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Journal of Clinical Microbiology, January 2001, p. 222-227, Vol. 39, No. 1
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.1.222-227.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Molecular Typing of Mycobacterium bovis
Isolates from Cameroon
Berthe M.
Njanpop-Lafourcade,1
Jacqueline
Inwald,2
Annick
Ostyn,1
Benoît
Durand,3
Steven
Hughes,2
Marie-Françoise
Thorel,1
Glyn
Hewinson,2 and
Nadia
Haddad1,*
Secteur des Mycobactéries, Unité
des Zoonoses Bactériennes,1 and
Unité d'Epidémiologie,3
Agence Française de Sécurité Sanitaire des Aliments
Alfort, Maisons-Alfort, France, and TB Research Group,
Bacteriology Department, Veterinary Laboratories Agency Weybridge, New
Haw, Addlestone, England2
Received 3 January 2000/Returned for modification 26 March
2000/Accepted 23 August 2000
 |
ABSTRACT |
In order to gain a better understanding of the molecular
epidemiology of Mycobacterium bovis isolates in Cameroon,
75 isolates of M. bovis collected in three provinces of
northern Cameroon were studied by spoligotyping. For 65 of these
isolates, typing was also carried out by pulsed-field gel
electrophoresis (PFGE) with DraI, and 18 of the isolates
were also typed by restriction fragment length polymorphism (RFLP)
analysis with probe IS6110-RHS. Molecular typing of the
isolates by these techniques revealed a high degree of homogeneity,
with 10 spoligotypes for 75 isolates, four PFGE profiles for 65 isolates, and three RFLP types for 18 isolates. Some types were present
in the three different provinces, while some were confined to one or
two areas. These results suggest that geographical mapping of M. bovis strains could be helpful for the control of bovine
tuberculosis at the regional level. An interesting feature of all the
spoligotypes was the absence of spacer 30, suggesting a common origin
for all of the Cameroon isolates tested; an evolutionary scenario for
the isolates is discussed. In addition, a comparison of the three
techniques showed that for M. bovis strain differentiation
in Cameroon and in surrounding countries, spoligotyping would be a more
discriminating and practical tool for molecular typing than the other
two techniques used in this study.
 |
INTRODUCTION |
Bovine tuberculosis (TB) is endemic
in many African countries, but economic constraints preclude the use of
skin test and slaughter control strategies, which have proved effective
in the developed world. In Cameroon, the majority of cattle herds are concentrated in the north (13), which is surrounded by Nigeria, Chad,
and the Central African Republic. From visible lesion data obtained in
the main slaughterhouses, it would appear that the prevalence of bovine
TB in Cameroon is high (7). In addition, frequent cattle
movement across the different areas of the country and across frontiers
favors strain dissemination. In order to reduce the transmission of
bovine TB, a bill from the Ministry of Livestock, Fisheries, and Animal
Industries of Cameroon (no. 76/420) was introduced in 1976 to prevent
the circulation of cattle between Adamaoua and the other two areas of
northern Cameroon, i.e., Extreme North and North. This action resulted
in the isolation of cattle within Adamaoua.
To date, few studies have been performed to determine the correct
prevalence of Mycobacterium bovis infection at local and regional levels (3, 16, 17, 19), and there are no
available data regarding the variability of M. bovis
isolates within Cameroon. The aim of this study was to apply a number
of molecular typing techniques to M. bovis isolates from
different slaughterhouses located in three different provinces of
northern Cameroon
North, Extreme North, and Adamaoua
in order gain a
better understanding of the geographical distribution of M. bovis strains. The typing techniques used in this study were
spoligotyping (11), pulsed-field gel electrophoresis
(PFGE) (14) and, for some isolates, restriction fragment
length polymorphism (RFLP) analysis with probe IS6110-RHS (10, 20). Whenever possible, more than one technique was
applied to each isolate, since the ability of the various techniques to differentiate between isolates has been reported to vary according to
the geographical localization of the isolates of M. bovis
(1, 4, 18, 23).
 |
MATERIALS AND METHODS |
Mycobacterial strains. (i) M. bovis isolates.
Samples were collected in 1989-1990 and 1995-1996 from cattle in
different slaughterhouses. These slaughterhouses were located in
different provinces of northern Cameroon
North, Extreme North, and
Adamaoua. This sampling regimen allowed the isolation of 123 isolates
of M. bovis which had classical cultural and biochemical properties (6). A total of 75 isolates were available for
DNA typing. All 75 were subjected to spoligotyping, 65 were subjected to PFGE, and only 18 were subjected to RFLP analysis with probe IS6110-RHS. The geographical distribution of the isolates
according to the DNA typing techniques used is presented in Table
1.
