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Journal of Clinical Microbiology, May 2005, p. 2500-2502, Vol. 43, No. 5
0095-1137/05/$08.00+0 doi:10.1128/JCM.43.5.2500-2502.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Distribution of IS1311 and IS1245 in Mycobacterium avium Subspecies Revisited
Tone Bjordal Johansen,
Berit Djønne,
Merete R. Jensen, and
Ingrid Olsen*
Department of Animal Health, National Veterinary Institute, Oslo, Norway
Received 7 October 2004/
Returned for modification 28 November 2004/
Accepted 14 January 2005

ABSTRACT
We demonstrated that IS
1245 is not present in
Mycobacterium avium subsp.
paratuberculosis by restriction fragment length
polymorphism and that the designated three-banded bird pattern
of IS
1245 in
M. avium subsp.
avium consists of one copy of IS
1245 and two copies of IS
1311. Cross hybridization between the two
elements can be avoided by using more specific probes.

TEXT
The
Mycobacterium avium complex (MAC) comprises a heterogeneous
group of slow-growing, acid-fast bacilli that are divided into
the two species
Mycobacterium avium and
Mycobacterium intracellulare (
20). MAC organisms are ubiquitous in nature and can cause various
diseases in animals and humans (
8).
M. avium subsp.
avium can
cause disease in different animal species such as poultry and
swine and has been an increasingly important pathogen for humans
because of the AIDS epidemic (
6,
8). The bacteria can also cause
pulmonary infections in patients without AIDS and cervical lymphadenitis
in children (
6).
M. avium subsp.
paratuberculosis causes paratuberculosis
in ruminants and has been suggested as the etiologic agent of
Crohn's disease (
3,
10).
Different insertion sequences present in the MAC have been used for identification and strain differentiation. IS1245 has been used for restriction fragment length polymorphism (RFLP) of M. avium subsp. avium by the proposed standardized method of van Soolingen et al. (18). The 1,414-bp-long element was initially found to be present in M. avium subsp. avium, M. avium subsp. paratuberculosis, and M. avium subsp. silvaticum by PCR amplification of a 427-bp target sequence (7) and has also been found in some other mycobacteria (9). A closely related IS element is IS1311, which shows 85% sequence identity with IS1245 at the DNA level (9, 16, 17). The element is present in M. avium subsp. avium and M. avium subsp. paratuberculosis (21) and has been detected in strains of M. intracellulare, Mycobacterium malmoense, and Mycobacterium scrofulaceum (9). There is, however, considerably discrepancy in the literature about the presence and the copy number of IS1245 and IS1311 in the M. avium subspecies (4, 7, 16). The close relationship between the two elements makes cross hybridization a possible explanation for this dissention.
The objective of this study was to clarify some of the discrepancy in the literature by examining strains of M. avium subsp. avium and M. avium subsp. paratuberculosis for the presence of IS1245 and IS1311. A method for standardization of IS1245 RFLP has been proposed (18). However, the suggested 427-bp IS1245 probe (long IS1245 probe) has an identity of 82% (National Center for Biotechnology Information BLAST; http://www.ncbi.nlm.nih.gov/BLAST/BLAST.cgi) with IS1311 on the DNA level. We therefore designed probes from the 5' end of each insertion element, where there is a lower homology of 75% between the two elements in order to reduce the possibility for cross hybridization. The primers with the location of the probes are described in Table 1.
The short IS
1245 probe (175 bp) and the IS
1311 probe (198 bp)
were synthesized by PCR using AmpliTaq DNA polymerase (Applied
Biosystems, Foster City, CA) and the following conditions: 94°C
for 3 min followed by 30 cycles of 94°C for 30 s, 56°C
for 30 s, and 72°C for 30 s. Synthesis of the standardized
long 427-bp IS
1245 probe and the RFLP method were performed
as described earlier (
7,
18). Hybridizations with the short
probes were performed at a low-stringency temperature of 45°C
and at a high-stringency temperature of 60°C without any
effect on the results. This shows that the use of the highly
specific probes gave no cross hybridization even at low temperatures.
M. avium subsp. paratuberculosis.
