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Journal of Clinical Microbiology, September 2001, p. 3031-3039, Vol. 39, No. 9
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.9.3031-3039.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Citrate Synthase Gene Sequence: a New Tool for
Phylogenetic Analysis and Identification of
Ehrlichia
Hisashi
Inokuma,1,2
Philippe
Brouqui,2
Michel
Drancourt,2 and
Didier
Raoult2,*
Laboratory of Veterinary Internal Medicine,
Faculty of Agriculture, Yamaguchi University, 753-8515 Yamaguchi,
Japan,1 and Unité des Rickettsies,
Faculté de Médecine, Université de la
Méditerranée, Marseille Cédex 5, France2
Received 25 January 2001/Returned for modification 8 April 2001/Accepted 30 May 2001
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ABSTRACT |
The sequence of the citrate synthase gene (gltA) of
13 ehrlichial species (Ehrlichia chaffeensis,
Ehrlichia canis, Ehrlichia muris, an
Ehrlichia species recently detected from Ixodes
ovatus, Cowdria ruminantium, Ehrlichia
phagocytophila, Ehrlichia equi, the human
granulocytic ehrlichiosis [HGE] agent, Anaplasma
marginale, Anaplasma centrale, Ehrlichia
sennetsu, Ehrlichia risticii, and Neorickettsia helminthoeca) have been determined by
degenerate PCR and the Genome Walker method. The ehrlichial
gltA genes are 1,197 bp (E. sennetsu and
E. risticii) to 1,254 bp (A. marginale and A. centrale) long, and GC contents of the gene vary
from 30.5% (Ehrlichia sp. detected from I.
ovatus) to 51.0% (A. centrale). The percent
identities of the gltA nucleotide sequences among ehrlichial species were 49.7% (E. risticii versus
A. centrale) to 99.8% (HGE agent versus E.
equi). The percent identities of deduced amino acid sequences
were 44.4% (E. sennetsu versus E. muris)
to 99.5% (HGE agent versus E. equi), whereas the
homology range of 16S rRNA genes was 83.5% (E. risticii
versus the Ehrlichia sp. detected from I.
ovatus) to 99.9% (HGE agent, E. equi, and E. phagocytophila). The architecture of the phylogenetic
trees constructed by gltA nucleotide sequences or amino
acid sequences was similar to that derived from the 16S rRNA gene
sequences but showed more-significant bootstrap values. Based upon the
alignment analysis of the ehrlichial gltA sequences, two
sets of primers were designed to amplify tick-borne
Ehrlichia and Neorickettsia genogroup
Ehrlichia (N. helminthoeca, E.
sennetsu, and E. risticii), respectively.
Tick-borne Ehrlichia species were specifically
identified by restriction fragment length polymorphism (RFLP) patterns
of AcsI and XhoI with the exception of
E. muris and the very closely related ehrlichia derived
from I. ovatus for which sequence analysis of the PCR
product is needed. Similarly, Neorickettsia genogroup Ehrlichia species were specifically identified by RFLP
patterns of RcaI digestion. If confirmed this technique
will be useful in rapidly identifying Ehrlichia spp.
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INTRODUCTION |
Ehrlichiae were previously known
mainly as important agents of veterinary disease (13). For
example, Ehrlichia canis, Ehrlichia equi,
Ehrlichia phagocytophila, Ehrlichia platys,
Ehrlichia risticii, Cowdria ruminantium,
Anaplasma marginale, and Neorickettsia
helminthoeca have been known as veterinary pathogens. However,
over the last decade, several new Ehrlichia species or
strains have been isolated and characterized from human patients and
are known as major emerging tick-borne pathogens. The human
granulocytic ehrlichiosis (HGE) agent, Ehrlichia
chaffeensis, and Ehrlichia ewingii are now included among emerging ehrlichial agents of humans. Diagnostic methods of
emerging ehrlichial infection include isolation, serology, and
molecular techniques. Isolation is the "gold standard" for diagnosis; however, this method is time-consuming and expensive. Although serology is the most frequently used method for diagnosis, serological cross-reactions occur between closely related ehrlichiae, leading to misinterpretation and misdiagnosis (3, 17).
With the recent development of molecular biology methods, specific and
sensitive assays such as PCR and sequencing are now used for detection
of ehrlichiae.
