Clostridium perfringens enterotoxin (CPE) is a major virulence factor for human gastrointestinal diseases, such as food poisoning and antibiotic associated diarrhea. The CPE-encoding gene (cpe) can be chromosomal or plasmid-borne. Recent development of conventional PCR cpe-genotyping assays makes it possible to identify cpe location (chromosomal or plasmid) in type A isolates. Initial studies for developing cpe genotyping assays indicated that all cpe-positive strains isolated from sickened patients were typable by cpe-genotypes, but surveys of C. perfringens environmental strains or strains from feces of healthy people suggested that this assay might not be useful for some cpe-carrying type A isolates. In the current study, a pulsed-field gel electrophoresis Southern blot assay showed that four cpe-genotype untypable isolates carried their cpe gene on a plasmid of ∼65 kb. Complete sequence analysis of the ∼65 kb variant cpe-carrying plasmid revealed no intact IS elements and a disrupted cytosine methyltransferase (dcm) gene. More importantly, this plasmid contains a conjugative transfer region, a variant cpe gene and variant iota toxin genes. The toxin genes encoded by this plasmid are expressed based upon the results of RT-PCR assays. The ∼65 kb plasmid is closely related to the pCPF4969 cpe plasmid of type A isolates. MLST analyses indicated these isolates belong to a unique cluster of C. perfringens. Overall, these isolates carrying a variant functional cpe gene and iota toxin genes represent unique type E strains.
Citation: Miyamoto K, Yumine N, Mimura K, Nagahama M, Li J, McClane BA, et al. (2011) Identification of Novel Clostridium perfringens Type E Strains That Carry an Iota Toxin Plasmid with a Functional Enterotoxin Gene. PLoS ONE6(5): e20376. https://doi.org/10.1371/journal.pone.0020376
Editor: Herman Tse, The University of Hong Kong, Hong Kong
Received: February 23, 2011; Accepted: April 18, 2011; Published: May 31, 2011
Copyright: © 2011 Miyamoto et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: Portions of this study were supported by grants R37 AI19844-29 and R01 AI056177-08 from the National Institute of Allergy and Infectious Diseases. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of manuscript, and no additional external funding was received for this study.
Competing interests: The authors have declared that no competing interests exist.
Clostridium perfringens, a gram-positive spore-forming anaerobic bacterium, has a ubiquitous presence in the normal intestinal flora, feces, soil and sewage , , . This bacterium produces many different toxins, at least 16 . Based upon their production of four typing toxins (alpha, beta, epsilon, and iota), C. perfringens isolates are classified into five toxin types (A to E).
C. perfringens type A is one of the most common causative agents of human gastrointestinal (GI) diseases, such as food poisoning, antibiotic associated diarrhea, and sporadic diarrhea . C. perfringens enterotoxin (CPE) is the most important virulence factor when type A isolates cause human GI diseases, although only ∼5% of type A isolates produce this toxin , . Recent studies indicated that C. perfringens type A isolates causing food poisoning or human GI disease classify into three groups based upon their enterotoxin gene (cpe) locus . These groups include chromosomal cpe isolates (carrying a cpe-IS1470 locus) and two plasmid-borne cpe groups that carry either a cpe-IS1151 locus or a cpe-IS1470-like locus .
Using a PCR assay capable of distinguishing amongst those three cpe loci, surveys identified several cpe-positive isolates from the feces of healthy humans or the environment that possess an as yet uncharacterized cpe locus arrangement , , . The significance of these isolates has been unclear, but some are cytotoxic and might produce CPE , . So, a further investigation of these isolates carrying an uncharacterized cpe locus might shed light on their potential clinical significance and on the evolution of the cpe gene itself.
Therefore this study conducted a genotypic and phenotypic characterization of C. perfringens isolates with an uncharacterized cpe locus. This work included analyzing in these isolates: cpe sequence diversity, the cpe location (chromosome or plasmid), toxin expression and their genetic background.
Properties of cpe-positive isolates with an unknown cpe locus arrangement
The current study examined four cpe-positve isolates, PB-1, 3441, TGII002, and TGII003. When assayed by a multiplex toxinotyping PCR, these four cpe-positive isolates all tested as cpe-positive type A C. perfringens . However, these isolates each carried an unknown cpe locus arrangement, as tested using a cpe genotyping assay .
Analysis of the cpe gene sequence in PB-1, 3441, TGII002, and TGII003 revealed that each of these isolates carries an identical variant cpe gene, with the same sequence as that found in USA soil isolate S292-3, which may produce undetectable levels of CPE and has an unusual organization of its cpe promotor region sequence . Comparing this variant cpe gene against the classical cpe gene found in isolates with a known cpe locus arrangement, the two cpe genes were highly homologous at the amino acid level (identities = 307/319 (96%), positives = 315/319 (98%)). Of ten amino acid differences, only one amino acid change was found in the cell binding region of CPE and no amino acid changes were found in the major cytotoxicity region (Figure S1). With respect to nucleotide diversity, comparison of the variant vs. classical cpe genes revealed 33 nucleotide differences.
