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Journal of Clinical Microbiology, July 2006, p. 2367-2377, Vol. 44, No. 7
0095-1137/06/$08.00+0 doi:10.1128/JCM.00154-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Debra S. King,1,
K. Kealy Peak,1
Frank Reeves,2
Lea Heberlein-Larson,2
William Veguilla,1
L. Heller,1
Kathleen E. Duncan,3
Andrew C. Cannons,1
Philip Amuso,1,2 and
Jacqueline Cattani1
Center for Biological Defense, College of Public Health, University of South Florida, Tampa, Florida,1 Florida Department of Health, Bureau of Laboratories, Tampa, Florida,2 Department of Botany and Microbiology, University of Oklahoma, Norman, Oklahoma3
Received 24 January 2006/ Returned for modification 28 March 2006/ Accepted 4 May 2006
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Because of the initial positive results, the 19 powders and swabs were cultured and all isolates were tested further using the LRN tests, consisting of nonspecific phenotypic physical/biochemical tests and specific molecular methods for B. anthracis such as gamma phage susceptibility testing, cell wall and capsule detection by direct fluorescence antibody tests (DFA), and amplification of targeted DNA sequences by PCR (31). After more tests demonstrated that none of these were B. anthracis, the 19 isolates were given to the Center for Biological Defense for further examination. By in-house real-time PCR assays, 14 of the 19 isolates and respective powders tested positive only for the Ba813 chromosomal element, which is considered to be unique to B. anthracis (19, 22, 23). These were not studied further. Yet, five environmental isolates of the Bacillus genus tested positive for Ba813 and pX02 by PCR and/or showed a positive reaction for the capsule by DFA. The isolates were later identified as three B. cereus isolates, one B. circulans isolate, and one Bacillus isolate not determined to species level.
The DNA targets used for the LRN PCR assay for B. anthracis are sequences that are not specified to LRN personnel and others. Yet it is known that one DNA target sequence is located on the chromosome and the other two targets on the two virulence plasmids, pX01 and pX02 (31). The "toxin" plasmid pX01 contains the lef, pag, and cya genes encoding lethal factor, protective antigen, and edema factor, respectively, and is the larger (184 kb) and purportedly more numerous (24 to 243 copies) of the two plasmids (8). The second plasmid, pX02, is smaller (97 kb) and lower in copy number (1 to 32) and contains a total of 85 open reading frames (ORFs) including the genes that comprise the capsule operon (8). The pX02 plasmid has been reported in the highly related species of B. cereus and B. thuringiensis, but it has never been reported in Bacillus species outside of the B. cereus group (23). Although some of the pX02 plasmid genes have also been reported in the B. cereus and B. thuringiensis chromosomes, none of the capsule genes have been reported in other Bacillus species (3, 5, 10, 21).
Because our initial tests suggested that the two isolates carried one capsule gene, we hypothesized that the full capsule operon of B. anthracis was present on either the chromosome or plasmid. We attempted to identify the capsule operon genes and other ORFs in the two isolates and to determine whether the genes were located on a plasmid or the chromosome.
(These data were presented as abstract Q-195 at the 105th General Meeting of the American Society for Microbiology, Atlanta, Ga., 5 to 9 June 2005.)
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TABLE 1. Results of initial tests of two non-B. anthracis Bacillus species and two control B. anthracis strainsa
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To determine whether there was capsule production by the two Bacillus isolates, they were grown on Biolog universal growth agar (BUG) and TSA with and without 0.8% sodium bicarbonate in 5% CO2 at 35°C for 15 h by following the LRN protocol (31). In addition, capsule formation was examined after growth in an approximately 20% CO2 atmosphere as previously described (12). Isolated colonies were suspended in 60 µl sterile water and adjusted to a 2 McFarland standard optical density. One drop of India ink (Becton Dickinson) was added to the bacterial suspension and mixed. Three microliters of this bacterium-ink mixture was placed on a microscope slide and observed at 1,000x with phase contrast. Control strains were B. anthracis Pasteur CBD 63 (positive) and B. cereus CBD 58 (negative). All DFA tests were repeated by FDOH personnel following the LRN protocols and using the same DFA reagents and control strains.
