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Applied and Environmental Microbiology, June 2005, p. 2840-2847, Vol. 71, No. 6
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.6.2840-2847.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
J. Keller,1
T. M. Wassenaar,3*
R. Stephan,4
D. Howald,1
G. Regula,1 and
B. Bissig-Choisat1
Swiss Federal Veterinary Office, Bern, Switzerland,1 Molecular Microbiology and Genomics Consultants, Zotzenheim, Germany,3 Institute for Food Safety and Hygiene, University of Zurich, Zurich, Switzerland4
Received 1 June 2004/ Accepted 16 December 2004
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The various DNA-based typing methods which have been developed for Campylobacter (32) are effective tools for identifying contamination sources and describing the population dynamics of any given microorganism. None of these methods is superior to describe the "true" evolutionary and epidemiological interrelations of a bacterial population. Studies addressing the pros and cons of bacterial typing schemes suggest that a combination of at least two methods is desirable in order to obtain significant discrimination and reliable strain identification (4, 32). This recommendation applies specifically to any bacterial species with a high diversity and a known weakly clonal population structure, such as C. jejuni.
The aim of our study was to describe the genetic interrelations of the Campylobacter population isolated from Swiss broilers. Taking the weak clonality of C. jejuni into account, we used three typing methods: amplified fragment length polymorphism (AFLP), based on the whole genome of a given organism; restriction fragment length polymorphism of flaA PCR fragments (flaA-RFLP), assessing polymorphisms in a single gene of C. jejuni/C. coli; and the phenotypic determination of antibiotic (AB) resistance. The latter phenotype can result from point mutations or the presence of (plasmids harboring) resistance genes. AFLP is considered to give relatively stable genotypes in C. jejuni, as it is insensitive to genome rearrangement and point mutation (5). RFLP analysis of flaA is valuable in short-term epidemiology of Campylobacter (26). Antibiotic resistance is of increasing concern and may be rapidly shared between populations with different genotypes. As C. jejuni/C. coli is naturally capable of taking up DNA, this applies to both plasmid-borne and chromosomally encoded resistance. The grouping based on cluster analysis carried out for each typing scheme was related to parameters identified as being relevant for risk assessment at the farm level. We focused on three factors: the housing system for broiler production, broiler flock size, and geographic location of the farm. The strains under investigation were derived from a study to evaluate the antimicrobial resistance situation of Campylobacter (as a model organism) in Switzerland, in which a representative sample group was collected from a population covering 90% of Swiss broiler production.
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Since Campylobacter prevalence is seasonally dependent, samples were collected between March and June and between October and November, when a medium prevalence is expected. Five cloacal swabs were taken from live birds from each flock on delivery to the abattoir.
Once a sample proved positive, one single colony of Campylobacter spp. was taken for further characterization. The presence of multiple strains per bird was not assessed.
Laboratory testing.
Cloacal swabs (BIOSWAB Biolife) were transported in Cary Blair agar prior to bacteriological testing. The swabs were inoculated into 10 ml of selective enrichment broth (Brucella bouillon [product no. 0495-17-3; Difco]) from Becton Dickinson, with Campylobacter growth supplement (product no. SR84; Oxoid) and Skirrow Campylobacter-selective supplement (product no. SR69; Oxoid), and incubated at 42°C for 24 h under microaerobic conditions (5% O2, 10% CO2, and 85% N2) provided by commercial gas packs (BBL product no. 271045; Becton Dickinson). The enrichment samples were then streaked onto selective agar medium (Brucella agar [product no. 0964-17-5; Difco]) with 6% horse blood (product no. SR48; Oxoid) and Butzler Campylobacter-selective supplement (product no. SR85; Oxoid) and incubated at 42°C for 36 h under microaerobic conditions. Suspect colonies were identified as Campylobacter spp. by typical morphology, gram-negative stain, catalase and oxidase positivity, characteristic motion, and intrinsic resistance to cephalotin.
