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Aquaculture 510 (2019) 84–89

Contents lists available at ScienceDirect

Aquaculture
journal homepage: www.elsevier.com/locate/aquaculture

Molecular serotyping and antimicrobial susceptibility of Streptococcus T


agalactiae isolated from fish in China

Lishuang Denga, Yajun Lia, Yi Genga, , Liping Zhenga, Tayyab Rehmana, Ruoxuan Zhaoa,
Kaiyu Wanga, Ping OuYanga, Defang Chenb, Xiaoli Huangb, Changliang Hea, Zexiao Yanga,
Weiming Laia
a
College of Veterinary Medicine, Sichuan Agricultural University, Wenjiang, Sichuan 611130, China
b
Department of Aquaculture, Sichuan Agricultural University, Wenjiang, Sichuan 611130, China

A R T I C LE I N FO A B S T R A C T

Keywords: Streptococcus agalactiae (group B streptococcus, GBS) is a major pathogenic bacterium frequently associated with
Streptococcus agalactiae septicemia and meningoencephalitis in fish. In this study, we used molecular typing and the disc diffusion
Serotyping method to determine serotypes and antimicrobial susceptibilities of 28 S. agalactiae isolates from diseased
Antimicrobial susceptibility farmed fish (tilapia, Schizothorax prenanti and Schizopygopsis pylzovi) in China. We found that the 28 S. agalactiae
Antibiotic-resistance genes
isolates belonged only to two serotypes (Ia and III), with serotype Ia being significantly more prevalent than
Fish
China
serotype III. Antimicrobial susceptibility results showed that all of the isolates were susceptible to vancomycin,
cephalexin and florfenicol. The S. agalactiae isolates examined showed resistance to erythromycin (42.9%),
penicillin (35.7%), clindamycin (28.6%), enrofloxacin (35.7%), tetracycline (32.1%), gentamicin (28.6%) nor-
floxacin (28.6%), ofloxacin (14.3%) and doxycycline (7.14%), but the serotype III isolates showed higher pro-
portions of antibiotic resistance than serotype Ia isolates. The macrolide resistance gene (ermB) was detected in
all the 28 isolates and the tetracycline resistance gene (tetM) was detected in 78.6% isolates. All quinolone-
resistant S. agalactiae isolates carried mostly double point mutations in DNA with inferred amino acid sub-
stitutions including the change of Ser-81 to Leu in the product of gyrA and Ser-79 to Tyr in the product of parC.
Our study is a valuable reference for effective antibiotic application of S. agalactiae infections of farmed fish in
China, and illustrates the importance of better use of antibiotics to prevent the widespread emergence of re-
sistance S. agalactiae.

1. Introduction Understanding the serotype distribution of a pathogen is a key


prerequisite to formulate serotype-based vaccines for disease preven-
Streptococcus agalactiae (group B streptococcus, GBS) is a Gram tion. So far, S. agalactiae can be classified into 10 serotypes (Ia, Ib, and
positive coccus and was first defined as a cause of bovine mastitis in II to IX), depending on the specificity of its strain capsular poly-
1887. Lancefield and Hare subsequently identified it in vaginal swabs in saccharide, each one being antigenically and structurally unique
1935 (Lancefield and Hare, 1935). S. agalactiae is an essential patho- (Slotved et al., 2007). Among them, serotypes Ia, Ib and III are regarded
genic bacterium frequently associated with septicemia and me- as the most predominant in fish S. agalactiae infection (Li et al., 2013),
ningoencephalitis in fish (Evans et al., 2008). It causes significant and have the capability of infecting multiple host species (Delannoy
morbidity and mortality among freshwater, estuarine, and marine fish et al., 2013).
species, including gulf killifish, tilapia, sliver pomfret, golden pomfret, Streptococcosis outbreaks associated with S. agalactiae infection in
barcoo grunter, ya-fish (Schizothorax prenanti) and cyprinid fish(Schi- commercial fish farms have been reported worldwide, causing huge
zopygopsis pylzovi) (Geng et al., 2012; Pridgeon and Klesius, 2013; Liu economic loss to the aquaculture industry annually. At present, no
et al., 2014; Chong et al., 2016; Deng et al., 2017). Additionally, studies approved vaccines are provided to prevent S. agalactiae infections in
show that S. agalactiae cause neonatal meningitis in humans, mastitis in farmed fish. Antibiotics continue to be widely used for treatment or
cattle and acute sepsis in rabbits (Bisharat et al., 2004; Merl et al., 2010; prevention of Streptococcus infections in farmed fish. S. agalactiae has
Ren et al., 2014). shown an increasing resistance to some antibiotics during the last


