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Pathotyping avian pathogenic Escherichia coli strains in Korea

To examine the genetic background of avian pathogenic Escherichia coli (APEC) that affects virulence of this microorganism, we characterized the virulence genes of 101 APEC strains isolated from infected chickens between 1985~2005. Serotypes were determined with available anti-sera and median lethal doses were determined in subcutaneously inoculated chicks. The virulence genes we tested included ones encoding type 1 fimbriae (fimC), iron uptake-related (iroN, irp2, iucD, and fyuA), toxins (lt, st, stx1, stx2, and vat), and other factors (tsh, hlyF, ompT, and iss). Twenty-eight strains were found to be O1 (2.0%), O18 (3.0%), O20 (1.0%), O78 (19.8%), and O115 (2.0%) serotypes. The iroN (100%) gene was observed most frequently followed by ompT (94.1%), fimC (90.1%), hlyF (87.1%), iss (78.2%), iucD (73.3%), tsh (61.4%), fyuA (44.6%), and irp2 (43.6%). The strains were negative for all toxin genes except for vat (10.9%). All the strains were classified into 27 molecular pathotypes (MPs). The MP25, MP19, and MP10 pathotypes possessing iroN-fimC-ompT-hlyF-iucD-tsh-iss-irp2-fyuA (22.8%), iroN-fimC-ompT-hlyF-iucD-tsh-iss (21.8%), and iroN-fimC-ompT-hlyF-iss (11.9%) genotypes, respectively, were predominant. Redundancy of iron uptake-related genes was clearly observed and some strains were associated with higher mortality than others. Therefore, strains with the predominant genotypes can be used for diagnosis and vaccine.


Introduction
Extra-intestinal infection with avian pathogenic Escherichia (E.) coli (APEC) induces colibacillosis in chickens, a disease characterized by polyserositis, septicemic shock, and cellulitis [8]. Out of 173 E. coli serogroups, the most commonly encountered in APEC are O1, O2, O35, and O78 [2,31] although the order of prevalence varies in different countries and farms [6]. E. coli are divided four main phylogenetic groups: A, B1, B2, and D. Among these, B2 and D are the most common among human pathogenic E. coli while A is most frequently found in APEC [4,19,22].
Recently, various virulence genes were identified in APEC, and their distribution and frequency among APEC isolates have been reported [13,14,21]. These virulence genes may play roles in various aspects of the extraintestinal pathogenesis of APEC, and their functions can be categorized as adhesion, iron acquisition, hemolysis, protection from bactericidal host factors, and toxin production [12]. Type 1 fimbriae mediate E. coli adherence to host epithelial cells of the respiratory tract for colonization. Expression of fimC is important for fimbrial assembly and anchoring of the assembled fimbriae [23,35]. Temperature-sensitive hemagglutinin (tsh) is involved in adherence to the avian respiratory tract, and is primarily responsible for the development of airsacculitis and colisepticemia [11,27,36]. Invasive strains of E. coli have iron uptake systems that compete with host transferrin for available iron molecules [25,40]. Iron uptake chelate gene D (iucD) is involved in the biosynthesis of aerobactin and APEC virulence [30]. Ferric yersiniabactin uptake A (fyuA) and iron-repressible protein 1 and 2 (irp2), which are involved in iron acquisition in Yersinia, are found in human E. coli and APEC strains [16,37]. The outer membrane siderophore receptor gene iroN, which was first reported in Salmonella enterica, affects the virulence of APEC [3,10]. The increased serum survival gene iss is associated with APEC complement resistance [34]. A new class of hemolysin, hlyF, was identified in E. coli strains from broilers and reportedly influences the virulence of APEC [20,29]. OmpT, which cleaves the antimicrobial peptides protamine and plasminogen, was identified in human E. coli recovered from patients with urinary tract infections and APEC [20,26,38]. Heat-labile and heat-stable toxins (LT and ST, respectively) along with shiga toxins (stx1 and stx2) were found in pathogenic E. coli, and vacuolating autotransporter toxin (vat) was identified in APEC [33]. The frequency of various virulence genes in APEC strains has been reported, but knowledge about the frequencies of combined virulence genes and patterns of virulence gene accumulation in APEC strains is limited, which diminishes the understanding of how APEC evolution affects pathogenicity [12].

Bacteria and chickens
One hundred and one APEC strains were isolated between 1985∼2005 from chickens in Korea suffering from colibacillosis. All of the APEC isolates were identified using VITEK Gram-Negative Identification (GNI) Cards (bioMerieux Vitek, USA) as previously described [24]. Commercial male brown layer chicks from healthy breeders without a history of colibacillosis (Yangji hatchery, Korea) were used for experiments measuring the LD 50 .