Twofold identification of C. coli and C. jejuni was carried out using hippurate hydrolysis and PCR (22). Using PCR, C. jejuni was identified by the detection of the gene coding for the species-specific membrane protein MapA, according to a previously published protocol (28). A PCR specific for C. coli was based on random primers (27) which had been shown to be specific for the species in a comparative study (22). Hippurate hydrolysis was used on multiple Campylobacter colonies, transferred to tubes containing hippurate medium, and incubated at 37°C for 2 h. Following incubation, 0.2 ml of ninhydrin (30 g/liter) was added to the tubes. Samples showing a deep blue coloring after 5 to 10 min were considered to be C. jejuni. It was crucial to evaluate the coloring within 25 min of adding ninhydrin in order to prevent false-positive results. Hippurate-negative, nalidixic acid-sensitive, and indoxylacetate hydrolysis-positive colonies were considered to be C. coli.
DNA extraction.
Campylobacter isolates were incubated on nonselective 5% (vol/vol) sheep blood agar for 48 h at 37°C under microaerobic conditions. Cells were harvested and resuspended in 1 ml distilled water. Extraction of total DNA was performed with the Puregene DNA purification kit for genomic DNA according to the manufacturer's protocol for gram-negative bacteria. Visual inspection and quantification of DNA were performed using a 1.5% agarose gel.
Genotyping.
The sampled strains were characterized by two different genotyping approaches. AFLP was performed according to a method described previously by Duim et al. (5) in which bands are generated from multiple locations on the genome. For flaA-RFLP (following the CAMPYNET protocol described previously [10]), we used primers described previously (32) in order to determine polymorphisms in a highly variable, single gene.
Antibiotic susceptibility typing.
At the time of this study, there was no internationally standardized procedure available for susceptibility testing of Campylobacter. A good correlation has been reported between disk diffusion and agar dilution methods for testing the susceptibility of Campylobacter spp. to erythromycin, ciprofloxacin, and tetracycline (15), and comparison of two agar dilution methods and three agar diffusion methods showed that reliable results can be achieved with disk diffusion (8). For practical reasons, we chose the disk diffusion method. The following antibiotic-impregnated disks (bioMérieux SA, France) were used: erythromycin (15 µg), ciprofloxacin (5 µg), and tetracycline (30 µg) (considered relevant in human medicine) as well as gentamicin (10 µg), streptomycin (10 µg), ampicillin (10 µg), amoxicillin (25 µg), and sulfonamide (20 µg) (all registered for use in veterinary medicine and permitted in commercial poultry production). Three to five isolated colonies of the same morphological type were selected from each agar plate culture and transferred into trypticase soy broth (catalog no. 211768; Becton Dickinson). After incubation at 42°C for 24 h under microaerobic conditions, a sterile cotton swab was dipped into the suspension and streaked onto the entire surface of a Mueller-Hinton agar plate (catalog no. CM 337; Oxoid) with 5% sheep blood. Four antibiotic disks were placed onto each plate, and the diameter of the inhibition zone was measured with callipers after 48 h of microaerobic incubation at 42°C. Escherichia coli ATCC 25922 and Staphylococcus aureus ATCC 25923 were used as reference strains. Zones of growth inhibition were evaluated in accordance with standards published by the National Committee for Clinical Laboratory Standards which were available at the time of analysis (17), although we were aware of the limitations (9). Standards specified for C. jejuni subsequently became available (18). For binary analysis with 0 as sensitive and 1 as resistant, the following cutoff values were used: erythromycin,
13 mm; ciprofloxacin,
15 mm; tetracycline,
14 mm; streptomycin,
11 mm; ampicillin,
13 mm, gentamicin,
12 mm; amoxicillin,
13 mm; and sulfonamide,
12 mm. The reproducibility of the disk diffusion method was assessed by testing five Campylobacter isolates from each sample. Zone diameters for all antibiotics tested were found to vary ±2 mm or less.
Data analysis.
