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.
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- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]
- 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]