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. 2011 Jan 24;7:5. doi: 10.1186/1746-6148-7-5

Multiple-locus, variable number of tandem repeat analysis (MLVA) of the fish-pathogen Francisella noatunensis

Øyvind J Brevik 1,, Karl F Ottem 1, Are Nylund 1
PMCID: PMC3037875  PMID: 21261955

Abstract

Background

Since Francisella noatunensis was first isolated from cultured Atlantic cod in 2004, it has emerged as a global fish pathogen causing disease in both warm and cold water species. Outbreaks of francisellosis occur in several important cultured fish species making a correct management of this disease a matter of major importance. Currently there are no vaccines or treatments available. A strain typing system for use in studies of F. noatunensis epizootics would be an important tool for disease management. However, the high genetic similarity within the Francisella spp. makes strain typing difficult, but such typing of the related human pathogen Francisella tullarensis has been performed successfully by targeting loci with higher genetic variation than the traditional signature sequences. These loci are known as Variable Numbers of Tandem Repeat (VNTR). The aim of this study is to identify possible useful VNTRs in the genome of F. noatunensis.

Results

Seven polymorphic VNTR loci were identified in the preliminary genome sequence of F. noatunensis ssp. noatunensis GM2212 isolate. These VNTR-loci were sequenced in F. noatunensis isolates collected from Atlantic cod (Gadus morhua) from Norway (n = 21), Three-line grunt (Parapristipoma trilineatum) from Japan (n = 1), Tilapia (Oreochromis spp.) from Indonesia (n = 3) and Atlantic salmon (Salmo salar) from Chile (n = 1). The Norwegian isolates presented in this study show both nine allelic profiles and clades, and that the majority of the farmed isolates belong in two clades only, while the allelic profiles from wild cod are unique.

Conclusions

VNTRs can be used to separate isolates belonging to both subspecies of F. noatunensis. Low allelic diversity in F. noatunensis isolates from outbreaks in cod culture compared to isolates wild cod, indicate that transmission of these isolates may be a result of human activity. The sequence based MLVA system presented in this study should provide a good starting point for further development of a genotyping system that can be used in studies of epizootics and disease management of francisellosis.

Background

The intensive culturing of fish in artificially high population densities facilitates disease outbreaks [1,2]. Standard protocols for traditional fish health management, controlling and preventing diseases, have focused on vaccines, operational prophylactic measures and oral treatment using therapeutic agents [3]. However, in those cases where vaccines or treatments are not available, understanding the epizootiology becomes the key to prevent outbreaks and pathogen dispersal [1]. Using molecular tools for strain typing of pathogens, combined with biological and ecological knowledge of both the pathogen and the host, is a prerequisite in creating an epizootiological understanding which can be applied in management of diseases in both wild and cultured populations.

Historically, the Atlantic cod (Gadus morhua) has been an important marine resource in Norway, occurring naturally both as migratory and stationary populations [4-6]. These populations are divided into coastal and oceanic populations, based on phenotypic and genotypic traits. The Norwegian coastal cod population is considered to consist of several stationary sub populations dispersed along the Norwegian coast [7-12]. The oceanic cod in Norwegian waters can be divided into two populations, the North East Arctic cod and the North Sea cod, both with seasonally dependent migratory behavior. The oceanic and some of the coastal populations will, at certain times of the year, be present in at the same locations.

During the last decade cod has been a species of increasing significance and interest for the Norwegian aquaculture industry [13]. Cod is now intensively cultured with full control of all life-stages, except for the broodfish which are predominantly of wild origin [6,14]. The intensive production cycle of cod consists of three separate steps, where the first step starts with the fertilization of eggs from broodstock held in large land based tanks. The majority of broodfish consists of wild caught cod from both costal and oceanic populations. After hatching the fry is held in indoor tanks. The second stage is on-growth, where the fingerlings are transferred to net pens in the sea and held until they are moved to production sites. Mixing of populations from different broodstock companies occurs at the on-growth sites, i.e. before redistribution to production sites. Mixing of populations may also occur at the production sites due to limited availability of fish from the different on-growing sites. Several generations can be present at one production site. The different operational sites are dispersed along the Norwegian coast resulting in large scale movement of cultured cod between different parts of Norway [13,14].

In 2004 a Francisella species was isolated from farmed cod in Norway showing clinical signs of a chronic granulomatous infection in kidney, spleen, liver and heart [15]. The bacterium was initially characterized both as a species, F. piscicida (GM2212) [16,17], and later in the same year as a F. philomiragia subspecies, ssp. noatunensis (NCIMB 14265T) [18]. The F. philomiragia ssp. noatunensis was later elevated to the rank of species, F. noatunensis ssp. noatunensis, with F. piscicida as a heterotypic synonym [19-22]. Following the discovery, several annual outbreaks of francisellosis have been diagnosed with main foci in the western parts of Norway [23]. The bacterium has been detected in cultured fish from Rogaland to Nordland county (59-67°N), however, positive wild cod has only been identified south of Sogn og Fjordane county (61°N), indicating a southern natural reservoir of the bacteria [24]. After the discovery of F. noatunensis ssp. noatunensis, histological material collected in 1988 from a broodfish population in Hordaland county, has been stained positive with antiserum for the F. noatunensis ssp. noatunensis GM2212 isolate, suggesting the presence of the bacteria in Norwegian waters prior to the initial discovery [25].

During the last 10 years members of the genus Francisella have emerged as a global problem for aquaculture, causing mortality among a wide range of aquatic hosts. These Francisella isolates show high genetic similarities with F. philomiragia and with each other at the 16S rRNA-gene [15,26-32]. The close genetic relatedness has been confirmed with sequencing of several housekeeping genes showing identical sequences for Norwegian isolates [18]. A Chilean isolate from Atlantic salmon (Salmo salar) UA2660 [29] showed a high similarity to the Norwegian cod isolates (NCIMB 14265T/GM2212) and was therefore described as a new isolate of the F. noatunensis ssp. noatunensis [19,22]. Fish pathogenic Francisella isolates from Asia display high genetic similarity to UA2660 and NCIMB 14265T/GM2212 and constitute a separate subspecies, F. noatunensis ssp. orientalis (Ehime-1) [19,20,26]. F. asiatica (PQ1104) isolated from tilapia (Oreochromis sp.) in Costa Rica is identical with F. noatunensis ssp. orientalis (Ehime-1) with respect to phenotype and signature sequences (rRNA and housekeeping genes) [22].

Isolates of F. noatunensis ssp. noatunensis from Norway are identical when comparing 16S and housekeeping gene sequences [18,33], making genotyping and studies of epizootics difficult. If an epizootiological approach is to be applied for controlling and preventing dispersal of Francisella spp. in aquaculture, a tool for the identification of isolates is a necessity. Such a tool will make it possible to differentiate between wild endemic and anthropogenic dispersed strains. This approach also requires knowledge of the production history of cod and some knowledge of natural occurring strains in wild cod in the production areas. Targeting the housekeeping genes of bacterial fish pathogens has been applied for strain identification [34], but due to identical signature sequences this has not been possible to use on F. noatunensis [18,24,33]. Similar problems are known from epidemiological studies of human pathogenic bacteria like the Mycobacterium tuberculosis, M. avium ssp. paratuberculosis, Bacillus anthracis, Yersinia pestis and the related F. tularensis [35-38] where evolutionary or stochastic events have led to a dominance of highly fit clones making strain identification difficult [39].

By using genetic markers with higher mutational rates, like Variable Number of Tandem Repeat (VNTR), one can construct allelic profiles in Multiple Locus VNTR Analysis (MLVA) systems, making strain differentiation of clonal bacteria populations possible [40-42]. MLVA systems have already been applied in studies of F. tularensis isolates [43-46]. This study is an attempt to provide a sequenced based MLVA tool for studying the epizootics of F. noatunensis ssp. noatunensis in Norwegian cod farming. Our findings suggest that the MLVA system presented in this study is suitable for strain typing of F. noatunensis isolates from Norwegian cod, and the results indicate that there are only a few clades causing francisellosis outbreaks in Norwegian cod culturing.

Methods

Isolation of Francisella noatunensis ssp. noatunensis

All isolates of Francisella noatunensis ssp. noatunensis (n = 22) included in this study were obtained from Atlantic cod (Gadus morhua) suffering from francisellosis, with the exception of the type strain NCIMB 14265T [18] and the Chilean Atlantic salmon (Salmo salar) isolate UA2660 which were obtained from The National Collection of Industrial, food and Marine Bacteria (NCIMB) and Intervet Norbio AS, respectively (Table 1). The majority of isolates were collected from cultured populations of cod geographically dispersed along 1400 km of Norwegian coast line during the period from 2004 to 2009. Four isolates were obtained from wild-cod, from the counties of Aust-Agder, Vest-Agder, Rogaland and from the borders of Rogaland and Hordaland (Table 1). An overview of geographical origin of isolates is presented in Figure 1. Isolates of closely related Francisella spp., F. notunensis ssp. orientalis (n = 4) and F. philomiragia (n = 7), were also included in this study. Isolate FoJ-001/02 (Ehime-1) was kindly provided by Dr. Kamaishi, and isolates FoI-002/04, FoI-003/05 and FoI-004/07 from Indonesia were kindly provided by Intervet Singapore. Most F. philomiragia isolates were obtained from the culture collections Deutsche Sammlung von Mikroorganismen und Zellkulturen (DSMZ) and Culture Collection, University of Göteborg (CCUG), while strains 080107 and strain 1951[47,48] were kindly provided by Dr. Berrada and Dr. Friis-Møller, respectively. A complete overview of isolates and year of isolation, host and location is presented in Table 1.

