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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2024.1475878</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Development and application of a quadruplex TaqMan fluorescence quantitative PCR typing method for <italic>Streptococcus suis</italic> generalis, type 2, type 7 and type 9</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Wang</surname>
<given-names>Haojie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Chen</surname>
<given-names>Jianxing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Sun</surname>
<given-names>Yue</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2809404"/>
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<contrib contrib-type="author">
<name>
<surname>An</surname>
<given-names>Tongqing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Yue</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Hongyan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Yu</surname>
<given-names>Changqing</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1739887"/>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Xia</surname>
<given-names>Changyou</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>He</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>State Key Laboratory for Animal Disease Control and Prevention, Harbin Veterinary Research Institute, Chinese Academy of Agricultural Sciences</institution>, <addr-line>Harbin</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>College of Life Sciences and Technology, Mudanjiang Normal University</institution>, <addr-line>Mudanjiang</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>School of Advanced Agricultural Sciences, Yibin Vocational and Technical College</institution>, <addr-line>Yibin</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Xueyuan Hu, Qingdao Agricultural University, China</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Shuanghui Yin, Chinese Academy of Agricultural Sciences, China</p>
<p>Hui Li, Sun Yat-sen University, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: He Zhang, <email xlink:href="mailto:zhanghe01@caas.cn">zhanghe01@caas.cn</email>; Changyou Xia, <email xlink:href="mailto:xiachangyou@caas.cn">xiachangyou@caas.cn</email>; Changqing Yu, <email xlink:href="mailto:ycq_1926@126.com">ycq_1926@126.com</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>18</day>
<month>11</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>14</volume>
<elocation-id>1475878</elocation-id>
<history>
<date date-type="received">
<day>04</day>
<month>08</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>10</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Wang, Chen, Sun, An, Wang, Chen, Yu, Xia and Zhang</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Wang, Chen, Sun, An, Wang, Chen, Yu, Xia and Zhang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>
<italic>Streptococcus suis</italic> (SS) is one of the most important pathogens causing major economic losses in the global pig farming industry and is a serious threat to public health safety. It has multiple serotypes, with poor cross-protection between serotypes, and effective typing methods are lacking.</p>
</sec>
<sec>
<title>Methods</title>
<p>In this study, a quadruplex TaqMan fluorescence quantitative PCR assay that can differentiate between <italic>Streptococcus suis</italic> types 2, 7 and 9 was developed using the <italic>gdh</italic> gene, a generic gene for <italic>Streptococcus suis</italic>, and <italic>cps2J</italic>, <italic>cps7H</italic> and <italic>cps9J</italic>, genes encoding podocarp-associated genes for types 2, 7 and 9, respectively, as targets.</p>
</sec>
<sec>
<title>Results</title>
<p>The method is specific enough to accurately type <italic>Streptococcus suis</italic> pigmentosus without detecting non-target pathogens (<italic>Escherichia coli</italic>, <italic>Pasteurella multocida</italic>, <italic>Staphylococcus aureus</italic>, <italic>Streptococcus agalactiae, Streptococcus pneumoniae</italic> and et&#xa0;al). The sensitivity was high, with a minimum lower detection line of 10 copies for P-SS and P-SS9, and 100 copies for P-SS2 and P-SS7. The standard curves generated showed good linearity with R<sup>2</sup> of 0.999, 0.999, 0.997 and 0.998 respectively. The repeatability was good, with coefficients of variation between batch to batch and batch to batch tests ranging from 0.21% to 1.10%. Testing of 156 samples yielded 68 positive and 88 negative samples, of which the positive rate of SS was 5.77% (9/156), SS2 was 20.51% (32/156), SS7 was 8.33% (13/156) and SS9 was 9.6% (15/156), which was in line with the existing fluorescent quantitative PCR assay of 93.75%~100%, which was higher than the detection rate of conventional PCR.</p>
</sec>
<sec>
<title>Discussion</title>
<p>The quadruplex TaqMan fluorescence quantitative PCR method of <italic>Streptococcus suis</italic> generic, type 2, 7 and 9 established in this study can accurately differentiate the three serotypes of <italic>Streptococcus suis</italic> that currently have high prevalence and pathogenicity, which is of great importance for accurate clinical prevention and treatment, epidemiological investigation and vaccine development.</p>
</sec>
</abstract>
<kwd-group>
<kwd>
<italic>Streptococcus suis</italic>
</kwd>
<kwd>type 2</kwd>
<kwd>type 7</kwd>
<kwd>type 9</kwd>
<kwd>quadruplex TaqMan fluorescence quantitative PCR</kwd>
<kwd>typing</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="7"/>
<equation-count count="1"/>
<ref-count count="34"/>
<page-count count="9"/>
<word-count count="3505"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Veterinary and Zoonotic Infection</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>
<italic>Streptococcus suis</italic> (<italic>S. suis</italic>, SS) is a multi-animal commensal pathogen that colonises the upper respiratory tract of pigs, particularly the tonsils and nasal passages, and some serotypes of SS are pathogenic, mainly through wound infection (<xref ref-type="bibr" rid="B9">Hatrongjit et&#xa0;al., 2024</xref>). They can cause a wide range of diseases in pigs, including acute septicaemia, meningitis, arthritis, endocarditis and pneumonia, posing a serious threat to the development of pig farming and public health (<xref ref-type="bibr" rid="B12">Jiang et&#xa0;al., 2024</xref>). SS has been subdivided into 35 serotypes, including types 1 to 34 and 1/2, according to its capsule antigen (CPS) (<xref ref-type="bibr" rid="B6">Gao et&#xa0;al., 2024</xref>). <italic>Streptococcus suis</italic> type 1 (SS1), <italic>Streptococcus suis</italic> type 2 (SS2), <italic>Streptococcus suis</italic> type 7 (SS7) and <italic>Streptococcus suis</italic> type 9 (SS9) are the causative agents in pigs, but SS2, SS7 and SS9 are the most pathogenic (<xref ref-type="bibr" rid="B5">Dong et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B10">Hatrongjit et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B1">Cao et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B4">de et&#xa0;al., 2024</xref>). Among them, SS2 is the most serious threat, classified as a zoonotic infectious disease, and is the predominant causative agent both in the population and in pig herds, with the highest pathogenicity and prevalence, and is the primary target of detection for outbreak surveillance and pathogen identification, e.g (<xref ref-type="bibr" rid="B15">Liu et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B33">Yin et&#xa0;al., 2024</xref>). 436 cases of SS infection were detected in Thailand from January to September 2023, of which 9 died (<xref ref-type="bibr" rid="B23">Tungwongjulaniam et&#xa0;al., 2024</xref>). In addition, with the development of intensive farming, the prevalence of SS infections in china cannot be ignored, but due to the numerous serotypes of SS, the complexity of virulence factors and the interaction and linkage of virulence factors and pathogenic mechanism are still not clear, and there is a lack of effective means used to prevent and control the disease (<xref ref-type="bibr" rid="B19">Scherrer et&#xa0;al., 2024</xref>). Therefore, the establishment of rapid and effective diagnostic methods and the accumulation of epidemiological data are of great importance for the development of vaccines and the prevention and control of the disease.</p>