Serotyping
O-serotyping was performed as previously described [15] using commercial antisera against O1, O6, O8, O15, O18, O20, O78, and O115 (Denka Seiken, Japan). E. coli strains were cultured on tryptic soy agar (Becton Dickinson, USA) plate at 37 o C overnight. Each cultured strain was suspended in sterilized saline at the concentration of 1.8 × 10 9 colony forming unit (CFU)/mL, and divided into two screw-capped test tubes. The one was boiled at 100 o C for 1 h and the other was autoclaved for 2.5 h. After cooling of the test tubes formaldehyde and crystal violet (Sigma-Aldrich, USA) were added to become 0.5% (v/v) and 0.005% (w/v), respectively. The reference antiserum was 160-fold diluted with sterilized saline containing 1% sodium azide (w/v; Sigma-Aldrich, USA) and 50 µL was mixed with 50 µL of E. coli antigen prepared above in the v-bottomed 96-well polystyrene microtiter plate (Sigma-Aldrich, USA). After incubation at 37 o C overnight the pinpoint and larger congregated precipitates were read as negative and positive, respectively.

Phylogenetic typing
E. coli phylogenetic grouping was accomplished by a rapid and simple method as previously described [5] with modifications of some primers as shown in Table 1. Nucleotide sequences of the previously described primers were compared to the genome sequences of E. coli in GenBank using a BLAST search (NCBI, USA). As shown in Table 1, the YjaAF, YjaAR, and TspE4C2R primers were modified to bind to the variable nucleotides [e.g. YjaAF (the fifth nucleotide from the 3´-end)/YjaAR (the fourth nucleotide from the 5´-end), IHE3034 strain (CP001969); TspE4C2R (the fifth nucleotide from the 5´-end), IAI1 strain (NC_011741)]. The both chuA and TspE4.C2 negative and positive E. coli strains were grouped into group A and B2, respectively, and the chuA-negative and TspE4.C2-positive, and the chuApositive and yjaA-negative E. coli strains were grouped into B1 and D, respectively.

Molecular pathotyping
The virulence genes fimC, tsh, hlyF, iroN, iucD, fyuA, irp2, iss, ompT, vat, lt, st, stx1, and stx2 were detected by PCR. The primer sets used for this procedure are listed in Table 1. MPs were determined according to the combinations of virulence genes observed.

Statistical analysis
The frequencies of virulence genes were compared between the periods (1985∼1988, 1990∼1999, and 2000 ∼2005) with Chi-square and Fisher's exact tests (95% confidence interval) using SPSS for Windows (ver. 12.0; SPSS, USA). The p-values less than 0.05 were considered as significant.

Molecular pathotyping
The frequencies and combinations of virulence genes for the 101 APEC strains were assessed (Tables 1 and 3 (Table 3). Virulence gene profiles of the MPs showed a cumulative pattern, and the hypothetical steps of virulence gene acquisition were illustrated according to virulence gene frequencies among the MPs (Fig. 1). We hypothesized that the probability of virulence gene transmission is similar each other, and genes with higher frequencies would be introduced earlier into the APEC strains than other genes with lower frequencies. MP1 microorganisms, which had acquired hlyF, evolved into MP8 and MP12 strains by acquiring iss and iucD-iss, respectively, and MP12 further evolved into MP21 by acquiring fyuA-irp2. MP1 organisms, which had not acquired hlyF but rather iucD, later evolved into MP16 and MP17 through the acquisition of tsh and iss-fyuA-irp2, respectively. APEC strains that had not gained fimC and ompT evolved into MP18 and MP19 by acquiring hlyF-iucD-iss-fyuA-irp2 and iucD-fyuA-irp2, respectively. APEC strains possessing iroN and fimC evolved into MP2, MP3, and MP7 by gaining ompT, hlyF, and iucD-iss, respectively. MP2 evolved into MP5, MP15, MP11, and MP4 through the acquisition of tsh, iss-fyuA-irp2, fyuA-irp2, and hlyF, respectively. MP15 further transformed into MP20 by gaining vat. MP4 acquired iss to become MP10. MP4 organisms that acquired iucD evolved into MP13, MP23, and MP14 by acquiring tsh, fyuA-irp2-tsh, and iss, respectively. MP23 further transformed into MP24 by gaining vat. MP14 evolved into MP19, MP22, MP25, and MP26 by acquiring tsh, fyuA-tsh, irp2-tsh, and fyuA-irp2-vat, respectively. Finally, MP25 further developed into MP27 via the acquisition of vat.

