PMID- 21896156 OWN - NLM STAT- MEDLINE DCOM- 20120117 LR - 20140217 IS - 2041-1014 (Electronic) IS - 2041-1006 (Linking) VI - 26 IP - 5 DP - 2011 Oct TI - Clonal structure of Streptococcus sanguinis strains isolated from endocarditis cases and the oral cavity. PG - 291-302 LID - 10.1111/j.2041-1014.2011.00618.x [doi] AB - A collection of Streptococcus sanguinis strains from patients with endocarditis (n = 21) and from the oral cavity (n = 34) was subjected to a multi-locus 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. CI - (c) 2011 John Wiley & Sons A/S. FAU - Do, T AU - Do T AD - Department of Microbiology, King's College London, London, UK. FAU - Gilbert, S C AU - Gilbert SC FAU - Klein, J AU - Klein J FAU - Warren, S AU - Warren S FAU - Wade, W G AU - Wade WG FAU - Beighton, D AU - Beighton D LA - eng GR - Department of Health/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110705 PL - Denmark TA - Mol Oral Microbiol JT - Molecular oral microbiology JID - 101524770 MH - Clone Cells MH - Dental Plaque/*microbiology MH - Endocarditis, Bacterial/blood/*microbiology MH - Genes, Bacterial/*genetics MH - Genes, Essential/genetics MH - Genetic Variation MH - Humans MH - Multilocus Sequence Typing MH - Opportunistic Infections/microbiology MH - Phylogeny MH - Recombination, Genetic MH - Streptococcus sanguis/*genetics EDAT- 2011/09/08 06:00 MHDA- 2012/01/18 06:00 CRDT- 2011/09/08 06:00 PHST- 2011/09/08 06:00 [entrez] PHST- 2011/09/08 06:00 [pubmed] PHST- 2012/01/18 06:00 [medline] AID - 10.1111/j.2041-1014.2011.00618.x [doi] PST - ppublish SO - Mol Oral Microbiol. 2011 Oct;26(5):291-302. doi: 10.1111/j.2041-1014.2011.00618.x. Epub 2011 Jul 5.