“…All strains of the B. cereus group (including psychrotrophic B. cereus ) appear to possess genes required to produce at least one of these diarrhoeal enterotoxins, but the extent of pathogenicity is influenced by factors such as the number and type of diarrhoeal enterotoxin genes present, their expression, and importantly the quantity of enterotoxin formed (Böhm et al, 2015; Castiaux et al, 2016; Glasset et al, 2016; Guinebretiere, Broussolle, & Nguyen-The, 2002; Guinebretière et al, 2010; Hendriksen et al, 2006; Jeβberger et al, 2015; Kovac et al, 2016; Miller, Jian, Beno, Wiedmann, & Kovac, 2018; Samapundo, Heyndrickx, et al, 2011; Stenfors, Mayr, Scherer, & Granum, 2002), and not all strains may form sufficient of the diarrhoeal enterotoxin(s) to cause foodborne illness (Miller et al, 2018; Stenfors Arnesen et al, 2008). The possession of the ces gene and the ability to form the emetic toxin (cereulide) is limited to a fraction of strains in the B. cereus group, and details are emerging of the regulation of, and environmental cues affecting emetic toxin formation, for example toxin formation is not favoured by anaerobiosis or chilled temperature (Biesta-Peters, Dissel, Reij, Zwietering, & in't Veld, 2016; Ehling-Schulz et al, 2015; Guérin, Thorsen Rønning et al, 2017). Several isoforms of cereulide have been identified, with varying potency (Marxen et al, 2015).…”