Table 1.

Sample information of the 33 strains of Francisella spp. included in the current study.

Strain name Year Host Location
F. noatunensis subsp. noatunensis

FnnR-001/04 (GM2212) 2004 Atlantic cod (Gadus morhua), farmed Rogaland county
NCIMB 14265T 2005 Atlantic cod (G. morhua), farmed Hordaland county
FnnR-017/05 2005 Atlantic cod (G. morhua), farmed Rogaland county
FnnC-UA2660A 2006 Farmed Atlantic salmon (Salmo salar) Region X Chile
FnnR-002/06 2006 Atlantic cod (G. morhua), farmed Rogaland county
FnnR-003/06W 2006 Atlantic cod (G. morhua), wild caught Rogaland county
FnnR-004/06 2006 Atlantic cod (G. morhua), farmed Rogaland county
FnnMR-005/06 2006 Atlantic cod (G. morhua), farmed Møre og Romsdalen county
FnnN-006/06 2006 Atlantic cod (G. morhua), farmed Nordland county
FnnH-007/06 F 2006 Atlantic cod (G. morhua), farmed Hordaland county
FnnH-008/06W 2006 Atlantic cod (G. morhua), wild caught Rogaland/Hordaland county
FnnH-014/06F 2006 Atlantic cod (G. morhua), farmed Hordaland county
FnnAA-009/07W 2007 Atlantic cod (G. morhua), wild caught Aust Agder
FnnVA-010/07W 2007 Atlantic cod (G. morhua), wild caught Vest-Agder
FnnMR-011/07 2007 Atlantic cod (G. morhua), farmed Møre og Romsdalen county
FnnSF-012/07 2007 Atlantic cod (G. morhua), farmed Sogn og Fjordane county
FnnMR-013/07 2007 Atlantic cod (G. morhua), farmed Møre og Romsdalen county
FnnMR-015/08F 2008 Atlantic cod (G. morhua), farmed Møre og Romsdalen county
FnnH-016/08 F 2008 Atlantic cod (G. morhua), farmed Hordaland county
FnnSF-018/09 2009 Atlantic cod (G. morhua), farmed Sogn og Fjordane county
FnnSF-019/09 2009 Atlantic cod(G. morhua), farmed Sogn og Fjordane county
FnnH-020/09 2009 Atlantic cod (G. morhua), farmed Hordaland county
F. noatunensis subsp. orientalis

FnoJ-001/02 (Ehime-1)B 2002 Farmed Three-line grunt (Parapristipoma trilineatum) Ehime prefecture, Japan
FnoI-002/04C 2004 Farmed tilapia (Oreochromis spp.) Lake Toba, Indonesia
FnoI-003/05C 2005 Farmed tilapia (Oreochromis spp.) Lake Toba, Indonesia
FnoI-004/07C (Ind04) 2007 Farmed tilapia (Oreochromis spp.) Lake Wadaslingtan, Indonesia
F. philomiragia

FpDSM7535T 1959 Muskrat from Bear River refuge Utah, USA
FpCCUG19701 1960 Water, from a river in Bear River refuge Utah, USA
FpCCUG13404 1979 Human, bone marrow Zurich, Switzerland
FpCCUG12603 1982 Human, abscess Gøteborg, Sweden
Fp1951D 2003 Human, blood Denmark
Fp080107 -IE 2007 Environmental sample direct isolation Marthas Vineyard, USA
Fp080107 -IIE 2007 Environmental sample after passage through a mice Marthas Vineyard, USA

The table show source and geographical location of isolation for the Francisella isolates (n = 33) included in the current study. Norway is country of origin unless otherwise is stated.

Isolates were kindly provided by Intervet Norbio ASA, Dr. KamaishiB, Intervet SingaporeC, Dr. Friis-MøllerD and Dr. BerradaE

Isolated from broodfishF, Isolated in ChileA, W = wild caught, T = type strain

Figure 1.

Figure 1

The geographical location of sampling sites of the Norwegian F. noatunensis ssp. noatunensis isolates (n = 21). Accurate location of FnnMR-011/07 and FnnMR-013/07 is unknown. Isolates from production sites of cultured cod is predominantly of clade I and III. I = clade I, II = clade II, III = clade III, W = wild caught, broodfishF, type strainT

Culture of F. noatunensis ssp. noatunensis

Isolations of F. noatunensis ssp. noatunensis were performed in the field or in our laboratory by streaking tissue (head kidney and/or spleen) from infected cod on agar plates. Initial isolations were performed using blood agar plates with 0.1% cysteine and 1% glucose as described by Nylund et al. (2006) with subsequent growth in B1817 broth for cryopreservation [33]. However, most isolations were performed using Cysteine Heart Agar (Difco) supplemented with 5% bovine blood (CHAB) as described in Olsen et al. (2006) with slight modifications. These included the addition of 50 μg ml-1 of ampicillin, 50-100 μg ml-1 of fungizone® and additional cysteine to a final concentration of 0.2%. The ampicillin, fungizone®, bovine blood and cysteine were added to the CHAB at 60°C. All isolates were incubated at 20°C for 2-4 days (F. philomiragia) or two weeks (F. noatunensis). A Sanyo MIR-554 incubator was used for solid cultures whereas liquid culturing was performed in an Infors Unitron incubator at 250 rpm. Colonies from CHAB agar were dissolved in Eugon Broth (Difco) for cryopreservation and stored in liquid nitrogen.

Genomic analysis

A preliminary genomic sequence from Francisella noatunensis ssp. noatunensis isolate GM2212 (= F. piscicida, DSM 18777T, CNCM-3511T, LMG24256T) was analyzed for the presence of tandem repeat regions using the software Tandem Repeats Finder [49]. This program locates and displays tandem repeats in DNA sequences. Loci with tandem repeats consisting of less than 15 nucleotides and more than four repeats were selected (Table 2). The preliminary genomic sequence of F. noatunensis ssp. noatunensis isolate GM2212 was generated using the 454 pyro-sequencing technology [50,51] in co-operation with Intervet AS/ASA.

Table 2.

Attributes of the Variable Number of Tandem Repeat loci among F. noatunensis isolates.

Marker locus GenBank Accesion no Repeat sequence Repeats in GM2212 Amplicon/repeat span No. alleles
Fnn-VNTR1NA GU385767 TTAAGGTA 7 195-219/5-8 3
Fnn-VNTR2 GU385768 AGTTATT 8 217-392/8-33 7
Fnn-VNTR3NA GU385769 TAGAT 10 197-212/7-10 4
Fnn-VNTR4 GU385770 TTGTGG 10 311-437/10-31 11
Fnn-VNTR5NA GU385771 AAAAGGTAT 5 285-312/2-5 2
Fnn-VNTR6 GU385772 CTG 10 295-307/8-12 3
Fnn-VNTR7 GU385773 TTTTA 5 404-435/1.8-5 4

GenBank Accession numbers refer to sequences of the F. noatunensis ssp. noatunensis GM2212 isolate. Repeat sequence, number of repeats and amplicon size is that of the GM2212 isolate.

Not amplified within F. philomiragia isolatesNA

DNA extraction

Total DNA from all collected strains and tissues was extracted using the DNeasy® blood & tissue kit (Qiagen) as described by the manufacturer.

PCR and amplification of VNTR loci

Based on results from the tandem repeats analysis, oligonucleotide primers flanking 11 potential VNTR loci was designed using the Vector NTI Suite 9.0 program package (InforMax Inc.). In addition, two pairs of flanking primers, VNTR1-2F/R and VNTR2-2F/R were designed for the purpose of nested PCR, as not all isolates were amplified using the initial primers. The oligonucleotide primers had Tm ranging from 40.9 to 55.4°C, and the annealing-temperature for each primer combination was therefore optimized using gradient PCR with the isolate GM2212 DNA as template (Table 3). The amplification was performed in a 50 μl reaction mixture containing 10 X buffer (Promega) including 1.5 mmol-1 MgCl2, 2.5 mM dNTP (Promega), 10 μmol-1 of each primer (Invitrogen), 2 μl DNA and 0.6 U Thermal Ace™DNA polymerase (Invitrogen). Amplification was carried out in a Mastercycler gradient (Eppendorf) with denaturation at 95°C for 5 min; 35 cycles with denaturation at 95°C for 30 s, annealing at X°C (optimized annealing temperature Table 3) for 45 s and extension at 72°C for 1 min, followed by prolonged extension at 72°C for 10 min and a short storage at 4°C. All PCR-products were visualized using gel-electrophoresis. In cases where the initial PCR did not amplify a target sequence, several techniques were applied including nested- (VNTR 1 and 2), touchdown- and gradient-PCR. In the touchdown PCR, the amplification cycles were as follows; denaturation at 95°C for 5 min; followed by 6 times of 3 cycles of; denaturation at 94°C for 45 s, annealing for 45 s at 66-51°C with a reduction of 3°C at each cycle, and extension at 72°C for 1 min. The rounds of touchdown were immediately followed by 25 cycles with denaturation at 94°C for 45 s, annealing at 48°C for 45 s, extension at 72°C for 1 min; and a final extension at 72°C for 10 min before a short storage at 4°C. The gradient PCR amplification was as follows: denaturation at 95°C for 5 min; denaturation at 94°C for 45 s, 2 and 4°C below and over optimized annealing temperature (Table 3) for 45 s, extension at 72°C for 1 min; and a final extension at 72°C for 10 min before a short storage at 4°C.

