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Applied and Environmental Microbiology, January 2008, p. 80-85, Vol. 74, No. 1
0099-2240/08/$08.00+0 doi:10.1128/AEM.01434-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Department of Biology, University of North Carolina at Charlotte, Charlotte, North Carolina 28223
Received 27 June 2007/ Accepted 27 October 2007
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This opportunistic human pathogen causes septicemia or gastroenteritis (following ingestion of contaminated shellfish) or wound infections (through exposure to contaminated seawater or seafood products) (6, 15). The incidence of disease in the United States parallels seasonal temperature fluctuations, with the highest rates of infection occurring when water temperatures are warmest between May and October (6, 15, 20, 25, 28). Host risk factors such as diabetes, chronic liver disease, and compromised immune status play a key role in the development of septicemia, while wound infections and gastroenteritis do not appear to be linked to underlying health conditions (15, 28). The Centers for Disease Control and Prevention estimates that between 18.5 and 26.5 million Americans may be at risk based on these factors (24), yet less than 100 cases are reported in the United States annually. The V. vulnificus populations found in oysters (Crassostrea virginica) have been shown to possess high levels of genetic diversity, yet isolates recovered from human cases have been typed to single strains (10, 13). Both the low incidence of infections and the determination that human cases arise from single strains imply that not all strains may be equally capable of causing human infection.
As reported by Rosche et al. (26), variations in the vcg gene provide a method for classifying biotype 1 strains of V. vulnificus into two distinct genotypes. Ninety percent of clinical isolates possess the vcgC sequence variant of the gene, while 87% of environmental isolates possess the vcgE sequence variation. The vcg gene has not been determined to code for any protein but appears to be genomically stable and serves as a basis for differentiating the two genotypes. Sequence variations in the 16S rRNA genes of biotype 1 strains similarly indicated that these strains could be classified into two groups (2). The 16S rRNA gene variations were identified (7, 18) as type B, which was also associated with clinical isolation (equivalent to our vcgC [C] genotype), and type A, which was associated with environmental isolation (our vcgE [E] genotype). Repetitive extragenic palindromic sequence-based PCR screening further showed that the variations in the 16S rRNA gene, along with those in the vcg gene sequences and variations in capsular polysaccharide gene sequences, strongly correlate with the two distinct genotype populations (3, 4). Studies conducted by Kim and Jeong (11) on water, oyster, and sediment samples collected in the Hadong area on the southern coast of South Korea in late August 1999 indicated that 35% of isolates possessed the type A 16S rRNA gene type while 65% possessed type B. Similar results were found for 208 pooled oyster and water samples taken from Galveston Bay in Texas between June 2000 and June 2001 (14).
Questions remain concerning the dynamics of and relationship between these two genotypes in oysters and estuarine waters, what may affect selection under environmentally diverse conditions, and how the occurrence of the two genotypes may relate to the incidence of disease. It is also unclear if levels of the two genotypes are unique to different geographical areas or certain environmental conditions. The primary goal of the studies reported here was to isolate V. vulnificus and identify the population structure within both oysters and estuarine waters in order to assess the levels of the two vcg genotypes and identify any seasonal population changes.
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Identification of V. vulnificus isolates.
Presumptive V. vulnificus colonies on CPC+ plates were counted and at least 10%, and sometimes all, of the presumptive V. vulnificus colonies were randomly selected, with single colonies picked onto heart infusion agar plates for PCR confirmation and typing. Final V. vulnificus totals and C and E genotype ratios were based on the percentage of isolates confirmed and typed by molecular testing compared to the presumptive counts recorded. Genotype was determined by PCR gene amplification using a triprimer set for the vcgC or vcgE gene by methods previously described (26). Occasional strains that amplified both variants of the vcg gene were further analyzed for their 16S rRNA gene types (GenBank accession numbers X76333 and X76334) by PCR analysis. Primer pairs were as follows: 16S type A F1, 5' CAT GAT AGC TTC GGC TCA A 3' and R1, 5' CAC TAC CAC CTT CCT CAC GAC 3'; 16S type B F1, 5' GCC TAC GGC CCA AAG AGG 3', and R1, 5' CCT GCG TCT CCG CTG GCT 3'. Genomic DNA was extracted using the QIAGEN DNeasy tissue kit in accordance with the manufacturer's instructions, with PCR amplification using the Promega GoTaq system in a Px2E thermal cycler. The cycling profile was 1 cycle at 94°C for 3 min, followed by 30 cycles of 94°C for 40 s, 58°C for 30 s, and 72°C for 60 s, with 1 final extension cycle of 72°C for 2 min.
