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Applied and Environmental Microbiology, March 2005, p. 1148-1154, Vol. 71, No. 3
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.3.1148-1154.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Efficient DNA Fingerprinting of Clostridium botulinum Types A, B, E, and F by Amplified Fragment Length Polymorphism Analysis
Riikka Keto-Timonen,*
Mari Nevas, and
Hannu Korkeala
Department of Food and Environmental Hygiene, University of Helsinki, Helsinki, Finland
Received 3 June 2004/
Accepted 11 October 2004

ABSTRACT
Amplified fragment length polymorphism (AFLP) analysis was applied
to characterize 33 group I and 37 group II
Clostridium botulinum strains. Four restriction enzyme and 30 primer combinations
were screened to tailor the AFLP technique for optimal characterization
of
C. botulinum. The enzyme combination HindIII and HpyCH4IV,
with primers having one selective nucleotide apiece (Hind-C
and Hpy-A), was selected. AFLP clearly differentiated between
C. botulinum groups I and II; group-specific clusters showed
<10% similarity between proteolytic and nonproteolytic
C. botulinum strains. In addition, group-specific fragments were
detected in both groups. All strains studied were typeable by
AFLP, and a total of 42 AFLP types were identified. Extensive
diversity was observed among strains of
C. botulinum type E,
whereas group I had lower genetic biodiversity. These results
indicate that AFLP is a fast, highly discriminating, and reproducible
DNA fingerprinting method with excellent typeability, which,
in addition to its suitability for typing at strain level, can
be used for
C. botulinum group identification.

INTRODUCTION
Clostridium botulinum is the causative agent of botulism, a
rare disease, but one that is life threatening if left untreated.
Human botulism is mainly caused by
C. botulinum strains belonging
to groups I (proteolytic) and II (nonproteolytic). Classical
food-borne botulism is generally the predominant disease form.
However, in the United States, the most common form is infant
botulism (
30). Recently, wound botulism among injecting drug
users has also become a problem (
26,
27,
29). Despite its clinical
importance, relatively little is known about the biodiversity
of
C. botulinum.
DNA-based typing methods, such as pulsed-field gel electrophoresis (PFGE), randomly amplified polymorphic DNA (RAPD), and ribotyping, have been applied to genotype C. botulinum (9, 11, 14, 20, 31). However, methods with good discriminatory power, typeability, and reproducibility are lacking. Although PFGE has proved to be highly discriminating for typing C. botulinum type E and other clostridia, it is not suitable for all clostridial strains due to the degradation of DNA as a result of extracellular DNase production (9, 15, 19). The use of RAPD in database creation is hindered by its inadequate reproducibility (7) and, finally, whereas ribotyping can be fully automated (Riboprinter), it is more suitable for subtyping bacterial species than strain typing because of its lower discriminating ability (11).
Amplified fragment length polymorphism (AFLP) analysis, a PCR-based DNA fingerprinting method initially described by Vos et al. (33), has gained notable interest as a genotyping method for bacterial species. AFLP analysis consists of three steps: the purified total DNA is digested with two restriction enzymes, which is followed by ligation of restriction site-specific adapters and amplification by PCR of a subset of fragments (33). AFLP analyses whole-genome DNA for polymorphism, and no prior sequence information about the target DNA is needed. Klaassen et al. (18) have also reported that, unlike PFGE, AFLP analysis is not affected by partial degradation of DNA.
AFLP has been shown to be highly reproducible and discriminative (17, 28). In addition to epidemiological and outbreak studies (1-4, 32), AFLP can also be used for differentiation and identification of bacteria at the species level (6, 16, 17, 28). Although AFLP has been used to characterize related species, such as Clostridium difficile (18), Clostridium novyi (25), and Clostridium perfringens (24), it has not, to our knowledge, been used in the molecular typing of C. botulinum.
The aim of the present study was to assess the applicability of AFLP analysis in characterization of C. botulinum groups I and II and to study the genetic biodiversity of C. botulinum types A, B, E, and F. In addition, various enzyme and primer combinations were screened to tailor the AFLP technique for optimal characterization of C. botulinum.

