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Applied and Environmental Microbiology, April 2003, p. 1913-1919, Vol. 69, No. 4
0099-2240/03/$08.00+0 DOI: 10.1128/AEM.69.4.1913-1919.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Molecular Epidemiology of Mycoplasma conjunctivae in Caprinae: Transmission across Species in Natural Outbreaks
Luc Belloy,1,
Martin Janovsky,2,
Edy M. Vilei,1 Paola Pilo,1 Marco Giacometti,3 and Joachim Frey1*
Institute of Veterinary Bacteriology,1
Center for Fish and Wildlife Health, Institute of Animal Pathology, University of Berne, CH-3012 Berne,2
Wildvet Projects, CH-7605 Stampa, Switzerland3
Received 25 April 2002/
Accepted 7 January 2003

ABSTRACT
Mycoplasma conjunctivae is the etiological agent of infectious
keratoconjunctivitis, a highly contagious ocular infection that
affects both domestic and wild Caprinae species in the European
Alps. In order to study the transmission and spread of
M. conjunctivae across domestic and wild Caprinae populations, we developed
a molecular method for subtyping and identifying strains of
M. conjunctivae. This method is based on DNA sequence determination
of a variable domain within the gene
lppS, a gene that encodes
an antigenic lipoprotein of
M. conjunctivae. This domain of
lppS shows variations among different strains but remains constant
upon generations of individual strains on growth medium and
thus allows identification of individual strains and estimation
of their phylogenetic intercorrelations. The variable domain
of
lppS is amplified by PCR using primers that match conserved
sequences of
lppS flanking it. Sequence analysis of the amplified
fragment enables fine subtyping of
M. conjunctivae strains.
The method is applicable both to isolated strains and to clinical
samples directly without requiring the cultivation of the strain.
Using this method, we show that
M. conjunctivae was transmitted
between domestic and wild animals that were grazing in proximate
pastures. Certain animals also presented infections with two
different strains simultaneously.

INTRODUCTION
Infectious keratoconjunctivitis (IKC) is a common, contagious
ocular disease known as pinkeye of domestic small ruminants,
particularly sheep and free-ranging Caprinae mainly in the Alps
(
13). This disease is characterized by inflammation of the conjunctiva
and cornea. In the most-advanced stage, the cornea is opaque
or even perforated (
18), and blind wild animals may fall from
cliffs or die from starvation.
Mycoplasma conjunctivae is considered
as the major etiological agent of IKC in Caprinae species such
as alpine ibex (
Capra ibex ibex) (
13), alpine chamois (
Rupicapra rupicapra rupicapra) (
10,
20), and mouflon (
Ovis orientalis musimon) (
23), as well as in domestic sheep and goat (
15,
16,
25,
26). In Switzerland, the prevalence of
M. conjunctivae antibodies
in adult sheep at the individual level was 53%, and the domestic
sheep population was shown to act as a reservoir of the
M. conjunctivae infection (
15). In contrast, the
M. conjunctivae infection is
not self-maintained in alpine chamois in eastern Switzerland
and their infection may originate from domestic sheep living
in proximity to chamois during the summer (
12). Susceptibility
of alpine ibex to sheep strains of
M. conjunctivae was demonstrated
by experimental infections, hence proving the possibility of
transmission of mycoplasmal IKC between different species (
13).
This transmission of
M. conjunctivae between domestic small
ruminants and wild Caprinae may be caused by physical contacts
and by flies acting as vectors between the species (
11). In
alpine regions, increases of IKC outbreaks are generally observed
during the summer and autumn, which is coincident with the presence
of domestic sheep grazing on alpine summer pasture (
12).
