ABSTRACT
The genus Pseudomonas, a complex Gram-negative genus, includes species isolated from various environments, plants, animals, and humans. We compared whole-genome sequencing (WGS) with clinical bacteriological methods and evaluated matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) to identify Pseudomonas species. Clinical isolates (N = 42) identified as P. putida or P. fluorescens by a bacterial identification system based on biochemical properties were reexamined by another identification system based on biochemical properties, two systems based on MALDI-TOF MS, and WGS. WGS revealed that 30 of the 42 isolates belonged to one of 14 known Pseudomonas species, respectively. The remaining 12 belonged to one of 9 proposed novel Pseudomonas species, respectively. MALDI-TOF MS analysis showed that the 9 novel species had unique major peaks. These results suggest that WGS is the optimal method to identify Pseudomonas species and that MALDI-TOF MS may complement WGS in identification. Based on their morphologic, physiologic, and biochemical properties, we propose nine novel Pseudomonas species.
IMPORTANCE Most of the clinical isolates, identified as P. putida or P. fluorescens, were misidentified in clinical laboratories. Whole-genome sequencing (WGS) revealed that these isolates belonged to different Pseudomonas species, including novel species. WGS is a gold-standard method to identify Pseudomonas species, and MALDI-TOF MS analysis has the potential to complement WGS to reliably identify them.
KEYWORDS: Pseudomonas, human pathogen, re-identification, whole-genome sequencing, MALDI-TOF MS
INTRODUCTION
Pseudomonas is a complex Gram-negative genus (1) which includes 270 species in the List of Prokaryotic names with Standing in Nomenclature (LPSN) (http://www.bacterio.net). Several Pseudomonas species cause opportunistic infections in humans, including P. aeruginosa (1, 2), P. alcaligenes (3), P. asiatica (4), P. fluorescens (3), P. juntendi (5), P. mendocina (6), P. monteilii (7), P. mosselii (3), P. otitidis (8), P. putida (3), P. stutzeri (3), P. tohonis (9) and P. yangonensis (10). Multidrug-resistant P. aeuginosa isolates have been spreading worldwide (2), with resistance also observed in Pseudomonas species, P. asiatica (4), P. juntendi (5), P. monteilii (7), P. putida (11) and P. yangonensis (10).
Since P. putida and P. fluorescens groups include 30 and 41 species, respectively, and have 16S rRNA sequences with ≥97% similarity (12, 13); isolates of these groups are often misidentified (14). Recent re-identification of P. putida strains in GenBank using average nucleotide identity (ANI) (15) and digital DNA-DNA hybridization (dDDH) analysis (16) based on their whole genome sequences found that, except for the type strain, many had been incorrectly identified as P. putida (14).
In clinical laboratories, bacteria are routinely identified by automated bacterial identification systems, including the MicroScan WalkAway system (Beckman Coulter, La Brea, CA) and the Vitek 2 system (bioMérieux, Marcy-l'Étoile, France), based on biochemical properties. Recently, matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) low-cost rapid systems, including Vitek MS (bioMérieux) and MALDI Biotyper (Bruker, Billerica, MA), have been adopted for bacterial identification (17). In contrast, whole-genome sequencing (WGS) is not routinely used due to its high cost and complicated procedures. Carbapenem-resistant isolates of P. asiatica, a recently proposed Pseudomonas species, had been identified as P. putida spreading in hospitals in Myanmar (4). In this study, we re-identified clinical isolates which had been identified as P. putida or P. fluorescens in clinical laboratories using WGS, and analyzed whole proteins of these isolates using MALDI-TOF MS.
RESULTS
Bacterial identification using automated systems routinely used in clinical laboratories.
Of 42 isolates identified as P. putida/fluorescens using Microscan Walkaway, Vitek 2 and MALDI Biotyper re-identified 41, and Vitek MS re-identified 38 (Table 1).
TABLE 1.
