Accepted Manuscript Multilocus sequence type profiles of Bacillus cereus isolates from infant formula in China Yong Yang, Xiaofeng Yu, Li Zhan, Jiancai Chen, Yunyi Zhang, Junyan Zhang, Honghu Chen, Zheng Zhang, Yanjun Zhang, Yiyu Lu, Lingling Mei PII:
S0740-0020(16)30181-2
DOI:
10.1016/j.fm.2016.09.007
Reference:
YFMIC 2616
To appear in:
Food Microbiology
Received Date: 7 March 2016 Revised Date:
9 September 2016
Accepted Date: 11 September 2016
Please cite this article as: Yang, Y., Yu, X., Zhan, L., Chen, J., Zhang, Y., Zhang, J., Chen, H., Zhang, Z., Zhang, Y., Lu, Y., Mei, L., Multilocus sequence type profiles of Bacillus cereus isolates from infant formula in China, Food Microbiology (2016), doi: 10.1016/j.fm.2016.09.007. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Multilocus sequence type profiles of Bacillus cereus isolates from infant formula in China
2
Yong Yang , Xiaofeng Yu , Li Zhan , Jiancai Chen , Yunyi Zhang , Junyan Zhang , Honghu
3
Chena, Zheng Zhanga, Yanjun Zhanga, Yiyu Lua, Lingling Meia* a
4 5
b
a
a
a
a
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a
Department of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
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b
7
*Corresponding author.
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Prof. Lingling Mei
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Department of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention
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College of Food Science, Shihezi University, Shihezi, Xinjiang 832001,China
No. 3399, Binsheng Rd., Hangzhou, 310051, China
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Tel: 086-571-87115397, Fax: 086-571-87115279 E-mail:
[email protected]
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Abstract: Bacillus cereus sensu stricto is an opportunistic foodborne pathogen. The
13
multilocus sequence type (MLST) of 74 B. cereus isolated from 513 non-random infant
14
formula in China was analyzed. Of 64 sequence types (STs) detected, 50 STs and 6 alleles
15
were newly found in PubMLST database. All isolates except for one singleton (ST-1049),
16
were classified into 7 clonal complexes (CC) by BURST (n-4), in which CC1 with core
17
ancestral clone ST-26 was the largest group including 86% isolates, and CC2, 3, 9, 10 and
18
13 were first reported in China. MLST profiles of the isolates from 8 infant formula brands
19
were compared. It was found the brands might be potentially tracked by the variety of STs,
20
such as ST-1049 of singleton and ST-1062 of isolate from goat milk source, though they
21
could not be easily tracked just by clonal complex types of the isolates.
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Keywords: Bacillus cereus, MLST, clonal complex, infant formula, surveillance
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1. Introduction
Bacillus cereus sensu lato is a Gram-positive spore-forming bacterial group, consisting
of
B. anthracis, B. cereus, B. cytotoxicus, B. mycoides, B. pseudomycoides, B.
thuringiensis, and B. weihenstephanensis. It has a great diversity of phylogenesis and
27
occupies widespread ecological niches (Ceuppens et al. 2013). B. cereus sensu stricto (B.
28
cereus in short) is an opportunistic foodborne pathogen, produces toxins such as cereulide,
29
cytotoxin K, hemolysin BL (HBL) and non-hemolytic enterotoxin (NHE), and causes food
30
poisoning or even severe human infectious diseases (Rowan and Anderson, 1998; 1
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Ehling-Schulz et al, 2005; Arnesen et al., 2008; Bottone, 2010). It was suggested that B.
32
cereus should be controlled and might be a suitable microbiological safety indicator for food
33
products, especially for infant formula (De Jonghe et al., 2008; Lund, 2015). Infant formula is considered as one of high risk foods on account of its high protein
35
contents and its vulnerable consumers. Great attention has been paid to infant formula
36
safety around the world, especially after melamine incidence in China (Newell et al., 2010).