Transmission of infectious agents across host species is common in nature. In particular, spillover from reservoir animal populations (often domesticated species) to wildlife underpins the appearances of a range of emerging infectious diseases in wildlife (9). Evidence of bacterial transmission between domestic and wild animals based on molecular techniques was reported by Chang et al. (7), when the transmission of Bartonella among cattle and wildlife in North America was described. In 1996, transmission of Mycobacterium bovis between wild boar and cattle in Spain was reported (1). Problems associated with spillover of infectious agents include a more complex surveillance of the flow of the pathogenic agent and a more difficult disease control. Spillover is facilitated by the presence of various hosts in the same area. However, if an agent is present in two different species in the same region, it cannot be assumed offhand that transfer between these species always occurs (24) unless evidence based on markers capable of distinguishing strain subtypes is provided.
In this study, we present a subtyping method for M. conjunctivae strains using a variable domain of the 3' end of the lppS gene which encodes the lipoprotein S adhesin (LppS) of M. conjunctivae (5). We have used this method to analyze differences among strains of M. conjunctivae in sheep, goat, chamois, and ibex and to study inter species transmission of M. conjunctivae.

MATERIALS AND METHODS
Origin of M. conjunctivae strains and samples.
The origin of the different
M. conjunctivae strains and isolates
are given in Table
1. They were collected from different host
species and various geographic places during 1994 and 2001.
The type strain of
M. conjunctivae, HRC/581
T, was isolated in
1972 (
4) and was obtained from the
Mycoplasma Reference Center,
Aarhus, Denmark, in 1973. A different sample of HRC/581
T that
was propagated for a large number of generations on growth medium
was obtained from Agence Française de Sécurité
Sanitaire des Aliments (AFSSA), Lyon, France, in 2001.
M. conjunctivae strains were grown on standard mycoplasma PPLO Growth medium
(Difco Laboratories, Detroit, Mich.) enriched with 20% horse
serum, 2 to 5% yeast extract, and 1% glucose (
3). Direct samples
were taken from the conjunctiva of affected animals with cotton
swabs and stored at -18°C. The hosts from which the different
strains and samples were collected included domestic sheep and
goats as well as free-ranging chamois and ibexes from different
cantons of Switzerland. Furthermore, chamois from two different
Italian provinces, sheep and chamois from the Salzach valley
in Austria, and sheep and goats from Croatia were analyzed.
The last of these groups included sheep that were imported from
Australia, native sheep that were reported to have been infected
by the introduction of Australian rams in the flocks, and a
goat that originated from France. All strains and isolates were
confirmed to belong to the species
M. conjunctivae using a nested
PCR method with the primer pairs MOLIGEN1-L/16SUNI-R and McoR1/McoF1
(
14).
Detection of M. conjunctivae infections.
Detection of
M. conjunctivae from conjunctival swabs was done
by nested PCR (
14). Briefly, cotton swabs were placed into microcentrifuge
tubes containing 0.5 ml of lysis buffer (100 mM Tris-HCl [pH
8.5], 0.05% Tween 20, proteinase K [0.24 mg/ml]) and mixed for
1 min. The buffer was incubated for 60 min at 60°C, and
this was followed by an incubation for 15 min at 97°C to
obtain the lysate as template for PCRs. In vitro amplifications
from the lysates were performed by nested PCR with the primer
pair MOLIGEN1-L-16SUNI-R (Table
2) in the first step and the
primer pair McoR1-McoF1 (Table
2) in the second step (
14).
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TABLE 2. Sequences of PCR primers used for detection of M. conjunctivae and amplification of the C-terminal part of lppS
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Amplification of the 3' part of lppS and sequence analysis.