Identification results with commercial identification platforms and ANI/dDDH analysisa
| Isolate | Commercial identification platforms |
ANI and dDDH analysis | |||
|---|---|---|---|---|---|
| Microscan WalkAway | Vitek 2 | MALDI Biotyper | Vitek MS | ||
| BML-PP010 | P. putida/fluorescens | Aeromonas salmonicida | P. marginalis | P. fluorescens | P. carnis |
| BML-PP011 | P. putida/fluorescens | P. fluorescens/P. stutzeri | P. rhodesiae | P. fluorescens | P. rhodesiae |
| BML-PP012 | P. putida/fluorescens | P. fluorescens | P. cedrina | P. fluorescens | P. carnis |
| BML-PP013 | P. putida/fluorescens | P. fluorescens | P. viridiflava | Unidentified organism | P. qingdaonensis |
| BML-PP014T | P. putida/fluorescens | Acinetobacter haemolyticus | P. koreensis | P. fluorescens | P. sputi sp. nov. |
| BML-PP015T | P. putida/fluorescens | P. aeruginosa | P. nitroreducens | P. aeruginosa | P. pseudonitroreducens sp. nov. |
| BML-PP016 | P. putida/fluorescens | P. fluorescens/Aeromonas salmonicida/Acinetobacter haemolyticus | P. poae | P. fluorescens | P. carnis |
| BML-PP017 | P. putida/fluorescens | Acinetobacter haemolyticus | P. koreensis | P. fluorescens | P. atacamensis |
| BML-PP018 | P. putida/fluorescens | P. putida | P. fulva | P. putida | P. fluva |
| BML-PP019 | P. putida/fluorescens | P. fluorescens/P. putida | P. protegens | P. fluorescens | P. protegens |
| BML-PP020T | P. putida/fluorescens | P. putida | P. putida | P. putida | P. parasichuanensis sp. nov. |
| BML-PP021 | P. putida/fluorescens | P. putida | P. monteilii | P. putida | P. juntendi |
| BML-PP022 | P. putida/fluorescens | P. putida | P. monteilii | P. putida | P. asiatica |
| BML-PP023T | P. putida/fluorescens | P. fluorescens/Acinetobacter haemolyticus | P. koreensis | P. fluorescens | P. paraglycinae sp. nov. |
| BML-PP024 | P. putida/fluorescens | P. aeruginosa | P. koreensis | P. fluorescens | P. glycinae |
| BML-PP025 | P. putida/fluorescens | P. fluorescens | P. corrugeta | P. fluorescens | P. protegens |
| BML-PP026 | P. putida/fluorescens | P. putida | P. monteilii | P. putida | P. juntendi |
| BML-PP027 | P. putida/fluorescens | P. aeruginosa/P. fluorescens/P. putida | Unidentified organism | Unidentified organism | P. qingdaonensis |
| BML-PP028T | P. putida/fluorescens | Burkholderia gladioli | P. plecoglossicida | P. putida | P. ceruminis sp. nov. |
| BML-PP029 | P. putida/fluorescens | P. stutzeri | P. otitidis | Unidentified organism | P. otitidis |
| BML-PP030T | P. putida/fluorescens | P. aeruginosa | P. koreensis | P. fluorescens | P. parakoreensis sp. nov. |
| BML-PP031 | P. putida/fluorescens | P. fluorescens | P. rhodesiae | P. fluorescens | P. rhodesiae |
| BML-PP033 | P. putida/fluorescens | P. aeruginosa/P. putida | P. otitidis | Unidentified organism | P. otitidis |
| BML-PP034 | P. putida/fluorescens | P. mendocina | P. nitroreducens | P. aeruginosa | P. pseudonitroreducens sp. nov. |
| BML-PP035 | P. putida/fluorescens | Unidentified organism | P. rhodesiae | P. fluorescens | P. carnis |
| BML-PP036T | P. putida/fluorescens | P. fluorescens/Acinetobacter haemolyticus | P. atoformaus | P. fluorescens | P. pharyngis sp. nov. |
| BML-PP037 | P. putida/fluorescens | P. stutzeri | Pseudomonas sp. | P. stutzeri | P. tohonis |
| BML-PP038 | P. putida/fluorescens | P. fluorescens/Aeromonas salmonicida/Acinetobacter haemolyticus | P. fluorescens | P. fluorescens | P. carnis |
| BML-PP039 | P. putida/fluorescens | P. fluorescens | P. koreensis | P. fluorescens | P. glycinae |
| BML-PP040 | P. putida/fluorescens | P. fluorescens/Acinetobacter haemolyticus | P. fluorescens | P. fluorescens | P. lactis |
| BML-PP041 | P. putida/fluorescens | P. putida | P. putida | P. putida | P. putida |
| BML-PP042T | P. putida/fluorescens | P. putida | P. putida | P. putida | P. urethralis sp. nov. |
| BML-PP043 | P. putida/fluorescens | P. aeruginosa | P. nitroreducens | P. aeruginosa | P. pseudonitroreducens sp. nov. |
| BML-PP044 | P. putida/fluorescens | P. fluorescens | P. mosselii | P. putida | P. mosselii |
| BML-PP045 | P. putida/fluorescens | P. aeruginosa/P. fluorescens/P. mendocina | Pseudomonas sp. | P. alcaligenes | P. tohonis |
| BML-PP046 | P. putida/fluorescens | Acinetobacter haemolyticus | P. fulva | P. putida | P. fulva |
| BML-PP047 | P. putida/fluorescens | P. putida | P. monteilii | P. putida | P. juntendi |
| BML-PP048T | P. putida/fluorescens | P. fluorescens | P. putida | P. putida | P. faucium sp. nov. |
| BML-PP049 | P. putida/fluorescens | P. aeruginosa/P. fluorescens | P. putida | P. putida | P. faucium sp. nov. |
| BML-PP050 | P. putida/fluorescens | P. aeruginosa/P. fluorescens | Pseudomonas sp. | P. alcaligenes | P. tohonis |
| BML-PP051 | P. putida/fluorescens | P. putida | P. monteilii | P. putida | P. juntendi |
| BML-PP052 | P. putida/fluorescens | P. aeruginosa/P. fluorescens | P. mosselii | P. putida | P. mosselii |
Bacteria identification results by ANI/dDDH analysis and automated systems. Agreements with ANI/dDDH analysis are shown in gray.
Identification based on WGS.