Table 3.

Primers used to amplify the VNTR regions included in the study.

Primer-name Sequence Tm°C Target Optimized Tm° Amplicon size
Fnn-VNTR1F ATCTTGGAAATTAACTACTTTC 46.1 VNTR no 1 55 211
Fnn-VNTR1R ACCTTTTTCTACACCAATAG 47.2
Fnn-VNTR2F GTAAACGTAGTTTTTGGAAGTCCAT 53.7 VNTR no 2 54 217
Fnn-VNTR2R GGATGGCAATCTTGTGTAAA 50.7
Fnn-VNTR3F CAAACCTTCATCTCCACTAC 50.4 VNTR no 3 50 212
Fnn-VNTR3R TGCTCTTTTCCCTCTATATA 47.2
Fnn-VNTR4F AGTTTCATTTATCAGGTGAC 47.5 VNTR no4 54 311
Fnn-VNTR4R AGACTAATAGCCTTCCAAAA 48.5
Fnn-VNTR5F CTGGACATTAGTATCAGGAT 48.3 VNTR no 5 55 312
Fnn-VNTR5R GCAGTGGTAACAATTTTAAG 47.2
Fnn-VNTR6F GCTGTTGGAGATAGTAAATAATTGC 52.3 VNTR no 6 55 301
Fnn-VNTR6R TTAGCTTCTTTAAGACCAAG 47.2
Fnn-VNTR7F CTTCTTCTCAACCATACCAG 50.1 VNTR no 7 54 439
Fnn-VNTR7R ACAAGCATATAGACTTATATTGA 46.9
Fnn-VNTR1-2F AAATGTAGAGTTTCCATCCAAC 47.1 VNTR no 1 55 613
Fnn-VNTR1-2R AGTCGTATTTCTGCTTCAATC 45.6
Fnn-VNTR2-2F CATGGGCTACTTTTGGAATATATAC 47.7 VNTR no 2 55 559
Fnn-VNTR2-2R TCGGTTTGACTGATGTCATG 44.6

Flanking primers were designed based on preliminary data of the whole genome sequence of F. noatunensis ssp. noatunensis isolate GM2212. The attributes of the primers in the study; primer sequence, optimized annealing temperature (Tm°) and amplicon size of the GM2212 isolate.

Sequencing of VNTR loci

In order to identify repeat copy number variation among the isolates in question the resulting PCR-products were sequenced for each VNTR locus. PCR products were purified using the E.Z.N.A Cycle-Pure Kit (OMEGA) as described by the manufacturer. Sequencing was then performed in both directions using the PCR-primers (Table 3) and the ABI PRISM BigDye terminator chemistry (version 3.1) according to Applied Biosystems (ABI). All sequences were assembled using the Vector NTI Suite 9.0 program (InforMax Inc.). Possible genetic location of sequenced VNTR-loci was identified by GeneBank blastn searches performed using the complete amplicon sequence from each primer pair from either F. philomiragia or F. noatunensis ssp. noatunensis GM2212 isolate.

Phylogenetic analysis

At each VNTR locus in a single taxon, the VNTR was coded as a discrete character (i.e. 1-9, A-H) based upon the specific number of repeats at the region in question. These allele profiles were used to construct a data matrix within the Mesquite System for Phylogenetic Analysis (Maddison, W. P. and D.R. Maddison. 2009. Mesquite: a modular system for evolutionary analysis. Version 2.71 http://mesquiteproject.org). The data-matrix was exported as a nexus file into PAUP 4.0 (Swofford, D. L. 2003. PAUP*. Phylogenetic Analysis Using Parsimony (*and Other Methods). Version 4. Sinauer Associates, Sunderland, Massachusetts)) for phylogenetic analysis using the neighbor-joining (NJ) distance method [52]. The phylogenetic NJ analysis was not bootstrapped as there were too few characters and taxa for correct estimation of sampling error.

Test of VNTR stability

Since VNTR regions are considered to be one of the fastest evolving sequences of a genome, it was important to test the stability of the selected VNTR regions both in vitro and in vivo [53]. Mutations in VNTR regions have been shown during in vitro growth of both Yersinia pestis and Escherichia coli [54,55]. Therefore the effect of multiple passages of the F. noatunensis ssp. noatunensis GM2212 isolate on VNTR stability was tested as follows: a frozen first passage culture of the GM2212 isolate was streaked for isolation on CHAB, one single colony was transferred in each passage for 10 passages. DNA isolation, PCR and sequencing were performed on a colony from passage 10 as described above. PCR and sequencing were performed for all VNTR loci for verification of copy numbers (GM2212-P10 Table 4). The in vivo stability of F. noatunensis ssp. noatunensis GM2212 isolate was tested at different temperatures with material from challenge experiments described below. Copy numbers at each VNTR locus was confirmed through direct sequencing using DNA extracted from kidney tissues of challenged fish as templates (Table 4). Kidney tissue from one cod in each group challenged with GM2212, and held at 10 (F10), 14 (F14) and 18°C (F18), was sampled for extraction of bacterial DNA for direct sequencing. Tank conditions for all groups were as for the challenge experiment of the F10 group described in Nylund et al. (2006) [15]. The F14 and F18 group were bath challenged in 20 l of sea water containing a final concentration of 2.25 × 106 bacteria/ml. The bacterial suspension was prepared by inoculating several CHAB plates with the GM2212 isolate, harvesting + mixing of bacterial cultures in PBS and subsequently adding this to sea water. Tissues were sampled from the fish 90 days post challenge. The challenge experiments were approved by the Norwegian Animal Research Authorities (NARA).

Table 4.

Allelic profiles from the stability testing.

Isolate VNTR1 VNTR2 VNTR3 VNTR4 VNTR5 VNTR6 VNTR7
GM2212 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
GM2212-P10 219nt - 8r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
Fc10 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
Fc14 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
Fc18 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 395nt - 9er 435nt - 5r

In vivo stability was shown on passage 10 (P10) of the GM2212 isolate and in vitro stability on infected cod held at 10 (Fc10), 14 (Fc14) and 18°C (Fc18). Results are displayed with number of nucleotides in repeat marker and numbers of repeats. Two shifts were observed in GM2212, VNTR-1 after 10 passages on CHAB agar at 20°C and in VNTR-6 after passage in cod held at 18°C. The original sequence is shown in bold, whereas the mutations are in italics.

Heterogeneous repeats with Single nucleotide polymorphism (snp), noted as nucleotide number in repeat sequence (nt) and at repeat of occurrence (r); e = 2 snp C-T nt1 r4 r6

VNTR linkage disequilibrium

Linkage disequilibrium was calculated as standardized index of association (IAS), for all Norwegian F. noatunensis ssp. noatunensis isolates (n = 21) within the seven VNTR loci using the LIAN Linkage Analysis 3.5 online tool [56].

Accession numbers

Sequences of all seven VNTR loci from the GM2212 isolate of F. noatunensis ssp. noatunensis were assigned GeneBank accession numbers as follows: VNTR-1: GU385767, VNTR-2: GU385768, VNTR-3: GU385769, VNTR-4: GU385770, VNTR-5: GU385771, VNTR-6: GU385772, VNTR-7: GU385773

