Molecular characterization of Campylobacter jejuni from patients with Guillain-Barré and Miller Fisher syndromes - PubMed (original) (raw)

. 2000 Jun;38(6):2297-301.

doi: 10.1128/JCM.38.6.2297-2301.2000.

C W Ang, N van Den Braak, B Duim, A Rigter, L J Price, D L Woodward, F G Rodgers, W M Johnson, J A Wagenaar, B C Jacobs, H A Verbrugh, A van Belkum

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Molecular characterization of Campylobacter jejuni from patients with Guillain-Barré and Miller Fisher syndromes

H P Endtz et al. J Clin Microbiol. 2000 Jun.

Abstract

Campylobacter jejuni has been identified as the predominant cause of antecedent infection in Guillain-Barré syndrome (GBS) and Miller Fisher syndrome (MFS). The risk of developing GBS or MFS may be higher after infection with specific C. jejuni types. To investigate the putative clonality, 18 GBS- or MFS-related C. jejuni strains from The Netherlands and Belgium and 17 control strains were analyzed by serotyping (Penner and Lior), restriction fragment length polymorphism analysis of PCR products of the flaA gene, amplified fragment length polymorphism analysis, pulsed-field gel electrophoresis, and randomly amplified polymorphic DNA analysis. Serotyping revealed 10 different O serotypes and 7 different Lior serotypes, thereby indicating a lack of serotype clustering. Two new O serotypes, O:35 and O:13/65, not previously associated with GBS or MFS were found. Serotype O:19 was encountered in 2 of 18 strains, and none was of serotype O:41. The results of all genotypic methods also demonstrated substantial heterogeneity. No clustering of GBS- or MFS-related strains occurred and no molecular marker capable of separating pathogenic GBS or MFS from non-GBS- or non-MFS-related enteritis strains could be identified in this study. Sialic-acid-containing lipopolysaccharides (LPS) are thought to be involved in the triggering of GBS or MFS through molecular mimicry with gangliosides in human peripheral nerves. Therefore, further characterization of GBS- or MFS-related C. jejuni should target the genes involved in the synthesis of LPS and the incorporation of sialic acid.

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Figures

FIG. 1

FIG. 1

FlaA PCR-RFLP patterns of 18 GBS- or MFS-related Campylobacter jejuni strains, 9 enteritis control strains, and 8 Penner O serostrains. The dendrogram was constructed with band-based analysis and unweighted pair group method with averages clustering. The sizes of standard DNA fragments (in kilobase pairs) are indicated below.

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