ANI and/or dDDH analysis identified 30 of the 42 isolates as known Pseudomonas species (Table S3). WGS, however, was unable to identify the remaining 12 (Table S3). Comparisons of these 12 isolates with each other by ANI and dDDH analysis showed they belonged to one of 9 different species, respectively (Table S4). Based on morphologic, physiologic, and biochemical properties, we propose that the novel species be named P. sputi sp. nov. (BML-PP014T), P. pseudonitroreducens sp. nov. (BML-PP015T, BML-PP034, and BML-PP043), P. parasichuanensis sp. nov. (BML-PP020T), P. paraglycinae sp. nov. (BML-PP023T), P. ceruminis sp. nov. (BML-PP028T), P. parakoreensis sp. nov. (BML-PP030T), P. pharyngis sp. nov. (BML-PP036T), P. urethralis sp. nov. (BML-PP042T), and P. faucium sp. nov. (BML-PP048T and BML-PP049).
Bacterial identification systems compared with ANI and dDDH analysis.
Of the 42 isolates, all four identification systems identified BML-PP041 as P. putida (Table 1). Microscan Walkaway, Vitek 2, and Vitek MS correctly identified BML-PP041, but incorrectly identified or did not identify the other 41 isolates (Table 1). MALDI Biotyper correctly identified 10 isolates but incorrectly identified or did not identify 32 isolates (Table 1).
Phylogenetic analysis.
Of 12 isolates belonging to the novel Pseudomonas species, 3 belonged to the P. aeruginosa group, 4 to the P. fluorescens group, and 5 to the P. putida group (Fig. 1).
FIG 1.
Whole-genome sequence tree for the 12 strains of 9 novel species and the related type strains of Pseudomonas species. A neighbor-joining phylogenetic tree was constructed using pan-genome 18,432,899 single-nucleotide polymorphisms from genomes of the 12 isolates, which were classified into 9 novel species, and the other 81 type strains belonging to the P. aeruginosa, P. fluorescens, and P. putida groups. Scale bar indicates number of nucleotide substitutions. Accession numbers for each sequence are listed in Tables S1 and S2.
Biochemical and fatty acid properties of the novel type strains.
Morphologic, physiologic, and biochemical properties of the 9 novel type strains are listed in Table S5 in the supplemental material, with descriptions in the supplemental manuscript. The major fatty acids were C16:0 (22.5 to 42.3%), summed feature 3 (C16:1ω7c/C16:1ω6c; 12.0 to 40.3%), and summed feature 8 (C18:1ω7c/C18:1ω6c; 7.9 to 26.0%) (Table S6).
MALDI-TOF MS analysis.
The MALDI-TOF MS profiles of the 12 isolates belonging to novel species were compared with profiles of known type strains close to the novel type strains, based on a phylogenetic tree (Fig. 1). The profiles of these novel type strains differed from those of known type strains close to them, whereas the profiles of isolates belonging to the same novel species were almost identical to each other (Fig. 2 and Fig. S1). Compared with the type strain P. nitroreducens, the three strains of P. pseudonitroreducens sp. nov. had two specific peaks at 7,691 and 8,042 m/z (Fig. 2A). Compared with the type strain P. plecoglossicida, the three novel species had unique peaks: at 9,235 and 10,255 m/z for P. ceruminis sp. nov. (BML-PP028T); 9,251, 9,618, and 9,901 m/z for P. urethralis sp. nov. (BML-PP042T); and 9,115, 9,574, and 9,859 m/z for P. faucium (BML-PP048T and BML-PP049) (Fig. 2B). MALDI-TOF MS detected three unique major peaks for P. paraglycinae sp. nov., four for P. parakoreensis sp. nov., four for P. parasichuanensis sp. nov., two for P. pharyngis sp. nov., and one for P. sputi sp. nov. (Fig. S1).
FIG 2.
Comparative MALDI-TOF MS profiles of types trains of novel species and related Pseudomonas species. (A) MALDI-TOF MS profiles (7,000 to 8,200 m/z) of P. nitroreducens NBRC 12694T, P. pseudonitroreducens sp. nov. BML-PP015T, P. pseudonitroreducens sp. nov. BML-PP034, and P. pseudonitroreducens sp. nov. BML-PP043. P. nitroreducens NBRC 12694T had five major peaks at 7,201, 7,488, 7,576, 7,981, and 8,011 m/z; whereas P. pseudonitroreducens sp. nov. BML-PP015T had six major peaks, three of which, at 7,562, 7,691 and 8,042 m/z, differed from those of P. nitroreducens. Three strains of P. pseudonitroreducens sp. nov. had the same peaks at 7,203, 7,480, 7,691, 7,981 and 8,042 m/z. (B) MALDI-TOF MS profiles (9,000 to 10,500 m/z) of P. plecoglossicida NBRC 103162T, P. ceruminis sp. nov. BML-PP028T, P. urethralis sp. nov. BML-PP042T, P. faucium sp. nov. BML-PP048T, and P. faucium sp. nov. BML-PP049. Compared with P. plecoglossicida NBRC 103162T, three novel species had unique peaks: at 9,235 and 10,255 m/z for P. ceruminis sp. nov. (BML-PP028T); 9,251, 9,618, and 9,901 m/z for P. urethralis sp. nov. (BML-PP042T), and 9,115, 9,574, and 9,859 m/z for P. faucium (BML-PP048T). The major peaks of one strain of P. faucium sp. nov. (BML-PP049) and its type strain, BML-PP048T, were almost identical to each other.
Drug susceptibility testing and drug-resistance genes.
