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Journal of Clinical Microbiology, September 2002, p. 3406-3415, Vol. 40, No. 9
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.9.3406-3415.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
and Peter R. Reeves*
School of Molecular and Microbial Biosciences, The University of Sydney, Sydney, New South Wales 2006, Australia
Received 26 December 2001/ Returned for modification 9 March 2002/ Accepted 17 June 2002
| ABSTRACT |
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| INTRODUCTION |
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Effective epidemiological surveillance and control of serovar Typhimurium requires the accurate subtyping of strains to determine potential sources of infection. A number of different phenotypic and genotypic methods have been used for this purpose, including phage typing, biotyping, plasmid profile typing, and plasmid fingerprinting. Phage typing is a commonly used method that has proved to be very useful in epidemiological surveillance of serovar Typhimurium infections. The phage-typing scheme is based on combinations of resistance or degree of sensitivity of serovar Typhimurium isolates to a series of specific bacteriophages (phages). The Anderson phage-typing scheme being used today distinguishes 207 definitive phage types (DTs) with 34 phages (3). The use of phage typing has enabled the rise and fall of different forms and geographical distribution to be monitored, with DT104, for example, rising in recent years to dominance in serovar Typhimurium in much of Europe but remaining rare in Australia.
However, knowledge of relationships between phage types is very limited, and the genetic basis of phage type variation remains largely unknown. In some cases, one serovar Typhimurium phage type may be converted to a different type via plasmid, transposon, or temperate phage acquisition (2, 41). Phage type conversion in S. enterica serovar Enteritidis caused by the introduction of a resistance plasmid has also been reported elsewhere (8).
Although phage typing plays an important role in epidemiology, it has some drawbacks. First, a proportion of serovar Typhimurium strains cannot be classified by the present phage-typing scheme. Second, the recording of results is, to a significant extent, subjective, so that misclassification can occur (5).
Molecular typing methods, such as IS200 typing, ribotyping, and pulsed-field gel electrophoresis (PFGE), have also been used to type serovar Typhimurium and/or to define the relationships between and within phage types of serovar Typhimurium (16, 27, 28). However, IS200 typing and ribotyping detect only variations in part of the genome. PFGE detects variations in the whole genome without requiring knowledge of sequence and has been quite widely used, with reports of its use for both primary discrimination of S. enterica isolates and subdivision of phage types.
In recent years, a novel DNA fingerprinting method, amplified fragment length polymorphism (AFLP), has proved itself as a high-resolution genotyping method and a useful tool in taxonomy and epidemiological studies of microorganisms (1, 14, 19). AFLP is based on the selective amplification of restriction fragments by PCR from digested genomic DNA, with restriction site-adapter-specific primers under stringent conditions (39). The restriction fragments analyzed are small, and even mutation of 1 bp can be detected. The use of different sets of restriction enzymes or different primer pair combinations can generate large numbers of different AFLP fingerprints without prior knowledge of sequence. Fluorescent AFLP, which uses fluorescent dye-labeled primer, has proved to be reproducible and capable of standardization (4, 15). It was shown elsewhere to have a discriminatory power equal to that of PFGE in genotyping S. enterica serovars (25) and higher than that of PFGE in genotyping S. enterica serovar Enteritidis phage type 4 (10).
In the present study, fluorescent AFLP was applied to nine phage types of serovar Typhimurium to explore their genetic relationships; to study the genetic variations detected by AFLP, and to assess the potential of using markers identified by AFLP for multiplex PCR or microarray technology as a successor to phage typing.
| MATERIALS AND METHODS |
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Genomic DNA was digested by EcoRI and MseI and ligated to EcoRI and MseI adapters simultaneously (note that ligation to adapters does not generate a full restriction site). Fluorescent AFLP was done with 6-carboxyfluorescein (FAM; blue) fluorescent dye-labeled MseI primer (ABI Perkin-Elmer) with one base selection (MseI +1) and unlabeled EcoRI primer with one base selection (EcoRI +1).