37
The surveillance of B. cereus along infant formula production chains was carried out (Carlin,
38
2011). It was discovered that B. cereus isolates mostly occurred in infant formula with other
39
thermophilic
40
stearothermophilus (Becker et al., 1994; Bartoszewicz et al., 2008; Haughton et al., 2010;
41
Sadiq et al., 2015). B. cereus might come from farm lands, endure ultrahigh-temperature
42
(UHT) pasteurization and concentration, survive from spray drying tower and appear in final
43
products (McAuley et al., 2014). Toxin genes such as ces, cytK, hbl and nhe were detected
44
in B. cereus isolates from lots of food (Svensson et al., 2007; Lücking et al., 2013; Hwang
45
and Park, 2015; Organji et al., 2015). It was suggested that the B. cereus pathogens should
46
be intensively monitored in infant formula (Shaheen et al., 2006; Di Pinto et al., 2013).
species
such
as
B.
licheniformis
and
Geobacillus
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spore-forming
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34
Multilocus sequence type (MLST) is a housekeeping gene-based molecular typing
48
technique, first developed for Neisseria meningitidis typing (Maiden et al., 1998; Spratt,
49
1999; Urwin and Maiden, 2003). It is not only a portable and comparable method for
50
characterizing bacteria at a nucleic acid molecule level, but also a powerful tool for
51
pathogenic microorganism tracing and genetic evolution exploration (van Belkum, 2003;
52
Cardazzo et al., 2008; Pérez-Losada et al., 2013). MLST has been intensively used to type
53
over 70 bacterial species, 7 eukaryotes, 1 bacteriophage (Lactococcus lactis 936-like
54
bacteriophages) and 4 plasmids (Chan et al., 2001; Cooper and Feil, 2004; Maiden, 2006).
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Since the MLST scheme for B. cereus sensu lato was built in 2004, the genetic diversity
56
of clinical and foodborne isolates was extensively studied with MLST (Helgason et al., 2004;
57 58 59 60 61
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Vassileva et al., 2006; Cardazzo et al. 2008; Hoffmaster et al., 2008). However, the MLST of B. cereus sensu stricto isolates from infant formula were not systematically estimated both in China and abroad. The exploration of molecular character of B. cereus in infant formula is in great need for foodborne disease prevention and control (Ehling-Schulz and Messelhäusser, 2013).
62
The aim of this study was to provide the first overview of MLST profiles of B. cereus
63
isolates from infant formula in China. The results would enrich database of B. cereus in
2
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PubMLST (http://pubmlst.org/bcereus) and might be used in tracking of infant formula
65
brands in the future.
66
2. Materials and methods 2.1. Infant formula samples and B. cereus isolates
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74 B. cereus isolates in this study were isolated from 513 non-random infant formula
69
samples of 23 brands in Chinese market between 2012 and 2013 by using mannitol, yolk
70
and polymyxin agar plate (MYP) (LUQIAO,Beijing, China) (GB 4789.14, 2014), and
71
re-identified by both morphological observation and biochemical test with VITEK 2 Systems
72
and BCL TEST KIT (bioMerieux, Inc, USA).
73
2.2. Genome DNA extract
SC
68
Each strain was streaked on nutrient agar plates and incubated at 37℃ for 16-18 h.
75
5-10 colonies were collected into 200ul sterilized purified water, centrifuged at 12,000 rpm
76
for 5 min. The precipitate was used to extract genome DNA with Bacterial DNA kit (OMEGA,
77
bio-tek) according to operating instruction.
78
2.3. Housekeeping gene amplification
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Seven housekeeping genes glp, gmk, ilv,pta, pur, pyc and tpi were to be sequenced
80
according to MLST scheme for B. cereus in PubMLST (http://pubmlst.org/bcereus/
81
info/primers.shtml). PCR amplification conditions for the genes were briefly showed in table
82
1 (Hoffmaster et al., 2008). PCR kit (TaKaRa, China), Mastercycler proS (Eppendorf,
83
Germany), Electrophoresis and Gel Imaging System (BIO-RAD, Milan, Italy) were used in
84
the study. All primers were synthesized by Sangon, China.
85
Table 1
86
The PCR amplifying conditions for housekeeping genes of B. cereus.
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Gene
glpF
gmk
Protein
PCR primers
(ºC)
glycerol
uptake
a
F-GCGTTTGTGCTGGTGTAAGT
facilitator protein
a
guanylate
F-ATTTAAGTGAGGAAGGGTAGG
kinase,
(putative) ilvD
Annealing temp.
dihydroxy-acid
59
R-CTGCAATCGGAAGGAAGAAG 56
R-GCAATGTTCACCAACCACAA F-CGGGGCAAACATTAAGAGAA 3
58
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dehydratase ilvD_2*b
R-GGTTCTGGTCGTTTCCATTC F-AGATCGTATTACTGCTACGG
58
R-GTTACCATTTGTGCATAACGC phosphate acetyltransferase pur
phosphoribosyl-amin o-imidazole
F-GCAGAGCGTTTAGCAAAAGAA R-TGCAATGCGAGTTGCTTCTA F-CTGCTGCGAAAAATCACAAA
SC
pyruvate carboxylase
56
R-CTCACGATTCGCTGCAATAA
carboxamide pycA
56
RI PT
pta
F-GCGTTAGGTGGAAACGAAAG
57
tpi
triosephosphate isomerase
Recycling
step 1: 95℃ 3min.
procedure step 2: 94℃,30S.