Results

Variable Number of Tandem Repeats (VNTR) features

Sequencing of Francisella noatunensis and F. philomiragia isolates (Table 1) showed variation in seven of the 11 tested VNTR loci (Table 5). The remaining four VNTR loci were discarded as they did not get amplified from all F. noatunesis isolates or showed no allelic variation among the isolates included in this study. The seven VNTR loci used in this study had an allelic diversity ranging from two (VNTR-5) to 17 (VNTR-4) alleles in all isolates included (n = 33). The largest observed variation in allele sizes was found in VNTR-4 and spanned from one to 32 repeats in F. philomiragia isolates Fp080107-II and Fp1951, respectively. Primers for the seven informative VNTR loci (Table 3) provided PCR-products for all F. noatunensis ssp. noatunensis and orientalis isolates with the exception of VNTR-1 in isolate UA2660 and VNTR-3 in Ehime-1. VNTR-2 and 4 showed most variation among the F. noatunensis ssp. noatunensis isolates (n = 22), with seven different alleles in each, while only minor variation, two different alleles, was found in VNTR-5. The F. noatunensis ssp. orientalis isolates (n = 4) had identical alleles at VNTR-5 and -6, while VNTR-4 was shown to be the most polymorphic with four different alleles. The repeats and attributes of each VNTR locus in F. noatunensis can be viewed in table 2. VNTR-4, -6 and -7 were successfully amplified from all isolates of F. philomiragia included in this study. It was not possible to amplify VNTR-2 from the F. philomiragia isolate, Fp080107-I [48], and, with the exception of the amplification of VNTR-3 from DSM7535T, it was not possible to amplify VNTR-1, -3 and -5 from these isolates (Table 5). Among the F. philomiragia isolates most allele variation was seen in VNTR-4, whereas no variations were detected in sequences from VNTR-2 and -6. It is not known if the lack of a PCR product for a given VNTR locus is a result of primer mismatch or absence of the VNTR locus in question. Due to the preliminary status of the genome from which the VNTR loci were identified, the genomic locations of the loci remain unknown. Possible locations of the VNTR loci within the genome of F. philomiragia were identified by GeneBank blastn searches. The following matches were identified (Table 6); VNTR-2 locus (186 bp query) matched the intergenic segment located between the genes encoding the Bor lipoprotein and Nicotinamide Adenine Dinucleotide Phosphate -quinone reductase (1900473-1900533bp), VNTR-4 sequence (394 bp query) matched the intragenic segment in the DNA-directed DNA polymerase gene (695610- 695415), VNTR-6 sequence (327 bp query) matched the segment intragenically located in 50S ribosomal protein L10 gene (1129799-1130125) ,VNTR-7 sequence (458 bp query) matched the intragenically located segment between and within the genes encoding the FTN_1059 hypothetical protein and trigger factor protein (1661303-1660846). No significant matches were identified for VNTR-3. VNTR-5 and -1 were not amplified from DSM 7535, but a blastn search was performed using these VNTR sequences obtained from F. noatunensis ssp. noatunensis GM2212 isolate. VNTR-5 displayed intragenic match for a gene encoding the FTN_0396 hypothetical protein (495433-496083) with 99% sequence-identity and E value of 3 × 10-79, while VNTR-1 showed no significant match to the F. philomiragia genome.

Table 5.

Allelic profiles of the 33 Francisella isolates used in the study.

Allelic profile Strain name Fnn-VNTR1 Fnn-VNTR2 Fnn-VNTR3 Fnn-VNTR4 Fnn-VNTR5 Fnn-VNTR6 Fnn-VNTR7
F. noatunensis ssp. Noatunensis

FnnUA2660A NA 392nt - 33r 212nt - 10r 335nt - 14br 285nt - 2r 307nt - 12hr 405nt - 2ir
I FnnR-001 -04 (GM2212) T 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
I FnnR-002 - 06 211nt - 7r 217nt -8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
I FnnR-004 - 06 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
I FnnR-017 - 05 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
I FnnMR-005 - 06 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
I FnnMR-011 - 07 211nt - 7r 217nt -8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
I FnnSF-012 - 07 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
I FnnMR-013 - 07 211nt - 7r 217nt - 8r 212nt - 10r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
II FnnR-003 - 06W 211nt - 7r 217nt - 8r 207nt - 9r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
II FnnN-006 - 06 211nt - 7r 217nt - 8r 207nt - 9r 311nt - 10r 312nt - 5r 301nt - 10er 435nt- 5r
III FnnH-007 - 06 F 219nt - 8r 259nt - 14r 202nt - 8r 341nt - 15r 312nt - 5r 301nt - 10er 430nt - 4r
III NCIMB 14265T 219nt - 8r 259nt - 14r 202nt - 8r 341nt - 15r 312nt - 5r 301nt - 10er 430nt - 4r
III FnnH-014 - 06F 219nt - 8r 259nt - 14r 202nt - 8r 341nt - 15r 312nt - 5r 301nt - 10er 430nt - 4r
III FnnSF-018 - 09 219nt - 8r 259nt- 14r 202nt - 8r 341nt - 15r 312nt - 5r 301nt - 10er 430nt- 4r
III FnnSF-019 - 09 219nt - 8r 259nt - 14r 202nt - 8r 341nt - 15r 312nt - 5r 301nt - 10er 430nt - 4r
FnnH-008 - 06W 195nt - 5r 217nt - 8r 202nt - 8r 311nt - 10r 312nt - 5r 301nt - 10er 435nt - 5r
FnnMR-015 - 08F 195nt - 5r 259nt - 14r 197nt - 7r 437nt - 31r 312nt - 5r 301nt - 10er 435nt - 5r
FnnH-016 - 08F 219nt - 8r 287nt - 18r 197nt - 7r 359nt - 18r 312nt- 5r 295nt - 8er 435nt - 5r
FnnAA-009 - 07W 211nt - 7r 294nt - 19r 197nt - 7r 347nt - 16r 312nt - 5r 301nt - 10er 435nt - 5r
FnnVA-010 - 07W 211nt - 7r 308nt - 21r 197nt - 7r 329nt - 13r 312nt - 5r 301nt - 10er 435nt - 5r
FnnH-020 - 09 195nt - 5r 280nt - 17r 207nt - 9r 437nt - 31r 312nt - 5r 301nt - 10er 435nt - 5r
F. noatunensis ssp. orientalis

FnoJ-001 - 02 (Ehime-1) 195nt - 5r 217nt - 8r NA 317nt - 11dr 285nt - 2r 301nt - 10fr 405nt - 2ir
FnoI-002 - 04 1368 211nt - 7r 392nt - 33r 212nt - 10r 365nt - 19dr 285nt - 2r 301nt - 10fr 404nt - 1.8r
FnoI-003 - 05 1436 211nt - 7r 217nt - 8r 212nt - 10r 329nt - 13dr 285nt - 2r 301nt - 10fr 404nt - 1.8r
FnoI-004 - 07 2070 211nt - 7r 217nt - 8r 212nt- 10r 371nt - 20dr 285nt - 2r 301nt - 10fr 404nt - 1.8r
F. philomiragia

FpDSM7535T NA 175nt - 2.8br 182nt - 4c 401nt - 25dr NA 301nt - 10gr 404nt - 1.8r
FpCCUG19701 NA 175nt - 2.8br NA 395nt - 24dr NA 301nt - 10gr 405nt - 2r
FpCCUG13404 NA 175nt - 2.8br NA 311nt - 10dr NA 301nt - 10gr 404nt - 1.8r
FpCCUG12603 NA 175nt - 2.8br NA 407nt - 26dr NA 301nt - 10gr 425nt - 3r
Fp1951 NA 175nt - 2.8ar NA 443nt - 32r NA 301nt - 10gr 404nt - 1.8r
Fp080107 -I NA Na NA 431nt - 30dr NA 301nt - 10gr 405nt - 2r
Fp080107 -II NA 175nt - 2.8ar NA 257nt - 1ar NA 301nt - 10gr 404nt - 1.8r

Identical allelic profiles are assigned Greek numerals I-III. Allelic profiles are presented as number of nucleotides in repeat marker (nt) and numbers of repeats (r). Identical profiles occur for several isolates from cod culturing, profile I (FnnR-001-04 to FnnMR-013-07), profile II (FnnR-003-06W and FnnN-006-06) and profile III (FnnH-007-06 to FnnSF-019-09)

Isolated in ChileA, Isolated from broodfishF, type strainT, W = wild caught, NA = Not Amplified with primer sets

Heterogeneous repeats with Single Nucleotide Polymorphism (snp), noted as nucleotide number in repeat sequence (nt) and at repeat of occurrence (r); a = snp G-A nt1 r1 r3 b = snp. G-A nt1 r3, c = snp G-A nt3 r4, d = snp T-C nt1 from r2, e = 2 snp C-T nt1 r4 r6, f = 2 snp C-T nt1 r5 r7, g = 2 snp C-T nt1 r6 r8, h = 2 snp C-T nt1 r8 r10, i = snp T-C nt4 r1

Table 6.

Location of Blastn matches from Variable Number of Tandem Repeat -sequences from F. philomiragia DSM7535T.

Marker locus BP in query Identity Location Adjacent genes E-value
Fnn-VNTR2 186 96% Intergenic (1900473-1900533) Bor lipoprotein/NADPH-quinone reductase 7 × 10-28
Fnn-VNTR4 394 97% Intragenic (695610- 695415) DNA-directed DNA polymerase 1 × 10-88
Fnn-VNTR5 A 333 99% Intragenic (495433-496083) FTN_0396 hypothetical protein 3 × 10-79
Fnn-VNTR6 327 100% Intragenic (1129799-1130125) 50S ribosomal protein L10 7 × 10-170
Fnn-VNTR7 458 97% Intragenic (1661303-1660846) FTN_1059 hypothetical and trigger factor protein 0

The Blastn search was performed using the complete amplicon of the primer pairs. All locations were identified in F. philomiragia ATCC25017T (Accession number CP000937). Sequences were derived from F. philomiragia DSM7535T unless otherwise stated.

VNTR-sequence obtained from F. noatunensis ssp. noatunensis GM2212A

Allele profiles

Variation in the VNTR loci was revealed by sequencing, and these data were used to create allele profiles for all isolates. Lack of amplifiable VNTR locus was interpreted as a separate "missing" character. A complete overview of the allele profiles is presented in Table 5. Analysis of the seven VNTR loci revealed a total of 10 unique allele profiles among the 22 F. noatunensis ssp. noatunensis isolates. Three of the profiles contained more than one isolate and these were termed profile I (n = 8), profile II (n = 2) and profile III (n = 5); all isolates included in these profiles were collected from farmed sites with the exception of one wild isolate in profile II.

