegan
- CSIRO, Agriculture and Food, PO Box 745, Coopers Plains, Queensland, 4108, Australia
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11
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Parra-Flores J, Maury-Sintjago E, Rodriguez-Fernández A, Acuña S, Cerda F, Aguirre J, Holy O. Microbiological Quality of Powdered Infant Formula in Latin America. J Food Prot 2020; 83:534-541. [PMID: 32078682 DOI: 10.4315/0362-028x.jfp-19-399] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Accepted: 11/15/2019] [Indexed: 12/15/2022]
Abstract
ABSTRACT Cronobacter is a bacterial genus that includes seven species, and the species Cronobacter sakazakii is most related to meningitis and septicemia in infants associated with powdered infant formula (PIF). The objectives of this study were to evaluate the presence of C. sakazakii and to determine the microbiological quality of PIF for infant consumption. To do this, a total of 128 PIF samples were analyzed in four brands and countries (Chile, Mexico, Holland, and Brazil), considering three types of PIF: premature (PIF1), infant (PIF2), and follow-up (PIF3). Aerobic plate counts (APC) and Enterobacteriaceae (ENT) were assessed in accordance with Chilean official standards. The outer membrane protein A (ompA) gene was amplified to detect Cronobacter spp. and the fusA gene was amplified to identify C. sakazakii by using the PubMLST Web site and BLAST (NCBI). The antibiotic resistance profile was performed according to the Clinical and Laboratory Standards Institute standards. The pathogen was quantified by the most probable number (MPN). The results showed that APC median values for PIF1, PIF2, and PIF3 were 3.2, 4.9, and 4.8 log CFU g-1, respectively. The APC were higher in PIF2 (P < 0.01) from Holland (P < 0.01) in the commercial brand 4 (P < 0.01). The ENT median values in PIF1, PIF2, and PIF3 were 1.8, 1.5, and 1.7 log CFU g-1, respectively. Five strains of C. sakazakii and one strain of Cronobacter malonaticus were identified as having values between 0.023 and 2.3 MPN/g. All strains (100%) harbored the ompA, plasminogen activator (cpa), and hemolysin (hly) virulence genes. To conclude, C. sakazakii was found in four PIF samples from four Chilean products and one from Mexico, which is distributed throughout America. C. sakazakii strains exhibit virulence factors and resistance to ampicillin, thus posing a risk when PIFs are consumed by infants. HIGHLIGHTS
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Affiliation(s)
- Julio Parra-Flores
- Department of Nutrition and Public Health, Universidad del Bío-Bío, Avenida Andrés Bello 720, 3800708, Chillán, Chile
| | - Eduard Maury-Sintjago
- Department of Nutrition and Public Health, Universidad del Bío-Bío, Avenida Andrés Bello 720, 3800708, Chillán, Chile
| | - Alejandra Rodriguez-Fernández
- Department of Nutrition and Public Health, Universidad del Bío-Bío, Avenida Andrés Bello 720, 3800708, Chillán, Chile
| | - Sergio Acuña
- Department of Food Engineering, Universidad del Bío-Bío, Avenida Andrés Bello 720, 3800708, Chillán, Chile
| | - Fabiola Cerda
- Department of Food Engineering, Universidad del Bío-Bío, Avenida Andrés Bello 720, 3800708, Chillán, Chile
| | - Juan Aguirre
- Department of Agricultural Industry and Enology, Universidad de Chile, Avenida Santa Rosa 11315, 8820000, Santiago, Chile
| | - Ondrej Holy
- Department of Public Health, Faculty of Medicine and Dentistry, Palacký University Olomouc, 77515, Olomouc, Czech Republic
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12
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Examining the Presence of Cronobacter spp. in Ready-to-eat Edible Insects. Food Saf (Tokyo) 2019; 7:74-78. [PMID: 31998590 PMCID: PMC6977773 DOI: 10.14252/foodsafetyfscj.d-19-00004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2019] [Accepted: 08/06/2019] [Indexed: 11/25/2022] Open
Abstract
Edible insects present a potential solution to increasing global food insecurity.
