已发表论文

中国儿童下呼吸道感染中两株无荚膜肺炎链球菌的首次基因组 - 表型特征分析

 

Authors Cai C, Jiang H , Li W, Ye B, Liang S, Fu X, Chen Y

Received 11 August 2025

Accepted for publication 17 December 2025

Published 30 December 2025 Volume 2025:18 Pages 7007—7016

DOI https://doi.org/10.2147/IDR.S555465

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Dr Hazrat Bilal

Chen Cai,1,2 Hanfang Jiang,1 Wujiao Li,1 Bingjun Ye,1 Song Liang,1 Xiaoying Fu,1 Yunsheng Chen1 

1Clinical Laboratory, Shenzhen Children’s Hospital, Shenzhen, Guangdong, 518038, People’s Republic of China; 2Medical College, Jiaying University, Meizhou, Guangdong, 514031, People’s Republic of China

Correspondence: Hanfang Jiang, Clinical Laboratory, Shenzhen Children’s Hospital, Shenzhen, Guangdong, 518038, People’s Republic of China, Email hanfang923@163.com

Abstract: Streptococcus pneumoniae (S.pn) is the predominant bacterial pathogen affecting children under 5 years old. Its polysaccharide capsule is the primary virulence factor, enabling the bacteria to evade the immune system and defining the serotypes that current vaccines target. Recently, nonencapsulated Streptococcus pneumoniae (NESp) have emerged as significant causes of conjunctivitis, otitis media, and invasive diseases worldwide. This report provides the first integrated genomic and phenotypic analysis of two NESp strains identified in China. The NESp colonies are characterized by their rough texture and small size, and they exhibit a slower growth rate compared to other serotypes. Whole-genome sequencing has identified these NESps strains as belonging to the ST10236 type. Notably, these strains demonstrate multidrug resistance. In comparison to encapsulated strains, NESps possess fewer coding genes related to cell wall biogenesis and basal metabolism. However, they still retain crucial virulence genes including the pspK gene. Our findings highlight the clinical significance of NESps and emphasize the need for ongoing surveillance of these “capsule-free” clones in the post-PCV era.

Keywords: nonencapsulated Streptococcus pneumoniae, lower respiratory tract infection, multidrug resistance, virulence factors