As shown by colistin susceptibility in Table 2, three strains of P. protegens, including the type strain, were highly resistant to colistin, with MICs of 512 to 4,096 μg/mL; and six strains of P. carnis, including the type strain, and a P. lactis isolate were moderately resistant to colistin, with MICs of 8 to 64 μg/mL. The remaining isolates were susceptible to colistin (Table 2). P. protegens and P. carnis, for which the type strains had been isolated from soil and pork, respectively (18, 19), may be intrinsically resistant to colistin. Most of the 42 isolates were sensitive to other antimicrobial agents, except for aztreonam (Table S7).
TABLE 2.
Colistin susceptibility of the 42 clinical isolates and two type strains
| Isolate | Species | MIC (μg/mL) |
|---|---|---|
| Colistin-highly-resistant isolates | ||
| BML-PP019 | P. protegens | 4,096 |
| BML-PP025 | P. protegens | 1,024 |
| P. protegens type strain | P. protegens | 512 |
| Colistin-resistant isolates | ||
| BML-PP010 | P. carnis | 64 |
| BML-PP012 | P. carnis | 32 |
| BML-PP016 | P. carnis | 32 |
| BML-PP035 | P. carnis | 32 |
| BML-PP038 | P. carnis | 32 |
| P. carnis type strain | P. carnis | 64 |
| BML-PP040 | P. lactis | 8 |
| Colistin-susceptible isolates | ||
| BML-PP011 | P. rhodesiae | 0.5 |
| BML-PP013 | P. qingdaonensis | 0.5 |
| BML-PP014T | P. sputi sp. nov. | 0.5 |
| BML-PP015T | P. pseudonitroreducens sp. nov. | 0.25 |
| BML-PP017 | P. atacamensis | 0.5 |
| BML-PP018 | P. fluva | 0.5 |
| BML-PP020 | P. parasichuanensis sp. nov. | 1 |
| BML-PP021 | P. juntendi | 0.5 |
| BML-PP022 | P. asiatica | 0.5 |
| BML-PP023T | P. paraglycinae sp. nov. | 0.5 |
| BML-PP024 | P. glycinae | 0.5 |
| BML-PP026 | P. juntendi | 0.5 |
| BML-PP027 | P. qingdaonensis | 0.25 |
| BML-PP028T | P. ceruminis sp. nov. | 0.5 |
| BML-PP029 | P. otitidis | 0.5 |
| BML-PP030T | P. parakoreensis sp. nov. | 0.5 |
| BML-PP031 | P. rhodesiae | 1 |
| BML-PP033 | P. otitidis | 1 |
| BML-PP034 | P. pseudonitroreducens sp. nov. | 1 |
| BML-PP036T | P. pharyngis sp. nov. | 0.5 |
| BML-PP037 | P. tohonis | 0.5 |
| BML-PP039 | P. glycinae | 0.5 |
| BML-PP041 | P. putida | 1 |
| BML-PP042T | P. urethralis sp. nov. | 1 |
| BML-PP043 | P. pseudonitroreducens sp. nov. | 0.5 |
| BML-PP044 | P. mosselii | 1 |
| BML-PP045 | P. tohonis | 0.25 |
| BML-PP046 | P. fulva | 0.25 |
| BML-PP047 | P. juntendi | 0.5 |
| BML-PP048T | P. faucium sp. nov. | 0.5 |
| BML-PP049 | P. faucium sp. nov. | 0.5 |
| BML-PP050 | P. tohonis | 0.25 |
| BML-PP051 | P. juntendi | 0.5 |
| BML-PP052 | P. mosselii | 1 |
Assessments of other drug-resistance genes harbored by these 42 isolates showed that 3 of them (BML-PP029, BML-PP030T, and BML-PP033) harbored known acquired drug-resistance genes, whereas the remaining 39 isolates did not. Two P. otitidis isolates (BML-PP029 and BML-PP033) harbored blaPOM-1-like genes with 98.3 to 98.8% identity, and one P. parakoreensis sp. nov. isolate (BML-PP030T) harbored aadA6 (Table S8).
DISCUSSION
Improvements are required in automated bacterial identification systems for clinical isolates of species of Pseudomonas, especially isolates belonging to the P. putida and P. fluorescens groups. This study demonstrated that these automated systems performed poorly for identifying isolates belonging to these groups. Specifically, of the 264 P. aeruginosa strains deposited in GenBank, 259 (98%) were correctly identified as P. aeruginosa, whereas all 28 strains deposited as P. fluorescens and all 35 deposited as P. putida had been incorrectly identified (14). In addition, two clinical isolates (BML-PP029 and BML-PP033) of P. otitidis were incorrectly identified or not identified by the automated systems (Table 2), although P. otitidis is a clinically important species belonging to the P. aeruginosa group. These results indicate that Pseudomonas bacteria should be identified using ANI and dDDH analyses.
At present, these WGS-based identification analyses cannot be adapted for use in clinical laboratories. Bacterial identification systems using MALDI-TOF MS are required to correctly identify clinical isolates of Pseudomonas species (17). The strains belonging to the nine novel species had unique major MALDI-TOF MS peaks compared with the type strains of closely related species. Our results suggest that MALDI-TOF MS analysis is able to identify Pseudomonas species; nevertheless, they have 16S rRNA sequences with ≥97% similarity to each other.
