iWe developed a practical and easy two-step multiplex PCR assay to aid in serotyping of Streptococcus suis. The assay accurately typed almost all of the serotype reference strains and field isolates of various serotypes and also identified the genotypes of capsular polysaccharide synthesis gene clusters of some serologically nontypeable strains.
Streptococcus suis is an important zoonotic pathogen that causes meningitis, septicemia, endocarditis, and other diseases in pigs and humans. S. suis strains have been classified into 35 serotypes (serotypes 1 to 34 and 1/2, which reacts with both serotype 1 and 2 typing sera) (1-4) on the basis of antigenic differences in their capsular polysaccharide (CP) (5). Serotyping of S. suis is one of the most useful methods to understand the epidemiology of a particular outbreak and monitor the prevalence of potentially hazardous strains. However, serotyping with all 35 typing antisera is time-consuming, and preparing the antisera is not easy due to the high cost and labor associated with its production. Additionally, cross-reactions in coagglutination tests with typing antisera and the presence of autoagglutinating strains increase the difficulty of serotyping in some cases. Therefore, the development of more practical and easier serotyping methods is desired.CP synthesis (cps) genes are clustered on a single locus of the chromosome in S. suis (6, 7). We recently sequenced and analyzed the cps gene clusters of all 35 serotype reference strains (8) and reported that 31 (serotypes 3 to 13 and 15 to 34) possessed serotype-specific genes, while the cps gene clusters of serotypes 1 and 14 and serotypes 2 and 1/2 were almost identical in each pair (8). Liu et al. (9) recently developed multiplex PCR assays to target serotype-specific cps genes for the molecular serotyping of S. suis. In their method, the reference strains of 33 serotypes (serotypes 1 to 31, 33, and 1/2) were sorted into their respective serotypes by three multiplex PCR assays, although serotypes 1 and 1/2 were not distinguished from serotypes 14 and 2, respectively (9). In addition, 84 isolates from a patient and clinically healthy pigs, which covered 20 serotypes, were correctly assigned serotypes predicted by coagglutination tests, except for those of a new serotype (serotype 21/29) (9). However, these methods have not yet been validated using field isolates from diseased pigs as well as nontypeable ones by the coagglutination test. Moreover, serotypes 32 and 34 were not included as targets for typing, because the reference strains of these serotypes have been reclassified as Streptococcus orisratti (10). In addition to the serotype 32 and 34 reference strains, those of serotypes 20, 22, 26, and 33 were also recently suggested to be removed from the taxon of S. suis (11). However, whether all isolates of these serotypes actually belong to a species that is different from S. suis remains unclear. From a diagnostic point of view, the isolates of these serotypes recovered from diseased pigs are still identified as S....