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    <title>Overweg, K.</title>
    <link>http://repub.eur.nl/res/aut/5420/</link>
    <description>List of Publications</description>
    <language>en</language>
    <image>
      <url>http://repub.eur.nl/static-eur/img/logo.png</url>
      <title>RePub, Erasmus University Rotterdam</title>
      <link>http://repub.eur.nl</link>
    </image>
    <item>
      <title>Streptococcus pneumoniae: molecular epidemiological aspects and the identification of virulence factors (Doctoral Thesis)</title>
      <link>http://repub.eur.nl/res/pub/20462/</link>
      <pubDate>2000-09-08T00:00:00Z</pubDate>
      <description></description>
    </item> <item>
      <title>The putative proteinase maturation protein A of Streptococcus pneumoniae is a conserved surface protein with potential to elicit protective immune responses (Article)</title>
      <link>http://repub.eur.nl/res/pub/9386/</link>
      <pubDate>2000-01-01T00:00:00Z</pubDate>
      <description>Surface-exposed proteins often play an important role in the interaction
          between pathogenic bacteria and their host. We isolated a pool of
          hydrophobic, surface-associated proteins of Streptococcus pneumoniae. The
          opsonophagocytic activity of hyperimmune serum raised against this protein
          fraction was high and species specific. Moreover, the opsonophagocytic
          activity was independent of the capsular type and chromosomal genotype of
          the pneumococcus. Since the opsonophagocytic activity is presumed to
          correlate with in vivo protection, these data indicate that the protein
          fraction has the potential to elicit species-specific immune protection
          with cross-protection against various pneumococcal strains. Individual
          proteins in the extract were purified by two-dimensional gel
          electrophoresis. Antibodies raised against three distinct proteins
          contributed to the opsonophagocytic activity of the serum. The proteins
          were identified by mass spectrometry and N-terminal amino acid sequencing.
          Two proteins were the previously characterized pneumococcal surface
          protein A and oligopeptide-binding lipoprotein AmiA. The third protein was
          the recently identified putative proteinase maturation protein A (PpmA),
          which showed homology to members of the family of peptidyl-prolyl
          cis/trans isomerases. Immunoelectron microscopy demonstrated that PpmA was
          associated with the pneumococcal surface. In addition, PpmA was shown to
          elicit species-specific opsonophagocytic antibodies that were
          cross-reactive with various pneumococcal strains. This antibody
          cross-reactivity was in line with the limited sequence variation of ppmA.
          The importance of PpmA in pneumococcal pathogenesis was demonstrated in a
          mouse pneumonia model. Pneumococcal ppmA-deficient mutants showed reduced
          virulence. The properties of PpmA reported here indicate its potential for
          inclusion in multicomponent protein vaccines.</description>
    </item> <item>
      <title>Differential protein expression in phenotypic variants of Streptococcus pneumoniae (Article)</title>
      <link>http://repub.eur.nl/res/pub/9425/</link>
      <pubDate>2000-01-01T00:00:00Z</pubDate>
      <description>Streptococcus pneumoniae undergoes spontaneous phase variation resulting
          in opaque and transparent colony forms. Differences in colony opacity
          correlate with differences in virulence: the transparent variants are more
          capable of colonizing the nasopharynx, whereas the opaque variants show
          increased virulence during systemic infections. To gain insight into the
          pathogenesis of pneumococcal disease at the molecular level, protein
          expression patterns of the phenotypic variants of two pneumococcal strains
          were compared by high-resolution two-dimensional protein electrophoresis.
          In comparison with transparent variants, the opaque variants reduced the
          expression of two proteins and overexpressed one protein. The proteins
          were identified by mass spectrometric analysis. The protein overexpressed
          in the opaque phenotype revealed significant homology to elongation factor
          Ts of Helicobacter pylori. One of the two proteins that were
          underexpressed in the opaque variants revealed significant homology to the
          proteinase maturation protein PrtM of Lactocobacillus paracasei, a member
          of the family of peptidyl-prolyl cis/trans isomerases. A consensus
          lipoprotein signal sequence suggests that the putative proteinase
          maturation protein A, designated PpmA, is located at the surface of the
          pneumococcus and may play a role in the maturation of surface or secreted
          proteins. The second underexpressed protein was identified as pyruvate
          oxidase, SpxB. The lower SpxB expression in opaque variants most probably
          explains the reduced production of hydrogen peroxide, a reaction product
          of SpxB, in this variant. Since a spxB-defective pneumococcal mutant has
          decreased ability to colonize the nasopharynx (B. Spellerberg, D. R.