Analysis of AFLP fingerprinting patterns. One microliter of each fluorescent AFLP product was electrophoresed on an ABI 373 DNA sequencer equipped with the ABI PRISM GeneScan 2.0 software at the Sydney University Prince Alfred Macromolecular Analysis Centre. A GeneScan TAMRA-500 internal size standard (Perkin-Elmer) was also loaded with each AFLP sample to enable precise size determination of amplified fragments. The data for each lane were saved as an individual GeneScan file and displayed as an electropherogram: peaks representing AFLP fragments from 40 to 600 bp were visually inspected, and presence was scored as 1 and absence was scored as 0. Most peaks were easily scored for presence or absence, but some low-intensity peaks were judged by comparison with the same peak of other strains. Generally peaks with intensity less than 1/10 of that of the peak with the highest intensity were not scored in this study. Those peaks that were included could be scored as present or absent without ambiguity. The accuracy of scoring was confirmed when the 18 fragments cloned gave the expected pattern when used as a probe for blotting (see Results and Discussion). The Dice coefficient (SD) was used for phylogenetic tree construction with the unweighted pair group method with arithmetic mean (34) in PHYLIP (13).
AFLP was done for all 16 possible MseI +1-EcoRI +1 primer pair combinations. Primer pair MseI + C-EcoRI + A is represented as C/A, etc. The fragments further analyzed were given a number following the primer pair combination. C/T-1 and C/T-2 are polymorphic fragments generated with primer pair MseI + C and EcoRI + T, etc. These numbers do not indicate relative mobility.
Cloning and sequencing of polymorphic AFLP fragments. Polymorphic AFLP fragments were excised from a 6% polyacrylamide gel after radioactive AFLP, with AFLP patterns visualized by autoradiography for 48 h with Kodak MR BioMax film. The excised fragments were cloned into the pGEM-T Easy plasmid cloning vector (Promega) and transformed into Escherichia coli K-12 strain JM109 by electroporation with a Bio-Rad gene pulser. The recombinant plasmid was extracted from the clone with the Wizard 373 DNA purification system (Promega). For each excised fragment, up to 10 recombinant plasmids were screened for the correct polymorphic AFLP fragment by probing unlabeled AFLP polyacrylamide gel blots with DIG Easy Hyb and the DIG luminescent detection kit for nucleic acids (Boehringer Mannheim) with PCR-amplified insert DNA labeled by the DIG DNA labeling kit (Boehringer Mannheim). In each case one or more plasmids were found with an insert that when used as a probe showed the same polymorphism as observed in fluorescent AFLP and radioactive AFLP. One such insert was sequenced for each of the 18 fragments.
Plasmid sequencing was carried out by the Sydney University Prince Alfred Macromolecular Analysis Centre using an ABI 377A automated DNA sequencing system and the ABI dye terminator cycle sequencing kit (Perkin-Elmer).
Analysis of AFLP fragment sequences. BlastN and BlastX searches were carried out with ANGIS (Australian National Genomic Information Service), which incorporates several sets of programs (32). The searches were against the nonredundant nucleic and the nonredundant protein databases compiled by ANGIS. BlastN searches were also carried out against the S. enterica serovar Typhimurium, serovar Paratyphi, and serovar Typhi genome sequences at http://genome.wustl.edu/gsc/bacterial/salmonella.shtml and http://www.sanger.ac.uk/Projects/S_typhi/blast_server.shtml. We used the Enterix site, http://galapagos.cse.psu.edu/enterix, for sequences that matched genes in the above genomes. The alignment of the genomes for the above three and also the serovar Dublin and serovar Enteritidis (incomplete) genomes allowed us to determine for each gene if it was present or absent in each of the five genomes.
Southern hybridization. Plasmid DNA or EcoRI-digested genomic DNA was electrophoresed on an 0.7% agarose gel and transferred to a Hybond-N+ nylon hybridization membrane with a VacuGene XL vacuum blotting system (Amersham Pharmacia Biotech). Cloned AFLP fragments were amplified by PCR, labeled with the DIG DNA labeling kit (Boehringer Mannheim), and hybridized to the blots at high stringency with DIG Easy Hyb and the DIG luminescent detection kit for nucleic acids (Boehringer Mannheim).
