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J Bacteriol, March 1998, p. 1159-1165, Vol. 180, No. 5
0021-9193/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Chromosomal Regions Specific to Pathogenic Isolates
of Escherichia coli Have a Phylogenetically
Clustered Distribution
E. Fidelma
Boyd and
Daniel L.
Hartl*
Department of Organismic and Evolutionary
Biology, Harvard University, Cambridge, Massachusetts 02138
Received 4 August 1997/Accepted 18 December 1997
 |
ABSTRACT |
We studied the ancestry of virulence-associated genes in
Escherichia coli by examining chromosomal regions specific
to pathogenic isolates. The four virulence determinants examined were
the alpha-hemolysin (hly) loci hlyI and
hlyII, the type II capsule gene cluster kps, and the P (pap) and S (sfa) fimbria gene
clusters. All four loci were shown previously to be associated with
pathogenicity islands of uropathogenic E. coli isolates.
The hly, kps, sfa, and
pap regions each have an unexpected clustered distribution
among the E. coli collection of reference (ECOR)
strains, but all these regions were absent from a collection of
diarrheagenic E. coli isolates. Strains in the ECOR
subgroup B2 typically had a combination of at least three of the four
loci, and all strains in subgroup D had a copy of the kps
and pap clusters. In contrast, only four strains in
subgroup A had either hly, kps,
sfa, or pap, and no subgroup A strains had all
four together. Strains of subgroup B1 were devoid of all four virulence
regions, with the exception of one isolate that had a copy of the
sfa gene cluster. This phylogenetic distribution
of strain-specific sequences corresponds to the ECOR groups with the
largest genome size, namely, B2 and D. We propose that the
pathogenicity islands are ancestral to subgroups B2 and D and were
acquired after speciation, with subsequent horizontal transfer into
some group A, B1, and E lineages. These results suggest that the
hly, kps, sfa, and pap
pathogenicity determinants may play a role in the evolution of enteric
bacteria quite apart from, and perhaps with precedence over, their
ability to cause disease.
 |
INTRODUCTION |
Escherichia coli is a
genetically diverse species, the majority of isolates of which are
commensal organisms of the intestinal tract. However, some isolates are
opportunistic pathogens causing intestinal and extraintestinal
infections in a range of hosts. For example, the enteropathogenic
E. coli (EPEC) is the leading cause of severe infantile
diarrhea in the developing world, and enterohemorrhagic E. coli (EHEC) O157:H7 has recently emerged as the cause of bloody
diarrhea and hemolytic-uremic syndrome in major food-borne outbreaks in
the United States, Europe, and Asia (33, 34).
Pathogenicity islands (PAIs) encompass large segments of sometimes
unstable chromosomal DNA (5 to 200 kb) containing virulence gene
clusters (11, 14, 19) that are often flanked by insertion sequence elements or tRNA genes (2, 6, 14). Five such islands have previously been identified in pathogenic E. coli isolates (10, 14). PAIs I, II, IV, and V carry a
number of virulence gene clusters, among them the P (pap)
and P-related (prf) fimbria gene clusters and two
alpha-hemolysin loci, hlyI and hlyII (2, 3,
16, 21). The locus LEE (locus of enterocyte effacement) was identified in an EPEC strain (23);
LEE carries a different set of virulence genes than those
found in PAI I, II, IV, or V but is inserted in the same chromosomal
site as PAI I, at 82 min at the selenocysteine-specific tRNA (2,
23).
We examined the occurrence, phylogenetic distribution, and genetic
diversity of the four virulence determinants hly,
kps, pap, and sfa among E. coli natural isolates. The purpose was to test the conventional
view that chromosomal virulence determinants are temporary insertions
into the bacterial chromosome which come and go as the lineage
undergoes expansion and diversification (2, 3, 11, 14, 19).