          Cundell, J. Sandros, B. J. Pearce, I. Idanpaan-Heikkila, C. Rosenow, and
          H. R. Masure, 1996. Mol. Microbiol. 19:803-813, 1996), our data suggest
          that SpxB plays an important role in enhancing the ability of transparent
          variants to efficiently colonize the nasopharynx.</description>
    </item> <item>
      <title>Genetic relatedness within serotypes of penicillin-susceptible Streptococcus pneumoniae isolates (Article)</title>
      <link>http://repub.eur.nl/res/pub/9549/</link>
      <pubDate>2000-01-01T00:00:00Z</pubDate>
      <description>The molecular epidemiological characteristics of all Streptococcus
          pneumoniae strains isolated in a nationwide manner from patients with
          meningitis in The Netherlands in 1994 were investigated. Restriction
          fragment end labeling analysis demonstrated 52% genetic clustering among
          these penicillin-susceptible strains, a value substantially lower than the
          percentage of clustering among Dutch penicillin-nonsusceptible strains.
          Different serotypes were found within 8 of the 28 genetic clusters,
          suggesting that horizontal transfer of capsular genes is common among
          penicillin-susceptible strains. The degree of genetic clustering was much
          higher among serotype 3, 7F, 9V, and 14 isolates than among isolates of
          other serotypes, i.e., 6A, 6B, 18C, 19F, and 23F. We further studied the
          molecular epidemiological characteristics of pneumococci of serotype 3,
          which is considered the most virulent serotype and which is commonly
          associated with invasive disease in adults. Fifty epidemiologically
          unrelated penicillin-susceptible serotype 3 invasive isolates originating
          from the United States (n = 27), Thailand (n = 9), The Netherlands (n =
          8), and Denmark (n = 6) were analyzed. The vast majority of the serotype 3
          isolates (74%) belonged to two genetically distinct clades that were
          observed in the United States, Denmark, and The Netherlands. These data
          indicate that two serotype 3 clones have been independently disseminated
          in an international manner. Seven serotype 3 isolates were less than 85%
          genetically related to the other serotype 3 isolates. Our observations
          suggest that the latter isolates originated from horizontal transfer of
          the capsular type 3 gene locus to other pneumococcal genotypes. In
          conclusion, epidemiologically unrelated serotype 3 isolates were
          genetically more related than those of other serotypes. This observation
          suggests that serotype 3 has evolved only recently or has remained
          unchanged over long periods.</description>
    </item> <item>
      <title>Multidrug-resistant Streptococcus pneumoniae in Poland: identification of emerging clones (Article)</title>
      <link>http://repub.eur.nl/res/pub/9092/</link>
      <pubDate>1999-01-01T00:00:00Z</pubDate>
      <description>Penicillin resistance among Streptococcus pneumoniae isolates has rapidly
          emerged in Poland during the last decade and has reached prevalence levels
          of up to 14.4% in 1997. In order to investigate the nature of this
          increase, a molecular epidemiological analysis of
          non-penicillin-susceptible multidrug-resistant pneumococci isolated in
          1995 and 1996 was conducted. Thirty-seven patients who suffered mainly
          from upper respiratory tract infections and pneumococcal pneumonia were
          enrolled in this study. The medical centers to which the patients were
          admitted were located in 16 Polish towns across the country. Eight
          distinct BOX PCR types were observed, representing 14 subtypes.
          Restriction fragment end labeling (RFEL) analysis divided the pneumococcal
          strains into 16 distinct types. By combining the BOX PCR and RFEL data,
          four genetically distinct clusters of strains were identified. Two
          clusters represented the genetic clones 23F and 9V, which have recently
          emerged all over the world. The two other genetic clusters, which
          represented serotypes 23F and 6B, clearly predominated in the analyzed
          collection of Polish non-penicillin-susceptible pneumococcal strains.
          Since the latter clusters did not match any of the 133 RFEL types of
          non-penicillin-susceptible pneumococci collected in 15 other countries,
          their Polish clonal origin is most likely.</description>
    </item>
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