MATERIALS AND METHODS
Bacterial strains and PCR.
A total of 33 group I and 37 group II
C. botulinum strains from
the Culture Collections of the Department of Food and Environmental
Hygiene, University of Helsinki, Helsinki, Finland, and the
Institute of Food Research, Norwich, United Kingdom, were studied
(Table
1). Multiplex PCR assay for the simultaneous detection
of
C. botulinum types A, B, E, and F, as previously described
by Lindström et al. (
22), or PCR assay for separate detection
of type A, B, and E neurotoxin genes in
C. botulinum (
8) were
used to confirm the serotype of each strain.
DNA extraction.
DNA was extracted according to the method of Hyytiä et
al. (
14), with slight modifications. Strains were grown in a
tryptose-peptone-glucose-yeast medium (Difco Laboratories, Detroit,
Mich.) under anaerobic conditions at 37°C (
C. botulinum group I) or 30°C (
C. botulinum group II) for 14 to 16 h.
The cells were lysed in TE (10 mM Tris-HCl, 1 mM EDTA) containing
lysozyme (8.3 mg/ml; Sigma, St. Louis, Mo.) and mutanolysin
(167 IU/ml; Sigma) at 37°C for 15 min (
C. botulinum group
I) or 2 h (
C. botulinum group II) with gentle shaking. Lysis
was completed by adding proteinase K (54 µg/ml; Finnzymes,
Espoo, Finland), 0.24 M NaCl, 9.5 mM EDTA, and 0.8% (vol/vol)
sodium dodecyl sulfate. The mixture was incubated at 60°C
for 1 h with gentle shaking. Phenol-chloroform-isoamyl alcohol
(25:24:1 [vol/vol]) and chloroform-2-pentanol (24:1 [vol/vol])
extractions were performed, and DNA was ethanol (95% [vol/vol])
precipitated and resuspended in TE overnight. RNA was removed
by RNase (475 µg/ml; Sigma) at 37°C for 40 min with
gentle shaking, followed by the addition of 0.2 M NaCl, chloroform-2-pentanol
extraction, and ethanol precipitation. DNA concentrations were
determined with a BioPhotometer (Eppendorf, Hamburg, Germany).
DNA was stored at 70°C.
AFLP analysis.
In initial testing, four enzyme combinations and 30 primer couplings (Table 2) were screened by using DNA extracted from C. botulinum type A (n = 3), B (n = 2), and E (n = 4) strains (Table 1).
View this table:
[in this window]
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TABLE 2. Thirty primer combinations screened during initial testing to determine optimal primer sets for AFLP typing of C. botulinum
|
An AFLP protocol described previously by Keto-Timonen et al.
(
17) was used. Briefly, DNA (400 ng) was digested with either
15 U of HindIII (New England Biolabs, Beverly, Mass.), 15 U
of EcoRI (New England Biolabs), or 15 U of ApaI (Roche Diagnostics,
Basel, Switzerland) and 15 U of HpyCH4IV (New England Biolabs)
or 15 U of MseI (New England Biolabs) in 1
x One-Phor-All Buffer
Plus (Amersham Biosciences, Buckinghamshire, United Kingdom),
bovine serum albumin (0.1 mg/ml), and dithiothreitol (5 mM).
Restriction site-specific adapters (0.4 and 0.04 µM; MWG-Biotech
AG, Ebersberg, Germany) (Table
3) were ligated with 1.1 U of
T4 DNA ligase (New England Biolabs) in 1
x One-Phor-All Buffer
Plus, 200 µM ATP, 5 mM dithiothreitol, and bovine serum
albumin at 0.1 mg/ml. Samples were stored at 20°C
prior to PCR amplification.
Restriction fragments with specific adapters were diluted with
sterile, distilled deionized water (1:10) and amplified by preselective
PCR (72°C for 2 min, followed by 20 cycles of 94°C for
20 s, 56°C for 2 min, and 72°C for 2 min) by using primers
without selective extension in a 20-µl reaction mixture
containing 4 µl of diluted template DNA, 15 µl of
Amplification Core Mix (Applied Biosystems, Foster City, Calif.),
25 nM primer specific to rare-cutting restriction site sequence
(MWG-Biotech AG), and 125 nM primer specific to frequent-cutting
restriction site sequence (MWG-Biotech AG) (Table
3). Primer
combinations used during subsequent selective amplification
are listed in Table
2. The templates were diluted with sterile,
distilled deionized water (1:20) prior to selective amplification,
which was performed in a 10-µl reaction mixture containing
1.5 µl of diluted template, a 50 nM concentration of IRD800-labeled
primer specific to rare-cutting restriction site sequence (MWG-Biotech
AG), a 250 nM concentration of primer specific to frequent-cutting
restriction site sequence, and 7.5 µl of Amplification
Core Mix. Treatment consisted of 94°C for 2 min, followed
by 1 cycle of 94°C for 20 s, 66°C for 30 s, and 72°C
for 2 min, followed by lowering the annealing temperature by
1°C each cycle to 56°C for 10 cycles, followed in turn
by an additional 19 cycles at a 56°C annealing temperature
and a final 30-min extension at 60°C. All PCR amplifications
were performed with a PTC-200 Peltier thermal cycler (MJ Research,
Inc., Waltham, Mass.).
Selective amplification products (10 µl) were mixed with 5 µl of stop solution (LI-COR, Lincoln, Nebr.), denatured at 95°C for 3 min, and placed on ice. Denatured fragments were separated on a 7% denaturing polyacrylamide gel. Electrophoresis was performed in 1x Tris-borate-EDTA buffer at 2,000 V, 35 mA, and 40 W at 50°C for 140 min on an automatic DNA sequencer (LI-COR Global IR2 4200LI-1 Sequencing System; LI-COR). A molecular weight marker (IRDye800 50- to 700-bp sizing standard; LI-COR) used for gel normalization was loaded onto every third lane. The level of reproducibility was determined by using C. botulinum type E strain K-51 as an internal reference, which underwent each step of the DNA extraction, AFLP analysis, and electrophoresis, thereby also providing a standard for comparison among different data sets. In addition, independent duplicate experiments were performed with a total of 38 C. botulinum strains representing different serotypes of groups I and II.
AFLP pattern analysis.
AFLP patterns were analyzed by using BioNumerics software 3.0 (Applied Maths, Kortrijk, Belgium). The similarities between normalized AFLP patterns (range, 50 to 350 bp) were calculated with the Pearson product-moment correlation coefficient (1.0% optimization). Clustering and construction of dendrograms were performed by using the unweighted pair-group method with arithmetic averages.