The hly locus contains the gene for alpha-hemolysin
production, whereas the kps gene cluster contains genes for
type II capsule (4, 8, 21, 26). The pap and sfa gene clusters encode P and S fimbriae that are
associated mostly with uropathogenic E. coli strains
(3, 9, 12, 13, 17). The distribution of the four virulence
determinants was confined predominately to two lineages of the
E. coli reference collection (ECOR) strains, subgroups
B2 and D, with sporadic occurrences in subgroups A, B1, and E.
Does the observed phylogenetic clustering we have found reflect common
descent of the pathogenicity determinants in the subgroup B2 and D
lineages? If it does, then this would imply that these particular
pathogenicity determinants have a long-term persistence in the genomes
of these particular bacterial lineages. Did horizontal transfer of PAIs
play an important role during the evolution of E. coli,
and what role, if any, do PAIs play in genome size evolution? To
address these issues we also analyzed nucleotide sequence variation at
the three loci hlyA, kpsD, and papH to
determine levels of genetic diversity compared with the housekeeping
gene mdh for malate dehydrogenase. These data were analyzed
for evidence of horizontal transfer among ECOR subgroups and long-term
persistence within subgroups.
 |
MATERIALS AND METHODS |
Bacterial strains.
Two E. coli reference
collections of natural isolates were examined: the ECOR collection and
the diarrheagenic E. coli (DEC) collection (25,
34). The ECOR collection consists of 72 strains, 62 of which were
recovered from healthy humans and animals, and 10 from women with
urinary tract infections. The ECOR collection encompasses much of the
total variation found within this species, and the major lineages are
divided into five groups: A, B1, B2, D, and E. The DEC collection
is made up of 15 strains recovered from patients infected with an
organism from one of three enteric diseae categories: EPEC, EHEC, and
enterotoxigenic E. coli (ETEC). Genomic DNA was
extracted with the G-Nome DNA isolation kit from Bio 101 (Vista,
Calif.).
PCR and DNA probe construction.
Nine sets of primers for
amplification of sequences of the hly, kps,
pap, and sfa gene clusters were used to obtain
probes to screen strains for the presence of these virulence
determinants (Table 1). In the 7.9-kb
sfa operon there are nine genes, and two probes were
designed for this region: sfa1 from the 5' end of the gene cluster and
sfa2 from the 3' region (Table 1 and Fig.
1A). We applied long-range PCR
(7) to obtain three probes, pap1, pap2, and pap3, from the
9-kb pap gene cluster (Table 1 and Fig. 1B). Probe kps1
represents kps region 1, and probe kps2 represents
kps region 3 (Table 1 and Fig. 1C). Two alpha-hemolysin gene
probes, hly1 and hly2, were made from a hemolysin gene cluster in an
EHEC strain and a uropathogenic E. coli strain, J96,
respectively (Table 1 and Fig. 1D). Following amplification, the PCR
products were purified with the Qiaquick PCR purification kit (Qiagen, Inc., Chatsworth, Calif.). All probes were prepared with DNA from ECOR
52 as a template. The probes were labeled with fluorescein-conjugated nucleotides according to the manufacturer's instructions
(Amersham, Arlington Heights, Ill.).

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FIG. 1.
Gene organization of kps, sfa,
pap, and hly gene clusters. (A and B)
Organization of pap and sfa gene clusters. Boxes
indicate genes, and uppercase letters indicate gene designation(s). (C)
The kps genes in region 1 (five genes
[kpsSCUDE]) and region 3 (two genes [kpsMT])
are conserved among E. coli isolates that synthesize
serologically distinct capsules. The number of genes in the central
region 2 (kpsDBACES) reflects the size and complexity of the
polysaccharide repeating unit. (D) The alpha-hemolysin determinant from
E. coli J96 is represented; it consists of four genes.
Black bars below gene clusters indicate the position of DNA fragments
used as probes.
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|
DNA hybridization.
Bacterial genomic DNA was digested with
EcoRI, and the digests were separated by electrophoresis in
0.6% agarose gels in 1× Tris-borate-EDTA. DNA fragments were
transferred by alkaline blotting to Hybond-N+ membranes (Amersham).