<p>Currently, bacterial isolation and culture with remains the gold standard for the diagnosis of SS (<xref ref-type="bibr" rid="B16">Okuhama-Yoshida et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B25">Uru&#xe9;n et&#xa0;al., 2023</xref>), but the method is time-consuming, with low sensitivity and high operational requirements, which is not conducive to promotion and outbreak monitoring, and the serological method cannot differentiate between podless and self-coagulating strains (<xref ref-type="bibr" rid="B22">Thu et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B5">Dong et&#xa0;al., 2023</xref>). With the development of molecular biology, single or multiplex PCR (<xref ref-type="bibr" rid="B14">Kerdsin et&#xa0;al., 2014</xref>), MLST (<xref ref-type="bibr" rid="B30">Xia et&#xa0;al., 2024</xref>), single fluorescent quantitative PCR (<xref ref-type="bibr" rid="B28">Wang et&#xa0;al., 2024</xref>) and other methods have been established according to the universal gene of SS or different serotype-specific podocardial antigenic genes, which have realised the identification and typing of SS at the gene level, compensated for the inadequacy of serological typing and improved the accuracy and sensitivity of detection (<xref ref-type="bibr" rid="B27">Wang et&#xa0;al., 2024</xref>). However, these methods do not allow multiple tests to be performed simultaneously, which increases the workload and cost of epidemic surveillance. In order to interrupt the spread of epidemics in a timely manner, rapid, sensitive and accurate early detection is essential for the implementation of stringent hygiene and biosecurity measures. Therefore, this study has established a rapid, sensitive and specific quadruplex TaqMan fluorescence quantitative PCR method for the simultaneous detection of SS2, SS7, SS9 and other serotypes, which are currently the most harmful and widespread.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Strains and clinical samples</title>
<p>
<italic>Streptococcus suis</italic> type 1 (SS1), <italic>Streptococcus suis</italic> type 2 (SS2), <italic>Streptococcus suis</italic> type 7 (SS7), <italic>Streptococcus suis</italic> type 9 (SS9), <italic>Streptococcus suis</italic> type 14 (SS14), <italic>Escherichia coli</italic> (<italic>E. coli</italic>), <italic>Pasteurella multocida</italic> (<italic>P. multocida</italic>), <italic>Staphylococcus aureus</italic> (<italic>S. aureus</italic>), <italic>Streptococcus agalactiae</italic> (<italic>S. agalactiae</italic>)<italic>, Streptococcus pneumoniae</italic> (<italic>S. pneumoniae</italic>), <italic>Actinobacillus pleuropneumoniae</italic> (<italic>A. pleuropneumoniae</italic>), <italic>Mycoplasma hyopneumoniae</italic> (<italic>M. hyopneumoniae</italic>), <italic>Enterococcus faecalis</italic> (<italic>E. faecalis</italic>), <italic>Streptococcus pyogenes</italic> (<italic>S. pyogenes</italic>), <italic>Glaesserella parasuis</italic> (<italic>G. parasuis</italic>), Swine Influenza Virus (SIV), Porcine Pseudorabies Virus (PRV), Porcine Circovirus Type 2 (PCV2), Porcine Reproductive and Respiratory Syndrome Virus (PRRSV) are maintained in this laboratory. 156 pig swabs and pig tissue samples (joint fluid, tonsils, lungs) were collected from March 2023-June 2024 from selected pig farms in Heilongjiang Province.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Design of primers and probes</title>
<p>Based on the genes <italic>gdh</italic> (GenBank ID: AY853916.1), <italic>cps2J</italic>(GenBank ID: AM946016.1), <italic>cps7H</italic> (GenBank ID: BR001004), <italic>cps9J</italic> (GenBank ID: KC537370), we designed specific primers and probes using Primer Express 3.0.1 to select the conserved regions (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). The primers were synthesised by Invitrogen (Shanghai). The 5&#x2032;end of the probe was labelled with FAM, NED, ROX and Cy5 fluorescence reporter groups, and the 3&#x2032;end was labelled with the corresponding MGB fluorescence quenching group.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Fluorescence quantitative PCR primers and probes.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Pathogens</th>
<th valign="middle" align="center">Gene</th>
<th valign="middle" align="center">Sequence(5'-3')</th>
<th valign="middle" align="center">Prohuct size(bp)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">SS</td>
<td valign="middle" align="center">
<italic>gdh</italic>
</td>
<td valign="middle" align="left">F: GGTGTCGGTGGTCGTGAGA<break/>R: TGGCGGAGGCGTTTGT<break/>Probe:FAM- CGGTTACATGTACGGTCAA-MGB</td>
<td valign="middle" align="center">56</td>
</tr>
<tr>
<td valign="middle" align="center">SS2</td>
<td valign="middle" align="center">
<italic>cps2J</italic>
</td>
<td valign="middle" align="left">F: CGCAGAGCAAGATGGTAGAATAAA<break/>R: ACCGTAATTCCTTGCGTTTGA<break/>Probe:NED-CCGGTTACCAAATGG-MGB</td>
<td valign="middle" align="center">73</td>
</tr>
<tr>
<td valign="middle" align="center">SS7</td>
<td valign="middle" align="center">
<italic>cps7H</italic>
</td>
<td valign="middle" align="left">F: GGGCAGCTCTAACACGAAATAAG<break/>R: CTGAATCCAAGAACGCAATCC<break/>Probe:ROX- CACTAAGAAAAGCTAGAGGTAG-MGB</td>
<td valign="middle" align="center">69</td>
</tr>
<tr>
<td valign="middle" align="center">SS9</td>
<td valign="middle" align="center">
<italic>cps9J</italic>
</td>
<td valign="middle" align="left">F: GTGTTAAACGTTTGTTCGAGAATGA<break/>R: CGCTCTAAATACACTGTCAAAGAATTG<break/>Probe :Cy5- CGAAGCTCAGGTGGGAT-MGB</td>
<td valign="middle" align="center">52</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Optimisation of reaction conditions</title>
<p>In the 25 &#x3bc;L reaction system, 0.2-1.0 &#x3bc;L each of the upstream and downstream primers (10 &#x3bc;mol/L) and 0.2-1.0 &#x3bc;L of the probe (10 &#x3bc;mol/L) were added, and the annealing temperatures used were 50, 52, 54, 56, 58, 60 and 62 &#xb0;C, and the number of cycles was 35, 40 and 45, respectively. The lowest cycle threshold (Ct value) and the highest &#x394;Rn were used as indicators to obtain the optimal reaction system and procedure for quadruplex TaqMan fluorescence quantitative PCR.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Standard curve establishment and sensitivity test</title>
<p>The primers in <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref> were used to amplify the target genes <italic>gdh</italic>, <italic>cps2J</italic>, <italic>cps7H</italic> and <italic>cps9J</italic>, respectively, and their products were recovered and purified and ligated into the pMD-18T vector and the recombinant plasmids of SS, SS2, SS7 and SS9 were transhumanised into the <italic>DH5&#x3b1;</italic> receptor cells and the culture was expanded and extracted with the kits after correct identification of bacteriophage PCR and sequencing. Recombinant plasmids (recombinant plasmid standards were designated P-SS, P-SS2, P-SS7 and P-SS9). The concentration of the plasmid was determined using a UV spectrophotometer, and the plasmid was diluted to a final concentration in the range of 4&#xd7;10<sup>0</sup>~4&#xd7;10<sup>10</sup> copies/uL and mixed in equal volumes so that the final concentrations were all in the range of 1&#xd7;10<sup>0</sup> copies/&#x3bc;l~1&#xd7;10<sup>10</sup> copies/&#x3bc;l (Each gradient is repeated three times), which was then detected using the optimised quadruplex TaqMan fluorescence quantitative PCR assay.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Four sets of primers used to prepare plasmid standards.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Pathogens</th>
<th valign="middle" align="center">Gene</th>
<th valign="middle" align="center">Primers</th>
<th valign="middle" align="center">Sequences (5&#x2032; end to 3&#x2032; end)</th>
<th valign="middle" align="center">length</th>
<th valign="middle" align="center">Accession no.</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" rowspan="2" align="center">SS</td>
<td valign="middle" rowspan="2" align="center">
<italic>gdh</italic>
</td>
<td valign="middle" align="center">F</td>
<td valign="middle" align="center">CCTTATAAAGGCGGTCTTCGCTT</td>
<td valign="middle" rowspan="2" align="center">506 bp</td>
<td valign="middle" rowspan="2" align="center">AY853916.1</td>
</tr>
<tr>
<td valign="middle" align="center">R</td>
<td valign="middle" align="center">ACTTTTGCACCAAGTTCAGTCGC</td>
</tr>
<tr>
<td valign="middle" rowspan="2" align="center">SS2</td>
<td valign="middle" rowspan="2" align="center">
<italic>cps2J</italic>
</td>
