1997 Fiscal Year Final Research Report Summary
Molecular epidemiological study for the invasive infections due to Group A streptococci
| Project/Area Number |
08672639
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Laboratory medicine
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| Research Institution | Nagoya University |
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Principal Investigator |
ICHIYAMA Satoshi Nagoya University School of Medicine Assistant Professor, 医学部, 講師 (30223118)
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| Co-Investigator(Kenkyū-buntansha) |
OHTA Michio Nagoya University School of Medicine Professor, 医学部, 教授 (20111841)
SHIMOKATA Kaoru Nagoya University School of Medicine Professor, 医学部, 教授 (10022906)
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| Project Period (FY) |
1996 – 1997
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| Keywords | Invasive Group A Streptococcal infections / Toxic shock-like syndrome / Pulsed-field gel electrophoresis / Streptococcal pyrogenic exotoxin / spe gene / Dendrogram / Transmission of isolates among family members |
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| Research Abstract |
In a survey of invasive streptococcal infections in Japan, we analyzed isolates of Streptococcus pyogenes collected between 1992 and 1994. Genomic DNA fingerprints produced by pulsed-field gel electrophoresis (PFGE) were compared by computer-assisted analysis. Among the 42 isolates from patients with invasive diseases, 16 PFGE-types were identified and genetic diversity was clearly demonstrated. Identical fingerprints were observed in both invasive and noninvasive isolates. Only 43% of invasive isolates produced streptococcal pyrogenic exotoxin A (SPE A) and 31% did not contain the spe A gene. These findings suggest that the dissemination of a specific clone is not sufficient to explain all cases of these diseases in Japan, and pose a question to the role of SPE A as a major virulent factor.
We have also observed 4 cases of transmission of this organism among a patient with invasive disease and his or her family members. The clonal spread among the family members was confirmed by analyzing genomic DNA fingerprints of the isolates recovered from them. Although 14 persons resulted in only colonizers or self-limitted diseases, 3 developed invasive infections. Our findings indicate the need of antibiotic chemoprophylaxis for close contacts of patients with invasive streptococcal diseases.
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[Publications] Nakashima K,Ichiyama S,Iinuma Y,Hasegawa Y,Ohta M,Ooe K,Shimizu Y,Igarashi H,Murai T,and Shimokata K: "A clinical and bacteriologic investigation of invasive streptococcal infections in Japan on the basis of serotypes, toxin production, and genomic DNA fingerprints." Clinical Infectious Diseases. 25. 260-6 (1997)
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