Membranes were prehybridized for 30 min at 65°C in a solution of 5×
SSC (1× SSC is 0.15 M NaCl plus 0.015 M sodium citrate), 0.1% sodium
dodecyl sulfate, and 5% dextran sulfate. Hybridizations to labeled
probes were carried out overnight at 65°C. Hybridized fragments were
detected with the enhanced chemiluminescence system (Amersham).
Nucleotide sequencing.
PCR products from three genes,
hlyA, kpsD, and papH, were sequenced
with an Applied Biosystems model 373A automated DNA sequencing system
with a DyeDeoxy terminator cycle sequencing kit. For all strains, both
strands were sequenced. From eight ECOR isolates, representing three
ECOR subgroups, A, B2, and D, 570 bp of the hlyA gene was
sequenced. A 729-bp region of the kpsD gene was sequenced
from each of nine ECOR strains from subgroups A, B2, and D. A 462-bp
portion of the papH gene was sequenced from six ECOR
isolates.
Statistical analysis.
To assay possible intragenic
recombination events the Stephens test was used (31). The
Stephens test identifies nonrandom clustering of polymorphic sites that
may reflect the results of recombination events. The Stephens method
examines the distribution of polymorphic sites relative to the
phylogenetic partitions they support. Polymorphic sites supporting a
particular phylogenetic partition are expected to be randomly
distributed along the sequence if there is no recombination. Nucleotide
sequences were analyzed by use of the computer program MEGA
(20). Phylogenetic trees were constructed from synonymous
site variation by the neighbor-joining method (28).
Nucleotide sequence accession numbers.
The nucleotide
sequences of the genes described in this paper have been deposited in
the GenBank database under the accession no. AF037572 to AF037588.
 |
RESULTS |
Distribution of virulence determinants associated with PAIs.
We determined the distribution of four virulence-associated regions in
the 72 isolates of the ECOR reference collection and the 15 isolates of
the DEC reference collection. The loci assayed were the two adhesin
gene clusters sfa and pap; the kps
capsule operon; and the alpha-hemolysin loci hlyI and
hlyII. The distribution of the four virulence determinants
was confined predominately to two lineages of the ECOR strains,
subgroup B2 and D (Fig. 2).

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FIG. 2.
Distribution of the kps, sfa,
pap, and hly complexes among the ECOR collection
of natural isolates. The tree is based on electrophoretic variation
among 38 enzymes (15). Only for the pap operon
did the three probes used give differing results.
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|
The
sfa locus was found almost exclusively in ECOR group B2
strains (10 of 15) and one isolate of subgroup B1 (ECOR 58); moreover,
this was the only one of the assigned regions detected in subgroup
B1.
The
pap gene cluster was detected in all subgroup D strains
and most subgroup B2 strains (11 of 15), as well as in three group
A
and two group E isolates. In two subgroup B2 strains (ECOR 55
and ECOR
64), one subgroup D isolate (ECOR 35), and one subgroup
E isolate (ECOR
37), the majority of the
pap cluster was apparently
deleted, as only the pap1 probe gave a positive hybridization
signal.
Four strains had multiple copies of
sfa (ECOR 52, ECOR
54, ECOR 63, and ECOR 60) and
papA (ECOR 11, ECOR 24, ECOR
49,
and ECOR 50).
The
kps operon was present in all subgroup D isolates, the
majority of B2 isolates (12 of 15), and four isolates of group
A (Fig.
2). The hly1 probe from an EHEC
hly sequence did not
hybridize
with any of the ECOR strains; however, the hly2 probe from
the
uropathogenic
E. coli strain J96 hybridized with
ECOR subgroup
B2 strains (9 of 16) and one strain each of subgroups A,
D, and
E.
Nucleotide sequence variation.
The single genes
hlyA (hlyII), kpsD (kps),
and papH (pap) from each of the three virulence
gene clusters were sequenced from representative isolates of the ECOR
collection.
Within the
hlyA alleles from nine
E. coli
strains, there were only six polymorphic sites in the 570-bp segment
sequenced.
