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JOURNAL OF CLINICAL MICROBIOLOGY, June 2003, p. 2537–2546 Vol. 41, No. 6<br />

0095-1137/03/$08.000 DOI: 10.1128/JCM.41.6.2537–2546.2003<br />

Copyright © 2003, American Society for Microbiology. All Rights Reserved.<br />

<strong>Species</strong>-<strong>Specific</strong> <strong>Identification</strong> <strong>of</strong> <strong>Campylobacters</strong> <strong>by</strong> <strong>Partial</strong> <strong>16S</strong> rRNA<br />

Gene Sequencing<br />

Gregor Gorkiewicz, 1 * Gebhard Feierl, 2 Caroline Schober, 1 Franz Dieber, 3 Josef Köfer, 3<br />

Rudolf Zechner, 1 and Ellen L. Zechner 1<br />

Institute <strong>of</strong> Molecular Biology, Biochemistry and Microbiology 1 and Institute <strong>of</strong> Hygiene, 2 Karl-Franzens University,<br />

and Department <strong>of</strong> Veterinary Administration in Styria, 3 Graz, Austria<br />

Received 4 November 2002/Returned for modification 8 January 2003/Accepted 4 March 2003<br />

<strong>Species</strong>-specific identification <strong>of</strong> campylobacters is problematic, primarily due to the absence <strong>of</strong> suitable<br />

biochemical assays and the existence <strong>of</strong> atypical strains. <strong>16S</strong> rRNA gene (<strong>16S</strong> rDNA)-based identification <strong>of</strong><br />

bacteria <strong>of</strong>fers a possible alternative when phenotypic tests fail. Therefore, we evaluated the reliability <strong>of</strong> <strong>16S</strong><br />

rDNA sequencing for the species-specific identification <strong>of</strong> campylobacters. Sequence analyses were performed<br />

<strong>by</strong> using almost 94% <strong>of</strong> the complete <strong>16S</strong> rRNA genes <strong>of</strong> 135 phenotypically characterized Campylobacter<br />

strains, including all known taxa <strong>of</strong> this genus. It was shown that <strong>16S</strong> rDNA analysis enables specific<br />

identification <strong>of</strong> most Campylobacter species. The exception was a lack <strong>of</strong> discrimination among the taxa<br />

Campylobacter jejuni and C. coli and atypical C. lari strains, which shared identical or nearly identical <strong>16S</strong> rDNA<br />

sequences. Subsequently, it was investigated whether partial <strong>16S</strong> rDNA sequences are sufficient to determine<br />

species identity. Sequence alignments led to the identification <strong>of</strong> four <strong>16S</strong> rDNA regions with high degrees <strong>of</strong><br />

interspecies variation but with highly conserved sequence patterns within the respective species. A simple<br />

protocol based on the analysis <strong>of</strong> these sequence patterns was developed, which enabled the unambiguous<br />

identification <strong>of</strong> the majority <strong>of</strong> Campylobacter species. We recommend <strong>16S</strong> rDNA sequence analysis as an<br />

effective, rapid procedure for the specific identification <strong>of</strong> campylobacters.<br />

* Corresponding author. Mailing address: Institute <strong>of</strong> Molecular<br />

Biology, Biochemistry and Microbiology, Karl-Franzens University,<br />

Graz, Heinrichstr. 31a, A-8010 Graz, Austria. Phone: 43-316-380-1902.<br />

Fax: 43-316-380-9016. E-mail: gregor.gorkiewicz@uni-graz.at.<br />

Campylobacter species are important pathogens that cause a<br />

variety <strong>of</strong> diseases in humans and animals (26, 43). The most<br />

prominent members <strong>of</strong> these proteobacteria are the species<br />

Campylobacter coli and C. jejuni, the latter <strong>of</strong> which is considered<br />

the most common cause <strong>of</strong> acute bacterial enteritis worldwide<br />

(3). To date, the genus Campylobacter comprises 16 species,<br />

and among them several species other than C. jejuni and<br />

C. coli are becoming increasingly recognized as significant human<br />

pathogens (26). However, recovery and identification <strong>of</strong><br />

these species require specialized preparatory procedures for<br />

specimens, such as filtration steps and selective incubation<br />

methods (e.g., the use <strong>of</strong> a hydrogen-enriched atmosphere)<br />

(26). Since most routine laboratories do not use these techniques,<br />

infections caused <strong>by</strong> these taxa are likely to be underdiagnosed<br />

(13, 27). In addition, phenotypic tests have only a<br />

limited discriminatory potential for the distinctive identification<br />

<strong>of</strong> Campylobacter species. These pathogens are slowly<br />

growing, fastidious organisms and are considered biochemically<br />

unreactive. As a result, extensive identification schemes<br />

comprising up to 67 phenotypic features are used to correctly<br />

identify the entire spectrum <strong>of</strong> campylobacteria (40). Moreover,<br />

the phenotypic tests used in most routine laboratories<br />

lack standardization, although it is known that even minor<br />

parameters such as the inoculum size affect the results (39).<br />

The existence <strong>of</strong> biochemically atypical strains, which exhibit<br />

unusual phenotypic pr<strong>of</strong>iles, represents an additional challenge<br />

(36). In these cases not even lengthy and extensive laboratory<br />

procedures make an unequivocal identification <strong>of</strong> the respective<br />

species possible. Taken together, identification <strong>of</strong> campylobacters<br />

to the species level is a difficult and <strong>of</strong>ten unsuccessful<br />

task.<br />

Ribosomal DNA sequencing has greatly facilitated the identification<br />

<strong>of</strong> bacteria, especially in the case <strong>of</strong> fastidious pathogens<br />

for which conventional methods fall short (9, 20, 24, 45).<br />

The aim <strong>of</strong> this study was to investigate the utility <strong>of</strong> <strong>16S</strong> rRNA<br />

gene (<strong>16S</strong> rDNA) sequencing for the species-specific identification<br />

<strong>of</strong> campylobacters. For this purpose, comparisons <strong>of</strong> 135<br />

<strong>16S</strong> rDNA sequences <strong>of</strong> all taxa <strong>of</strong> the genus Campylobacter<br />

known to exist were performed. Fifty sequences were taken<br />

directly from GenBank, and the sequences <strong>of</strong> 85 cultivated<br />

strains were determined. The advantages as well as the limitations<br />

<strong>of</strong> this strategy are discussed. In addition, a simple protocol<br />

for the rapid identification <strong>of</strong> campylobacters, based on<br />

partial sequence analysis <strong>of</strong> variable <strong>16S</strong> rDNA regions, was<br />

established.<br />

MATERIALS AND METHODS<br />

Bacterial strains and growth conditions. Eighty-five bacterial strains were<br />

cultivated to obtain their <strong>16S</strong> rDNA sequences. Among these 85 strains, 34 were<br />

directly obtained from national culture collections (American Type Culture<br />

Collection [ATCC]; Belgian Coordinated Collection <strong>of</strong> Microorganisms, University<br />

