Molecular diagnosis of non-serotypeable Shigella spp.: problems and prospects

J Med Microbiol. 2017 Feb;66(2):255-257. doi: 10.1099/jmm.0.000438.

Abstract

It is not always possible to identify Shigella serogroups/serotypes by biochemical properties alone. Specific identification requires serotyping. Occasionally, isolates that resemble Shigella spp. biochemically, but are non-agglutinable with available antisera, have been observed. Several mechanisms have been reported to limit the efficiency of the serotyping assay. Serotype conversion is a major mechanism in Shigella spp. to escape protective host immune responses. This easy conversion through significant modification of the O-antigen backbone results in different serotypes, which makes laboratory identification difficult. Furthermore, members of the family Enterobacteriaceae are closely related and there is antigenic cross-over (intra- and inter-specific cross-reaction) which affects the agglutination reaction. The performance of the available methods for identification of non-serotypeable Shigella is discussed here, and reveals them to be non-reliable. This shows a need for an alternative method for identification and typing of Shigella spp.

Publication types

  • Letter

MeSH terms

  • Bacterial Proteins / genetics
  • Bacterial Proteins / metabolism
  • Feces / microbiology
  • Genetic Association Studies
  • Humans
  • Molecular Diagnostic Techniques / methods*
  • Multigene Family
  • O Antigens / analysis
  • O Antigens / genetics
  • O Antigens / immunology
  • RNA, Ribosomal, 16S / genetics
  • Serogroup
  • Serotyping
  • Shigella / classification
  • Shigella / genetics*
  • Shigella / isolation & purification*

Substances

  • Bacterial Proteins
  • O Antigens
  • RNA, Ribosomal, 16S
  • rfb protein, Bacteria