16S rRNA gene sequencing. DNA was extracted from cells grown overnight in TSB using the MasterPure gram-positive DNA purification kit (Epicenter, Madison, WI). PCR for the 16S rRNA gene amplicon used primers TU102 (5'-AGA GTT TGA TCA/C TGG-3') and TU103 (5'-TAC CTT GTT ACG ACT-3'), comparable to primers 27F and 1492R, respectively, used by Herrick et al. (13). The PCR parameters were as follows: initial heating at 94°C for 4 min followed by 30 cycles of 1 min at 94°C, 2 min at 37°C, and 2 min at 72°C and a final extension at 72°C for 6 min. The amplicon was purified with Montage PCR centrifugal filter devices (Millipore Corporation, Billerica, MA). Sequencing was performed by the Oklahoma Medical Research Foundation DNA sequencing facility using the ABI 3730 capillary sequencer (Applied Biosystems, Foster City, CA) with primers TU102 (27F), TU108 (926F), D907R, and 704F (13, 16). Sequencher (Windows version 4.2; Gene Codes Corp., Ann Arbor, MI) was used to assemble the fragments and to examine the sequences for the presence of conserved regions. The sequencing data were analyzed by comparison of the consensus sequences with the GenBank database (National Center for Biotechnology Information, National Library of Medicine, Bethesda, MD) (http://www.ncbi.nlm.nih.gov/BLAST/) using BLASTN 2.2.12 software (1, 4), and the percentages of similarity to closely related sequences were determined using 1,495 bp (01/06). GenBank bl2seq (29) was used to make the pairwise alignments (01/2006).
Retesting original sample powders. Total DNA was extracted from the original environmental specimens and used as template in a PCR assay for Ba813, an intergenic chromosomal marker for B. anthracis, as previously described (19, 22). In addition, the PCR assays for the pX01 and pX02 plasmids and chromosomal marker were repeated following LRN procedures (31).
DNA extraction. Total DNA was extracted from overnight bacterial growth in TSB using the MasterPure gram-positive DNA purification kit (Epicenter) by following the manufacturer's directions. Plasmid DNA was obtained using the QIAGEN Inc. (Valencia, CA) plasmid Midi kit by following the manufacturer's "very low copy number plasmid" protocol. Concentrated DNA was stored at 30°C, while diluted DNA used for PCR and sequencing was stored at 4°C until needed.
Plasmid restriction digestion. Restriction digestions were performed with 0.3 µl bovine serum albumin (10 mg/ml), 3 µl 10x buffer, 20 to 24 units of restriction enzyme, and approximately 1 µg plasmid DNA in 30-µl volumes (9). Enzymes used were EcoNI (New England BioLabs, Beverly, MA), KpnI, MluI, NotI, PvuI, and XhoI (Promega, Madison, WI). We chose these enzymes after performing a virtual digestion on both the LaserGene MapDraw program (DNAStar, Madison, WI) and a free website at http://restrictionmapper.org (last update 18 January 2003 and last accessed 5 April 2006). Digestion mixtures were incubated for 4 h at optimal temperature for complete digestion and stored at 20°C until needed. B. anthracis Pasteur CBD 63 and B. anthracis CBD 131 were used for comparison. The expected number of DNA bands produced by each digestion was determined by the restrictionmapper and MapDraw programs and were as follows: EcoNI, 10 bands (108, 229, 1,328, 3,344, 4,445, 8,487, 10,658, 16,355, 18,608, and 32,658 bp); KpnI, 4 bands (3,184, 7,712, 23,206, and 62,129 bp); MluI, 3 bands (2,136, 36,871, and 57,224 bp); NotI, 1 band (96,231 bp); PvuI, 4 bands (11,833, 26,226, 26,889, and 31,282 bp); XhoI, 2 bands (14,426 and 81,805 bp). KpnI, MluI, NotI, and XhoI were not expected to cut within any of the targeted sequences. PvuI was expected to cut into the capD gene at location 53115. EcoNI was expected to cut into three targeted genes, repA (location 32669), capD (location 53577), and capA (location 54905). Digestions were repeated to confirm all findings.