<strong>of</strong> Ghent, Belgium [LMG]; Culture Collection, University <strong>of</strong> Göteborg,<br />

Göteborg, Sweden [CCUG]) and 51 were recently isolated field strains. The<br />

strains and their sources are given in Table 1. All strains were plated on Columbia-blood<br />

agar plates containing 5% defibrinated sheep blood (bioMerieux,<br />

Marcy l’Etoile, France) and were incubated at 37°C in a microaerophilic atmosphere<br />

(Genbox microaer; bioMerieux) for 48 h. The anaerobic species C. gracilis<br />

and C. rectus were grown under the same conditions but in an anaerophilic<br />

atmosphere (Genbox anaer; bioMerieux).<br />

<strong>Species</strong> characterization. The identities <strong>of</strong> bacterial strains obtained from<br />

culture collections were verified <strong>by</strong> Gram staining and microscopy. <strong>Species</strong>specific<br />

identification <strong>of</strong> field strains was performed <strong>by</strong> standard phenotypic tests,<br />

as described in the literature (26, 34, 36). Strains were initially analyzed for the<br />

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2537


2538 GORKIEWICZ ET AL. J. CLIN. MICROBIOL.<br />

TABLE 1. Sources <strong>of</strong> <strong>16S</strong> rRNA sequences used in this study a<br />

<strong>Species</strong> Strain Source (if known) GenBank accession no. b Reference<br />

C. fetus subsp. fetus (n 15) ATCC 27374 T Ovine, France M65012<br />

F-107/4132 Bovine, Australia AF550618 This study<br />

F-133/4369 Bovine, Australia (AF550618) This study<br />

H00/415 Human, Austria AF550619 This study<br />

H97/292 Human, Austria (AF550619) This study<br />

H97/343 Human, Austria (AF550619) This study<br />

H99/537 Human, Austria (AF550619) This study<br />

L487 Human, Austria (AF550619) This study<br />

F-RK Human, Austria (AF550619) This study, 25<br />

F1-O2 Bovine, Germany (AF550619) This study<br />

F2-B88 Bovine, Austria (AF550619) This study<br />

F3-H88 Bovine, Austria (AF550619) This study<br />

F4-S88 Bovine, Austria (AF550619) This study<br />

F1-B398/2 SK Bovine, Austria (AF550619) This study<br />

F-94/4256 Ovine, Australia (AF550619) This study<br />

C. fetus subsp. venerealis (n 11) ATCC 19438 T Bovine, England M65011<br />

V1-O1 Germany (AF550619) This study<br />

V2-O1 Germany (AF550619) This study<br />

V3-O1 Germany (AF550619) This study<br />

V4-D96 Bovine, Austria (AF550619) This study<br />

V5-G91 Bovine, Austria (AF550619) This study<br />

V6-Th15 Bovine, Austria (AF550619) This study<br />

V7-Th24 Bovine, Austria (AF550619) This study<br />

V-80/4172 Bovine, Australia (AF550619) This study<br />

V-108/4111 Bovine, Australia (AF550619) This study<br />

V-121/4401 Bovine, Australia (AF550619) This study<br />

C. coli (n 11) LMG 9220 Human, Belgium AF550620 This study<br />

LMG 15883 Porcine, Australia AF550621 This study<br />

LMG 15884 Porcine, Australia AF550622 This study<br />

H99/119 Human, Austria AF550623 This study<br />

H99/164 Human, Austria (AF550623) This study<br />

B99/222 Human, Austria (AF550623) This study<br />

H99/155 Human, Austria AF550624 This study<br />

B99/131 Human, Austria AF550625 This study<br />

B99/90 Human, Austria (AF550625) This study<br />

ATCC 33559 T , CCUG 11283 c Porcine, Belgium M59073, L04312<br />

RMIT32A<br />

L19738<br />

C. jejuni subsp. jejuni (n 14) LMG 9217 Human, Belgium AF550626 This study<br />

B99/207 Human, Austria (AF550626) This study<br />

B99/210 Human, Austria (AF550626) This study<br />

B99/223 Human, Austria (AF550626) This study<br />

H99/241 Human, Austria (AF550626) This study<br />

H99/240 Human, Austria AF550628 This study<br />

B99/224 Human, Austria AF550629 This study<br />

B99/206 Human, Austria AF550630 This study<br />

H99/244 Human, Austria (AF550630) This study<br />

H99/246 Human, Austria (AF550630) This study<br />

H99/245 Human, Austria (AF550630) This study<br />

ATCC 33560 T , CCUG 11284 c Bovine M59298, L04315<br />

NCTC 11168 Human AL111168<br />

ATCC 43431 Human Z29326<br />

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C. jejuni subsp. doylei (n 3) LMG 9243 Human, Belgium AF550627 This study<br />

CCUG 24567 Human, Australia L14630<br />

SS1-5384-98<br />

Y19244<br />

C. lari (n 6) LMG 7607 Human AF550631 This study<br />

LMG 11251 Belgium AF550632 This study<br />

LMG 11760 Human, Canada AF550633 This study<br />

LMG 14338 Human, Belgium AF550634 This study<br />

CCUG23947 T Avian L04316<br />

CF89-12<br />

AB066098<br />

C. sputorum (n 9) LMG 10388 Ovine, Sweden AF550635 This study<br />

LMG 11761 Human, Canada AF550636 This study<br />

LMG 6617 Ovine AF550637 This study<br />

CSP-1 Bovine, Austria AF550638 This study<br />

CSP-2 Bovine, Austria AF550639 This study<br />

CSP-3 Bovine, Austria (AF550639) This study<br />

ATCC 33491<br />

L04319<br />

BU-112B<br />

AF022768<br />

LMG7795 T<br />

X67775<br />

Continued on following page


VOL. 41, 2003 SPECIES-SPECIFIC IDENTIFICATION OF CAMPYLOBACTERS 2539<br />

TABLE 1—Continued<br />

<strong>Species</strong> Strain Source (if known) GenBank accession no. b Reference<br />

C. upsaliensis (n 10) LMG 8851 Human, United Kingdom AF550640 This study<br />

LMG 7915 Human, United States (AF550640) This study<br />

SK H5 Canine, Germany (AF550640) This study, 33<br />

J31.000 Human, Austria (AF550640) This study<br />

LMG 8853 Human, Australia AF550641 This study<br />

H29 Canine, Germany AF550642 This study, 33<br />

H37 E/1 Canine, Germany AF550643 This study, 33<br />

H53 E/ccda Canine, Germany AF550644 This study, 33<br />

L461 Human, Austria AF550645 This study<br />

CCUG 14913 Canine, Sweden L14628<br />

C. helveticus (n 4) LMG 12639 Feline, Switzerland AF550646 This study<br />

CCUG 30563 Feline, Switzerland AF550647 This study<br />

CCUG34016 Feline, Sweden AF550648, AF550649 This study<br />

NCTC 12470 T Feline U03022<br />

C. curvus (n 5) LMG 11034 Human, United States AF550650 This study<br />

LMG 11127 Belgium AF550651 This study<br />

LMG 13936 Human, Belgium AF550652 This study<br />

ATCC 35224 T Human, United States L04313<br />

C10ETOH<br />

L06976<br />

C. concisus (n 5) LMG 7545 Human, Sweden AF550653 This study<br />

LMG 7961 Human, Sweden (AF550653) This study<br />

LMG 13937 Human, Belgium AF550654 This study<br />

ATCC 33237 T Human L04322<br />

FDC 288 Tanner<br />

L06977<br />

C. showae (n 3) LMG 12636 Human, United States AF550655 This study<br />

CCUG 11641 Human, Sweden L06975<br />

CCUG 30254 T Human, United States L06974<br />

C. gracilis (n 5) LMG 7616 United States AF550656 This study<br />

CCUG 13143 Human, United States AF550657 This study<br />

CCUG 27721 United States AF550658 This study<br />

ATCC 33236 T Human, United States L04320<br />

L37787<br />

C. rectus (n 4) LMG 7611 Human, Sweden AF550659 This study<br />

LMG 7612 Human, Sweden (AF550659) This study<br />

ATCC 33238 T Human L04317<br />

CCUG 19168 Human, Sweden L06973<br />

C. mucosalis (n 5) ATCC 49352 Porcine, Scotland AF550660 This study<br />

ATCC 49353 Porcine, Scotland AF550661 This study<br />

ATCC 49354 Porcine, Scotland AF550662 This study<br />

ATCC 43265 Porcine AF550663 This study<br />

CCUG 6822 T Porcine L06978<br />

C. hyointestinalis subsp.<br />

hyointestinalis (n 10)<br />

C. hyointestinalis subsp.<br />

lawsonii (n 6)<br />

H01/12 Human, Austria (AF097681) This study<br />

ATCC35217 Porcine, United States M65010<br />

NCTC11608 T Porcine, United States AF097689 19<br />

SVS 3038 Porcine, Denmark AF097691 19<br />

SCRL 0425 Bovine, Scotland AF097681 19<br />

SCRL 0943 Bovine, Scotland AF097682 19<br />

SVS 3035 Porcine, Denmark AF097690 19<br />

MGH 97-2652<br />

AF219235<br />

H00/108 Human, Austria AF499005 17<br />

NADC 2006<br />

M65009<br />

CCUG 27631 Porcine, Sweden AF097683 19<br />

CHY 4 Porcine, England AF097684 19<br />

CHY 5 Porcine, England AF097685 19<br />

CHY 6 Porcine, England AF097686 19<br />

CHY 7 Porcine, England AF097687 19<br />

CHY 8 Porcine, England AF097688 19<br />

C. lanienae (n 5) S-K FAVW Porcine, Austria AF550664 This study<br />

NCTC 13004 T Human, Switzerland AF043425 30<br />

UB 994 Human, Switzerland AF043424 30<br />

UB 993 Human, Switzerland AF043423 30<br />

UB 992 Human, Switzerland AF043422 30<br />

C. hominis (n 4) NCTC 13146 T Human, England AJ251584<br />

HS-C Human, England AF062492<br />

HS-B Human, England AF062491<br />

HS-A Human, England AF062490<br />

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a A total <strong>of</strong> 135 sequences were tested.<br />

b The <strong>16S</strong> rDNA sequences submitted to GenBank are given in boldface. Campylobacter strains sharing identical sequences are indicated <strong>by</strong> parentheses and were<br />

not submitted to GenBank.<br />

c Synonymous strains derived from different culture collections.


2540 GORKIEWICZ ET AL. J. CLIN. MICROBIOL.<br />

FIG. 1. Schematic representation <strong>of</strong> the positions <strong>of</strong> the PCR primers and the lengths <strong>of</strong> the amplicons along the Campylobacter <strong>16S</strong> rRNA gene<br />

(1,500 bp). The locations <strong>of</strong> the variable regions (Vc) are indicated as shaded boxes. The location <strong>of</strong> an IVS present in several Campylobacter<br />

strains (14, 28, 48) is indicated at the top.<br />

following properties: Gram negativity, spiral morphology, and microaerophilic<br />

growth dependency. Assays for oxidase and catalase activity as well as hippurate<br />

and indoxyl acetate hydrolysis were performed. Antimicrobial susceptibility tests<br />

with cipr<strong>of</strong>loxacin, nalidixic acid, erythromycin, tetracycline, and cephalothin<br />

were done as described recently (17). Each isolate was additionally analyzed with<br />

the API Campy system (bioMerieux). Subsequently, a more detailed characterization<br />

was performed, as needed. Subspecies <strong>of</strong> C. fetus were differentiated <strong>by</strong><br />

testing their tolerance to 1% glycine, their ability to reduce selenite (2), and a<br />

subspecies-specific PCR method (22). C. hyointestinalis was further analyzed <strong>by</strong><br />

whole-cell protein analysis (41), as described recently (17). Characterization <strong>of</strong><br />

C. upsaliensis was performed as reported elsewhere (33). C. jejuni and C. coli<br />

strains were additionally characterized <strong>by</strong> species-specific PCR assays (8, 16, 29).<br />

Subspecies <strong>of</strong> C. jejuni were differentiated <strong>by</strong> their ability to reduce nitrate (26,<br />

34). C. lanienae was characterized <strong>by</strong> the phenotypic tests described <strong>by</strong> Logan et<br />

al. (30).<br />

DNA extraction and <strong>16S</strong> rDNA sequencing. PCR amplification <strong>of</strong> the <strong>16S</strong><br />

rRNA genes and direct sequencing <strong>of</strong> the PCR products were performed as<br />

described previously (17). To avoid the potential problem <strong>of</strong> sequence data<br />

variation due to nucleotide misincorporation <strong>by</strong> the amplifying polymerase, a<br />

high concentration <strong>of</strong> template DNA was used in the reaction mixture, as recommended<br />

elsewhere (6). Briefly, the DNAs <strong>of</strong> the bacterial strains were rapidly<br />

isolated <strong>by</strong> using Chelex 100 resin (Bio-Rad, Hercules, Calif.) (51). Three overlapping<br />

<strong>16S</strong> rRNA gene fragments were generated <strong>by</strong> PCR in separate reactions<br />

<strong>by</strong> using the oligonucleotide primer pairs Ps5/1 (5-TATGGAGAGTTTGATC<br />