The 3' part of the
lppS gene was amplified by PCR from lysates
of
M. conjunctivae cultures or directly from lysates of conjunctival
swab samples by PCR with oligonucleotide primers Ser_start1
and Ser_end (Table
2) which were derived from the DNA sequence
of
M. conjunctivae HRC/581
T lppS gene (EMBL/GenBank accession
number
AJ318939). PCR was carried out in a 50-µl reaction
mix [50 mM Tris-HCl, pH 9.2, 1.75 mM MgCl
2, 16 mM (NH
4)
2SO
4,
a 350 µM concentration of each deoxynucleoside triphosphate]
using 3.5 µl of lysate as template. To each reaction,
1.75 U of a mixture of
Taq DNA and
Pwo DNA polymerases (Expand
Long Template PCR System kit; Roche Diagnostics, Rotkreuz, Switzerland)
and a 400 nM concentration of the respective forward and reverse
primer couple (Table
2) were added. The samples were subjected
to a denaturation step at 94°C for 2 min followed by 40
cycles of amplification consisting of 30 s at 94°C, 30 s
at 51°C, and elongation at 68°C during 75 s. All PCRs
were carried out in a GeneAmp 9600 DNA thermal cycler (Applied
BioSystems, Norwalk, Conn.). The PCR amplification products
were analyzed by electrophoresis through 0.7% agarose gels and
visualized after staining with ethidium bromide on a UV Transilluminator
(
2).
For DNA sequence analysis PCR fragments were purified using the High Pure PCR product purification kit (Roche Diagnostics). The concentration of the purified DNA was determined spectrophotometrically with a GeneQuantII (Pharmacia Biotech, Cambridge, England) and 50 ng of purified PCR products were used for the sequencing reaction. Sequencing reactions were performed using the dRhodamine terminator cycle sequencing kit (Applied Biosystems), with the primers Ser_start1 and Ser_end used for the PCR amplification. Reaction products were analyzed with an ABI Prism 3100 genetic analyzer (Applied Biosystems).
Sequence analysis and editing were done with the software Sequencher (Gene Codes Corporation, Ann Arbor, Mich.). Alignment was done with the Wisconsin package (Genetics Computer Group, Inc., Madison, Wis.). A phylogenetic relationship was established with PILEUP from the Genetics Computer Group program package (gap creation penalty, 5; gap extension penalty, 1) and by further analysis with the Mega 1.02 program (by complete deletion of gaps and missing information). Corrections were calculated with the Jukes-Cantor algorithm (17), and a tree was derived by the neighbor-joining method (22).
DNA probe for lppS and Southern blot analysis.
A specific probe for lppS was prepared by PCR using 1 ng DNA of purified plasmid pJFF2E carrying the cloned lppS gene (5) as template with the oligonucleotide primers Ser_start2 and Ser_end and by supplementing the reaction mix by 40 µM digoxigenin-11-dUTP (DIG) (Roche Diagnostics). Genomic DNA of the different Mycoplasma species was digested, subjected to electrophoresis on a 0.7% (wt/vol) agarose gel, and transferred onto a positively charged nylon membrane (Roche Diagnostics) following standard protocol (2). The membrane was preincubated with 20 ml of hybridization buffer (5x SSC [1x SSC is 150 mM NaCl, 15 mM sodium citrate, pH 7.7], 0.1% N-lauroylsarcosine, 0.02% sodium dodecyl sulfate [SDS], 1% [wt/vol] blocking reagent [Roche Diagnostics]) per 100-cm2 membrane at 68°C for 2 h and then hybridized overnight at 60°C with 2.5 ml of hybridization buffer containing 1 µg DIG-labeled lppS probe per 100-cm2 membrane. The membrane was washed twice for 5 min at room temperature with 2x SSC containing 0.1% SDS and twice for 15 min at 25°C with 0.2x SSC containing 0.1% SDS. The digoxigenin-labeled probe was detected using phosphate-labeled antidigoxigenin antibodies (Roche Diagnostics) according to the manufacturer's instructions.

RESULTS
Variability of the 3' end of the lppS gene in various M. conjunctivae strains.
Sequence analysis of the
lppS gene of different
M. conjunctivae field stains revealed that the 3'-coding region which includes
the serine rich domain of lipoprotein LppS (Fig.
1) shows significant
variability among the field isolates compared to the HRC/581
T,
while the rest of the gene seemed to be stable. Sequence comparison
of the
lppS genes of the
M. conjunctivae type strain HRC/581
T isolated from a sheep in 1972 and from field strain 2784 (accession
no.