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TABLE 1.
Geographical distribution of M. bovis strains
collected in northern Cameroon according to the DNA typing technique
used
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(ii) Reference strains.
DNA from M. tuberculosis
H37Rv was used in order to obtain probe IS6110-RHS for RFLP
and was included as a control in RFLP analysis, spoligotyping, and
PFGE. A reference strain of M. bovis BCG (BCG Pasteur P3)
was also used as a control in spoligotyping.
Spoligotyping.
For amplification of the direct repeat (DR)
locus, we used either genomic DNA extracted by the method of Wilson
(22) or cell lysates obtained by heat treatment.
Spoligotyping was performed according to the technique of Kamerbeek et
al. (11), as described for M. bovis by Aranaz
et al. (2).
PFGE.
Bacteria were grown in 40 ml of 7H9 broth (Difco,
Detroit, Mich.) at 37°C to the early exponential phase of growth. The
cells were harvested by centrifugation, and PFGE was carried out with DraI (Roche/Boehringer, Mannheim, Germany) by the method of
Lévy-Frébault et al. (14). The molecular
weight marker used as a reference was Lambda Ladder PFG Marker
(Biolabs, Beverly, Mass.).
RFLP.
Cells were grown at 37°C in 7H9 broth and DNA
extraction was performed as described previously (22).
Probe IS
6110-RHS was obtained by amplification of a fragment
of 244 bp situated at the right-hand side of the
PvuII site
using
primers INS-1 and INS-2 (Oligo Express, Paris, France) as
described
by Hermans et al. (
10). The PCR was carried out
with a total
volume of 50 µl/microtube containing 75 ng of each
primers INS-1
and INS-2, 1×
Taq polymerase buffer
(Roche/Boehringer), 100 µM
(each) deoxynucleoside triphosphate
(Roche/Boehringer), 20 ng
of
M. tuberculosis H37Rv DNA, and
0.1 U of
Taq polymerase (Roche/Boehringer).
Fifty
microliters of mineral oil (Sigma Aldrich, St. Louis, Mo.)
was added.
DNA amplification was performed using a Programmable
Thermal Controller
thermocycler (MJ Research, Inc). Two series
of cycles were performed:
fives cycles at 94°C for 1 min, 65°C
for 1.5 min, and 72°C for 2 min and 35 cycles at 94°C for 1 min,
60°C for 1 min, and 72°C for
2 min. These cycles were followed
by a final elongation for 10 min at
72°C. The amplified DNA was
purified by extraction from a 1.2%
agarose gel (Eurobio, les Ullis,
France) in Tris-acetate-EDTA using a
Geneclean II R kit (Bio 101
Inc., Vista, Calif.) according to supplier
instructions. The purified
IS
6110-RHS fragment was end
labeled with alkaline phosphatase
by use of an AlkPhos Direct kit
(Amersham Life Science, Buckinghamshire,
United Kingdom) and the
protocol recommended by the
supplier.
DNAs digested with
PvuII (Roche/Boehringer) were allowed to
migrate at 45 V for 16 h with a 1-kb ladder marker (Gibco BRL,
Paisley, Scotland) and
M. tuberculosis H37Rv DNA as a
positive
control. DNA transfer and labeling were then performed. For
all
of these steps, the recommendations of van Emden et al.
(
20)
were
followed.
 |
RESULTS |
Spoligotyping.
Ten different spoligotypes were obtained from
the 75 isolates tested. These types were designated C1 to C10. The 10 spoligotypes are represented in Fig. 1,
and their distribution in each province is shown in Table
2 and in Fig.
2. For all of these types, the absence of
spacers 3, 9, 16, and 39 to 43, which is a characteristic of the
majority of M. bovis strains, was noted. The unique feature of M. bovis strains from Cameroon compared to strains from
other countries was the consistent absence of spacer 30 in the DR
locus.

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FIG. 1.
Spoligotyping patterns of M. bovis isolates
in northern Cameroon. C1 to C10 are spoligotypes of some isolates from
Cameroon. Reference strains were H37Rv (M. tuberculosis
H37Rv); BCG (M. bovis BCG P3), which had the same profile as
the most frequent spoligotype in France. F33 is another example of a
French spoligotype and M. tuberculosis (last lane) is an
example of an M. tuberculosis isolate. Numbers 1 to 43 correspond to 43 spacer oligonucleotides of the DR locus, which were
covalently linked to the membrane.