CTGG-3) and Ps3/1 (5-GTTAAGCTGTTAGATTTCAC-3), Ps5/2 (5-AGC<br />

GTTACTCGGAATCACTG-3) and Ps3/2 (5-ACAGCCGTGCAGCACCTGT<br />

C-3), and Ps5/3 (5-AACCTTACCTGGGCTTGATA-3) and Ps3/3 (5-AAGG<br />

AGGTGATCCAGCCGCA-3). Both strands <strong>of</strong> the purified PCR products were<br />

submitted to the cycle sequencing reaction with the BigDye Terminator Cycle<br />

Sequencing Ready Reaction kit (Applied Biosystems, Foster City, Calif.). Products<br />

were resolved on an ABI Prism 310 automated sequencer (Applied Biosystems).<br />

To facilitate detection <strong>of</strong> sequence variation, additional oligonucleotide<br />

primers were applied to amplify the variable <strong>16S</strong> rDNA regions (Vc regions).<br />

Primers Vc5/6-F (5-AAAGCGTGGGGAGCAAACAG-3) and Vc5/6-R (5-A<br />

CTTAACCCAACATCTCACG-3) were used to amplify a 334-bp DNA fragment<br />

containing the variable regions Vc5 and Vc6. Primers Vc1/2-F (5-AGAG<br />

TTTGATCCTGGCTCAG-3) and Vc1/2-R (5-TGATCATCCTCTCAGACCA<br />

G-3) were used to amplify a 300-bp DNA fragment containing the variable<br />

regions Vc1 and Vc2. The positions <strong>of</strong> the PCR primer sequences along the<br />

Campylobacter <strong>16S</strong> rDNA are illustrated schematically in Fig. 1.<br />

Cloning procedure. The distinct PCR products generated from strain C. helveticus<br />

CCUG 34016 with primers Ps5/1 and Ps3/1 were ligated into pSTBlue-1<br />

vector DNA <strong>by</strong> using the AccepTor Vector kit, according to the specifications <strong>of</strong><br />

the manufacturer (Novagene, Madison, Wis.). Escherichia coli XL-1 cells were<br />

transformed (E. coli Pulser; Bio-Rad, Hercules, Calif.) with the ligation products<br />

and spread onto Luria-Bertani agar plates (42) containing 100 g <strong>of</strong> ampicillin<br />

per ml, 20 g <strong>of</strong> 5-bromo-4-chloro-3-indolyl--D-galactopyranoside per ml, and<br />

0.1 mM isopropyl--D-thiogalactopyranoside. Randomly picked white colonies<br />

were analyzed for the presence <strong>of</strong> the correct inserts <strong>by</strong> colony PCR with primers<br />

T7 and SP6, as recommended <strong>by</strong> the manufacturer (Novagene). The correct<br />

identities <strong>of</strong> the fragments were confirmed <strong>by</strong> DNA sequencing.<br />

Data analysis. <strong>16S</strong> rDNA sequence analysis was performed with the SEQLAB<br />

program from the Wisconsin Package (version 10.2; Genetics Computer Group;<br />

Madison, Wis.) and Clustal X (version 1.81) (47). All sequences were edited to<br />

a common length representing nearly the full length <strong>of</strong> the gene (94%; nucleotides<br />

39 to 1455, according to the C. jejuni ATCC 43431 sequence [23]). Intervening<br />

sequences present in some strains <strong>of</strong> the species C. rectus, C. sputorum, C.<br />

curvus, and C. helveticus were annotated according to criteria described elsewhere<br />

(14, 28, 48) and excised from the sequence data. The edited sequences<br />

were aligned <strong>by</strong> using the Clustal X program. Subsequently, a distance matrix was<br />

calculated from the aligned sequences <strong>by</strong> using the DISTANCES program from<br />

SEQLAB without correction for multiple base pair substitutions (uncorrected<br />

distance) (see Table 2). Neighbor-joining trees were constructed from these data<br />

with the GROWTREE program <strong>of</strong> SEQLAB and the NJPLOT program distributed<br />

with Clustal X (Fig. 2).<br />

Statistical calculations. SigmaStat s<strong>of</strong>tware (version 2.03; SPSS Inc., Chicago,<br />

Ill.) was used for statistical analysis. Either the t test or the Mann-Whitney rank<br />

sum test was used to test for the significance <strong>of</strong> differences <strong>of</strong> <strong>16S</strong> rDNA<br />

variations among Campylobacter species.<br />

Nucleotide sequence accession numbers. The accession numbers <strong>of</strong> the 50 <strong>16S</strong><br />

rDNA sequences obtained from GenBank are listed in Table 1. The unique <strong>16S</strong><br />

rDNA sequences (n 47) which were derived from cultivated strains have been<br />

deposited in GenBank. Their respective accession numbers are also listed in<br />

Table 1.<br />

RESULTS<br />

Sequence analysis <strong>of</strong> <strong>16S</strong> rDNAs. The objective <strong>of</strong> this study<br />

was to determine whether <strong>16S</strong> rDNA sequencing is a reliable<br />

approach for the specific identification <strong>of</strong> Campylobacter species.<br />

Three sets <strong>of</strong> oligonucleotide primers were used to generate<br />

sequences encompassing nearly the full length <strong>of</strong> the <strong>16S</strong><br />

rRNA gene. A minimum <strong>of</strong> 94% <strong>of</strong> the complete <strong>16S</strong> rDNA<br />

(ranging from 1,415 to 1,419 bp) was obtained from all strains<br />

analyzed. Intervening sequences (IVSs) were detected within<br />

the <strong>16S</strong> rRNA genes <strong>of</strong> 12 strains. Six strains <strong>of</strong> C. sputorum<br />

harbored IVSs <strong>of</strong> either 232 bp (CSP-1, LMG 10388, LMG<br />

11761, LMG 6617) or 231 bp (CSP-2, CSP-3). Two strains <strong>of</strong> C.<br />

rectus (LMG 7611, LMG 7612) had IVSs <strong>of</strong> 189 bp, and three<br />

strains <strong>of</strong> C. curvus (LMG 11034, LMG 11127, LMG 13936)<br />

contained IVSs <strong>of</strong> 140 bp. Two different <strong>16S</strong> rDNA sequences<br />

appeared to be present in strain C. helveticus CCUG 34016, as<br />

primer pair Ps5/1 and Ps3/1 generated two different amplifica-<br />

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VOL. 41, 2003 SPECIES-SPECIFIC IDENTIFICATION OF CAMPYLOBACTERS 2541<br />

tion products <strong>of</strong> 595 and 740 bp (data not shown). Cloning and<br />

sequence analysis <strong>of</strong> these products revealed that the larger<br />