Seven clinical isolates of M. avium subsp. paratuberculosis and the ATCC 19698 strain (Table 2) were cultured and DNA was prepared as described earlier (14). The strains showed an identical pattern of seven bands when RFLP was performed with the long IS1245 probe (Fig. 1a). This is in accordance with the results described by some other authors (7, 16). However, the bands were faint, and we hypothesized that these bands were visualized due to hybridization with IS1311. RFLP was therefore performed with the short IS1245 probe, and no hybridization signals were seen in any of the strains (Fig. 1b). RFLP on the M. avium subsp. paratuberculosis strains with the IS1311 probe revealed seven distinct bands with an identical pattern to what was observed with the long IS1245 probe (Fig. 1c). Our results demonstrated that IS1245 was not present in the tested strains of M. avium subsp. paratuberculosis and that the bands that appeared when hybridizing with the long IS1245 probe were a result of cross-hybridization with IS1311. BLAST screening also confirmed that IS1311 was present in at least seven copies in the K10 strain of M. avium subsp. paratuberculosis, while IS1245 could not be found (National Center for Biotechnology Information BLAST).
M. avium subsp. avium.
Four clinical isolates of
M. avium subsp.
avium and three reference
strains (Table
2) were cultured, and DNA was prepared as described
earlier (
14). Strains of
M. avium subsp.
avium isolated from
wild birds and poultry have been described in the literature
as highly conserved. It has been proposed to reserve the term
M. avium subsp.
avium for these strains and to designate the
heterogeneous human and porcine isolates
M. avium subsp.
hominissuis (
11). The bird strains belong to the serovar 1, 2, or 3 and
contain IS
901 (
2,
16). They also have an identical three-banded
pattern with the standardized IS
1245 RFLP, often referred to
as the "bird-type" profile (
1,
11,
13,
16). The bird strains
in the present study showed the same three-banded pattern with
the standardized long IS
1245 probe (Fig.
2a). The upper and
the lower bands were, however, faint and inconsistent, while
the middle band was distinct. Similar results can be seen by
observing the figures in several other studies (
1,
7,
11,
16).
Performing RFLP with the short IS
1245 probe gave only one band
in the same position as the middle of the three bands (Fig.
2b), while IS
1311 RFLP revealed the other two bands (Fig.
2c).
Collins et al. obtained similar results, and they also argued
that the contradicting results in other studies were due to
cross hybridization with IS
1311 (
4).
The strains of
M. avium subsp.
avium isolated from pigs and
the human strain showed multibanded complex patterns when the
standardized IS
1245 RFLP was performed (Fig.
2a). A problem
with this method has been many weak and inconsistent bands,
making interpretation of the results difficult (
15-
17). The
use of the shorter IS
1245 probe helped to resolve some of these
problems. The faint smaller fragments from hybridization with
the long IS
1245 probe were not visible when hybridizing with
the short IS
1245 probe (Fig.
2b) and appeared distinct with
the IS
1311 probe (Fig.
2c). RFLP with the IS
1311 probe gave
very distinct and easily interpretable results compared to the
IS
1245 probes. IS
1311 has been used for RFLP by several authors,
and the discriminatory power has been judged to be almost equal
to that of IS
1245 (
4,
5,
12,
17). Standardization of the method
and further studies are necessary for testing the potential
of using the IS
1311 element in RFLP.
We conclude that IS1245 is not present in M. avium subsp. paratuberculosis and that the designated three-banded bird pattern of IS1245 consists of one copy of IS1245 and two copies of IS1311. Cross hybridization between the two insertion elements can be avoided by using shorter and more specific probes. Combining the two probes in RFLP may also give a more detailed typing result.

ACKNOWLEDGMENTS
We would like to thank Dick van Soolingen (National Institute
of Public Health and the Environment, Bilthoven, The Netherlands)
for providing the plasmid pMA12 and the reference strains IWGMT49
and R13 and Ulf Dahle (The Norwegian Institute of Public Health)
for providing the human strain H6 and for valuable support.
We would also like to thank Nina Fundingsrud and Vivi Myrann
for excellent technical support.

FOOTNOTES
* Corresponding author. Mailing address: National Veterinary Institute, Pb 8156 Dep., 0033 Oslo, Norway. Phone: 47 23 21 63 32. Fax: 47 23 21 63 02. E-mail:
Ingrid.Olsen{at}vetinst.no.


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Journal of Clinical Microbiology, May 2005, p. 2500-2502, Vol. 43, No. 5
0095-1137/05/$08.00+0 doi:10.1128/JCM.43.5.2500-2502.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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