A PCR method for the unequivocal assignment of Haemophilus influenzae
capsular type (types a to f) was developed. PCR primers were designed
from capsule type-specific DNA sequences cloned from the capsular gene
cluster of each of the six capsular types. PCR product was amplified
only from the capsular type for which the primers were designed. Produ
ct was confirmed by using either an internal oligonucleotide or restri
ction endonuclease digestion. A total of 172 H. influenzae strains of
known capsular type (determined genetically) comprising all capsular t
ypes and noncapsulate strains were tested by PCR capsular typing. In a
ll cases the PCR capsular type corresponded to the capsular genotype d
etermined by restriction fragment length polymorphism analysis of the
cap region. When used in conjunction with PCR primers derived from the
capsular gene bexA, capsulate, noncapsulate, and capsule-deficient ty
pe b mutant strains could be differentiated. PCR capsular typing overc
omes the problems of cross-reaction and autoagglutination associated w
ith the serotyping of H. influenzae strains. The rapid and unequivocal
capsular typing method that is described will be particularly importa
nt for typing invasive H. influenzae strains isolated from recipients
of H. influenzae type b vaccine.