<strong>16S</strong> rDNA fragment contained an IVS <strong>of</strong> 145 bp, whereas the<br />

smaller fragment lacked this IVS. All observed IVSs were<br />

inserted following base position 213 <strong>of</strong> the C. jejuni (ATCC<br />

43431) <strong>16S</strong> rDNA (23).<br />

<strong>16S</strong> rDNA sequence diversity. In order to evaluate whether<br />

<strong>16S</strong> rDNA data reliably determine species identity and sufficiently<br />

discriminate among Campylobacter species, it was necessary<br />

to calculate the amount <strong>of</strong> intraspecies and interspecies<br />

<strong>16S</strong> rDNA sequence variation. Multiple alignments <strong>of</strong> 135<br />

Campylobacter <strong>16S</strong> rDNA sequences <strong>of</strong> all taxa <strong>of</strong> the genus<br />

known to exist were performed. A matrix representing the<br />

sequence variations among the strains analyzed was calculated.<br />

Subsequently, a dendrogram was constructed from these data<br />

to verify the species-specific cluster formation <strong>of</strong> the sequences.<br />

The maximum intraspecies <strong>16S</strong> rDNA sequence diversities<br />

ranged from 0.1 to 0.9% when multiple strains <strong>of</strong> the same<br />

species were compared (Table 2). Higher degrees <strong>of</strong> maximum<br />

intraspecies diversity were found within the taxa C. curvus<br />

(1.1%), C. upsaliensis (1.3%), C. lari (2.5%), C. coli (1.5%),<br />

and C. hyointestinalis (4.5%). For the last species, a higher level<br />

<strong>of</strong> variation was attributed to a significant difference in <strong>16S</strong><br />

rDNA sequences between the two subspecies <strong>of</strong> C. hyointestinalis<br />

(C. hyointestinalis subsp. hyointestinalis and C. hyointestinalis<br />

subsp. lawsonii). These subspecies displayed a mean <br />

standard deviation sequence diversity <strong>of</strong> 3.7% 0.84%. This<br />

allowed the subspecies-specific differentiation <strong>of</strong> 14 <strong>of</strong> 15<br />

strains, as displayed <strong>by</strong> the dendrogram in Fig. 2. Strain C.<br />

hyointestinalis subsp. hyointestinalis SVS 3038 (GenBank accession<br />

no. AF097691) was the sole exception. The <strong>16S</strong> rDNA<br />

sequence <strong>of</strong> that strain exhibited a minimum <strong>of</strong> only 1% diversity<br />

from the sequence <strong>of</strong> C. hyointestinalis subsp. lawsonii<br />

and, therefore, clustered together with that subspecies (Fig. 2).<br />

The <strong>16S</strong> rDNA variations were not adequate to differentiate<br />

between the subspecies <strong>of</strong> C. jejuni or between the subspecies<br />

<strong>of</strong> C. fetus, since in both cases several strains <strong>of</strong> each subspecies<br />

had sequences identical to those <strong>of</strong> strains <strong>of</strong> the other subspecies.<br />

The minimum interspecies <strong>16S</strong> rDNA sequence diversities<br />

ranged from 0 to 11.2% (Table 2). To gain a detailed view <strong>of</strong><br />

whether <strong>16S</strong> rDNA data reliably discriminate among the taxa,<br />

the sequence diversities <strong>of</strong> all 135 strains were visualized <strong>by</strong> a<br />

dendrogram analysis. Cluster analysis placed most sequences<br />

into groups that correlated with species (Fig. 2). The exception<br />

from these findings was a lack <strong>of</strong> discrimination among the taxa<br />

C. coli and C. jejuni and two C. lari strains. Several C. coli and<br />

C. jejuni strains had identical <strong>16S</strong> rDNA sequences (e.g., C. coli<br />

H99/119 and C. jejuni LMG 9217), and nearly all C. coli and<br />

C. jejuni strains were assigned to a common cluster. Only two<br />

strains <strong>of</strong> C. coli, type strain CCUG 11238 and strain LMG<br />

9220, displayed higher degrees <strong>of</strong> variation and could therefore<br />

be clearly distinguished from C. jejuni (Fig. 2). In addition, two<br />

strains <strong>of</strong> C. lari, CF89-12 and LMG 11760, were also assigned<br />

to the cluster that comprised C. coli and C. jejuni due to highly<br />

related <strong>16S</strong> rDNA sequences (Fig. 2). Both strains displayed<br />

atypical phenotypic pr<strong>of</strong>iles not consistent with classical nalidixic-acid<br />

resistant thermophilic C. lari (NARTC). Strain<br />

CF89-12 was a urease-producing thermophilic C. lari strain,<br />

a The numbers above the diagonal are mean values <strong>of</strong> percent <strong>16S</strong> rDNA variation and the respective standard deviation. The numbers below the diagonal (in boldface) are the range <strong>of</strong> <strong>16S</strong> rDNA variation (in percent)<br />

among Campylobacter species. The numbers in the subheads correspond to the numbers for the species listed on the left.<br />

1. C. hominis (n 4) 0–0.6 6.4 0.31 7.6 0.16 6.9 0.16 7.3 0.16 7.7 0.24 7.1 0.03 8.8 0.04 8.3 0.04 9.2 0.21 9.5 0.08 11.3 0.03 11.1 0.08 10.0 0.06 9.7 0.10 9.6 0.06<br />

2. C. gracilis (n 5) 6.0–6.8 0–0.1 7.3 0.04 4.9 0.14 5.7 0.08 6.1 0.23 5.7 0.08 6.6 0.08 6.3 0.07 7.9 0.56 7.9 0.09 10.0 0.06 9.9 0.12 9.4 0.08 9.3 0.18 9.4 0.07<br />

3. C. sputorum (n 8) 7.4–7.8 7.2–7.4 0–0.1 6.4 0.03 6.5 0.13 5.6 0.22 6.6 0.03 7.8 0.05 8.0 0.05 8.5 0.27 8.8 0.14 9.1 0.05 8.9 0.08 9.2 0.08 8.7 0.22 8.8 0.07<br />

4. C. rectus (n 4) 6.7–7.1 4.7–5.2 6.4–6.4 0–0.9 2.1 0.15 3.9 0.24 4.6 0.24 6.0 0.27 6.0 0.15 7.0 0.30 7.8 0.26 9.0 0.06 8.9 0.14 7.9 0.24 7.7 0.29 7.8 0.11<br />

5. C. showae (n 3) 7.1–7.5 5.6–5.9 6.3–6.7 1.8–2.3 0.1–0.3 3.9 0.28 5.7 0.07 6.9 0.14 7.1 0.12 8.3 0.24 8.8 0.16 9.9 0.06 9.8 0.14 9.1 0.20 8.8 0.29 8.9 0.14<br />

