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Applied and Environmental Microbiology, April 2001, p. 1581-1586, Vol. 67, No. 4
0099-2240/01/$04.00+0 DOI: 10.1128/AEM.67.4.1581-1586.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Genomic Relatedness within Five Common Finnish
Campylobacter jejuni Pulsed-Field Gel Electrophoresis
Genotypes Studied by Amplified Fragment Length Polymorphism
Analysis, Ribotyping, and Serotyping
Marja-Liisa
Hänninen,1,*
Päivikki
Perko-Mäkelä,1
Hilpi
Rautelin,2,3
Birgitta
Duim,4 and
Jaap A.
Wagenaar4
Department of Food and Environmental Hygiene,
Faculty of Veterinary Medicine,1 and the
Department of Bacteriology and Immunology, Haartman
Institute,2 University of Helsinki, and
Helsinki University Central Hospital
Diagnostics,3 00014 University of Helsinki,
Finland, and Department of Bacteriology, Institute for
Animal Science and Health, Lelystad, The Netherlands4
Received 13 April 2000/Accepted 6 September 2000
 |
ABSTRACT |
Thirty-five Finnish Campylobacter jejuni strains with
five SmaI/SacII pulsed-field gel
electrophoresis (PFGE) genotypes selected among human and chicken
isolates from 1997 and 1998 were used for comparison of their PFGE
patterns, amplified fragment length polymorphism (AFLP) patterns,
HaeIII ribotypes, and heat-stable (HS) serotypes. The
discriminatory power of PFGE, AFLP, and ribotyping with
HaeIII were shown to be at the same level for this selected set of strains, and these methods assigned the strains into the same
groups. The PFGE and AFLP patterns within a genotype were highly
similar, indicating genetic relatedness. The same HS serotypes were
distributed among different genotypes, and different serotypes were
identified within one genotype. HS serotype 12 was only associated with
the combined genotype G1 (PFGE-AFLP-ribotype). These studies using
polyphasic genotyping methods suggested that common Finnish C. jejuni genotypes form genetic lineages which colonize both humans
and chickens.
 |
INTRODUCTION |
Campylobacter jejuni is
the leading cause of human bacterial gastroenteritis in developed
countries (22, 29). Serious consequence of
campylobacteriosis can be the development of the Guillain-Barré
and Miller-Fisher syndromes (33). Most human infections
are apparently sporadic, and the distribution of cases shows a seasonal
variation. In the Northern hemisphere the human cases occur mostly from
June to September (19, 29). C. jejuni is
commonly found in the intestinal contents of many domestic and wild
animals (27), and there may also be a seasonal variation in the infection rate of poultry (3, 18) and the fecal
excretion of C. jejuni in cattle and calves.
(28). Although in a few cases, the transmission routes
from animal hosts and environmental sources to humans have not been
determined, epidemiological studies and data from outbreaks indicate
that contaminated drinking water, unpasteurized milk, and eating or
handling contaminated poultry products are important risk factors
associated with human infections (19, 29).
Subtyping of C. jejuni strains supports epidemiological
studies for tracing sources and transmission routes of infections. Serotyping, phage typing, and molecular typing of
Campylobacter isolates from human and animal sources have
revealed that C. jejuni is a highly heterogeneous organism
(7, 11, 23). For example, approximately 70 heat-stable and
more than 100 heat-labile serotypes have been identified for C. jejuni and C. coli (22). Application of
several typing techniques for comparison of strains obtained from
humans and animals have revealed that there is an overlap of serotypes
and phage types indicating either common infection sources or
transmission of the organism from animal reservoirs to humans through
food chains, drinking water, or direct animal contact (11,
21).
Genotyping techniques have shown distinct levels of discriminatory
power when applied for studies on C. jejuni. One of the most
discriminating techniques has been shown to be pulsed-field gel
electrophoresis (PFGE), which uses rare-cutting restriction enzymes and
shows sequence variation in restriction sites located over the whole
genome (4, 20). However, with SmaI, an enzyme commonly used for PFGE of C. jejuni, only a limited number
of fragments is generated, which limits the discriminatory power of
this technique (9, 11). To increase the discrimatory
power, KpnI (10) or SacII analysis
(11) can be used in combination with SmaI.