However, there is limited research on the microbial hazards they may pose. These include
opportunistic pathogens like Cronobacter spp. (formerly
Enterobacter sakazakii). In this study, nine types of ready-to-eat
edible insect products purchased in the UK were examined for their microbial load (total
aerobic count, total Enterobacteriaceae count), and screened for the
presence of Cronobacter sakazakii(C. sakazakii) by
selective enrichment and plating on chromogenic agar. While microbial load was generally
low, presumptive Cronobacter spp. were detected in five of the edible
insect products. Four of the isolates were identified as C. sakazakii,
using the Remel RapID ONE biochemical test kit. Genotypic characterisation of the isolates
by ITS-PCR, however, demonstrated that the isolates may be other species of
Cronobacter instead. Further studies into understanding microbial
hazards linked to edible insects for human consumption are required.
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13
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Wang Q, Forsythe SJ, Zhao XJ, Wang ZW, Li D, Ma D, Cao JY, Zeng J. Species identification and molecular characterization of Cronobacter spp. isolated from food imported over nine years into Beijing, China. Food Microbiol 2019; 82:11-19. [PMID: 31027763 DOI: 10.1016/j.fm.2019.01.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 01/18/2019] [Accepted: 01/18/2019] [Indexed: 01/07/2023]
Abstract
Cronobacter spp. are associated with serious infections in neonates with the clinical presentations of necrotizing enterocolitis, bacteraemia and meningitis. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) was used to identify 203 Cronobacter isolates from imported food during 2006-2015 with an optimized in-house database. The isolates were predominantly C. sakazakii (88.18%), followed by C. malonaticus (8.37%), C. muytjensii (1.48%), C. turicensis (0.99%) and C. dublinensis (0.99%). The result was totally consistent with that of fusA allele sequencing. 12.32% (25/203) of isolates gave inconsistent spectra following separate protein extractions. Sixty C. sakazakii isolates and 24 isolates from the other four species were chosen for multi-locus sequence type analyses (MLST) and PCR-serotyping. Thirty-one sequence types were identified. The common sequence types were ST1 (19/60) and ST4 (13/60) for C. sakazakii and ST7 (12/17) for C. malonaticus. The primary serotypes were Csak O:1 (30/60), Csak O:2 (25/60) and Cmal O:2 (16/17) for C. sakazakii and C. malonaticus isolates, respectively. In conclusion, appropriate in-house database could make MALDI-TOF MS method identifying Cronobacter spp. isolates to the species level. But the spectra data were not sufficiently consistent for subtyping, unlike MLST. The Cronobacter spp. isolates have a high diversity including recognized pathovars.
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Affiliation(s)
- Qi Wang
- Beijing Customs, Tianshuiyuan Street 6, Beijing, 100026, China.
| | | | - Xiao-Juan Zhao
- Beijing Customs, Tianshuiyuan Street 6, Beijing, 100026, China.
| | - Zi-Wei Wang
- Beijing Customs, Tianshuiyuan Street 6, Beijing, 100026, China.
| | - Dan Li
- Beijing Customs, Tianshuiyuan Street 6, Beijing, 100026, China.
| | - Dan Ma
- Beijing Customs, Tianshuiyuan Street 6, Beijing, 100026, China.
| | - Jia-Yue Cao
- Beijing Customs, Tianshuiyuan Street 6, Beijing, 100026, China.
| | - Jing Zeng
- Beijing Customs, Tianshuiyuan Street 6, Beijing, 100026, China.