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FIG. 1. Seasonal distribution of V. vulnificus cells in oysters and surrounding waters of Alligator Bay, NC. (A) Mean of the total V. vulnificus isolates recovered from oysters (CFU/g) and water (CFU/ml). (B) Temperature (°C) and salinity (0/00) of the waters sampled.
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FIG. 2. Mean recovery of C and E genotypes of V. vulnificus from water.
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FIG. 3. Distributions of C and E genotypes of V. vulnificus in oysters. (A) Recovery of C and E genotypes on a per gram of oyster tissue basis, showing disparity in levels of the two types. (B) Recovery of genotypes demonstrating seasonality (note differences in axis units).
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Analysis of variance showed no significant difference in the levels of recovery of the C and E genotype strains from water for any of the months in which isolates were detected, while a chi-square analysis of the populations from water and oyster tissue (Fig. 3A) was highly significant (P < 0.001) for the distribution of the two genotypes.
C genotype strains increased as a percentage of the total V. vulnificus population in oyster tissues and water as temperatures increased (Fig. 4A and B). In water samples recovered in April, 70.6% of the isolates were of the E genotype, but by May the ratios were nearly equal. These ratios remained stable until the water temperature reached 30°C (between August and October), when the C genotype became the dominate strain, at more than 60% of the isolates recovered. However, the C genotype strains within oysters never exceeded 23% (August sampling) of the total isolates tested.
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FIG. 4. Ratios of the means of the C and E genotypes (A) in oysters and (B) in water, demonstrating the seasonality of C genotype strains present in these sources.
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FIG. 5. Correlations between temperature and salinity and levels of C and E genotypes of V. vulnificus in oysters (A and C) and water (B and D).
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Sampling of V. vulnificus in July and during one of two sampling trips in August occurred prior to a change in the isolation medium from CPC (17) to CPC+ (30). This resulted in a threefold increase in the recovery of V. vulnificus on CPC+ compared to CPC (data not shown). Thus, the lower number of isolates reported here for those sampling times may not accurately reflect the true number of V. vulnificus cells which were present. Nevertheless, the percentages we observed were consistent using either medium.
A similar disparity in the ratios of the two genotypes was also identified from the limited sampling of water (75 V. vulnificus isolates) and 10 oysters (40 isolates) collected from Cedar Key, FL, in August 2005 and August 2006. Of the water isolates, 62.7% were the C genotype and 37.3% of the E genotype, whereas from oysters 20% were of the C genotype and 80% of the E genotype.
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While there appears to be little difference in the numbers of the two genotypes in the water column, the distribution of the two genotypes within oysters indicates that oyster uptake or colonization strongly favors the E genotype. This finding was true for the oyster samples taken in North Carolina and in Florida, suggesting that our observations are not limited to one geographical area. Peak recovery from water occurred in June, while recovery from oysters reached the highest levels in October, possibly indicating that colonization of oysters continues at the expense of cells in the water column. The seasonal fluctuations in the ratios of the C and E genotypes appeared to follow natural variations in seasonal water temperature. The National Climatic Data Center recorded hurricane Ophelia on the North Carolina coast between 7 and 17 September 2005, and this storm was associated with 10 to 12 in. of rain. This may have been responsible for the low salinities (20o/oo) recorded in October, when sampling was conducted. Water temperatures had dropped 10°C between September and October, but low salinity may have contributed to the high levels of cells recovered during these studies. There was an increase in the population of both genotypes in conjunction with increasing temperature, but the C genotype strains increased as a percentage of the population as temperatures rose. The recovery of V. vulnificus cells from oysters was found to be the highest in October and occurred following the warmest recorded water temperatures in August and September. This peak was followed by a dramatic decline in recovery of culturable cells beginning in November.