Nucleotide sequence accession numbers. The nucleotide sequences of the cloned and sequenced polymorphic AFLP fragments were deposited with GenBank under accession numbers as follows: C/A-1, AF500153; C/A-2, AF500154; C/A-3, AF500155; C/A-4, AF500156; C/A-5, AF500157; C/A-6, AF500158; C/A-7, AF500159; C/C-1, AF500160; C/C-2, AF500161; C/G-1, AF500162; C/G-2, AF500163; C/T-1, AF500164; C/T-2, AF500165; G/A-1, AF500166; G/C-1, AF500167; G/C-2, AF500168; C/C-4, AF500169; and C/C-5, AF500170.
| RESULTS AND DISCUSSION |
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A total of 1,340 fragments were scored from the 16 primer pair combinations. There were 345 polymorphic fragments, of which 145 were found in only one isolate, leaving 200 phylogenetically informative fragments (Table 2). The distribution of 84 fragments was very closely correlated with phage type (see below). Thirty-five different AFLP patterns were observed in the 46 isolates. AFLP fingerprints were clearly different between phage types. The Simpson index of diversity (18) was calculated as 0.98.
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Nature of phage-type-correlated AFLP fragments. Eighteen phage-type-specific fragments were cloned and sequenced to determine the genetic basis of AFLP-detected variation. The sequences were used in BlastN and BlastX searches (Table 4). The 18 fragments were also used to probe EcoRI-digested genomic DNA of the 46 isolates (Table 3). Fifteen have high sequence similarity to known genes or sequences in databases. Three matched plasmid genes, seven matched lambdoid phage genes, one matched a noncoding region of a lambdoid phage genome, and four matched chromosomal genes or sequences in the available S. enterica genomes.
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Fragments with genes of lambdoid phage origin. Three fragments (C/A-1, C/G-1, and G/A-1), all present in DT64 only, also hybridized to DT64 only. Their sequences matched those of lambdoid phage genes. C/A-1 has 97% sequence identity to the lambdoid phage P22 DNA at positions 4918 to 5049 (37) on the eac gene (42). C/G-1 has 31% sequence identity at the amino acid level to phage P22 gene 16, which encodes a DNA transfer protein (36). G/A-1 has 75% sequence identity at the amino acid level to lambdoid phage HK97 gene 38 (20). G/A-1 also has 66% sequence identity at the amino acid level to phage P22 ORF-56, a hypothetical 6.6-kDa protein in the eae-abc2 intergenic region (37). It seems clear that DT64 carried a lambdoid phage not present in the other eight phage types.
Fragment C/T-1 is shared by DT64, DT12a, and DT108 isolates and also hybridized to DT64, DT12a, and DT108 only. C/T-1 has 100% sequence identity to the phage P22 DNA at positions 27405 to 27555 (37) on gene 8, which encodes scaffold protein (12). Fragment C/A-6, present only in DT12a and DT108, also hybridized to DT12a and DT108 only. It has 100% sequence identity to a noncoding region of the lambdoid phage 21 genome at positions 4846 to 4883. The above data indicated the presence of lambdoid phages in DT64, DT12a, and DT108. It also indicated that some genes are common to these phages.
Three fragments (G/C-2, C/C-4, and C/C-5) have 94 to 96% DNA sequence identity to DNA of ORF626 of S. enterica serovar Dublin contig 707, and ORF626 has 40% sequence identity at the amino acid level to the phage P1 kilA gene. KilA protein is nonessential for phage replication and lytic development (17). G/C-2 and C/C-5 both are contiguous with C/C-4 across an EcoRI site. G/C-2, C/C-5, and C/C-4 matched bases 40 to 213, bases 1 to 213, and bases 210 to 321 of ORF626, respectively. The G/C-2 sequence has 97% identity to part of the C/C-5 sequence with an EcoRI site at the junction. The C/C-5 sequence has an additional segment extending from a 5'-TTGA-3' site in place of the 5'-TTAA-3' MseI site of G/C-2. The distribution of the fragments showed that DT12a isolate M1867 and DT141 have none of these three fragments and also did not hybridize with them. All other isolates except DT108 have fragments C/C-4 and C/C-5, while DT108 isolates have fragments C/C-4 and G/C-2. The above data suggested that both C/C-4 and C/C-5 are from a phage-related DNA sequence and that fragment G/C-2 arose through a point mutation that created a MseI site in DT108, generating an AFLP fragment shorter than C/C-5.