ECOR 24 and ECOR 43 had virtually identical sequences and
are
distinct at five of the six polymorphic sites detected in the
other
ECOR strains examined (Fig.
3). The
hlyA locus has a GC
content of 40%, which is atypical for
genes of
E. coli, and a
codon adaptation index (CAI) of
0.228.

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FIG. 3.
Distribution of polymorphic nucleotide and amino acid
sites along the kspD, papH, and hlyA
genes among ECOR isolates. Vertical numbers indicate the nucleotide
position along the gene. Dots indicate nucleotide identity.
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|
At the
papH locus there were 22 polymorphic sites, which
resulted in nine amino acid replacements, six of which were found
in
ECOR 49 (Fig.
4). The
papH
locus had a typical
E. coli GC content
of 50%.

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FIG. 4.
Evolutionary relationships among three chromosomal loci.
Pairwise genetic distances were estimated from the numbers of
substitutions (18, 24). Letters indicate subgroups of the
ECOR strains, and numbers indicate genetic distance.
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|
There were 48 polymorphic sites in the 729-bp region of
kpsD
sequenced in nine ECOR isolates. ECOR 14 and ECOR 48 were the
most
divergent in nucleotide sequence and accounted for much of
the
variation among the strains (Fig.
4). The GC content of
kpsD is 52%, and this coding region has a CAI of 0.331 (
30).
Rates of synonymous and nonsynonymous substitution.
For
hlyA we estimated the numbers of synonymous (silent)
substitutions per 100 synonymous sites (kS) and
nonsynonymous (replacement) substitutions per 100 nonsynonymous sites
(kN) (24). There were reduced levels
of synonymous and nonsynonymous site variation at the hlyA
locus relative to the gene mdh, coding for malate dehydrogenase; however, the
kN/kS ratio was high
because three of six polymorphic sites encoded amino acid replacements.
The kN/kS ratio indicates
the relative degree of functional constraints experienced by an
evolving protein. Examination of the genes in Table
2 indicates that both mdh and
kpsD have an increased level of functional constraint
relative to hlyA and papH. At the kps and papH loci, the levels of variation at synonymous sites
were similar to that of the housekeeping gene mdh (Table 2).
However, at both of these loci there were elevated levels of
nonsynonymous site variation; in the case of papH, most of
the variation was accounted for by polymorphism contributed by the ECOR
49 papH sequence (Fig. 2).
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TABLE 2.
Nucleotide sequence polymorphism among three virulence
genes and one housekeeping gene from natural isolates
of E. coli
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|
Distribution of polymorphic nucleotide sites.
To test for
nonrandom clustering of polymorphic nucleotide sites, a pattern that
may be indicative of intragenic recombination, we used the Stephens
test (31). Among the six papH sequences, there
were 22 polymorphic sites in the 462 bp sequenced, and the Stephens
test identified two statistically significant partitions. The first
identified a 177-bp segment of invariant sites (P < 0.006) in ECOR 49, and the second identified a 156-bp region of invariant sites shared between ECOR 49 and ECOR 50.
For the 48 polymorphic sites among the nine
kpsD sequences
(shown in Fig.
3), six partitions were found for which there were
statistically significant
P values for either clustered
polymorphic
sites or segments composed of invariant sites. The first
partition
grouped ECOR 8 and ECOR 46
kpsD sequences and was
based on only
three polymorphic sites (sites 2, 9, and 25) and a 159-bp
segment
of consecutive nonpolymorphic sites (
P < 0.006). The second partition
identified a cluster of nine polymorphic
sites (
P < 0.002) in
ECOR 14, eight of which were
found at the 5' end of the
kpsD gene.
The third partition
involved only three clustered sites in ECOR
8 with a 324-bp segment of
consecutive nonpolymorphic sites (
P < 0.006). The
fourth partition identified 15 clustered polymorphic
sites
(
P < 0.000), the majority of which were in the 3' end
of
the
kps gene and separated ECOR 48 from the rest. Two
sites grouped
strains ECOR 14 and ECOR 49, and the probability of two
polymorphic
sites as close as or closer than 2 bp is 0.009. The final
statistically
significant
kps partition identified grouped
kps sequences from
ECOR 11 and ECOR 49 and is based on a run
of 275 bp of consecutive
nonpolymorphic sites (
P < 0.006).
