Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1978 Nov;8(5):480–488. doi: 10.1128/jcm.8.5.480-488.1978

Synergistic hemolysis phenomenon shown by an alpha-toxin-producing Clostridium perfingens and streptococcal CAMP factor in presumptive streptococcal grouping.

S M Gubash
PMCID: PMC275283  PMID: 215600

Abstract

A new phenomenon of synergistic hemolysis by Clostridium perfringens alpha-toxin and the streptococcal CAMP factor on human and guinea pig erythrocytes is described. A possible mode of action of the CAMP factors is suggested. On human blood agar all of the tested isolates of group B streptococci gave an arrowhead-shaped zone of hemolysis; 74% of group A gave a crescent-shaped lytic zone, whereas all isolates of groups C and G and the remaining 26% of group A streptococci gave a bullet-shaped lytic zone. By comparison, in the CAMP test incubated aerobically and anaerobically, 70 and 91%, respectively, of streptococci other than group B gave positive, arrowhead-shaped lytic zones. If all intermediate positive reactions in the CAMP tests were read as negative after aerobic incubation, only 89% of group B streptococci would be properly identified. The synergistic hemolysis phenomenon, using an alpha-toxin-producing C. perfringens and human blood agar, provided a reliable test for presumptive identification of group B streptococci, with promising potential to differentiate in the same test group A streptococci from other groups.

Full text

PDF
480

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bretscher M. S. Membrane structure: some general principles. Science. 1973 Aug 17;181(4100):622–629. doi: 10.1126/science.181.4100.622. [DOI] [PubMed] [Google Scholar]
  2. Brown J., Farnsworth R., Wannamaker L. W., Johnson D. W. CAMP factor of group B streptococci: production, assay, and neutralization by sera from immunized rabbits and experimentally infected cows. Infect Immun. 1974 Feb;9(2):377–383. doi: 10.1128/iai.9.2.377-383.1974. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Coleman R., Finean J. B., Knutton S., Limbrick A. R. A structural study of the modification of erythrocyte ghosts by phospholipase C. Biochim Biophys Acta. 1970;219(1):81–92. doi: 10.1016/0005-2736(70)90063-5. [DOI] [PubMed] [Google Scholar]
  4. Colley C. M., Zwaal R. F., Roelofsen B., van Deenen L. L. Lytic and non-lytic degradation of phospholipids in mammalian erythrocytes by pure phospholipases. Biochim Biophys Acta. 1973 Apr 25;307(1):74–82. doi: 10.1016/0005-2736(73)90026-6. [DOI] [PubMed] [Google Scholar]
  5. DOERY H. M., MAGNUSSON B. J., CHEYNE I. M., SULASEKHARAM J. A phospholipase in staphylococcal toxin which hydrolyses sphingomyelin. Nature. 1963 Jun 15;198:1091–1092. doi: 10.1038/1981091a0. [DOI] [PubMed] [Google Scholar]
  6. Darling C. L. Standardization and evaluation of the CAMP reaction for the prompt, presumptive identification of Streptococcus agalactiae (Lancefield group B) in clinical material. J Clin Microbiol. 1975 Feb;1(2):171–174. doi: 10.1128/jcm.1.2.171-174.1975. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. ESSEVELD H., DANIELS-BOSMAN M. S., LEIJNSE B. Some observations about the CAMP reaction and its application to human beta haemolytic streptococci. Antonie Van Leeuwenhoek. 1958;24(2):145–156. doi: 10.1007/BF02548442. [DOI] [PubMed] [Google Scholar]
  8. Edwards E. A., Larson G. L. Serological grouping of hemolytic streptococci by counter-immunoelectrophoresis. Appl Microbiol. 1973 Dec;26(6):899–903. doi: 10.1128/am.26.6.899-903.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Jokipii A. M., Jokipii L. Presumptive identification and antibiotic susceptibility of group B streptococci. J Clin Pathol. 1976 Aug;29(8):736–739. doi: 10.1136/jcp.29.8.736. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Lütticken R., Fritsche D. Bestimmung der B-Streptokokken (Streptococcus agalactiae) mit Hilfe des "dreifachtests" nach Wallerström und des CAMP-Tests. Zentralbl Bakteriol Orig A. 1974 Mar;226(3):298–304. [PubMed] [Google Scholar]
  11. MACFARLANE M. G. The biochemistry of bacterial toxins; variation in haemolytic activity of immunologically distinct lecithinases towards erythrocytes from different species. Biochem J. 1950 Sep;47(3):270–279. doi: 10.1042/bj0470270. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Macfarlane M. G., Knight B. C. The biochemistry of bacterial toxins: The lecithinase activity of Cl. welchii toxins. Biochem J. 1941 Sep;35(8-9):884–902. doi: 10.1042/bj0350884. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Mhalu F. S. Infection with Streptococcus agalactiae in a London hospital. J Clin Pathol. 1976 Apr;29(4):309–312. doi: 10.1136/jcp.29.4.309. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Nelson G. J. Lipid composition of erythrocytes in various mammalian species. Biochim Biophys Acta. 1967 Oct 2;144(2):221–232. doi: 10.1016/0005-2760(67)90152-x. [DOI] [PubMed] [Google Scholar]
  15. Pastan I., Macchia V., Katzen R. A phospholipase specific for sphingomyelin from Clostridium perfringens. J Biol Chem. 1968 Jul 10;243(13):3750–3755. [PubMed] [Google Scholar]
  16. Skorkovský B. KCNS (RK und RM-,Bacitracin- und CAMP-Teste zur Differential-Diagnose von Streptokokken. Zentralbl Bakteriol Orig A. 1974 Mar;226(3):305–313. [PubMed] [Google Scholar]
  17. Smyth C. J., Möllby R., Wadström T. Phenomenon of hot-cold hemolysis: chelator-induced lysis of sphingomyelinase-treated erythrocytes. Infect Immun. 1975 Nov;12(5):1104–1111. doi: 10.1128/iai.12.5.1104-1111.1975. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. WISEMAN G. M. FACTORS AFFECTING THE SENSITIZATION OF SHEEP ERYTHROCYTES TO STAPHYLOCOCCAL BETA LYSIN. Can J Microbiol. 1965 Jun;11:463–471. doi: 10.1139/m65-061. [DOI] [PubMed] [Google Scholar]
  19. Wilkinson H. W. CAMP-disk test for presumptive identification of group B streptococci. J Clin Microbiol. 1977 Jul;6(1):42–45. doi: 10.1128/jcm.6.1.42-45.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Zwaal R. F., Roelofsen B., Colley C. M. Localization of red cell membrane constituents. Biochim Biophys Acta. 1973 Sep 10;300(2):159–182. doi: 10.1016/0304-4157(73)90003-8. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES