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1996, American Society for Microbiology

Differentiation of Spotted Fever Group Rickettsiae by Sequencing and

Analysis of Restriction Fragment Length Polymorphism of

PCR-Amplified DNA of the Gene Encoding the Protein rOmpA

VERONIQUE ROUX, PIERRE-EDOUARD FOURNIER,

AND

DIDIER RAOULT*

Unite´ des Rickettsies, Faculte´ de Me´decine, Centre National de la Recherche Scientifique EPJ 0054,

13385 Marseille, France

Received 18 January 1996/Returned for modification 7 May 1996/Accepted 28 May 1996

Currently, the genotypic identification of the spotted fever group (SFG) rickettsiae is based on restriction

fragment length polymorphism analysis of PCR-amplified genes coding for the enzyme citrate synthase and the

surface proteins rOmpA and rOmpB. A set of useful restriction endonucleases was found following comparison

of Rickettsia rickettsii and R. prowazekii sequences. However, by using three PCR amplifications and four enzyme

digestions with this set, it was impossible to differentiate between all of the known serotypes of the SFG

rickettsiae. We amplified by PCR and sequenced using an automated laser fluorescent DNA sequencer a

fragment of the gene encoding the protein rOmpA from 21 serotypes of the SFG rickettsiae. A 632-bp

amplification product was obtained for most of the strains, although no product could be obtained by using R.

akari, R. australis, R. helvetica, and R. bellii DNAs. We found a characteristic sequence for all strains studied

except the two isolates of R. massiliae, isolates GS and Mtu1. Using the software package BISANCE, we

determined the restriction map of this fragment and identified five potentially useful endonucleases, RsaI, AluI,

PstI, XbaI, and AvaII. We confirmed the computer analysis-derived profiles by PCR-restriction fragment length

polymorphism analysis. The combination of the profiles obtained after digestion of the PCR product by RsaI

and PstI allowed for the differentiation of 16 strains. The use of AluI and XbaI allowed for the characterization

of R. parkeri and strain HA-91, respectively. R. africae and strain S were differentiated by AvaII digestion. Thus,

using a single PCR amplification, we were able to differentiate all of the SFG rickettsiae whose ompA gene was

amplified by PCR.

The bacteria included in the order Rickettsiales were first

described as short rods and gram-negative bacilli which

re-tained basic fuchsin when they were sre-tained by the method of

Gimenez (21) and which grew in association with eukaryotic

cells (42). Recently, Rickettsia tsutsugamushi, on the basis of

16S rRNA gene sequence analysis, has been excluded from the

genus Rickettsia (39), which presently comprises two groups,

the spotted fever group (SFG) and the typhus group. The

typhus group contains only three species, R. prowazekii, R.

typhi, and R. canada; however, the development of a new cell

microculture isolation technique (the shell vial technique) (28)

has recently led to an increase in the number of recognized

SFG rickettsiae, and at present there are 14 validated species

(R. conorii, R. rickettsii, R. rhipicephali, R. montana, R. japonica,

R. parkeri, R. africae, R. massiliae, R. sibirica, R. bellii, R. akari,

R. australis, R. helvetica, and R. felis [24, 38]), and 12 as yet

unrecognized species (“R. slovaca,” Thai tick typhus rickettsia,

Israeli tick typhus rickettsia, strain HA-91, Astrakhan fever

rickettsia, strain S, strain Bar29, strain MC16, AB bacterium

[43], Flinders Island rickettsia [7], and “R. amblyommii” [34])

have been described. The isolation of SFG rickettsiae from

their arthropod hosts, ticks, is difficult because of the presence

of other less fastidious bacteria associated with the arthropod

and especially because SFG rickettsiae are susceptible to most

antibiotics, which therefore cannot be included in any isolation

or enrichment cultures. The official criterion for the

identifi-cation of the SFG rickettsiae is mouse serotyping (33), and the

antigenic determinant of this serotyping is constituted by two

major envelope proteins of high molecular weight called

rOmpA and rOmpB. However, cross-reactivity between

differ-ent species exists, and moreover, this method requires antisera

and antigens of all of the described serotypes. PCR-based

methods for the identification of SFG rickettsiae are clearly

attractive because they not only circumvent the need for

cul-ture but they also possibly offer more sensitive and specific

alternatives. In 1991 Regnery et al. (35) proposed a method,

based on PCR-restriction fragment length polymorphism

(RFLP) analysis of the gene encoding the rOmpA protein,

which allowed for the differentiation of the nine SFG

rickett-siae studied. In 1994 Eremeeva et al. (19) used a combination

of this approach with a method based on PCR-RFLP analysis

of a fragment of the gene encoding the protein rOmpB to

identify all SFG strains except R. africae and R. parkeri.

A 632-bp amplification product of the ompA gene was

ob-tained for most of the strains and was sequenced. We

deter-mined the restriction map for each sequence and chose

endo-nucleases which allowed the identification of all of the strains

studied except R. akari, R. australis, R. helvetica, and R. bellii,

for which no PCR amplifications were obtained.

MATERIALS AND METHODS

Rickettsial strains.The strains studied are listed in Table 1.

(i) Recognized species.Four strains were obtained from the American Type Culture Collection (ATCC): R. conorii Moroccan (ATCC VR-141), R. conorii Seven (Malish; ATCC VR-613), R. rickettsii R (Bitteroot; ATCC VR-891), and

R. akari VR-148. R. rhipicephali, R. africae, and R. australis were supplied by

G. A. Dasch (Naval Medical Research Institute, Bethesda, Md.). Four strains were a gift from D. H. Walker (University of Texas, Galveston): R. montana, R.

* Corresponding author. Mailing address: Unite

´ des Rickettsies,

Faculte

´ de Me

´decine, Centre National de la Recherche Scientifique

EPJ 0054, 27 Blvd. Jean Moulin, 13385 Marseille, France. Phone: (33)

91-38-55-17. Fax: (33) 91-83-03-90. Electronic mail address: RAOULT

@CITI2.FR.

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japonica, R. parkeri, and R. bellii. R. massiliae Mtu1 and GS were isolated in our

laboratory from ticks found in France and in the province of Fokis in central Greece, respectively. R. sibirica was obtained from the Gamaleya Research Institute Collection. R. helvetica was donated by W. Burgdorfer (Rocky Moun-tain Laboratory, Hamilton, Mont.).

(ii) Unrecognized species.Three strains were a gift from G. A. Dasch: “R.

slovaca,” Thai tick typhus rickettsia, and Israeli tick typhus rickettsia. Indian tick

typhus rickettsia, R. conorii M1, and strain S were obtained from the Gamaleya Research Institute Collection. Strain HA-91 and Astrakhan fever rickettsia were isolated in our laboratory from a tick collected from the Alashian region of the Inner Mongolia autonomous region and from a tick collected in the Astrakhan region of Russia, respectively. Strains Bar29 and MC16 were isolated in the laboratory from ticks collected in Spain and Morocco, respectively.

Rickettsial cultivation and nucleic acid preparation.The rickettsial strains were propagated on Vero cell monolayers (ATCC CRL 1587) in Eagle’s minimal essential medium (MEM; Seromed, Berlin, Germany) supplemented with 4% fetal calf serum (Seromed) and 2 mM glutamine at 328C. Harvesting was done when the degree of infection estimated by Gimenez (21) staining was high (3 to 5 days). Rickettsial cultures were centrifuged (12,0003g for 10 min),

resus-pended in MEM, and stored at2708C.

The bacterial walls of the rickettsiae were lysed during overnight incubation in a mixture of 1% sodium dodecyl sulfate (SDS) and proteinase K (0.2 mg/ml) in an Eppendorf tube at 378C. A phenol extraction and then a phenol-chloroform extraction were carried out after recovery of the aqueous phase. The DNA was precipitated by the addition of 2 volumes of chilled ethanol. The tube was stored overnight at2208C. The pellet of DNA obtained after centrifugation (12,0003

g for 10 min) was washed with cold 70% ethanol (12,0003g for 5 min). The

pellet was then dried and resuspended in sterile distilled water.