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14
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Silva JN, Vasconcellos L, Forsythe SJ, de Filippis I, Luiz Lima Brandão M. Molecular and phenotypical characterization ofCronobacterspecies isolated with high occurrence from oats and linseeds. FEMS Microbiol Lett 2018; 366:5266300. [DOI: 10.1093/femsle/fny289] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Accepted: 12/14/2018] [Indexed: 12/19/2022] Open
Affiliation(s)
- Júlia Nunes Silva
- Laboratory of Food and Sanitizes, INCQS/Fiocruz, Av. Brasil, 4365. Manguinhos, Rio de Janeiro-RJ, Brazil, CEP:21040-900
| | - Luiza Vasconcellos
- Laboratory of Food and Sanitizes, INCQS/Fiocruz, Av. Brasil, 4365. Manguinhos, Rio de Janeiro-RJ, Brazil, CEP:21040-900
| | | | - Ivano de Filippis
- Laboratory of Reference Microorganisms, INCQS/Fiocruz, Av. Brasil, 4365. Manguinhos, Rio de Janeiro-RJ, Brazil, CEP:21040-900
| | - Marcelo Luiz Lima Brandão
- Laboratory of Food and Sanitizes, INCQS/Fiocruz, Av. Brasil, 4365. Manguinhos, Rio de Janeiro-RJ, Brazil, CEP:21040-900
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15
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Tomas D, Fan M, Zhu S, Klijn A. Use of biochemical miniaturized galleries, rRNA based lateral flow assay and Real Time PCR for Cronobacter spp. confirmation. Food Microbiol 2018; 76:189-195. [DOI: 10.1016/j.fm.2018.05.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 05/04/2018] [Accepted: 05/21/2018] [Indexed: 10/16/2022]
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16
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Parra-Flores J, Aguirre J, Juneja V, Jackson EE, Cruz-Córdova A, Silva-Sanchez J, Forsythe S. Virulence and Antibiotic Resistance Profiles of Cronobacter sakazakii and Enterobacter spp. Involved in the Diarrheic Hemorrhagic Outbreak in Mexico. Front Microbiol 2018; 9:2206. [PMID: 30319560 PMCID: PMC6171480 DOI: 10.3389/fmicb.2018.02206] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Accepted: 08/29/2018] [Indexed: 02/02/2023] Open
Abstract
Cronobacter spp. are bacterial pathogens that cause neonatal meningitis, septicemia, and necrotizing enterocolitis in infants with a lethality rate of 40–80%. Powdered infant formulas (PIF) have been implicated as the main vehicles of transmission. This pathogen can also cause infection through contaminated expressed breast milk, and it has been recovered from neonatal feeding tubes of neonates not fed reconstituted PIF and milk kitchen areas. This study analyzed antibiotic resistance profiles and the tissue virulence tests of Cronobacter sakazakii and Enterobacter spp. recovered from PIF, infant fecal matter‘s, and milk kitchen environment involved in a diarrheic hemorrhagic outbreak in 2011 in Mexico. The strains isolated from the outbreak had similar antibiotic resistance profiles and pathogenicity irrespective of isolation site, however, C. sakazakii strains isolated from PIF showed significantly higher invasive profiles than Enterobacter spp. (p = 0.001) and 83% were resistant to more than one antibiotic. The findings of this study can be used to complement existing information to better control Cronobacter and Enterobacter spp. contamination in PIF production, prevent its transmission, and improve infant food safety.
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Affiliation(s)
- Julio Parra-Flores
- Departamento de Nutrición y Salud Pública, Facultad Ciencias de la Salud y de los Alimentos, Universidad del Bío-Bío, Chillán, Chile
| | - Juan Aguirre
- Departamento Agroindustria y Enología, Facultad de Ciencias Agronómicas, Universidad de Chile, Santiago, Chile
| | - Vijay Juneja
- Residue Chemistry and Predictive Microbiology Research Unit, Eastern Regional Research Center, Agricultural Research Service, United States Department of Agriculture (USDA), Wyndmoor, PA, United States
| | - Emily E Jackson
- Department of Biology, University of Nevada, Reno, Reno, NV, United States
| | - Ariadnna Cruz-Córdova
- Laboratorio de Bacteriología Intestinal, Hospital Infantil de México, Federico Gómez, Mexico City, Mexico
| | - Jesus Silva-Sanchez
- Grupo de Resistencia Bacteriana, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico
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17
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Parra-Flores J, Cerda-Leal F, Contreras A, Valenzuela-Riffo N, Rodríguez A, Aguirre J. Cronobacter sakazakii and Microbiological Parameters in Dairy Formulas Associated With a Food Alert in Chile. Front Microbiol 2018; 9:1708. [PMID: 30108565 PMCID: PMC6079297 DOI: 10.3389/fmicb.2018.01708] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Accepted: 07/09/2018] [Indexed: 11/18/2022] Open
Abstract