RESULTS
To obtain the optimal distribution of DNA fragments, four different
enzyme combinations were initially tested. The results obtained
with the enzyme combinations HindIII-HpyCH4IV, EcoRI-HpyCH4IV,
or HindIII-MseI yielded high-quality fingerprints, with the
HindIII-HpyCH4IV combination having the most uniform distribution
of DNA fragments. The enzyme coupling ApaI and HpyCH4IV produced
only a few fragments ranging from 50 to 350 bp with the eight
primer combinations tested and thus was unsuitable for AFLP
analysis. All primer combinations containing the Hind primer
without selective extension generated complex banding patterns
with numerous fragments and were deemed inappropriate for numerical
analysis. The selective primers Hind-C and Hpy-A amplified DNA
fragments evenly in the 50- to 350-bp range and consistently
displayed strong signals on gels. In addition, strains described
as identical by PFGE profiling yielded comparable results with
AFLP analysis, and thus primers Hind-C and Hpy-A were selected
for further analysis.
All strains studied were typeable by AFLP. The numerical analysis of AFLP profiles yielded two distinct group-specific clusters, with <10% similarity between proteolytic and nonproteolytic C. botulinum strains (Fig. 1). Strains belonging to groups I and II clustered together with a similarity value of 45 and 26%, respectively (Fig. 2 and 3). Group II was further divided into three main clusters. C. botulinum types B and F clustered together with a similarity value of 62%. The other two clusters consisted of C. botulinum type E strains.
All group I strains showed the group-specific fragments sizes
of 129, 145, and 336 bp. (Fig.
2). Fragments of 114 and 315
bp were specific to
C. botulinum group II strains (Fig.
3).
However, no
C. botulinum species- or serotype-specific fragments
were observed. The PCR analysis of type A, B, E, and F neurotoxin
genes yielded the expected amplification products and thus confirmed
the serotype of each strain included in the study (Table
1).
In reproducibility testing, the banding pattern, measured based on fragment sizes, of the internal reference C. botulinum strain K-51 remained constant during each AFLP analysis. In addition, independent duplicate experiments of 38 C. botulinum strains resulted in identical AFLP banding profiles. Despite identical patterns, the internal reference sample showed 89% or higher similarity between different gels due to small differences in lane or background intensities. The 89% cutoff value was therefore used to define the AFLP type. By this criterion, 19 and 23 different AFLP types of C. botulinum groups I and II, respectively, were identified (Fig. 1).

