Abstract

BackgroundOur group has been continuously performing epidemiological analyses on capsular types of pneumococci since 2007. Pneumococcal conjugate vaccine decreased the proportion of nonvaccine capsular types. Furthermore, null-capsule isolates that produced PspK were also identified in our analysis. In this study, we analyzed the genetic background of null-capsule pneumococci and the mechanism of nonencapsulation.MethodsTwenty-seven null-capsule isolates from 430 pneumococci that were isolated between 2010 and 2014 were used for this study. The capsular type was identified by DNA sequence-based methods, and genetic backgrounds were compared by multilocus sequence typing. Among the null-capsule isolates, the SP2852 strain was employed for non-encapsulation analysis. The pspK gene of this strain was replaced with ermB by homologous recombination (SP2852 ΔpspK::ermB). Then, genomic DNA from SP2852 ΔpspK::ermB was transformed into encapsulated isolates via natural transformation. Clindamycin-resistant isolates were further analyzed by sequence.ResultsThe proportion of null-capsule isolates tended to increase from 5% in 2010–2011 to 12.3% in 2014. These null-capsule isolates were classified into 14 STs that included STs previously identified as capsule-positive isolates. To assess non-encapsulation via natural transformation, two encapsulated strains (serotype 19F and 14) were cultured with genomic DNA from SP2852 ΔpspK::ermB. Subsequently, clindamycin-resistant null-capsule isolates were detected with high frequency (2.5 × 10–4–8.7 × 10–5). Sequence analysis showed capsular coding regions of these null-capsule isolates were replaced with that of ΔpspK::ermB. Furthermore, these isolates grew significant faster than their parent strains.ConclusionNull-capsule isolates with various genetic backgrounds were revealed gradually after introduction of vaccine. Moreover, encapsulated strains could take up genomic DNA of null-capsule isolates more easily and become a null-capsule strain by homologous recombination, suggesting that non-encapsulation and acquiring PspK resulted in the emergence of null-capsule strains by natural transformation. Furthermore, non-encapsulation could be beneficial for pneumococci as an evasion mechanism from vaccines.Disclosures All authors: No reported disclosures.

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