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Journal of Clinical Microbiology, November 2003, p. 5224-5226, Vol. 41, No. 11
0095-1137/03/$08.00+0 DOI: 10.1128/JCM.41.11.5224-5226.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Evaluation of Genotyping Large Numbers of Escherichia coli Isolates by Enterobacterial Repetitive Intergenic Consensus-PCR
Kiersten J. Meacham, Lixin Zhang, Betsy Foxman, Richard J. Bauer, and Carl F. Marrs*
Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan 48109
Received 8 April 2003/
Returned for modification 8 July 2003/
Accepted 10 August 2003

ABSTRACT
We analyzed a large collection of
Escherichia coli isolates
typed by enterobacterial repetitive intergenic consensus (ERIC)-PCR
with BioNumerics gel analysis software. However, the interexperimental
variation of ERIC-PCR caused the computer software to classify
repeated isolates as different. ERIC-PCR should not be used
as the sole determinant of genetic similarity when typing large
numbers of bacterial isolates via computer software.

TEXT
Enterobacterial repetitive intergenic consensus (ERIC) sequences
are short, highly conserved 126-bp noncoding regions found in
Enterobacteriaceae (
4,
14,
16,
19). ERIC-PCR uses any combination
of primers designed to the conserved ERIC region in order to
generate an electrophoretic banding pattern based on the frequency
and orientation of ERIC sequences in a bacterial genome. Molecular
genotyping by ERIC-PCR is faster and more cost-effective than
pulsed-field gel electrophoresis or multilocus sequencing for
generating information about the genetic similarity of bacterial
strains. For many organisms, it possesses a higher discriminatory
ability than that of other quick-typing techniques, leading
to its increased frequency of use (
1,
3,
13,
17). However, questions
have been raised about the reproducibility of ERIC-PCR between
experiments (
5,
6,
7,
8,
11,
15,
17,
18).
In molecular epidemiologic studies describing the genotypic diversity of a large number of isolates, analysis of overall relatedness is usually dependent on computer interpretation of molecular fingerprints. Slight inconsistencies between PCRs pose a severe problem when a substantial number of fingerprints from multiple different PCRs are compared.
We began an investigation of the genetic relatedness of 350 uropathogenic Escherichia coli strains from different countries, mostly in Europe. DNA was extracted from overnight growth of pure subcultures that were then lysed by boiling. Genotyping was performed using the ERIC2 fingerprinting assay, which uses one 22-bp primer designed to the conserved ERIC region (6, 9). PCRs were prepared using reagents from Invitrogen (Carlsbad, Calif.) and performed in the same thermal cycler (MJ Research, Watertown, Mass.). The PCR amplifications were performed in 25-µl volumes containing 5 mM MgCl2, 2 U of Platinum Taq polymerase, 0.4 mM (each) deoxynucleoside triphosphates (Invitrogen), 10 ng of crude template DNA, and 25 pmol of the ERIC2 primer (5'-AAGTAAGTGACTGGGGTGAGCG-3'). A negative control consisting of the same reaction mixture without a DNA template was included in each PCR. PCR amplification included a 2-min hot start at 94°C, denaturation at 94°C for 30 s, annealing at 60°C for 1 min, and extension at 72°C for 4.5 min and, after 35 cycles, a final extension for 1 min at 72°C. Amplified PCR products were resolved by electrophoresis on 2.0% agarose (Molecular Bio Grade; Fisher Biotech) gels (6 by 6 in.) and normalized using a 100-bp ladder (Invitrogen) in three evenly spaced lanes per gel. Gels were run at 100 V for 3 h, stained with 0.35 µg of ethidium bromide in 150 ml of distilled water for 20 min, visualized, and saved as tagged image files by using Gel Doc 2000 (Bio-Rad Laboratories, Hercules, Calif.).
Electrophoretic patterns were entered into BioNumerics gel analysis software (Applied Maths, Kortrijk, Belgium). To ensure adequate gel-to-gel banding pattern comparison, the analysis includes a normalization step which makes each lane an equal length. A process of "band scoring" identifies bands in each lane that combine to make the fingerprint based on the threshold of stringency and optimization settings, which we set at 1.0% (10).