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TABLE 2.
Distribution by province and by year of isolation of the
10 spoligotypes of M. bovis observed in
northern Cameroon
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FIG. 2.
Geographical distribution of the spoligotypes and PFGE
profiles of M. bovis strains collected in the three
provinces of northern Cameroon (Extreme North, North, and Adamaoua). C1
to C10, spoligotypes; PC1 to PC4, PFGE profiles; NT, not tested; Tot,
total.
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In this study, spoligotype C1 was identified as dominant, as 47 strains
(63%) were of this genotype. This spoligotype was
present in all three
provinces of northern Cameroon. C4, present
in six isolates (8%), and
C6, present in five isolates (7%), were
also found in the three areas
tested. C7, observed in eight isolates
(11%), was restricted to one
province only, Adamaoua. In this
area, 33% of the strains (8 of 24)
belonged to this type. Three
other spoligotypes (C8, C9, and C10) were
also limited to this
province but were present in very small numbers
(one or two
isolates).
PFGE.
The distribution of the four PFGE profiles according to
the provinces of northern Cameroon is represented in Fig. 2. For the 65 isolates typed by PFGE, four PFGE profiles were obtained (data not
shown); these were designated PC1 to PC4. PC1 and PC2 were clearly
dominant, as they comprised 35 isolates (54%) and 26 isolates (40%),
respectively. These PFGE profiles were present in all three provinces
of northern Cameroon tested. It is interesting to note that the only
difference observed between PC1 and PC2 corresponds to a fragment of
295 kb present in the PC2 profile. PC3 and PC4 were detected in only
two isolates each (3%). In both cases, isolates with the same PFGE
profile were from the same province of northern Cameroon.
RFLP analysis with probe IS6110-RHS.
RFLP results
were obtained for 18 isolates collected from two of the three
provinces, i.e. North (8 strains) and Extreme North (10 isolates).
Three profiles were obtained (data not shown); these were designated
RC1, RC2, and RC3. The majority of the isolates (83%) were of type
RC1, which has only one copy of IS6110, located on a
PvuII restriction fragment of 1.9 kb. This is the most
prevalent M. bovis RFLP type observed globally
(4). RC1 was present in six isolates (75%) in North and
in nine isolates (90%) in Extreme North. RC2 (with bands of 1.9 and
4.07 kb) was observed in only two isolates collected in both areas, and
RC3 (with bands of 1.9, 4.07, and 6.5 kb) was observed in only one isolate.
Comparison of the results obtained by the different molecular
techniques.
Sixty-two isolates of M. bovis were typed
by spoligotyping and by PFGE with DraI. The results are
summarized in Fig. 2. Comparison of the different spoligotypes and
DraI PFGE profiles revealed that some isolates with
identical spoligotypes could be differentiated by PFGE and vice versa.
For example, 40 C1 spoligotypes could be further differentiated into 3 PFGE types, whereas 32 PC1 PFGE types could be further differentiated
into 7 spoligotypes and 26 PC2 PFGE types could be further
differentiated into 5 spoligotypes. Thus, a combination of the two
techniques provided greater discrimination than any single technique
used alone. However, spoligotyping appeared more discriminative than
PFGE with DraI since for the 62 strains typed by both
techniques, nine spoligotypes and only four DraI PFGE
profiles were identified. In addition, a combination of C1 and C7 (the
two most frequent spoligotypes) encompassed 75.8% of the strains (47 of 62), whereas PC1-PC2 (the two most frequent DraI PFGE
profiles) represented 93.5% of the strains (58 of 62). Although fewer
isolates were typed in this study with IS6110 RHS, this
technique appeared to have the lowest level of discrimination, since 14 of 16 isolates (87.5%) belonged to the dominant type, RC1.
 |
DISCUSSION |
For the 75 M. bovis isolates collected in three
provinces of northern Cameroon, 10 different spoligotypes (C1 to C10),
four DraI PFGE profiles, and three RFLP types were
identified. These results indicate a high degree of homogeneity among
M. bovis isolates in northern Cameroon compared with the
results obtained in other countries, such as France (N. Haddad, A. Ostyn, B. Durand, C. Karoui, J. Inwald, S. Hughes, M. F. Thorel, and G. Hewinson, Abstr. 30th Int. Union Against Tuberc. Lung
Dis. [IUATLD] World Conf., abstr. 199-PD, 1999). It is particularly
interesting to note that Cameroon seems to belong to a group of
countries in which there is a low level of heterogeneity among M. bovis isolates. This group includes Australia (4) and
Tanzania for M. bovis (12) and China
(21) and Tunisia (see reference 21 and
references therein) for M. tuberculosis.