PCR. Besides the capsule operon genes, we chose ORFs on pX02 that, to our knowledge, have not been previously identified in B. cereus or B. thuringiensis in either the chromosome or plasmids (21). Together, these sequences comprise only 10.3% of the total plasmid. Primers were designed using LaserGene (DNAStar) and the B. anthracis pX02 sequence obtained from GenBank (accession number NC_002146) (Table 2 and Fig. 1). PCRs on 10-µl mixtures (1.5 mM MgCl2, 1x buffer, 2 µM deoxynucleoside triphosphate, 1.3 µM primers, 0.025 U Taq DNA polymerase; Takara, Madison, WI) were carried out using 10 to 100 ng plasmid-rich template in a T1 thermocycler (Biometra, Horsham, PA) with the following parameters: initial heating for 2 min at 94°C, followed by 40 cycles of 20 seconds at 94°C, 20 seconds at 58 to 70°C, and 3 min at 72°C, with a final extension at 72°C for 7 min. When the desired amplicon was >1 kb in length, the melting and annealing times were increased to 1 min each. Positive (B. anthracis Pasteur CBD 63 and B. anthracis CBD 131) and negative (B. cereus CBD 58 and distilled water [dH2O]) controls were used for all assays.
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TABLE 2. Oligonucleotides used as primers and probes for PCR assays for plasmid sequences
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FIG. 1. Map of oligonucleotide primers and probes for selected genes and ORFs on pX02. The genes were selected because they have not been previously described in the genomes or plasmids of Bacillus species other than B. anthracis, B. cereus, and B. thuringiensis.
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DNA-DNA hybridization. DNA dot blots containing 10 to 100 µg purified total or plasmid DNA and Southern blots from gels were made using an Immobilon-nYplus nylon membrane (Millipore, Bedford, MA) or Roche nylon membrane (Roche Diagnostics, Indianapolis, IN) and prepared by following standard protocols (25). The DNA was bound to the membrane by UV irradiation using the Spectrolinker XL1000 (Spectronics Corporation, Westbury, NY). Oligonucleotide probes specific for internal portions of the targeted genes were designed with LaserGene (DNAStar) (Table 2) and labeled with digoxigenin using the DIG oligonucleotide tailing kit (Roche) in accordance with the manufacturer's instructions. Oligonucleotide probes specific for Ba813 and LRN chromosomal sequence were used to ensure that there was no chromosomal contamination of Southern blots (19). The different probes detected as little as 2 ng of positive DNA. Positive (B. anthracis Pasteur CBD 63 and CBD 131) and negative controls (B. cereus CBD 58 and dH2O) were used with each assay.
Sequencing. Different combinations of forward and reverse primers were tested to determine which pairs produced large amplicons that could be used as a template for the sequencing PCRs (Tables 2 and 3 and Fig. 1). The amplicons from the PCR assays were purified using the Wizard PCR prep kit (Promega, Madison, WI) in accordance with the manufacturer's protocol before use as a template. Additional oligonucleotide primers were designed (Table 2 and Fig. 1) and were used in 25-pmol amounts in dye incorporation PCR cycle sequencing using the CEQ DTCS Quick Start kit (Beckman-Coulter, Fullerton, CA). Sequencing conditions were as follows: 30 cycles of 96°C for 20 seconds, 50°C for 20 seconds, and 60°C for 4 min. The amplicon was held at 4°C until it was precipitated, dried, and resuspended in sample loading solution (Beckman) overlaid with mineral oil and loaded into the CEQ 8000 sequencer (Beckman-Coulter) by following the company protocol. All reactions were performed multiple times, and sequences were obtained in both directions. Contiguous sequences were assembled with the SeqMan program of LaserGene (DNAStar) and compared with four B. anthracis plasmid GenBank sequences for B. anthracis Pasteur (accession numbers NC_002146.1), B. anthracis Ames (accession number AE017335.3), B. anthracis A2012 (accession number AE011191.1), and B. anthracis (accession number AF188935.1) using the NCBI BLASTN software (1, 4) (http://www.ncbi.nlm.nih.gov/BLAST/) (01/06). Sequences from CBD 118 and 119 have been submitted to GenBank.
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TABLE 3. Additional oligonucleotides used for sequencinga the capsule operon and related genesb in the two Bacillus spp.
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When 1,495 bp of 16S rRNA gene sequence was compared to those in the GenBank database, CBD 118 shared 1,454/1,458 bp (99.7%) with unpublished Bacillus benzoevorans (accession number AY043085), 1,477/1,495 bp (98.7%) with Bacillus circulans N3 (accession number AB215100), and 1,470/1,489 bp (98.7%) with B. circulans ATCC 4513 (accession number AY724690). When compared with B. anthracis Ames (accession number AE017024), CBD 118 had less than the requisite 97% sequence similarity (1,399/1,490 bp [93.9%]) for relatedness at the species level (27, 28). Based upon the API system results and 16S rRNA gene sequence similarities, CBD 118 was identified as a Bacillus circulans.