PCR amplification and sequencing method.We used the primers Rr 190.70p described by Regnery et al. (35) and primer 190-701, which was chosen from a

conserved region after alignment of the known sequences of R. rickettsii and R.

conorii Malish. The sequencing primers were the same as those used for the PCR

amplification and primers 190-267 and 190-488, which were chosen from con-served regions after alignment of the sequences determined for all strains stud-ied. The primers are described in Table 2.

For PCR amplification one primer was labelled at the 59end with biotin during oligonucleotide synthetis (Eurogentec, Seraing, Belgium), whereas the other was unmodified. Two microliters of the DNA preparation was amplified in a 100-ml reaction mixture containing 10 pmol of each primer; 200mM (each) dATP, dCTP, dGTP, and dTTP (Boehringer Mannheim Biochemicals, Indianapolis, Ind.); 1.25 U of AmpliTaq DNA polymerase (Perkin-Elmer Cetus, Norwalk, Conn.); and 6ml of a 25 mM solution of MgCl2(Perkin-Elmer) in 13Taq buffer

(Perkin-Elmer).

[image:2.612.59.560.81.467.2]

Amplification was carried in a DNA thermal cycler (PTC 200; MJ Research Inc., San Francisco, Calif.) under the following conditions: an initial 3 min of denaturation at 958C was followed by 35 cycles of denaturation for 20 s at 958C,

TABLE 1. Rickettsial strains studied

Rickettsia Strain Source Geographical origin Human disease Reference(s)

R. conorii

Moroccan

Unknown

Morocco

Mediteranean spotted fever

12

R. conorii

Seven (Malish)

Unknown

South Africa

Mediteranean spotted fever

None

R. conorii

M1

Rhipicephalus sanguineus

Georgia, former USSR

23

R. conorii

Indian Tick Typhus

rickettsia

Rhipicephalus sanguineus

India

31

Astrakan fever

rickettsia

A-167

Rhipicephalus pumilio

Astrakhan region,

former USSR

Astrakhan fever

18, 40

Israeli tick

typhus

rickettsia

ISTT CDC1

Human

Israel

Israeli spotted fever

22

R. sibirica

246

Dermacentor nuttali

Former USSR

Siberian tick typhus

12

Strain HA-91

HA-91

Haemophysalis asiaticum

Inner Mongolia

45

R. parkeri

Maculatum 20

Amblyomma maculatum

Mississippi

11

“R. africae”

ESF-5

Amblyomma variegatum

Shulu Province,

Ethiopia

30

Strain S

S

Rhipicephalus sanguineus

Armenia, former

USSR

17

“R. slovaca”

13-B

Dermacentor marginalis

Slovakia

36

Thai tick

typhus

rickettsia

TT-118

Ixodes or Rhipicephalus

sp.

Thailand

37

R. rickettsii

R (Bitterroot)

Dermacentor andersoni

Montana

Rocky Mountain spotted

fever

11

R. japonica

YM

Human

Japan

Oriental spotted fever

41

R. massiliae

Mtu 1

Rhipicephalus turanicus

Camargue, France

9

R. massiliae

GS

Rhipicephalus sanguineus

Greece

6

Strain Bar 29

Bar 29

Rhipicephalus sanguineus

Spain

8

R. rhipicephali

3-7-6

Rhipicephalus sanguineus

Mississippi

15

R. montana

ATCC VR-611

Dermacentor variabilis or

Dermacentor andersoni

Ohio

10

Strain MC16

MC16

Hyaloma marginatum

Morocco

8

R. australis

Phillips

Human

Queensland, Australia

Queensland tick typhus

5

R. akari

MK (Kaplan)

Human

New York, N.Y.

Rickettsialpox

25

R. helvetica

C9P9

Ixodes ricinus

Switzerland

14

R. bellii

369L42-1

Dermacentor variabilis

Ohio

32

TABLE 2. Oligonucleotide primers

Primer Nucleotide sequence (59–39) ompA positions

Rr 190.70p

a

ATG-GCG-AAT-ATT-TCT-CCA-AAA

70–90

190-264

b

CGT-TAT-CTC-ATT-CCA-ATT-AT

264–245

190-485

GCA-AAA-GCT-TAA-CTT-TAA-A

485–503

190-701

a,b

GTT-CCG-TTA-ATG-GCA-GCA-TCT

701–681

aThe primer was used for PCR and the sequencing reaction. bThe primer was located on the complementary strand of DNA.

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annealing for 30 s at 468C, and extension for 1 min at 638C. The amplification was completed by holding for 7 min at 728C to allow complete extension of the PCR products. The success of the amplification was confirmed by resolution of the products by electrophoresis on a 1% agarose gel. The sizes of the PCR ampli-fication products were determined by comparison with a molecular weight stan-dard (marker VI; Boehringer) under UV light following ethidium bromide stain-ing.

The PCR products were purified by using streptavidin-coated magnetic beads (Dynabead M-280; Dynal Inc., Great Neck, N.Y.). Twenty microliters of beads was used for 40ml of amplified DNA product. The beads were washed three times in 13BW buffer (5 mM Tris-HCl [pH 7.5], 0.5 mM EDTA, 1 M NaCl) and were resuspended in 40ml of 23BW buffer. Then, the beads and the DNA were mixed in a 1.5-ml Eppendorf tube, and the mixture was incubated for 30 min with mixing at ambient temperature. The beads and bound DNA were sequestered with a Dynal MPC magnet, the supernatant was discarded, and the beads were washed twice with 13BW buffer. The bound DNA was denatured by adding 8

ml of 0.1 N NaOH. After 5 min of incubation at 378C the supernatant containing the complementary DNA strand was removed and neutralized with 4ml of 0.2 N HCl and 1ml of 1 M Tris-HCl (pH 7.4). The DNA strand that was left bound to the beads was washed once with 50ml of 0.1 N NaOH, once with 40ml of 13BW

buffer, and once with 50ml of water and was suspended in 10ml of distilled water. The Autoread sequencing kit (Pharmacia Biotech Norden, Sollentuna, Sweden) was used to carry out the sequencing reaction. Ten microliters of the bead suspension or the eluted DNA strand solution was used for each sequencing reaction, and the fluorescent primers were labeled at the 59end with fluorescein isothiocyanate (Eurogentec). The following reagents were mixed in a 1.5-ml Eppendorf tube: 10ml of template DNA, 2ml of the selected fluorescent primer (3 pmol/ml), and 2ml of annealing buffer. The tube was incubated at 688C for 10 min and was then left at ambient temperature for 10 min. One microliter of extension buffer, 3ml of dimethyl sulfoxide, and 2ml of T7 DNA polymerase (2.5 U/ml) were added to a tube that had been held at 378C, and immediately, 4.5ml of this mixture was pipetted into each of the four prewarmed sequencing mix-tures. Incubation was continued for 5 min, and 5ml of stop solution was added to each reaction mixture.

Sequencing reactions were resolved on 6% polyacrylamide gels (Ready Mix Gel; A.L.F. grade; Pharmacia) and electrophoresis was performed in the A.L.F. DNA Sequencer (Pharmacia) in 13TBE buffer (pH 8; 44.5 mM Tris-HCl, 44.5 mM boric acid, 1 mM EDTA).

Data analysis.The sequences of the gene coding for the rOmpA protein were aligned by using the multisequence alignment program CLUSTAL within the FIG. 1. Alignment of the nucleotide sequences of the rOmpA protein gene amplified by PCR (primers Rr 190.70p and 190-701). The endonuclease restriction sites are underlined (AluI, AGCT; AvaII, GGWCC; PstI, CTGCAG; RsaI, GTAC; and XbaI, TCTAGA). Homology is indicated by dots. Abbreviations: SEV, R. conorii Seven; MOR, R. conorii Moroccan; M1, R. conorii M1; IND, R. conorii Indian tick typhus rickettsia; AST, Astrakhan fever rickettsia; ISR, Israeli tick typhus rickettsia; SIB, R. sibirica; HA, strain HA-91; PAR, R. parkeri; S, strain S; AFR, R. africae; RR, R. rickettsii; THA, Thai tick typhus rickettsia; SLO, “R. slovaca”; JAP, R. japonica; RHI, R. rhipicephali; MC, strain MC16; MON, R. montana; MAS, R. massiliae; BAR, strain Bar29.

