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Journal of Clinical Microbiology, April 2009, p. 1202-1205, Vol. 47, No. 4
0095-1137/09/$08.00+0 doi:10.1128/JCM.01639-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.
Variable Nucleotide Tandem-Repeat Analysis Revealing a Unique Group of Leptospira interrogans Serovar Pomona Isolates Associated with California Sea Lions
Richard L. Zuerner* and
David P. Alt
Bacterial Diseases of Livestock Research Unit, National Animal Disease Center, P.O. Box 70, Ames, Iowa 50010
Received 22 August 2008/
Returned for modification 24 November 2008/
Accepted 30 January 2009

ABSTRACT
Leptospira interrogans serovar Pomona isolates were compared
by variable nucleotide tandem-repeat typing. Most cattle isolates
grouped together, while isolates from pigs and wildlife were
distributed across several groups. Significantly, California
sea lion isolates formed a unique group, providing evidence
that these animals are maintenance hosts of serovar Pomona.

TEXT
Pathogenic
Leptospira bacteria cause leptospirosis, one of the
most widespread zoonotic diseases known. The presence of
Leptospira-infected
wildlife and domesticated animals poses a persistent public
health threat.
Leptospira bacteria usually gain access to new
hosts by passage across mucous membranes or through skin abrasions,
often from environmental sources, such as urine-contaminated
water. After septicemia, the bacteria localize in the kidneys
and are released back into the environment during urination,
thereby providing a source of infection of naïve animals
(
9).
Leptospira infection leads to one of two outcomes; maintenance
hosts infected by selected serovars develop chronic infections
with few clinical signs, whereas accidental infection of nonmaintenance
hosts often results in an acute infection that may result in
death through multiple organ failure (
9).
Leptospirosis due to L. interrogans serovar Pomona may not follow the maintenance host-accidental host paradigm. Animal populations of the same species can exhibit either chronic or acute infections with serovar Pomona. Restriction fragment length polymorphism (RFLP) analysis of L. interrogans serovar Pomona isolates has revealed the presence of two major subtypes (5, 22) that can be further differentiated by HpaII digestion (2) or IS1500 hybridization (24) patterns. Specific clonal populations, rather than all members of serovar Pomona, may form stable associations with selected maintenance host species (2). To refine our understanding of serovar Pomona-host relationships, variable nucleotide tandem-repeat (VNTR) analysis was used to compare bacterial isolates obtained from different animal species. VNTR loci evolve independently and provide strong support for or against kinship among isolates.
L. interrogans strains (Table 1) were propagated in liquid EMJH medium at 29°C (8, 14). All of the strains (n = 63) included in this study, with the exception of L. interrogans serovar Copenhageni, were identified as L. interrogans serovar Pomona by RFLP analysis (22). Genomic DNA samples prepared as described previously (19) were used as templates for PCR amplification. All of the primers used, except P2447 (5'-CGGTTGCTTTAGGTGAAGCTGTCCAATG-3') and P2498 (5'-TCATTCTCTCTGCGGTCATAGGCATCCC-3'), were described previously (16, 18, 20, 21). P2447 and P2498 were designed and used to amplify a single product from VNTR locus 23 because published primers for this locus generated two products per template. PCR products were separated by agarose gel electrophoresis and visualized as described (Fig. 1) (24), and product sizes were calculated by comparison to size standards (100-bp ladder and 1-kb ladder; Invitrogen, Carlsbad, CA) by using the linear regression function in Excel (Microsoft Corp., Redmond, WA).
PCR products for VNTR loci 4, 7, 10, 23, 27, 29, 30, 31, and
36 (
16,
18,
20,
21) were assessed for all of the strains in
this study. Published primers for the amplification of VNTR
loci 9, 11, 19, and 50 failed to generate products from serovar
Pomona DNA (data not shown) and were not used. The number of
tandem repeats for each VNTR product was calculated from the
predicted product length, less the length of unique sequence
DNA, divided by the length of the repeating unit (Table
1).
The number of tandem-repeat copies of representative PCR products
at loci that varied among
L. interrogans serovar Pomona isolates