In their analysis of the molecular typing profiles of M. bovis isolates from Tanzania, Daborn et al. (5)
postulated the existence of two categories of M. bovis
strains: autochthonous strains (with atypical cultural properties) and
strains imported from Europe (with classical cultural properties). The
isolates obtained from cattle lesions in northern Cameroon in this
study possessed classical cultural properties, suggesting a European origin of infection. The first documented data concerning the introduction of cattle from Europe refer to the import in 1913 of
Charolaise cattle from Saône-et-Loire, France, and France continued to be the major source of cattle exported to Cameroon, especially for the provinces of North Cameroon and for Adamaoua in
particular (unpublished data). As far as we can determine, there is
only one documented case of cattle importation from Switzerland (unpublished data). This information is consistent with the relative homogeneity observed for the spoligotypes identified in northern Cameroon. Moreover, the 75 strains which were typed shared one common
characteristic, namely, the absence of spacer 30. In addition, the
dominant spoligotype pattern, C1, is extremely similar to the most
frequently observed spoligotype in France, which is identical to that
of BCG (BCG-like) (Haddad et al,. 30th IUATLD World Conf.), differing
only in the absence of spacer 30 in C1. It is therefore possible that
M. bovis was introduced into Cameroon during the period of
colonization by France from 1917 on, via the introduction of French
breeds of cattle, which became commonly used from this time on
(unpublished data). The appearance of C1 and its maintenance, in
relation to the loss of spacer 30, could be related to the selection of
an adaptive genetic factor in the natural environment of Cameroon. This
hypothesis is supported by two observations. The first is the absence
in Cameroon of the spoligotype most commonly observed in France BCG
like (which differs from C1 by the absence of spacer 30 in C1). The
second observation is that the loss of spacer 30 in M. bovis
isolates in France is a very rare event. To date, the loss of spacer 30 has been observed in only 3% of the 1,000 French isolates which have
been spoligotyped. Moreover, of these isolates, only one (0.1%) has
been identified as having spoligotype C1, and no isolates have been
observed with spoligotypes C2 to C10.
Recently, Fang et al. (8) noted that changes in the DR
locus tend to be toward the loss of repeat spacers and their following spacer sequence, termed direct variable repeat, and postulated that the
common ancestor of the M. tuberculosis complex had a DR
structure similar to that in M. bovis BCG. The C1
spoligotype pattern is consistent with this hypothesis in that it could
have evolved from a French (BCG-like) strain by the loss of spacer 30.
Moreover, the fact that all of the presently spoligotyped isolates from
Cameroon lack spacer 30 suggests that all strains may have evolved from
a C1 strain by direct or clonal expansion. The analysis of the
dendrogram (Fig. 3) obtained with
Diversity Database Software, version 2 (Bio-Rad, Hercules, Calif.),
based on the similarities of the DR loci in different strains (Table 3), shows that such a link between C1 and
all the other spoligotypes could exist, with a progressive loss of
spacers. In this hypothesis, types C1 to C10 could have evolved as a
result of selection or coselection of an adaptive factor beneficial for
the maintenance of strains lacking spacer 30 in Cameroon. The
relatively recent introduction of M. bovis into Cameroon
would also explain the dominance of C1 and the small degree of
divergence between spoligotypes. In this context, it would be
interesting to investigate whether the absence of spacer 30 is shared
by M. bovis isolates from neighboring countries or if this
genotype is restricted to isolates in northern Cameroon.

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FIG. 3.
Dendrogram obtained with isolates from
Cameroon (UPGMA method). C1 to C10 are spoligotypes of some
isolates from Cameroon; BCG-like is the most frequently observed
spoligotype in France. Numbers in brackets indicate spacers lacking (in
addition to spacers 3, 9, 16, 30, and 39 to 43, which are
absent in spoligotypes C1 to C10).
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The presence of spoligotypes C1, C4, and C6 in all three provinces may
be explained by bovine transhumance, which occurs in more than 60% of
cattle in Cameroon (12) and could have resulted in wide
dissemination of certain spoligotypes. Conversely, from the limited
data obtained in this study, some spoligotypes appear to be unique to a
single province. For example, Adamaoua is the only province where
spoligotypes C7 (with eight isolates), C8, C9, and C10 were detected.