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BISANCE environment (16). The restriction maps of the determined sequences were obtained by using the same program. The percentages of similarity were determined by using the DNASIS software package (Hitachi Software Engineer-ing America, Ltd., Brisbane, Calif.).

PCR-RFLP of the rickettsia strains amplification product.Unmodified prim-ers Rr 190.70p and 190-701 were used to amplify DNA. Enzymatic digestion was performed by incubating 23.5ml of the amplified products with 2.8ml of enzyme buffer and 20 U of endonuclease. Digestion was continued for 3 h at 378C with

PstI, RsaI, and AluI, and the digested products were separated on 8%

polyacryl-amide gels (100 V for 4 h), which were stained with ethidium bromide and examined with a UV transilluminator. Digestion was continued overnight at 378C with XbaI and at 508C with AvaII, and the digested products were separated on a 1% agarose gel with the Mupid-2 minigel electrophoresis system (Eurogentec) for 30 min at 100 V. We used DNA molecular weight markers V and VI (Boehringer Mannheim).

Nucleotide sequence accession numbers.The nucleotide sequence data re-ported in this paper will appear in GenBank under the following accession numbers: U43795 for R. japonica, U43799 for R. massiliae, U43793 for strain GS, U43801 for R. montana, U43803 for R. rhipicephali, U43792 for strain Bar29, U43800 for strain MC16, U43804 for R. rickettsii, U43808 for “R. slovaca,” U43809 for Thai tick typhus rickettsia, U43807 for R. sibirica, U43796 for HA-91, U43802 for R. parkeri, U43790 for R. africae, U43805 for strain S, U43797 for Israeli tick typhus rickettsia, U43791 for Astrakhan fever rickettsia, U45244 for

R. conorii Moroccan, U43794 for R. conorii (Indian tick typhus rickettsia),

U43806 for R. conorii Malish, and U43798 for R. conorii M1.

RESULTS

PCR amplification.

For PCR amplification we used one of

the primers described by Regnery et al. (35), Rr 190.70p, and

a consensus primer from the R. conorii Seven and R. rickettsii

sequences which hybridized to the ompA gene close to the 5

9

end of the tandemly repeat units, primer 190-701. It was

pos-sible to obtain amplification with all of the strains studied

except R. bellii, R. akari, R. australis, and R. helvetica even if the

annealing temperature was reduced to below 46

8

C. The length

of the fragments obtained for most of the studied strains was

632 bp. For three strains the product was smaller because of

deletions of 156, 24, and 3 bp for R. conorii M1, R. conorii

Moroccan, and R. montana, respectively. For R. conorii Indian

tick typhus rickettsia, an insertion of 3 bp was noted, and so the

fragment was 635 bp (Fig. 1).

Sequence analysis.

For all PCR products both DNA strands

were sequenced twice. A specific sequence was obtained for all

of the rickettsial strains tested except the two isolates of the

species R. massiliae, isolates GS and Mtu1. The strains shared

between 99.3 and 67.1% sequence similarity. Following

multi-ple alignment of the sequences, several insertions and

dele-tions were noted. For example, the insertion of the codon TTT

(nucleotides 191 to 193) was found in only three strains of R.

conorii (strains Seven, Moroccan, and M1). The deletion of

codon AAT (nucleotides 250 to 252) was found in the four

strains of R. conorii (strains Seven, Moroccan, and M1 and the

Indian tick typhus rickettsia). We also noted mutations

char-acteristic of a group of rickettsial strains, for example, the

transition T/C in R. rhipicephali, strain MC16, R. montana, R.

massiliae, and strain Bar29 (nucleotide 340) or the transition

C/T in R. sibirica, strain HA-91, R. parkeri, strain S, and R.

africae (nucleotide 435).

