Bacterial Pathogenesis Research Group,
Department of Microbiology, Monash University,
Clayton,1 Microbiology Research
Unit, Royal Children's Hospital,2 and
Department of Infectious Diseases and Clinical
Epidemiology, Monash Medical Centre,3 Victoria,
Australia
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INTRODUCTION |
Mycobacterium ulcerans is
an emerging human pathogen that causes a chronic, necrotic skin lesion
in humans. Its prevalence throughout West Africa appears to have
increased dramatically since the late 1980s (35). The
organism is unlike other mycobacterial pathogens in that it appears to
maintain an extracellular location during infection (23).
The disease is usually treated by surgical excision of infected and
surrounding tissue, as the organism in situ is unresponsive to drug
therapy (31). Possible explanations for the increased
occurrence of this disease include environmental changes that have led
to proliferation of the organism followed by increased human contact
(22, 30) and adaptation of the organism to a changed
environment and coincidental acquisition of increased virulence.
Despite several extensive investigations over the past 30 years, the
mode of transmission of M. ulcerans has not been
determined (2, 46). Recent detection of M. ulcerans-specific DNA sequences in water from swamps in
southeastern Australia and aquatic insects in Benin have confirmed that
it is an environmental organism (47, 53, 60).
The etiology and epidemiology of Mycobacterium marinum are
much better understood. It has long been recognized as a fish pathogen and has been isolated from swimming pools, fish aquaria, and marine environments worldwide (12, 15, 25). It is an
intracellular pathogen, and in humans it usually causes a limited
granulomatous skin infection at the extremities, probably via
direct inoculation at the site of minor cuts and abrasions (15,
17). The infection can usually be treated with
antimycobacterial drugs (19). M. marinum is relatively fast growing, has nonfastidious growth
requirements, and produces a light-inducible pigment, presumably for
protection against incident UV irradiation (50). The picture
built up from these findings is one of a widespread and robust
environmental organism which is capable of withstanding some of the
extremes of aquatic environments such as sunlight exposure, varying
temperatures, and nutrient limitation. Conversely, the profile of
M. ulcerans includes a worldwide but highly focal
environmental distribution, slow growth, UV sensitivity, optimal
growth under microaerophilic conditions, and the production of an
unusual cytotoxic type I polyketide (18, 40, 45;
W. M. Meyers, personal communication). These characteristics
suggest an organism that has adapted to a specific environmental niche.
Several studies have highlighted an apparently paradoxical relationship
between these two species, where their striking phenotypic differences
are contradicted by a high degree of genetic similarity. It has been
known for some time that M. ulcerans and M. marinum have identical signature sequences through the two
hypervariable regions of the 16S rRNA gene (6, 52) and that
the only sequence differences within this locus are two nucleotides at
the 3' end of the gene (48, 64). Furthermore, the nucleotide
at one of these positions varies from that in M. marinum in only some strains of M. ulcerans
(48). Sequence analysis of a partial groEL
fragment (51) and analyses of cell wall mycolate composition
(11, 64) have also confirmed the close genetic relationship
between these species. However, DNA-DNA hybridization studies have
shown a relative binding ratio of approximately 37% between
M. ulcerans and M. marinum strains
(64). This does suggest that there is a fundamental genetic
basis for the significant phenotypic differences observed. Recently,
two high-copy-number insertion sequences, IS2404 and IS2606, were identified in M. ulcerans
(59). Neither of these elements was present in M. marinum, but they were present in M. ulcerans
isolates collected from around the world (58). Thus, the
presence of these sequences appears to be a defining and important characteristic of M. ulcerans.
Our hypothesis is that M. ulcerans has recently
diverged from M. marinum by the recruitment of foreign
DNA from the environment. Such a scenario is in accord with the mosaic
genome structure identified within other mycobacteria (43)
and their ability to evolve rapidly by the transposition of insertion
sequences, such as IS6110 in Mycobacterium
tuberculosis (62), IS900 in Mycobacterium avium subsp. paratuberculosis
(20), and IS1512 in Mycobacterium
gordonae (44).