was confirmed by DNA sequence analysis as described previously
(
3). (Sequence data used in this study are available in GenBank
under accession numbers EU938676 to EU938693.) Eight VNTR loci,
4, 7, 10, 23, 29, 30, 31, and 36, were used for comparison to
L. interrogans serovar Copenhageni, which was used as an outgroup.
VNTR loci 29, 30, and 36 were invariant among serovar Pomona
isolates but were useful for distinguishing serovar Pomona from
serovar Copenhageni. Serovar Pomona isolates varied at five
VNTR loci, 4, 7, 10, 23, and 31 (Fig.
1). The kinship coefficient
was calculated for each isolate based on VNTR data with Microsat
version 1.5 (
http://hpgl.stanford.edu/projects/microsat/) by
using 6,435 bootstrap replications (the most allowed when using
eight variables). The output was analyzed by neighbor joining
using Neighbor in the PHYLIP software package (
http://evolution.genetics.washington.edu/phylip.html),
and the resulting dendrogram (Fig.
2) was drawn with TREEVIEW
(
17).
Eleven distinct groups of
L. interrogans serovar Pomona isolates
were detected by VNTR analysis and assigned a letter designation
from A to K (Fig.
2). This method detected greater diversity
between serovar Pomona isolates than did HpaII-generated RFLPs
(which identified six distinct types) (
2) but detected fewer
differences than did an IS
1500-based typing method (which detected
15 distinct types) (
24). Most cattle isolates have either a
common VNTR profile ([16/29 or 55%] in group K; Fig.
1) or a
common HpaII-RFLP pattern (type 2) (
2). In contrast, greater
diversity among serovar Pomona isolates from pigs and wildlife
was detected by VNTR analysis than by the HpaII-based method.
The discriminative power of VNTR analysis and the ease with
which results can be compared between laboratories suggest that
this method will be suitable for standardization as a typing
method for
L. interrogans (
16,
18,
20,
21).
A significant finding of this study was that all California sea lions isolates (n = 10) have common VNTR profiles, despite separation by time and geography, and are distinct from all other serovar Pomona isolates (group G, Fig. 1). California sea lion isolates are distinguished by the presence of 10 to 12 repeats at VNTR locus 4, compared to 3 to 7 repeats in all other isolates (Table 1). Isolate Po048, which is unique among California sea lion isolates at VNTR locus 4, was obtained in 1970 during the earliest reported leptospirosis outbreak along the California coast (23); other isolates obtained during subsequent outbreaks (1, 4, 13) were identical to each other. California sea lions are persistently exposed to serovar Pomona during nonoutbreak years (15). Intermittent exposure of California sea lions to the same L. interrogans serovar Pomona clonal population from another host species through accidental exposure over a 37-year period is unlikely (1, 4, 6, 7, 10-13, 23). We conclude that California sea lions are maintenance hosts of L. interrogans serovar Pomona. Persistent Leptospira infection of California sea lions is a potential public health threat; infected animals migrate and become stranded on beaches along the Pacific coast of North America (25) and may transmit disease to humans, pets, and wildlife. Identification of a unique marker (VNTR locus 4) associated with serovar Pomona isolates from California sea lion isolates should be useful for detecting marine mammal-terrestrial mammal disease transmission.

ACKNOWLEDGMENTS
We thank C. Armstrong, G. Songer, D. Miller, M. Wilson, J. Prescott,
C. Kirkbride, F. White, L. Hanson, B. Kingscote, R. Higgins,
S. Reidemann, H. Hill, and P. Donahue for providing strains;
Richard Hornsby, Darrell Bayles, Betsy Bricker, Caroline Cameron,
Tracey Goldstein, Denise Greig, Frances Gulland, Peter Olesiuk,
Wendy Szaniszlo, and Liz Wheeler for assistance with sample
collection and analysis; and Ami Frank for technical assistance.

FOOTNOTES
* Corresponding author. Mailing address: Bacterial Diseases of Livestock Research Unit, National Animal Disease Center, P.O. Box 70, Ames, IA 50010. Phone: (515) 663-7392. Fax: (515) 663-7458. E-mail:
Richard.Zuerner{at}ars.usda.gov 
Published ahead of print on 9 February 2009. 

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Journal of Clinical Microbiology, April 2009, p. 1202-1205, Vol. 47, No. 4
0095-1137/09/$08.00+0 doi:10.1128/JCM.01639-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.