The objective of this study was to evaluate the presence of Cronobacter sakazakii and microbiological parameters in dairy products associated with a food alert. Ninety dairy product samples were analyzed, including seven commercial brands and two product types (liquid and powdered) from four countries. Aerobic plate count (APC) and Enterobacteriaceae count were performed according to Chilean standards. Cronobacter spp. and C. sakazakii were identified by polymerase chain reaction real time amplification of rpoB and cgcA genes and the genotype by multilocus sequence typing. Eighty-eight percent of dairy products showed APC higher than the detection limit. Fifty percent of liquid commercial brand samples contained APC: 2.6, 2.3, 1.1, and 2.9 CFU/mL in brands A, C, E, and G, respectively. Results for powdered commercial brands were 3.0, 3.6, and 5.7 CFU/g in brands B, D, and F, respectively. Maximum count (5.7 CFU/g) occurred in brand F dairy product manufactured in Chile. Enterobacteriaceae were found in 55% of the samples, 64% in liquid and 51% in powdered commercial brands. In 50% of brands B, D, and E, samples contained 2.9, 2.8, and 2.7 log CFU/g, respectively. Only liquid commercial brands from the United States had Enterobacteriaceae values between 0.1 and 4.5 CFU/mL. Seventeen suspicious strains were isolated and nine were identified as Enterobacter spp. Only eight suspicious strains from four powdered commercial brands (Chile and Singapore) were confirmed as C. sakazakii by rpoB and cgcA gene amplification and fusA sequencing. C. sakazakii prevalence in the analyzed samples was 8.8%. There were 11% of powdered milk brands that contained APC between 4.0 and 4.7 log CFU/g and 55% of the samples contained Enterobacteriaceae. C. sakazakii was found in dairy products manufactured in Chile and Singapore. On the basis of this information, the Chilean Ministry of Health (RSA) decreed a national and international food alert and recalled all the product batches that resulted positive in the present study from supermarkets and pharmacies.
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Affiliation(s)
- Julio Parra-Flores
- Molecular Microbiology Laboratory, Faculty of Health and Food Sciences, Universidad del Bío-Bío, Chillán, Chile
| | - Fabiola Cerda-Leal
- Molecular Microbiology Laboratory, Faculty of Health and Food Sciences, Universidad del Bío-Bío, Chillán, Chile
| | - Alejandra Contreras
- Molecular Microbiology Laboratory, Faculty of Health and Food Sciences, Universidad del Bío-Bío, Chillán, Chile
| | - Nicole Valenzuela-Riffo
- Molecular Microbiology Laboratory, Faculty of Health and Food Sciences, Universidad del Bío-Bío, Chillán, Chile
| | - Alejandra Rodríguez
- Molecular Microbiology Laboratory, Faculty of Health and Food Sciences, Universidad del Bío-Bío, Chillán, Chile
| | - Juan Aguirre
- Department of Agricultural Industry and Enology, Universidad de Chile, Santiago, Chile
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18
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Guo Q, Yang J, Forsythe SJ, Jiang Y, Han W, He Y, Niu B. DNA sequence-based re-assessment of archived Cronobacter sakazakii strains isolated from dairy products imported into China between 2005 and 2006. BMC Genomics 2018; 19:506. [PMID: 29954347 PMCID: PMC6025729 DOI: 10.1186/s12864-018-4881-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2018] [Accepted: 06/18/2018] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Cronobacter species are associated with severe foodborne infections in neonates and infants, with particular pathovars associated with specific clinical presentations. However, before 2008 the genus was regarded as a single species named Enterobacter sakazakii which was subdivided into 8 phenotypes. This study re-analyzed, using multi-locus sequence typing (MLST) and whole genome sequence with single nucleotide polymorphism analysis (WGS-SNP), 52 strains which had been identified as Enterobacter sakazakii as according to the convention at the time of isolation. These strains had been isolated from dairy product imports into China from 9 countries between 2005 and 6. Bioinformatic analysis was then used to analyze the relatedness and global dissemination of these strains. RESULT FusA allele sequencing revealed that 49/52 strains were Cronobacter sakazakii, while the remaining 3 strains were Escherichia coli, Enterobacter cloacae, and Franconibacter helveticus. The C. sakazakii strains comprised of 8 sequence types (STs) which included the neonatal pathovars ST1, ST4 and ST12. The predominant sequence type was ST13 (65.3%, 32/49) which had been isolated from dairy products imported from 6 countries. WGS-SNP analysis of the 32 C. sakazakii ST13 strains revealed 5 clusters and 5 unique strains which did not correlate with the country of product origin. CONCLUSION The mis-identification of E. coli, E. cloacae and F. helveticus as Cronobacter spp. reinforces the need to apply reliable methods to reduce the incidence of false positive and false negative results which may be of clinical significance. The WGS-SNP analysis demonstrated that indistinguishable Cronobacter strains within a sequence type can be unrelated, and may originate from multiple sources. The use of WGS-SNP analysis to distinguishing of strains within a sequence type has important relevance for tracing the source of outbreaks due to Cronobacter spp.