Ribotyping, based on restriction fragment length polymorphism (RFLP)
analysis of ribosomal loci, is a less discriminatory method than PFGE
for C. jejuni (4, 9) since C. jejuni
only has three copies of ribosomal genes, which decreases the number of fragments obtained for a pattern (6). Amplified fragment
length polymorphism (AFLP) is a rather new technique used for
Campylobacter typing which, by combination of DNA
restriction with one or more restriction enzymes and the use of a
selective PCR, amplifies a subset of chromosomal fragments. AFLP has
been recently applied to studies on C. jejuni strains from
different sources and was shown to be a highly discriminatory technique
for analysis of both C. jejuni and C. coli
strains (5).
In the present study three genotyping methods
PFGE, AFLP, and
ribotyping and serotyping
were applied to a set of selected C. jejuni strains. The selected strains represented five combined SmaI/SacII PFGE genotype groups that were
commonly found in Finnish patients and chicken isolates in 1997 and
1998 (14). The interstrain relatedness within selected
PFGE genotype groups was further studied with the use of other
molecular typing methods and heat-stable serotyping.
 |
MATERIALS AND METHODS |
Bacterial strains.
Thirty-five C. jejuni strains
were selected from a large collection of strains with known
epidemiological backgrounds and whose SmaI/SacII
PFGE genotypes had been determined (14). The strains were
collected from human infections that were domestically acquired and
from chicken fecal and meat samples in the summers of 1997 and 1998. The origins of the strains are presented in Table
1.
Typing C. jejuni isolates by PFGE.
For PFGE
analysis, the isolates were grown on brucella blood agar (Oxoid, Ltd.,
Basingstoke, Hampshire, England) for 2 days at 37°C in a microaerobic
atmosphere. The bacterial cells were harvested and treated with
formaldehyde to inactivate endogeneous nucleases (8).
Otherwise, DNA was prepared as described by Maslow et al.
(20). The DNA fragments were separated with GeneNavigator (Pharmacia LKB Biotechnology AB, Uppsala, Sweden) in 1% agarose gel in
0.5× TBE (45 mmol Tris, 45 mmol boric acid, 1 mmol EDTA) at 200 V. SmaI and SacII fragments were separated with
ramped pulses of 1 to 30 s for 20 h and of 1 to 20 s for
18 h, respectively. A combined SmaI/SacII
pattern was designated as a PFGE genotype. If strains had one to five
differing fragments in their SmaI and SacII
patterns, they were designated as subtypes and marked with a letter
(for example, genotypes VIa, VIb, VIc, etc.).
AFLP analysis.
The AFLP analysis was performed by using a
protocol adapted from the AFLP microbial fingerprinting protocol of PE
Applied Biosystems (Perkin-Elmer, Norwalk, Conn.). A more detailed
description of the used procedure has been published earlier
(5). AFLP data were analyzed using GelCompar (Applied
Maths, Kortrijk, Belgium), and a similarity matrix was created with the
use of the Pearson product-moment correlation coefficient
(r). The unweighted pair group method using average linkage
was used to cluster the patterns (30).
Ribotyping.
Purified chromosomal DNA in agar plugs prepared
for PFGE was used for ribotyping. In brief, a 2-mm slide was cut from
an agar plug, washed two times with the restriction buffer, and
transferred into a tube with restriction buffer. DNA was digested with
HaeIII (6) according to the instructions of the
manufacturer (Boehringer Mannheim, Mannheim, Germany). The digests were
electrophoresed in 1.2% agarose gels (SeaKem ME Agarose; FMC
BioProducts, Rockland, Maine) with TBE (45 mM Tris, 1 mM EDTA [pH
adjusted to 8.0 with boric acid]) as running buffer. DNA transfer and
probing were performed as described earlier (13).
Serotyping.
A commercially available serotyping kit
(Campylobacter Antisera Seiken Set; Denka, Seiken, Japan) based on
Penner's heat-stable serogroups was used as described earlier
(26).
 |
RESULTS |
PFGE patterns.
A total of 35 strains that belonged to five
different PFGE genotype groups were selected on the basis of their
SmaI and SacII patterns. The distribution of the
strains within PFGE types is shown in Table 1.
PFGE genotype I/K included eight strains, isolated from patients and
chickens in the summer of 1998 (Table
1), which showed
identical PFGE
patterns (Fig.
1 and
2, lanes 1 and 4; partial
digestion
seen in Fig.