The 16S rRNA encoding gene sequence is most often used for the
identification of Ehrlichia. Using the 16S rRNA, the genus Ehrlichia was found to belong to the alpha-subgroup of
Proteobacteria closely related to the genus
Rickettsia (5). The Ehrlichia clade
also includes the genera Neorickettsia, Cowdria,
and Anaplasma and the species Wolbachia pipientis
(27). Polyphasic taxonomy had been advocated in order to
ensure well-balanced determinations of taxonomic relationships
(26), but few genes are available for investigating
the genetics of ehrlichiae. A phylogenetic tree derived from nucleotide
sequences of the heat shock protein gene (groESL) was the
only alternative tree, and it supported the relationships among
Ehrlichia species previously determined by comparison of 16S
rRNA gene sequence (24). Other determined ehrlichial
sequences, i.e., those of the quinolinate synthetase gene
(31) and the ankA gene (4, 12,
28), have provided useful information for phylogenetic study of
ehrlichiae although a limited number of strains or isolates have been
tested. Consequently, studies of additional genes are required to
improve the classification, identification, and diagnosis of ehrlichiae
and ehrlichial diseases.
The citrate synthase gene (gltA) encodes the first enzyme of
the tricarboxylic acid cycle, which is a key regulator of intracellular ATP production in nearly all living cells (29). Sequences
of gltA contribute to the phylogenetic analysis and
identification of Rickettsia (19) and
Bartonella species (2, 9) and exhibit higher
variation than the 16S rRNA gene, therefore allowing better discrimination among closely related species. gltA analysis
is currently one of the best tools for this purpose and for
phylogenetic analysis of these two closely related genera (2,
19).
We determined the gltA sequences of 13 ehrlichial species by
combining consensus degenerate PCR and Genome Walker approaches. gltA-based phylogenetic analyses were performed, and
consensus primers were developed to amplify partial sequences of
gltA of ehrlichial species within a group. A
preliminary PCR-restriction fragment length polymorphism (RFLP)
assay was developed to allow identification of ehrlichial species.
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MATERIALS AND METHODS |
Ehrlichia strains and DNA preparation.
All ehrlichial
strains included in this study are listed in Table
1. The HGE agent and E. equi
were cultured in HL-60 cells, and E. canis, E. chaffeensis, Cowdria ruminantium, E. risticii, E. sennetsu, and N. helminthoeca
were cocultured with DH82 cells. E. phagocytophila-infected
sheep blood was provided by A. Garcia-Perez, Foundation Hospital
Alcoron, Derio, Spain. Anaplasma centrale-infected bovine blood was provided by Y. Terada, National Institute of Animal
Health, Tsukuba, Japan (8). Genomic DNA was extracted from
these infected cells by using the QIAamp blood kit (Qiagen GmbH,
Hilden, Germany) and stored in 200 µl of Tris-EDTA (TE) buffer at
20°C until use. Genomic DNA of a recently discovered Ehrlichia species originally isolated from Ixodes
ovatus (22) was extracted from an I. ovatus tick collected from a bear in Yamaguchi Prefecture, Japan
(Inokuma et al., unpublished data). This isolate was a strain variant
of the newly described Ehrlichia species previously isolated
from I. ovatus. DNA extracted from A. marginale,
strains South Idaho and Florida, and Ehrlichia muris were
kindly provided by G. Palmer, Washington State University, Pullman, and
M. Kawahara, Nagoya City Public Health Research Institute, Nagoya,
Japan, respectively.
PCR amplification of gltA of HGE agent.
The
strategy for determining gltA sequences of HGE is summarized
in Fig. 1. A partial sequence of the HGE
agent gltA was first determined by using degenerated primers
F3 and R1b designed after the alignment of the conserved regions of
gltA among Rickettsia prowazekii,
Bartonella henselae, and Escherichia coli (Fig.