Corresponding author at: Huimin Road No. 211, Wenjiang, Sichuan Province, 611130, China.
E-mail address: gengyisicau@126.com (Y. Geng).

https://doi.org/10.1016/j.aquaculture.2019.05.046
Received 9 October 2018; Received in revised form 26 February 2019; Accepted 19 May 2019
Available online 20 May 2019
0044-8486/ © 2019 Elsevier B.V. All rights reserved.
L. Deng, et al. Aquaculture 510 (2019) 84–89

Table 1
Oligonucleotide sequences used as primers of resistance genes.
Class Gene Primer sequence (5′–3′) Amplicon size (bp) Reference

Macrolide ermB-F GAAAAGGTACTCAACCAAATA 638 (Park et al., 2009)


ermB-R AGTAACGGTACTTAAATTGTTTAC
Quinolone parC-F CCGGATATTCGTGATGGCTT 403 (Murayama et al., 2009)
parC-R TGACTAAAAGATTGGGAAAGGC
gyrA-F GGTTTAAAACCTGTTCATCGTCGT 407 (Murayama et al., 2009)
gyrA-R GCAATACCAGTTGCACCATTGACT
Tetracycline tetM-F GTGGAGTACTACATTTACGAG 359 (Poyart et al., 2003)
tetM-R GAAGCGGATCACTATCTGAG