Profile I included the following isolates from farmed cod: a) four isolates collected in the period of 2004-06 from the Rogaland county, b) one isolate from Sogn and Fjordane county (2007) and c) three isolates from Møre and Romsdal county (2006-07). The two isolates in profile II were collected from Rogaland (wild cod) and Nordland (farmed cod) in 2006. A total of five isolates were included in profile III: a) three isolates, including two originating from broodfish populations, collected in Hordaland county during the period 2005-06, and b) two isolates, one sampled from farmed and one from a wild/possible escaped farmed cod in Sogn og Fjordane county in 2009. The remaining six cod isolates, including three isolates from wild cod, two from broodstock populations (usually caught as wild cod) and one from a production site, all possessed unique allele profiles. The two isolates from wild cod in Aust- and Vest Agder counties share allele profiles at five out of seven loci.

The allele profile of the Chilean isolate from Atlantic salmon, UA2660, had a unique profile sharing only one VNTR locus with the other isolates of F. noatinensis ssp. noatunensis.

All seven VNTRs were obtained from the isolates of F. noatunensis ssp. orientalis (n = 4) with the exception of VNTR-1 from Ehime-1. None of the isolates had identical allele profiles and the allele profile of the Japanese isolate Ehime-1, from farmed Three-line grunt (Parapristipoma trilineatum), was distinct from the three Indonesian isolates from farmed tilapia (Oreochromis spp.). None of the F. philomiragia isolates (n = 7) had identical allelic profiles.

Phylogenetic relationship

The NJ phylogenetic analysis using the seven informative VNTR loci from the 33 Francisella spp. isolates showed a subdivision of the F. noatunensis ssp. noatunensis isolates (Figure 2). The majority of the isolates from outbreaks of francisellosis in farmed cod group as two distinct clades. These clades were named clade I and III, as they correlate to the allele profiles (Table 5). The phylogenetic analysis also separates the Chilean UA2660 isolate from the Norwegian F. noatunensis ssp. noatunensis isolates, and differentiated among the few isolates of F. noatunensis ssp. orientalis, included.

Figure 2.

Figure 2

The relationship of the isolates included in this study. Relationship among the 33 Francisella isolates based on allelic differences at seven VNTR loci. This unrooted ultrametric NJ tree show known topography a) between the species of F. philomiragia (Fp) and F. noatunensis, b) between the subspecies F. noatunensis ssp. orientalis (Fno) and F. noatunensis ssp. noatunensis (Fnn) and c) among the F. noatunensis ssp. noatunensis isolates from Norway and Chile (FnnC-UA2660). Two previously unrecognized clades are evident within the Norwegian Fnn isolates. Bootstrap values were not calculated as there were too few characters and taxa in the dataset for correct estimation of sampling error W = wild caught, broodfishF, type strainT

Stability of VNTR loci

Examination of the stability of the VNTR loci revealed changes in repeat numbers within two VNTRs of the F. noatunensis ssp. noatunensis GM2212 isolate (Table 4). A shift in VNTR-1 was observed after 10 passages on Cysteine Heart Agar with Blood (CHAB) at 20°C. This mutation consisted of the addition of one repeat, increasing the size from 7 to 8 repeats. There was also a change in VNTR-6 after passage of isolate GM2212 in cod held at 18°C. The number of repeats was reduced from 10 to nine. The VNTRs did not change when the isolate GM2212 was passed through cod held at 10 and 14°C. These results were verified by a repeating round of PCR and sequencing. The remaining VNTRs were not affected in this test.

Linkage disequilibrium

To avoid effects from host and geographical separation the linkages disequilibrium was calculated for F. noatunensis ssp. noatunensis isolates (n = 22) only. The linkages disequilibrium was shown to be significant in the LIAN 3.5 analysis, indicating a clonal population structure for the cod isolates. Standardized IAS was calculated to 0.3925 at a significance of Ppara = 3.69 × 10-126.

Epizootiological data of isolates

There are several factors linking the isolates within the F. noatunensis clades (Figure 2, Table 5). Clade I consists of eight isolates where FnnR-001-04, -002-06, 004-06 and 017-05 were obtained from cod at one production site in Rogaland county during several outbreaks in the period of 2004-06 (Figure 1). These isolates differ from an isolate (FnnH-016-08) obtained from one of the broodfish company supplying the site. On-growth sites were not involved. Three isolates FnnMR-011-07, -013-07 and -005-06 of clade I were from another county (Møre og Romsdal), and two of these were obtained from cod with no traceable history. The third isolate FnnMR-005-06 was obtained from a site supplied by the same broodfish company as the host for isolate FnnSF-012-07, which also belongs to clade I. The latter isolate comes from another county, Sogn og Fjordane. The host for FnnMR-005-07 was kept at an on-growing site before transportation to the production site in Møre og Romsdal. Clade III consists of five isolates, three from Hordaland (FnnH-007-06, -014-06, NCIMB 14265T) and two from Sogn of Fjordane county (FnnSF018-09,-019-09) (Figure 1 and Figure 2). The latter two were sampled in the same fjord, FnnSF018-09 was isolated from farmed cod at a production site, while Fnn-019-09 was isolated from a wild caught cod. The wild caught cod had pellets in the gut and a morphology suggesting that it originated from a production site which lost fish during a francisellosis outbreak in 2009. Of the last three isolates from clade III, one (NCIMB 14265T) was isolated from cod at a production site in Hordaland, while FnnH-007-06 and FnnH-014-06 was isolated from broodfish populations located at two sites in the same county. This broodfish company was one of the suppliers of cod to the production site in Sogn and Fjordane (FnnSF018-09) and to one production site in Hordaland (NCIMB 14265T). It is not known if the cod at the two sites, Sogn and Fjordane and Hordaland (FnnSF018-09 and NCIMB 14265T), were offspring from the broodfish populations where FnnH-007-06 and FnnH-014-06 were isolated.

Discussion

Variable Number of Tandem Repeats (VNTR) system

Whole genome sequencing of bacteria has presented new opportunities for identification of new genetic markers for separation of isolates. One such marker system can be found by looking at VNTRs, i.e., single locus sequences with short DNA repeats [40,57]. Micro satellites, a subset of VNTRs, with repeat motifs of nine bp or less are often targeted due to higher mutational rate [58,59]. However, such hyper variability, that may occur within some VNTRs, would complicate determination of genetic relationships among strains using this method, and hence, its use in phylogenetics may not be ideal [45,54]. The mechanisms behind the length variation in micro satellites is that of Slipped-Strand Mispairing (SSM) during DNA polymerase mediated DNA duplication. However, mutations involving indels of large copynumbers have been shown consistent with recombination-mediated events [54,59,60]. In Escherichia coli, an average mutational rate of 6.4 × 10-4 was calculated over 28 VNTRs, and the rate seems to be dependent on intrinsic properties such as numbers of repeats [54]. Variation in copy numbers at VNTR loci of certain sizes may affect the efficiency of promoters, thus affecting the coding potential of genes dependent on the genomic locations and the indels of repeats [58,61-63]. For differentiation of bacterial isolates several VNTR loci are combined in a Multiple Locus VNTR Analysis (MLVA), a well established tool for epidemiological studies of bacteria with highly fit clonal dominance [40-42,44,58]. One such bacteria is Francisella tularensis, the agent for tularaemia [64]. This species consist of clonal geographical subspecies [39] that can be separated with the help of VNTR markers [43-46,65]. A similar approach could also be the solution for genotyping of Francisella isolates belonging to fish pathogenic Francisella spp.

Most MLVA systems applied in epidemiology are performed by multiplexing PCR-assays where VNTR size is deduced by capillary electrophoresis allowing rapid screening of large datasets [45]. Due to the relatively few VNTR-loci included and that there were only 33 isolates available for analysis in this study, sequencing was selected as a method for repeat number verification. The sequencing also detected single nucleotide polymorphisms in addition to allele size. The future potential for use of multiplex PCR assays with dyed primers and determining allele size by capillary electrophoresis is still an option and is recommended for larger datasets. This study presents a sequence based MLVA system consisting of seven VNTR loci identified in the F. noatunensis ssp. noatunensis GM2212 isolate. When applied to 33 Francisella strains including Norwegian and Asian isolates of F. noatunensis, the MLVA provided the best resolution shown for the fish-pathogenic Francisellae so far. Due to the preliminary genome status of the F. noatunensis ssp. noatunensis GM2212 isolate a complete VNTR locus search has not been performed, thus leaving the possibility for unidentified markers yet to be discovered. Nonetheless strain typing of F. tularensis isolates has been achieved with the use of as few as two and six VNTR markers [43,65].

The exact location of the seven VNTR markers in the F. noatunensis ssp. noatunensis is not known, however, blast searches indicate both intra- and intergenic location if the positions are homologous with that of the F. philomiragia ATCC25017T isolate (Table 6).

