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Journal of Clinical Microbiology, October 2006, p. 3510-3516, Vol. 44, No. 10
0095-1137/06/$08.00+0 doi:10.1128/JCM.00670-06
Species-Specific Identification of Leptospiraceae by 16S rRNA Gene Sequencing
Roger E. Morey,
Renee L. Galloway,
Sandra L. Bragg,
Arnold G. Steigerwalt,
Leonard W. Mayer, and
Paul N. Levett*
Meningitis and Special Pathogens Branch, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Received 29 March 2006/
Returned for modification 10 April 2006/
Accepted 20 July 2006

ABSTRACT
The genus
Leptospira is classified into 13 named species and
4 genomospecies based upon DNA-DNA reassociation studies. Phenotypic
tests are unable to distinguish between species of
Leptospira,
and there is a need for a simplified molecular approach to the
identification of leptospires. 16S rRNA gene sequences are potentially
useful for species identification of
Leptospira, but there are
a large number of sequences of various lengths and quality in
the public databases. 16S rRNA gene sequences of near full length
and bidirectional high redundancy were determined for all type
strains of the species of the
Leptospiraceae. Three clades were
identified within the genus
Leptospira, composed of pathogenic
species, nonpathogenic species, and another clade of undetermined
pathogenicity with intermediate 16S rRNA gene sequence relatedness.
All type strains could be identified by 16S rRNA gene sequences,
but within both pathogenic and nonpathogenic clades as few as
two or three base pairs separated some species. Sequences within
the nonpathogenic clade were more similar, and in most cases

10 bp distinguished these species. These sequences provide a
reference standard for identification of
Leptospira species
and confirm previously established relationships within the
genus. 16S rRNA gene sequencing is a powerful method for identification
in the clinical laboratory and offers a simplified approach
to the identification of
Leptospira species.

INTRODUCTION
Leptospirosis is an acute febrile disease caused by pathogenic
spirochetes of the genus
Leptospira. The disease is maintained
in nature by chronic renal infection of carrier animals and
acquired by direct or indirect contact with urine or tissues
from infected animals. Traditionally, several hundred serovars
of
Leptospira were classified into two species,
Leptospira interrogans and
L. biflexa (
13), which contained pathogenic and saprophytic
strains, respectively. These species were differentiated by
several phenotypic characteristics, including growth in the
presence of 8-azaguanine and growth at 13°C (
14). Based
upon DNA-DNA hybridization data, the genus is now classified
into 17 species (
1,
20,
22,
25,
32), several of which contain
both pathogenic and nonpathogenic serovars. Phenotypic characteristics
previously used to differentiate
L. interrogans sensu lato and
L. biflexa sensu lato (
13) are no longer useful in the current
classification.
There is a need for a method of identification for Leptospira species that is more widely available than DNA-DNA hybridization but which will yield accurate identification to the species level. Analysis of 16S rRNA gene sequence is now widely used for identification of fastidious bacteria (3), including Leptospira species (10, 23). Leptospire genomes contain two 16S rRNA genes, which are not closely linked but are on chromosome I (21, 26). Numerous 16S rRNA sequences from Leptospira serovars have been deposited in GenBank, but in many cases these are only partial-length sequences. Even though not all species have been sequenced, such sequences are potentially useful for species identification. In the present study, we determined nearly full-length 16S rRNA gene sequences of approximately 1,430 bp from well-characterized type strains and representative serovars of Leptospira species, Turneriella parva, and Leptonema illini to evaluate the use of 16S rRNA gene sequencing for species identification of leptospires.