<td valign="middle" align="center">F</td>
<td valign="middle" align="center">ATGGAAAAAGTCAGCATTATTGTACC</td>
<td valign="middle" rowspan="2" align="center">450 bp</td>
<td valign="middle" rowspan="2" align="center">MH444513.1</td>
</tr>
<tr>
<td valign="middle" align="center">R</td>
<td valign="middle" align="center">ATTTTCATTTCCTAAGTCTCGCAC</td>
</tr>
<tr>
<td valign="middle" rowspan="2" align="center">SS7</td>
<td valign="middle" rowspan="2" align="center">
<italic>cps7h</italic>
</td>
<td valign="middle" align="center">F</td>
<td valign="middle" align="center">GTGGAAAGAGATATGGTGGAAAGAG</td>
<td valign="middle" rowspan="2" align="center">480 bp</td>
<td valign="middle" rowspan="2" align="center">BR001004</td>
</tr>
<tr>
<td valign="middle" align="center">R</td>
<td valign="middle" align="center">AGTCAAACACCCTGGATAGCCGT</td>
</tr>
<tr>
<td valign="middle" rowspan="2" align="center">SS9</td>
<td valign="middle" rowspan="2" align="center">
<italic>cps9J</italic>
</td>
<td valign="middle" align="center">F</td>
<td valign="middle" align="center">TAGAGTGGTATTTTTTCGATTA</td>
<td valign="middle" rowspan="2" align="center">379 bp</td>
<td valign="middle" rowspan="2" align="center">KC537370</td>
</tr>
<tr>
<td valign="middle" align="center">R</td>
<td valign="middle" align="center">TTAATCTAATAATAAATTATTTTC</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Test for specificity</title>
<p>SS1, SS2, SS7, SS9, SS14, <italic>E. coli</italic>, <italic>P. multocida</italic>, <italic>S. aureus</italic>, <italic>S. agalactiae, S. pneumoniae</italic>, <italic>A. pleuropneumoniae</italic>, <italic>M. hyopneumoniae</italic>, <italic>E. faecalis</italic>, <italic>S. pyogenes</italic>, <italic>G. parasuis</italic>, SIV, PRV, PCV2, PRRSV DNA/RNA as templates, recombinant plasmid standards P-SS, P-SS2, P-SS7 and P-SS9 were used as positive controls and sterile water as a blank control using an established quadruplex TaqMan fluorescence quantitative PCR.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Repeatability testing</title>
<p>The recombinant plasmids of SS, SS2, SS7 and SS9 with concentrations of 10<sup>7</sup> copies/&#xb5;L, 10<sup>5</sup> copies/&#xb5;L and 10<sup>3</sup> copies/&#xb5;L were used as templates for the inter- and intra-batch experiments and the standard deviation of the Ct value and the coefficient of variation were calculated.</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Clinical sample testing</title>
<p>From March 2023 to June 2024, 156 pig swabs and tissue samples (joint fluid, tonsils, lungs) were collected from pigs in some pig farms in Heilongjiang Province who exhibited symptoms such as elevated body temperature, persistent fever, depression, decreased appetite, and difficulty breathing. Nucleic acids were extracted from the above samples using the corresponding commercially available kits and then detected using the established quadruplex TaqMan fluorescence quantitative PCR assay, while the extracted nucleic acids were detected using the reported PCR assay to compare the compliance rates (<xref ref-type="bibr" rid="B29">Wongsawan et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B31">Xin et&#xa0;al., 2023</xref>).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results and analyses</title>
<sec id="s3_1" sec-type="results">
<label>3.1</label>
<title>Results of optimisation of reaction conditions</title>
<p>After optimising the primers, probes, annealing temperature and cycle number of quadruplex TaqMan fluorescence quantitative PCR, it was found that the optimal annealing temperature was 60&#xb0;C, the final concentrations of the primers were 0.08&#x3bc;mol/L, 0.14&#x3bc;mol/L, 0. 1&#x3bc;mol/L, and 0.12&#x3bc;mol/L for SS, SS2, SS7, and SS9, respectively, and the final concentrations of the probe were 0.08&#x3bc;mol/L, 0.08&#x3bc;mol/L, 0.12&#x3bc;mol/L, and 0.12&#x3bc;mol/L, respectively, and the optimal number of cycles was 40, which resulted in the lowest Ct value and the highest fluorescence signal. Final reaction system for quantitative PCR with fourfold fluorescence (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>) and reaction conditions (<xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>).</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Quadruplex TaqMan fluorescence quantitative PCR reaction system.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Reagent</th>
<th valign="middle" align="center">Volume (&#x3bc;l)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">2 &#xd7; Animal Detection U + Probe qPCR Super PreMix</td>
<td valign="middle" align="center">12.5</td>
</tr>
<tr>
<td valign="middle" align="center">SS-F(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.2</td>
</tr>
<tr>
<td valign="middle" align="center">SS-R(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.2</td>
</tr>
<tr>
<td valign="middle" align="center">SS-Probe(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.2</td>
</tr>
<tr>
<td valign="middle" align="center">SS2-F(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.35</td>
</tr>
<tr>
<td valign="middle" align="center">SS2-R(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.35</td>
</tr>
<tr>
<td valign="middle" align="center">SS2- Probe(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.2</td>
</tr>
<tr>
<td valign="middle" align="center">SS7-F(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.25</td>
</tr>
<tr>
<td valign="middle" align="center">SS7-R(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.25</td>
</tr>
<tr>
<td valign="middle" align="center">SS7-Probe(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.3</td>
</tr>
<tr>
<td valign="middle" align="center">SS9-F(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.3</td>
</tr>
<tr>
<td valign="middle" align="center">SS9- R(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.3</td>
</tr>
<tr>
<td valign="middle" align="center">SS9- Probe(10 &#x3bc;mol/L)</td>
<td valign="middle" align="center">0.3</td>
</tr>
<tr>
<td valign="middle" align="center">50 &#xd7; ROX Reference Dye 2</td>
<td valign="middle" align="center">0.5</td>
</tr>
<tr>
<td valign="middle" align="center">Template DNA</td>
<td valign="middle" align="center">2</td>
</tr>
<tr>
<td valign="middle" align="center">ddH<sub>2</sub>O</td>
<td valign="middle" align="center">6.8</td>
</tr>
<tr>
<td valign="middle" align="center">Total</td>
<td valign="middle" align="center">25</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T4" position="float">
<label>Table&#xa0;4</label>
<caption>
<p>Quadruplex fluorescence quantitative PCR reaction procedure.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Step</th>
<th valign="middle" align="center" colspan="2">Time</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">contamination digestion 37&#xb0;C</td>
<td valign="middle" align="center" colspan="2">2min</td>
</tr>
<tr>
<td valign="middle" align="center">Premutability 95&#xb0;C</td>
<td valign="middle" align="center" colspan="2">30s</td>
</tr>
<tr>
<td valign="middle" align="center">Denaturation 95&#xb0;C</td>
<td valign="bottom" rowspan="2" align="center">
<disp-formula id="nyek">
<mml:math display="block" id="M5">
<mml:mrow>
<mml:mrow>
<mml:mrow>
<mml:mtable>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:mn>10</mml:mn>
<mml:mtext>s</mml:mtext>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:mn>30</mml:mn>
<mml:mtext>s</mml:mtext>
</mml:mrow>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
<mml:mo>}</mml:mo>
</mml:mrow>
<mml:mn>40</mml:mn>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
</td>
</tr>
<tr>
<td valign="middle" align="center">Annealing and collection of fluorescent signals 59&#xb0;C</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Standard curves and minimum detection limits</title>
