Abstract

The 2 biotypes of Vibrio cholerae O1 serogroup strains—classical and El Tor—use glucose in distinct ways. Classical biotype strains perform organic acid-producing fermentation and eventually lose viability due to the self-induced creation of an acidic environment, whereas El Tor biotype strains use an alternative neutral fermentation pathway, which confers them with survival advantages. However, we report that the neutral fermentation pathway has only been recruited in prototype Wave 1 El Tor biotype strains, which have not been isolated since the mid-1990s. Current Wave 2 and Wave 3 atypical El Tor strains contain a single-base deletion in a gene that directs bacteria toward neutral fermentation, resulting in the loss of neutral fermentation and an appearance that is similar to classical biotype strains. Moreover, when sufficient glucose was supplied, Wave 1 El Tor strains maintained their use of acid-producing fermentation, in parallel with neutral fermentation, and thus lost viability in the late stationary phase. The global replacement of Wave 1 El Tor strains by Wave 2 and 3 atypical El Tor strains implies that the acidic fermentation pathway may not be disadvantageous to V. cholerae. The characteristics that we have reported might improve oral rehydration in the treatment of cholera.

Highlights

  • The O1 serogroup Vibrio cholerae has been classified into 2 biotypes: classical and El Tor[1]

  • We examined the differences in glucose metabolism in prototype and atypical El Tor strains

  • Prototype El Tor biotype strains have been recognized to perform neutral fermentation in the presence of glucose in media, the effects of neutral fermentation last for less than 20 hours, and the bacteria eventually shift to acidic fermentation mode and lose viability

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Summary

Introduction

The O1 serogroup Vibrio cholerae has been classified into 2 biotypes: classical and El Tor[1]. Since the emergence of El Tor biotype strains, classical biotype strains have not been detected among clinical isolates This change in V. cholerae population has remained a contradiction, of which a difference in glucose metabolism between the 2 biotype strains has been widely accepted to be a cause[5]. The classical biotype strains are unable to generate neutral fermentation products, perhaps due to 2 point mutations in the regulatory gene VC1588 (alsR, a transcriptional regulator of the alpha-acetolactate operon) and 1 point mutation in VC15905,7. There has been another population change among El Tor biotype strains since they first emerged in 19613. Depending on the availability of glucose, prototype El Tor biotype strains perform neutral and acidic fermentation simultaneously, resulting in the accumulation of acidic products and the loss of viability

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