The discriminatory power of the VNTR loci used in this study, was not calculated as a Simpson`s index of diversity. The reason for this is that the dataset does not fulfill the criteria of a test population proposed by van Belkum et al. (2007) [53], as isolates are predominately from outbreaks in cultured populations of cod with potential epizootic connections. The VNTR markers had a typeability of 100% among the Norwegian isolates (n = 21), and with the exception of VNTR-1 and -3 for the UA2660 and Ehime isolate respectively, all the VNTR markers for F. noatunensis (n = 26) were amplified, indicating the usability of the typing system. Stability testing showed variability within VNTR-1 and -6 from F. noatunensis ssp. noatunensis GM2212 isolate when grown in vitro for 10 passages at 20°C and in vivo in cod at 18°C. Such single repeat changes are shown to occur in 80% of mutational events with equal chance of being an insertion or a deletion [54]. The sampled size was insufficient to assess the potential of hyper variable sites and mutation rates in the F. noatunensis ssp. noatunensis GM2212 isolate. VNTR mutational rates can differ across loci [54,55], and could be a problem in studies of phylogenetics and epizootics. Stability and introduction of variation could be a result of bacterial phase variation and thus a result of environmental factors such as nutritional substances present in the growth medium, temperature effects [60,63,66], or just simply be stochastical events. However, four isolates (FnnR-001-04, -002-06, 004-06, 017-05) from different francisellosis outbreaks at the same site during a two year period showed identical allelic profiles indicating field stability and epizootic coherence. The NJ dendrogram presented in this study should not be viewed as a phylogenetic analysis as the use of VNTRs and especially highly variable VNTRs create noise in the phylogenetic signal. The stability testing in the study shows that this may be the case of the VNTR-1 and VNTR-6. There are also too few isolates and characters (VNTRs) included in the dataset to attempt a proper analysis of genetic relationships.

F. noatunensis strains

A total of nine allele profiles were identified among the Norwegian F. noatunensis ssp. noatunensis isolates (n = 21). Three of these contained more then one isolate (profile I n = 8, profile II n = 2 and profile III n = 5) and were identified using allelic profiles and visualized in the NJ dendrogram. The remaining six isolates represent unique strains of which five originated from wild cod and one from farmed cod (FnnH-020/09). Although the dataset of Norwegian isolates is small the trend is evident with only a few isolates occurring in outbreaks of francisellosis in cod culture, and a high diversity of strains among the isolates from wild cod. The Chilean isolate (UA2660) and the Norwegian cod isolates have previously been reported to be highly similar based on similarities in 16S sequence (99.8%) and in five housekeeping genes (Average Nucleotide Identity = 99.5%) [22,29]. However, according to the VNTR analysis performed in this study, the UA2660 isolate from salmon differs at six of seven markers compared to the Norwegian F. noatunensis ssp. noatunensis isolates from cod, clearly separating them into two distinct branches in the NJ dendrogram. The clear separation of these isolates most likely reflects geographic origin and the ecological differences between them (host-niche, freshwater vs. marine environment). The allele profiles of the four F. noatunensis ssp. orientalis isolates were unique, separating them into four different genotypes. Although the sampling set is small it correctly reflects the geographical origin and, possibly, also the variation in niche. There was no clear pattern in the clustering of the F. philomiragia isolates.

Care is needed if phylogenetic relationships are to be estimated based on VNTRs [54,58], however the deeper nodes in the dendrogram (Figure 2) a) between the species of F. philomiragia and F. noatunensis, b) between the subspecies F. noatunensis ssp. orientalis and F. noatunensis ssp. noatunensis and c) among the F. noatunensis ssp. noatunensis isolates of Norway (NCIMB 14265T) and Chile (UA2660), were similar to the tree topology obtained based on analysis of 16S rRNA gene and datasets from housekeeping genes [19,22].

Epidemiology of the F. noatunensis

Considering the results of the present study some reflections regarding the epizootics of the F. noatunensis are possible. However, it is necessary to acknowledge the shortcomings of the dataset as it covers about 40% of the official diagnosed outbreaks of francisellosis in Norway and that it only includes 4 wild isolates collected in different counties.

Generally, the low allelic diversity among the isolates collected from cultured cod compared to the isolates from wild cod, indicate that the spreading could be a result of human activity. This is also supported by the fact that the production cycle of cod in Norway involves transport of farmed cod along most of the Norwegian coast. Similarly, human activity has also been suggested as a cause for the geographical distribution of clonal isolates of Bacillus anthracis [37].

Although the VNTR markers provide a good starting point for studies of epizootics it may still be difficult to identify sources of infection as fish from different populations are mixed during the production, and, it is very difficult to avoid interactions between cultured and wild fish species. In the case of clade I with the isolates FnnR-001-04, -002-06, 004-06 and 017-05, the new generations of cod used for restocking after initial outbreak were probably infected by the initial isolate in the population at that site. The source of the initial infection was most likely cultured cod, since isolates belonging to the same genotype have been found at production sites in other counties, while the wild type isolate (FnnR-003/06W) from the same county belonged to another clade.

In clade III, the isolates from a known broodfish supplier were identical to isolates from production sites where the aforementioned broodfish company was one of the suppliers of fish. Hence, all of these cases could be a result of transmission through movement of offspring from broodfish. However, the situation is complicated by the fact that the sites used for on-growth are unknown. Vertical transmission would greatly impact the disease management and needs to be addressed in further studies.

Conclusions

We present the first VNTR analysis of fish pathogenic Francisellae. Seven polymorphic microsatellites were identified in a partial genome sequence of the F. noatunensis ssp. noatunensis GM2212 isolate. A sequence based MLVA system of these seven VNTR-loci was applied to 33 aquatic Francisella isolates, including both F. philomiragia (n = 7) and F. noatunensis isolates (n = 26). All VNTRs were amplified in the F. noatunensis isolates, with the exception of VNTR-1 in UA2660 and VNTR-3 in Ehime-1. Among the Norwegian F. noatunensis ssp. noatunensis isolates (n = 21), including isolates from both farmed (n = 17) and wild cod, a total of nine allelic profiles were identified. The majority of farmed isolates were divided into two allelic profiles, indicating low allelic variation in isolates from outbreaks in cod culture compared to isolates collected from wild cod. The allelic profile of the Chilean F. noatunensis ssp. noatunensis isolate reflected the geographical and host divergence when compared to Norwegian cod isolates. All F. noatunensis ssp. orientalis isolates (n = 4) show a unique allelic profile. The four VNTRs amplified from F. philomiragia provided a unique allelic profile for all these isolates. The results show that this MLVA system should provide a good starting point for future studies of epizootics of F. noatunensis.

Authors' contributions

ØJB was responsible for carrying out this study and was the main contributor in writing the manuscript. KFO identified the VNTR loci in the draft genome, contributed to project design and writing. AN coordinated the project, contributed to project design and reviewed all drafts of the manuscript All authors read, commented on and approved the final manuscript.

Contributor Information

Øyvind J Brevik, Email: oyvind.brevik@bio.uib.no.

Karl F Ottem, Email: karl.ottem@mainstream.no.

Are Nylund, Email: are.nylund@bio.uib.no.

Acknowledgements

This study was financed by the Norwegian Research Council, grant number 185257.