Our findings strongly suggest the necessity of using up-to-date databases of bacterial species, especially Pseudomonas species, in automated bacterial identification systems. If bacterial strains collected by individual researchers are used in comparisons, their whole genome sequences should be determined, and the species identified using ANI and dDDH.
Some Pseudomonas species are likely intrinsically resistant to colistin/polymyxin. For example, all strains of P. protegens and P. carnis tested in this study, including seven clinical isolates and the two type strains, were resistant to colistin. Other clinically important species known to be intrinsically resistant to colistin/polymyxin include Burkholderia spp., Proteus mirabilis, Serratia marcescens, and Yersinia spp (20). Epidemiological and bacteriological studies are needed to clarify whether these Pseudomonas spp. have intrinsic resistant to colistin/polymyxin.
This study has some limitations, including the following: (i) the quantity of tested isolates may have been too small to obtain reliable species-specific peaks of MALDI-TOF MS, (ii) a lack of clinical information about the isolates limits estimations of the species’ clinical significance, and (iii) besides P. fluorescens and P. putida, it is necessary to clarify whether other Pseudomonas species besides P. aeruginosa may be isolated from human samples or associated with pathogenesis in humans.
Conclusion.
Of 42 isolates previously identified as P. putida or P. fluorescens by a bacterial identification system, only 1 was identified as P. putida by four automated identification systems. The 42 isolates included 9 novel Pseudomonas species, which we proposed here. This study indicates that WGS may be the most reliable method for identifying Pseudomonas species, and that MALDI-TOF MS analysis has the potential to complement WGS to reliably identify novel species. However, even up-to-date databases must be treated with caution since there will always be some lag between discovery and valid documentation of novel species.
MATERIALS AND METHODS
Bacterial identification using automated systems.
We re-identified 42 isolates, previously identified as P. putida/fluorescens by the MicroScan WalkAway system (see Table 3 and Fig. 3 for source details), using the MALDI Biotyper, Vitek 2, and Vitek MS identification systems.
TABLE 3.
Information about the 42 clinical isolates analyzed in this study
| Isolate | Specimen source | Prefecture | Location in Fig. 3 |
|---|---|---|---|
| BML-PP010 | Sputum | Shizuoka | A |
| BML-PP011 | Sputum | Aomori | B |
| BML-PP012 | Sputum | Shimane | C |
| BML-PP013 | Sputum | Tokyo | D |
| BML-PP014T | Sputum | Kanagawa | E |
| BML-PP015T | Sputum | Osaka | F |
| BML-PP016 | Throat swab | Tokushima | G |
| BML-PP017 | Eye discharge | Tokyo | D |
| BML-PP018 | Urine | Ehime | H |
| BML-PP019 | Catheter urine | Miyagi | I |
| BML-PP020T | Vaginal discharge | Saitama | J |
| BML-PP021 | Sputum | Hokkaido | K |
| BML-PP022 | Sputum | Kanagawa | E |
| BML-PP023T | Sputum | Kanagawa | E |
| BML-PP024 | Sputum | Tokyo | D |
| BML-PP025 | Sputum | Kagoshima | L |
| BML-PP026 | Sputum | Saitama | J |
| BML-PP027 | Sputum | Kanagawa | E |
| BML-PP028T | Ear discharge | Kanagawa | E |
| BML-PP029 | Sputum | Chiba | M |
| BML-PP030T | Throat swab | Kumamoto | N |
| BML-PP031 | Sputum | Shizuoka | A |
| BML-PP033 | Ear discharge | Ibaraki | O |
| BML-PP034 | Throat swab | Hiroshima | P |
| BML-PP035 | Nasopharynx swab | Saitama | J |
| BML-PP036T | Throat swab | Saitama | J |
| BML-PP037 | Sputum | Kagoshima | L |
| BML-PP038 | Sputum | Kagoshima | L |
| BML-PP039 | Sputum | Kagawa | Q |
| BML-PP040 | Sputum | Yamaguchi | R |
| BML-PP041 | Sputum | Fukui | S |
| BML-PP042T | Urethral discharge | Chiba | M |
| BML-PP043 | Throat swab | Saitama | J |
| BML-PP044 | Sputum | Tokushima | G |
| BML-PP045 | Endotracheal sputum | Osaka | F |
| BML-PP046 | Endotracheal sputum | Kanagawa | E |
| BML-PP047 | Urine | Kanagawa | E |
| BML-PP048T | Throat swab | Saitama | J |
| BML-PP049 | Nasal swab | Nagasaki | T |
| BML-PP050 | Sputum | Ehime | H |
| BML-PP051 | Throat swab | Saitama | J |
| BML-PP052 | Pus | Kagoshima | L |
FIG 3.

Geographic distribution of the 42 clinical isolates in Japan. The 42 isolates named in Table 3 came from the 20 prefectures shown in the map.
DNA extraction and WGS.
Genomic DNA was extracted using DNeasy Blood and Tissue kits (Qiagen, Hilden, Germany). Genomic libraries were prepared using Nextera XT DNA kits (Illumina, San Diego, CA). Paired-end sequencing was performed using MiSeq Reagent Kits v3 (600-cycle). The sequence reads were quality-trimmed using CLC Genomics Workbench v11 (Qiagen) with the following parameters: quality limit = 0.05, number of 5′-terminal nucleotides to remove = 10, number of 5′-terminal nucleotides to remove = 15, and discarded reads below length = 50, and assembly of the trimmed reads was performed using shovill v1.1.0 with default settings.