<p>P-SS, P-SS2, P-SS7 and P-SS9 recombinant plasmid standards 1&#xd7;10<sup>10</sup>copies/&#x3bc;l- 1&#xd7;10<sup>4</sup>copies/&#x3bc;l were selected to plot standard curves. As shown in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>, four standard curves were plotted and the amplification efficiencies were 95.192%, 105.956%, 87.917%, 100.231% with R<sup>2</sup> of 0.999, 0.999, 0.997, 0.998, respectively. The established quadruplex TaqMan fluorescence quantitative PCR assay effectively detected a minimum concentration of 10 copies for the P-SS and P-SS9 recombinant plasmid standards, while the minimum concentration for the P-SS2 and P-SS7 recombinant plasmid standards was 100 copies (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). SS, SS2, SS7, and SS9 positive controls (FAM, NED, ROX, and Cy5) all had typical S-shaped amplification curves, and negative controls (FAM, NED, ROX, and Cy5) all had no amplification curves and a Ct value &#x2265;40 or no value. The test is valid if this condition is met. If the Ct value of the test sample is &lt;35 and a typical amplification curve appears, it is judged as positive; when 35&#x2264;Ct value &lt;40, it is judged as suspicious and doubled for re-testing; when the Ct value is &#x2265;40 or no value and no typical amplification curve, it is judged as negative.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Standard curve of quadruplex TaqMan fluorescence quantitative PCR. <bold>(A)</bold> <italic>Streptococcus suis generalis</italic>; <bold>(B)</bold> <italic>Streptococcus suis</italic> type 2; <bold>(C)</bold> <italic>Streptococcus suis</italic> type 7; <bold>(D)</bold> <italic>Streptococcus suis</italic> type 9.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1475878-g001.tif"/>
</fig>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Sensitivity test of quadruplex TaqMan fluorescence quantitative PCR. <bold>(A)</bold> <italic>Streptococcus suis generalis</italic>; <bold>(B)</bold> <italic>Streptococcus suis</italic> type 2; <bold>(C)</bold> <italic>Streptococcus suis</italic> type 7; <bold>(D)</bold> <italic>Streptococcus suis</italic> type 9.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1475878-g002.tif"/>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Specificity verification results</title>
<p>SS1, SS2, SS7, SS9, SS14, <italic>E. coli</italic>, <italic>P. multocida</italic>, <italic>S. aureus</italic>, <italic>S. agalactiae, S. pneumoniae</italic>, <italic>A. pleuropneumoniae</italic>, <italic>M. hyopneumoniae</italic>, <italic>E. faecalis</italic>, <italic>S. pyogenes</italic>, <italic>G. parasuis</italic>, SIV, PRV, PCV2, PRRSV were used as templates for the detection of DNA/RNA, and recombinant plasmid standards P-SS, P-SS2, P-SS7 and P-SS9 were used as positive controls. As shown in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>, the quadruplex TaqMan fluorescence quantitative PCR assay showed typical amplification curves for SS1, SS2, SS7, SS9, SS14, and the positive control, and there were no amplification curves and Ct values for the nucleic acids of the sterile water and the non-target pathogens, indicating that the method had high specificity. The evaluation results are described in <xref ref-type="table" rid="T5">
<bold>Table&#xa0;5</bold>
</xref>.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Specificity verification.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1475878-g003.tif"/>
</fig>
<table-wrap id="T5" position="float">
<label>Table&#xa0;5</label>
<caption>
<p>Results and description of quadruplex TaqMan fluorescence quantitative PCR assay.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Pathogens</th>
<th valign="middle" align="center">FAM</th>
<th valign="middle" align="center">NED</th>
<th valign="middle" align="center">ROX</th>
<th valign="middle" align="center">Cy5</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">
<italic>Streptococcus suis</italic> serotype 1</td>
<td valign="middle" align="center">
<bold>+</bold>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Streptococcus suis</italic> serotype 2</td>
<td valign="middle" align="center">
<bold>+</bold>
</td>
<td valign="middle" align="center">
<bold>+</bold>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Streptococcus suis</italic> serotype 7</td>
<td valign="middle" align="center">
<bold>+</bold>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">
<bold>+</bold>
</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Streptococcus suis</italic> serotype 9</td>
<td valign="middle" align="center">
<bold>+</bold>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">
<bold>+</bold>
</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Streptococcus suis</italic> serotype 14</td>
<td valign="middle" align="center">
<bold>+</bold>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Glaesserella parasuis</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Escherichia coli</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Pasteurella multocida</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Staphylococcus aureus</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Streptococcus agalactiae</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Streptococcus pneumoniae</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">SIV</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">PRV</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">PCV2</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">PRRSV</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Actinobacillus pleuropneumoniae</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Enterococcus faecalis</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Streptococcus pyogenes</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="middle" align="center">
<italic>Mycoplasma hyopneumoniae</italic>
</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
<td valign="middle" align="center">&#x2013;</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Repeatability test results</title>
<p>Recombinant plasmids of SS, SS2, SS7 and SS9 were selected at a high concentration of 10<sup>7</sup>, 10<sup>5</sup> copies/&#xb5;L and a low concentration of 10<sup>3</sup> copies/&#xb5;L for quadruplex TaqMan fluorescence quantitative PCR amplification, which was statistically analysed by observing the changes in the thresholds of the amplification curves and for the Ct values. The results showed that the coefficients of variation for the Ct values of SS, SS2, SS7 and SS9 were 0.21% ~ 1.10% (<xref ref-type="table" rid="T6">
<bold>Table&#xa0;6</bold>
</xref>), indicating good reproducibility of this experiment.</p>
<table-wrap id="T6" position="float">
<label>Table&#xa0;6</label>
<caption>
<p>Reproducibility of the quadruplex TaqMan fluorescence quantitative PCR method.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" rowspan="2" align="center">Standard plasmid</th>
<th valign="middle" rowspan="2" align="center">Concentration of template<break/>(copies/&#x3bc;L)</th>
<th valign="middle" colspan="2" align="center">Intra-coefficient of variation</th>
<th valign="middle" colspan="2" align="center">Inter-coefficient of variation</th>
</tr>
<tr>
<th valign="middle" align="center">X &#xb1; SD</th>
<th valign="middle" align="center">CV (%)</th>
<th valign="middle" align="center">X &#xb1; SD</th>
<th valign="middle" align="center">CV (%)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" rowspan="3" align="center">P-SS</td>
<td valign="middle" align="center">10<sup>7</sup>
</td>
<td valign="middle" align="center">17.987 &#xb1; 0.046</td>
<td valign="middle" align="center">0.26</td>
<td valign="middle" align="center">17.302 &#xb1; 0.036</td>
<td valign="middle" align="center">0.21</td>
</tr>
<tr>
<td valign="middle" align="center">10<sup>5</sup>
</td>
<td valign="middle" align="center">24.837 &#xb1; 0.191</td>
<td valign="middle" align="center">0.77</td>
<td valign="middle" align="center">24.510 &#xb1; 0.086</td>
<td valign="middle" align="center">0.35</td>
</tr>
<tr>
<td valign="middle" align="center">10<sup>3</sup>
</td>
<td valign="middle" align="center">31.612 &#xb1; 0.131</td>
<td valign="middle" align="center">0.41</td>
<td valign="middle" align="center">31.340 &#xb1; 0.122</td>
<td valign="middle" align="center">0.39</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="center">P-SS2</td>
<td valign="middle" align="center">10<sup>7</sup>
</td>
<td valign="middle" align="center">20.760 &#xb1; 0.075</td>
<td valign="middle" align="center">0.36</td>
<td valign="middle" align="center">20.251 &#xb1; 0.101</td>
<td valign="middle" align="center">0.50</td>
</tr>
<tr>
<td valign="middle" align="center">10<sup>5</sup>
</td>
<td valign="middle" align="center">27.138 &#xb1; 0.113</td>
<td valign="middle" align="center">0.42</td>
<td valign="middle" align="center">27.450 &#xb1; 0.078</td>
<td valign="middle" align="center">0.28</td>
</tr>
<tr>
<td valign="middle" align="center">10<sup>3</sup>
</td>
<td valign="middle" align="center">33.524 &#xb1; 0.216</td>
<td valign="middle" align="center">0.64</td>