The sequence of R. rickettsii was identical to the one

pub-lished by Anderson et al. (3). Recently, the sequence of the

PCR product amplified from R. japonica with the primer pair

Rr 190.70p and Rr 190.602n was published (44). It was

iden-tical to the one that we determined.

[image:4.612.59.296.52.649.2]

Restriction maps.

Using a software package of the French

service BISANCE, the suitabilities of a large number of

endo-nucleases could be assessed. After preliminary analysis of the

data we selected five enzymes which allowed for the

identifi-cation of all of the species studied: PstI, RsaI, AluI, XbaI, and

AvaII. For PstI we obtained a specific profile with seven strains

(Moroccan, M1, Indian tick typhus rickettsia, Israeli tick

ty-phus rickettsia, “R. slovaca,” R. massiliae, and R. montana)

(Fig. 2). We obtained the same profiles for Astrakhan fever

rickettsia, R. sibirica, HA-91, R. parkeri, R. africae, and strain S;

seven R. rickettsii and Thai tick typhus rickettsia; R. japonica

and MC16; and Bar29 and R. rhipicephali. For RsaI we noted

a specific profile with eight strains (Moroccan, M1, Indian tick

FIG. 1—Continued.

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typhus rickettsia, Thai tick typhus rickettsia, R. japonica, R.

rhipicephali, MC16, and R. montana) (Fig. 3). We obtained the

same profiles for R. conorii Seven, Astrakhan fever rickettsia,

and Israeli tick typhus rickettsia; HA-91, R. parkeri, R. africae,

and strain S; R. sibirica, R. rickettsii and R. slovaca; and R.

massiliae and Bar29. For AluI we obtained a specific profile for

eight strains (Moroccan, M1, Indian tick typhus rickettsia,

As-trakhan fever rickettsia, R. sibirica, R. parkeri, R. rickettsii, and

R. montana) (Fig. 4). We obtained the same profile for R.

conorii Seven, Israeli tick typhus rickettsia strain HA-91, R.

africae, strain S, Thai tick typhus rickettsia, and “R. slovaca”;

and R. japonica, R. massiliae, Bar29, R. rhipicephali, and MC16.

If we combined the profiles obtained with these three

endo-nucleases it was possible to identify all strains except HA-91, R.

africae, and strain S. The characterization of HA-91 was

ob-tained with the XbaI profile, and the differentiation of R.

afri-cae and strain S was obtained by comparison of the AvaII

profiles (Fig. 5).

PCR-RFLP analysis of the amplification products of the

rickettsial strains.

We tested the five endonucleases chosen

and found the profiles hypothesized by analysis of the obtained

sequences with the software package of the French service

BISANCE (Fig. 6 and 7). For XbaI digestion, it was impossible

to obtain total digestion with the PCR-amplified product from

strain HA-91, but the digested fragments obtained were those

expected.

DISCUSSION

SFG rickettsiae are obligate intracellular (sometimes

in-tranuclear) bacteria which are transmitted via arthropod

vec-tors, in whom they are maintained by transovarial transmission

(13). They have a worldwide distribution that is determined by

the geographic distribution of infected ticks and mites. The

introduction and the development of improved culture and

identification methods have allowed for the characterization of

more and more isolates of SFG rickettsiae over the past few

years, and this in turn has led to the identification of new

species and the reevaluation of the distribution of the

recog-nized species. Some of the SFG rickettsiae are pathogenic for

humans and are responsible for tick-borne spotted fevers in

which the principal symptoms consist of fever, headache, and

eruption (R. conorii, R. rickettsii, R. akari, R. australis, R.

sibirica, R. japonica, Israli tick typhus rickettsia, Astrakhan

fever rickettsia, R. africae. Flinders Island spotted fever isolate,

and R. felis). Although other strains have only been isolated

from ticks, it is unwise to consider them nonpathogenic for

humans; R. africae was isolated from a patient in Zimbabwe

(26, 27) some 40 years after the characterization of the same

serotype in one tick in Ethiopia (30).