Southern blot analysis of pulsed-field gels showed that all four surveyed isolates with an unusual cpe locus arrangement carry their cpe gene on an ∼65 kb plasmid (Figure 1).
Complete sequence analysis of the ∼65 kb variant cpe-encoding plasmid, pCPPB-1
Complete sequencing of the cpe plasmid (named pCPPB-1) in PB-1 revealed a size of 67,479 bp, encoding 72 putative ORFs (Figure 2). Analysis of pCPPB-1 revealed that this plasmid consists of three regions: a putative plasmid replication and transfer region, a toxin region, and a variable region.
Map displays ORFs identified by ORF Finder using the obtained the variant cpe-encoding plasmid (pCPPB-1) sequence. A blue line marks the putative plasmid transfer region, an orange line delineates toxin, and a pink line indicated the region homologous with a part of pCPF4969 variable region. Potential roles of each ORF are indicated by the key in the lower right-hand corner of the figure.
Surprisingly, this sequencing detected the presence of two ORFs encoding homologues of the iota toxin genes that characterize C. perfringens type E strains. These iota toxin genes of PB-1 strain resided near the variant cpe gene (Figure 3A). The toxin locus in pCPPB-1 has a generally similar organization as the iota toxin plasmid of classical type E strains, except the cpe gene is intact and not disrupted by the nonsense and frame-shift mutations found in other type E strains (Figure 3A) .
A. Genetic organization of the toxin locus in pCPPB-1 versus the toxin locus in previously studied C. perfringens type E strain (JGS1987) . Broad bars show ORFs. Long thin bars depict the PCR products as shown in Panel B, amplified with each primer pair (see the text). B. PCR analysis of the toxin locus in C. perfringens isolates carrying the variant cpe gene.
Concerning the iota toxin genes of pCPPB-1, analysis of the iap ORF indicated that the iA component encoded by this plasmid is highly homologous with the consensus iA component of type E iota toxin and the ADP-ribosylation component of the CDT toxin made by Clostridium difficile (Figure S2). The most different region between the iA component encoded by pCPPB-1 vs. the classical iA is the signal peptide region. The pCPPB-1 putative signal peptide for iA should be functional, based on analysis of the signal peptide sequence by SOSUI software (http://bp.nuap.nagoya-u.ac.jp/sosui/) . The iB component encoded by pCPPB-1 is also homologous with the iB component of consensus iota toxin (Figure S3).
The nucleotide sequence of the variant iap gene on pCPPB-1 shared 91% (1252/1376) identity with 1% (22/1376) gaps, and 87% (1194/1376) identity with 2% (36/1376) gaps, compared against the consensus iap gene of previously examined C. perfringens type E strain. Interestingly, many nucleotide differences are also present in the first ∼750 bp on 5′ site, a location containing the sites for hybridization of the iap primers commonly used in the toxin genotyping assay based on the iap gene sequence in previously investigated type E isolates. In fact, five of twenty nucleotides on the forward iap primer and two of 21 nucleotides in the reverse primer differ in the variant iap gene present on pCPPB-1  (Figure S4).
The ibp gene of pCPPB-1 also shared high identities with the ibp gene in C. perfringens type E strains, (89% identities with 2% gaps) and the cdtB gene in C. difficile (85% identities with 4% gaps) (Figure S5). Nucleotide differences were broadly distributed between the variant ibp gene on pCPPB-1 and the consensus ibp gene in previously studied type E strains, although the 3′ region of the gene was highly homologous with the consensus ibp gene of previously studied type E strains (Figure S5).
A previous study suggested that the upstream region of the same variant cpe gene present in soil isolate S292-3 might have a defective promoter region . Sequencing of the cpe promoter region on pCPPB-1 showed that this cpe gene had a putative ribosome binding site and putative SigK-dependent and putative SigE-dependent promoters (P1 and P2, respectively), but lacked the most upstream SigE-depedent promoter, P3 ,  (Figure S6).
The putative plasmid replication and conjugative transfer region of pCPPB-1 contains tcp genes (intP, tcpA, tcpC to tcpJ), putative adenine methyltransfease gene (dam), and collagen adhesion protein gene (cna), but not a putative intact cytosine methyltransfease gene (dcm). To investigate the genetic relationship of the pCPPB-1 plasmid with other toxin plasmids, the tcpA gene sequence in PB-1 was compared against the tcpA gene on other toxin plasmids, with the rationale that the TcpA protein is the most divergent of the transfer-related proteins carried on conjugative transferable C. perfringens plasmids . Based on the sequence information obtained for the tcpA gene, pCPPB-1 appears to be more closely related with the iota toxin plasmid in type E strain rather than the type A cpe plasmids (Figure 4).