AJ514404) isolated from a chamois in 2000 showed 96% identity
in the first 3,508 bp of the coding sequence for LppS and only
68% identity in the last 719 bp at the 3' end. The 5' part of
the subsequent gene
lppT showed no differences. We exploited
these results to develop oligonucleotide primers matching conserved
segments in the
lppS gene and the 5' end of
lppT flanking the
variable domain of
lppS which allowed PCR amplification of this
variable segment (Fig.
1). PCR amplifications were made using
the primer pair Ser_start1-Ser_end (Table
2) from the different
strains or directly from eye swabs of the affected animals (Table
1). Agarose gel analysis of the PCR products showed fragments
of variable size as expected, ranging from 519 to 935 bp. Subsequent
DNA sequence analysis of the PCR amplicons was performed using
the same primers Ser_start1 and Ser_end. Sequence data were
used 10 nucleotides downstream the sequence of the respective
primers from strain HRC/581
T. The nucleotide sequence data from
the 44 individual strains or isolates listed in Table
1 showed
differences up to 35%. This allowed a good resolution and identification
of individual strains. A few of the sequences were identical,
indicating that the corresponding isolates were identical strains.
The sequence chromatograms of fragments from four samples (49,
52, 53 and 2821; Table
1) showed multiple double peaks referring
to different nucleotides and could not be analyzed. This indicated
the presence of two or more different
M. conjunctivae strains
in the same sample. In sample 49 two different isolates, 49-a
and 49-b, were segregated and sequenced individually (Table
1). The other three samples (52, 53, and 2821) were not used
any further in this study.
In order to study the stability of the variable part of the
lppS gene when
M. conjunctivae is grown in culture medium, we
have sequenced the same domain from two different samples of
the type strain HRC/581
T. One sample was obtained in the year
1973 from the
Mycoplasma Reference Center and had a particularly
low number of generations under in vitro growth. The second
sample was obtained in the year 2001 from F. Poumarat, AFSSA,
and was grown for approximately 40 generations in our laboratory.
There were no differences in the nucleotide sequences of the
lppS gene among these two samples, thus showing that
lppS in
a given strain is stable. We therefore used the differences
in the variable part of
lppS in order to differentiate individual
strains of
M. conjunctivae and to calculate the phylogenetic
distance among the strains as shown in Fig.
2.
In order to ascertain that the
lppS gene is present in a single
copy in
M. conjunctivae and is absent in other related
Mycoplasmas species, Southern blot analysis of
HindIII digested genomic
DNA of
M. conjunctivae strains HRC/581
T and 2784,
M. mycoides subsp.
mycoides SC strain Afadé,
M. putrefaciens strain
KS1
T,
M. agalactiae strain 3990,
M. arginini strain G230
T and
strain
M. mycoides subsp.
capri PG3 was performed with the gene
probe for
lppS. This analysis showed a single 4.8-kb band hybridizing
to the
lppS probe with
M. conjunctivae (as expected from the
physical map shown in Fig.
1), and no signal with the other
Mycoplasma species, thus revealing that
lppS is specific to
the species
M. conjunctivae. This was confirmed further by PCR
analysis using the primer pair Ser_start1-Ser_end (Table1).
Southern blot analysis of genomic DNA of
M. conjunctivae digested
with
BamHI,
SalI,
SmaI, and
PvuI which cut outside the
lppS gene resulted in single band, thus confirming that
lppS is present
in a single copy.
Molecular epidemiology of M. conjunctivae infections.