decade in many parts of the world (Betriu et al., 2003; Diekema et al., 2.3. Serotype identification
2003). There is little information on the resistance mechanisms in S.
agalactiae. The tetracycline resistance is governed by tet genes, which The capsular polysaccharide serotypes were identified by multiplex
are involved in either active efflux of the drug, ribosomal protection or PCR using the previously reported method (Imperi et al., 2010). The
enzymatic drug modification (Giovanetti et al., 2003). Resistance to PCR reaction system is in agreement with the previously described. The
erythromycin involves the erm and mef gene family that are responsible PCR amplification procedure was: initial denaturation at 94 °C for
for modification of the ribosomal target by methylation or mutation and 5 min; 35 cycles of denaturation at 94 °C for 45 s, annealing at 58 °C for
active efflux of the drug. (Sapkota et al., 2006). Quinolones have a 60 s, and extension at 72 °C for 60 s; and final extension at 72 °C for
bactericidal effect when they bind to their target enzymes, DNA gyrase 10 min. The amplified PCR products were visualized on 1% agarose gel
(encoded by the gyrA and gyrB) and topoisomerase IV (encoded by parC using a gel documentation system.
and parE), both essential for DNA replication (Drlica and Zhao, 1997).
In this study, we investigated the serotypes and antimicrobial sus-
ceptibilities of 28 S. agalactiae isolates collected from diseased farmed 2.4. Antimicrobial susceptibility test
fish (tilapia, Schizothorax prenanti and Schizopygopsis pylzovi) in China.
These strains were classified as two serotypes and antimicrobial re- Antibiotic susceptibility of each isolate was determined using the
sistance of both serotypes were evaluated. The result will provide a disc diffusion method and the criteria specified by the National
valuable reference for operational antibiotic application of S. agalactiae Committee for Clinical Laboratory Standards (NCCLS). Discs (Hangzhou
infections of farmed fish in China. Taihe Microbiological Reagent, Hangzhou, China) of 12 anti-microbial
agents were used, including erythromycin, clindamycin, enrofloxacin,
norfloxacin, penicillin, ofloxacin, tetracycline, gentamicin, doxycycline,
2. Materials and methods vancomycin, cephalexin and florfenicol. Sensitivity and resistance of
each isolate were determined following the manufacturer's instructions.
2.1. Bacterial isolates and preparation of bacterial genomic DNA The Escherichia coli (ATCC 25922) was invoked as a quality control
strain, and the quality control result was within the recommended
A total of 28 S. agalactiae isolates previously recovered from dis- quality ranges.
eased Schizothorax prenanti (n = 10) and Schizopygopsis pylzovi (n = 8)
in Sichuan and from tilapia (n = 10) in Hainan were used in this study
(Table 2). This bacterial collection series had been preserved at −80 °C 2.5. Detection and sequencing of antibiotic resistance genes
at Sichuan Agricultural University (Sichuan, China). For bacterial cul-
ture, the preserved stock solution was streaked on brain heart infusion Oligonucleotide primer sets used to detect common macrolide re-
agar (BHIA, Difco, and Detroit, MI, USA) and incubated at 28 °C for sistance genes (ermB), quinolone resistance genes (parC and gyrA), and
36–48 h. The isolated bacteria were subjected to a Gram stain. Genomic tetracycline resistance genes (tetM) were derived from published se-
DNA was extracted from each isolate by TIANamp bacteria DNA kit quences (Table 1). Amplification of the ermB, parC, gyrA and tetM genes
(TIANGEN Biotech Inc. Beijing, China). Collected DNA was washed and was performed using a modification of the PCR assay (Poyart et al.,
dissolved in 50 μL of buffer TE and stored at −20 °C for further ex- 2003; Murayama et al., 2009; Park et al., 2009). The amplified PCR
periments. products were visualized on 1% agarose gel using a gel documentation
system and purified for sequencing. DNA and protein sequences of gyrA
and parC were analyzed using DNAMAN software (Lynnon, Quebec,
2.2. Identification of bacteria Canada). S. agalactiae GD201008-001 (accession number: CP003810.1)
was used as a reference strain for comparative analysis.
All strains were confirmed by PCR analysis using specific primers
(F:5′−AAGTACATGCTGATCAAGT−3′; R:5′−TCTTGATCAACTTGTTG
TAC−3′), which target the S. agalactiae-specific dltS gene to identify the 3. Results
strains (Poyart et al., 2007). PCR amplification contained 12.5 μL
2 × Taq PCR Master Mix (TIANGEN Biotech Inc. Beijing, China), 1 μL of 3.1. Identification of bacteria
10 pmol/μL each primer and 2 μL (20 ng) template DNA in a final of 25-
μL reaction volume. The PCR amplification procedure was: 5 min at Twenty eight isolates showed pinpointed and whitish round co-
94 °C, 35 cycles at 94 °C, 66 °C for 45 s, and 72 °C for 1.5 min, and one lonies with smooth edges on BHI agar (Fig. 1A). The diameter of a
cycle at 72 °C for 5 min. The amplified PCR products were visualized on single colony was about 0.5–1.0 mm. All the isolates were Gram-posi-
1% agarose gel using a gel documentation system. Amplicons of the dltS tive cocci appearing in pairs and chains (Fig. 1B). Following PCR with
gene were purified using a gel extraction kit according to the manu- the dltS primer pair, all the strains yielded the expected 952 bp frag-
facturer's instructions. And the BLAST program (http://blast.ncbi.nlm. ments (Fig. 2), which confirmed that corresponding strains were S.
nih.gov/blast) was used for sequence homology analysis. agalactiae. BLAST searches of the sequences of the 28 strains revealed
99% to 100% sequence identities to S. agalactiae.

85
L. Deng, et al. Aquaculture 510 (2019) 84–89

Fig. 1. S. agalactiae colony morphology and Gram's microscopy.