CBD 119 shared 1,478/1,488 bp (99.3%) with Bacillus luciferensis LMG 18422 (accession number AJ419629), the only named Bacillus sp. with which the isolate had greater than 97% sequence similarity. CBD 119 shared 1,414/1,487 bp (95.1%) with B. anthracis Ames (accession number AE017024) and 1,196/1,311 bp (91.2%) with B. laterosporus BL-2 (accession number DQ371289). No Brevibacillus sp. in the GenBank database shared
97% 16S sequence similarity with CBD 119. Therefore, CBD 119 was identified by 16S rRNA gene sequence similarity as a Bacillus sp. closely related to B. luciferensis.
CBD 118, although positive by the capsule DFA test, did not display a visible capsule in India ink mounts by phase contrast after growing overnight on TSA and/or BUG supplemented with 0.8% sodium bicarbonate with 5% or approximately 20% CO2 at 35°C. After growing in either concentration of CO2 on media containing sodium bicarbonate, colonies of the positive control CBD 63 (B. anthracis Pasteur) appeared to generate a distinct wet coating. When observed microscopically, the cells incubated in 5% CO2 produced obvious thin-to-moderate capsules on approximately 50% of cells per microscope field (1,000x). When incubated at the higher CO2 concentration, most of the bacterial cells seen per field possessed thicker capsules. In contrast, the negative controls CBD 58 (B. cereus) and CBD 389 (B. circulans) failed to produce discernible capsules under identical conditions. CBD 119 and CBD 980 (B. luciferensis) failed to thrive on media supplemented with 0.8% sodium bicarbonate. Therefore, they were tested after growing on BUG or TSA plates without added CO2 or in 5% CO2. Although CBD 119 was negative for the B. anthracis capsule by DFA, the strain produced thin but omnipresent capsules with or without CO2. CBD 980 failed to produce capsules under all conditions tested.
After repeated testing of initial assay mixtures, CBD 118 and 119, as well as the original specimens from which they came, were consistently positive by PCR for Ba813, pX02, and the LRN chromosomal marker for B. anthracis, while both isolates were negative for gamma phage susceptibility and the B. anthracis cell wall by DFA (Table 1). Only CBD 118 was positive for the capsule by the initial DFA testing. The test on CBD 118 was performed more than once since it was an unexpected result. When the cryostock vials from the original culture and the official CBD collection were later subcultured (one or two passages) and examined, the DFA results for both CBD 118 and 119 were negative. The same DFA reagents were used throughout the tests although lot numbers did change.
Using previously published primers (23), we established that the two Bacillus isolates also gave positive PCR results for capC (Table 4). Labeled oligonucleotide probes designed from the sequences of 11 ORFs that are located on pX02 hybridized with the dot blots of total DNA and Southern blots of uncut plasmid DNA (Table 4). Probes specific for chromosomal DNA targets hybridized with the total DNA blots only. PCR assays for the 11 ORFs yielded positive results for both isolates (Table 4), while PCR for the chromosomal marker was consistently negative when using the plasmid DNA as a template. Hybridization with labeled probes specific for internal sequences of the different ORFs confirmed that the PCR amplicons were the desired targets.
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TABLE 4. Results of PCR, Southern, and dot blot hybridization for 10 ORFs and the capsule promoter of B. anthracis pX02
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FIG. 2. Restriction enzyme-digested plasmid DNA on 0.7% agarose gels after electrophoresis. (A) B. anthracis CBD 63; (B) CBD 118; (C) CBD 119. Lanes 1, 8, and 15, HindIII-digested Lambda DNA marker; lanes 2, 9, and 16, plasmid DNA digested with EcoNI; lanes 3, 10, and 17, plasmid DNA digested with KpnI; lanes 4, 11, and 18, plasmid DNA digested with MluI; lanes 5, 12, and 19, plasmid DNA digested with NotI; lanes 6, 13, and 20, plasmid DNA digested with PvuI; lanes 7, 14, and 21, plasmid DNA digested with XhoI.