In the current study, our overall aim was to learn more about the
emergence of M. ulcerans as a pathogen by comparing it
at a genetic level with M. marinum. This was
accomplished by employing multilocus sequence typing,
two-dimensional pulsed-field gel electrophoresis (PFGE), and
restriction fragment hybridization analysis to compare both structural
and sequence compositions of the genomes of these species.
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MATERIALS AND METHODS |
Bacterial strains.
The details of the 18 M. ulcerans isolates and 22 M. marinum isolates used
in this study are listed in Table 1.
Culture media and conditions were as previously described
(59).
Multilocus sequence analysis.
PCR was used to amplify
internal fragments from eight genes in M. ulcerans and
M. marinum. The oligonucleotide primers for amplification of the rrs, groEL, sod,
and fbpA loci were those used previously (48, 55, 61,
69) (Table 2). Primers for adk, aroE, and ppk were designed by
alignment of sequences obtained from the Mycobacterium
leprae and M. tuberculosis genome databases (10;
http://www.sanger.ac.uk/Projects/M_leprae/blast_server.shtml). It
was reasoned that regions of sequence conservation between these two
distantly related mycobacteria would permit the design of genus-level
primers. The names of each of the eight genes, the putative gene
products, and the positions sequenced are given in Table 2. GenBank
accession numbers are also given in Table 2 for the sequences obtained
from the type strains of M. ulcerans and M. marinum. The sequences obtained from the other 38 isolates have
also been deposited in GenBank. The accession numbers for these
additional sequences are available from the authors or by searching
GenBank.
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TABLE 2.
Oligonucleotides used for PCR amplification and
nucleotide sequencing of the internal regions of genes from
M. ulcerans and M. marinum
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DNA extraction and PCR.
Mycobacterial DNA was extracted from
5 to 25 mg (wet weight) of cell pellet by glass bead cell
homogenization in the presence of Triton X-100 and chloroform-isoamyl
alcohol (24:1) as previously described (58). A 2-µl volume
of the Triton X-100 aqueous phase was then used as a template for PCR.
Reaction conditions used for the PCR amplification of all fragments
were as follows: each reaction mixture (50 µl) contained 1× PCR
buffer II (10× PCR buffer II contained 500 mM KCl, 100 mM Tris-HCl
[pH 8.3]), 1.5 mM MgCl2, 0.5 mM deoxynucleoside
triphosphates (dNTPs; 0.5 mM each dATP, dTTP, dCTP, and dGTP), 10%
dimethyl sulfoxide, 0.5 µM each primer, and 1 U of
Ampli-Taq DNA polymerase (Applied Biosystems, Foster City,
Calif.). Thermal cycling was performed in an FTS-960 thermal sequencer
(Corbett Research, Sydney, Australia) with five cycles of 95°C for 1 min, 60°C for 1 min, and 72°C for 1 min, 30 cycles of 95°C for
20 s, 58°C for 30 s, and 72°C for 45 s, followed by a final extension step at 72°C for 5 min. The reactions were held at
4°C until analyzed by 1.5% agarose gel electrophoresis with ethidium
bromide staining. QIAquick spin columns (Qiagen Inc., Valencia, Calif.)
were used to purify the PCR products prior to cycle sequencing. The
products were sequenced on both strands with the primers used for PCR,
according to the protocols supplied with the Prism Big Dye Terminator
Cycle Sequencing Ready Reaction kit (Applied Biosystems). Extension
products were analyzed with a PE Applied Biosystems model 373 automated
sequencer, and the sequences were compiled with Sequencher 3.1.1 software (Gene Codes Corporation).
Nucleotide sequence analysis.
Strains were grouped according
to their combination of alleles, and each unique allelic pattern was
identified as a sequence type (genotype). A representative strain from
each genotype was then selected for phylogenetic analysis. The
sequences from the seven protein-encoding loci were concatenated in
frame to produce a 2,853-bp semantide for each genotype, which were
aligned with Clustal W (63). Phylogenetic analysis was
performed with MEGA software version 1.1.2 (33) and Splits
Tree version 3.1 (26). P distances were used throughout, as
the overall level of sequence divergence was small. Values for
synonymous (dS) and nonsynonymous (dN) mutation
frequencies were calculated with Nei and Gojobori's method
(38), and standard errors of the means of these values were
estimated by the method of Nei and Jin (39). All
calculations of dS and dN were performed using
the dSdNqw program (14). The G+C% at each codon position
was determined using Web-based software (Murdoch University
Bioinformatics Research Institute,
http://arginine.it.murdoch.edu.au/research).