3.2. Serotype identification Table 2


Serotype, fish species and geography location of 28 S. agalactiae strains.
The result of serotype identification showed that the serotype of the Isolates No. Time Serotype Fish species Geography location
28 S. agalactiae isolates were either serotype Ia or III (Table 2). Serotype
III isolates yield the expected 352 bp and 688 bp fragments, while ser- 1–3 2006 Ia Tilapia Hannan province
4 2009 Ia
otype Ia isolates yielded the expected 272 bp and 688 bp fragments
5–8 2011 Ia
(Fig. 3). Serotype Ia was most vulgar, accounting for 85.7% of the 9–10 2014 Ia
isolates. 11–12 2012 Ia Schizothorax prenanti Sichuan province
13 2012 III
14 2012 Ia
3.3. Antimicrobial susceptibility test 15–16 2013 III
17–19 2015 Ia
The result showed that 42.9% (12/28) of the isolates were resistant 20 2015 III
21–28 2015 Ia Schizopygopsis pylzovi
to erythromycin, 14.3% (4/28) to ofloxacin, 32.1% (9/28) to tetra-
cycline, 35.7% (10/28) to enrofloxacin and penicillin, 28.6% (8/28) to
clindamycin, norfloxacin and gentamicin, and 7.14% (2/28) to dox- which were subsequently used for sequence comparison in this study.
ycycline (Table 3). However, all the isolates were susceptible to van- Sequence analysis revealed that all quinolone-resistance isolates carried
comycin, cephalexin and florfenicol. Besides, there were significant an identical Ser-to-Leu mutation (S81L) at codon 81 of gyrA and one of
differences in antibiotics resistance phenotype between serotype Ia and two separate mutations in parC: A Ser-to-Tyr mutation (S79Y) at codon
serotype III isolate. Apparently, serotype III showed higher proportions 79 or an Arg-to-Leu mutation (R95L) at codon 95 (Table 4).
of antibiotics resistance than serotypes Ia. Compared to serotype Ia,
about 16.7% (4/24) of the isolates resistant to both clindamycin and
4. Discussion
norfloxacin, both the rate of serotypes III resistance to the two anti-
biotics is 100% (4/4).
S. agalactiae is recognized as a major etiological agent of strepto-
coccal disease in the aquaculture industry of Southeast Asia and other
3.4. Detection and sequencing of antibiotics resistance genes continents (Kannika et al., 2017). It is recognized as a highly invasive
bacterium that causes inflammation, sepsis and death in infected ani-
All S. agalactiae isolates were screened for ermB gene (Fig. 4). mals (Evans et al., 2002), and results in huge economic losses to the
Among the 28 S. agalactiae isolates, 78.6% (22/28) of the strains carried aquaculture industry worldwide. At present, all five serotypes (Ia, Ib, II,
tetM gene. Briefly, about 75% (18/24) of the serotype Ia isolates pre- III and IX) that have ever been found in fish were studied (Vandamme
sented tetM gene, which was found in all the serotypes III isolates. et al., 1997; Suanyuk et al., 2008; Zhang et al., 2018). In this study,
Relatively DNA sequencing results of gyrA and parC were obtained from serotypes of S. agalactiae were distinguished by PCR using the 19 spe-
strain number 2, 6, 7, 10, 11, 13, 14, 15, 20 and 24 of the 28 isolates, cific primers (Imperi et al., 2010). Only serotype Ia (85.7%) and III

Fig. 2. Electrophoresis of dltS gene PCR amplification of 28 strains. M: DL2000 DNA marker; 0: negative control; 1–28: PCR amplification of 28 S. agalactiae dltS
genes; 29: positive control (ATCC 51487).

86
L. Deng, et al. Aquaculture 510 (2019) 84–89

Fig. 3. The electrophoresis of multiplex PCR amplification for serotype of 28 S. agalactiae strains. M: DL2000 DNA marker; 1–28: PCR amplification of 28 S. agalactiae
serotypes.