References

  1. Groff JM, Lapatra SE. Infectious Diseases Impacting the Commercial Culture of Salmonids. Journal of Applied Aquaculture. 2000;10(4):17–90. doi: 10.1300/J028v10n04_02. [DOI] [Google Scholar]
  2. Murray AG, Peeler EJ. A framework for understanding the potential for emerging diseases in aquaculture. Preventive Veterinary Medicine. 2005;67(2-3):223–235. doi: 10.1016/j.prevetmed.2004.10.012. [DOI] [PubMed] [Google Scholar]
  3. Samuelsen OB, Nerland AH, Jorgensen T, Schroder MB, Swasand T, Bergh O. Viral and bacterial diseases of Atlantic cod Gadus morhua, their prophylaxis and treatment: a review. Dis Aquat Organ. 2006;71(3):239–254. doi: 10.3354/dao071239. [DOI] [PubMed] [Google Scholar]
  4. Fevolden SE, Pogson GH. Genetic divergence at the synaptophysin (Syp I) locus among Norwegian coastal and north-east Arctic populations of Atlantic cod. Journal of Fish Biology. 1997;51(5):895–908. [Google Scholar]
  5. Robichaud D, Rose GA. Migratory behaviour and range in Atlantic cod: inference from a century of tagging. Fish and Fisheries. 2004;5(3):185–214. doi: 10.1111/j.1467-2679.2004.00141.x. [DOI] [Google Scholar]
  6. Otterå H. Oppdrett av torsk : næring med framtid. Norsk Fiskeoppdrett AS; 2005. [Google Scholar]
  7. Knutsen H, Jorde PE, Andre C, Stenseth NC. Fine-scaled geographical population structuring in a highly mobile marine species: the Atlantic cod. Mol Ecol. 2003;12(2):385–394. doi: 10.1046/j.1365-294X.2003.01750.x. [DOI] [PubMed] [Google Scholar]
  8. Salvanes AGV, Skjaeraasen JE, Nilsen T. Sub-populations of coastal cod with different behaviour and life-history strategies. Marine Ecology-Progress Series. 2004;267:241–251. doi: 10.3354/meps267241. [DOI] [Google Scholar]
  9. Stransky C, Baumann H, Fevolden SE, Harbitz A, Høie H, Nedreaas KH, Salberg AB, Skarstein TH. Separation of Norwegian coastal cod and Northeast Arctic cod by outer otolith shape analysis. Fisheries Research. 2008;90(1-3):26–35. doi: 10.1016/j.fishres.2007.09.009. [DOI] [Google Scholar]
  10. Pogson GH, Fevolden SE. Natural selection and the genetic differentiation of coastal and Arctic populations of the Atlantic cod in northern Norway: a test involving nucleotide sequence variation at the pantophysin (Pan I) locus. Mol Ecol. 2003;12(1):63–74. doi: 10.1046/j.1365-294X.2003.01713.x. [DOI] [PubMed] [Google Scholar]
  11. Skarstein TH, Westgaard JI, Fevolden SE. Comparing microsatellite variation in north-east Atlantic cod (Gadus morhua L.) to genetic structuring as revealed by the pantophysin (Pan I) locus. Journal of Fish Biology. 2007;70(sc):271–290. doi: 10.1111/j.1095-8649.2007.01456.x. [DOI] [Google Scholar]
  12. Jakobsen T. Coastal cod in Northern Norway. Fisheries Research Comparative biology, assessment, and management of gadoids from the North Pacific and Atlantic Oceans. 1987;5(2-3):223–234. [Google Scholar]
  13. Svåsand T, Otterå HM, Taranger GL, Litvak M, Skiftesvik AB, Bjelland RM, Pavlov DA, Holm JC, Harboe T, Mangor-Jensen A, In: Culture of Cold-Water Marine Fish. E Moksness EK, Y Olsen, editor. 2007. The Status and Perspectives for the Species; pp. 433–474. [Google Scholar]
  14. Kjesbu AS, Taranger GL, Trippel EA. Gadoid mariculture: Development and future challenges - Introduction. Ices J Mar Sci. 2006;63(2):187–191. doi: 10.1016/j.icesjms.2005.12.003. [DOI] [Google Scholar]
  15. Nylund A, Ottem KF, Watanabe K, Karlsbakk E, Krossoy B. Francisella sp (Family Francisellaceae) causing mortality in Norwegian cod (Gadus morhua) farming. Arch Microbiol. 2006;185(5):383–392. doi: 10.1007/s00203-006-0109-5. [DOI] [PubMed] [Google Scholar]
  16. Ottem KF, Nylund A, Karlsbakk E, Friis-Moller A, Krossoy B. Characterization of Francisella sp., GM2212, the first Francisella isolate from marine fish, Atlantic cod (Gadus morhua) Arch Microbiol. 2007;187(5):343–350. doi: 10.1007/s00203-006-0198-1. [DOI] [PubMed] [Google Scholar]
  17. Euzéby J. List of new names and new combinations previously effectively, but not validly, published 10.1099/ijs.0.65794-0. Int J Syst Evol Microbiol. 2008;58(1):1–2. doi: 10.1099/ijs.0.2008/000679-0. [DOI] [PubMed] [Google Scholar]
  18. Mikalsen J, Olsen AB, Tengs T, Colquohoun DJ. Francisella philomiragia subsp noatunensis subsp nov., isolated from farmed Atlantic cod (Gadus morhua L) Int J Syst Evol Micr. 2007;57:1960–1965. doi: 10.1099/ijs.0.64765-0. [DOI] [PubMed] [Google Scholar]
  19. Ottem KF, Nylund A, Karlsbakk E, Friis-Moller A, Kamaishi T. Elevation of Francisella philomiragia subsp noatunensis Mikalsen et al. (2007) to Francisella noatunensis comb. nov [syn. Francisella piscicida Ottem et al. (2008) syn. nov.] and characterization of Francisella noatunensis subsp. orientalis subsp nov., two important fish pathogens. J Appl Microbiol. 2009;106(4):1231–1243. doi: 10.1111/j.1365-2672.2008.04092.x. [DOI] [PubMed] [Google Scholar]
  20. Euzéby J. List of new names and new combinations previously effectively, but not validly, published 10.1099/ijs.0.016253-0. Int J Syst Evol Microbiol. 2009;59(7):1555–1556. doi: 10.1099/ijs.0.2008/000679-0. [DOI] [PubMed] [Google Scholar]
  21. Euzéby J. Notification of changes in taxonomic opinion previously published outside the IJSEM 10.1099/ijs.0.016261-0. Int J Syst Evol Microbiol. 2009;59(7):1559–1560. doi: 10.1099/ijs.0.2008/005397-0. [DOI] [PubMed] [Google Scholar]
  22. Mikalsen J, Colquhoun DJ. Francisella asiatica sp. nov. isolated from farmed tilapia (Oreochromis sp.) and elevation of Francisella philomiragia subsp. noatunensis to species rank as Francisella noatunensis comb. nov., sp. nov. Int J Syst Evol Microbiol. 2009. [DOI] [PubMed]
  23. Hellberg H. In: Fiskehelserapporten. Hjeltnes B, editor. 2010. Helsesituasjonen hos marin fisk 2009; p. 33. Veterinærinstituttet. [Google Scholar]
  24. Ottem KF, Nylund A, Isaksen TE, Karlsbakk E, Bergh O. Occurrence of Francisella piscicida in farmed and wild Atlantic cod, Gadus morhua L., in Norway. J Fish Dis. 2008;31(7):525–534. doi: 10.1111/j.1365-2761.2008.00930.x. [DOI] [PubMed] [Google Scholar]
  25. Karlsbakk E, Omdal LM, Wangen IH, Fiksdal IU, Mortensen S, Ottem KF, Nylund A. In: Havforskningsrapporten 2010. Gjøsæter H, Haug T, Hauge M, Karlsen Ø, Knutsen JA, Røttingen I, Skilbrei O, Sunnset BH, editor. Bergen: Institute of Marine Research; 2010. Smittespredning ved francisellose hos torsk; pp. 101–102. [Google Scholar]
  26. Kamaishi T, Fukuda Y, Nishiyama M, Kawakami H, Matsuyama T, Yoshinaga T, Oseko N. Identification and pathogenicity of intracellular Francisella bacterium in three-line grunt Parapristipoma trilineatum. Fish Pathol. 2005;40(2):67–71. [Google Scholar]
  27. Olsen AB, Mikalsen J, Rode M, Alfjorden A, Hoel E, Straum-Lie K, Haldorsen R, Colquhoun DJ. A novel systemic granulomatous inflammatory disease in farmed Atlantic cod, Gadus morhua L., associated with a bacterium belonging to the genus Francisella. J Fish Dis. 2006;29(5):307–311. doi: 10.1111/j.1365-2761.2006.00714.x. [DOI] [PubMed] [Google Scholar]
  28. Hsieh CY, Tung MC, Tu C, Chang CD, Tsai SS. Enzootics of visceral granulomas associated with Francisella-like organism infection in tilapia (Oreochromis spp.) Aquaculture. 2006;254(1-4):129–138. doi: 10.1016/j.aquaculture.2006.03.044. [DOI] [Google Scholar]
  29. Birkbeck TH, Bordevik M, Froystad MK, Baklien A. Identification of Francisella sp from Atlantic salmon, Salmo salar L., in Chile. J Fish Dis. 2007;30(8):505–507. doi: 10.1111/j.1365-2761.2007.00837.x. [DOI] [PubMed] [Google Scholar]
  30. Ostland VE, Stannard JA, Creek JJ, Hedrick RP, Ferguson HW, Carlberg JM, Westerman ME. Aquatic Francisella-like bacterium associated with mortality of intensively cultured hybrid striped bass Morone chrysops x M. saxatilis. Dis Aquat Organ. 2006;72(2):135–145. doi: 10.3354/dao072135. [DOI] [PubMed] [Google Scholar]
  31. Hsieh CY, Wu ZB, Tung MC, Tsai SS. PCR and in situ hybridization for the detection and localization of a new pathogen Francisella-like bacterium (FLB) in ornamental cichlids. Dis Aquat Organ. 2007;75(1):29–36. doi: 10.3354/dao075029. [DOI] [PubMed] [Google Scholar]
  32. Kamaishi T, Miwa S, Goto E, Matsuyama T, Oseko N. Mass mortality of giant abalone Haliotis gigantea caused by a Francisella sp. bacterium. Dis Aquat Organ. 2010;89(2):145–154. doi: 10.3354/dao02188. [DOI] [PubMed] [Google Scholar]
  33. Ottem KF, Nylund A, Karlsbakk E, Friis-Moller A, Krossoy B, Knappskog D. New species in the genus Francisella (Gammaproteobacteria; Francisellaceae); Francisella piscicida sp nov isolated from cod (Gadus morhua) Arch Microbiol. 2007;188(5):547–550. doi: 10.1007/s00203-007-0274-1. [DOI] [PubMed] [Google Scholar]