PFGE.
Mycobacterial DNA plugs were prepared as previously
described (54) with the following modifications. Ampicillin
and D-cycloserine were added to the culture 24 h prior
to harvesting at final concentrations of 0.1 and 1.0 mg/ml,
respectively (8). The step requiring vortexing of the cells
in the presence of 3-mm glass beads was omitted, and the Bio-Rad
Genepath wash solution was replaced with TE buffer (10 mM Tris, 1 mM
EDTA [pH 8.0]). Restriction endouclease digestion of the DNA in the
plugs was performed as described previously (42). For
DraI digestion, MgCl2 was added to a final
concentration of 10 mM. First- and second-dimension PFGE were
performed using the Bio-Rad CHEF DRII system (Bio-Rad, Richmond,
Calif.) with 1.0% agarose in 0.5× Tris-borate-EDTA (TBE) at 200 V,
with 10 to 35 s switching times for 25 h. DNA was visualized
by staining with ethidium bromide (0.5 µg/ml) overnight at 4°C.
Southern hybridization analysis was performed as described previously
(59), and DNA restriction fragment sizes from both PFGE and
Southern blots were estimated with Sigmagel software (Jandel Scientific).
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RESULTS |
Multilocus sequence typing.
A collection of 18 M. ulcerans isolates and 22 M. marinum isolates was
used in this study (Table 1). These isolates originated from a variety
of sources and represent both temporal and geographic diversity. The
majority of the isolates were of human origin. However, among the
M. marinum strains, one was isolated from a fish,
another from a bilby (Macrotis lagotis, a small Australian native marsupial), and another from water (Table 1). For the sequence
typing, a panel of seven unlinked genes were used (see the
hybridization results below). The 3' region of the 16S rRNA gene from
each isolate was also sequenced, but only the data from the seven
protein-encoding loci were included in the subsequent phylogenetic
analyses. The allelic profiles for some isolates differed at more than
three of the seven loci, so phylogeny was inferred by using a distance
method rather than a pairwise comparison of the allelic profiles
(56). The sequences from the seven loci were concatenated in
the order crtB, adk, fbpA,
aroE, groEL, ppk, and sod
to produce a 951-codon semantide.
The 40 isolates were represented by 11 different genotypes, where a
unique combination of the seven alleles defined a particular genotype. A summary of all the variable sites for each genotype and the
division between synonymous and nonsynonymous substitutions is shown in
Fig. 1. Five M. marinum
genotypes were identified and named types I to V (Table 1, Fig. 1).
There was no obvious correlation between strain origin and genotype,
although no genotype IV or V isolates were detected among the strains
obtained from the Northern Hemisphere. There were six M. ulcerans genotypes, and in accord with previous studies, these
were named according to their geographic origin. There was only one
variable position across all eight loci that discriminated between the
species. This site was within the fbpA gene at position 1128 of the concatenated sequences (Fig. 1). As has been reported
previously, no variation was detected in the 3' region of the 16S rRNA
gene for any of the M. marinum isolates, and there were
five alleles of the gene among the M. ulcerans strains
(48, 64).

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FIG. 1.
Alignment of the 2,853-bp sequences derived from the
seven concatenated protein-encoding loci for each of the 11 genotypes.
Only variable nucleotides are shown, and the numbers at the top of
figure indicate their positions in the sequence. A period indicates
identity with the M. ulcerans Surinam strain, and
nonsynonymous mutations are highlighted with gray shading.