[image:5.612.61.552.65.358.2]

Although PCR with specific primers is recognized as a

sen-sitive method for the detection of bacterial DNA and

PCR-RFLP analysis has proven to be a rapid method for their

identification, few SFG rickettsiae genes have been sequenced

to date. Those which have been sequenced include the genes

encoding two surface proteins, rOmpA and rOmpB. Their

significance is evidenced by their surface location (1),

immu-nogenicity for humans and mice (1, 20), and the fact that the

rOmpA protein functions as a protective immunogen in guinea

pigs (29). The rOmpA protein seems to be specific to the SFG

rickettsiae. It has been characterized by SDS-polyacrylamide

gel electrophoresis (PAGE), Western blotting

(immunoblot-ting) (9, 20), and PCR-RFLP analysis in most of these bacteria

(19, 35). Because both the gene and its product demonstrate

FIG. 2. Schematic representation of the profiles obtained after enzymatic digestion with PstI of PCR-amplified DNA derived from the ompA genes of 20 strains of the SFG rickettsiae. The profiles were deduced from the sequences that were determined. Fragment sizes are in base pair (boxed), and total fragment sizes are indicated. The strains with specific profiles are underlined. See Fig. 1 legend for definitions of strain abbreviations.

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marked diversity within the SFG rickettsiae (contrary to the

gene coding for a protein of 17 kDa [4] and the gene encoding

citrate synthase [35]), it is potentially a good tool for the

differentiation of the SFG rickettsiae. The first methods used

for identification were serotyping by

microimmunofluores-cence (33) and SDS-PAGE (2). However, because both

meth-ods require culture of all of the recognized serotypes and

microimmunofluorescence requires the production of

[image:6.612.62.556.81.359.2]

antibod-FIG. 3. Schematic representation of the profiles obtained after enzymatic digestion with RsaI of PCR-amplified DNA derived from the ompA genes of 20 strains of the SFG rickettsiae. See Fig. 1 and 2 legends for definitions of abbreviations and symbols, respectively.

FIG. 4. Schematic representation of the profiles obtained after enzymatic digestion with AluI of PCR-amplified DNA derived from the ompA genes of 20 strains of the SFG rickettsiae. See Fig. 1 and 2 legends for definitions of abbreviations and symbols, respectively.

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ies in laboratory animals, both techniques are long and

mate-rial-consuming and are sometimes hazardous. In 1991 Regnery

et al. (35) introduced an identification method for the SFG

rickettsiae based on PCR-RFLP of a fragment of the gene

encoding the rOmpA protein. The nine different strains

in-cluded in the present study could be differentiated from one

another by using a combination of PstI and RsaI. Interestingly,

two slightly different profiles were obtained for the Seven and

Moroccan strains of the species R. conorii. In 1994 Eremeeva

et al. (19) expanded this approach to the study of 36 strains of

the SFG rickettsiae. It was possible to differentiate all of these

strains except R. africae and R. parkeri by using a combination

of three amplifications and four enzyme digestions, and a

fur-ther specific profile was found for anofur-ther isolate of R. conorii,

isolate M1. In both of the studies enzymes were chosen

em-pirically following comparison of only the R. rickettsii and R.

prowazekii rOpmA gene sequences. Subsequently, new isolates

which also cannot be characterized by these methods have

been described: strain HA-91 (45), strain S, (17), and

Astra-khan fever rickettsia (18).

[image:7.612.92.273.72.277.2]

In the work described here we sequenced an amplified

frag-ment of the ompA gene from SFG rickettsiae in order to

provide a rationale for their identification by PCR-RFLP

anal-ysis. We sequenced a fragment of the gene slightly longer than

the one amplified by Regnery et al. (35) from all of the

de-scribed strains of the SFG rickettsiae except “R. amblyommii,”

Flinders Island spotted fever isolate, R. felis, and the AB

bac-terium, which were not available in our laboratory. Our

objec-tive was to determine enzymes which would allow for the

identification of all of the strains of SFG rickettsiae studied

and to obtain an exact size of the different fragments generated

after endonuclease restriction. Our results were in

concor-dance with those of Regnery et al. (35) and Eremeeva et al.

