Pilot Study of the Genetic Diversity of the Pneumococcal Nasopharyngeal
Flora among Children Attending Day Care Centers
Raquel Sá-Leão,1,2 Alexander Tomasz,1 Ilda
Santos Sanches,2,3 and Hermínia de Lencastre1,2*
Laboratory of Microbiology, The Rockefeller University, New York, New York,1
Molecular Genetics Laboratory, Instituto de Tecnologia Química e Biológica da
Universidade Nova de Lisboa, 2780 Oeiras,2 Secção Autónoma de
Biotecnologia, Faculdade de Ciências e Tecnologia da Universidade Nova de Lisboa,
Monte da Caparica, Portugal3
Received 19 March 2002/ Returned for modification 22 May 2002/ Accepted 18
June 2002
A pilot study was conducted to determine the genetic diversityof multiple colonies of pneumococci recovered from 37 nasopharyngeal(NP) samples of children. A total of 239 pneumococcal isolates
(typically, six to eight colonies per sample) were typed by
pulsed-field gel electrophoresis (PFGE). In most NP samples(89%) the
multiple colonies shared common PFGE types and serotypes.However,
four samples were heterogeneous (samples A throughD): each contained
two strains with different PFGE types, antibiotypes,and serotypes.
Samples A and B each contained one strain ofa vaccine capsular type
and another expressing a non-vaccinetype (according to the currently
licensed seven-valent conjugatevaccine). In samples B and C the
penicillin MIC for one strainwas elevated and the other strain was
susceptible. In each ofthe heterogeneous samples, one of the strains
was a representativeof an internationally disseminated clone.
Samples A, C, andD contained strains which carried prophages that
were inducibleby mitomycin C and that could be visualized by
electron microscopy.The comC gene allele (which encodes the
competence-stimulatingpeptide) was the same in both strains found in
each of samplesA, B, and D. Carriage of multiple pneumococci with
distinctproperties should favor genetic exchange and provide a
dynamicpopulation structure for pneumococci in their ecological
reservoir.Quantitative resolution of majority and minority
componentsof the pneumococcal NP flora will be of importance for
evaluationof the impact of intervention strategies such as
vaccinationor introduction of new antimicrobial agents.
* Corresponding author. Mailing address: The Rockefeller
University, 1230 York Ave., New York, NY 10021. Phone: (212) 327-8278. Fax:
(212) 327-8688. E-mail:
lencash@mail.rockefeller.edu or
leao@itqb.unl.pt.
ALL INFORMATION, DATA, AND
MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION
PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS
OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR
LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"