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R-CGCGTCCAAGTTTATGGAAT
F-GCCCAGTAGCACTTAGCGAC
58
R-CCGAAACCGTCAAGAATGAT
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step 3: annealing temperature (above), 60~90S. step 4: 72℃, 60S.
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step 2-4, 30 cycles. step 5: 72℃,7min.
88 89 90 91
a. F- and R- were referred to forward and reverse primers with direction from 5' to 3',
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87
respectively.
b.ilvD_2* was alternative to ilvD as B. cereus was emetic toxin producing strain. In this
study, if the amplification of ilvD was failed, then ilvD_2 was used. 2.4. Housekeeping gene sequencing
92
PCR product was purified using the kit SK1131 (Sangon, China) according to
93
manufacturer’s instructions, then 10 ng purified DNA was sequenced in 3730XL Genetic
94
Analyser (Applied Biosystems, California, USA) with PCR forward primer firstly. The reverse 4
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primer was used when the forward primer did not work and the gmk (504bp) was sequenced
96
with both forward and reverse primers in case of sequencing data distortion.
97
2.5. Database interrogation for allele sequence and ST identification The allele numbers were provided after submission of housekeeping gene sequences
99
to PubMLST. If there were no exact allele sequences for submitted sequences, novel allele
100
numbers would be assigned. The multilocus sequence type of each isolate was the
101
arrangement of 7 housekeeping gene allele numbers. If there was no same arrangement
102
for submitted ST, a new ST number would also be assigned. All novel allele sequences
103
and STs detected in the study has been submitted to PubMLST database, and endowed
104
new numbers.
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105
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2.6. Clonal complexes clustering
Online BURST (based upon related sequence types) algorithm, simple and speedy for
107
epidemiological surveillance disregarding much of the evolutionary information contained in
108
the nucleotide sequence, was used for analysis (Urwin and Maiden, 2003; Vassileva et al.,
109
2006). The isolates in this study together with isolates of B. cereus sensu stricto in
110
PubMLST database were clustered into separate clonal complexes by BURST (n-4, 3 or
111
more matches) (Didelot et al., 2009). The collection places of the isolates were adopted as
112
their geographical distribution regions (origins) in tracking analysis.
113
3. Results and Discussion
114
3.1. The MLST profile diversity of B. cereus isolates from infant formula in China
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The MLST profiles of 74 isolates were shown in table 2. Of the 74 isolates subtyped, 64
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STs were obtained and 50 STs were first found and assigned to new ST numbers from 1029
117
to 1077, and 1079, with corresponding ID from 1776 to 1824, and 1753. Six novel alleles
118
including pta-232, pur-216, pur-217, pyc-181, tpi-183 and tpi-184 were detected. It indicated
120 121 122
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that the MLST profiles of B. cereus isolates from infant formula in China were highly diverse (Barker et al., 2005; Vassileva et al., 2007; Hoffmaster et al., 2008; Didelot et al., 2009).
3.2. The clonal complexes of B. cereus isolates from infant formula in China Based on genetic, prevalent and microbiological criteria, distinct STs in MLST datasets
123
were classified into separate clonal complexes by BURST (n-4), which was an unweighted
124
similarity comparison method other than genetic comparison method of Split-tree (Urwin
125
and Maiden, 2003). 64 STs were grouped into 7 of 23 clonal complexes (table 3). The
126
largest clonal complex 1 (CC1) containing 55 STs was sub-grouped into 9 sub-clonal 5
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complexes (figure 1). ST-26 was a well-known cosmopolitan ST distributed worldwide, and
128
was a key ancestral clone in B. cereus (Tourasse et al., 2011). It was verified that ST-26
129
was also the most popular ancestral clone of the B. cereus isolates from infant formula in
130
China, since 86% STs (55/64) belonging to CC1 were originated from it. Five ST-1038, 1048, 1050, 1057 and 1062 were belonged to CC2, 3, 9, 10 and 13,
132
respectively. These 5 CCs are first reported in China, however it was uncertain whether they
133
were indigenous or exotic because the milk powder or whey powder used in infant formula
134
in China were mostly imported from other countries after the melamine incident. The ST-978,
135
1033 and 1075 in CC15 were only detected in China and the ancestral clone ST-978 was
136
isolated from seawater in Fujian province of China. It was speculated that the CC15
137
members could be disseminated around circumjacent ocean countries. The singleton
138
ST-1049 could not be grouped into any clonal complex by BURST (n-4), and the origin of
139
milk powder was uncertain.
