Genomic characterization of malonate positive <italic>Cronobacter sakazakii</italic> serotype O:2, sequence type 64 strains, isolated from clinical, food, and environment samples.

Background: Malonate utilization, an important differential trait, well recognized as being possessed by six of the seven <italic>Cronobacter</italic> species is thought to be largely absent in <italic>Cronobacter sakazakii</italic> (Csak). The current study provides experimental evidence that confirms the presence of a malonate utilization operon in 24 strains of sequence type (ST) 64, obtained from Europe, Middle East, China, and USA; it offers explanations regarding the genomic diversity and phylogenetic relatedness among these strains, and that of other <italic>C. sakazakii</italic> strains. Results: In this study, the presence of a malonate utilization operon in these strains was initially identified by DNA microarray analysis (MA) out of a pool of 347 strains obtained from various surveillance studies involving clinical, spices, milk powder sources and powdered infant formula production facilities in Ireland and Germany, and dried dairy powder manufacturing facilities in the USA. All ST64 <italic>C. sakazakii</italic> strains tested could utilize malonate. Zebrafish embryo infection studies showed that <italic>C. sakazakii</italic> ST64 strains are as virulent as other <italic>Cronobacter</italic> species. Parallel whole genome sequencing (WGS) and MA showed that the strains phylogenetically grouped as a separate clade among the Csak species cluster. Additionally, these strains possessed the Csak O:2 serotype. The nine-gene, ~ 7.7 kbp malonate utilization operon was located in these strains between two conserved flanking genes, <italic>gyrB</italic> and <italic>katG.</italic> Plasmidotyping results showed that these strains possessed the virulence plasmid pESA3, but in contrast to the USA ST64 Csak strains, ST64 Csak strains isolated from sources in Europe and the Middle East, did not possess the type six secretion system effector <italic>vgrG</italic> gene. Conclusions: Until this investigation, the presence of malonate-positive Csak strains, which are associated with foods and clinical cases, was under appreciated. If this trait was used solely to identify <italic>Cronobacter</italic> strains, many strains would likely be misidentified. Parallel WGS and MA were useful in characterizing the total genome content of these Csak O:2, ST64, malonate-positive strains and further provides an understanding of their phylogenetic relatedness among other virulent <italic>C. sakazakii</italic> strains. [ABSTRACT FROM AUTHOR]