<td valign="middle" align="center">34.010 &#xb1; 0.190</td>
<td valign="middle" align="center">0.56</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="center">P-SS7</td>
<td valign="middle" align="center">10<sup>7</sup>
</td>
<td valign="middle" align="center">18.420 &#xb1; 0.203</td>
<td valign="middle" align="center">1.10</td>
<td valign="middle" align="center">18.450 &#xb1; 0.113</td>
<td valign="middle" align="center">0.61</td>
</tr>
<tr>
<td valign="middle" align="center">10<sup>5</sup>
</td>
<td valign="middle" align="center">25.750 &#xb1; 0.189</td>
<td valign="middle" align="center">0.73</td>
<td valign="middle" align="center">25.621 &#xb1; 0.099</td>
<td valign="middle" align="center">0.39</td>
</tr>
<tr>
<td valign="middle" align="center">10<sup>3</sup>
</td>
<td valign="middle" align="center">33.075 &#xb1; 0.253</td>
<td valign="middle" align="center">0.83</td>
<td valign="middle" align="center">33.520 &#xb1; 0.168</td>
<td valign="middle" align="center">0.50</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="center">P-SS9</td>
<td valign="middle" align="center">10<sup>7</sup>
</td>
<td valign="middle" align="center">18.850 &#xb1; 0.092</td>
<td valign="middle" align="center">0.50</td>
<td valign="middle" align="center">18.862 &#xb1; 0.043</td>
<td valign="middle" align="center">0.23</td>
</tr>
<tr>
<td valign="middle" align="center">10<sup>5</sup>
</td>
<td valign="middle" align="center">25.448 &#xb1; 0.170</td>
<td valign="middle" align="center">0.67</td>
<td valign="middle" align="center">25.984 &#xb1; 0.193</td>
<td valign="middle" align="center">0.74</td>
</tr>
<tr>
<td valign="middle" align="center">10<sup>3</sup>
</td>
<td valign="middle" align="center">32.126 &#xb1; 0.133</td>
<td valign="middle" align="center">0.41</td>
<td valign="middle" align="center">31.990 &#xb1; 0.224</td>
<td valign="middle" align="center">0.70</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Clinical sample test results</title>
<p>A total of 156 clinical samples collected were tested simultaneously using the quadruplex TaqMan fluorescence quantitative PCR assay established in this study and the reported assays. The results showed 68 positive and 88 negative samples (<xref ref-type="table" rid="T7">
<bold>Table&#xa0;7</bold>
</xref>). The SS positivity rate was 5.77% (9/156), SS2 positivity rate was 20.51% (32/156), SS7 positivity rate was 8.33% (13/156) and SS9 positivity rate was 9.6% (15/156). No mixed infections were detected in clinical sample testing.</p>
<table-wrap id="T7" position="float">
<label>Table&#xa0;7</label>
<caption>
<p>Test results of clinical samples.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" rowspan="2" align="left">Pathogens</th>
<th valign="middle" align="left">Methods established in this study</th>
<th valign="middle" align="left">Reference methods (<xref ref-type="bibr" rid="B29">Wongsawan et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B31">Xin et&#xa0;al., 2023</xref>)</th>
<th valign="middle" rowspan="2" align="left">Agreement</th>
</tr>
<tr>
<th valign="middle" align="left">Positive</th>
<th valign="middle" align="left">Positive</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">SS</td>
<td valign="middle" align="center">5.77% (9/156)</td>
<td valign="middle" align="center">5.77% (9/156)</td>
<td valign="middle" align="center">100%</td>
</tr>
<tr>
<td valign="middle" align="center">SS2</td>
<td valign="middle" align="center">20.51% (32/156)</td>
<td valign="middle" align="center">19.23% (30/156)</td>
<td valign="middle" align="center">93.75%</td>
</tr>
<tr>
<td valign="middle" align="center">SS7</td>
<td valign="middle" align="center">8.33% (13/156)</td>
<td valign="middle" align="center">5.77% (9/156)</td>
<td valign="middle" align="center">69.23%</td>
</tr>
<tr>
<td valign="middle" align="center">SS9</td>
<td valign="middle" align="center">9.6% (15/156)</td>
<td valign="middle" align="center">7.05% (11/156)</td>
<td valign="middle" align="center">73.33%</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>In this study, we developed a sensitive, specific and reproducible quadruplex TaqMan fluorescent quantitative PCR typing method based on the <italic>gdh</italic>, <italic>cps2J</italic>, <italic>cps7J</italic> and <italic>cps9J</italic> genes, which can differentiate between SS2, SS7, SS9 and other serotypes. The method does not cross-react with any of the non-target viruses or bacteria associated with infected pigs and accurately differentiates between SS2, SS7, SS9 and other serotypes of SS; The minimum detection limit for the recombinant plasmid standards P-SS and P-SS9 was 10 copies, and the minimum detection limit for P-SS2 and P-SS7 was 100 copies, which is comparable to the sensitivity of the quadruplex TaqMan fluorescence quantitative PCR assay for detecting SS and SS2 established by Xin L et&#xa0;al (<xref ref-type="bibr" rid="B31">Xin et&#xa0;al., 2023</xref>), whose method was only able to differentiate between SS2 and the other serotypes of SS. Coefficients of variation for both inter- and intra-batch replicates ranged from 0.21% to 1.10%. As there is no quadruplex TaqMan fluorescence quantitative PCR method that can differentiate between SS2, SS7, SS9 and other serotypes of SS, the establishment of this method is of great importance for rapid clinical typing and for guiding the precise use of medication and the timely adoption of appropriate measures.</p>
<p>Glutamate dehydrogenase (GDH), an important virulence-associated factor of SS, is expressed on the cell surface with NAD(P)H-dependent enzymatic activity and is a key enzyme linking carbon and nitrogen metabolism, which is important for bacterial pathogenicity (<xref ref-type="bibr" rid="B2">Chittick and Okwumabua, 2024</xref>). The study showed that the sequence of the <italic>gdh</italic> gene encoding glutamate dehydrogenase is highly conserved and that the gene is closely related to the reported <italic>gdh</italic> gene of SS (<xref ref-type="bibr" rid="B20">Silva et&#xa0;al., 2006</xref>). The nucleic acid sequences showed 97.2% to 98.4% homology with SS2, SS7 and SS9, of which 97.2% to 97.3% with SS2 strains, 98.4% with SS7 strains and 97.6% with SS9 strains (<xref ref-type="bibr" rid="B21">Smith et&#xa0;al., 1999</xref>; <xref ref-type="bibr" rid="B17">Okwumabua et&#xa0;al., 2001</xref>; <xref ref-type="bibr" rid="B32">Xu et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B34">Zhou et&#xa0;al., 2024</xref>). The amino acid sequences they encode were even more homologous, with more than 98.9% homology with sequences in GenBank (<xref ref-type="bibr" rid="B17">Okwumabua et&#xa0;al., 2001</xref>). Therefore, the <italic>gdh</italic> gene is a good target for the diagnosis of SS. CPS is the basis for distinguishing serotypes of SS (<xref ref-type="bibr" rid="B7">Goyette-Desjardins et&#xa0;al., 2020</xref>). Among them, <italic>cps2J</italic>, <italic>cps7H</italic> and <italic>cps9J</italic> are genes encoding specific podoplanet polysaccharide antigens of SS2, SS7 and SS9 respectively (<xref ref-type="bibr" rid="B3">Dekker et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B11">Jiang et&#xa0;al., 2022</xref>), which are closely related to the virulence and pathogenicity of SS and play an important role in bacterial survival and host infection. In addition, these genes are also used in molecular biology research for detection and analysis by PCR and other techniques to help understand the species of SS (<xref ref-type="bibr" rid="B3">Dekker et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B27">Wang et&#xa0;al., 2024</xref>), virulence factors and how they interact with the host, which is of great scientific importance and practical value in the prevention and control of porcine streptococcal infections.</p>