  34. Nicolas P, Mondot S, Achaz G, Bouchenot C, Bernardet JF, Duchaud E. Population structure of the fish-pathogenic bacterium Flavobacterium psychrophilum. Appl Environ Microbiol. 2008;74(12):3702–3709. doi: 10.1128/AEM.00244-08. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Frothingham R, Meeker-O'Connell WA. Genetic diversity in the Mycobacterium tuberculosis complex based on variable numbers of tandem DNA repeats. Microbiol-Uk. 1998;144:1189–1196. doi: 10.1099/00221287-144-5-1189. [DOI] [PubMed] [Google Scholar]
  36. Thibault VC, Grayon M, Boschiroli ML, Hubbans C, Overduin P, Stevenson K, Gutierrez MC, Supply P, Biet F. New variable-number tandem-repeat markers for typing Mycobacterium avium subsp paratuberculosis and M. avium strains: Comparison with IS900 and IS1245 restriction fragment length polymorphism typing. J Clin Microbiol. 2007;45(8):2404–2410. doi: 10.1128/JCM.00476-07. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Keim P, Price LB, Klevytska AM, Smith KL, Schupp JM, Okinaka R, Jackson PJ, Hugh-Jones ME. Multiple-locus variable-number tandem repeat analysis reveals genetic relationships within Bacillus anthracis. J Bacteriol. 2000;182(10):2928–2936. doi: 10.1128/JB.182.10.2928-2936.2000. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Klevytska AM, Price LB, Schupp JM, Worsham PL, Wong J, Keim P. Identification and characterization of variable-number tandem repeats in the Yersinia pestis genome. J Clin Microbiol. 2001;39(9):3179–3185. doi: 10.1128/JCM.39.9.3179-3185.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  39. Keim PS, Wagner DM. Humans and evolutionary and ecological forces shaped the phylogeography of recently emerged diseases. Nat Rev Microbiol. 2009;7(11):813–821. doi: 10.1038/nrmicro2219. [DOI] [PMC free article] [PubMed] [Google Scholar]
  40. van Belkum A, Scherer S, van Alphen L, Verbrugh H. Short-sequence DNA repeats in prokaryotic genomes. Microbiol Mol Biol Rev. 1998;62(2):275–293. doi: 10.1128/mmbr.62.2.275-293.1998. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. van Belkum A. The role of short sequence repeats in epidemiologic typing. Current Opinion in Microbiology. 1999;2(3):306–311. doi: 10.1016/S1369-5274(99)80053-8. [DOI] [PubMed] [Google Scholar]
  42. van Belkum A. Tracing isolates of bacterial species by multilocus variable number of tandem repeat analysis (MLVA) FEMS Immunology & Medical Microbiology. 2007;49(1):22–27. doi: 10.1111/j.1574-695X.2006.00173.x. [DOI] [PubMed] [Google Scholar]
  43. Farlow J, Smith KL, Wong J, Abrams M, Lytle M, Keim P. Francisella tularensis strain typing using multiple-locus, variable-number tandem repeat analysis. J Clin Microbiol. 2001;39(9):3186–3192. doi: 10.1128/JCM.39.9.3186-3192.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  44. Bystrom M, Bocher S, Magnusson A, Prag J, Johansson A. Tularemia in Denmark: Identification of a Francisella tularensis subsp holarctica strain by real-time PCR and high-resolution typing by multiple-locus variable-number tandem repeat analysis. J Clin Microbiol. 2005;43(10):5355–5358. doi: 10.1128/JCM.43.10.5355-5358.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  45. Johansson A, Farlow J, Larsson P, Dukerich M, Chambers E, Bystrom M, Fox J, Chu M, Forsman M, Sjostedt A. et al. Worldwide genetic relationships among Francisella tularensis isolates determined by multiple-locus variable-number tandem repeat analysis. J Bacteriol. 2004;186(17):5808–5818. doi: 10.1128/JB.186.17.5808-5818.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  46. Vogler AJ, Birdsell D, Wagner DM, Keim P. An optimized, multiplexed multi-locus variable-number tandem repeat analysis system for genotyping Francisella tularensis. Lett Appl Microbiol. 2009;48(1):140–144. doi: 10.1111/j.1472-765X.2008.02484.x. [DOI] [PubMed] [Google Scholar]
  47. Friis-Moller A, Lemming LE, Valerius NH, Bruun B. Problems in identification of Francisella philomiragia associated with fatal bacteremia in a patient with chronic granulomatous disease. J Clin Microbiol. 2004;42(4):1840–1842. doi: 10.1128/JCM.42.4.1840-1842.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. Berrada ZL Goethert HK Telford SR Isolation of Francisella tularensis tularensis Subpopulation Ai from Missouri Lone Star Ticks Am J Trop Med Hyg 2008796230–230.18689629 [Google Scholar]
  49. Benson G. Tandem repeats finder: a program to analyze DNA sequences. Nucleic Acids Research. 1999;27(2):573–580. doi: 10.1093/nar/27.2.573. [DOI] [PMC free article] [PubMed] [Google Scholar]
  50. Ronaghi M, Karamohamed S, Pettersson B, Uhlen M, Nyren P. Real-time DNA sequencing using detection of pyrophosphate release. Anal Biochem. 1996;242(1):84–89. doi: 10.1006/abio.1996.0432. [DOI] [PubMed] [Google Scholar]
  51. Ronaghi M, Uhlen M, Nyren P. A sequencing method based on real-time pyrophosphate. Science. 1998;281(5375):363–+. doi: 10.1126/science.281.5375.363. [DOI] [PubMed] [Google Scholar]
  52. Saitou N, Nei M. The Neighbor-Joining Method - a New Method for Reconstructing Phylogenetic Trees. Mol Biol Evol. 1987;4(4):406–425. doi: 10.1093/oxfordjournals.molbev.a040454. [DOI] [PubMed] [Google Scholar]
  53. van Belkum A, Tassios PT, Dijkshoorn L, Haeggman S, Cookson B, Fry NK, Fussing V, Green J, Feil E, Gerner-Smidt P. et al. Guidelines for the validation and application of typing methods for use in bacterial epidemiology. Clinical Microbiology and Infection. 2007;13:1–46. doi: 10.1111/j.1469-0691.2007.01786.x. [DOI] [PubMed] [Google Scholar]
  54. Vogler AJ, Keys C, Nemoto Y, Colman RE, Jay Z, Keim P. Effect of repeat copy number on variable-number tandem repeat mutations in Escherichia coli O157 : H7. J Bacteriol. 2006;188(12):4253–4263. doi: 10.1128/JB.00001-06. [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Vogler AJ, Keys CE, Allender C, Bailey I, Girard J, Pearson T, Smith KL, Wagner DM, Keim P. Mutations, mutation rates, and evolution at the hypervariable VNTR loci of Yersinia pestis. Mutat Res-Fundam Mol Mech Mutagen. 2007;616(1-2):145–158. doi: 10.1016/j.mrfmmm.2006.11.007. [DOI] [PubMed] [Google Scholar]
  56. Haubold B, Hudson RR. LIAN 3.0: detecting linkage disequilibrium in multilocus data. Linkage Analysis. Bioinformatics. 2000;16(9):847–848. doi: 10.1093/bioinformatics/16.9.847. [DOI] [PubMed] [Google Scholar]
  57. Nakamura Y, Leppert M, O'Connell P, Wolff R, Holm T, Culver M, Martin C, Fujimoto E, Hoff M, Kumlin E. et al. Variable Number of Tandem Repeat (VNTR) Markers for Human Gene Mapping. Science. 1987;235(4796):1616–1622. doi: 10.1126/science.3029872. [DOI] [PubMed] [Google Scholar]
  58. Lindstedt BA. Multiple-locus variable number tandem repeats analysis for genetic fingerprinting of pathogenic bacteria. ELECTROPHORESIS. 2005;26(13):2567–2582. doi: 10.1002/elps.200500096. [DOI] [PubMed] [Google Scholar]
  59. Bichara M, Wagner J, Lambert IB. Mechanisms of tandem repeat instability in bacteria. Mutat Res. 2006;598(1-2):144–163. doi: 10.1016/j.mrfmmm.2006.01.020. [DOI] [PubMed] [Google Scholar]
  60. Torres-Cruz J, van der Woude MW. Slipped-strand mispairing can function as a phase variation mechanism in Escherichia coli. J Bacteriol. 2003;185(23):6990–6994. doi: 10.1128/JB.185.23.6990-6994.2003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  61. Renders N, Licciardello L, Ijsseldijk C, Sijmons M, van Alphen L, Verbrugh H, van Belkum A. Variable numbers of tandem repeat loci in genetically homogeneous Haemophilus influenzae strains alter during persistent colonisation of cystic fibrosis patients. FEMS Microbiol Lett. 1999;173(1):95–102. doi: 10.1111/j.1574-6968.1999.tb13489.x. [DOI] [PubMed] [Google Scholar]
  62. Sylvestre P, Couture-Tosi E, Mock M. Polymorphism in the Collagen-Like Region of the Bacillus anthracis BclA Protein Leads to Variation in Exosporium Filament Length 10.1128/JB.185.5.1555-1563.2003. J Bacteriol. 2003;185(5):1555–1563. doi: 10.1128/JB.185.5.1555-1563.2003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  63. Moxon R, Bayliss C, Hood D. Bacterial contingency loci: the role of simple sequence DNA repeats in bacterial adaptation. Annu Rev Genet. 2006;40:307–333. doi: 10.1146/annurev.genet.40.110405.090442. [DOI] [PubMed] [Google Scholar]
  64. Francis E The occurrence of tularemia in nature as a disease of man Public health reports 192136173119314784 [Google Scholar]
  65. Johansson A, Goransson I, Larsson P, Sjostedt A. Extensive allelic variation among Francisella tularensis strains in a short-sequence tandem repeat region. J Clin Microbiol. 2001;39(9):3140–3146. doi: 10.1128/JCM.39.9.3140-3146.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  66. van der Woude MW, Baumler AJ. Phase and antigenic variation in bacteria. Clin Microbiol Rev. 2004;17(3):581–+. doi: 10.1128/CMR.17.3.581-611.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]

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