The phylogenetic tree was constructed by Clustal W analysis based on the nucleotide sequence of tcpA genes (accession numbers; pCPF4969, NC007772; pCPF5603, NC007773; pCP8533etx, AB444205; pCW3, DQ366035; pJGS1987, NZ_ABDW01000012; pATCC3626, ABDV01000020; pJGS1721, NZ_ABOO01000017; pJGS1945, NZ_ABDU01000064; pJIR2774, DQ338473; and pJIR26, DQ338471).
PCR-based diversity analysis of the isolates carrying the variant cpe plasmid
The four isolates with the variant cpe gene carried five representative genes found on the prototype classical cpe plasmids pCPF5603 and pCPF4969; three of these are essential conjugative transfer genes (tcpA, tcpF, and tcpH), another is a putative collagen adhesion gene (cna), and the last a putative adenine-specific methyltransferase gene (dam) (Table 1) . Moreover, overlapping PCR assays for the transfer region suggested that the cpe plasmid in PB-1, 3441, TGII002, and TGII003 might carry the transfer region (intP, tcpA to tcpI genes) homologous with other conjugative toxin plasmids in C. perfringens (Figure S7). However, the putative cytosine-specific methyltransferase gene (dcm), commonly found on other cpe plasmids was not detected in any of the four variant cpe isolates. Nor did these isolates carry any of the three cpe-related IS elements (IS1151, IS1469 and IS1470), commonly found on pCPF5603, pCPF4969 and some other type A to E toxin plasmids (Table 1) , , –.
The classical iota toxin plasmid found in type E isolates is related to pCPF5603 . However, pCPPB-1 is more related to the cpe-plasmid pCPF4969, based on comparative sequence alignment (Figure 2). Furthermore, overlapping PCR results for the pCPF4969 variable region suggest that the cpe plasmid in 3441, TGII002, and TGII003 is also related to pCPF4969 (Figure S8). Despite this similarity, the putative transfer region of pCPPB-1 lacked the tcpB gene and the group II intron sequence found on pCPF4969 . Moreover, pCPPB-1 lacks a dcm gene and IS elements characteristic of other C. perfringens toxin plasmids.
The pCPPB-1 plasmid toxin region contained variant cpe, iap, and ibp genes. PCR assays for the PB-1 toxin locus indicated that the three other investigated variant cpe isolates carried a similar toxin locus (Figure 3B). Conservation of the toxin locus in the four isolates carrying the variant cpe gene was confirmed by overlapping PCR assays (Figure S9).
MLST analysis of the isolates carrying the variant cpe genes
Since pCPPB-like plasmids are a new family of iota toxin plasmid, we investigated the genetic relationship of the surveyed isolates carrying this new iota toxin plasmid against other isolates. This involved, a genetic analysis of their chromosomal house-keeping genes using a MLST assay . Interestingly, all four isolates of these newly identified type E isolates localized to a distinct cluster, which was different from type B to E animal isolates (Figure 5).
RT-PCR analysis of toxin gene transcription
The sequence information obtained for pCPPB-1, along with the results of toxin gene PCR assays, suggested that the four surveyed isolates might carry functional toxin genes. To investigate if those genes are transcribed, RT-PCR assays were performed using RNA preparations from TGY cultures or Duncan/Strong cultures. The four surveyed isolates transcribed cpe mRNA during sporulation (Table 2), strongly suggesting these isolates are enterotoxigenic, particularly since their CPE amino acid sequences are highly conserved relative to the classical CPE that is an enterotoxin.
RT-PCR analyses also detected transcription of the iota toxin genes in these four isolates. This suggests that these four isolates produce active iota toxin (Ia and Ib), particularly given the conserved nature of the amino substitutions of these components, as described above (Table 2).
Sequence analysis of the ssp4 gene in the four type E isolates carrying a variant cpe gene
Sequencing of the ssp4 gene in the four type E isolates carrying variant cpe and iota toxin genes revealed that the small soluble acid protein (SASP) Ssp4 in these isolates has Gly at residue 36 and Lys at residue 72. This contrasts with the ssp4 gene of type A chromosomal cpe strains, which form spores that are highly resistant to stresses such as heat. The ssp4 gene of those isolates encodes an Asp at residue 36, while residue 72 encodes an Asn , . These findings for the four isolates carrying the variant cpe gene suggested that they form relatively heat-sensitive spores. This was confirmed by demonstrating that the D value at 100°C for spores from PB-1 and strain 3441 is <2 min (data not shown), in contrast to the D100 value of chromosomal cpe strains forming heat-resistant spores, which averages more than 15 min , .