Four fragments related by mutational change adjacent to chromosomal genes. Two of the sequenced fragments (C/A-4 and C/A-5) are inversely correlated. C/A-4 is present only in DT9 and DT64, while C/A-5 is absent only in these phage types. The sequences are nearly identical, and the C/A-5 sequence was found in the five publicly available sequences of S. enterica genomes (serovars Typhimurium, Paratyphi, Typhi, Enteritidis, and Dublin). The C/A-5 sequence is 100% identical to serovar Typhimurium LT2 DNA bases 1096650 to 1096833. There is a four-base duplication in C/A-4, relative to C/A-5, containing 5'-GGTAGGTA-3' and 5'-GGTA-3', respectively, in an intergenic region between STM1003 and the pncB gene (nicotinate phosphoribosyltransferase [38]) at serovar Typhimurium LT2 genome sequence bases 1096771 to 1096774 (26). pncB is a housekeeping gene and also present in other bacteria, such as E. coli, Klebsiella pneumoniae, Yersinia pestis, and Vibrio cholerae, etc., according to the Enterix site.
Another two fragments (C/C-1 and C/C-2) are also inversely correlated. C/C-1 is absent only in DT126, while C/C-2 is present only in DT126. The sequences are nearly identical, and the C/C-1 sequence was found in four of the publicly available sequences of S. enterica genomes (serovars Typhimurium, Paratyphi, Typhi, and Enteritidis) but absent in serovar Dublin. The C/C-1 sequence is 100% identical to serovar Typhimurium LT2 DNA sequence bases 1766735 to 1766881. There is an eight-base duplication in C/C-2 relative to C/C-1, containing 5'-ACAGACCGACAGACCG-3' and 5'-ACAGACCG-3', respectively, in an intergenic region between STM1672 and STM1673 at serovar Typhimurium LT2 genome sequence bases 1766792 to 1766799 (26).
For both pairs of fragments, the larger fragment is in one or two serovar Typhimurium DTs only, while the smaller fragment is present in most serovar Typhimurium DTs and the other three or four sequenced S. enterica genomes in which the gene is found. It seems clear that the mutations were due to duplication of a short sequence and not vice versa.
Fragments with genes of unknown origin. Three phage-type-specific fragments (C/A-2, G/C-1, and C/A-3) did not have sequence similarity with any DNA or protein entry in the database searches. C/A-2 and G/C-1 are present in DT12a and DT108 only and also hybridized to DT12a and DT108 only. C/A-3 is present in DT135 and DT108 only and also hybridized to DT135 and DT108 only. These fragments were most likely polymorphic due to gain of DNA.
Predominance of phage and plasmid genes in phage-type-related AFLP fragments. Of the 18 AFLP fragments cloned and sequenced, 15 comprise or include genes identifiable to some extent. Three are plasmid related, eight are phage related, and four are chromosomal gene related.
Six of the fragments comprise three pairs that differ in one or a few base pairs. The pair C/A-4 and C/A-5, the pair C/C-1 and C/C-2 (each pair comprising different forms of the same intergenic region), and the pair C/C-5 and G/C-2 differ by a base substitution that affects an MseI site in a phage-related gene. These six fragments thus correspond to three loci, each with two alleles, giving a total of 15 AFLP-based loci for the 18 fragments. Two of these mutational changes are in intergenic regions adjacent to chromosomal genes.
Hybridization at high stringency showed that the six fragments discussed above comprise DNA generally present in all nine phage types, the only exception being the phage-related gene which was absent in DT141 and DT12a isolate M1867. However, the other 12 fragments contained DNA present only in isolates with that fragment. This included all of the phage-related genes and plasmid-related genes. These results suggested that gain or loss of DNA rather than mutational change was responsible for most of the polymorphisms detected by AFLP. It should be noted that our focus has been on fragments that correlated strongly with phage types and that this generalization may not apply to all polymorphic fragments.
However, some cross hybridization was observed at low stringency (Table 3). C/T-1 gave low-level hybridization to several fragments of different sizes from DT1 isolate M1879, suggesting that M1879 carried a phage related to that in DT12a, DT64, and DT108. Three plasmid R64-related fragments (C/G-2, C/T-2, and C/A-7, present only in DT1) and three phage P1-related fragments (C/C-5, G/C-2, and C/C-4) also gave low-level hybridization to one fragment from DT141 isolate M1882. These cases of cross hybridization indicated the presence of related DNA, perhaps on a plasmid related to that in DT1 or on a phage related to P1.