2, lane 1). In addition, two strains with
the highly
related PFGE patterns I/Ka and I/Kb differed from pattern
I/K by four
fragments in only their
SacII profiles (Fig.
1 and
2, lanes
3 and 5, respectively). Two more strains were of the
related PFGE type
I/Kc and had a
SacII pattern which differed
from the pattern
K by five fragments (Fig.
1 and
2, lane 2).

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FIG. 1.
SmaI PFGE patterns of C. jejuni
strains. Lanes 1 to 5, SmaI pattern I, strains 4772 (lane
1), 25A (lane 2), 5483 (lane 3), 40A (lane 4), and 28A (lane 5); lanes
6 to 9, pattern VII, strains 5862 (lane 6), FB5241 (lane 7), 4859 (lane
8), and FB5519 (lane 9); lanes 10 and 11, pattern T101, strain FB6271
(lane 10) and 4180 (lane 11); lanes 12 and 13, pattern IV, strains
FB287 (lane 12) and strain 35A (lane 13); mw, molecular size marker.
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|

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FIG. 2.
SacII patterns of same strains as in Fig. 1.
Lanes 1 and 4, pattern K; lane 2, pattern Kc; lane 3, pattern Ka; lane
5, pattern Kb; lane 6, pattern VII; lane 7, pattern VIa; lane 8, pattern VIb; lane 9, pattern VIc; lane 10, pattern T101a; lane 11, pattern T101b; lanes 12 and 13, pattern IV. mw, molecular size
marker.
|
|
Thirteen strains represented the genotype VI with three closely related
groups designated VIa, VIb, and VIc (Table
1). Their
SmaI
and
SacII patterns differed from each other by two to five
fragments (Fig.
1 and
2, lanes 7, 8, and 9). Strain 5862 was assigned
to type VII. It showed a closely related
SmaI pattern (Fig.
1,
lane 6) with the group VI strains, but the
SacII pattern
differed
by more than 10 fragments from the other patterns of this
group
(Fig.
2, lane
6).
PFGE genotype IV included five strains (Table
1; Fig.
1 and
2, lanes 12 and 13), and PFGE genotype T101 had two subtypes,
a and b (Fig.
1 and
2, lanes 10 and 11; Table
1), that differed
by one fragment in their
SmaI profiles (double band on T101b)
and by one fragment in
their
SacII
profiles.
AFLP.
AFLP analysis subdivided the 35 C. jejuni
strains into 10 AFLP types (AF1 to AF10). AFLP fingerprints were
identified as distinct types when the banding patterns shared less than
90% homology, as has been shown by Duim et al. (5).
Cluster analysis of AFLP patterns clearly separated distinct PFGE types
and thus produced in most cases congruent results between the PFGE and
AFLP analyses. The only exception was strain 35A (PFGE IV), which
clustered into the AF4 type (Table 1; Fig. 1 and 2, lane 13, and Fig.
3).
AFLP patterns of six strains with the the PFGE genotype I/K were
clustered at a >90% similarity level (AF1), but patterns
of two
strains of this PFGE group were clustered only with an
82% similarity
level with other strains of the I/K group (AF3
and AF5; Fig.
3).
Strains 25A and 37A, with PFGE types I/Kc (Fig.
1, lane 2), were
clustered in the AFLP analysis into two clusters,
AF1 and AF4,
respectively (Fig.
3). In the AFLP pattern analysis,
all PFGE genotype
VI strains were clustered into the same group
AF7 with highly similar
profiles (Fig.
3). The pattern of strain
5862 (AF6) clustered between
AF7 and AF1 to AF5, being only distantly
related to the AF7 strains,
thus further confirming that this
strain does not belong to the same
lineage as the other strains
in this group. Three T101a genotype
strains from humans and chickens
had similar AFLP patterns (AF8), and
the AFLP pattern of PFGE
genotype T101b was related with a similarity
level of 82% with
the genotype T101a (Fig.
3,
AF9).
Ribotyping.