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131
140
Table 3
141
The clonal complexes of 64 STs classified by BURST (n-4). Clonal complex
ST
(CC)
4,24,26*a,31,32,92,118,144,205,371,380,795,
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CC1
Origin
Cosmopolitan
869,1029-1032,1034-1037,1039-1047,1051-10 56,1058-1061,1063-1074,1076,1077,1079
CC3
(12, 202) ,1048
UK, USA
(125) ,1038
USA
CC10
(160), 1062
Japan, Italy, UK
CC13
(375), 1057
Italy
CC15
978*, 1033,1075
China
1049
?
singleton
142 143
Japan, USA Canada, Italy, Pakistan,
AC C
CC9
b
(365*) ,1050
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CC2
c
Note: a. Potential ancestral STs were marked by asterisk (*). b. STs enclosed in brackets were the reference STs, not isolates in this study. 6
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c. Its origin was uncertain.
147 148 149 150 151 152
Fig.1. The image of clonal complex 1 (CC1) and its 9 sub-clonal complexes.
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3.3. Comparison of MLST profiles between isolates from different brands Considering that the STs of isolates in infant formula might vary with different milk
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144
sources used by manufacturers (Hall et al., 2012), it made sense to dissect isolate ST presence from different brands. Comparison of MLST profiles between the 18 isolates from 8 brands with definite milk sources were listed in table 4. Most STs were included in CC1, and only ST-1049 from brand 2, ST-1033, ST-1075
153
from brand 3, and ST-1062 from brand 6 were included in singleton, CC15 and CC10,
154
respectively. It indicated that the brands or milk sources of infant formula could not be easily
155
tracked only by isolate clonal complex types. However, if the singleton ST-1049 was specific
7
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to New Zealand, and ST-1062 (in CC10) was specific to goat milk in China, they might be
157
used as a specific tracking tool. All STs of isolates were not overlapped in 8 brands except for ST-24 detected in 3
159
brands, and two isolates of A141 and A243 from brand 1 had same ST-1077, which
160
indicated that a variety of STs might be potentially used to track which brands the strains
161
isolated from (Quested et al., 2010). Both ST-1033, and ST-1075 were detected in brand 3
162
from New Zealand, which supported the speculation that the CC15 members could be
163
disseminated around circumjacent ocean countries.
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In conclusion, the MLST profiles of the isolates from infant formula in China were highly
165
diverse. A larger number of infant formula samples from different countries, brands and
166
batches over a longer time-frame will be collected to verify whether the variety of STs could
167
be used to track origins of the isolates in next study.
168
Table 4
169
The comparison of MLST profiles between the isolates from 8 brands.
24(A73)
1056(A284)
32(B101)
1058(A316)
Clonal complex
Milk source
CC1
China
New Zealand
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1
ST (isolate)
M AN U
Brand
SC
164
1050(A159)
1029(A9)
1054(A279)
1032(A33)
1055(A282)
EP
795(A329)
1076(B258)
1041(A56)
1077(A124,A131)
AC C
1039(A51)
2
3
144(A10)
1065(A8)
CC1
1030(A16)
1066(B232)
*Singleton
1045(A118)
1067(B233)
1047(A122)
1049*(A157)
24(A58)
1027(B82)
26(A320)
1051(A243)
8
CC1
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1075(B135)
CC15
24(A114)
1031(A17)
CC1
Netherlands
118(B281)
1052(A257) Ireland
4
5
1063(B133)
CC1
6
1062(A342)
CC10
1074(B7)
CC1
7
1065(B160)
CC1
8
1071(B259)
CC1
RI PT
1033(A34)
China
SC
(goat milk)
Table 2
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The MLST profiles of B. cereus isolates from infant formula in China. Isolateb
MLST
gmk
ilv
pta
pur
pyc
tpi
ST
31
5
19
3
91
1029
63
5
36
3
4
1030
111
11
9
104
8
1031
A9
3
2
1777
A16
22
2
1778
A17
14
8
1779
