Campylobacter jejuni Strains from Patients with Guillain-Barré Syndrome

Guillain-Barré syndrome (GBS), an acute demyelinating peripheral neuropathy, may be triggered by an acute infectious illness; infection with Campylobacter jejuni is the most frequently reported antecedent event. In Japan, O:19 is the most common serotype among GBS-associated C. jejuni strains. To de...

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Main Authors: Ban Mishu Allos, Frank T. Lippy, Andrea Carlsen, Ronald G. Washburn, Martin J. Blaser
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 1998-06-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/4/2/98-0213_article
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author Ban Mishu Allos
Frank T. Lippy
Andrea Carlsen
Ronald G. Washburn
Martin J. Blaser
author_facet Ban Mishu Allos
Frank T. Lippy
Andrea Carlsen
Ronald G. Washburn
Martin J. Blaser
author_sort Ban Mishu Allos
collection DOAJ
description Guillain-Barré syndrome (GBS), an acute demyelinating peripheral neuropathy, may be triggered by an acute infectious illness; infection with Campylobacter jejuni is the most frequently reported antecedent event. In Japan, O:19 is the most common serotype among GBS-associated C. jejuni strains. To determine whether serotype O:19 occurs among GBS-associated strains in the United States and Europe, we serotyped seven such strains and found that two (29%) of seven GBS-associated strains from patients in the United States and Germany were serotype O:19. To determine whether GBS-associated strains may be resistant to killing by normal human serum (NHS), we studied the serum susceptibility of 17 GBS- and 27 enteritis-associated strains (including many O:19 and non-O:19 strains) using C. jejuni antibody positive (pool 1) or negative (pool 2) human serum. Using pool 1 serum we found that one (6%) of 18 serotype O:19 strains compared with 11 (42%) of 26 non-O:19 strains were killed; results using pool 2 serum were nearly identical. Finally, 8 O:19 and 8 non-O:19 strains were not significantly different in their ability to bind complement component C3. Serotype O:19 C. jejuni strains were overrepresented among GBS-associated strains in the United States and Germany and were significantly more serum-resistant than non-O:19 strains. The mechanism of this resistance appears unrelated to C3 binding.
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spelling doaj.art-f9126b52aad449d4b6aa3e5bbdacf0fc2022-12-21T19:38:09ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60591998-06-014226326810.3201/eid0402.980213Campylobacter jejuni Strains from Patients with Guillain-Barré SyndromeBan Mishu AllosFrank T. LippyAndrea CarlsenRonald G. WashburnMartin J. BlaserGuillain-Barré syndrome (GBS), an acute demyelinating peripheral neuropathy, may be triggered by an acute infectious illness; infection with Campylobacter jejuni is the most frequently reported antecedent event. In Japan, O:19 is the most common serotype among GBS-associated C. jejuni strains. To determine whether serotype O:19 occurs among GBS-associated strains in the United States and Europe, we serotyped seven such strains and found that two (29%) of seven GBS-associated strains from patients in the United States and Germany were serotype O:19. To determine whether GBS-associated strains may be resistant to killing by normal human serum (NHS), we studied the serum susceptibility of 17 GBS- and 27 enteritis-associated strains (including many O:19 and non-O:19 strains) using C. jejuni antibody positive (pool 1) or negative (pool 2) human serum. Using pool 1 serum we found that one (6%) of 18 serotype O:19 strains compared with 11 (42%) of 26 non-O:19 strains were killed; results using pool 2 serum were nearly identical. Finally, 8 O:19 and 8 non-O:19 strains were not significantly different in their ability to bind complement component C3. Serotype O:19 C. jejuni strains were overrepresented among GBS-associated strains in the United States and Germany and were significantly more serum-resistant than non-O:19 strains. The mechanism of this resistance appears unrelated to C3 binding.https://wwwnc.cdc.gov/eid/article/4/2/98-0213_articleUnited States
spellingShingle Ban Mishu Allos
Frank T. Lippy
Andrea Carlsen
Ronald G. Washburn
Martin J. Blaser
Campylobacter jejuni Strains from Patients with Guillain-Barré Syndrome
Emerging Infectious Diseases
United States
title Campylobacter jejuni Strains from Patients with Guillain-Barré Syndrome
title_full Campylobacter jejuni Strains from Patients with Guillain-Barré Syndrome
title_fullStr Campylobacter jejuni Strains from Patients with Guillain-Barré Syndrome
title_full_unstemmed Campylobacter jejuni Strains from Patients with Guillain-Barré Syndrome
title_short Campylobacter jejuni Strains from Patients with Guillain-Barré Syndrome
title_sort campylobacter jejuni strains from patients with guillain barre syndrome
topic United States
url https://wwwnc.cdc.gov/eid/article/4/2/98-0213_article
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