The data overall indicated that the major consistent differences between phage types relate to the presence or absence of phages or plasmids, well known as mobile genetic elements. The data are certainly consistent with earlier observations showing the role of plasmids and phages in alteration or determination of phage types (2, 41). For example, a study of DT49 and DT204 isolates of human and bovine origin in Britain showed a correlation among plasmid content, antibiotic resistance spectra, and phage type (41). Tetracycline-resistant DT204 strains all carried nonautotransferring plasmids coding for tetracycline resistance only. Spontaneous loss of tetracycline resistance plasmid NTP108 converted a DT204 strain to a DT49 strain. When plasmid NTP108 was reintroduced into the DT49 strain, the phage type changed back to DT204. DT204 differed from DT49 by loss or reduction in sensitivity to specific typing phages, and further experiments showed that plasmid NTP108 restricted growth of these specific serovar Typhimurium typing phages (41).
The identification of phage-type-specific phage and plasmid genes provides a basis for exploration of the genetic basis of phage resistance and phage type variation. However, our data do not address the relationship of the phages and plasmids detected with the various sensitivities of each phage type to the typing phages. It is possible that some of the phages or plasmids whose presence was detected in this study are simply markers for variants of serovar Typhimurium. The fact that phage and plasmid genes were dominant in our observations does not in itself imply that these elements affect sensitivity to typing phages but suggests only that the rate of gain and loss of these genetic elements affects AFLP pattern more rapidly than gain or loss of restriction sites by mutation or lateral transfer of chromosomal genes. This is an interesting topic for further study. While this paper was being written, Tamada et al. (35) reported sequences of two AFLP markers of serovar Typhimurium. One sequence showed homology with a segment of P22 phage, and the other showed homology with a segment of traG, an F-plasmid conjugation gene. These data are consistent with our data.
Given the role of phage-related genes in our AFLP tree and the role attributed to carriage of temperate phage in determining phage type, we compared the relationships of phage types revealed by the AFLP tree with the relationships based on the phage sensitivity in the Anderson phage-typing scheme. The sensitivity of each isolate to each typing phage is assessed by number and turbidity of plaques (3, 9). The lysis pattern for each of 30 phages as updated (Linda Ward, personal communication) was used to grade the sensitivity of each of the nine DTs in steps from 1 to 24 for increasing degree of lysis. These data were treated as 30 loci each with 24 character steps for construction of the tree, such that relationship would be determined by degree of similarity based on the 24-step scale, and a phenotypic tree was constructed by the parsimony method (data not shown). The phage sensitivity tree was very different from the AFLP tree, with, for example, DT12a, DT64, and DT108 closely related in the phage sensitivity tree but not in the AFLP tree. We suggest that the relationships in the AFLP tree are determined to a significant degree by the overlap in genes present in phages and plasmids carried by the strains, whereas the phage sensitivity tree is determined by the degree of sensitivity to specific typing phages, which are apparently not closely related.
Comparison of AFLP with PFGE. Several molecular methods have been tested for use in subtyping of common S. enterica serovars such as Typhimurium. The only one that has achieved a significant level of use is PFGE, which in some cases has also been used in place of phage typing for primary subdivision of serovar Typhimurium. It has also proved to be useful in subdividing a major phage type (11). We have studied AFLP in large part because the fragments obtained are small and quite easily cloned and sequenced to determine the underlying basis of the distinctions observed. In the present study, AFLP based on 16 primer pair combinations showed a Simpson index of diversity of 0.98, a higher discriminatory power than that for PFGE applied to Spanish serovar Typhimurium isolates with a Simpson index of diversity of 0.87 (16). AFLP in the present study showed good correlation with phage type, grouping most of the serovar Typhimurium isolates by phage type and enabling differentiation of phage types. However, AFLP is not suitable for routine use for subdivision of a S. enterica phage type, because with such closely related strains one has to use several primer pairs to obtain the high discriminatory power possible, and we still have difficulty with automatic computer scoring of AFLP fragments.
However, this study has demonstrated that AFLP can be used to identify segments of DNA that have a distribution that correlates with phage type. We propose that this knowledge be used to establish a subtyping scheme for serovar Typhimurium that offers the advantages of AFLP with potential for great ease of operation as discussed below.