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Affiliation(s)
- Qingyan Guo
- Technical Center for Animal, Plant and Food Inspection and Quarantine, Shanghai Entry-Exit Inspection and Quarantine Bureau, 1208 Minsheng Road, Shanghai, 200135 People’s Republic of China
- foodmicrobe.com, Adams Hill, Keyworth, Nottinghamshire, NG12 5GY UK
| | - Jielin Yang
- Shanghai Customs (former Shanghai Entry-Exit Inspection and Quarantine Bureau), 1208 Minsheng Road, Shanghai, 200135 People’s Republic of China
- Technical Center for Animal, Plant and Food Inspection and Quarantine, Shanghai Entry-Exit Inspection and Quarantine Bureau, 1208 Minsheng Road, Shanghai, 200135 People’s Republic of China
| | - S. J. Forsythe
- foodmicrobe.com, Adams Hill, Keyworth, Nottinghamshire, NG12 5GY UK
| | - Yuan Jiang
- Shanghai Customs (former Shanghai Entry-Exit Inspection and Quarantine Bureau), 1208 Minsheng Road, Shanghai, 200135 People’s Republic of China
- Technical Center for Animal, Plant and Food Inspection and Quarantine, Shanghai Entry-Exit Inspection and Quarantine Bureau, 1208 Minsheng Road, Shanghai, 200135 People’s Republic of China
| | - Wei Han
- Technical Center for Animal, Plant and Food Inspection and Quarantine, Shanghai Entry-Exit Inspection and Quarantine Bureau, 1208 Minsheng Road, Shanghai, 200135 People’s Republic of China
| | - Yuping He
- Technical Center for Animal, Plant and Food Inspection and Quarantine, Shanghai Entry-Exit Inspection and Quarantine Bureau, 1208 Minsheng Road, Shanghai, 200135 People’s Republic of China
| | - Bing Niu
- Shanghai University, 99 Shangda Road, Shanghai, 200135 People’s Republic of China
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19
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Vasconcellos L, Carvalho CT, Tavares RO, de Mello Medeiros V, de Oliveira Rosas C, Silva JN, dos Reis Lopes SM, Forsythe SJ, Brandão MLL. Isolation, molecular and phenotypic characterization of Cronobacter spp. in ready-to-eat salads and foods from Japanese cuisine commercialized in Brazil. Food Res Int 2018; 107:353-359. [DOI: 10.1016/j.foodres.2018.02.048] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2017] [Revised: 02/14/2018] [Accepted: 02/18/2018] [Indexed: 11/15/2022]
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20
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Piper JD, Mwarumba S, Ngari M, Mvera B, Morpeth S, Berkley JA. Invasive Cronobacter species infection in infants and children admitted to a rural Kenyan hospital with a high prevalence of malnutrition. Paediatr Int Child Health 2018. [PMID: 29533163 PMCID: PMC6113899 DOI: 10.1080/20469047.2018.1446485] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
For children with acute malnutrition, ready-to-use therapeutic foods (RUTF) are lifesaving treatments. In 2012, detailed testing detected Enterobacteriaceae including Cronobacter species at low levels in RUTF from all UNICEF-approved producers. Cronobacter in milk feeds has previously been associated with severe neonatal infections. Thus, given the susceptibility of severely malnourished children to invasive bacterial infections, concerns arose about the potential for Cronobacter infections from RUTF. This led to widespread production and supply problems in emergency feeding programmes. The KEMRI/Wellcome Trust Research Programme has conducted systematic surveillance for invasive bacterial infections among children admitted to Kilifi County Hospital, Kenya since 1998. 65,426 paediatric blood and cerebrospinal fluid cultures from 52,733 admissions resulted in 3953 with growth of a pathogenic organism. From the 60 Enterobacter and Cronobacter isolates, possible Cronobacter species were initially selected from their original API-20E biochemical profile, which was repeated and then confirmed using ID-32E. Only two isolates were consistent with Cronobacter species, neither case had received RUTF. Serious infection due to Cronobacter species does not have a significant burden in this population. This has important implications for the continued supply, manufacture and monitoring of emergency feeds for malnourished children.
