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Molecular identification and characterization of Streptococcus agalactiae in Hong Kong.

Cheuk Shing Ching. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2005. / Includes bibliographical references (leaves 144-161). / Abstracts in English and Chinese. / ACKNOWLEDGMENTS --- p.I / 內容摘要 --- p.II / ABSTRACT --- p.IV / CONTENTS --- p.XI / LIST OF TABLES --- p.XI / LIST OF FIGURES --- p.XI / ABBREVIATIONS --- p.XII / Chapter CHAPTER 1 --- INTRODUCTION --- p.1 / Chapter 1.1 --- Taxonomy of Streptococcus agalactiae --- p.1 / Chapter 1.2 --- Characteristics of Streptococcus agalactiae --- p.1 / Chapter 1.3 --- Epidemiology of GBS --- p.3 / Chapter 1.3.1 --- Risk groups --- p.3 / Chapter 1.3.1.1 --- Neonates --- p.3 / Chapter 1.3.1.2 --- Pregnant women --- p.5 / Chapter 1.3.1.3 --- Non-pregnant adult --- p.6 / Chapter 1.3.2 --- World wide distribution --- p.7 / Chapter 1.3.2.1 --- Serotypes --- p.7 / Chapter 1.3.2.2 --- Antibiotic susceptibility --- p.8 / Chapter 1.3.3 --- GBS diseases in Hong Kong --- p.10 / Chapter 1.4 --- Putative virulence factors and pathogenesis --- p.10 / Chapter 1.4.1 --- Capsular polysaccharide --- p.10 / Chapter 1.4.2 --- C5a peptidase --- p.11 / Chapter 1.4.3 --- β-haemolysin/cytolysin --- p.12 / Chapter 1.4.4 --- C protein and C a-like protein --- p.12 / Chapter 1.4.4.1 --- C protein --- p.12 / Chapter 1.4.4.1.1 --- C α protein --- p.13 / Chapter 1.4.4.1.2 --- Cβ protein --- p.14 / Chapter 1.4.4.2 --- C α-like protein --- p.15 / Chapter 1.4.5 --- Hyaluronate lyase --- p.16 / Chapter 1.4.6 --- CAMP factor --- p.17 / Chapter 1.4.7 --- Others --- p.17 / Chapter 1.5 --- Antibiotic resistance and resistance genes --- p.18 / Chapter 1.5.1 --- Macrolides --- p.18 / Chapter 1.5.2 --- Tetracyclines --- p.18 / Chapter 1.5.3 --- Aminoglycosides --- p.19 / Chapter 1.5.4 --- Fluoroquniolones --- p.20 / Chapter 1.5.5 --- Others --- p.20 / Chapter 1.6 --- Mobile genetic elements --- p.21 / Chapter 1.7 --- Typing methods --- p.22 / Chapter 1.7.1 --- Phenotypic methods --- p.23 / Chapter 1.7.1.1 --- Serotyping --- p.23 / Chapter 1.7.1.2 --- Multilocus enzyme electrophoresis (MLEE) --- p.23 / Chapter 1.7.2 --- Genotypic methods --- p.24 / Chapter 1.7.2.1 --- Restriction endonuclease analysis (REA) / restriction fragment-length polymorphism (RFLP) --- p.24 / Chapter 1.7.2.2 --- Pulsed-field gel electrophoresis (PFGE) --- p.25 / Chapter 1.7.2.3 --- Random amplified polymorphic DNA (RAPD) --- p.26 / Chapter 1.7.2.4 --- Sequencing --- p.26 / Chapter 1.8 --- Prevention --- p.29 / Chapter 1.8.1 --- Intrapartum antibiotic prophylaxis (IAP) --- p.29 / Chapter 1.8.2 --- GBS Vaccine --- p.33 / Chapter 1.9 --- Objectives --- p.34 / Chapter CHAPTER 2 --- METHODS AND MATERIALS --- p.35 / Chapter 2.1 --- Bacterial isolates --- p.35 / Chapter 2.2 --- Antibiotic susceptibility test --- p.37 / Chapter 2.2.1 --- Antibiotic preparation --- p.37 / Chapter 2.2.2 --- Microbroth dilution method --- p.39 / Chapter 2.2.2.1 --- Microtitre plate preparation --- p.39 / Chapter 2.2.2.2 --- Suspension preparation and inoculation --- p.39 / Chapter 2.2.2.3 --- End points determination --- p.40 / Chapter 2.2.3 --- Inducible lincomycin resistance determination --- p.40 / Chapter 2.3 --- Serotyping --- p.41 / Chapter 2.3.1 --- Preparation of antigens --- p.41 / Chapter 2.3.2 --- Typing of isolates --- p.42 / Chapter 2.4 --- Pulsed-field Gel Electrophoresis (PFGE) --- p.42 / Chapter 2.4.1 --- Preparation of DNA plug for PFGE --- p.43 / Chapter 2.4.2 --- Restriction enzyme digestion of GBS DNA --- p.43 / Chapter 2.4.3 --- Running of PFGE gel --- p.44 / Chapter 2.5 --- Molecular characterization --- p.44 / Chapter 2.5.1 --- Target genes --- p.44 / Chapter 2.5.2 --- DNA preparation --- p.51 / Chapter 2.5.3 --- Master mix preparation --- p.51 / Chapter 2.5.4 --- Polymerase chain reaction --- p.51 / Chapter 2.5.5 --- PCR product analysis by agarose gel