Evolutionary trees for the kpsD and papH
sequences.
For purposes of comparison, the housekeeping gene
mdh from eight ECOR strains (5) analyzed at the
kpsD and papH loci was used to construct an
mdh gene tree (Fig. 4). Previous analysis has shown that the
mdh gene tree is congruent with phylogenetic relationships
based on multilocus enzyme electrophoresis and DNA hybridization
analysis (5), thus providing a reliable measure of overall
chromosomal relationships. No phylogenetic tree was constructed for
hlyA, as there was not sufficient nucleotide sequence polymorphism to determine relationships among strains. Among all trees
there are three isolates in common: ECOR 46, ECOR 49, and ECOR 52. Relationships among the ECOR strains were not congruent among the
kpsD, papH, and mdh trees,
particularly at the kps locus, at which phylogenetic
comparisons with the mdh gene tree indicate several possible
horizontal transfer events. The long branch length found in the ECOR 14 and ECOR 48 kpsD sequences can be accounted for by possible
intragenic recombination events from an unknown source, identified by
the Stephens test, involving the 5' region in ECOR 14 and the 3' region
in ECOR 48.
 |
DISCUSSION |
Pathogenic isolates of E. coli are known to carry
large chromosomal regions required for virulence, which are termed
PAIs. Natural isolates are polymorphic for the presence and copy
number of these DNA sequences. For example, the pathogenicity islands PAI I and PAI II of uropathogenic strains (2, 3),
which are 70 and 190 kb in length, as well as the class II capsule
synthesis operon (kps), are absent from E. coli K-12 (4). The prevailing view of E. coli as a relatively benign organism obtaining novel sequences
from an outside source and thereby becoming pathogenic or switching
disease syndrome or host has been supported by many authors (2, 3,
11, 14, 19). For example, Whittam and colleagues have proposed
that the O157:H7 clone emerged when an EPEC O55:H7-like progenitor was
lysogenized by a bacteriophage containing Shiga-like toxin genes
(34).
Recently, Pupo and colleagues (27) have described the
relationship between pathogenic and nonpathogenic isolates of
E. coli. The pathogenic isolates included EPEC,
EHEC, ETEC, enteroinvasive E. coli, and urinary
tract infection strains, and the nonpathogenic isolates were
represented by the ECOR strains. The authors concluded that pathogenic
strains arising from E. coli do not have a single evolutionary origin within E. coli but have arisen many
times, with the exception of Shigella and the EHEC
clones. The Shigella isolates examined were all closely
related to each other, clustering within ECOR subgroup A strains,
confirming earlier conclusions that Shigella species are a
clonal lineage of E. coli (35). Further, the
results verified earlier findings of Whittam et al. (34)
that strains causing the same disease do not form a
monophyletic group. Wieler et al. (36) recently examined the
insertion sites of the LEE locus in DEC strains and showed
that the LEE insertion site differs in relation to the
clonal lineage of the strains, which they conclude is due to multiple
insertions during the evolution of these pathogens.
As shown by the phylogenetic distribution in Fig. 2, the majority of
ECOR B2 and D isolates contain at least two of the four regions
examined. Most isolates of subgroup B2 and all isolates of subgroup D
have a copy of kps and pap; in addition, subgroup B2 strains have a copy of sfa. Among the other ECOR lineages
there is only a sporadic occurrence of these sequences. In particular, among subgroup A strains (which is the largest set of lineages represented in the ECOR collection [25 of 72]), only five strains show hybridization to the probes for hly, kps,
and pap, and only two strains (ECOR 11 and ECOR 24) contain
sequences with homology to both the kps and pap
regions.