Changing weather patterns may have an impact on the levels of V. vulnificus and contribute to prolonged culturability. Lin et al. (13) reported a sharp decline in the level of recovered cells of both 16S rRNA gene types in October, similar to the decline we observed in November. Increasing surface water temperatures and decreasing salinity relative to rising sea levels are associated with global climate change (8) and have implications for the presence of potentially pathogenic strains of bacteria. Correlations between climate change and infectious bacteria have been reported previously, and both low salinity and warm temperatures are factors favorable to V. vulnificus growth. The emergence of V. vulnificus biotype 3 strains in Israel is stated to have occurred in response to unseasonably high water temperatures (22); a similar pattern has been documented for the emergence of new variants of the pathogens Vibrio cholerae and Vibrio parahaemolyticus (16).
The dichotomy in the V. vulnificus population structure seems to indicate that the E genotype is generally suited to a life within oysters, while the C strains have evolved to cope with the stresses associated with such changing habitats as occur on entry into a human host. This possibility is supported by the higher proportion of C genotype strains that are isolated from clinical cases. Further, the comparatively low numbers of the C genotype within oysters may help explain the low incidence of human infection. The fact that we found only two oysters to have C genotype strains as the dominant strain type further suggests the possibility that only those oysters harboring a larger percentage of this genotype would be likely to be infective to humans and that such oysters are generally rare within the environment. Using 16S rRNA gene sequences to type V. vulnificus, Lin and Schwarz (12) identified similar seasonal fluctuations in V. vulnificus based on 208 pooled oyster and water isolates. The overall percentages of the two populations in their study were similar to those reported here, and they also showed that the number of isolates of the 16S B type (our C genotype) was highest when water temperatures were warmest.
Our studies support the presence of a relatively small number of V. vulnificus strains that possess both versions of the 16S rRNA and vcgE and vcgC genes. The significance of these strains, if any, has yet to be determined however.
Our data raise numerous questions regarding the apparent selective ability of the E genotype to be taken up by and/or to colonize oysters. Research reported by Tall et al. (29) demonstrated that a serine protease (ECP) secreted by Perkinsus marinus may suppress the vibriocidal activity of hemocytes, which may be a factor in excluding or favoring one genotype. While we were not able to identify a correlation between the disease state of the oyster and the total V. vulnificus population (27), it is possible that the population structure and the level of C genotype strains may be influenced by the disease state of the oyster and result in a reverse in the C/E ratios, since the existence of these two genotypes was not known at the time of these previous studies.
In summary, our studies found that, while the levels of C and E genotypes of V. vulnificus in estuarine waters were approximately equal and were equally affected by water temperature, the levels within oysters were greatly skewed toward the E genotype. Prior studies that evaluated the two genotype ratios analyzed strains from multiple sources, and the pooled samples provided a general description of their distribution. Our data suggest that there is a great deal of variability even between individual oysters and that the selective advantage for strains of the E genotype may offer some explanation as to why susceptible oyster consumers only rarely develop V. vulnificus infections; numbers of the more infectious C type of the pathogen may be sufficiently low in most oysters to preclude their causing disease. In this regard, it may be especially significant that, of the 85 oysters harboring V. vulnificus, only two oysters had more strains of the C genotype than of the E genotype.
This report was prepared under award NA05N054781244 from NOAA, U.S. Department of Commerce.
The statements, findings, conclusions, and recommendations are those of the authors and do not necessarily reflect the views of NOAA or the U.S. Department of Commerce.
Published ahead of print on 9 November 2007. ![]()
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