electrophoresis --- p.52 / Chapter 2.5.6 --- DNA sequencing --- p.52 / Chapter 2.6 --- Data analysis --- p.53 / Chapter 2.6.1 --- PFGE and molecular characters analysis --- p.53 / Chapter 2.6.2 --- Sequences analysis --- p.53 / Chapter 2.7 --- Molecular identification by real-time PCR --- p.54 / Chapter 2.7.1 --- Bacterial strains --- p.54 / Chapter 2.7.2 --- DNA isolation for specimens --- p.56 / Chapter 2.7.3 --- Design of TaqMan primers and probes --- p.56 / Chapter 2.7.4 --- Cloning of target sequences --- p.59 / Chapter 2.7.5 --- Master mix of real-time PCR --- p.59 / Chapter 2.7.6 --- Specificity and detection limit --- p.60 / Chapter CHAPTER 3 --- RESULTS --- p.62 / Chapter 3.1 --- Serotype distribution of GBS --- p.62 / Chapter 3.1.1 --- Serotyping using antisera --- p.62 / Chapter 3.1.2 --- Serotyping by molecular method --- p.64 / Chapter 3.1.3 --- Molecular subtype of GBS serotype III --- p.66 / Chapter 3.1.4 --- Correlation of serotypes with diseases --- p.69 / Chapter 3.2 --- Antimicrobial susceptibility --- p.71 / Chapter 3.2.1 --- Phenotypic method --- p.71 / Chapter 3.2.2 --- Detection and distribution of resistance genes --- p.76 / Chapter 3.2.2.1 --- Tetracycline resistance --- p.76 / Chapter 3.2.2.2 --- Macrolide and lincosamide resistance --- p.77 / Chapter 3.2.2.3 --- Aminoglycoside resistance --- p.78 / Chapter 3.3 --- Molecular typing --- p.83 / Chapter 3.3.1 --- Pulsed-field gel electrophoresis (PFGE) --- p.83 / Chapter 3.3.2 --- Distribution of GBS surface protein genes profiles --- p.89 / Chapter 3.3.3 --- Distribution of mobile genetic elements --- p.92 / Chapter 3.4 --- "Analysis based on PFGE, surface protein genes, mobile genetic elements and antibiotic resistance genes" --- p.95 / Chapter 3.4.1 --- Intra-molecular serotype --- p.95 / Chapter 3.4.1.1 --- Molecular serotype Ia --- p.95 / Chapter 3.4.1.2 --- Molecular serotype Ib --- p.99 / Chapter 3.4.1.3 --- Molecular serotype II --- p.101 / Chapter 3.4.1.4 --- Molecular serotype III --- p.103 / Chapter 3.4.1.5 --- Molecular serotype V --- p.107 / Chapter 3.4.1.6 --- Molecular serotype VI --- p.110 / Chapter 3.4.1.7 --- "Molecular serotype IV, VII and VIII" --- p.110 / Chapter 3.4.1.8 --- Non-typeable isolate (NT) --- p.111 / Chapter 3.4.2 --- Analysis of Maternal and neonatal strains --- p.115 / Chapter 3.4.3 --- Comparison of GBS strains from Hong Kong to Australia and Korea --- p.118 / Chapter 3.5 --- Molecular identification of GBS by real-time PCR --- p.120 / Chapter 3.5.1 --- Specificity --- p.120 / Chapter 3.5.2 --- Detection limits --- p.122 / Chapter CHAPTER 4 --- DISCUSSION --- p.125 / Chapter 4.1 --- Laboratory methods for typing and characterization of GBS --- p.125 / Chapter 4.1.1 --- Serotyping by agglutination and molecular method --- p.125 / Chapter 4.1.2 --- Antibiotic susceptibility testing and resistance genes --- p.129 / Chapter 4.1.3 --- PFGE --- p.130 / Chapter 4.1.4 --- Surface protein genes --- p.131 / Chapter 4.1.5 --- Mobile genetic elements --- p.132 / Chapter 4.1.6 --- Real-time PCR --- p.133 / Chapter 4.2 --- Characterization of GBS in Hong Kong --- p.135 / Chapter 4.2.1 --- GBS in Hong Kong --- p.135 / Chapter 4.2.2 --- GBS from Australia and Korea --- p.141 / Chapter 4.3 --- Future research --- p.142 / Chapter 4.4 --- Conclusions --- p.143 / REFERENCES --- p.144 / APPENDIX I: MATERIALS AND REAGENTS --- p.162 / APPENDIX II: DENDROGRAMS --- p.168

Identiferoai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_325106
Date January 2005
ContributorsCheuk, Shing Ching., Chinese University of Hong Kong Graduate School. Division of Microbiology.
Source SetsThe Chinese University of Hong Kong
LanguageEnglish, Chinese
Detected LanguageEnglish
TypeText, bibliography
Formatprint, xiii, 176 leaves : ill. (some col.) ; 30 cm.
CoverageChina, Hong Kong, Hong Kong
RightsUse of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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