We found banding patterns to vary slightly by PCR, consistent with findings of other researchers. Bright bands are generally consistent, but lighter bands are often subject to interexperimental variability and are often ignored by the human reader (3, 11, 15, 18). By utilizing computer software, we hoped to control for the band intensity variability found in the literature. Shift in band intensity is not a problem when band-based analysis is performed, which takes into account only the presence or absence of bands. However, we found inconsistencies in the presence of bands as well. Band gain and loss pose a severe problem for computer-based analysis. Lighter bands can become darker or lighter or even disappear between different experiments (Fig. 1). Some researchers have eliminated light bands from analysis with the intention of eliminating the irreproducibility of fingerprints (9, 15). Choosing which bands will be included in a given molecular fingerprint introduces subjective bias and reduces the fingerprint down to only a few bands, significantly reducing the discriminatory power of the technique.
To assess the repeatability of this technique, repeated samples
were included throughout the study. Repeated PCR and gel electrophoresis
patterns of the same isolates, though appearing somewhat alike,
possessed slight differences in band presence. When computer
analysis was performed, these slight inconsistencies caused
these strains to be classified as very different. Upon generation
of a dendrogram including the repeated samples, the same strain
was rarely within 90% homology of itself and sometimes at a
much greater divergence (Fig.
2). Figure
2 demonstrates the
furthest divergence (36%; 64% homology) between two repeat samples
in our dendrogram. The overall homology of the tested strains
was 55.4%. The two banding patterns, though similar, clearly
demonstrate the interexperimental irreproducibility of bands.
This may not cause an analytic problem if the same isolate is
still closer to itself on a dendrogram than it is to other strains,
but this was not the case. In the literature, the determination
that ERIC-PCR possesses a high discriminatory power is independent
of any examination of reproducibility, which hinders clear determination
of strain differences (
6,
8). Though intra- and interexperimental
variabilities are both important in the analysis of any typing
technique, the greatest hindrance to the reproducibility of
PCR fingerprinting comes in comparison of different PCR experiments
and different gel runs (
6).
When genotyping a large number of isolates, it is difficult
to include all isolates in the same reaction and on the same
gel. When the number of isolates is small and there is additional
information, as in an outbreak investigation or a comparison
of isolates from one individual, ERIC-PCR is appropriate for
quick or preliminary typing (
2,
5,
12,
15). It is too variable
a technique for use as the sole determinant of genetic relatedness
when computer software is utilized. It is possible that improvements
in resolution of ERIC-PCR fragments by techniques other than
the standard agarose gel electrophoresis, such as acrylamide
gel electrophoresis, high-pressure liquid chromatography, or
capillary electrophoresis, may improve fragment detection. However,
it is not clear that these improvements would make ERIC-PCR
a cost-effective alternative to pulsed-field gel electrophoresis.
Weijtens et al. (
17) suggest that an additional genotyping technique
in conjunction with ERIC-PCR may be necessary if the goal of
the research is prove an epidemiological link or to compare
isolates from separate PCR experiments. Researchers should be
aware of problems associated with using ERIC-PCR beyond the
limits of the technique.

ACKNOWLEDGMENTS
This work was supported by NIH grant RO1-DK55496.
We thank Gunnar Kahlmeter for providing the uropathogenic E. coli samples from the ECO-SENS surveillance study in Europe and Canada, Patricia Tallman for laboratory support, and Amee Manges for technical assistance with the ERIC2 assay.

FOOTNOTES
* Corresponding author. Mailing address: Department of Epidemiology, School of Public Health, University of Michigan, 109 S. Observatory, Ann Arbor, MI 48109. Phone: (734) 647-2407. Fax: (734) 764-3192. E-mail:
cfmarrs{at}umich.edu.


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Journal of Clinical Microbiology, November 2003, p. 5224-5226, Vol. 41, No. 11
0095-1137/03/$08.00+0 DOI: 10.1128/JCM.41.11.5224-5226.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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