Species identification based on whole genome sequences.
The 42 isolates were re-identified using ANI and dDDH by comparing their whole genome sequences with those of type strains belonging to genus Pseudomonas. ANI and dDDH values were determined by the OrthoANIu algorithm (21) and the Genome to Genome Distance Calculator (GGDC) v2.1 (http://ggdc.dsmz.de/ggdc.php [16]), respectively. In accordance with the International Journal of Systematic and Evolutionary Microbiology (22), the cutoff values of ANI and dDDH between each isolate and the type strain belonging to a species were defined as 95% and 70%, respectively. Isolates not identified by ANI and dDDH were re-analyzed using the Type (Strain) Genome Server (TYGS) (https://tygs.dsmz.de/).
Drug susceptibility testing.
MICs of drugs against the 42 isolates were determined by microdilution method and interpreted according to CLSI guidelines (M100-S25) (23). Antimicrobial agents were 2-fold diluted in Mueller-Hinton broth (Becton Dickinson, Sparks, MD) at concentrations ranging from 0.0078 to 16 μg/mL for ciprofloxacin and levofloxacin, 0.25 to 4,096 μg/mL for colistin, and 0.25 to 512 μg/mL for the others.
Drug-resistance genes.
Assembled genome sequences were searched for genes associated with drug resistance using ResFinder v4.1 (https://cge.food.dtu.dk/services/ResFinder/) (24).
Phylogenetic analysis.
Phylogenetic analysis was performed using kSNP3 v3.1 software, with a k-mer length of 31 (25). A neighbor-joining phylogenetic tree was estimated based on pan-genome 18,432,899 single-nucleotide polymorphisms from genomes, which included recombinant sites, of the 12 isolates classified as new species and the 81 type strains of Pseudomonas. The accession numbers for these genome data are listed in Tables S1 and S2.
MALDI-TOF MS analysis.
Whole bacterial proteins were analyzed using MALDI-TOF MS, as described previously (26). Cell lysates were mixed with a sinapinic acid matrix solution. MALDI mass spectra were acquired in the range of 2,000 to 30,000 m/z in positive-ion linear mode by averaging 1,000 laser shots using an AXIMA Performance (Shimadzu/Kratos, UK) equipped with a pulsed N2 laser (λ = 337 nm). Mass calibration was performed using adrenocorticotropic hormone 18 to 39 ([M + H]+, 2,466.7 m/z) and myoglobin ([M + H]+, 16,952.6 m/z; [M + 2H]2+, 8,476.8 m/z) as marker proteins of external calibration.
Biochemical properties and fatty acids contents of new species.
Biochemical tests were performed using API 20NE (bio Mérieux), API ZYM kits (bio Mérieux) and GN3 MicroPlates (Biolog, Hayward, CA), according to the manufacturers’ instructions. The morphology and dimensions of cells grown for 24 h at 30°C on lysogeny broth (LB) agar (Becton, Dickinson and Co., Franklin Lakes, NJ) were determined by scanning electron microscopy (S4800, Hitachi, Tokyo, Japan). Gram staining was performed as described (26). Fluorescent pigments were detected with King’s A and B agar (Eiken Chemical Co., Ltd., Tokyo, Japan). Physiological tests, including growth at different temperatures (4°C to 44°C at intervals of 4.0°C), pH (pH of 5 to 10, at intervals of 0.5 pH), and NaCl concentrations (1% to 10% [wt/vol], at intervals of 1%) were performed in LB (Becton Dickinson), as described (26). Catalase and oxidase activities were determined using 3% (vol/vol) hydrogen peroxide and Kovács’ reagent, respectively. Fatty acids contents of isolates were analyzed using the Sherlock Microbial Identification (MIDI) system (v6.0) as described (26). Bacterial strains were cultured on tryptic soy broth agar (30 g · L−1 tryptic soy broth, 15 g · L−1 agar; Becton Dickinson) for 1 day at 30°C, a culture condition frequently used to analyze fatty acids in Pseudomonas novel species (26, 27).
Data availability.
Whole-genome sequencing data of the 42 isolates were deposited in the GenBank/EMBL/DDBJ database under the accession numbers BQHE00000000 to BQHZ00000000 and BQIA00000000 to BQIT00000000 (Table S1).
ACKNOWLEDGMENTS
This study was supported by grants from the Japan Society for the Promotion of Science (grant no. 18KK0193, 19K16652, 19KK0203, 19H03126, and 20K16252), the Research Program on Emerging and Re-emerging Infectious Diseases from the Japan Agency for Medical Research and Development (grant no. 21fk0108604h0701), and the Institute for Fermentation (grant no. Y-2021-1-002).
This study was approved by the Biosafety Committee at Juntendo University School of Medicine (approval no. BSL2/30-1).
M.T. and T.K. created the research data and wrote the draft of the manuscript. M.T. performed the antimicrobial susceptibility test. M.T. and T.H. performed WGS. M.T. analyzed the WGS data. M.S. and M.O. collected the clinical isolates. K.T. performed MALDI-TOF MS analysis. S.W., T.T., and Y.T. helped with bacterial identification using automated bacterial identification systems. All authors read, made significant edits to the first version, and approved the final manuscript.
We declare that we have no conflicts of interest.
Footnotes
Supplemental material is available online only.