PFGE also showed some correlation with phage type when applied to Danish serovar Typhimurium isolates (28). However, PFGE uses one restriction enzyme, which cleaves infrequently and generates a small number of large DNA fragments. It can detect mutational changes only in the small number of restriction enzyme sites, or changes such as large insertion-deletion events or chromosomal rearrangements, which cause several-kilobase differences in fragment size. It is difficult to detect insertion-deletion events involving only a few kilobases. In contrast, AFLP uses two restriction enzymes and generates small fragments. AFLP is ideal for detecting insertion or loss of segments of DNA, and it is easy to clone such DNA and determine its distribution among phage types as done in this study. Also, such DNA can be used to develop multiplex PCR or microarray typing. AFLP has more potential than PFGE to discriminate among closely related isolates, as the number of AFLP fragments can be greatly increased by using different enzymes or primer sets, to find more phage-type-specific markers.
Potential for microarray typing of serovar Typhimurium using AFLP markers. The use of AFLP has enabled us to identify segments of DNA for which presence or absence correlates with phage type. Two-thirds (12 of 18) of cloned phage-type-specific AFLP fragments were polymorphic, because the DNA is present or absent as indicated by Southern hybridization. These AFLP markers provide a good basis for PCR-based typing or application of microarray technology. A tree was constructed by using only the 84 phage-type-specific AFLP fragments (Fig. 2). All nine phage types studied were differentiated, and furthermore, a minimum of six such fragments (C/A-3, C/A-4, C/A-7, C/C-2, C/C-4, and C/T-1) is sufficient to allocate all isolates to their respective phage types. One can envisage the use of multiplex PCR or microarray technology to obtain comparable data for typing, and we suggest that it is entirely practicable to develop subtyping of serovar Typhimurium by using AFLP-defined markers.
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We have looked at only nine phage types and a limited number of isolates from one region of the world. Further work is needed to establish the generality of these observations and to find DNA that gives good correlation with phage typing. We see great advantage in using a scheme that correlates well with phage typing, as the same classification could be followed and the currently named DTs would continue to be recognized.
A microarray-based scheme based on DNA fragments shown to correlate with phage type offers major additional advantages. Unlike PFGE or AFLP, it is relatively easy to scale up to include more test sequences with microarray typing. We have already demonstrated the feasibility of a molecularly based replacement for serotyping (40), and given the huge number of spots that can be fitted onto a microarray, it would be possible to include a full serotyping scheme and several subtyping schemes on one chip. There is the additional advantage that it would be relatively easy to subdivide the frequently occurring DTs, as there is more information available than needed for replacement of phage typing. In this context we should note that phage typing uses a standard system with 16 phages per plate, making scale-up difficult.
The phage-typing system of serovar Typhimurium has proved to be very useful for surveillance of infections. However, the present phage-typing scheme requires considerable experience for consistent scoring and to access specific typing phages. It is difficult to propagate the typing phages to obtain stocks with the same characteristics as the original stocks. This is probably due to recombination between the propagating phage and other phages present in the propagating strain, giving a genetically mixed population in the final stock. For this reason the stocks are prepared in the Enteric Reference Laboratory at the Public Health Laboratory Service in London, United Kingdom, for worldwide distribution. It has even been suggested by Schmieger (33) that, when the stocks of original typing phages become exhausted, the new propagated typing phages may affect the consistency of the Anderson phage-typing scheme.
Microarray technology has much potential for screening with DNA sequence markers. AFLP provides the means to identify suitable DNA segments for use in such technology to provide a tool for subtyping serovar Typhimurium which could be applied more widely than the present phage-typing system, which is generally confined to major government laboratories. This would have a very positive impact on epidemiological investigation of disease outbreaks and studies of pathogenicity of this important pathogen.
Thus, AFLP's real potential for genotyping serovar Typhimurium probably lies in identification of DNA segments that are discriminatory among phage types, followed by multiplex PCR to confirm their value in parallel with phage typing, and then development of microarray technology for routine typing.
| ACKNOWLEDGMENTS |
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We are grateful to Chris Murray of the IMVS, Adelaide, South Australia, Australia, for kindly providing strains. We thank the reviewers for helpful suggestions.
| FOOTNOTES |
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Present address: School of Biotechnology and Biomolecular Sciences, The University of New South Wales, Sydney, New South Wales 2052, Australia. ![]()
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