The sporadic occurrence of hly, kps,
pap, and sfa among ECOR group A isolates could
have resulted from either widespread loss from strains within this
group, which is unlikely, or transfer from perhaps a group B2 or D
strain. The hlyA locus has been detected on an E. coli plasmid (8), which suggests a mechanism of
horizontal transfer. Given the low GC content of the hlyA
gene, 40% (compared to an average of 52% for most E. coli genes), and the limited nucleotide sequence polymorphism,
this region may have been recently acquired from an unknown source.
Alternatively, the highly conserved nucleotide sequence at
hlyA may be due to selective constraints at the protein
level. These conflicting views may be addressed with additional
nucleotide sequence information from this gene cluster. Among the
kpsD sequences examined, those of subgroup A strains ECOR 8 and ECOR 11 showed identity with those of subgroup B2, which is most
easily explained by recent horizontal transfer between these subgroups.
Marklund and coworkers (22) have proposed that E. coli acquired the pap locus after the speciation of
E. coli and suggest that the different pap
genes could have been acquired by horizontal gene transfer. Moreover,
they proposed that the recent genetic exchanges involving the entire
pilin gene clusters have occurred in response to selection pressures
exerted by the host. Among the papH sequences studied, only
that of ECOR 49 is radically different, and all of the amino acid
substitutions are encoded in the first hundred bases of this gene;
based on additional nucleotide sequence analysis, it appears that this diversity resulted from horizontal transfer at the papA
locus, 63 bp upstream of papH, and that the variation in
ECOR 49 is a result of hitchhiking (5a).
The stratification in the distribution of these virulence regions may
be a consequence of the fact that the majority of the isolates of
groups B2 and D were recovered from primates. For example, among
isolates with sequences that show hybridization to the kps
probe, all but two were isolated from primates; likewise all
pap- and sfa-positive strains, with one
exception, are all from primates. In contrast, ECOR isolates of
subgroup B1 were predominantly isolated from nonprimate hosts (Table
3).
Natural isolates of E. coli may vary in genome size by
up to 1 Mb (1, 25a). The mechanism(s) of chromosome size
variation in natural isolates of E. coli remains
largely unknown. It may be relevant to these observations that isolates
belonging to ECOR subgroup A have a significantly smaller genome size
than those of either subgroup B2 or D, which have the largest genome
size among natural isolates of E. coli (1).
Comparisons of genome size with the presence of regions of interest in
ECOR strains indicate that ECOR 14, which has a putative PAI present,
has a genome size of 5,000 kb and differs in size by more than 300 kb from a closely related lineage, ECOR 13, where we found none of the
four regions present. Isolates of group B2 and D (ECOR 51, 62, 63, 38, and 40) for which genome size is available range in size from 4,952 to
5,302 kb, and all isolates have two or more of the regions under study
associated with them.
To determine the relationship between uropathogenic E. coli and DEC, isolates from the DEC collection were examined
(34). The DEC collection comprises 15 clones representing
E. coli isolates recovered from patients with enteric
disease in one of three disease categories, EPEC, EHEC, and ETEC. Among
the 15 DEC isolates examined, none had sequences which hybridized with
the hlyII, pap, sfa, and
kps probes. This result confirms earlier findings that DEC strains require a very different set of virulence determinants (the
LEE locus) than those of uropathogenic E. coli isolates. The result also suggests that isolates may not
typically carry PAIs for multiple disease categories. Further, our data
support the view of long-term persistence of PAIs within E. coli lineages and indicate that whereas some pathogenicity
determinants may be genetically labile, others are maintained for long
periods of evolutionary time. Currently we are investigating whether
hly, kps, pap, and sfa are
confined to a single PAI. Future studies will include analysis of the
insertion sites of putative PAIs in subgroup B2 and D strains.
 |
ACKNOWLEDGMENT |
This research was supported by grant GM322 from the National
Institutes of Health.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Organismic and Evolutionary Biology, Harvard University, Cambridge, MA 02138. Phone: (617) 496-3917. Fax: (617) 496-5854. E-mail:
dhartl{at}oeb.harvard.edu.
 |
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