Contributor Information
Teruo Kirikae, Email: t-kirikae@juntendo.ac.jp.
Karen C. Carroll, Johns Hopkins Hospital
REFERENCES
- 1.Palleroni NJ. 2005. Pseudomonas, p 323–379. In Brenner DJ, Krieg NR, Sraley JT, Garrity GM (ed), Bergey’s manual of systematic bacteriology, 2nd ed, vol 2. Springer, New York, NY. [Google Scholar]
- 2.Obritsch MD, Fish DN, MacLaren R, Jung R. 2005. Nosocomial infections due to multidrug-resistant Pseudomonas aeruginosa: epidemiology and treatment options. Pharmacotherapy 25:1353–1364. doi: 10.1592/phco.2005.25.10.1353. [DOI] [PubMed] [Google Scholar]
- 3.Huang CR, Lien CY, Tsai WC, Lai WA, Hsu CW, Tsai NW, Chang CC, Lu CH, Chien CC, Chang WN. 2018. The clinical characteristics of adult bacterial meningitis caused by non-Pseudomonas (Ps.) aeruginosa Pseudomonas species: a clinical comparison with Ps. aeruginosa meningitis. Kaohsiung J Med Sci 34:49–55. doi: 10.1016/j.kjms.2017.08.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Tohya M, Tada T, Watanabe S, Kuwahara-Arai K, Zin KN, Zaw NN, Aung MY, Mya S, Zan KN, Kirikae T, Tin HH. 2019. Emergence of carbapenem-resistant Pseudomonas asiatica producing NDM-1 and VIM-2 metallo-β-lactamases in Myanmar. Antimicrob Agents Chemother 63:e00475-19. doi: 10.1128/AAC.00475-19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Tohya M, Watanabe S, Teramoto K, Shimojima M, Tada T, Kuwahara-Arai K, War MW, Mya S, Tin HH, Kirikae T. 2019. Pseudomonas juntendi sp. nov., isolated from patients in Japan and Myanmar. Int J Syst Evol Microbiol 69:3377–3384. doi: 10.1099/ijsem.0.003623. [DOI] [PubMed] [Google Scholar]
- 6.Almuzara M, Montaña S, Carulla M, Sly G, Fernandez J, Hernandez M, Moriano A, Traglia GM, Bakai R, Ramirez MS. 2018. Clinical cases of VIM-producing Pseudomonas mendocina from two burned patients. J Glob Antimicrob Resist 14:273–274. doi: 10.1016/j.jgar.2018.08.002. [DOI] [PubMed] [Google Scholar]
- 7.Aditi Shariff M, Beri K. 2017. Exacerbation of bronchiectasis by Pseudomonas monteilii: a case report. BMC Infect Dis 17:511. doi: 10.1186/s12879-017-2600-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Caixinha AL, Valsamidis AN, Chen M, Lindberg M. 2021. Pseudomonas otitidis bacteraemia in a patient with COPD and recurrent pneumonia: case report and literature review. BMC Infect Dis 21:868. doi: 10.1186/s12879-021-06569-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Yamada K, Sasaki M, Aoki K, Nagasawa T, Murakami H, Ishii M, Shibuya K, Morita T, Ishii Y, Tateda K. 2021. Pseudomonas tohonis sp. nov., isolated from the skin of a patient with burn wounds in Japan. Int J Syst Evol Microbiol 71. doi: 10.1099/ijsem.0.005115. [DOI] [PubMed] [Google Scholar]
- 10.Tohya M, Watanabe S, Teramoto K, Tada T, Kuwahara-Arai K, Mya S, Zin KN, Kirikae T, Tin HH. 2020. Pseudomonas yangonensis sp. nov., isolated from wound samples of patients in a hospital in Myanmar. Int J Syst Evol Microbiol 70:3597–3605. doi: 10.1099/ijsem.0.004181. [DOI] [PubMed] [Google Scholar]
- 11.Bhattacharya D, Dey S, Kadam S, Kalal S, Jali S, Koley H, Sinha R, Nag D, Kholkute SD, Roy S. 2015. Isolation of NDM-1-producing multidrug-resistant Pseudomonas putida from a paediatric case of acute gastroenteritis, India. New Microbes New Infect 5:5–9. doi: 10.1016/j.nmni.2015.02.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Yonezuka K, Shimodaira J, Tabata M, Ohji S, Hosoyama A, Kasai D, Yamazoe A, Fujita N, Ezaki T, Fukuda M. 2017. Phylogenetic analysis reveals the taxonomically diverse distribution of the Pseudomonas putida group. J Gen Appl Microbiol 63:1–10. doi: 10.2323/jgam.2016.06.003. [DOI] [PubMed] [Google Scholar]
- 13.Scales BS, Erb-Downward JR, Huffnagle IM, LiPuma JJ, Huffnagle GB. 2015. Comparative genomics of Pseudomonas fluorescens subclade III strains from human lungs. BMC Genomics 16:1032. doi: 10.1186/s12864-015-2261-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Morimoto Y, Tohya M, Aibibula Z, Baba T, Daida H, Kirikae T. 2020. Re-identification of strains deposited as Pseudomonas aeruginosa, Pseudomonas fluorescens and Pseudomonas putida in GenBank based on whole genome sequences. Int J Syst Evol Microbiol 70:5958–5963. doi: 10.1099/ijsem.0.004468. [DOI] [PubMed] [Google Scholar]