<p>The prevalence of <italic>Streptococcus suis</italic> in pigs is characterised by a wide spatial distribution that varies between regions and over time (<xref ref-type="bibr" rid="B18">Petrocchi Rilo et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B24">Uru&#xe9;n et&#xa0;al., 2024</xref>). According to the survey, 19 strains of SS were isolated from nine districts in Hubei Province in 2021-2023, including 10 serotypes, of which SS9 was the most prevalent, accounting for 21.05% of the total (<xref ref-type="bibr" rid="B30">Xia et&#xa0;al., 2024</xref>). Although SS2 was the most commonly reported strain infecting both humans and pigs, Wang M et&#xa0;al., showed that serotype 14 accounted for 71.1% and serotype 2 for 28.19% of ST-type SS isolates from Guangxi Zhuang Autonomous Region, China, during 2007-2018 (<xref ref-type="bibr" rid="B26">Wang et&#xa0;al., 2019</xref>). However, overseas, for example, testing of live pigs and pork at the Chiang Mai market in Thailand showed a positive rate of 84% for SS, with 34% positive for SS2, which remains the predominant serotype (<xref ref-type="bibr" rid="B8">Guntala et&#xa0;al., 2024</xref>). The most common serotypes of SS isolated from sick pigs in western Canada were SS2 (9.3%) and SS7 (7.8%) (<xref ref-type="bibr" rid="B4">de et&#xa0;al., 2024</xref>). Another study showed that the global prevalence of SS2 isolated from pigs was 13.6%, with approximately 10% in healthy pigs and 16% in sick pigs. The prevalence of SS2 did not change significantly over time. This suggests that SS2 continues to be a problem in the pig industry and a threat to human health (<xref ref-type="bibr" rid="B13">Keonam et&#xa0;al., 2024</xref>). In this study, the highest positivity rate was for SS2 (20.51%), followed bySS9 (9.6%) and SS7 (8.33%), while other serotypes of SS were also detected in the clinical samples tested (5.77%). In addition, the comparison with existing detection methods showed that the detection rate of the quadruplex TaqMan fluorescence quantitative PCR assay established in this study was higher than that of the conventional PCR method, and the concordance rate with the existing quadruplex TaqMan fluorescence quantitative PCR assay was higher. On the other hand, some of the samples were swabs, and although swabs are the easiest to collect, the nucleic acid content of the target pathogens was low after nucleic acid extraction, coupled with the limited sensitivity of conventional PCR, so there was a discrepancy in the detection rate of compliance between the two methods.</p>
<p>In conclusion, this study has established a sensitive, specific, rapid and efficient quadruplex TaqMan fluorescence quantitative PCR assay that can simultaneously differentiate between SS2, SS7, SS9 and other serotypes of SS, with the aim of providing technical support for rapid typing of SS and accurate prevention and treatment.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material. Further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author contributions</title>
<p>HW: Conceptualization, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. JC: Conceptualization, Writing &#x2013; original draft. YS: Conceptualization, Writing &#x2013; original draft. TA: Writing &#x2013; review &amp; editing, Data curation. YW: Investigation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. HC: Writing &#x2013; original draft, Investigation. CY: Conceptualization, Writing &#x2013; original draft. CX: Conceptualization, Writing &#x2013; original draft. HZ: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The research was supported by grants from the National Key R&amp;D Program of China (2023YFF0724604); National Key R&amp;D Program Young Scientist Project (2021YFF0703100); Natural Science Foundation of China (32072898); Cultivation, Quality Control and Detection technology of high grade agricultural experimental animal Pig (GZ20210010); Research on Improving the quality of Breeding and testing of experimental animal Resources (1610302022018); Basic research on quality control and genetic resistance of experimental pigs (SKLVBP202120); Basic research on quality control and genetic resistance of experimental pigs (SKLVBP202101).</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cao</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Q.</given-names>
</name>
<name>
<surname>Yin</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>X.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>The critical role of NLRP3 inflammasome activation in <italic>Streptococcus suis</italic>-induced blood-brain barrier disruption</article-title>. <source>Vet. Microbiol.</source> <volume>295</volume>, <fpage>110161</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetmic.2024.110161</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chittick</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Okwumabua</surname> <given-names>O.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Loss of expression of the glutamate dehydrogenase (gdh) of <italic>Streptococcus suis</italic> serotype 2 compromises growth and pathogenicity</article-title>. <source>Microb. Pathog.</source> <volume>188</volume>, <fpage>106565</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.micpath.2024.106565</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dekker</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Daemen</surname> <given-names>I.</given-names>
</name>
<name>
<surname>Verstappen</surname> <given-names>K.</given-names>
</name>
<name>
<surname>de Greeff</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Smith</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Duim</surname> <given-names>B.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Simultaneous quantification and differentiation of streptococcus suis serotypes 2 and 9 by quantitative real-time PCR, evaluated in tonsillar and nasal samples of pigs</article-title>. <source>Pathogens.</source> <volume>5</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/pathogens5030046</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>de</surname> <given-names>O. C. M.</given-names>
</name>
<name>
<surname>Gamage</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Christensen</surname> <given-names>J.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Molecular profile and epidemiological traits of <italic>Streptococcus suis</italic> isolated from diseased pigs in western Canada reveal multiple-serotype infection: Implications for disease control</article-title>. <source>Can. Vet. J.</source> <volume>65</volume>, <fpage>429</fpage>&#x2013;<lpage>436</lpage>.</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dong</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>Q.</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>J.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>Establishment and application of an indirect ELISA for the detection of antibodies to porcine <italic>streptococcus suis</italic> based on a recombinant GMD protein</article-title>. <source>Anim. (Basel)</source> <volume>13</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ani13040719</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gao</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Mao</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Yuan</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Quan</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Jin</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Shen</surname> <given-names>Y.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>AI-2 quorum sensing-induced galactose metabolism activation in <italic>Streptococcus suis</italic> enhances capsular polysaccharide-associated virulence</article-title>. <source>Vet. Res.</source> <volume>55</volume>, <fpage>80</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13567-024-01335-5</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Goyette-Desjardins</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Auger</surname> <given-names>J. P.</given-names>
</name>
<name>
<surname>Dolbec</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Vinogradov</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Okura</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Takamatsu</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Comparative study of immunogenic properties of purified capsular polysaccharides from streptococcus suis serotypes 3, 7, 8, and 9: the serotype 3 polysaccharide induces an opsonizing igG response</article-title>. <source>Infect. Immun.</source> <volume>88</volume>