The variable part of the lppS gene of 40 different isolates and of the type strain of M. conjunctivae was sequenced and their phylogenetic relationship was established (Fig. 2). Several isolates showed identical nucleotide sequences in the variable part of lppS indicating that they represented the same strains. Isolates My-86/95, My-87/95, My-88/95, My-93/95, and My-94a/95 all represent the same strain (Fig. 2). They were isolated from native Croatian sheep in a flock that started to show symptoms of IKC after a ram had been introduced from Australia which was considered to have infected the flock (19) (T. Naglic, personal communication). In addition, strain My-66/95 which was isolated in Croatia from a sheep directly imported from Australia shows to be most closely related to the former four isolates. These strains form a distinct cluster that is different from all other isolates which originate from European Alpine countries (Fig. 2). Among the different isolates from sheep, goat, chamois and ibex from European Alpine regions, the typing method is able to distinguish 16 different strains which form the second cluster. Of particular interest in this cluster are isolates 2777, 2778, 2784, and 2785 (Fig. 2, shaded box A) which were all isolated from diseased chamois in the Salzach valley in Austria. After diagnosis of M. conjunctivae in these chamois, eye swabs from a few sheep that were grazing in these pastures and that showed signs of potential M. conjunctivae infections were analyzed. Among three positive sheep, one isolate, number 5, showed the same lppS sequence as the latter four isolates from chamois (Fig. 2, shaded box A). Hence, this sheep carried the same strain as that detected in the chamois in this valley. A second situation where the same M. conjunctivae strain was found in chamois and in sheep grazing in the vicinity is represented by isolate 2833 Re from a sheep, and isolate 2831 from a chamois that was found with IKC in the San Bernardino region, Switzerland (Fig. 2, shaded box B).
Two further cases show that sheep can become infected by two different strains simultaneously: the isolates 2833Li and 2833Re were found in the same sheep, one in the left eye and the other in the right eye. Furthermore, isolates 49-a and 49-b could be separated as two different strains originating from the same eye of a sheep that was initially free of M. conjunctivae and that was put in contact under controlled conditions with a flock that was known to be infected with M. conjunctivae isolate 54 (which is the same strain as isolate 49-b) and isolate 95 (which is the same strain as isolate 49-a). The latter strain was identified in three host species: sheep, chamois, and ibex. It must be noted that upon mixed infections with two or more different M. conjunctivae strains, the PCR method is normally expected to amplify the most abundant subtype. Therefore, the method is not designed to detect and/or analyze multiple infections with different strains simultaneously. Finally, we had the surprising finding that a female chamois and her 2 month old kid, both affected with IKC, carried 2 different strains (2831 and 2832, respectively). These two strains, however, were also found in sheep (2833 and G131, respectively) in the same canton (Grisons) (Fig. 2).

DISCUSSION
Molecular epidemiological studies of mycoplasmas are in general
hampered by the difficulty to cultivate mycoplasmas and to subtype
Mycoplasma species by means of phenotypic markers such as biochemical
reactions or surface markers for serotyping. Furthermore, antigenic
hyper-variability often makes strain differentiation by serotyping
impossible. Recently, insertion sequence typing by Southern
blot hybridization with a labeled probe of IS
1296 was used to
subtype strains of
Mycoplasma mycoides subsp.
mycoides SC. This
method allowed the conclusion that the reemerging outbreaks
of
M. mycoides subsp.
mycoides SC infections of cattle in Europe
were due to an endogenous European strain and not by reimporting
the disease from the African continent (
8). Insertion sequence
typing, however, required extracted DNA from approximately 10
to 20 ml of cultures of each strain which is rather expensive
in labor and cost. For
M. conjunctivae no insertion elements
are known yet. Species identification of
M. conjunctivae is
currently performed by PCR based on specific segments of the
rrs (16S rRNA) gene (
14). Here we presented a new subtyping
method that was developed on the basis of DNA sequence of the
variable part of the adhesin lipoprotein S. This variable part
which is conveniently flanked by stable gene sequences was shown
to be stable within an isolated strain over many generations
and hence can serve as accurate target for identification of
individual strains. The variable domain of
lppS seems to evolve
slowly and does not share common features with hypervariable
antigens known in
M. bovis and
M. agalactiae (
6,
21). The subtyping
method of
M. conjunctivae by sequence analysis of the variable
domain of
lppS presented in this work has the advantage that
it can be done directly from single colonies of primary cultures
as well as from liquid cultures or from purified genomic DNA.