(14.3%) were found in 28 of S. agalactiae strains isolated from different sensitivity to antimicrobials of S. agalactiae could be due to environ-
diseased fish, with serotype Ia being significantly more prevalent than mental variability, serotype variety, and the frequency and non-guided
serotype III. Our result was the same as the previous report that ser- use of chemotherapy in aquaculture (Abuseliana et al., 2010). To the
otype Ia and III are the predominant serotypes of S. agalactiae in best of our knowledge, the exact factor is indeterminate, which requires
Thailand (Dangwetngam et al., 2016). Besides, all the isolates from ti- further research.
lapia belonged to serotype Ia, which corresponded to the previous re- Streptococci utilize a major mechanism of antibiotic-resistance,
port in China (Ye et al., 2011). The differences among these strains of which is ribosomal protection (mediated by the tetM gene) (Tian et al.,
the serotype prevalence remain unclear. The diversity in serotype dis- 2004). In this study, tetM gene was detected in 75% serotype Ia isolates
tribution might be linked to the area of the isolates. but all of the serotype III isolates. 21% of the serotype Ia strains were
In this study, all of the S. agalactiae isolates were susceptible to resistant to tetracycline, while the tetracycline resistance rate of ser-
vancomycin, cephalexin and florfenicol, which are somewhat similar to otypes III isolates is 100%. Obviously, resistance to tetracycline was
the previous report (Beigverdi et al., 2014; Liu et al., 2014). Among the frequently associated with the tetM gene, especially in serotypes III
sensitive antibiotics, florfenicol was recommended for use in aqua- isolates. The mechanism for erythromycin resistance in bacteria in-
culture because of its effectiveness and relative safety (Kosoff et al., volves modification of the ribosomal target by a methylase, which is
2009). However, the S. agalactiae in this study showed resistance to encoded by the ermB gene, in addition to active efflux of the drug
erythromycin (42.9%), penicillin (35.7%), clindamycin (28.6%), enro- (Sutcliffe et al., 1996). Our study showed that the ermB gene was de-
floxacin (35.7%), tetracycline (32.1%), gentamicin (28.6%) norfloxacin tected in all isolates. Briefly, 33.3% of the serotype Ia strains were re-
(28.6%), ofloxacin (14.3%) and doxycycline (7.14%). In contrast to the sistant to erythromycin, while the erythromycin resistance rate of ser-
findings of this study, it is reported that S. agalactiae showed suscept- otypes III isolates is 100%. Our results suggested that the ermB gene
ibility to penicillin, clindamycin, enrofloxacin, ofloxacin, and tetra- mediated high levels of resistance to erythromycin in serotypes III
cycline (Amal et al., 2012; Liu et al., 2014; Kannika et al., 2017). In the strains. However, we had to the opposite conclusion in serotype Ia
current study, serotype III showed higher proportions of antibiotic re- strains. Previous study reported that the difference in the bacterial
sistance than serotype Ia. We found that the rate of norfloxacin re- capsule between the different genogroups of S. agalactiae could result in
sistance is 41.7% among serotype Ia isolates, but all of the serotype III different degrees of transformation or transposition involves in hor-
isolates were resistant to it. The result differed considerably from the izontal transfers of erythromycin resistance genes (Park et al., 2009).
report that only serotype Ia strains instead of serotype III were resistant There are numerous reports on the association between mutations in
to norfloxacin (Dangwetngam et al., 2016). The present study indicated the quinolone-resistance determining region (QRDR) of the corre-
that 33.3% of the serotype Ia isolates showed resistance to ery- sponding genes gyrA and parC and resistance to fluoroquinolones in
thromycin, while the erythromycin resistance rate of serotype III is bacteria (Nakamura et al., 1989; Trees et al., 1999; Salma et al., 2013).
100%. Our result was similar to those described in previous studies Since the discovery of fluoroquinolone resistant S. agalactiae isolates
(Florindo et al., 2010). Besides, serotype III but not Ia was resistant to carrying a Ser-to-Leu mutation at codon 81 of gyrA and a Ser-to-Phe
ofloxacin. It was pointed out that the differences in resistance and mutation at codon 79 of parC in 2003 (Kawamura et al., 2003), an Asp-

Table 3
Antimicrobial susceptibilities and resistance of 28 S. agalactiae isolates.
Class Antibacterial agents % (n) of isolates

Serotype Ia (n = 24) Serotype III (n = 4)