<issue>(10)</issue>, <elocation-id>e00377&#x2013;20</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/IAI.00377-20</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guntala</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Khamai</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Srisai</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Ounjaijean</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Khamduang</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Hongjaisee</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Contamination of Streptococcus suis and S. suis Serotype 2 in Raw Pork and Edible Pig Organs: A Public Health Concern in Chiang Mai, Thailand</article-title>. <source>Foods.</source> <volume>13</volume> <issue>(13)</issue>, <fpage>2119</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/foods13132119</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hatrongjit</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Fittipaldi</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Gottschalk</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Kerdsin</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Genomic epidemiology in <italic>Streptococcus suis</italic>: Moving beyond traditional typing techniques</article-title>. <source>Heliyon.</source> <volume>10</volume>, <elocation-id>e27818</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.heliyon.2024.e27818</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hatrongjit</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Fittipaldi</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Jenjaroenpun</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Wongsurawat</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Visetnan</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>H.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>Genomic comparison of two <italic>Streptococcus suis</italic> serotype 1 strains recovered from porcine and human disease cases</article-title>. <source>Sci. Rep.</source> <volume>13</volume>, <fpage>5380</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-023-32724-z</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Zhan</surname> <given-names>D.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Development of a recombinase polymerase amplification assay for rapid detection of <italic>Streptococcus suis</italic> type 2 in nasopharyngeal swab samples</article-title>. <source>Diagn. Microbiol. Infect. Dis.</source> <volume>102</volume>, <fpage>115594</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.diagmicrobio.2021.115594</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname> <given-names>Z. J.</given-names>
</name>
<name>
<surname>Hong</surname> <given-names>J. C.</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>Q. X.</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>B. W.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>W. Q.</given-names>
</name>
<name>
<surname>Xia</surname> <given-names>H.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>
<italic>Streptococcus suis</italic> meningoencephalitis diagnosed with metagenomic next-generation sequencing: A case report with literature review</article-title>. <source>J. Infect. Chemother.</source> <volume>30</volume>, <fpage>544</fpage>&#x2013;<lpage>547</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jiac.2023.11.017</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Keonam</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Nam</surname> <given-names>N. H.</given-names>
</name>
<name>
<surname>Saksangawong</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Sringam</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Saipan</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Kongpechr</surname> <given-names>S.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Prevalence of <italic>Streptococcus suis</italic> serotype 2 isolated from pigs: A systematic review and meta-analysis</article-title>. <source>Vet. World.</source> <volume>17</volume>, <fpage>233</fpage>&#x2013;<lpage>244</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.14202/vetworld.</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kerdsin</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Akeda</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Hatrongjit</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Detchawna</surname> <given-names>U.</given-names>
</name>
<name>
<surname>Sekizaki</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Hamada</surname> <given-names>S.</given-names>
</name>
<etal/>
</person-group>. (<year>2014</year>). <article-title>
<italic>Streptococcus suis</italic> serotyping by a new multiplex PCR</article-title>. <source>J. Med. Microbiol.</source> <volume>63</volume>, <fpage>824</fpage>&#x2013;<lpage>830</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1099/jmm.0.069757-0</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>Y.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>
<italic>Streptococcus suis</italic> meningitis in China: a case report</article-title>. <source>Front. Public Health</source> <volume>12</volume>, <elocation-id>1369703.</elocation-id> doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fpubh.2024.1369703</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Okuhama-Yoshida</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Nakayama</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Hattori</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Takamatsu</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Okura</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Improvement of the mismatch amplification mutation assay-PCR for discrimination between <italic>Streptococcus suis</italic> serotypes 2 and 1/2</article-title>. <source>J. Microbiol. Methods</source> <volume>214</volume>, <fpage>106828</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.mimet.2023.106828</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Okwumabua</surname> <given-names>O.</given-names>
</name>
<name>
<surname>Persaud</surname> <given-names>J. S.</given-names>
</name>
<name>
<surname>Reddy</surname> <given-names>P. G.</given-names>
</name>
</person-group> (<year>2001</year>). <article-title>Cloning and characterization of the gene encoding the glutamate dehydrogenase of <italic>Streptococcus suis</italic> serotype 2</article-title>. <source>Clin. Diagn. Lab. Immunol.</source> <volume>8</volume>, <fpage>251</fpage>&#x2013;<lpage>257</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/CDLI.8.2.251-257.2001</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Petrocchi Rilo</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Guti&#xe9;rrez Mart&#xed;n</surname> <given-names>C. B.</given-names>
</name>
<name>
<surname>Acebes Fern&#xe1;ndez</surname> <given-names>V.</given-names>
</name>
<name>
<surname>Aguar&#xf3;n Turrientes</surname> <given-names>&#xc1;</given-names>
</name>
<name>
<surname>Gonz&#xe1;lez Fern&#xe1;ndez</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Migu&#xe9;lez P&#xe9;rez</surname> <given-names>R.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>
<italic>Streptococcus suis</italic> research update: serotype prevalence and antimicrobial resistance distribution in swine isolates recovered in Spain from 2020 to 2022</article-title>. <source>Vet. Sci.</source> <volume>11</volume> <issue>(1)</issue>, <fpage>40</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/vetsci11010040</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Scherrer</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Biggel</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Schneeberger</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Cernela</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Rademacher</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Schmitt</surname> <given-names>S.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Genetic diversity and antimicrobial susceptibility of Streptococcus suis from diseased Swiss pigs collected between 2019 - 2022</article-title>. <source>Vet. Microbiol.</source> <volume>293</volume>, <fpage>110084</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetmic.2024.110084</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Silva</surname> <given-names>L. M.</given-names>
</name>
<name>
<surname>Baums</surname> <given-names>C. G.</given-names>
</name>
<name>
<surname>Rehm</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Wisselink</surname> <given-names>H. J.</given-names>
</name>
<name>
<surname>Goethe</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Valentin-Weigand</surname> <given-names>P.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>Virulence-associated gene profiling of Streptococcus suis isolates by PCR</article-title>. <source>Vet. Microbiol.</source> <volume>115</volume>, <fpage>117</fpage>&#x2013;<lpage>127</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetmic.2005.12.013</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Smith</surname> <given-names>H. E.</given-names>