The particular advantage, however, is that the method can be
applied even directly to clinical samples such as eye swabs
without prior cultivation. The latter, however, required that
animals are infected by single strains, since double infections
by different strains cannot be resolved by this method, unless
they are separated, e.g., by cloning. Our study showed that
in most cases infections with single strains were encountered
in sheep and chamois that we analyzed. Only four double infections
were found in our study whereof one was analyzed in particular.
The DNA sequence heterogeneity in the variable part of
lppS was also used as a phylogenetic marker for the different
M. conjunctivae strains. Hence, the six
M. conjunctivae isolates
from Croatia that are presumed to originate from imported Australian
sheep (
19) clearly show a cluster that is distinct from the
other strains that are generally found in the European Alpine
region (Fig.
2). Since IKC was not detected in this geographical
area earlier (Naglic, personal communication), this particular
epidemiological situation explains the spread of a single strain
in this flock. In addition, the distinct provenance of this
strain and also of strain My-66/95 which was isolated in Croatia
from a sheep directly imported from Australia explains the particular
phylogenetic position of these strains (Fig.
2). Isolate My-7/96
which also was collected in Croatia, was isolated from a goat
that was imported from France and that was kept in quarantine
after the transport. This isolate represents a strain that belongs
to the European Alpine cluster. It is the only goat isolate
in this study and takes a particular phylogenetic position in
the Alpine European cluster. The phylogenetic position of the
type strain HRC/581
T matches closely Alpine sheep and chamois
strains, even though the origin of this strain is reportedly
Maryland (
4).
Most interestingly, our study revealed that the same M. conjunctivae strains could be isolated from chamois with IKC and from sheep that were grazing on the same pastures (Fig. 2, shaded boxes), showing that M. conjunctivae can be transmitted between domestic small ruminants and free-ranging wild Caprinae. This confirms previous speculations from seroepidemiological surveillance of M. conjunctivae infections in sheep (15). These studies showed the domestic sheep population to be an important reservoir of M. conjunctivae from which alpine chamois, which do not maintain the infection themselves, were considered to be infected by mainly neighboring sheep populations.
In summary, we have developed a molecular method for subtyping individual strains of M. conjunctivae based on the variable segment of the adhesin gene lppS. This method allowed us to perform a molecular epidemiological study of M. conjunctivae in Alpine regions and to demonstrate the possibility of transmission of M. conjunctivae between domestic sheep and wild Caprinae.

ACKNOWLEDGMENTS
We are grateful to A. Pacher-Theinburg, Salzburg, Austria, and
J. Steiner, Zell am See, Austria, who provided valuable samples
from sheep and chamois; to Tomo Naglic, Zagreb, Croatia, for
valuable strains from Croatia and epidemiological information;
and to Alessandra Gaffuri, Bergamo, Italy, and Irene Bertoletti,
Sondrio, Italy, for providing chamois samples from Italy. We
also acknowledge François Poumarat, Lyon, France, for
the gift of type strain HRC/581 and Yvonne Schlatter for valuable
technical support. P. Ratti, G. Brosi, K. Jörger, H.-J.
Blankenhorn, N. De Tann, and M. Nyffeler provided administrative
and technical support for the study in Switzerland.
This research was funded by a research grant from the Institute for Veterinary Bacteriology, Berne, Switzerland; and by the Fund for Research on Infectious Keratoconjunctivitis, Chur, Switzerland.

FOOTNOTES
* Corresponding author. Mailing address: Institute for Veterinary Bacteriology, University of Berne, Laenggass-Strasse 122, CH-3012 Berne, Switzerland. Phone: 41 31 631 24 14. Fax: 41 31 631 26 34. E-mail:
joachim.frey{at}vbi.unibe.ch.

Present address: Institut Galli Valerio, CH-1014 Lausanne, Switzerland. 
Present address: Landesveterinärdirektion, A-6020 Innsbruck, Austria. 

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Applied and Environmental Microbiology, April 2003, p. 1913-1919, Vol. 69, No. 4
0099-2240/03/$08.00+0 DOI: 10.1128/AEM.69.4.1913-1919.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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