- 15.Konstantinidis KT, Tiedje JM. 2005. Genomic insights that advance the species definition for prokaryotes. Proc Natl Acad Sci USA 102:2567–2572. doi: 10.1073/pnas.0409727102. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Meier-Kolthoff JP, Auch AF, Klenk HP, Göker M. 2013. Genome sequence-based species delimitation with confidence intervals and improved distance functions. BMC Bioinformatics 14:60. doi: 10.1186/1471-2105-14-60. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Eigner U, Holfelder M, Oberdorfer K, Betz-Wild U, Bertsch D, Fahr AM. 2009. Performance of a matrix-assisted laser desorption ionization-time-of-flight mass spectrometry system for the identification of bacterial isolates in the clinical routine laboratory. Clin Lab 55:289–296. [PubMed] [Google Scholar]
- 18.Ramette A, Frapolli M, Fischer-Le Saux M, Gruffaz C, Meyer JM, Défago G, Sutra L, Moënne-Loccoz Y. 2011. Pseudomonas protegens sp. nov., widespread plant-protecting bacteria producing the biocontrol compounds 2,4-diacetylphloroglucinol and pyoluteorin. Syst Appl Microbiol 34:180–188. doi: 10.1016/j.syapm.2010.10.005. [DOI] [PubMed] [Google Scholar]
- 19.Lick S, Kröckel L, Wibberg D, Winkler A, Blom J, Bantleon A, Goesmann A, Kalinowski J. 2020. Pseudomonas carnis sp. nov., isolated from meat. Int J Syst Evol Microbiol 70:1528–1540. doi: 10.1099/ijsem.0.003928. [DOI] [PubMed] [Google Scholar]
- 20.Poirel L, Jayol A, Nordmann P. 2017. Polymyxins: antibacterial activity, susceptibility testing, and resistance mechanisms encoded by plasmids or chromosomes. Clin Microbiol Rev 30:557–596. doi: 10.1128/CMR.00064-16. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Yoon SH, Ha SM, Lim J, Kwon S, Chun J. 2017. A large-scale evaluation of algorithms to calculate average nucleotide identity. Antonie Van Leeuwenhoek 110:1281–1286. doi: 10.1007/s10482-017-0844-4. [DOI] [PubMed] [Google Scholar]
- 22.Chun J, Oren A, Ventosa A, Christensen H, Arahal DR, da Costa MS, Rooney AP, Yi H, Xu XW, De Meyer S, Trujillo ME. 2018. Proposed minimal standards for the use of genome data for the taxonomy of prokaryotes. Int J Syst Evol Microbiol 68:461–466. doi: 10.1099/ijsem.0.002516. [DOI] [PubMed] [Google Scholar]
- 23.CLSI. 2020. Performance standards for antimicrobial susceptibility testing: 30th informational supplement. CLSI M100-Ed30. Clinical and Laboratory Standards Institute, Wayne, PA. [Google Scholar]
- 24.Bortolaia V, Kaas RS, Ruppe E, Roberts MC, Schwarz S, Cattoir V, Philippon A, Allesoe RL, Rebelo AR, Florensa AF, Fagelhauer L, Chakraborty T, Neumann B, Werner G, Bender JK, Stingl K, Nguyen M, Coppens J, Xavier BB, Malhotra-Kumar S, Westh H, Pinholt M, Anjum MF, Duggett NA, Kempf I, Nykäsenoja S, Olkkola S, Wieczorek K, Amaro A, Clemente L, Mossong J, Losch S, Ragimbeau C, Lund O, Aarestrup FM. 2020. ResFinder 4.0 for predictions of phenotypes from genotypes. J Antimicrob Chemother 75:3491–3500. doi: 10.1093/jac/dkaa345. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Gardner SN, Slezak T, Hall BG. 2015. kSNP3.0: SNP detection and phylogenetic analysis of genomes without genome alignment or reference genome. Bioinformatics 31:2877–2878. doi: 10.1093/bioinformatics/btv271. [DOI] [PubMed] [Google Scholar]
- 26.Tohya M, Watanabe S, Teramoto K, Uechi K, Tada T, Kuwahara-Arai K, Kinjo T, Maeda S, Nakasone I, Zaw NN, Mya S, Zan KN, Tin HH, Fujita J, Kirikae T. 2019. Pseudomonas asiatica sp. nov., isolated from hospitalized patients in Japan and Myanmar. Int J Syst Evol Microbiol 69:1361–1368. doi: 10.1099/ijsem.0.003316. [DOI] [PubMed] [Google Scholar]
- 27.Mulet M, Gomila M, Ramírez A, Lalucat J, Garcia-Valdes E. 2019. Pseudomonas nosocomialis sp. nov., isolated from clinical specimens. Int J Syst Evol Microbiol 69:3392–3398. doi: 10.1099/ijsem.0.003628. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Supplemental material. Download SPECTRUM02491-21_Supp_1_seq5.pdf, PDF file, 0.6 MB (616.3KB, pdf)
Data Availability Statement
Whole-genome sequencing data of the 42 isolates were deposited in the GenBank/EMBL/DDBJ database under the accession numbers BQHE00000000 to BQHZ00000000 and BQIA00000000 to BQIT00000000 (Table S1).