MATERIALS AND METHODS
Bacterial strains and growth conditions.
Leptospira (
n = 39 strains),
Leptonema (
n = 2), and
Turneriella (
n = 2) strains from the Centers for Disease Control and Prevention
collection (Table
1) were maintained in semisolid PLM-5 medium
(Serologicals Corp., Norcross, GA) containing 1.5% agar (Difco,
Sparks, MD) at room temperature. Subcultures in liquid PLM-5
medium were incubated at 30°C for 7 days. The strains were
chosen to represent important species and serovars causing human
disease and include the type strain of all described species
of
Leptospiraceae.
DNA extraction and 16S rRNA gene sequencing.
DNA was extracted from cultures of 43 strains of
Leptospiraceae using QIAamp DNA minikits according to the manufacturer's directions
(QIAGEN, Valencia, CA). The 16S rRNA genes were amplified from
the purified DNA by using the Expand High-Fidelity PCR system
(Roche Diagnostics Corp., Indianapolis, IN). Briefly, each 50-µl
reaction contained approximately 10 ng of DNA, 2.5 U of polymerase,
1.5 mM MgCl
2, 5% (vol/vol) dimethyl sulfoxide, 200 µM
deoxynucleoside triphosphates, and 100 nM concentrations of
primers fD1 and rP2 corresponding to positions 8 and 1492, respectively,
of the
Escherichia coli 16S rRNA gene J01695 (Table
2). Amplification
was performed on an AB 9700 thermocycler (Applied Biosystems,
Foster City, CA) using 94°C for 5 min, followed by 35 cycles
of 94°C for 15 s, 50°C for 5 s, and 72°C for 90
s, with a final single extension of 72°C for 5 min, and
then held at 4°C. Amplified products were characterized
by electrophoresis of 5 µl of each reaction on a 1.2%
agarose gel for 30 min at 85 V. Excess nucleotides and primers
were inactivated with the ExoSAP method (USB Corp., Cleveland,
OH). Cycle sequencing was performed by standard protocols (
27),
including the use of a 45°C annealing temperature and the
16 sequencing primers listed in Table
2. Primers F785 and R802
were designed in the present study, but the majority are primers
from the European rRNA database (
31). Sequencing reaction products
were purified with magnetic carboxylate beads (Agencourt Bioscience,
Beverly MA). Reactions were sequenced on an AB 3100 (Applied
Biosystems). Chromatograms were assembled and analyzed in Seqmerge
(Wisconsin Package version 10.3; Accelrys, Inc., San Diego,
CA) (
6).
Phylogenetic analysis.
Sequences were aligned with CLUSTAL X (
29) in Mega 3.1 (
15)
and trimmed to consensus, and a neighbor joining tree was created.
Gaps in the aligned sequences were replaced by Ns in BioEdit
(Ibis Therapeutics, Carlsbad CA). Evolutionary distances were
estimated by using the Jukes and Cantor model in GCG (
6).
Nucleotide sequence accession numbers.
DNA sequences have been deposited in the GenBank database with the accession numbers shown in Table 1.

RESULTS
The 16S rRNA gene sequences of 43 strains, representing all
17 species of
Leptospira, as well as
T. parva and
Leptonema illini, were determined. The length of the sequences ranged
from 1,422 to 1,432 bp for leptospires and 1,428 to 1,440 bp
for
T. parva and
Leptonema illini. These sequences were compared
to each other by alignment and in dendrograms. Different serovars
of the same species showed highly similar (only an average of
0.2 bases different of about 1,430) or identical 16S rRNA gene
sequences (data not shown). Phylogenetic analysis of 16S rRNA
gene sequences confirmed previous reports (
10,
22) that the
Leptospiraceae form five main clusters of species (Fig.
1).
The pathogenic species, exemplified by
L. interrogans, form
one clade distinct from the nonpathogenic species, exemplified
by
L. biflexa. A third clade, comprising
L. inadai,
L. fainei,
and
L. broomii, was clearly separate from the pathogenic and
nonpathogenic clades. These groupings are distinct from the
remaining two clades, which include the species
T. parva (
12,
19) and
Leptonema illini (
11).
Within the pathogenic clade, the eight species were readily
identified based on consistent differences in 16S rRNA gene
sequences (Fig.
2). This clade included
L. alexanderi,
L. borgpetersenii,
L. interrogans,
L. kirschneri,
L. noguchii,
L. santarosai,
L. weilii, and
Leptospira genomospecies 1. The percentage similarity
of sequences within this clade was high,