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M. ulcerans and M. marinum have been
shown by 16S rRNA analysis to be most closely related to M. tuberculosis (64). The percent nucleotide identity
between M. ulcerans ATCC 19423, M. marinum NCTC 2275, and M. tuberculosis H37Rv was
calculated at each locus to indicate the general relatedness between
each species. Identity scores ranged from 96.3 to 99.6% (average,
98.7%) between M. ulcerans and M. marinum, compared to 77.2 to 99.3% (average, 86.9%) between
M. ulcerans or M. marinum and
M. tuberculosis.
Split decomposition analysis was used to examine the phylogenetic
relationship between the M. marinum and M. ulcerans strains. The treelike structure shown in the splits graph
and the absence of networks (Fig. 2) are
clear evidence of a bifurcating phylogeny. These observations, combined
with a high level of statistical support for each node in the splits
graph and complete congruence with a dendrogram derived by the
neighbor-joining method (data not shown), provide good evidence for an
evolutionary link between M. ulcerans and M. marinum via a series of de novo point mutations within each locus.
M. marinum could be categorized into two distinct and
divergent groups (I and II versus III, IV, and V). The discrete clustering of all M. ulcerans strains suggests that
M. ulcerans is a derivative of an M. marinum type III, IV, or V ancestor. There was also significantly
less sequence variation within the M. ulcerans cluster
compared to M. marinum (Fig. 1), supporting the
proposition that M. marinum is the ancestral species. A
close genetic relationship was also evident between the southeast
Asian, African, and Victorian (Australian) genotypes of M. ulcerans (Fig. 2). This observation is in accord with previous
findings based on PCR amplification of inter-IS sequences
(2426-PCR) (58). No sequence differences were detected among
any of the African isolates. Overall, there was good correlation
between multilocus sequence analysis and 2426-PCR, but the 2426-PCR
offered additional resolution among isolates of the southeast Asian
genotype (Table 1).

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FIG. 2.
Splits graph of the phylogenetic relationship among the
six M. ulcerans and five M. marinum
genotypes. The vertices are labeled with each genotype. (MM,
M. marinum; MU, M. ulcerans). The graph
was generated from the concatenated sequences of the seven
protein-encoding loci. All edges in the graph had greater than 80%
bootstrap support (1,000 iterations) with the exception of the edges
marked with an asterisk. These edges had greater than 60% bootstrap
support.
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Synonymous and nonsynonymous substitution frequencies.
A high
frequency of nonsynonymous substitutions (dN) compared to
synonymous substitutions (dS) within a particular gene or locus can indicate the presence of positive selection pressure (16, 65). From the data presented in Fig. 1, this difference (dS
dN) was calculated across all loci for both
species. For the M. marinum genotypes, the value for
dS
dN was 2.8 ± 0.5 (z = 5.57, P < 0.001, dS = 3.0 ± 0.5, dN = 0.2 ± 0.08). That is, the frequency of synonymous mutation was
significantly higher than the nonsynonymous mutation frequency,
suggesting that there is no obvious selection pressure. However, among
the M. ulcerans genotypes, the value for dS
dN of 0.32 ± 0.18 (z = 1.76, P > 0.05, dS = 0.54 ± 0.17, dN = 0.22 ± 0.07) was much
lower, and the dS and dN values were not
significantly different. Expressed another way, the ratio of
dN to dS was 6.8 times higher in M. ulcerans than in M. marinum, suggesting the
presence of positive or purifying selection pressure acting on
M. ulcerans. This observation lends support to a
theory that M. ulcerans has adapted to a changed or
changing environment, particularly given that the two species appear to have a common genetic backbone and therefore should exhibit
similar theoretical mutation rates. The presence of five rrs
alleles among the six M. ulcerans strains compared with
only a single rrs allele for all the M. marinum genotypes is also consistent with an organism in a state
of evolutionary flux and adaptation.
The evolutionary age of M. ulcerans was estimated by
determining dS across the 951 codons of the seven loci
(rrs excluded). By using previous estimates of bacterial
synonymous substitution rates of 0.58 to 0.78 substitutions per 100 sites per million years (32), the time needed to accumulate
the amount of synonymous mutation observed within the M. ulcerans genotypes was calculated. This analysis indicated that
M. ulcerans emerged between 470,000 and 1,200,000 years
ago. To check that there were no codon biases, which can indicate
reduced rates of substitution (7), the GC content at the
third codon position (GC3%) was compared with the overall GC content
for each genotype across both species. The values obtained (average
GC% = 65.5, standard deviation [sd] = 0.1; average
GC3% = 85.9, sd = 0.1) were very similar to those reported for M. tuberculosis, suggesting that the rate
at which M. ulcerans and M. marinum
accumulate synonymous substitutions is the same as that observed in
M. tuberculosis (4). This estimate assumes
that there are no significant in vivo growth rate differences between
species. However, fluctuations in growth rates have been suggested to
be inconsequential over a geological time scale and given actual
environmental generation times (37).