1; Table 2). For the amplification, the
reaction mixture contained 50 pmol of each primer, 1.5 U of
Taq DNA polymerase (GibcoBRL, Gaithersburg, Md.), a 20 mM
concentration of each deoxynucleoside triphosphate, 10 mM Tris-HCl, 50 mM KCl, 1.6 mM MgCl2, and 5 µl of template DNA
in a final volume of 50 µl. The amplifications were performed in a
Peltier model PTC-200 thermal cycler (MJ Research, Inc., San Francisco,
Calif.) with the following program: initial 5-min denaturation
step at 95°C; 35 cycles of denaturation (95°C for 30 s),
annealing (50°C for 30s), and extension (72°C for 90 s); and a
final 5-min extension step at 72°C. Distilled water and DNA of
B. henselae were included as negative and positive controls
in each PCR. The amplification products were visualized on a 1%
agarose gel after electrophoretic migration. The PCR products were
purified for DNA sequencing using the QIAquick PCR purification kit
(Qiagen) and sequenced using PCR primers when a single clear band was observed on the ethidium bromide-stained agarose gel. When
multiple bands including bands of the expected size were obtained in
PCR, the Qiagen gel extraction kit was used to purify the expected
bands from the gel. After determination of the partial sequence, the
unknown sequences of the 3'- and 5'-ends of the gene were amplified
using the Universal Genome Walker Kit (Clontech Laboratories, Palo
Alto, Calif.). Briefly, genomic DNA was digested with EcoRV,
DraI, PvuII, StuI, and
ScaI. DNA fragments were ligated with a Genome Walker
adapter, which had one blunt end and one end with a 5' overhang. The
ligation mixture of the adapter and ehrlichial genomic DNA fragments
was used as template for PCR. This PCR was performed using an adapter
primer supplied by the manufacturer and ehrlichial
gltA-specific primers to walk downstream on the DNA sequence
(Table 3). For the amplification, 1.5 U
of ELONGASE (GibcoBRL) was mixed with 10 pmol of each primer, a 20 mM
concentration of each deoxynucleoside triphosphate, 10 mM Tris-HCl, 50 mM KCl, 1.6 mM MgCl2, and 5 µl of template DNA
in a final volume of 50 µl. Distilled water and genomic DNA extracted
from uninfected host cells (HL-60) was included as a negative control
in each PCR. The following program was used for the amplification: an initial 2-min denaturation step at 94°C; 44 cycles of denaturation (94°C for 30 s), annealing (53°C for 60s), and extension
(68°C for 60 s); and a final 3-min extension step at 68°C.

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FIG. 1.
Strategy for determination of the sequence of the
citrate synthase gene (gltA) of the HGE agent. Primers
F3 and R1b were determined after alignment of the gltA
of E. coli, R. prowazekii, and B.
henselae. After determination of the partial sequence, the
unknown sequences of both the 3' and 5' ends of the gene were amplified
by PCR using an adapter primer provided in the Universal Genome Walker
kit and the HGE agent-specific primers based on the partial sequence.
Assembly of these sequences determines the complete gltA
sequence of HGE. ORF, open reading frame.
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TABLE 3.
Oligonucleotide primers and restriction genome libraries
used for genome walking of the ehrlichial citrate synthase gene
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Determination of other ehrlichial gltA
sequences.
Additional primers were designed based upon the
alignment of the complete gltA sequences of the HGE agent,
R. prowazekii, and B. henselae (Table 2). Primers
F4b and R1b were used for the amplification of E. equi,
E. phagocytophila, E. chaffeensis, E. muris, C. ruminantium, and A. marginale
strains South Idaho and Florida; primers F4e and R1b were used for the
amplification of N. helminthoeca; and primers F1 and R1b
were used for the amplification of E. sennetsu. The optimal
annealing temperature (48 to 55° C) was determined for each species
by empirical testing. After determination of the sequences of these
short fragments (230 to 730 bp), the gltA sequences of
E. chaffeensis, E. muris, C. ruminantium, A. marginale strain South Idaho, N. helminthoeca, and E. sennetsu were completed by using
the Genome Walker method as described above for the HGE agent. Based
upon the complete sequences of ehrlichial gltA described
above, new primer sets were designed to amplify partial gltA
sequences of E. canis, A. centrale, and E. risticii (Table 2). After sequencing of these partial
gltA fragments, the Genome Walker method was used to
determine the 3' and 5' ends of these three species. As the material of
the Ehrlichia species detected from I. ovatus was
not abundant enough to perform the Genome Walker method, two primer
pairs, CAN-M61F-R1b and F1b-MUR1251R, were used to obtain a
partial gltA sequence of the species (Table
4).