6. C. curvus (n 5) 7.5–8.1 5.9–6.6 5.4–6.0 3.5–4.3 3.5–4.4 0–1.1 3.5 0.28 5.4 0.32 6.1 0.23 6.7 0.34 6.7 0.25 8.7 0.28 8.6 0.34 8.3 0.28 7.8 0.36 7.9 0.27<br />

7. C. concisus (n 5) 7.0–7.1 5.6–5.9 6.5–6.6 4.2–4.8 5.6–5.8 3.2–4.0 0–0.4 4.2 0.11 4.9 0.11 5.9 0.49 5.9 0.10 8.4 0.08 8.3 0.12 6.9 0.11 6.8 0.21 7.0 0.08<br />

8. C. mucosalis (n 5) 8.7–8.8 6.5–6.8 7.7–7.9 5.4–6.2 6.6–7.1 5.0–6.0 4.0–4.4 0.1–0.3 3.4 0.06 5.2 0.69 4.5 0.15 8.0 0.07 7.4 0.13 6.5 0.09 6.4 0.18 6.5 0.08<br />

9. C. fetus (n 26) 8.2–8.4 6.3–6.6 8.0–8.2 5.8–6.3 7.0–7.4 5.9–6.7 4.7–5.2 3.3–3.6 0–0.2 3.1 1.07 3.5 0.11 7.6 0.06 7.4 0.08 6.1 0.10 5.8 0.32 6.0 0.10<br />

10. C. hyointestinalis (n 16) 8.8–9.5 7.3–9.0 7.9–9.0 6.2–7.6 7.6–8.8 5.9–7.6 5.0–6.7 4.3–6.4 1.6–4.7 0–4.5 2.7 0.43 6.7 0.47 7.4 0.25 5.6 0.38 5.1 0.57 5.3 0.49<br />

11. C. lanienae (n 5) 9.4–9.6 7.7–8.1 8.6–9.0 7.3–8.1 8.6–9.1 6.3–7.1 5.7–6.0 4.2–4.7 3.4–3.8 1.9–3.4 0–0.9 6.3 0.11 7.3 0.19 5.1 0.18 4.6 0.35 4.9 0.11<br />

12. C. helveticus (n 4) 11.2–11.3 9.9–10.1 9.0–9.1 8.9–9.1 9.8–10.0 8.5–9.3 8.2–8.5 7.9–8.1 7.5–7.8 5.9–7.5 6.2–6.5 0.1–0.3 2.0 0.39 3.9 0.23 3.6 0.27 3.4 0.11<br />

13. C. upsaliensis (n 10) 10.9–11.2 9.8–10.2 8.8–9.1 8.6–9.2 9.5–10.2 8.2–9.7 8.0–8.6 7.1–7.7 7.2–7.7 7.0–8.1 7.0–7.9 1.6–3.2 0–1.3 4.9 0.26 4.5 0.32 4.3 0.16<br />

14. C. lari (n 6) 9.9–10.0 9.3–9.5 9.0–9.3 7.5–8.3 8.9–9.6 8.0–9.0 6.7–7.1 6.3–6.6 5.9–6.4 4.6–6.2 4.6–5.4 3.3–4.1 4.2–5.2 0–2.5 1.6 0.68 1.5 0.58<br />

15. C. coli (n 11) 9.5–9.8 8.9–9.6 8.1–9.0 6.9–8.1 8.1–9.3 7.0–8.6 6.2–7.1 5.9–6.7 5.0–6.3 3.5–6.1 3.5–5.0 3.3–4.4 4.1–5.4 0.5–3.1 0–1.5 0.4 0.42<br />

16. C. jejuni (n 17) 9.5–9.8 9.3–9.7 8.6–9.0 7.6–8.1 8.7–9.3 7.6–8.5 6.9–7.2 6.4–6.8 5.9–6.4 4.5–6.2 4.7–5.2 3.1–3.6 4.0–4.8 0.6–2.3 0.0–1.6 0–0.4<br />

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16<br />

<strong>Species</strong><br />

% Variation a<br />

TABLE 2. Homology matrix<br />

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2542 GORKIEWICZ ET AL. J. CLIN. MICROBIOL.<br />

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FIG. 2. Dendrogram <strong>of</strong> Campylobacter strains calculated from data for the nearly complete (94%) <strong>16S</strong> rDNA sequence. Analysis placed most<br />

sequences into species-specific clusters (shaded boxes). Strains which deviated from the species-specific clustering are indicated <strong>by</strong> asterisks. The<br />

scale bar at the top indicates a 1% difference in nucleotide sequence.


VOL. 41, 2003 SPECIES-SPECIFIC IDENTIFICATION OF CAMPYLOBACTERS 2543<br />

TABLE 3. Pattern distribution among Campylobacter species<br />

<strong>Species</strong><br />

Variable region<br />

Vc6 Vc5 Vc2 Vc1<br />

C. fetus 6A 5A 2A 1A<br />

C. hyointestinalis 6B/6D 5A/5B/5C 2A/2B/2C 1A/1B<br />

C. lanienae 6D 5B/5C 2C 1B<br />

C. mucosalis 6C 5C 2C 1C<br />

C. upsaliensis 6C 5D 2D 1D<br />

C. coli 6D 5D/5B 2E 1D<br />

C. jejuni 6D 5D 2E 1D<br />

C. lari 6D 5D 2E 1F/1D a<br />

C. helveticus 6D 5D 2D 1D<br />

C. curvus 6E 5C 2F 1B/1C b<br />

C. sputorum 6E 5E 2G 1G<br />

C. concisus 6E 5C 2H 1B<br />

C. rectus 6E 5F 2I 1C<br />

C. showae 6E 5F 2J 1C<br />

C. gracilis 6E 5E 2K 1E<br />

C. hominis 6E 5G 2L 1H<br />

a Strains LMG 11760 and CF89-12.<br />

b Strain C10ETHO.<br />

and strain LMG 11760 was a nalidixic acid-susceptible C. lari<br />

strain. Their minimal sequence diversities from the sequences<br />

<strong>of</strong> C. coli (0.5%) and C. jejuni (0.6%) were significantly different<br />

from those <strong>of</strong> the classical C. lari strains compared to the<br />

sequences <strong>of</strong> C. coli and C. jejuni (1.6%) (P 0.001). The <strong>16S</strong><br />

rDNA sequence diversities among Campylobacter species are<br />

given in Table 2.<br />

Characterization <strong>of</strong> variable regions within the <strong>16S</strong> rDNA.<br />

To improve the analysis, we investigated whether particular<br />

regions <strong>of</strong> <strong>16S</strong> rDNA yield sufficient information to discriminate<br />

among the taxa. <strong>16S</strong> rDNA alignment studies revealed<br />

four variable gene regions, which were termed Vc6, Vc5, Vc2,<br />

and Vc1, in accordance with the variable regions <strong>of</strong> the procaryotic<br />

