Kauffman–White classification explained

The Kauffmann–White classification or Kauffmann and White classification scheme[1] [2] is a system that classifies the genus Salmonella into serotypes, based on surface antigens. It is named after Philip Bruce White and . First the "O" antigen type is determined based on oligosaccharides associated with lipopolysaccharide. Then the "H" antigen is determined based on flagellar proteins (H is short for the German Hauch meaning "breath" or "mist"; O stands for German ohne meaning "without"). Since Salmonella typically exhibit phase variation between two motile phenotypes,[3] different "H" antigens may be expressed. Salmonella that can express only one "H" antigen phase consequently have motile and non-motile phenotypes and are termed monophasic, whilst isolates that lack any "H" antigen expression are termed non-motile.[4] Pathogenic strains of Salmonella Typhi, Salmonella Paratyphi C, and Salmonella Dublin carry the capsular "Vi" antigen (Vi for virulence),[5] which is a special subtype of the capsule's K antigen (from the German word Kapsel meaning capsule).

Kauffmann–White classification for Salmonella

Salmonella (species) serotype (O antigen) : (H1 antigen) : (H2 antigen)
Examples:Salmonella enterica serotype Typhimurium 1,4,5,12:i:1,2

monophasic variant of Salmonella Typhimurium 1,4,5,12:i:-

"O"-groupSerovar"O" antigensPhase 1 "H" antigensPhase 2 "H" antigens
AS.Paratyphi A1,2,12ano phase 2 antigen
 S. Paratyphi A var. Durazzo2,12ano phase 2 antigen
BS. Paratyphi B1,4,5,12b1,2
 S. Paratyphi B var. Odense1,4,12b1,2
 S. Java1,4,5,12b(1,2)
 S. Limete1,4,12,27b1,5
 S. Typhimurium1,4,5,12i1,2
 S. Typhimurium var. Copenhagen1,4,12i1,2
 S. Agama4,12i1,6
 S. Abortus-equi4,12no phase 1 antigene,n,x
 S. Abortus-ovis4,12c1,6
 S. Agona4,12f,g,sno phase 2 antigen
 S. Brandenburg4,12l,ve,n,z15
 S. Bredeney1,4,12,27l,v1,7
 S. Derby1,4,5,12f,gno phase 2 antigen
 S. Heidelberg1,4,5,12r1,2
 S. Saintpaul1,4,5,12e,h1,2
 S. Salinatis4,12d,e,hd,e,n,z15
 S. Stanley4,5,12d1,2
C1S. Paratyphi C6,7,Vic1,5
 S. Choleraesuis6,7c1,5
 S. Choleraesuis var. Kunzendorf6,7(c)1,5
 S. Decatur6,7c1,5
 S. Typhisuis6,7c1,5
 S. Bareilly6,7y1,5
 S. Infantis6,7r1,5
 S. Menston6,7g,s,tno phase 2 antigen
 S. Montevideo6,7g,m,sno phase 2 antigen
 S. Oranienburg6,7m,tno phase 2 antigen
 S. Thompson6,7k1,5
C2S. Bovismorbificans6,8r1,5
 S. Newport6,8e,h1,2
DS. Typhi9,12,Vidno phase 2 antigen
 S. Ndolo9,12d1,5
 S. Dublin1,9,12,Vi[6] g,pno phase 2 antigen
 S. Enteritidis1,9,12g,mno phase 2 antigen
 S. Gallinarum1,9,12no phase 1 antigenno phase 2 antigen
 S. Pullorum(1),9,12no phase 1 antigenno phase 2 antigen
 S. Panama1,9,12l,v1,5
 S. Miami1,9,12a1,5
 S. Sendai1,9,12a1,5
E1S. Anatum3,10e,h1,6
 S. Give3,10l,v1,7
 S. London3,10l,v1,6
 S. Meleagridis3,10e,hl,w
E2S. Cambridge3,15e,hl,w
 S. Newington3,15e,h1,6
E3S. Minneapolis(3),(15),34e,h1,6
E4S. Senftenberg1,3,19g,s,tno phase 2 antigen
 S. Simsbury1,3,19no phase 1 antigenz27
FS. Aberdeen11i1,2
GS. Cubana1,13,23z29no phase 2 antigen
 S. Poona13,22z1,6
HS. Heves6,14,24d1,5
 S. Onderstepoort1,6,14,25e,h1,5
IS. Brazil16a1,5
 S. Hvittingfoss16be,n,x
OthersS. Kirkee17b1,2
 S. Adelaide35f,gno phase 2 antigen
 S. Locarno57z29z42

The cost of maintaining a full set of antisera precludes all but reference laboratories from performing a complete serological identification of salmonella isolates. Most laboratories stock only a limited range of antisera, and the choice of stock sera is largely determined by the nature of the specimens to be processed.