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TABLE 4.
Oligonucleotide primers used for PCR amplification and
sequencing to determine the gltA sequences of various
species and to confirm sequences of the gltA coding
region in other ehrlichial strains studieda
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DNA sequencing.
The fluorescence-labeled dideoxynucleotide
technology was used for DNA sequencing reactions (Perkin-Elmer, Applied
Biosystems Division, Foster City, Calif.). The sequencing fragments
were separated using an Applied Biosystems model ABI 310 automated DNA
sequencer (Perkin-Elmer), and data were collected with an ABI PRISM 310 Genetic Analyzer package (Perkin-Elmer). The collected sequences were
assembled and edited with the AutoAssembler (version 1.4;
Perkin-Elmer).
Confirmation of the ehrlichial gltA sequence.
In order to avoid the editorial error of the Genome Walker method,
obtained sequences of the citrate synthase coding region, including the
open reading frame at the 5' end and the stop codon at the 3' end, from
each ehrlichial species except for the Ehrlichia sp.
detected from I. ovatus were confirmed by PCR with the
primers shown in Table 4 and also were sequenced.
Data analysis.
The sequences of ehrlichial gltA
and the registered gltA sequence of R. prowazekii
and B. henselae deposited in GenBank were analyzed for GC
content, level of similarity, and phylogenetic relationships. Pairwise
percent identities of the sequences with all gaps omitted were
calculated by a program designed by H. Ogata, IGS, CNRS-UMR, France.
Multiple alignment analysis, distance matrix calculation, and
construction of a phylogenetic tree were performed with the ClustalW
program (25), version 1.8 (available from the DNA Data
Bank of Japan, Mishima, Japan
[http://www.ddbj.nig.ac.jp/htmls/E-mail/clustalw-e.html]). The
distance matrices for the aligned sequences with all gaps ignored were
calculated using the Kimura two-parameter method (10), and
the neighbor-joining method was used for constructing a phylogenetic
tree (21). The stability of the tree obtained was
estimated by bootstrap analysis for 1,000 replications using the same
program. Tree figures were generated using the TreeView program,
version 1.61 (15). The same analysis of similarity and
phylogenetic relationships was also performed for the deduced amino
acid sequences of gltA and the 16S rRNA gene sequences.
Consensus PCR and PCR-RFLP analysis.
Based upon the
alignment analysis of the ehrlichial gltA sequences, a pair
of primers, EHR-CS136F (5'-TTY-ATG-TCY-ACT-GCT-GCK-TG-3') and
EHR-CS778R (5'-GCN-CCM-CCA-TGM-GCT-GG-3'), was designed in order to
specifically amplify partial sequences of the gltA gene of
the following tick-borne Ehrlichia species: E. chaffeensis, E. canis, E. muris, the
Ehrlichia sp. detected from I. ovatus, C. ruminantium, the HGE agent, E. equi, E. phagocytophila, A. marginale, and A. centrale. Another pair of primers, NEO-CS142F (5'-ATY-ACY-TTC-RTA-GAY-GGT-GA-3') and NEO-CS730R
(5'-CGT-GCA-GTG-GWC-CCC-ATA-A-3'), was designed to specifically amplify
N. helminthoeca, E. risticii, and E. sennetsu. The conditions for these two PCRs were the same as those
described above with an annealing temperature at 55°C. Amplified
products were digested with Acs I (Roche, Mannheim, Germany)
and XhoI (Roche) for tick-borne Ehrlichia species
and RcaI (Roche) for Neorickettsia genogroup
ehrlichial species. Briefly, 7 µl of each PCR product was incubated
with 2 µl of each enzyme and 1 µl of 10× buffer supplied by the
manufacturer, and this was followed by incubation at 50°C for 1 h. Digestion products were separated by 1.5% agarose gel electrophoresis.
Nucleotide sequence accession numbers.