This result may be explained by the introduction, in 1976, of measures
to prevent the circulation of cattle between Adamaoua and the other two
provinces of northern Cameroon. However, sample bias cannot be excluded
from our study, since all the isolates with these particular
spoligotypes were collected in Adamaoua between 1989 and 1990, whereas
these spoligotypes were not observed in isolates collected from this
province in 1995-1996 or the other provinces in 1989-1990 (North) or
1995-1996 (North Province and Extreme North). Nevertheless, from the
dendrogram shown in Fig. 3, it can be seen that types C7, C8, and C10
appear to be closely related in terms of their DR structure, consistent with their restricted location in Adamaoua. We can add C9, which seems
more distant in the dendrogram, but which is in fact very close to C7,
both quantitatively (94% identity) and qualitatively (nature of the
deleted spacers). This result suggests that in vivo there may be a
relatively rapid molecular clock for changes in the DR region, with a
maximum time for change of 16 years, compared with the minimum time for
change of 60 years observed in vitro for M. tuberculosis
H37Rv (8). In our study, two isolates were identified with
two genetic features unique to Adamaoua (spoligotype C7-PFGE profile
PC4 and spoligotype C9-PFGE profile PC4), further evidence for regional
differences in strain distribution. However, further work is required
to gain a better understanding of strain distribution within northern
Cameroon. It would be of interest to compare the spoligotypes of
M. bovis isolates from countries which share a frontier with
Adamaoua (Central African Republic and Nigeria) and from those which do
not (e.g., Chad).
The hypothesis that the M. bovis isolates isolated from
northern Cameroon have evolved from a common source which was
introduced relatively recently into the cattle population is borne out
by the results obtained by DraI PFGE typing. In this study,
94% of isolates were of one of two types which were distributed across all three provinces and which differed by only one band. These results
are in contrast to those obtained for M. bovis isolates by
Marois in France in 1997, who identified 22 types for 104 isolates (15), and by Feizebadi et al. in Australia in 1996, who
reported 27 types for 69 isolates (9). Results similar to
those observed in France and Australia have been reported for isolates
from Canada, with 7 types for 28 isolates, from Ireland, with 10 types
for 13 isolates, and from Iran, with 5 types for 6 isolates
(9).
RFLP IS6110-RHS typing resulted in poor discrimination
between the isolates tested. IS6110 typing is generally
considered a poor marker of diversity for M. bovis strains
of bovine origin (4) and, as in many other studies, the
majority of strains were characterized by the presence of only one
PvuII restriction band, of 1.9 kb. Thus, it is unlikely that
we would have obtained a significant increase in strain diversity by
typing all of the strains by RFLP with the IS6110-RHS probe.
Recently, it has been reported that greater discrimination of M. bovis isolates can be achieved by RFLP typing with the polymorphic
GC-rich sequence (PGRS) probe. This method can result in discrimination
of isolates comparable to (18) or higher than (1, 4,
23) that of spoligotyping.
At the level of this study, spoligotyping seems promising for
high-throughput molecular typing of M. bovis isolates in
Cameroon. By using PFGE and RFLP with IS6110-RHS in
combination with spoligotyping, we have already been able, for the 13 isolates belonging to spoligotype C1 and tested by the other two
techniques, to further subdivide this group into four subgroups
(PC1-RC1, PC1-RC2, PC1-RC3, and PC2-RC1). This result confirms that the
use of more than one technique can be very helpful for further analysis
of isolates. The techniques used in this study could be combined with
PGRS-based RFLP for epidemiological studies, where further
discrimination is required. Together, these techniques could be very
useful on a regional scale in order to understand the consequences of
transhumance across the provinces of Cameroon and across national
frontiers, since the absence of systems for individual cattle
identification precludes such investigations by more classical
epidemiological methods. An improved understanding of the mechanisms
and extent of strain dissemination would be very helpful for regional
control programs.
 |
ACKNOWLEDGMENTS |
The work carried out at AFSSA Alfort was funded by the Ministry
of Agriculture, Fisheries and Food, Paris, France. The work performed
at VLA Weybridge was funded by the Ministry of Agriculture, Fisheries
and Food (grant SE0129), London, Great Britain.
 |
FOOTNOTES |
*
Corresponding author. Present address: Ecole Nationale
Vétérinaire de Maisons Alfort, UP de Maladies Contagieuses,
7 Ave. du Général de Gaulle, F-94704 Maisons-Alfort Cedex,
France. Phone: 33/1 43 96 71 32. Fax: 33/1 43 96 71 31. E-mail:
haddad{at}vet-alfort.fr.
 |
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Journal of Clinical Microbiology, January 2001, p. 222-227, Vol. 39, No. 1
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.1.222-227.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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