title: The sac-4 gene of Neisseria gonorrhoeae correlates with gonococcal subtype not co-existing chlamydial infection.
abstract: We examined the hypothesis that the sac-4 gene of Neisseria gonorrhoeae varies with gonococcal subtype and that this could account for an earlier report that sac-4 increased the likelihood of co-infection with Chlamydia trachomatis. A polymerase chain reaction (PCR) assay was used to determine the prevalence of sac-4 in 435 gonococcal isolates. The prevalence of sac-4 was analysed in relation to chlamydial co-infection, serovar, auxotype, gender and sexual orientation. Although the prevalence of sac-4 was higher in isolates from patients with chlamydial co-infection (55%) than in those without chlamydial co-infection (42%) the difference was not significant (P<0.05). Statistically significant differences in association with sac-4 were, however, shown between various serovars and auxotypes. Dual classification based on auxotype/serovar (A/S) classes showed highly significant differences in sac-4 prevalence between groups: 95% in NR/1B18 and 8% in P/1B2 (P<0.001). Sac-4 was also significantly less common (P<0.05) in isolates from homosexual men (35%) than from heterosexual men (49%) or women (49.5%). Sac-4 appears to have an epidemiological association with gonococcal auxotype and serovar rather than a direct association with chlamydial co-infection.
authors.affiliation: Scottish Neisseria gonorrhoeae Reference Laboratory, Department of Medical Microbiology, Edinburgh University Medical School, Teviot Place, Edinburgh EH8 9AG, Scotland, UK.
authors.forename: S
authors.initials: S
authors.lastname: Gretton
authors.forename: C
authors.initials: C
authors.lastname: Patrizio
authors.forename: H
authors.initials: H
authors.lastname: Young
mesh_terms: D001426:Bacterial Proteins / Q000235:genetics* / Q000378:metabolism; D002690:Chlamydia Infections / Q000150:complications*; D002692:Chlamydia trachomatis; D004269:DNA, Bacterial / Q000032:analysis; D005260:Female; D005798:Genes, Bacterial; D006069:Gonorrhea / Q000150:complications* / Q000382:microbiology; D020010:Heterosexuality; D006716:Homosexuality; D006801:Humans; D008297:Male; D009344:Neisseria gonorrhoeae / Q000145:classification* / Q000235:genetics; D016133:Polymerase Chain Reaction
chemical_list: D001426:Bacterial Proteins; D004269:DNA, Bacterial