The herein-determined
gltA sequences of the following organisms have been
deposited in the GenBank database under the indicated accession
numbers: HGE agent, AF304136; E. equi, AF304137; E. phagocytophila, AF304138; A. marginale
strain South Idaho, AF304139; A. marginale strain Florida,
AF304140; A. centrale, AF304141; E. chaffeensis,
AF304142; E. canis, AF304143; E. muris, AF304144;
Ehrlichia sp. detected from I. ovatus, AF304145;
C. ruminantium, AF304146; E. risticii, AF304147; E. sennetsu, AF304148; and N. helminthoeca,
AF304149. The GenBank accession numbers of the gltA
sequences of R. prowazekii, B. henselae, and
E. coli used in this study were M17149, L38987, and J01619,
respectively. The GenBank accession numbers of the following 16S rRNA
gene sequences used to calculate percent identities and construct
phylogenetic trees are as indicated: HGE agent, U02521; E. equi, M73223; E. phagocytophila, M73224; A. marginale, M60313; A. centrale, AF283007; E. chaffeensis, M73222; E. canis, M73221; E. muris, U15527; Ehrlichia sp. detected from I. ovatus, AF260591; C. ruminantium, AF069758; W. pipientis, AF179630; E. risticii, M21290; E. sennetsu, M73225; N. helminthoeca, U12457; R. prowazekii, M21789; and B. henselae, AJ223779. The
GenBank accession numbers of the following heat shock protein-coding
genes for most Ehrlichia species, except for A. centrale and N. helminthoeca or for the glutathione
synthetase gene for A. centrale, that were used to compare
the GC contents with those of gltA are as indicated: HGE agent, AF172163; E. equi, AF173988; E. phagocytophila, U96735; A. marginale, AF165812;
A. centrale, M80425; E. chaffeensis, L10917;
E. canis, U96731; E. muris, AF210459;
Ehrlichia sp. detected from Ixodes ovatus,
AB032712; C. ruminantium, U13638; E. risticii,
AF206299; E. sennetsu, AF060197; R. prowazekii,
Y15783; and B. henselae, U78514.
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RESULTS |
Determination of ehrlichial gltA sequences.
After determination of the 482-bp partial sequence of the
gltA of HGE agent, a 1,236-bp open reading frame extending
from the ATG start codon down to the TAA stop codon was determined using the Genome Walker PCR method.
Complete gltA nucleotide sequences of E. chaffeensis, E. muris, C. ruminantium,
A. marginale strain South Idaho, N. helminthoeca, and E. sennetsu have been determined, with lengths of 1,251, 1,251, 1,248, 1,254, 1,212, and 1,197 bp, respectively. As the 730-bp partial gltA sequence of E. equi and E. phagocytophila exhibited more than 99.0% similarity with that of
HGE, primers HG-M28F and HG1257R, which could amplify the complete
gltA sequence of the HGE agent, were used for determining
the 1,236-bp gltA sequences of E. equi and
E. phagocytophila (Table 4). As the 730-bp partial sequence
of A. marginale strain Florida was identical to that of
strain South Idaho, primers MAR-M35F and HG1287R, which could amplify
the complete gltA sequence of A. marginale strain
South Idaho, were used to amplify the 1,254-bp sequences of the
gltA of A. marginale strain Florida (Table 4).
The complete gltA nucleotide sequences of E. canis, A. centrale, and E. risticii have
been determined in the third step of the strategy. The gltA
genes of these organisms have lengths of 1,251, 1,254, and 1,197 bp,
respectively. Two primer sets, CAN-M61F-R1b and F1b-MUR1251R, were
used to obtain a partial gltA sequence of the
Ehrlichia sp. detected from I. ovatus (Table 2)
and resulted in a 1,228-bp open reading frame near the 3' end.
Comparison of gltA sequences.
The GC content of
the ehrlichial gltA genes varied from 30.5% for the
Ehrlichia sp. detected from I. ovatus to 51.0%
for A. centrale (Table 5).The
multiple alignment analysis by the ClustalW program demonstrated
several gaps in the alignment (data not shown). The percentages of
similarity varied from 49.7% (E. risticii versus A. centrale) to 99.8% (the HGE agent versus E. equi) for
the nucleotide sequence and from 44.4% (E. sennetsu versus
E. muris) to 99.5% (the HGE agent versus E. equi) for the deduced amino acid sequence. The percent identities
of the gltA nucleotide sequences between species in the
Neorickettsia group (N. helminthoeca, E. sennetsu, and E. risticii) and other ehrlichial species
varied from 49.7 to 55.3%; these were lower than those between other
ehrlichial species and R. prowazekii (53.8 to 62.2%) or
B. henselae (52.7 to 58.5%). The gltA nucleotide
and deduced amino acid sequences of the HGE agent, E. equi,
and E. phagocytophila were very similar: there were 3 nucleotide and 2 amino acid differences between the HGE agent and
E. equi sequences, 9 nucleotide and 4 amino acid differences
between the HGE agent and E. phagocytophila, and 10 nucleotide and 4 amino acid differences between E. equi and
E. phagocytophila.
Phylogenetic analyses.