The raw AFLP profiles collected with Genescan (PE Applied Biosystem) were imported into BioNumerics, version 3.0 (Applied Maths, Kortrijk, Belgium), and subsequently transformed into banding patterns. flaA-RFLP gels were photographed with a Gel Doc 2000 system (Bio-Rad), and images in TIF format were imported into BioNumerics, version 3.0. After pattern normalization, the similarity matrix was calculated with the Pearson product-moment correlation algorithm. The unweighted-pair group with mathematical average method was used for dendrogram construction.
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![]() View larger version (16K): [in a new window] |
FIG.1. Dendrogram of AFLP banding patterns obtained with all 139 Campylobacter sp. isolates obtained in this study. For a description of clusters 1, 2, and 3, see the text. The dotted vertical line indicates the 90% similarity threshold. Hashed horizontal lines separate the isolates from farm 31. Isolates indicated with an asterisk display >97% similarity but were isolated from different farms.
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Antibiotic susceptibility testing was carried out for ampicillin, amoxicillin, ciprofloxacin, erythromycin, tetracycline, gentamicin, streptomycin, and sulfonamide. All isolates were susceptible to gentamicin and erythromycin (Fig. 2). Ninety-three isolates were susceptible to all antibiotics tested. Of the remaining 46 isolates, 10 were resistant to one antibiotic, 33 were resistant to two antibiotics, and 3 were resistant to three antibiotics.
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FIG. 2. Numbers of strains representing each antibiotic resistance type. Shaded boxes below the columns indicate resistance.
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Analysis of 78 strains with unique characteristics.
Based on cluster analysis algorithms, each of the three typing methods used provides a dendrogram which describes the genetic interrelation of the tested strains. The correlation of the similarity matrixes calculated for each experiment is a measure of the congruence of the obtained dendrograms. Correlation coefficients calculated for the similarity matrices of each pair of experiments were as follows: R2 = 0.21 for AFLP versus flaA-RFLP, R2 = 0.16 for AFLP versus AB typing, and R2 = 0.04 for flaA-RFLP versus AB typing, suggesting that there is a better correlation between the two genotyping methods AFLP and flaA-RFLP than between either the genotyping or AB typing method.
At a cutoff of 90%, clustering of the 78-strain subset yielded, as above, 48 different AFLP types and 29 different fla types. Twenty-nine of the 48 AFLP types were represented by a single isolate. The 29 different flaA-RFLP types comprise 12 types with a single isolate, 9 types with 2 isolates, 3 types with 3 isolates, 2 types with 4 isolates, 2 types with 7 isolates, and 1 type with 17 isolates.
Figure 3 shows the relationship between AFLP and flaA-RFLP genotypes. No statements concerning the coherence of the typing methods can be made for the 29 AFLP types and the 12 flaA-RFLP types which are represented by one single isolate. However, 10 of the remaining 19 AFLP genotypes encompassing 23 (47%) samples showed a 100% concordance between the AFLP and flaA-RFLP genotypes (these isolates have different AB susceptibilities and are thus included in the sample set). Some AFLP types are more stable with regard to their flaA-RFLP type than others. All members of AFLP type 18 and 23 were associated with flaA-RFLP type 4. A similar but weaker correlation was seen for AFLP types 14 (four out of five strains have flaA-RFLP type 4) and 24 (three out of four have flaA-RFLP type 17). In contrast to a shared AFLP and flaA genotype, these strains had variable AB profiles and did not share isolation characteristics such as geographic origin, housing, retailer, or flock size. This may indicate that these isolates represent stable clones within the diverse C. jejuni population. Other AFLP types were more variable in their flaA-RFLP type. For example, the three strains grouped in AFLP type 26 and the four strains grouped in AFLP type 6 were further subdivided into three different flaA-RFLP types each.
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FIG. 3. AFLP/flaA-RFLP relationship. Two dendrograms with collapsed branches (horizontal axis, flaA-RFLP type; vertical axis, AFLP type) show the interrelation of the strains based on each typing method. The shades of gray indicate the frequency of a given AFLP/flaA-RFLP type.