A33
117
4
123
118
43
6
3
1032
1780
A34
81
53
8
193
113
93
80
1033
1781
A39
13
8
122
107
38
12
88
1034
1782
A339
3
2
31
5
9
3
4
1035
1783
A44
5
2
122
5
39
3
91
1036
TE D
1776
EP
glp
AC C
IDa
M AN U
170
1784
A46
11
9
14
12
16
14
180
1037
1785
A49
58
34
31
48
16
20
26
1038
1786
A51
3
2
31
5
32
3
4
1039
1787
A52
3
2
31
5
52
3
4
1040
1788
A56
3
2
31
5
12
3
4
1041
1789
A57
43
26
59
42
19
41
63
1042
9
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A59
19
2
70
60
181
3
43
1043
1791
A115
12
8
8
11
4
12
8
1044
1792
A118
13
9
14
12
12
14
180
1045
1793
A119
11
2
63
5
36
3
4
1046
1794
A122
3
9
18
220
20
19
7
1047
1795
A123
22
7
7
2
7
10
13
1048
1796
A157
85
56
59
64
64
85
26
1049
1797
A159
65
1
93
214
51
37
166
1050
1798
A243
3
2
63
5
36
3
55
1051
1799
A257
47
28
31
26
2
36
7
1052
1800
A278
19
2
1801
A279
19
2
1802
A282
19
2
1803
A284
22
2
1804
A285
110
56
1805
A316
3
23
1806
A319
24
1807
A332
3
1808
A336
43
1809
A342
73
5
16
3
55
1053
31
5
16
3
55
1054
63
5
19
3
55
1055
18
5
36
19
7
1056
9
102
112
96
26
1057
122
152
38
43
88
1058
22
14
37
34
14
180
1059
26
59
17
19
126
55
1060
26
59
42
39
41
63
1061
43
224
60
64
63
32
1062
AC C
TE D
21
EP
M AN U
SC
RI PT
1790
1810
B133
22
9
18
220
20
19
7
1063
1811
B159
12
8
28
14
11
12
10
1064
1812
B160
3
2
31
5
19
3
2
1065
1813
B232
19
2
31
5
19
3
91
1066
1814
B239
19
4
31
5
43
46
91
1067
1815
B239
6
40
41
59
61
60
3
1068
10
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B251
70
8
65
11
9
12
48
1069
1817
B252
13
2
8
5
19
3
7
1070
1818
B259
3
4
63
4
204
6
4
1071
1819
B264
6
4
8
5
36
6
181
1072
1820
B279
3
2
63
5
19
3
4
1073
1821
B7
67
2
63
5
216*c
3
4
1074
1822
B135
179
53
117
232*
113
93
80
1075
1823
B258
19
2
21
5
36
156
183*
1824
A124
40
9
14
12
217*c
181*c
7
1077
1753
A280
14
8
43
11
9
104
184*c
1079
A287
13
8
A58
12
8
A73
12
8
A114
12
8
A322
12
8
A74
3
2
A320
3
B282
3
SC
c
1076
11
11
12
7
4
9
14
11
12
10
24
9
14
11
12
10
24
9
14
11
12
10
24
9
14
11
12
10
24
31
5
16
3
4
26
2
31
5
16
3
4
26
2
31
5
16
3
4
26
A50
21
2
19
5
16
18
2
31
A317
5
4
3
4
15
6
16
32
AC C
TE D
8
EP
M AN U
c
RI PT
1816
B101
5
4
3
4
15
6
16
32
A321
6
4
42
4
16
6
3
92
B281
47
28
14
26
2
36
7
118
A10
67
2
63
5
36
3
4
144
A330
67
2
63
5
36
3
4
144
A76
19
2
21
5
19
3
2
205
11
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21
2
19
5
32
18
2
371
A259
3
2
116
5
36
3
4
380
A329
51
2
21
5
19
3
2
795
A132
19
2
59
5
19
3
2
869
A77
81
53
117
193
113
93
80
978
B82
174
5
29
49
191
154
80
1027
A8
3
2
31
5
19
3
2
1065
A131
40
9
14
12
217
181
7
1077
SC
RI PT
A286
Notes: a. ID was only assigned to isolates with new STs by PubMLST. So there were
173
some isolates with no ID in this ID column.
174 175
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b. In front of isolate number, A or B was added. “A-” indicated the strain was collected in 2012, “B-” indicated the strain was collected in 2013.
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c. Novel alleles found in this study were marked with asterisk (*).
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Acknowledgements
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This
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no.2015M570525),
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(LY13C200008), Major Science and Technology Special Projects of Zhejiang, China
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(2013C03045-1), and Public Welfare Project of Zhejiang Province (2015C37058). We thank
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Prof. Jay Gee (CDC, USA) for advice on this paper.
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Highlights: The MLST of 74 B. cereus isolates from infant formula in China was analyzed. Of 64 STs obtained, 50 STs and 6 alleles were newly found in PubMLST database. The isolates were classified into 7 clonal complexes and one singleton by BURST (n-4). A variety of STs of the isolates might be used in milk sources or brands tracking.