Comparisons of genome structure.
To further investigate the
hypothesis that M. ulcerans has recently diverged from
M. marinum, a southeast Asian isolate of M. ulcerans (isolate 13822/70) and a type V isolate of M. marinum (isolate 99/86) were selected for genome structure comparisons.
PFGE was used to compare macrorestriction fragment
patterns and to obtain estimates of the genome sizes. The restriction
enzymes PacI, PmeI and SwaI, which
have eight-base AT-rich recognition sites, were tried first in an
attempt to obtain a simple pattern of fragments that would permit
straightforward genome size estimations. Unfortunately, these enzymes
failed to cut the genome of either M. marinum or
M. ulcerans. AseI and DraI gave the most
useful array of fragments (Fig. 3). No
plasmid bands were detected in either isolate (Fig.
4A). However, with these enzymes
there were probable doublets and areas of significant compression that
prevented accurate sizing. These regions could not be resolved
satisfactorily with altered electrophoretic separation parameters.
Two-dimensional PFGE was used to improve resolution. Reciprocal
AseI and DraI digests were performed for
each organism, and these are shown in Fig.
5. Indicative genome sizes were obtained
by summing the averages of the AseI and DraI
restriction fragments length estimates from both one- and
two-dimensional pulsed-field arrays (Table 3). This indicated a genome size for
M. ulcerans of approximately 4.4 Mb and a
slightly larger genome for M. marinum of approximately 4.6 Mb. This latter figure is comparable to other genome size estimates for M. marinum (1).

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FIG. 3.
PFGE analysis of genomic DNA from M. marinum 99/86 (lanes 1 and 2) and M. ulcerans
13822/70 (lanes 3 and 4) digested with AseI (lanes 1 and 3)
and DraI (lanes 2 and 4). Lanes M, 50-kb lambda DNA size
ladder.
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FIG. 4.
PFGE (A) and Southern hybridization (B and C) analyses
of M. marinum 99/86 (lanes 1 and 3) and M. ulcerans 13822/70 (lanes 2 and 4), probed with IS2606
(B) and IS2404 (C). Lanes 1 and 2, AseI digest;
lanes 3 and 4, undigested DNA; lane M, 50-kb lambda DNA size ladder.
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FIG. 5.
Two-dimensional PFGE analysis of genomic DNA from
M. ulcerans 13822/70 (A and B) and from M. marinum 99/86 (C and D), reciprocally digested with the
restriction enzymes AseI and DraI as indicated on
each panel. Lanes 1, 2, 4, and 6, first-dimension separations of
genomic DNA digested with the restriction enzyme AseI; lanes
3 and 5, first-dimension separations of genomic DNA digested with the
restriction enzyme DraI; lane M, 50-kb lambda DNA size
ladder.
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From the one-dimensional pulsed-field patterns, there appeared to be
little similarity in AseI and DraI restriction
patterns between strains. One explanation for observing nucleotide
sequence similarity with genomic structural diversity is the presence
of mobile DNA in one or both species. Insertion sequences are well known to promote genome rearrangements (34), and
IS2404 and IS2606 are two elements present in
M. ulcerans but absent from M. marinum
that could act as substrates for such rearrangements. Hybridization of
IS2404 and IS2606 probes against M. ulcerans digested with AseI indicated the widespread
distribution of both elements around the genome (Fig. 4B and C). As
expected, M. marinum did not hybridize to either probe.
All M. marinum isolates were also screened by PCR and
found not to contain either IS2404 or IS2606
(data not shown).
