Genotypic and phenotypic characterization of Clostridium perfringens isolates from Darmbrand cases in post-World War II Germany

Infect Immun. 2012 Dec;80(12):4354-63. doi: 10.1128/IAI.00818-12. Epub 2012 Oct 1.

Abstract

Clostridium perfringens type C strains are the only non-type-A isolates that cause human disease. They are responsible for enteritis necroticans, which was termed Darmbrand when occurring in post-World War II Germany. Darmbrand strains were initially classified as type F because of their exceptional heat resistance but later identified as type C strains. Since only limited information exists regarding Darmbrand strains, this study genetically and phenotypically characterized seven 1940s era Darmbrand-associated strains. Results obtained indicated the following. (i) Five of these Darmbrand isolates belong to type C, carry beta-toxin (cpb) and enterotoxin (cpe) genes on large plasmids, and express both beta-toxin and enterotoxin. The other two isolates are cpe-negative type A. (ii) All seven isolates produce highly heat-resistant spores with D(100) values (the time that a culture must be kept at 100°C to reduce its viability by 90%) of 7 to 40 min. (iii) All of the isolates surveyed produce the same variant small acid-soluble protein 4 (Ssp4) made by type A food poisoning isolates with a chromosomal cpe gene that also produce extremely heat-resistant spores. (iv) The Darmbrand isolates share a genetic background with type A chromosomal-cpe-bearing isolates. Finally, it was shown that both the cpe and cpb genes can be mobilized in Darmbrand isolates. These results suggest that C. perfringens type A and C strains that cause human food-borne illness share a spore heat resistance mechanism that likely favors their survival in temperature-abused food. They also suggest possible evolutionary relationships between Darmbrand strains and type A strains carrying a chromosomal cpe gene.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Amino Acid Sequence
  • Bacterial Proteins / genetics
  • Bacterial Proteins / metabolism
  • Bacterial Toxins / genetics
  • Bacterial Toxins / metabolism
  • Bacterial Typing Techniques
  • Clostridium Infections / epidemiology*
  • Clostridium Infections / microbiology
  • Clostridium perfringens / classification*
  • Clostridium perfringens / genetics*
  • Clostridium perfringens / isolation & purification
  • Clostridium perfringens / metabolism
  • DNA, Bacterial / analysis
  • DNA, Bacterial / genetics
  • Enterotoxins / genetics
  • Enterotoxins / metabolism
  • Foodborne Diseases / epidemiology*
  • Foodborne Diseases / microbiology
  • Genotype
  • Germany / epidemiology
  • Humans
  • Molecular Sequence Data
  • Phenotype
  • Sequence Analysis, DNA
  • Spores, Bacterial / physiology
  • World War II*

Substances

  • Bacterial Proteins
  • Bacterial Toxins
  • CPB protein, Clostridium perfringens
  • DNA, Bacterial
  • Enterotoxins
  • enterotoxin, Clostridium

Associated data

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  • GENBANK/JX267143
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