HaeIII ribotypes of the strains are
shown in Fig. 4 and Table 1. Ribotypes of
eight strains of PFGE/AFLP genotypes I/K/AF1, I/K/AF3, and I/K/AF5 were
identical (ribotype A; Fig. 4, lanes 1 and 2), whereas two strains
(5483 and 28A) had a slightly different ribotype (ribotype Aa, Fig. 4,
lane 4). Also, the PFGE types (I/Ka and IKb) of these two strains were
slightly different from the pattern I/K (Fig. 1 and 2, lanes 1, 3, and
5). Two strains with PFGE genotypes I/Kc and AFLP genotypes AF1 and AF4
were of ribotype B (Fig. 4, lane 3). All strains of PFGE type VI and
AFLP type AF7 had the identical ribotype D (Fig. 4, lanes 7, 8, 10, and 11; Table 1). The ribotype of the strain 5862 (PFGE/AFLP genotype VII/AF6) was E (Fig. 4, lane 9; Table 1). All three strains of PFGE/AFLP genotype IV/AF10 had highly similar ribotypes C and Ca (Fig.
4, lanes 5 and 6). Three strains of PFGE/AFLP genotypes T101a/AF8 and
T101b/AF9 had highly similar ribotypes F and Fa, respectively (Fig. 4,
lanes 12, 13 and 14; Table 1).

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FIG. 4.
HaeIII ribopattern types of C. jejuni strains selected for studies. Lane 1, strain 4593, type A;
lane 2, strain 4772, type A; lane 3, strain 25A, type B; lane 4, strain
5483, type Aa; lane 5, strain BR100, type C; lane 6, strain FB8164,
type Ca; lane 7, strain FB5241, type D; lane 8, strain BR170, type D;
lane 9, strain 5862, type E; lane 10, strain FB4877, type D; lane 11, strain 5259, type D; lane 12, FB6271, type F; lane 13, strain FB456,
type F; lane 14, strain FB4180, type Fa; lane 15, molecular size marker
(2.0, 2.3, 4.3, 6.5, 9.4, and 23 kb).
|
|
Combined genotypes.
Data from PFGE, AFLP, and ribotypes were
combined and designated as combined genotypes, G1, G2, etc. (Table 1).
A total of 13 combined genotypes were identified.
Serotypes.
Seven serotypes were identified among the strains
studied, and eight strains remained untypeable (Table 1, NS).
Heat-stable serotype 1,44 was identified among five different combined
genotypes: G1, G5, G10, G11, and G13. Serotype 4 was identified among
the combined genotypes G10, G11, and G12. Serotype 12 was associated with the G1 genotype, and two PFGE genotype I/Kc strains were of
serotype 57. The strains with related patterns of combined genotype of
G7 and G8 had the same serotype 27.
 |
DISCUSSION |
The results of comparative analysis of PFGE and AFLP patterns of
C. jejuni showed that both methods produced congruent
results in most cases, thus having similar levels of sensitivity. In
one group, AFLP subdivided PFGE type I/K strains into three subclusters (AF1, AF3, and AF5). In the group PFGE VI, however, PFGE analysis was
more discriminatory than AFLP because PFGE subdivided the strains into
three subtypes and AFLP analysis showed a high relatedness of the
patterns. An explanation for the high discriminatory power of AFLP is
the large number of fragments used in the analysis. Ribotype analysis
was shown to have a level of discriminatory power similar to that of
the other genetic methods used. Other ribotyping studies have revealed
that ribotyping was less discriminatory than PFGE (4, 9)
or AFLP (4). In these studies a highly diverse collection
of C. jejuni strains was used, whereas in the present study
the strains represented a restricted set of PFGE genotypes, which may
explain the difference in discrimination by ribotyping.
The C. jejuni strains were systematically collected after
human infections that were domestically acquired in two geographic areas and from chicken samples between 1995 to 1998 in Finland (14). We determined the genotype diversity among these
C. jejuni strains, which PFGE genotypes were commonly found
each year, and how persistent the genotypes were during the study
period. On the basis of these data, representatives of five common PFGE
genotypes found in 1997 and 1998 were chosen for AFLP analysis,
ribotyping, and serotyping. The present extensive genetic analysis
revealed that the five chosen genotypes differed from each other by all of the genotyping methods used, and in most cases the majority of
strains within one PFGE genotype shared fragments in the AFLP and
HaeIII ribotype patterns. This indicated that PFGE genotype groups I/K, IV, VI, and T101 represent genetic lineages among highly
diverse genotypes of C. jejuni isolated during a period of 1 year and that these genotypes seemed to persist from 1 year to another.
The strain 5862 of PFGE genotype VII was related to PFGE genotype VI
but was shown by polyphasic genotype analysis to be only distantly
related to genotype VI. Polyphasic genetic analysis of predominant
genotypes is recommended because this approach gives information on the
relatedness of assigned genotypes and on the homogeneity within a
genotype and helps to choose the most applicable genotyping method(s)
for future monitoring studies.