(19). PCR-amplified fragments of 632 bp were obtained from

all strains except for R. conorii M1, R. conorii Moroccan,

In-dian tick typhus rickettsia, and R. montana. These strains

pos-sessed either insertions or deletions of one or several codons.

We used primer 190-701 instead of primer Rr 190.602n

be-cause amplification yielded a fragment which after digestion

with PstI allowed for the differentiation of Astrakhan fever

rickettsia and Israeli tick typhus rickettsia and which after

digestion with RsaI allowed for the differentiation of MC16

and R. rhipicephali. Three endonucleases were found to be

particularly useful; RsaI, AluI, and PstI allowed for the

char-acterization of eight, eight, and seven strains, respectively. The

combination of the profiles obtained with two of these three

enzymes allowed for the identification of all of the strains

studied with the exception of strain HA-91, R. africae, and

strain S. HA-91 did, however, possess a specific site for XbaI at

position 411, and strain S possessed a site for AvaII at position

301 which was present in the other strains but which was absent

from R. africae. Thus, by using the combined profiles obtained

with the five endonucleases, it was possible to differentiate

between all the strains which yielded a PCR product. It was

interesting that we obtained amplification of different sizes for

four isolates of the species R. conorii (M1, Moroccan, Indian

tick typhus rickettsia, and Seven) and, therefore, different

pro-files after enzymatic digestion. We tested six other strains of R.

conorii, five strains from humans isolated in our laboratory and

one strain isolated from a tick (Kenya tick typhus rickettsia

[12]), and found the same sequence as that obtained for R.

[image:7.612.60.296.510.648.2]

FIG. 5. Proposed algorithm for the identification of the SFG rickettsiae by PCR-RFLP analysis of a fragment of the gene encoding the rOmpA protein. (a) Endonucleases used to obtain identification of the strains by combination of the profiles obtained. (b) Strains characterized after combined PCR-RFLP analysis with the endonucleases described. The definitions of the strain abbreviations are given in the Fig. 1 legend.

FIG. 6. Ethidium bromide-stained polyacrylamide gel of an AluI restriction endonuclease digest of DNA amplified by using the Rr 190.70p and 190-701 primer pair. Lane 1, R. conorii Seven; lane 2, R. conorii Moroccan; lane 3: R.

conorii M1; lane 4, R. conorii Indian tick typhus rickettsia; lane 5, Astrakhan

fever rickettsia; lane 6, Israeli tick typhus rickettsia; lane 7, R. sibirica; lane 8, strain HA-91; lane 9, R. parkeri; lane 10, R. africae; lane 11, strain S; lane 12, R.

rickettsii; lane 13, Thai tick typhus rickettsia, lane 14, “R. slovaca”; lane 15, R. japonica; lane 16, R. rhipicephali; lanes S, standard DNA size marker V (sizes are

in base pairs).

FIG. 7. Negative image of an ethidium bromide-stained agarose gel of the PCR-RFLP patterns of Rickettsia species. DNAs were amplified by using Rr 190.70p and 190-701 primers and were digested with XbaI (lane 1, R. africae; lane 2, R. parkeri; lane 3, strain S; lane 4, strain HA-91) and AvaII (lane 5, R. parkeri; lane 6, strain S; lane 7, R. africae; lane 8, strain HA-91). Lanes S, standard DNA size marker VI (sizes are in base pairs).

on May 15, 2020 by guest

http://jcm.asm.org/

(8)

conorii Seven, so it seems that this strain is typical of the

species R. conorii.

ACKNOWLEDGMENT

We are grateful to Richard Birtles for reviewing the manuscript.

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V

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. 34, 1996

DIFFERENTIATION OF SPOTTED FEVER GROUP RICKETTSIAE

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Figure

TABLE 1. Rickettsial strains studied
FIG. 1—Continued.
FIG. 2. Schematic representation of the profiles obtained after enzymatic digestion with Pstof the SFG rickettsiae
FIG. 3. Schematic representation of the profiles obtained after enzymatic digestion with RsaI of PCR-amplified DNA derived from the ompA genes of 20 strainsof the SFG rickettsiae
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References

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