If, as suggested by the restricted sequence polymorphism, large-scale
genome rearrangements have occurred recently, then some preservation of
genomic subarchitecture could be expected between each species. The
restriction enzymes NcoI, PvuII, and
PstI were predicted to cut no more than once within the
entire coding region of each gene used for multilocus sequence
analysis. When full-length M. ulcerans or M. marinum gene sequences were not available, this prediction was
based on the M. tuberculosis genome sequences
(10). These enzymes were then used to digest genomic DNA
from M. marinum and M. ulcerans.
The DNA was hybridized against probes from each of the eight loci
described above, and the sizes of the hybridizing fragments were
estimated and compared. All loci appeared to hybridize to
different-sized fragments for all three enzymes, indicating that none
of the targets selected for multilocus testing were linked. A
significant degree of conservation of the DNA flanking most of the loci
between the two species was revealed (Fig.
6). One exception was the 16S rRNA locus,
for which multiple polymorphisms were detected with all three enzymes.
The presence of two hybridizing fragments with each enzyme against
M. marinum DNA suggests that M. marinum
may possess at least two copies of the rRNA operon. Multiple bands also
hybridized to the probes derived from the fbpA and
aroE genes. However, from an analysis of the M. tuberculosis genome, the presence of these bands is probably due
to cross-hybridization with other genes of similar sequence, such as
fbpC and other dehydrogenase genes.

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FIG. 6.
Southern hybridization analysis of genomic DNA from
M. marinum 99/86 (lanes 1, 2, and 3) and from
M. ulcerans 13822/70 (lanes 4, 5, and 6). The DNA was
digested with the restriction enzymes NcoI (lanes 1 and 4),
PvuII (lanes 2 and 5), and PstI (lanes 3 and 6)
and then probed with sequences derived from each locus as indicated.
Lane M, lambda HindIII-digested DNA size markers.
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DISCUSSION |
In this study we have used multilocus sequence analysis to clearly
establish for the first time the population structure of and
evolutionary relationship between M. ulcerans and
M. marinum. The data we have gathered suggest the
recent divergence of M. ulcerans from an M. marinum progenitor. Overall, M. marinum and M. ulcerans have very high nucleotide homology. Their
close genetic relationship is highlighted by the presence of only one
species-discriminating variable site among the 3,306 bp from the eight
loci (Fig. 1). The level of intraspecies nucleotide sequence divergence
was higher between M. marinum strains than
M. ulcerans strains, and this observation correlates
well with previous DNA-DNA hybridization studies (64). An
increased level of nucleotide sequence divergence and the absence of
IS2404 and IS2606 from all M. marinum strains are the expected states for the ancestral species
of M. ulcerans.
Insertion sequences and other repetitive DNA elements play an important
role in mycobacterial genetics (13, 49). In M. tuberculosis, IS6110 is responsible for the rapid
evolution of distinct clones (57). Similarly,
IS900 and IS901/902 are defining characteristics for M. avium subsp.
paratuberculosis and M. avium subsp.
silvaticum, organisms with a high degree of genetic
identity to the M. avium complex (20).
M. ulcerans has acquired at least two IS elements,
IS2404 and IS2606, and their pattern of
widespread genome distribution and high copy number indicate the
potential for these elements to act as substrates for ongoing genome
rearrangements. The detection of variations in inter-IS distances
between strains of M. ulcerans is evidence of such
rearrangements (58).
Interestingly, both IS2404 and IS2606 are related
to elements in the genus Streptomyces. The transposase from
IS2404 has 31% amino acid identity (45% amino acid
similarity) with that from IS1629, an IS associated with
mobilization of the nec1 virulence determinant in
plant-pathogenic strains of various Streptomyces spp.
(24). Recently, a homolog of IS2606 has been
identified in Streptomyces albus. The putative transposase
from this IS has 47% amino acid identity (57% amino acid similarity)
with that from IS2606 (C. M. Smith, personal
communication). The transposition of an IS from Streptomyces
coelicolor into a mycobacterial genome has been
demonstrated (5).