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The restriction pattern of the CBD 119 plasmid was similar but not identical to that obtained from B. anthracis CBD 63 (Fig. 2). Two extra bands were seen in the EcoNI digestion, one at the 23-kb position and one slightly larger. There appears to be one extra band (about 8 kb) in the KpnI digestion, yielding a total of four bands (about 8 kb, 10 kb, 23 kb, and perhaps 62 kb). The MluI and PvuI digestions appeared to produce the same number of DNA bands of similar sizes and intensities for CBD 119 as for CBD 63 (Fig. 2). The digestion with XhoI produced two bands like the digestion of CBD 63 plasmid, but the smaller band is slightly more clearly separated from the larger band, and it is more intense. There was one large band sometimes seen in the NotI digestion that migrated much more slowly, migrating to the same location as the large band seen in the NotI, PvuI, and XhoI digestions of CBD 118; it appears to be either a nicked or torn plasmid.
On Southern blots made from enzyme-digested plasmids, the labeled probes hybridized to bands of similar sizes for CBD 63 and 119 although it was not always clear which of two closely migrating bands hybridized with the probe (Fig. 3). When we probed the Southern blots made from CBD 118 digested DNA for specific genes, the oligonucleotide probes hybridized with different-size bands than seen with CBD 63. For example, in all of the digestions with EcoNI, KpnI, MluI, and NotI, the capC oligonucleotide probes hybridized with the faster, smaller, more intense bands of CBD 118 and not with the larger bands as was seen with both CBD 63 and 119 (Fig. 3). The larger bands seen in the PvuI and XhoI digestions did not consistently hybridize with the capC probe, suggesting that not all of the plasmid copies in the reaction tubes were fully cut when these two digestions were performed.
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FIG. 3. Hybridization of Southern blotted membranes of digested plasmid DNA with capC oligonucleotide probe. (A) B. anthracis CBD 63; (B) CBD 118; (C) CBD 119. Lanes 1, 7, and 13, plasmid DNA digested with EcoNI; lanes 2, 8, and 14, plasmid DNA digested with KpnI; lanes 3, 9, and 15, plasmid DNA digested with MluI; lanes 4, 10, and 16, plasmid DNA digested with NotI; lanes 5, 11, and 17, plasmid DNA digested with PvuI; lanes 6, 12, and 18, plasmid DNA digested with XhoI.
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The only differences were seen in the capD and capsule promoter sequences. The sequences for the capD genes from CBD 118 and 119 had a single nucleotide substitution (A
G) at position 53138 (based upon GenBank accession number NC_002146.1) when compared to B. anthracis (accession number AF188935.1) and B. anthracis Pasteur (accession number NC_002146.1 (Fig. 4) (01/06). This substitution is also seen in CBD 63, CBD 131, B. anthracis A2012 (accession number AE011191.1), and B. anthracis Ames (accession number AE017335.3. However, the amino acid sequences encoded by capD are identical. The capsule operon promoters of both CBD 118 and 119 had identical single base pair substitutions at two different locations (Fig. 5). At position 57837 (based upon NC_002146.1), CBD 118 and 119 show one base pair substitution (A
G). This differs from AE011191.1 and AE017335, yet matches the other B. anthracis sequences. The second base pair substitution is at position 58137 (based upon the GenBank sequence of NC_002146.1), where CBD 118 and 119 have a cysteine (C) matching CBD 63 and 131 instead of a thymine (T) as seen in the other four sequences (NC_002146.1, AF188935.1, AE011191.1, and AE017335) (Fig. 5) (01/06).
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FIG. 4. Partial sequence of the capD gene showing a single base pair difference. At position 53183 (based upon the GenBank sequence of NC_002146.1), CBD 118 and 119 match four of the six sequences of the pX02 of B. anthracis but are different from the other two GenBank sequences (A G) (AF0188935.1 and NC_002146.1). CBD 63 is B. anthracis Pasteur strain, CBD 118 is B. circulans, CBD 119 is a Bacillus sp., and CBD 131 is B. anthracis. Strains designated AF188935.1 (B. anthracis), AE011191.1 (B. anthracis A2012), AE017335.3 (B. anthracis Ames), and NC_002146.1 (B. anthracis Pasteur) are the sequences available in GenBank for the B. anthracis pX02 plasmid.
