Sequence typing confirms that Campylobacter jejuni strains associated with Guillain-Barré and Miller-Fisher syndromes are of diverse genetic lineage, serotype, and flagella type

J Clin Microbiol. 2001 Sep;39(9):3346-9. doi: 10.1128/JCM.39.9.3346-3349.2001.

Abstract

Guillain-Barré syndrome (GBS) and Miller-Fisher syndrome (MFS) are correlated with prior infection by Campylobacter jejuni in up to 40% of cases. Nucleotide sequence-based typing of 25 C. jejuni isolates associated with neuropathy permitted robust comparisons with equivalent data from approximately 800 C. jejuni isolates not associated with neuropathy. A total of 13 genetic lineages and 20 flaA short variable region nucleotide sequences were present among the 25 isolates. A minority of isolates (4 of 25) had the flaA short variable region nucleotide sequences that were previously proposed as a marker for GBS-associated isolates. These 4 isolates probably represented the Penner serotype 19 lineage, which has been proposed to have an association with GBS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacterial Typing Techniques
  • Base Sequence
  • Campylobacter Infections / complications*
  • Campylobacter Infections / microbiology
  • Campylobacter jejuni / classification*
  • Campylobacter jejuni / genetics*
  • DNA, Bacterial / genetics
  • Flagella / classification*
  • Flagella / genetics
  • Flagellin / genetics
  • Genetic Variation
  • Guillain-Barre Syndrome / microbiology*
  • Humans
  • Miller Fisher Syndrome / microbiology*
  • Molecular Sequence Data
  • Sequence Analysis, DNA*
  • Serotyping

Substances

  • DNA, Bacterial
  • Flagellin
  • flaA protein, bacteria