Discussion
APECs have diverse serotypes, but certain ones (O78, O2, and O1) are more frequently observed that others. The frequencies of O78 among APEC isolates vary according to location and host. In one study [13], O78 was the second most frequently observed serotype in Germany (14.7%) after O2 (28.7%). These two serotypes were the most frequent (45.6 and 20%) in Ireland [28] and turkeys in the United States [1]. Although we tested for serotypes with only a limited number of antisera, we determined that O78 was also the most frequent serotype (19.8%) in Korea.
Previous studies have reported the frequencies of A, B1, B2, and D groups in APEC strains as 34.5∼71.0, 4.1∼ 21.3, 7.9∼44.5, and 12.0∼29.9%, respectively [9,22]. The B2 group is closely related to human extra-intestinal pathogenic E. coli (ExPEC), and is frequently found among human uropathogenic and neonatal meningitis E. coli strains [4,22]. Therefore, further studies on the correlation between B2 group APEC isolates and human ExPEC strains may be valuable for examining zoonosis potential. Recently, we identified mutations in yjaA.1 (the fifth C to T from the 3´ end), yjaA.2 (the fourth G to A from the 5´ end), and TspE4.C2 (the fifth C to T from the 5´end and the third A to G from the 3´ end) using genome sequences derived from 17 strains of E. coli and comparing the nucleotide sequences of phylogenetic grouping primer sets [5]. These mutations may have occasionally been the cause weak signals or false negatives for yjaA and TspE4.C2, resulting in artificially increased frequencies for the A and D groups. Therefore, modified forward and reverse primers for yjaA and reverse primer for TspE4.C2 may be able to minimize errors in phylogenetic grouping. The frequencies of iroN, fimC, ompT, hlyF, iucD, iss, fyuA, irp2, tsh, and vat were reported to be 85.4∼89.0, 90.4∼92.7, 60.0∼81.6, 0∼81.7, 78.0∼100, 38.5∼100, 58.2∼71.3, 68.0∼100, 39.5∼93.9, and 33.4∼64.3%, respectively [7,13,14,20,22,32]. In the present study, the frequencies of fimC, hlyF, iucD, iss, and tsh were similar to the ones in these previous reports while the frequencies of iroN and ompT were higher, and the frequencies of irp2, fyuA, and vat were lower. Similarities in hlyF, iucD and iss, and fyuA and irp2 frequencies reflect possible co-transmission of these genes but there was no report on their co-transmission [20,37]. Although frequencies of virulence genes in APECs vary according to location and host, the presence of redundant iron uptake-related genes (iroN, chuA, iucD, fyuA, and irp2) is common among APEC strains. The roles of these redundant genes are unclear, but they are expected to have varying functions under different niche conditions. Considering the essential role of iron-uptake in APEC pathogenicity, various redundant iron uptake-related proteins may be useful for evading humoral immunity. The functions of virulence genes tested in the present study are well documented, and accumulation of these genes may be a potential risk factor for APEC infection. Therefore, monitoring MPs with multiple virulence genes in poultry farms and products along with comparative studies on MP distribution in different hosts may be helpful to decrease economic loss in the poultry industry and reduce the potential zoonotic risks of APECs [22]. To date, various methods have been tested for reproducing the clinical signs and pathological lesions caused by APECs. Animals were inoculated with APEC strains via intratracheal, intra-air sac, or subcutaneous routes with or without triggering infectious microbes or exposure to ammonia [11,17,18,39]. In the present study, we measured the LD 50 of selected APEC strains by subcutaneously inoculating 7-day-old male brown layer chicks; the strains were classified as LC1, LC2, and LC3. High virulence of the E64 and E89 strains can be explained by their relatively abundant expression of virulence genes, but an absence of acute mortality due to infection with E9 and E30 (strains which carried virulence genes similar to E64 and E89) may reflect the involvement of other virulence genes. We only evaluated the mortality of chickens inoculated within 7 days; some of these birds developed polyserositis and cellulitis without increased mortality. Therefore, an extended observation period (i.e., 14 days) and grading of gross lesions in organs and tissues may improve the accuracy of virulence assays in the future.
In conclusion, our finding demonstrated that different virulence genes have accumulated in APEC strains. Furthermore, APEC microorganisms with the predominant genotypes can be used as diagnostic targets and colibacillosis vaccine candidates. Further studies on the biological significance of redundant iron uptake-related genes and presence of new genes associated with high mortality should be conducted.