DISCUSSION
AFLP clearly differentiated between strains of
C. botulinum in groups I and II. This is in accord with previous analyses
of 16S rRNA sequences demonstrating that strains of group I
C. botulinum types A, B, and F are phylogenetically distant
from group II
C. botulinum types B, E, and F (
12,
13). Since
group-specific AFLP fragments were also detected in both groups
I and II, AFLP analysis may be suitable for group identification
as well. Although some serotype-specific subclustering was revealed
in both genomic groups, the AFLP method was deemed unsuitable
for definitive serotype determination of
C. botulinum types
A, B, and F. Despite the fact that no serotype-specific fragments
were observed, the two distinct serotype-specific clusters of
C. botulinum type E suggest that AFLP databases can be used
to define serotype E of
C. botulinum.
In group II, extensive diversity was observed among strains of C. botulinum type E, which were divided into two main clusters, whereas type B and F strains showed highly similar AFLP profiles and clustered together with a similarity value of 62%. Extensive biodiversity between strains of type E was demonstrated earlier by PFGE (10, 15). However, no high similarity of fingerprints among type B and F strains has been revealed by ribotyping, PFGE, or RAPD, which might be due to the limited number of nonproteolytic C. botulinum type B and F strains included in these studies (9, 11, 14). In group I, both visual examination and numerical analysis of band patterns revealed less diversity than in group II. This is either due to true lower genetic biodiversity of the strains studied or due to the selected enzyme and primer combination being more suitable for discriminating group II strains. However, previous analyses by using RAPD, repetitive element sequence-based PCR, and ribotyping have also suggested less genetic variation among C. botulinum group I strains (11, 14).
A total of 42 different AFLP types were detected, indicating that AFLP is also an efficient tool for typing at the strain level. In groups I and II, indistinguishable or highly similar AFLP profiles were observed in strains that had no known common origin, a phenomenon also described by Hielm et al. (9) and Hyytiä et al. (15).
AFLP was found to be a highly reproducible method for DNA fingerprinting of C. botulinum. Since all strains studied were typeable by AFLP, the extracellular DNase production detected in some clostridial strains did not appear to affect the outcome of AFLP analysis. AFLP also proved to be a fast method; the analysis, including numerical data analysis, could be done within two working days when the analysis was begun with pure DNA. Moreover, less hands-on time is required than with methods such as PFGE, and partial automation enables high throughput of samples.
AFLP patterns can easily be collected in databases, and the electronic fingerprinting data, generated by an automated sequencer, facilitate the transmission of results between different laboratories. Nevertheless, standardization of protocols, reagents, and equipment is necessary before interlaboratory databases can be created. Due to the inevitable variation in lane or background intensities, it is also useful to use an internal reference strain to determine the cutoff value used for AFLP type definition. The similarity level of
89% for internal reference strains is in agreement with earlier findings (5, 28). Lindstedt et al. (21) suggested that variation in lane or background intensities might be due to differences in the effectiveness of digestion-ligation or PCR amplification steps. It is also worthwhile to ascertain visually that the banding patterns on the gel are of uniform quality prior to numerical analysis.
In the evaluation of a typing system, several criteria must be assessed. The most important of these are typeability, ease of interpretation and performance, reproducibility, and discriminatory power (23). The results of the present study indicate that AFLP is a fast, reproducible, and highly discriminating genotyping method with excellent typeability for characterization of C. botulinum group I and II strains. These features make AFLP an attractive alternative to other genotyping methods in outbreak situations. In addition to typing at strain level, AFLP may be a suitable tool for C. botulinum group identification.

ACKNOWLEDGMENTS
This study was supported by the Finnish Graduate School of Applied
Bioscience and the Finnish Veterinary Foundation.
We gratefully acknowledge Mike Peck for providing the various C. botulinum strains and Anu Seppänen for excellent laboratory assistance.

FOOTNOTES
* Corresponding author. Mailing address: Department of Food and Environmental Hygiene, P.O. Box 66, FI-00014 University of Helsinki, Helsinki, Finland. Phone: 358-9-19157145. Fax: 358-9-19157101. E-mail:
riikka.keto-timonen{at}helsinki.fi.


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Applied and Environmental Microbiology, March 2005, p. 1148-1154, Vol. 71, No. 3
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.3.1148-1154.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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