GltA-based phylogenetic reconstruction
was compared with 16S rRNA-based analysis (Fig.
2). The phylogenetic tree based on the
deduced amino acid sequences of ehrlichial species, R. prowazekii, and B. henselae was similar to the
gltA gene tree (data not shown)

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FIG. 2.
Phylogenetic relationship of various
Ehrlichia spp. based on the nucleotide sequences of
citrate synthase gene (A) and 16S rRNA gene (B). The neighbor-joining
method was used to construct the phylogenetic tree by using the
ClustalW program. The scale bar represents 1% divergence. The numbers
at nodes are the proportions of 1,000 bootstrap resamplings that
support the topology shown.
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The topologies of the gltA-based phylogenetic trees were
almost the same as those derived from the 16S rRNA gene sequence analyses. However, the trees constructed by gltA nucleotide
sequences or amino acid sequences showed better bootstrap
values than the 16S rRNA-based tree. Higher bootstrap
values were obtained in the nucleotides of gltA-based
trees for the relationships between E. muris and the
Ehrlichia species detected from I. ovatus
(bootstrap value: 1,000) and between E. chaffeensis
and these two species (bootstrap value: 950). However, the bootstrap
value between the HGE agent and E. equi was comparatively
low (771 and 497 for nucleotide- and amino acid sequence-based trees, respectively).
Consensus PCR and PCR-RFLP analysis.
A consensus primer pair,
EHR-CS136F and EHR-CS778R, amplified a 643-bp partial sequence of
gltA in 10 tick-borne Ehrlichia species.
Predicted AcsI RFLP patterns were a single band (no
digestion) for the HGE agent, E. equi, E. phagocytophila, and A. marginale; two bands of 312 and
331 bp for A. centrale; three bands of 37, 162, and 44 bp
for E. canis; five bands of 14, 84, 87, 199, and 259 bp for
E. chaffeensis; four bands of 38, 162, 171, and 272 bp for
E. muris; five bands of 14, 38, 162, 171, and 258 bp for the
Ehrlichia sp. detected from I. ovatus; and five
bands of 37, 75, 167, 171, and 192 bp for C. ruminantium
(Fig. 3A). The predicted patterns for
XhoI were two bands of 242 and 401 bp for the HGE agent,
E. equi, and E. phagocytophila and a unique band
for the seven other species (Fig. 3B). Experimental results differed
from those predicted, because bands that have molecular size of <100 bp were not easily detected and two or three bands which have similar
molecular sizes could not be distinguished in agarose gels. The
combination of both AcsI and XhoI digestion
identified tick-borne ehrlichial species except those of the E. phagocytophila genogroup (HGE, E. equi, and E. phagocytophila), and E. muris and the
Ehrlichia sp. detected from I. ovatus that showed
the same RFLP patterns for both AcsI and XhoI
digestion.

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FIG. 3.
Restriction profiles obtained after AcsI
(A) and XhoI (B) digestion of a portion of the citrate
synthase gene amplified from 10 tick-borne ehrlichial species by PCR
using consensus primers EHR-CS136F-EHR-CS778R. Lanes: M, molecular
weight markers (in thousands); 1, HGE agent; 2, E.
equi; 3, E. phagocytophila; 4, A.
marginale; 5, A. centrale; 6, E.
canis; 7, E. chaffeensis; 8, E.
muris; 9, Ehrlichia sp. detected in I.
ovatus; 10, C. ruminantium.
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A consensus primer pair, NEO-CS142F and NEO-CS730R, amplified a 596-bp
partial sequence in E. sennetsu, E. risticii, and
N. helminthoeca. Predicted RcaI RFLP patterns
included a unique band for E. sennetsu, two bands of 285 and
304 bp for E. risticii, and two bands of 109 and 487 bp for
N. helminthoeca. The result of the RFLP is shown in Fig.
4. Although two bands of 285 and 304 bp
for E. risticii were not distinguished in agarose gel, the
RFLP profiles of these three species were apparently different from one
to another.