While the IS elements may play an important role in promoting
rearrangements and modifying gene expression, the presence of the
unusual type 1 polyketide mycolactone (18) in
M. ulcerans means that it is unlikely that
IS2404 and IS2606 are the only sequences
that M. ulcerans has acquired. A large amount of
specific genetic material is predicted to be required for the synthesis of this molecule. From the M. tuberculosis genome
sequence data, mycobacteria are known to contain several polyketide
synthase operons, but none of these operons resemble the predicted
modular composition of the genes required to synthesize mycolactone
(10). It is possible that M. ulcerans may
have appropriated an additional polyketide synthase locus, and
interestingly, the streptomycetes are a rich source of these enzymes
(68). We are currently performing genomic subtractions
between M. ulcerans and M. marinum to
identify additional M. ulcerans-specific sequences.
Environmental PCR-based surveys have shown that M. ulcerans is present in water and detrital material from swamps in
M. ulcerans-endemic areas in southeastern Australia
(53, 60). In West Africa, aquatic insects appear to be a
source of the organism rather than water or plant material
(47). These data suggest that M. ulcerans may occupy different environmental niches in different geographical regions. The multilocus sequencing data (Fig. 1 and 2) and previous molecular typing studies (29, 48, 58) have demonstrated unique genotypes within a geographic region. Variations in genotype according to locale also correlate with phenotypic differences between strains. For example, there are consistent growth rate differences between the African and Australian isolates
(41). Combining the findings from the environmental surveys,
the genotype data, and the phenotype data, it appears likely that
M. ulcerans is adapting to the unique conditions of a
particular region. The presence of multiple 16S rRNA alleles also
suggests that strains may be in the process of local adaptation.
Point mutations within the rRNA operon of mycobacteria that have only a
single copy of this operon can confer significant biological effects,
such as antibiotic resistance (66).
The PFGE data demonstrated that the M. ulcerans genome
was approximately 200 kb smaller than that of M. marinum. Considering that the M. ulcerans genome
contains approximately 180 kb of DNA not present in M. marinum (based on 40 copies of IS2606 and 50 to 100 copies of IS2404) (59), there is likely to be at
least 380 kb of difference in genetic material between these species. Therefore, in addition to M. ulcerans's having
acquired DNA, it may have also undergone a deletion event(s). Other
evidence that might suggest deletion of genetic material includes the
presence of only a single copy of the 16S rRNA gene in M. ulcerans compared to two copies in M. marinum. This observation may also explain the substantial
growth rate differences observed between these species. It also
suggests that slow growth may be of selective advantage to
M. ulcerans. These advantages may include facilitation of growth as an endosymbiont (9, 28) and survival
under nutrient-poor conditions (27). The presence of two
copies of the rRNA operon in M. marinum also has
taxonomic implications for its current classification as a slow-growing
species (67).
M. ulcerans may perhaps best be thought of as an
ecotype of M. marinum, that is, an M. marinum progenitor genotype that has adapted to a particular
ecological niche (36). The presence of unique M. ulcerans genotypes or subecotypes based on geographic origin
represents the continuing evolution and adaptation of the organism to
varying environments. This would explain the general process by which
isolates from temperate regions of southeastern Australia have evolved
differently from strains inhabiting tropical regions.
It has been proposed that M. ulcerans is a legacy of
the microbial ecology from the Jurassic Period and that its global
distribution can be attributed to the breakup of the supercontinents
150 million years ago (21). However, the global history of
M. ulcerans suggested by this study is one of the
organism's originating less than 1.2 million years ago and then
spreading throughout the world. The absence of any sequence differences
or inter-IS variation (58) among African strains of
M. ulcerans is evidence of even more recent
distribution of the organism across this continent. The level of
nucleotide sequence variation observed among isolates from Africa is
the same as that reported for M. tuberculosis globally (57), and thus it appears that the African strain may have
arisen in the past 18,000 years. Multilocus analysis of more strains from Africa would confirm this proposition.
Future work should now be directed towards whole-genome studies of
M. ulcerans and M. marinum using
microarray-based comparative techniques similar to those recently
applied to strains of Mycobacterium bovis BCG
(3). Whole-genome comparisons should reveal the fundamentals of pathogenesis in each of these species, particularly given their close genetic relationship and contrasting phenotypes.
We are grateful to Françoise Portaels, Pam Small, William
Chew, David Dawson, Aina Sievers, and Frank Haverkort for the provision of mycobacterial isolates. We also thank Carol Smith and Wayne Meyers
for the provision of unpublished data.
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