Resistant Intermediate Sensitive Resistant Intermediate Sensitive

Macrolide Erythromycin 33.3 (8) 0 (0) 66.7 (16) 100 (4) 0 (0) 0 (0)
Clindamycin 16.7 (4) 4.2 (1) 79.2 (19) 100 (4) 0 (0) 0 (0)
Quinolone Enrofloxacin 29.2 (7) 20.8 (5) 50 (12) 75 (3) 0 (0) 25 (1)
Norfloxacin 16.7 (4) 8.3 (2) 75 (18) 100 (4) 0 (0) 0 (0)
Ofloxacin 0 (0) 0 (0) 100 (24) 100 (4) 0 (0) 0 (0)
Tetracycline Tetracycline 21 (5) 4 (1) 75 (18) 100 (4) 0 (0) 0 (0)
Doxycycline 0 (0) 12.5 (3) 87.5 (21) 50 (2) 0 (0) 50 (2)
β-Lactam Penicillin 41.7 (10) 0 (0) 58.3 (14) 0 (0) 25 (1) 75 (3)
Cephalexin 0 (0) 8.3 (2) 91.7 (22) 0 (0) 0 (0) 100 (4)
Others Vancomycin 0 (0) 0 (0) 100 (24) 0 (0) 0 (0) 100 (4)
Gentamicin 20.8 (5) 0 (0) 79.2 (19) 75 (3) 0 (0) 25 (1)
Florfenicol 0 (0) 0 (0) 100 (24) 0 (0) 0 (0) 100 (4)

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L. Deng, et al. Aquaculture 510 (2019) 84–89

Fig. 4. Electrophoresis of resistance genes PCR amplification of 28 S. agalactiae strains. M: DL2000 DNA marker; 0: negative control; 1–28: PCR amplification of
resistance genes.

Table 4 S. agalactiae infection over a longer time horizon. In this study, among
Susceptibility of quinolones for S. agalactiae and mutations in gyrA and parC. 28 S. agalactiae isolates, serotype Ia are considerably more prevalent
Isolates No. Susceptibility level a
Mutation in QRDR region of than serotype III. In view of antibiotics resistance status of S. agalactiae,
the serotypes III showed higher proportions of antibiotics resistance
b c d
ENR NOR OFX gyrA parC than serotypes Ia. The results will be prized as a new reference for the
effective antibiotics application of serotype Ia and III S. agalactiae in-
GD201008-001 – – – Ser81 Ser79 Arg95
2 I R S S81L S79Y R95L
fection of fish in China, and illustrates the importance of better use of
6 S S S Ser81 Ser79 Arg95 antibiotics to prevent the widespread emergence of resistance S. aga-
7 R S S S81L S79Y R95L lactiae. In addition, we found that resistance to tetracycline was fre-
10 S R S S81L S79Y R95L quently associated with the tetM gene and the levels of resistance to
11 R R R S81L S79Y R95L
erythromycin mediated by ermB gene may be involved in the bacterial
13 R R R S81L S79Y R95L
14 R R R S81L S79Y R95L capsule of S. agalactiae. All quinolone-resistant S. agalactiae isolates
15 I S I Ser81 Ser79 Arg95 carried mostly double point mutations in DNA with inferred amino acid
20 S R R S81L S79Y R95L substitutions including the change of Ser-81 to Leu in the product of
24 R S S S81L S79Y R95L
gyrA and Ser-79 to Tyr in the product of parC. We suspected that one
a novel mutation, Asp-95 to Leu, in parC was related to quinolone-re-
S = Sensitive, I = Intermediate, R = Resistant.
b
ENR = Enrofloxacin. sistance of S. agalactiae.
c
NOR = Norfloxacin.
d
OFX = Ofloxacin. Acknowledgements

to-Tyr mutation at codon 83 of parC was also identified in fluor- This work was supported by the Sichuan Key Research and
oquinolone-resistant S. agalactiae isolates (Biedenbach et al., 2006). In Development Project (No 2018N0007), and Sichuan Innovation Team
our study, all two quinolone-susceptible S. agalactiae strains (strain Project of Agricultural Industry Technology System (No.
number 6 and 15) shared the same deduced amino acid sequences for 2017SICAD002).
the QRDRs of both gyrA and parC. Similarly, eight isolates of quinolone-
resistant strains (strain number 2, 7, 10, 11, 13, 14, 20 and 24) had References
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