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Affiliation(s)
- Joe D. Piper
- Child Health, Blizard Institute, Queen Mary University of London, London, UK,Clinical Research, KEMRI-Wellcome Trust Research Programme CGMRC, Kilifi, Kenya
| | - Salim Mwarumba
- Clinical Research, KEMRI-Wellcome Trust Research Programme CGMRC, Kilifi, Kenya
| | - Moses Ngari
- Clinical Research, KEMRI-Wellcome Trust Research Programme CGMRC, Kilifi, Kenya,Coordination Centre, The Childhood Acute Illness and Nutrition Network, Nairobi, Kenya
| | - Benedict Mvera
- Clinical Research, KEMRI-Wellcome Trust Research Programme CGMRC, Kilifi, Kenya
| | - Susan Morpeth
- Clinical Research, KEMRI-Wellcome Trust Research Programme CGMRC, Kilifi, Kenya,Middlemore Hospital, Auckland, New Zealand
| | - James A. Berkley
- Clinical Research, KEMRI-Wellcome Trust Research Programme CGMRC, Kilifi, Kenya,Coordination Centre, The Childhood Acute Illness and Nutrition Network, Nairobi, Kenya,Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK,Corresponding author.
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21
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Abstract
MLST is a molecular typing technique that involves the identification and clustering of bacterial isolates based on the partial sequence analysis of multiple housekeeping genes (generally seven) which are distributed across the length of the genome of the organism. The Cronobacter whole genus MLST scheme can be successfully used for an accurate species level identification and classification of this complex genus.
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Abstract
Being able to track bacterial pathogens is essential for epidemiological purposes as well as monitoring in-house production facilities. Common bacterial pathogens, such as Salmonella serovars, are already been well defined, and their detection methods are very advanced. However, this will not be the case for emergent bacterial pathogens, as was the case for Cronobacter. The clinical significance of the organism is due to its association with rare sporadic infections in adults, and severe life-threatening outbreaks of necrotizing enterocolitis and meningitis in newborn babies. The main recognized route of infection being through the consumption of contaminated reconstituted powdered infant formula. Key to the advances in being able to track this organism during formula production and outbreaks in neonatal intensive care units has been the use of DNA sequence-based methods, and most recently those which profile whole-genome sequences. This chapter considers how the latest DNA sequence-based methods in genotyping Cronobacter serve as a model for analyzing emergent bacterial pathogens in the future. The methods considered will initially highlight the limitations of phenotyping, then advance from the DNA probe-based methods for serotyping through to DNA sequence-based methods, especially multilocus sequence typing which is supported by an open access database. Finally the development of typing methods based on whole-genomes sequences, CRISPR-cas array profiling and SNP analysis, will be covered. The overall perspective is that emergent pathogens need to be investigated with the most advanced methods in order for robust and reliable control measures to be adopted.
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Abstract
There has been considerable concern related to Cronobacter spp. in foods, especially due to their highlighted association with neonatal infections through the ingestion of reconstituted powdered infant formula (PIF). This concern resulted in improved microbiological criteria recommendations by the Codex Alimentarius Commission and revised WHO advice on the preparation of infant feeds. In recent years, the diversity of the genus has been well described, and various detection and typing methods have been developed. This review considers our current knowledge of the genus and how DNA-sequence-based methods have contributed considerably to research into improved detection methods and more reliable identification procedures, genotyping schemes, and genomic analysis. The broader occurrence of Cronobacter in food ingredients, finished products, and food manufacturing environments is covered. This review also highlights the significance of clonal lineages in microbial source tracking and the use of CRISPR-cas array profiling.