<strong>16S</strong> rRNA. These regions displayed a high level <strong>of</strong><br />

interspecies sequence variation. Among these we discerned<br />

several sequence patterns that are applicable for species-specific<br />

identification. Figures 3A to D show the alignments <strong>of</strong> the<br />

Campylobacter <strong>16S</strong> rDNA sequences corresponding to the Vc<br />

regions. Campylobacter species were grouped according to the<br />

particular sequence patterns within the respective Vc regions.<br />

Five distinct patterns, termed 6A to 6E, were found in the Vc6<br />

region (Fig. 3A). Seven patterns, termed 5A to 5G, were defined<br />

in Vc5 (Fig. 3B). Twelve patterns, termed 2A to 2L, were<br />

defined in Vc2 (Fig. 3C). Analysis <strong>of</strong> Vc1 revealed eight patterns,<br />

termed 1A to 1H (Fig. 3D). These patterns were themselves<br />

species specific, or alternatively, specific variations<br />

within a general DNA motif could be ascribed to one or more<br />

species. Discrimination in the latter case required comparison<br />

<strong>of</strong> partial sequence data from more than one Vc region (see<br />

below).<br />

<strong>Identification</strong> scheme for campylobacters based on partial<br />

<strong>16S</strong> rDNA analysis. The distinct sequence patterns <strong>of</strong> the Vc<br />

regions were used to develop a simplified scheme for the species-specific<br />

identification <strong>of</strong> campylobacters <strong>by</strong> partial <strong>16S</strong><br />

rDNA analysis. As shown in Table 3, most species displayed a<br />

unique panel <strong>of</strong> DNA patterns, which enabled their unambiguous<br />

identification. The exception was a lack <strong>of</strong> discrimination<br />

among strains <strong>of</strong> C. jejuni and C. coli and atypical C. lari strains<br />

(CF89-12, LMG 11760), which shared the pattern 6D-5D-2E-<br />

1D. In addition, strains <strong>of</strong> C. hyointestinalis and C. lanienae,<br />

which displayed the pattern 6D-5B/5C-2C-1B, could not be<br />

discriminated.<br />

DISCUSSION<br />

The unambiguous identification <strong>of</strong> Campylobacter species is<br />

difficult because these pathogens are slowly growing, fastidious<br />

organisms which display only a few differential phenotypic<br />

properties (36). Since automated DNA sequencing has become<br />

generally available and the contents <strong>of</strong> public sequence databases<br />

are constantly increasing, <strong>16S</strong> rDNA analysis has become<br />

a valuable tool for determination <strong>of</strong> the identities <strong>of</strong> bacterial<br />

isolates (9, 18, 20, 24, 31). Therefore, we focused on <strong>16S</strong> rDNA<br />

sequencing to investigate its utility for the species-specific<br />

identification <strong>of</strong> campylobacters.<br />

Present guidelines suggest that 3% variation between two<br />

rDNAs is the threshold at which two strains may be considered<br />

to represent distinct species (7, 15, 24, 44). By taking this value<br />

<strong>of</strong> sequence variation into account, the data derived from our<br />

analysis <strong>of</strong> the whole-gene sequences is summarized as follows.<br />

(i) Most Campylobacter species could clearly be differentiated,<br />

since the minimum <strong>16S</strong> rDNA sequence variation among the<br />

most related taxa exceeded the 3% threshold (Table 2). (ii)<br />

Lower levels <strong>of</strong> <strong>16S</strong> rDNA variations were found between the<br />

species C. rectus and C. showae (minimum diversity, 1.8%),<br />

C. hyointestinalis and C. lanienae (minimum diversity, 1.9%),<br />

C. helveticus and C. upsaliensis (minimum diversity, 1.6%),<br />

C. hyointestinalis subsp. hyointestinalis and C. fetus (minimum<br />

diversity, 1.6%), and classical (NARTC) C. lari strains and<br />

C. jejuni-C. coli (minimum diversity, 1.6%). Nevertheless, in all<br />

<strong>of</strong> these cases the interspecies variation significantly exceeded<br />

the intraspecies variation (P 0.001) and the dendrogram<br />

analysis revealed a species-specific clustering (Fig. 2). We conclude<br />

that <strong>16S</strong> rDNA-based differentiation <strong>of</strong> these species<br />

displaying sequence diversities below 3% has practical application.<br />

(iii) The limitation <strong>of</strong> the <strong>16S</strong> rDNA analysis is the<br />

inability to differentiate the species C. jejuni and C. coli and<br />

atypical C. lari strains. Several C. jejuni and C. coli strains<br />

shared identical <strong>16S</strong> rDNA sequences, and nearly all strains <strong>of</strong><br />

these taxa were assigned to a common cluster (Fig. 2). In<br />

addition, two atypical C. lari strains analyzed in this study were<br />

also assigned to this cluster (Fig. 2). Their <strong>16S</strong> rDNA sequences<br />

displayed minimum diversities <strong>of</strong> 0.5% compared to<br />

the sequences <strong>of</strong> C. coli and 0.6% compared to the sequences<br />

<strong>of</strong> C. jejuni, whereas the maximum intraspecies diversity <strong>of</strong> C.<br />

coli was 1.5% and that <strong>of</strong> C. jejuni was 0.4%. In contrast,<br />

classical (NARTC) C. lari strains displayed higher degrees <strong>of</strong><br />

variation and could therefore be differentiated from this cluster<br />

(Fig. 2). The observations that the members <strong>of</strong> the species<br />

C. lari are phenotypically and genotypically diverse and that<br />

the species may comprise multiple taxa are in concordance<br />

with the findings presented in several other reports and highlight<br />

the fact that the taxonomy <strong>of</strong> C. lari is still in progress (4,<br />

10, 11, 12, 32, 37). Since C. jejuni, C. coli, and C. lari are<br />

significant pathogens and their differentiation is important<br />

when they are involved in clinical cases <strong>of</strong> infection, we suggest<br />

the use <strong>of</strong> recently described PCR assays for accurate discrimination<br />

and identification <strong>of</strong> the respective taxon (16, 29, 49,<br />

50).<br />

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FIG. 3. (A) Alignment <strong>of</strong> campylobacter <strong>16S</strong> rDNA sequences<br />

within the Vc6 region revealed five distinct sequence patterns (patterns<br />

6A to 6E). Only nucleotides different from those <strong>of</strong> C. fetus (pattern<br />

6A) are indicated. (B) Alignment <strong>of</strong> campylobacter <strong>16S</strong> rDNA sequences<br />

within the Vc5 region revealed seven distinct sequence patterns<br />

(patterns 5A to 5G). Only nucleotides different from those <strong>of</strong> C.<br />

fetus (pattern 5A) are indicated. (C) Alignment <strong>of</strong> campylobacter <strong>16S</strong><br />

rDNA sequences within the Vc2 region revealed 12 distinct sequence<br />

patterns (patterns 2A to 2L). Only nucleotides different from those <strong>of</strong><br />