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FIG. 4.
Restriction profiles obtained after RcaI
digestion of a portion of the citrate synthase gene amplified from
three species of the Neorickettsia genogroup by PCR
using consensus primer NEO-CS142F-NEO-CS730R. Lanes: M, molecular
weight markers (in thousands); 1, E. sennetsu; 2, E. risticii; 3, N. helminthoeca.
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DISCUSSION |
To determine the complete gltA sequence of most
ehrlichial species, a combination of consensus PCR amplification,
sequencing, and the Genome Walker method was used in this study. To
determine the RNA polymerase beta subunit (rpoB) gene of
Leptospira biflexa, this strategy was recently evaluated as
a convenient means for amplifying unknown sequences on the 3' and 5'
ends (18). Semipurified genomic DNA of ehrlichial
bacteria, including host cell genomic DNA, was used in this study,
although the Genome Walker method is, as recommended by the
manufacturer, usually performed with purified DNA in order to avoid
nonspecific amplification. By using DNA from noninfected host cells as
a negative control, nonspecific amplification in the Genome Walker PCR
can be identified and controlled. Avoiding the purification steps saves
material and time, which are critical issues when dealing with
fastidious intracellular organisms such as ehrlichiae.
The length of the gltA sequences varied in ehrlichial
species from 1,197 bp (E. sennetsu and E. risticii) to 1,254 bp (A. marginale and A. centrale), encoding proteins with deduced sequences of 398 to 421 amino acid residues. The length of ehrlichial gltA was
shorter than that of gltA from closely related genera of
Rickettsia (R. prowazekii, 1,311 bp) and
Bartonella (B. henselae, 1,296 bp) (14,
30). The level of similarity among ehrlichial gltA
was much lower than that of 16S rRNA gene sequences in the same
species. The percent identities of the gltA nucleotide and
deduced amino acid sequences vary from 49.7 to 99.8% and 44.4 to
99.5%, respectively. In contrast, those of the 16S rRNA gene vary from
83.5 to 99.9%. Percent identities were also found to be lower than
those reported for groESL sequences
(23), although the differences are small. These findings
suggest that ehrlichial gltA sequencing may offer a tool
with increasing discriminatory power for both phylogenetic and
identification studies because of the greater variation in gltA than in any other gene currently determined for these
species. Interestingly, the level of similarity between species in the Neorickettsia genogroup (N. helminthoeca,
E. sennetsu, and E. risticii) and other
ehrlichial species was lower than that between these species and
R. prowazekii or B. henselae. The gltA
sequence analysis confirmed that this group of ehrlichiae forms a clade distinct from other tick-borne ehrlichial agents.
GC contents of the gltA gene also shows greater variation
from 30.5 to 51.0%. The C. ruminantium genogroup (E. canis, E. chaffeensis, E. muris,
Ehrlichia sp. detected from I. ovatus, and
C. ruminantium) has lower GC content (30.5 to 32.6%) than
the E phagocytophila genogroup (GC: 38.2 to 38.3%) and the
Neorickettsia genogroup (GC: 43.7 to 44.2%). A. marginale and A. centrale show the
highest percentages (50.5 and 51.0%, respectively). The GC content of other genes, mainly heat shock protein, shows values similar to those
of gltA; 30.5 to 34.0% for the heat shock protein gene of C. ruminantium genogroup species, 48.8% for the heat shock
protein gene of A. marginale, and 50.4% for the glutathione
synthetase gene of A. centrale. The architecture of
gltA-based phylogenetic trees was almost the same as the
that of the tree derived from the 16S rRNA gene sequences. However, the
trees constructed from gltA show more divergence than that
from the 16S rRNA gene. The relationships of E. muris,
E. chaffeensis, and the recently detected Ehrlichia species originally isolated from I. ovatus were well defined, with higher bootstrap values in the
gltA-based tree than for those of the 16S rRNA-based tree.
The bootstrap values for all of the nodes were greater than 85% in
both nucleotide and deduced amino acid analyses. The only exception was
the branching of the HGE agent and E. equi, due to the high
sequence homology. These findings suggest that the
gltA-based phylogeny of ehrlichial agents can be an
additional phylogenetic tool and support the 16S rRNA-based phylogeny.
