f Three multiplex PCR assays were developed to identify the 11 most common Listeria monocytogenes clones in clinical and food samples; 270 (95.7%) of 282 strains of serogroups IVb, IIb, IIa, and IIc were identified accurately. This novel tool is a rapid and efficient alternative to multilocus sequence typing for identification of L. monocytogenes clones.
Human and food isolates of the food-borne pathogen Listeria monocytogenes belong predominantly to two phylogenetic lineages (1-3). Lineage I isolates belong mostly to serotypes 4b and 1/2b, whereas lineage II isolates mostly belong to serotypes 1/2a and 1/2c. A multiplex PCR assay (4) allows identification of PCR serogroups IVb (serotypes 4b and rare variants 4d and 4e), IIa (serotypes 1/2a and 3a), IIb (serotypes 1/2b, 3b, and 7), IIc (serotypes 1/2c and 3c), and L (serotypes 4a, 4ab, and 4c). Unfortunately, serogrouping has limited discriminatory power, thus providing limited resolution for epidemiological typing. Multilocus sequence typing (MLST) can discriminate isolates within the same serogroup (5). The large-scale application of MLST led to the identification of numerically predominant and internationally widespread clonal complexes (CCs), which are considered clones, i.e., sets of isolates descending from a single common ancestor (5-9). Most major clones have been involved in outbreaks of listeriosis (7,(10)(11)(12). Rapid identification of MLST clones is important for epidemiological surveillance and outbreak investigation. However, MLST is time-consuming and is too expensive for routine use in most laboratories involved in L. monocytogenes typing. The objective of this work was to enable rapid affordable identification of major clones of L. monocytogenes by multiplex PCR.Clone-specific target genes for PCR were identified based on comparative analyses of 104 genomes that were representative of the diversity of clones of L. monocytogenes (our unpublished results). We determined the pan-genome, i.e., the full complement of protein-coding gene families of the species, as described previously (13). Gene families specific for major clones, lineages, or serogroups were identified and represented putative target genes for PCR identification. Among these, target genes that were of sufficient size and were not present on mobile genetic elements were selected. Primers were then carefully designed (see Table S1 in the supplemental material), using Primer3 (14), to produce amplification products with different sizes and to amplify DNA at a unique annealing temperature. Target genes were grouped into three "clonogrouping" multiplex PCR assays, which were intended to be used downstream of the widely used PCR serogrouping assay. First, the IVb clonogrouping PCR assay was designed to identify serogroup IVb clones CC1, CC2, CC4, and CC6 or any other serogroup IVb isolate. Second, the IIb PCR assay was designed to identify serogroup IIb clones CC3 and CC5 or any other serogroup IIb isolate. Third, the IIaIIc PCR assay was designed to identify either serogroup IIa clones...