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Affiliation(s)
- Stephen J Forsythe
- foodmicrobe.com, Adams Hill, Keyworth, Nottinghamshire, NG12 5GY, United Kingdom;
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24
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Ogrodzki P, Forsythe SJ. DNA-Sequence Based Typing of the Cronobacter Genus Using MLST, CRISPR- cas Array and Capsular Profiling. Front Microbiol 2017; 8:1875. [PMID: 29033918 PMCID: PMC5626840 DOI: 10.3389/fmicb.2017.01875] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2017] [Accepted: 09/13/2017] [Indexed: 11/13/2022] Open
Abstract
The Cronobacter genus is composed of seven species, within which a number of pathovars have been described. The most notable infections by Cronobacter spp. are of infants through the consumption of contaminated infant formula. The description of the genus has greatly improved in recent years through DNA sequencing techniques, and this has led to a robust means of identification. However some species are highly clonal and this limits the ability to discriminate between unrelated strains by some methods of genotyping. This article updates the application of three genotyping methods across the Cronobacter genus. The three genotyping methods were multilocus sequence typing (MLST), capsular profiling of the K-antigen and colanic acid (CA) biosynthesis regions, and CRISPR-cas array profiling. A total of 1654 MLST profiled and 286 whole genome sequenced strains, available by open access at the PubMLST Cronobacter database, were used this analysis. The predominance of C. sakazakii and C. malonaticus in clinical infections was confirmed. The majority of clinical strains being in the C. sakazakii clonal complexes (CC) 1 and 4, sequence types (ST) 8 and 12 and C. malonaticus ST7. The capsular profile K2:CA2, previously proposed as being strongly associated with C. sakazakii and C. malonaticus isolates from severe neonatal infections, was also found in C. turicensis, C. dublinensis and C. universalis. The majority of CRISPR-cas types across the genus was the I-E (Ecoli) type. Some strains of C. dublinensis and C. muytjensii encoded the I-F (Ypseudo) type, and others lacked the cas gene loci. The significance of the expanding profiling will be of benefit to researchers as well as governmental and industrial risk assessors.
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Affiliation(s)
- Pauline Ogrodzki
- School of Science and Technology, Nottingham Trent University, Nottingham, United Kingdom
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25
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Xie G, Zhou Q, Qiu CZ, Dai WK, Wang HP, Li YH, Liao JX, Lu XG, Lin SF, Ye JH, Ma ZY, Wang WJ. Ketogenic diet poses a significant effect on imbalanced gut microbiota in infants with refractory epilepsy. World J Gastroenterol 2017; 23:6164-6171. [PMID: 28970732 PMCID: PMC5597508 DOI: 10.3748/wjg.v23.i33.6164] [Citation(s) in RCA: 161] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Revised: 06/09/2017] [Accepted: 07/12/2017] [Indexed: 02/07/2023] Open
Abstract
AIM To investigate whether patients with refractory epilepsy and healthy infants differ in gut microbiota (GM), and how ketogenic diet (KD) alters GM.
METHODS A total of 14 epileptic and 30 healthy infants were recruited and seizure frequencies were recorded. Stool samples were collected for 16S rDNA sequencing using the Illumina Miseq platform. The composition of GM in each sample was analyzed with MOTHUR, and inter-group comparison was conducted by R software.
RESULTS After being on KD treatment for a week, 64% of epileptic infants showed an obvious improvement, with a 50% decrease in seizure frequency. GM structure in epileptic infants (P1 group) differed dramatically from that in healthy infants (Health group). Proteobacteria, which had accumulated significantly in the P1 group, decreased dramatically after KD treatment (P2 group). Cronobacter predominated in the P1 group and remained at a low level both in the Health and P2 groups. Bacteroides increased significantly in the P2 group, in which Prevotella and Bifidobacterium also grew in numbers and kept increasing.
CONCLUSION GM pattern in healthy infants differed dramatically from that of the epileptic group. KD could significantly modify symptoms of epilepsy and reshape the GM of epileptic infants.