98.6% or 2 to 20/1,431
bp different (i.e., 2 to 20 bp out of 1,1431 bp were different)
(Table
3), reaffirming the high degree of species conservation
among spirochetes (
16,
23).
The positions of insertions or deletions, as well as differing
and mixed bases, are shown in Fig.
2, which includes the positions
that differentiate the species within the three
Leptospira clades
but omits positions that only differentiate between clades.
Note that many of the positions that differentiate the species
within a specific clade are quite conserved within the other
two clades. A total of 35 dissimilar base positions distinguish
the type strain 16S rRNA gene sequences of pathogenic
Leptospira species, previously identified by DNA-DNA hybridization studies
(
1) (Fig.
2). The highest 16S rRNA gene sequence similarity
between the type strains of species was between those of
L. interrogans and
L. kirschneri (2/1,432 bp different). However,
L. kirschneri serovar Cynopteri strain 3522
T and serovar Bim
strain PUO247 were identical based on 16S rRNA sequence and
were differentiated from
L. interrogans serovar Pyrogenes strain
Salinem and serovar Bulgarica strain Mallika by a single base
difference. Strain RGA of
L. interrogans serovar Icterohaemorrhagiae
differs from the majority of other strains of this species by
one base. In addition to strain RGA, only serovar Copenhageni
strain M20 shares an extra G at position 784. All other strains
of
L. interrogans have only five Gs in this position.
Among the nonpathogenic species, there were 3 to 12/1,422 bp differences between species (Table 3). This clade comprised L. biflexa, L. meyeri, L. wolbachii, and Leptospira genomospecies 3, 4, and 5. The similarity of sequences within this clade was higher than among species of the pathogenic clade (Table 3). The positions of differing and mixed bases are shown in Fig. 2.
The third cluster of Leptospira species comprised L. inadai, L. fainei, and L. broomii (Fig. 1). The sequences in this intermediate cluster were more closely related to the pathogenic cluster than to the nonpathogenic cluster, confirming previous reports of genetic relatedness (10, 22). A total of seven dissimilar bases distinguished these three species (Fig. 2). L. broomii was comparable to a mosaic of L. inadai and L. fainei, with positions 143, 144, 154, and 158 identical to L. inadai and positions 222, 1077, and 1165 identical to L. fainei, suggesting a crossover between positions 158 and 222, but there is no evidence for recombination by horizontal transfer or convergent evolution as a mechanism.
T. parva and Leptonema illini were distant from each other and from Leptospira species (Fig. 1), confirming their lack of relatedness to the genus Leptospira (19). Both species were easily identified and differentiated from Leptospira by their 16S rRNA gene sequences.