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FIG. 5. Two partial sequences of the capsule operon promoter showing a single base pair difference at each location. At position 57837 (based upon the GenBank sequence of NC_002146.1), CBD 118 and 119 match four of the six sequences of the pX02 of B. anthracis and differ from the other two sequences (A G). At position 58137 (based upon the GenBank sequence of NC_002146.1 CBD 118 and 119 have a cysteine (C) matching CBD 63 and 131 instead of a thymine (T) as the other sequences from GenBank have. CBD 63 is B. anthracis Pasteur strain, CBD 118 is B. circulans, CBD 119 is a Bacillus sp., and CBD 131 is B. anthracis. AF188935 (B. anthracis), AE011191.1 (B. anthracis A2012), AE017335 (B. anthracis Ames), and NC_002146.1 (B. anthracis Pasteur) are the sequences available on GenBank for the B. anthracis pX02 plasmid.
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We have also shown that the plasmid found in CBD 119, the Bacillus isolate not yet fully identified, has a similar restriction enzyme pattern as pX02 in our B. anthracis Pasteur strain. This plasmid appears to have two EcoNI restriction sites and one KpnI restriction site more than the B. anthracis isolate. Yet, our control B. anthracis also appeared to lose an EcoNI, a KpnI, and a PvuI restriction site and to gain an XhoI site, suggesting that the large plasmid in CBD 119 may still in fact be pX02. This may not be surprising, since pX02 has previously been identified in B. cereus isolates, but this is the first time that a plasmid carrying the pX02 virulence genes has been found in a Bacillus isolate that is not related to B. anthracis or B. cereus. Further work will determine the magnitude of similarity this plasmid has to pX02. We plan to look for more pX02 genes in this plasmid and to eventually fully sequence the two plasmids. Other studies to be undertaken are to explore why the capsule is not expressed although the capsule genes are present and to determine if there is any interaction between these plasmids and the chromosome. Animal studies of these two isolates and the plasmids described above would be additional areas of exploration.
The prevalence of these plasmids in other species of Bacillus is not known. Nor is it known if these plasmids are restricted to the Bacillus genus. We can only speculate as to how or when the two Bacillus isolates obtained the two plasmids, although other researchers report that horizontal transfer of plasmids occurs in Bacillus spp. by conjugation and transduction (2, 24). This raises the possibility that the plasmids could be mobile in other Bacillus species and suggests that more individual isolates of different Bacillus species may also carry the pX02 plasmid or like plasmids. The facts that the sequences of the 10 genes had 100% nucleotide and amino acid identity over the entire lengths of the genes with 9 of the B. anthracis pX02 genes and that the nucleotide difference in capD did not result in different amino acids imply not only that the genes are functional but also that the plasmids have been recently introduced into these two isolates. Mobility of the two plasmids has not yet been studied.
The DFA results were intriguing since they suggest that the B. circulans isolate (CBD 118) expressed an epitope similar to the B. anthracis capsule epitope that is recognized by the test antibody. However, after further culturing, retests using the same reagents with the same and different lot numbers were negative, implying that the ability to express the same epitope was impaired. The Department of Health personnel who performed this test on the isolates are very experienced, and they repeated the assessment at the initial testing. In addition, other personnel also examined the slides and agreed that the DFA test was positive. Therefore, we have full confidence that the test was performed correctly and that the epitope was initially expressed. This suggests a number of possibilities: (i) an environmental change or lack of host-specific factor inhibited capsule expression, (ii) the organism can only express the capsule under specific conditions, (iii) the organism may have a deficiency in the secretion of the capsule, or (iv) regulation of capsule production may differ from B. anthracis.