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Affiliation(s)
- Gan Xie
- Department of Respiratory Medicine, Shenzhen Children’s Hospital, Shenzhen 518026, Guangdong Province, China
| | - Qian Zhou
- WeHealthGene Institute, Shenzhen 518129, Guangdong Province, China
| | - Chuang-Zhao Qiu
- WeHealthGene Institute, Shenzhen 518129, Guangdong Province, China
| | - Wen-Kui Dai
- WeHealthGene Institute, Shenzhen 518129, Guangdong Province, China
| | - He-Ping Wang
- Department of Respiratory Medicine, Shenzhen Children’s Hospital, Shenzhen 518026, Guangdong Province, China
| | - Yin-Hu Li
- WeHealthGene Institute, Shenzhen 518129, Guangdong Province, China
| | - Jian-Xiang Liao
- Department of Pediatric Neurology, Shenzhen Children’s Hospital, Shenzhen 518026, Guangdong Province, China
| | - Xin-Guo Lu
- Department of Pediatric Neurology, Shenzhen Children’s Hospital, Shenzhen 518026, Guangdong Province, China
| | - Su-Fang Lin
- Department of Pediatric Neurology, Shenzhen Children’s Hospital, Shenzhen 518026, Guangdong Province, China
| | - Jing-Hua Ye
- Department of Pediatric Neurology, Shenzhen Children’s Hospital, Shenzhen 518026, Guangdong Province, China
| | - Zhuo-Ya Ma
- Department of Respiratory Medicine, Shenzhen Children’s Hospital, Shenzhen 518026, Guangdong Province, China
| | - Wen-Jian Wang
- Department of Respiratory Medicine, Shenzhen Children’s Hospital, Shenzhen 518026, Guangdong Province, China
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26
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Akineden Ö, Heinrich V, Gross M, Usleber E. Reassessment of Cronobacter spp. originally isolated as Enterobacter sakazakii from infant food. Food Microbiol 2017; 65:44-50. [DOI: 10.1016/j.fm.2017.01.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2016] [Revised: 01/17/2017] [Accepted: 01/31/2017] [Indexed: 11/15/2022]
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Identification of Cronobacter species by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry with an optimized analysis method. J Microbiol Methods 2017; 139:172-180. [DOI: 10.1016/j.mimet.2017.05.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Revised: 05/25/2017] [Accepted: 05/27/2017] [Indexed: 11/23/2022]
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Novel Method for Reliable Identification of Siccibacter and Franconibacter Strains: from "Pseudo-Cronobacter" to New Enterobacteriaceae Genera. Appl Environ Microbiol 2017; 83:AEM.00234-17. [PMID: 28455327 DOI: 10.1128/aem.00234-17] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Accepted: 04/12/2017] [Indexed: 11/20/2022] Open
Abstract
In the last decade, strains of the genera Franconibacter and Siccibacter have been misclassified as first Enterobacter and later Cronobacter Because Cronobacter is a serious foodborne pathogen that affects premature neonates and elderly individuals, such misidentification may not only falsify epidemiological statistics but also lead to tests of powdered infant formula or other foods giving false results. Currently, the main ways of identifying Franconibacter and Siccibacter strains are by biochemical testing or by sequencing of the fusA gene as part of Cronobacter multilocus sequence typing (MLST), but in relation to these strains the former is generally highly difficult and unreliable while the latter remains expensive. To address this, we developed a fast, simple, and most importantly, reliable method for Franconibacter and Siccibacter identification based on intact-cell matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS). Our method integrates the following steps: data preprocessing using mMass software; principal-component analysis (PCA) for the selection of mass spectrum fingerprints of Franconibacter and Siccibacter strains; optimization of the Biotyper database settings for the creation of main spectrum projections (MSPs). This methodology enabled us to create an in-house MALDI MS database that extends the current MALDI Biotyper database by including Franconibacter and Siccibacter strains. Finally, we verified our approach using seven previously unclassified strains, all of which were correctly identified, thereby validating our method.IMPORTANCE We show that the majority of methods currently used for the identification of Franconibacter and Siccibacter bacteria are not able to properly distinguish these strains from those of Cronobacter While sequencing of the fusA gene as part of Cronobacter MLST remains the most reliable such method, it is highly expensive and time-consuming. Here, we demonstrate a cost-effective and reliable alternative that correctly distinguishes between Franconibacter, Siccibacter, and Cronobacter bacteria and identifies Franconibacter and Siccibacter at the species level. Using intact-cell MALDI-TOF MS, we extend the current MALDI Biotyper database with 11 Franconibacter and Siccibacter MSPs. In addition, the use of our approach is likely to lead to a more reliable identification scheme for Franconibacter and Siccibacter strains and, consequently, a more trustworthy epidemiological picture of their involvement in disease.
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