C. fetus (pattern 2A) are indicated. (D) Alignment <strong>of</strong> campylobacter<br />

<strong>16S</strong> rDNA sequences within the Vc1 region revealed eight distinct<br />

sequence patterns (patterns 1A to 1H). Only nucleotides different<br />

from those <strong>of</strong> C. fetus (pattern 1A) are indicated. Dashes indicate<br />

deletions at the respective base position. (A to D) a , nucleotide positions<br />

corresponding to the E. coli <strong>16S</strong> rRNA (5); b , nucleotides and<br />

positions <strong>of</strong> infrequently occurring polymorphisms within the sequence<br />

pattern.<br />

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VOL. 41, 2003 SPECIES-SPECIFIC IDENTIFICATION OF CAMPYLOBACTERS 2545<br />

The identification <strong>of</strong> taxa to the subspecies level was possible<br />

for 14 <strong>of</strong> 15 strains <strong>of</strong> C. hyointestinalis. The exception was<br />

strain C. hyointestinalis subsp. hyointestinalis SVS 3038, which<br />

demonstrated a clear phylogenetic affinity with C. hyointestinalis<br />

subsp. lawsonii strains, as described recently (19). Since the<br />

taxonomic status <strong>of</strong> this strain remains unclear, we cannot<br />

recommend <strong>16S</strong> rDNA analysis as a singular method for the<br />

differentiation <strong>of</strong> C. hyointestinalis subspecies. A polyphasic<br />

approach that uses both phenotypic and genotypic methods<br />

should be used for identification <strong>of</strong> the subspecies (19). Subspecies-specific<br />

identification <strong>of</strong> the taxa C. jejuni and C. fetus<br />

<strong>by</strong> <strong>16S</strong> rDNA analysis was not possible (38).<br />

This study further shows that improved differentiation is<br />

possible <strong>by</strong> modification <strong>of</strong> <strong>16S</strong> rDNA analysis. For this purpose<br />

partial sequence data were used to determine species<br />

identities. The general structures <strong>of</strong> <strong>16S</strong> rRNAs and rDNAs<br />

comprise highly conserved and variable regions. Sequence<br />

alignments <strong>of</strong> the Campylobacter <strong>16S</strong> rDNA operon revealed<br />

four highly variable regions, termed Vc6, Vc5, Vc2, and Vc1.<br />

These regions represent the highly variable areas V6 (Vc6), V5<br />

(Vc5), V2 (Vc2), and V1 (Vc1) <strong>of</strong> the procaryotic <strong>16S</strong> rRNA<br />

(rDNA) (35). The sequences <strong>of</strong> the Vc regions exhibited high<br />

levels <strong>of</strong> diversity among the different Campylobacter species<br />

but displayed fixed patterns within the species themselves.<br />

Nearly all Campylobacter species displayed characteristic sequence<br />

patterns and could be clearly discriminated (Table 3).<br />

The exception was a lack <strong>of</strong> differentiation among the taxa C.<br />

coli and C. jejuni and atypical C. lari isolates, which had already<br />

been revealed <strong>by</strong> complete <strong>16S</strong> rDNA analysis. Analysis <strong>of</strong> the<br />

Vc regions indicated the pattern 6D-5D-2E-1D for these taxa<br />

and the two C. lari isolates. To ensure clear differentiation, we<br />

recommend PCR assays <strong>of</strong> the other gene sequences mentioned<br />

above. In addition, discrimination <strong>of</strong> certain isolates <strong>of</strong><br />

C. hyointestinalis and C. lanienae, which displayed the pattern<br />

6D-5B/5C-2C-1B, was also not possible. In these cases, however,<br />

discrimination is achieved <strong>by</strong> complete <strong>16S</strong> rDNA sequence<br />

analysis.<br />

Moreover, it is significant that complete <strong>16S</strong> rDNA as well as<br />

analysis <strong>of</strong> the Vc regions can be used to discriminate closely<br />

related taxa, such as Bacteroides ureolyticus or Helicobacter and<br />

Arcobacter, from Campylobacter species. This is important,<br />

since these pathogens possess few phenotypic criteria which<br />

could serve as useful markers for their unambiguous identification.<br />

For instance, both Helicobacter pullorum and Arcobacter<br />

butzleri have habitats (e.g., pigs and chicken) and disease<br />

associations (e.g., gastroenteritis) similar to those <strong>of</strong> several<br />

campylobacters, contributing to their misidentification as campylobacters<br />

<strong>by</strong> conventional phenotypic tests (1, 21, 36, 46, 52).<br />

We conclude that comparisons <strong>of</strong> <strong>16S</strong> rDNA sequences provide<br />

a substantially improved basis for the identification and<br />

differentiation <strong>of</strong> campylobacter species. Focused analysis <strong>of</strong><br />

the variable regions <strong>of</strong>fers the ability to identify nearly the<br />

same range <strong>of</strong> species as whole-gene analysis, however, with<br />

the advantages <strong>of</strong> higher efficiency and lower cost. Although<br />

the significant pathogens C. jejuni, C. coli, and C. lari cannot be<br />

reliably discriminated <strong>by</strong> use <strong>of</strong> the <strong>16S</strong> rDNA data, the approach<br />

reported here <strong>of</strong>fers obvious advantages over existing<br />

methods. At present, no other singular method has the ability<br />

to identify such an extensive range <strong>of</strong> Campylobacter species.<br />

Furthermore, identification and differentiation are achieved<br />

within 2 days, in contrast to standard biochemical identification,<br />

which may take more than a week or which may even fail<br />

to provide reliable results for certain strains. The addition <strong>of</strong><br />

47 campylobacter sequences to the database should prove valuable<br />

for clinical microbiologists using <strong>16S</strong> rDNA-based analysis<br />

during routine identification. In addition, we expect that the<br />

detailed description <strong>of</strong> the variable <strong>16S</strong> rDNA regions provided<br />

here will facilitate the design <strong>of</strong> species-specific probes,<br />

PCR assays, and oligonucleotide arrays, which will further improve<br />

the ability to identify campylobacters from various specimens.<br />

ACKNOWLEDGMENTS<br />

We are grateful to Karl Bauer, Klemens Fuchs, and Rainer Rosegger<br />

for helpful discussions. We thank the following colleagues for<br />

providing us with Campylobacter strains: S. Hum (Camden, Australia),<br />

I. Moser (Berlin, Germany), G. Kirpal (Hannover, Germany), E. Pohl<br />

(Aulendorf, Germany), E. H<strong>of</strong>er and J. Flatscher (Mödling, Austria),<br />

and R. Krause, B. Ursinitsch, and K. Helleman (Graz, Austria).<br />

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