</name>
<name>
<surname>Veenbergen</surname> <given-names>V.</given-names>
</name>
<name>
<surname>van der Velde</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Damman</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Wisselink</surname> <given-names>H. J.</given-names>
</name>
<name>
<surname>Smits</surname> <given-names>M. A.</given-names>
</name>
</person-group> (<year>1999</year>). <article-title>The cps genes of <italic>Streptococcus suis</italic> serotypes 1, 2, and 9: development of rapid serotype-specific PCR assays</article-title>. <source>J. Clin. Microbiol.</source> <volume>37</volume>, <fpage>3146</fpage>&#x2013;<lpage>3152</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JCM.37.10.3146-3152.1999</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thu</surname> <given-names>I. S. L.</given-names>
</name>
<name>
<surname>Tragoolpua</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Intorasoot</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Anukool</surname> <given-names>U.</given-names>
</name>
<name>
<surname>Khamnoi</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Kerdsin</surname> <given-names>A.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>Direct Detection of Streptococcus suis from Cerebrospinal Fluid, Positive Hemoculture, and Simultaneous Differentiation of Serotypes 1, 1/2, 2, and 14 within Single Reaction</article-title>. <source>Pathogens.</source> <volume>10</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/pathogens10080996</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tungwongjulaniam</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Klinman</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Theerawat</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Wiratsudakul</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>A network analysis of the local pig supply chain in a repeated outbreak area of human streptococcosis in Thailand</article-title>. <source>Zoonoses Public Health</source>. <volume>71</volume>, <fpage>673</fpage>&#x2013;<lpage>682</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/zph.13132</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Uru&#xe9;n</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Fernandez</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Arnal</surname> <given-names>J. L.</given-names>
</name>
<name>
<surname>Del Pozo</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Amoribieta</surname> <given-names>M. C.</given-names>
</name>
<name>
<surname>de Blas</surname> <given-names>I.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Genomic and phenotypic analysis of invasive <italic>Streptococcus suis</italic> isolated in Spain reveals genetic diversification and associated virulence traits</article-title>. <source>Vet. Res.</source> <volume>55</volume>, <fpage>11</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13567-024-01267-0</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Uru&#xe9;n</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Gimeno</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Sanz</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Fraile</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Mar&#xed;n</surname> <given-names>C. M.</given-names>
</name>
<name>
<surname>Arenas</surname> <given-names>J.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Invasive <italic>Streptococcus suis</italic> isolated in Spain contain a highly promiscuous and dynamic resistome</article-title>. <source>Front. Cell Infect. Microbiol.</source> <volume>13</volume>, <elocation-id>1329632</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fcimb.2023.1329632</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Du</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Lan</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>Genomic epidemiology of streptococcus suis sequence type 7 sporadic infections in the guangxi zhuang autonomous region of China</article-title>. <source>Pathogens.</source> <volume>8</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/pathogens8040187</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Bai</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>Y.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>A CRISPR-Cas12a-based platform facilitates the detection and serotyping of <italic>Streptococcus suis</italic> serotype 2</article-title>. <source>Talanta.</source> <volume>267</volume>, <fpage>125202</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.talanta.2023.125202</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zhan</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Peng</surname> <given-names>Z.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Establishment and application of a quadruplex real-time reverse-transcription polymerase chain reaction assay for differentiation of porcine reproductive and respiratory syndrome virus, porcine circovirus type 2, porcine circovirus type 3, and streptococcus suis</article-title>. <source>Microorganisms.</source> <volume>12</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/microorganisms12030427</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wongsawan</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Gottschalk</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Tharavichitkul</surname> <given-names>P.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Serotype- and virulence-associated gene profile of <italic>Streptococcus suis</italic> isolates from pig carcasses in Chiang Mai Province, Northern Thailand</article-title>. <source>J. Vet. Med. Sci.</source> <volume>77</volume>, <fpage>233</fpage>&#x2013;<lpage>236</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1292/jvms.14-0380</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xia</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Isolation, identification, genomic diversity, and antimicrobial resistance analysis of streptococcus suis in hubei province of China from 2021 to 2023</article-title>. <source>Microorganisms.</source> <volume>12</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/microorganisms12050917</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xin</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X.</given-names>
</name>
<etal/>
</person-group>. (<year>2023</year>). <article-title>The establishment and application of a one-step multiplex real-time polymerase chain reaction assay for the detection of <italic>Streptococcus suis</italic>, Streptococcus suis serotype 2, and Glaesserella parasuis. Animal Research and One</article-title>. <source>Health.</source> <fpage>1</fpage>&#x2013;<lpage>12</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/aro2.37</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>Q.</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>J. L.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>Genome-wide analysis of the synonymous codon usage pattern of Streptococcus suis</article-title>. <source>Microb. Pathog.</source> <volume>150</volume>, <fpage>104732</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.micpath.2021.104732</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yin</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Yuan</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>J.</given-names>
</name>
<name>
<surname>He</surname> <given-names>T.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>
<italic>Streptococcus suis</italic> Serotype 2 Type IV Secretion Effector SspA-1 Induces Proinflammatory Cytokine Production via TLR2 Endosomal and Type I Interferon Signaling</article-title>. <source>J. Infect. Dis.</source> <volume>230</volume>, <fpage>188</fpage>&#x2013;<lpage>197</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/infdis/jiad454</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Tu</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Ren</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2024</year>). <article-title>Pan-genome analysis of <italic>Streptococcus suis</italic> serotype 2 highlights genes associated with virulence and antibiotic resistance</article-title>. <source>Front. Microbiol.</source> <volume>15</volume>, <elocation-id>1362316.</elocation-id> doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmicb.2024.1362316</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>