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With respect to the AFLP/flaA-RFLP types, which were represented more than once in the subset, there was no correlation between genotype and AB resistance patterns. For instance, of three strains sharing an AFLP/flaA-RFLP genotype, one was sensitive to all of the tested compounds, one was resistant to ciprofloxacin, and one showed a concomitant resistance to ciprofloxacin and sulfonamide. Similar observations were made for isolates sharing other combined genotypes. This suggests, as expected, that the AB phenotype is more variable within a bacterial population than the combined AFLP/flaA-RFLP genotype.
Strain diversity and prevalence at the farm level.
The combined application of three typing methods allowed us (using the complete data set of 139 isolates) to investigate strain diversity at the farm level, although it should be noted that only five birds per flock and one colony per bird were analyzed. Nevertheless, in 19 (35%) of the 54 Campylobacter-positive farms, we identified two or three different AFLP/flaA-RFLP/AB types. The setup of this study did not allow us to determine whether multiple strains could be present in individual birds. Analyzing these 19 farms according to the housing system resulted in 4 (20%) of the conventional farms, 5 (14%) of the confined roaming-area-type farm systems, and 10 (22%) of the free-range producers showing multiple infection. All of the four farms harboring three different AFLP/flaA-RFLP/AB types had a free-range broiler production system.
In 8 (42%) of 19 farms showing multiple infection, none of the AFLP/flaA-RFLP/AB types matched. The degree of accordance for the three variables within farms was determined for the remaining 11 farms. When AB-sensitive isolates (found in six farms) were ignored completely, strains were identical in their resistance patterns but not identical in AFLP genotype (farms F24 and F87 in Table 1) at only two farms. Various combinations of accordance between the parameters were observed. In one farm (F97), three isolates formed pairs sharing two out of three (AFLP, flaA-RFLP, and AB type) identical characteristics, but none of the isolates was identical. In one case (farm F24), the AFLP and AB types matched, but in other farms (F18 and F97), identical AB types were observed with different AFLP types. Not one example was found of complete identity of all parameters tested from isolates derived from one farm. This indicates a high level of diversity between isolates present per farm. At one farm (F24), C. coli was exclusively detected. The confined roaming-area-type farms were overrepresented in the set of farms with multiple isolates, but not enough samples were available to test the significance of this observation.
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View this table: [in a new window] |
TABLE 1. Strain diversity at the farm level and accordance between AFLP, flaA-PCR, and AB types
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The same analysis was performed based on the dendrogram calculated for flaA-RFLP restriction patterns and AB typing. Using this genotypic characteristic, none of the parameters correlated with the flaA-RFLP/AB-derived groups.
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The diversity of the C. jejuni and C. coli populations found in Swiss broilers was investigated by means of AFLP and flaA-RFLP. Our findings are comparable with those of similar studies carried out in other countries; for instance, the reported within-cluster similarity levels of 37% for C. jejuni and 70% for C. coli strains are in agreement with work reported previously by others (11, 21). The ability of AFLP to cluster clonal samples at the farm level, together with the capability to separate C. jejuni from C. coli strains, emphasizes that AFLP is a suitable method to reflect the taxonomic and, at least at farm level, geographic interrelations in a given population. However, in spite of the apparently higher discriminatory capacity of AFLP compared to that of flaA-RFLP, 8 (40%) of the 20 AFLP types that included more than one isolate could be further subdivided by flaA-RFLP typing, resulting in 59 different combined AFLP/flaA-RFLP types. Analogous to flaA-RFLP, AB typing refines the picture of strain diversity by further separating the 59 AFLP/flaA-RFLP types into 65 AFLP/flaA-RFLP/AB subtypes.
