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Group B streptococcus (GBS) is the main cause of neonatal sepsis and meningitis. Bacterial surface proteins play a major role in GBS binding to and invasion of different host surfaces. The  scpB  and  lmb  genes, coding for fibronectin-binding and laminin-binding surface proteins, are present in almost all human GBS isolates. The  scpB-lmb  intergenic region is a hot spot for integration of two mobile genetic elements (MGEs): the insertion element IS 1548  or the group II intron GBSi1. We studied the structure of  scpB-lmb  intergenic region in 111 GBS isolates belonging to the intraspecies major clonal complexes (CCs). IS 1548  was mostly found (72.2%) in CC19 serotype III strains recovered more specifically (92.3%) from neonatal meningitis. GBSi1 was principally found (70.6%) in CC17 strains, mostly (94.4%) of serotype III, but also (15.7%) in CC19 strains, mostly (87.5%) of serotype II. No MGE was found in most strains of the other CCs (76.0%), notably CC23, CC10 and CC1. Twenty-six strains representing these three genetic configurations were selected to investigate the transcription and expression levels of  scpB  and  lmb  genes. Quantitative RT-PCR showed that  lmb  transcripts were 5.0- to 9.6-fold higher in the group of strains with IS 1548  than in the other two groups of strains (P<0.001). Accordingly, the binding ability to laminin was 3.8- to 6.6-fold higher in these strains (P≤0.001). Moreover, Lmb amount expressed on the cell surface was 2.4- to 2.7-fold greater in these strains (P<0.001). By contrast,  scpB  transcript levels and fibronectin binding ability were similar in the three groups of strains. Deletion of the IS 1548  sequence between  scpB  and  lmb  genes in a CC19 serotype III GBS strain substantially reduced the transcription of  lmb  gene (13.5-fold), the binding ability to laminin (6.2-fold), and the expression of Lmb protein (5.0-fold). These data highlight the importance of MGEs in bacterial virulence and demonstrate the up-regulation of  lmb  gene by IS 1548 ; the increased  lmb  gene expression observed in CC19 serotype III strains with IS 1548  may play a role in their ability to cause neonatal meningitis and endocarditis.

Enhanced Expression of lmb Gene Encoding Laminin-Binding Protein in Streptococcus agalactiae Strains Harboring IS1548 in scpB-lmb Intergenic Region