Although A. marginale, A. centrale, E. phagocytophila, E. equi, and the HGE agent are all
tick-borne agents and most often detected in the cells in the
peripheral blood that derive from bone marrow precursors in vivo, both
A. marginale and A. centrale show biological
differences from E. phagocytophila, E. equi, and the HGE agent. Anaplasma species infect predominantly
erythrocytes in the ruminant host, while E. phagocytophila
genogroup ehrlichiae are most often detected in granulocytes of various
mammalian hosts, including humans. In vitro, E. equi and the
HGE agent grew in the HL-60 human promyelocytic cell line (6, 7,
11), whereas no mammalian cell system allowed active replication
of Anaplasma species. In the present study, both A. marginale and A. centrale show low levels of similarity
with the E. phagocytophila genogroup (63.8 to 64.0%). The
GC contents of both A. marginale and A. centrale are 50.5 and 51.0%, respectively, while those of the E. phagocytophila genogroup are of 38.2 or 38.3%. These two groups
were distant in the phylogenetic tree. These data regarding the level
of similarity between the gltA nucleotide sequences, GC
content, and the gltA-based trees suggest that the
Anaplasma group (A. marginale and A. centrale) forms a clade independent from the E. phagocytophila genogroup.
W. pipientis occupies a position intermediate between
tick-borne Ehrlichia and the Neorickettsia clade
as shown by 16S rRNA gene analysis (5). The
gltA sequence of this species was not been analyzed in the
present study, but its sequencing is under way in our laboratory.
The gltA nucleotide sequences of 13 ehrlichial species used
in this study demonstrate both very conserved regions that allowed us
to amplify DNA fragments by using both B. henselae- and
R. prowazekii-derived degenerate primers and highly variable
regions that allowed better definition of Ehrlichia species.
Consequently, the design of Ehrlichia genus-specific primers
has not been successful. However,
tick-borne-Ehrlichia-specific or Neorickettsia
genogroup-specific primer sets that amplify partial gltA
genes of several ehrlichial agents were designed. In the present study,
two sets of primers, EHR-CS136F-EHR-CS778R and NEO-CS142F-NEO-CS730R,
amplified 10 tick-borne Ehrlichia species and three species
among the Neorickettsia genogroup, respectively. This
gltA-based group-specific PCR may be useful for
epidemiological studies of ehrlichiosis, as previously demonstrated for
Rickettsia (1) (2, 20). Although a
unique isolate of each species has been tested herein, the conservation of these primer pairs among the different species argues for their conservation within a species suggesting their usefulness. Indeed, two
new Ehrlichia genotypes have been recently found in African ticks in our laboratory, and partial gltA sequences of these
species were determined by using a consensus primer set to characterize the phylogenetic position in ehrlichiae (16).
The results of RFLP analysis revealed that the combination of consensus
PCR and RFLP can identify ehrlichiae at the species level with the
exception of the E. phagocytophila genogroup and E. muris or Ehrlichia sp. detected in I. ovatus. It has been suggested that E. phagocytophila,
E. equi, and the HGE agent are different strains of the same
species and are not convincingly distinguishable by 16S rRNA analysis
(4). Moreover, little is known about the newly described
ehrlichia isolated from I. ovatus or its phylogenetic relationship with E. muris. RFLP analysis of gltA
PCR products offers an effective new tool for identification of
ehrlichial species among tick-borne Ehrlichia and
Neorickettsia genogroup Ehrlichia.
 |
ACKNOWLEDGMENTS |
We thank H. Ogata for analyzing the sequence data and J. S. Dumler for correction of the English version of the manuscript and
helpful discussion.
H. Inokuma was supported by a grant from the EGIDE, Paris, France.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Unité des
Rickettsies, Faculté de Médecine, 27 bd. Jean Moulin, 13385 Marseille Cédex 5, France. Phone: (33)-4-91-32-43-75. Fax:
(33)-4-91-83-03-90. E-mail:
Didier.Raoult{at}medecine.univ-mrs.fr.
 |
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Journal of Clinical Microbiology, September 2001, p. 3031-3039, Vol. 39, No. 9
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.9.3031-3039.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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