The high number of AFLP and, to a lesser extent, flaA-RFLP types together with the observed variety in combinations of both typing schemes are illustrative of the high diversity seen within the C. jejuni population. This high diversity is possibly a consequence of its genomic instability. Since the variability in the C. jejuni genome is not limited to genes involved in the adaptation to environmental conditions and other selective pressures (for which we take flaA-RFLP and AB typing to be illustrative), the selective mechanisms driving the genomic rearrangement are still unknown. Lack of DNA repair and SOS response genes have been mentioned as the cellular mechanism resulting in variation (23). Some genes or loci are probably more prone to instability than others. The flagellin gene locus may be highly sensitive to recombination and rearrangement due to the repetitive nature of the flagellin genes and due to the exposure of the Campylobacter flagella to the intestinal environment of the host organism, which may result in selection of antigenic variants. Both DNA recombination between the tandem flaA and flaB genes within the same genome and (partial) flaAB gene exchange between different strains (or even species) by means of horizontal gene transfer have been described previously (11, 30). Although it is known that at least a part of the C. jejuni population is naturally capable of transformation in vitro (29), the impact of horizontal gene transfer on the genetic heterogeneity under naturally occurring conditions is still being debated (3, 16). Our study delivers observations that could point to horizontal gene transfer events. We found 3 out of 19 farms that were infected with more than one AFLP/flaA-RFLP/AB type, where individual isolates shared particular genotypic characteristics (either AFLP banding pattern or flaA genotype) or phenotypic AB resistance patterns. In farm B45, for example, AFLP type 42 was represented in two isolates in combination with either flaA-RFLP type 13 or 16. Another strain from this farm also had flaA-RFLP type 13 but in combination with AFLP type 38. Furthermore, we observed a correlation only between AFLP-based grouping of samples and the parameter geographic location of the farm. That AFLP patterns do not correlate well with flaA genotype or AB resistance patterns in the studied population suggests that typing based on flaA or AB sensitivity determines factors which may be lost more quickly with increasing time-distance than the factors determining AFLP type.
These observations point out two important characteristics of Campylobacter colonization in broilers. On the one hand, mixed infection at the flock level is probably not uncommon (note that our study was not set up to specifically detect this or to observe mixed infections in single birds). On the other hand, genetic exchange may be the underlying mechanism for particular genetic or phenotypic characteristics being shared between isolates occurring in mixed infections.
The interpretation of AB resistance data against the highly variable genetic background of C. jejuni is troublesome. We are aware of the limitations of our study, where the phenotypic sensitivity to antibiotics is addressed without knowledge of the possible molecular mechanisms involved to achieve resistance to a given antimicrobial substance. Work is ongoing to determine the genetic basis leading to a given resistance for each strain. Furthermore, data on antibiotic use during fattening or in previous flocks on a particular farm were not available. In spite of these limitations, our AB resistance data outline the high adaptive potential of C. jejuni/C. coli against antimicrobial pressure.
The high incidence of strains doubly resistant to sulfonamide and streptomycin raises the question whether these resistances are genetically linked. We were unable to detect any of the genes known (2, 34) to underlie the resistance to each of the two compounds using PCR analysis (data not shown). Further experiments are required to identify the mechanisms causing the double resistance to streptomycin and sulfonamide. These will reveal a possible linkage of the resistances, for instance, by colocalization of yet-unknown resistance genes on a mobile DNA element or involvement of an efflux pump or porin that affects the intracellular concentration of both compounds.
A low correlation of the dendrograms calculated for the three typing methods was observed, as is typical for a weakly clonal population. Each typing approach provides a different picture of the genetic interrelations within the investigated Campylobacter population. Available evidence suggests (5, 16) that AFLP patterns can be relatively stable over a prolonged time span. Supporting this observation, we found that the AFLP pattern of some C. jejuni strains isolated from human diarrhea patients in 1993 matched >95% of strains from 2002 presented in this study (unpublished data). In contrast, flaA-RFLP typing and AB typing rely solely on genes which play a crucial role in the adaptation of the bacteria to its (hostile) environment. Therefore, these typing results reflect rather recent events in the evolution of the population that result from host adaptation or antimicrobial treatment schemes. With this in mind, the question of which typing scheme reflects the "true" evolutionary pathway of an organism cannot be answered, since each method highlights a different aspect of the development of the weakly clonal population.
In conclusion, our observations on genetic diversity of campylobacters isolated from Swiss broilers illustrate the complexity of this population structure. The findings point out the limitations of typing to interpret offspring lineages from randomly selected populations, even within a narrow time span, when dealing with a weakly clonal species.
Present address: ZLB Behring AG, Bern, Switzerland. ![]()
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