DISCUSSION
This study was performed to evaluate the use of 16S rRNA gene
sequence analysis for the species identification of leptospires.
16S rRNA gene sequencing is rapidly becoming a common technique
for the identification of unknown bacterial isolates, especially
those of fastidious organisms such as
Leptospira species (
3).
The identification of
Leptospira isolates has been traditionally
accomplished by serological methods (
7), and the question of
species identity was decided by pathogenicity. As a result,
all pathogenic serovars were classified as
L. interrogans in
the past (
14).
The adoption of a genotypic classification complicated the identification of leptospires because several serovars are found in more than one species and some species contain both pathogenic and nonpathogenic serovars (18). The determination of serovar is no longer sufficient to assign an isolate to its correct species. Recently, horizontal transfer of outer membrane protein genes has been shown to occur in Leptospira species (9). Horizontal transfer was proposed as the mechanism by which serovar Hardjo antigens are found in strains of both L. interrogans and L. borgpetersenii (5). Similar horizontal gene transfer probably accounts for at least five serovars (Bulgarica, Grippotyphosa, Mwogolo, Paidjan, and Valbuzzi) being shared between L. interrogans and L. kirschneri (18), the two most closely related species based on DNA-based methods and their propensity to cause human disease. There is no reason to suggest a relationship between serovar and species in pathogenic leptospires. In theory, all combinations of pathogenic serovar and species are possible, but the search for all combinations has not been exhaustive as yet. The mosaic-like 16S rRNA gene of L. broomii (compared to those of L. fainei and L. inadai) suggests that there may also have been horizontal transfer of ribosomal genes between leptospires, as has been shown for outer membrane proteins (9) and an intervening sequence (24), but there is no evidence to explain a mechanism.
We sequenced 1,422 to 1,440 bp of the 16S rRNA gene from type strains of Leptospira species, T. parva, and Leptonema illini, in addition to a number of strains representing common serovars. The near-full-length 16S rRNA gene sequences resolved in the present study allow for identification of all Leptospira species. Sequence analysis of 16S rRNA genes is a valuable tool for species identification of isolates (3), but DNA-DNA hybridization is recognized as the definitive methodology for species definition (2, 28). The value of the sequences derived in the present study is greatly enhanced due to the previous characterization of these strains by DNA-DNA hybridization (1, 32). The phylogenetic tree (Fig. 1) confirms the previously described genetic relationships between leptospires, with distinct clades comprised of pathogenic, nonpathogenic, and intermediate species (10, 22).
Only an insertion/deletion and a single base differentiate the type strains of L. interrogans and L. kirschneri (Fig. 2). These species may be confused with each other because they share some serological properties and are frequently encountered as causes of human disease. The close phylogenetic relationship between these two species and between them and L. noguchii was discussed by Haake et al. (9). It is doubtful that these species would have been distinguished by relying on 16S rRNA gene sequence analysis alone without the previous hybridization studies (1, 8, 25). Over-reliance on 16S rRNA gene sequences to choose candidates for DNA hybridization could have also resulted in misidentification of either of these species.
Redundant bidirectional sequencing utilizing 16 primer extension reactions per isolate allowed a greater consistency in resolution of mixed bases or insertion/deletions, as found in L. alexanderi serovars Manhao 3, Manzhuang, and Nanding; L. interrogans serovar Bulgarica; and L. kirschneri serovar Bim. Sequencing the first 500 bases or ignoring mixed bases, while effective for some of the genus Leptospira, would not allow the differentiation between the nonpathogens Leptospira genomospecies 5 and L. meyeri serovar Hardjo or Ranarum (data not shown). Because just one dissimilar base in 1,432 (0.07%) at position 94 and an insertion/deletion at position 784 differentiate the type strains of L. kirschneri and L. interrogans, sequences encompassing at least these positions are required in order to assure correct identification and differentiation of these two species.
Intraspecies distances sometimes exceed the interspecies distances for the 16S rRNA genes of Leptospira. A single base difference differentiated many strains of L. interrogans and L. kirschneri, so phylogenetic representation may be less meaningful than sequence identity over the variable positions. Searching for matching sequences may be performed with public databases by using BLAST or with the specialized 16S database RDPII using Seqmatch (4). BLAST gives higher scores for sequences that are equal in length or shorter than the reference but identical across the region. Seqmatch gives higher scores using mixed bases from sequences of PCR amplification products of multiple operons with a genome and is probably the preferred approach for the identification of unknown isolates.
We have shown that all recognized species of the Leptospiraceae can be identified by using a standardized 16S rRNA gene sequencing approach (27) with universal primers. Early Leptospira sequences in the public databases were frequently short (often stopping at positions where indels occur), were sometimes of poor quality due to early sequencing methods, or were derived from incompletely characterized isolates. With the addition of high-quality sequences, 16S rRNA gene sequencing has become an accurate tool for identification of all described leptospires.
Identification and characterization of leptospiral isolates is based upon polyphasic analysis, with both serological and molecular characterization being essential. For public health purposes it has become essential to identify not only the serovar but also the species of isolates in order to accurately track the transmission of leptospires during outbreaks. An effective vaccine against leptospirosis will probably be composed of serovar- and species-specific antigens. An accurate determination of the burden of disease will depend on both species identification and serovar determination to aid in vaccine development. In combination with the use of a standardized pulsed-field gel electrophoresis approach for serovar identification (R. Galloway and P. N. Levett, Abstr. Int. Conf. Emerg. Infect. Dis. 2004, abstr. 214, 2004), a transition from a serological to molecular identification and characterization of leptospires is now possible.

FOOTNOTES
* Corresponding author. Mailing address: Saskatchewan Health, Provincial Laboratory, 3211 Albert Street, Regina, Saskatchewan S4S 5W6, Canada. Phone: (306) 787-3135. Fax: (306) 787-1525. E-mail:
plevett{at}health.gov.sk.ca.


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Journal of Clinical Microbiology, October 2006, p. 3510-3516, Vol. 44, No. 10
0095-1137/06/$08.00+0 doi:10.1128/JCM.00670-06
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