Heat-stable serotyping revealed that identical serotypes were
distributed among different genotypes and on the opposite several serotypes were identified within one genotype, as has been noted earlier (23, 26). Extensive serotyping data on Finnish
strains is not available, but heat-stable serotypes 1, 4, and 6 complexes have been predominant in England (7, 23),
Denmark (21), and the United States (25). In
the present study serotypes 1,44 and 4 were distributed among most of
the selected common Finnish genotypes. Penner serotype 12 consisted
only of combined genotype G1, which suggests that this serotype belongs
to a stable genotype, similar to that seen for the heat-labile
serotypes 4 and 7 (17) and the heat-stable serotype 55 (12). When a more extensive international database for
C. jejuni genotypes and serotypes becomes available, the
comparison of typing data from different countries will be possible and
information on common genotypes and serotypes occurring in different
countries will be provided.
Population genetic analysis using multilocus enzyme electrophoresis has
suggested a heterogenic stucture for C. jejuni
(2). Certain strains with shared genotypes and phenotypes,
however, may become locally predominant and form temporary clonal
groupings, probably due to specific characteristics that are
advantageous for their colonization in animals or for their
environmental transmission and pathogenicity for humans. C. jejuni has been shown to be naturally transformable
(31). For the flagellin locus recombination by intra- and
interstrain transfer of DNA has been described (15). Recent analysis of the whole genome sequence of the C. jejuni strain NCTC 11168 has revealed that the strain has 23 hypervariable homopolymeric tracts within the chromosomal DNA. These
sequences can be sensitive to slipped-strand mispairing during genome
replication of C. jejuni (24). Slipped-strand
mispairing, as well as recombination or large-scale genomic
rearrangements (plasticity), may be useful in the adaptation of the
organism for colonization and survival in the gut of a variety of
hosts. Slightly changed fragment patterns in the PFGE and AFLP
genotypes with otherwise highly related patterns may result from single
nucleotide changes in the restriction site or from large-scale genome
rearrangements. These mechanisms may contribute to the observed small
variation in the number and size of fragments, as was noted in all
selected genotypes with otherwise-similar PFGE or AFLP patterns. This
minor genomic variability, however, may lead to overestimation of
genetic diversity, as recently shown for Helicobacter pylori
with in silico comparison of PFGE patterns of two H. pylori
strains with known whole genome sequences. Minor sequence variation was
mainly caused by silent nucleotide variation in genes which accounted
for the most verified differences in the PFGE patterns of two H. pylori strains J199 and 26995 (1). We have shown
earlier that at least certain C. jejuni strains may change
their genotypes after experimental infections in chickens (12) and Wassenaar et al. (32) noted genomic
changes in a set of highly related strains from a batch of meat. The
present selection of strains may represent natural variation occurring in a genetic lineage after isolation from various hosts.
In conclusion, our study on selected C. jejuni strains
isolated during the same time period from humans and chickens indicates that five predominant Finnish genotypes shared PFGE, AFLP, and ribotypes and formed genetic lineages which seemed to persist for 1 year. PFGE and AFLP analyses were shown to have a high level of
discriminatory power, although in some cases AFLP was able to further
distinguish strains with identical PFGE patterns. In one case AFLP
patterns of the strains were highly similar, but PFGE patterns showed
differences. Ribotyping allotted the strains into the same genotyping
groups as PFGE and AFLP. Identical serotypes were distributed among
different genotypes, suggesting that serotyping alone cannot be used
for strain identification. In epidemiological studies combined
serotyping and genotyping could provide the most relevant data for the
identification of strains.
 |
ACKNOWLEDGMENTS |
We thank Urszula Hirvi and Alan Rigter for technical assistance.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Faculty of
Veterinary Medicine, Department of Food and Environmental Hygiene, P.O. Box 57, FIN-00014 University of Helsinki, Finland. Phone:
358-9-19149704. Fax: 358-9-19149718. E-mail:
marja-liisa.hanninen{at}helsinki.fi.
 |
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Applied and Environmental Microbiology, April 2001, p. 1581-1586, Vol. 67, No. 4
0099-2240/01/$04.00+0 DOI: 10.1128/AEM.67.4.1581-1586.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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