Representative stock of antisera

A common set of working antisera is shown below:

O-antiseraH-antisera
polyvalent-O, groups A-Gpolyvalent-H, specific and non-specific
2-O, group Apolyvalent-H, non-specific factors 1,2,5,6,7
4-O, group Ba-H (S. Paratyphi A)
6, 7-O, group C1b-H (S. Paratyphi B)
8-O, group C2c-H (S. Paratyphi C)
9-O, group Dd-H (S. Typhi)
3, 10, 15, 19-O group Ee,h-H (S. Newport)
11-O, group Ff,g-H (S. Derby)
13, 22-O, group Gg,m-H (S. Enteritidis)
 i-H (S. Typhimurium)
 k-H (S. Thompson)
 l,v-H (S. London)
 m,t-H (S. Oranienburg)
 r-H (S. Bovismorbificans)
Laboratories that are likely to investigate typhoid also carry antiserum raised against the Vi antigen.

A set of "Rapid Diagnostic Sera" is also held and is used for determination of common specific H-antigens except i-H. After obtaining a positive agglutination with the polyvalent-H specific and non-specific antiserum, the three RDS antisera are used to identify the H antigen present. Depending on the pattern of positive and negative reactions with the RDS antisera, the specific H antigen may be identified:

antigenRDS1RDS2RDS3
bagglutinationagglutinationno agglutination
d agglutinationno agglutinationagglutination
Eagglutinationagglutinationagglutination
Gno agglutinationno agglutinationagglutination
kno agglutinationagglutinationagglutination
Lno agglutinationagglutinationno agglutination
ragglutinationno agglutinationno agglutination

E = polyvalent for eh, enx, etc.
G = polyvalent for gm, gp, etc.
L = polyvalent for lv, lw, etc.

Connection of O and H symbols to the work of Weil and Felix

See main article: Proteus (bacterium). This use of the O and H symbols is based on the historic observations of Edmund Weil (1879–1922) and Arthur Felix (1887–1956) of a thin surface film produced by agar-grown flagellated Proteus strains, a film that resembled the mist produced by breath on a glass. Flagellated (swarming, motile) variants were therefore designated H forms (German Hauch, for film, literally breath or mist); nonflagellated (nonswarming, nonmotile) variants growing as isolated colonies and lacking the surface film were designated as O forms (German ohne Hauch, without film [i.e., without surface film of mist droplets]).[7] [8] [9]

Notes and References

  1. Murray PR, Baron EJ, Pfaller MA, Tenover FC, Yolken RH, 1995. Manual of Clinical Microbiology. Washington, DC, ASM Press.
  2. Web site: Grimont. Patrick. Antigenic formulae of the Salmonella serovars, 9th edition. WHO Collaborating Centre for Reference and Research on Salmonella. 2 July 2013. dead. https://web.archive.org/web/20130701223153/http://www.pasteur.fr/ip/portal/action/WebdriveActionEvent/oid/01s-000036-089. 1 July 2013.
  3. Chiou. C. S.. Huang, J. F. . Tsai, L. H. . Hsu, K. M. . Liao, C. S. . Chang, H. L. . A simple and low-cost paper-bridged method for Salmonella phase reversal. Diagnostic Microbiology and Infectious Disease. 2006. 54. 4. 315–317. 10.1016/j.diagmicrobio.2005.10.009. 16466895.
  4. European Food Standards Agency. Scientific Opinion on monitoring and assessment of the public health risk of "Salmonella Typhimurium-like" strains. EFSA Journal. 2010. 8. 10. 7–8. 10.2903/j.efsa.2010.1826.
  5. European Food Standards Agency. Scientific Opinion on monitoring and assessment of the public health risk of "Salmonella Typhimurium-like" strains. EFSA Journal. 2010. 8. 10. 7–8. 10.2903/j.efsa.2010.1826.
  6. Grimont. Patrick. Weill. François-Xavier. 2007-01-01. Antigenic Formulae of the Salmonella serovars, (9th ed.) Paris: WHO Collaborating Centre for Reference and Research on Salmonella. Institute Pasteur.. 1–166.
  7. Weil, E. & Felix, A. (1917) Wien. Klin. Wschr. 30, 1509, cited in Smith, R.W. & Koffler, H., "Bacterial Flagella", in Advances in Microbial Physiology, Vol. 6 (A.H. Rose & J.F. Wilkinson, Eds.), p. 251, Academic Press, 1971
  8. Rietschel, E.T. & Westphal, O. "Endotoxin: Historical Perspectives", in Endotoxin in Health Disease (H. Brade, Ed.), p. 11, CRC Press, 1999.
  9. Hahon, N., Ed. Selected Papers on the Pathogenic Rickettsiae, p. 79, Harvard University Press, 1968.