In view of increasing reports of infections due to virulent
Providencia species including cytolethal distending toxin (
cdt) gene-positive strains, it is important to identify the reservoirs and transmission routes of such pathogenic strains.
Raccoons considered to be a source of zoonotic pathogens were monitored for the presence of
Providencia species in Japan and analyzed for
cdt genes. Of 384 wild raccoon rectal swabs analyzed, 60% were positive for
Providencia species, of which 20% carried
cdt-genes.
Among seven
Providencia species isolated (
P. alcalifaciens, P. rustigianii, P. rettgeri, P. stuartii, P. heimbachae, P. vermicola, and
P. huaxiensis),
cdt genes were distributed in
P. alcalifaciens (63%),
P. rustigianii (16%), and novel in
P. rettgeri (21%). Complete
cdt gene clusters were identified in
P. alcalifaciens and
P. rustigianii strains, whereas
P. rettgeri had intact
cdtB but truncated
cdtA and
cdtC genes. Phylogenetic analyses showed divergent pulsotypes among the
cdt gene-positive
Providencia strains.
Cytotoxicity assay revealed that
P. alcalifaciens and
P. rustigianii produced CDT more toxic to eukaryotic cells compared to human clinical strains, which were neutralized by anti-PaCdtB serum. As expected, the
P. rettgeri strains with truncated
cdt genes had no biological activity. Molecular analysis revealed that all the
cdt genes were located on plasmids as determined by S1-nuclease pulsed-field gel electrophoresis (S1-PFGE) and Southern hybridization assay.
Intriguingly, the
cdtB gene in
P. rustigianii strains was detected on dual plasmids. Notably, all the
cdt gene-positive
Providencia strains were found to carry plasmid-mediated T3SS-related genes.
These results suggest that wild raccoons are possible reservoir of virulent
Providencia strains in Japan.
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