It is possible that the temperatures and the media used were not optimal for the strain to produce the capsule. CBD 118 and 119 both grew luxuriantly at 30 to 35°C, and, although temperature tolerance was tested, the normal temperatures for culture incubation were not above 37°C. We used TSA and BUG, both supplemented with sodium bicarbonate, before performing India ink mounts and did not examine other media. The FDOH personnel used bicarbonate-supplemented media and horse serum when performing the antibody tests for the capsule. The incubator temperature used was 35 ± 2°C. Therefore, it is possible that the temperature was higher in the initial test and lower in subsequent tests. Other researchers have found that isolates that do not carry the pX01 plasmid needed incubation in 20% CO2 in order to express the capsule (12). In fact, their strains did not express the capsule when incubated in 5% CO2 even when sodium bicarbonate was added to the media. However, our B. anthracis strain (CBD 63) carries only pX02 and expressed the capsule, as seen by both gross examination of colonies and microscopic inspection of India ink mounts, regardless of whether or not the strain was incubated with 5% or 20% CO2. Even at 20% CO2, CBD 118 did not produce any capsule material that we could detect microscopically. Further examination of this organism's capsule operon and its regulation may help us understand what has occurred. In addition, if growth parameters and other conditions can be adjusted and result in capsule formation, we will attempt to directly analyze the capsule material. It is possible that CBD 118 is able to change the epitope or switch from one isomer to another. B. anthracis produces only the D isomer of glutamic acid (30), but perhaps B. circulans cannot normally do this easily and may switch to a mixture or to the L form. This would explain why the DFA results changed from positive to negative, but it does not explain why India ink did not detect a capsule since this test is not based on a specific molecular epitope. The bacterial cell may produce the capsule but may have difficulty in secreting the material to the exterior of the cell. The first positive DFA tests may have been performed on colonies that had lysed cells where the capsule components were released into the environment. Lastly, it may be noteworthy that we had difficulty in sequencing the full promoter sequence of the capsule operon, especially since there was a difference in the nucleotide sequence in both isolates. Perhaps the full promoter sequence is not present. This may explain why the capsule was not expressed in CBD 119, but not why it appeared to be expressed in CBD 118 initially.
The capsule of CBD 119 seen with India ink has not yet been analyzed. Because the antibody tests have been consistently negative for this isolate, the capsule could be composed of different material from that of B. anthracis, even though the B. anthracis capsule operon is present. There may be competition between the production and secretion of the native (Bacillus sp.) capsule material and the "foreign" (B. anthracis) capsule material. This will also be addressed in future studies.
While culturing is the "gold standard" for the isolation and identification of B. anthracis, PCR targeting for the virulence genes on pX01 and pX02 is normally employed as one of the first steps in the LRN protocols for the rapid presumptive detection of B. anthracis in a credible-threat environmental or clinical sample. For example, the genes in the capsule operon have long been successfully exploited for identifying the pX02 plasmid in such testing. However, the Tampa laboratory still identified 19 isolates that were positive for the chromosomal marker and the pX02 plasmid by the LRN protocol and considered the specimens to carry B. anthracis until further testing was performed. In addition, the FDOH laboratory has had specimens that tested positive for the pX02 target and negative for the other targets (chromosomal and pX01) although the exact number of these types of specimens is not known. In our collection of 300 soil, environmental, and clinical isolates of different Bacillus species of the B. cereus group (not including B. anthracis), we have 73 isolates that are positive for only Ba813 and 17 isolates with both Ba813 and pX02. It is also unknown how many other species of Bacillus in the environment have large plasmids that carry these virulence genes or other genes normally found in pX02. To our knowledge, a systematic search for this plasmid or genes in the general soil bacterial population has not been undertaken.
The LRN protocol uses three targetsthe first on the chromosome, the second on pX01, and the third on pX02to determine the presence of B. anthracis in environmental samples. After a colony is confirmed to be B. anthracis by gamma phage assay and DFA, PCR assays are used to confirm the presence of the two plasmids. For detection and identification purposes, the three targets (whether individually present or absent) are equally important. We do not suggest that the LRN discontinue testing for the pX02 plasmid because cases in which a Sterne or Pasteur strain was used would be missed. If there were a real biothreat event, the LRN would attempt to characterize fully the strain of B. anthracis involved and determine the danger to exposed persons. Yet the fact that 11 sequences that we analyzed are not limited to pX02 or to the B. cereus group raises questions about the usefulness of these sequences for detection. Perhaps other sequences carried on pX02 would be better targets for the molecular detection of B. anthracis, targets that are truly unique to this pathogen. Whether there is a sequence on pX02 that is limited to B. anthracis remains to be seen and will be further evaluated as we compare the plasmids from these two isolates to pX02. In conclusion, the presence of these capsule genes in two soil Bacillus species other than B. anthracis alerts us to the necessity of identifying additional genes or sequences that will signal the presence of B. anthracis in forensic, clinical, and environmental samples.
V.A.L. and D.S.K. contributed equally to this paper. ![]()
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