The current study first identified a variant cpe gene, which was encoded on an ∼65 kb plasmid. While variants of other C. perfringens toxins have been reported, this finding marks (to our knowledge) the first identification of isolates that likely produce a variant CPE. Supporting this possibility, the variant cpe gene can be transcribed during sporulation which, given its sequence similarity to the classical cpe gene, should lead to production of a functional CPE protein. This should be investigated in the future.
The isolates carrying this variant cpe gene initially appeared to be type A isolates based upon initial results using the standard multiplex PCR toxinotyping assay. Surprisingly, cpe plasmid sequencing and PCR analyses identified these isolates as type E, since variant iota toxin genes were detected nearby the cpe gene. RT-PCR analyses indicated that these variant iota toxin genes are transcribed. Thus, it is possible that CPE and iota toxin might act together if these isolates are pathogenic. Further surveys should assess whether these novel type E isolates can cause disease in animal models and whether they can be isolated from naturally ill people or animals.
The discovery of the variant iota toxin genes on pCPPB-1-like plasmids is the most important finding of the current study since it reveals the existence of, at least, two families of iota toxin plasmids. The previously known iota toxin plasmids are variable in size but have a pCPF5603 backbone, IS1151 sequences in their toxin locus, a lambda toxin gene, and carry a nonfunctional cpe gene that is silent due to mutations in the promoter and ORF. In contrast, the newly identified (this study) pCPPB-1 iota toxin plasmid family is a consistent ∼65 kb size, has a pCPF4969 backbone with no IS elements located near its toxin locus, lacks a lambda toxin gene, and carries a functional cpe gene. However, both iota toxin plasmid families are likely to be conjugative based upon their carriage of tcp genes .
There is emerging evidence that many, but not all, C. perfringens toxin plasmids are related to pCPF5603 or pCPF4969. The two type E iota toxin plasmid families clearly resemble either pCPF5603 or pCPF4969, as already discussed. Previous studies have also shown that the epsilon toxin plasmid of type B isolates, and a few type D isolates, also resembles pCPF5603 . More recently, the NetB toxin-encoding plasmid was reported to share similarity with pCPF5603 . Since most toxin genes are closely associated with IS sequences, it is thought that mobile genetic elements carrying various toxin genes have inserted into plasmid backbones common to many C. perfringens strains. Therefore, it is notable that IS sequences are not present in the toxin locus of pCPPB-1, possibly because those IS sequences were lost during excision or insertion of the DNA element carrying the iota toxin genes found in pCPPB-1.
In both iota toxin plasmid families, the site of the iota toxin gene insertion is the cpe promoter region. However, the site of this insertional event varied slightly in the two iota toxin plasmid families, with important consequences. In classical pCPF5603-like iota toxin plasmids, this insertional event silenced the cpe promoter, leading to loss of expression. In contrast, for the pCPPB-1 family, only one of three cpe promoters was lost during insertion of the iota toxin genes, so the cpe gene can still be transcribed. In pCPPB-1, two (P1 and P2) cpe promoters are still present upstream of the cpe ORF, while the third cpe promoter (P3) is missing (Figure S6). Since the P1 and P2 promoters are the major promoters, while the P3 promoter is less active, this explains why the cpe gene of pCPPB-1 is still transcribed , .
MLST analysis using chromosomal house-keeping genes revealed that the four novel type E isolates carrying pCPPB-1-like plasmids share a close relationship, but are not related to the classical type E strains carrying pCPF5603-related iota toxin plasmids or with type B, C, or D strain animal disease strains (Figure 5). These findings suggest that type E isolates carrying pCPPB-1-like plasmids represent a unique cluster of C. perfringens strains. In a recent survey, C. perfringens isolates from freshwater suspended sediment and sewage contained cpe-positive isolates, but many of those isolates had a different cpe locus from the previously characterized cpe loci , . Some of these might be type E isolates with pCPPB-1-like plasmids. Another recent study identified putative cpe-positive type A isolates, which did not classify into known cpe-genotypes, that produce a cytotoxic factor(s) . These strains could also resemble the type E strains identified in this study.
The findings in this study have clinical diagnostic significance. The multiplex PCR-based toxin genotyping assay is widely used to type C. perfringens clinical or veterinary disease isolates. Our findings indicate that the current multiplex PCR assay is not completely reliable, as it will misidentify as type A strains the newly discovered type E strains carrying pCPPB-1-like plasmids. The failure of the current multiplex PCR to detect these new pCPPB-1-carrying type E strains is due to sequence differences in the iap gene region used for primer design. Previously type E isolates were not identified in Japan, but the current study has now identified probable type E strains from Japan. Thus, type E strains may be more common than previously appreciated. Future studies should improve the reliability of the multiplex PCR by including primers capable of detecting the variant iota toxin genes identified in this study.
Materials and Methods
Bacterial strains and culture
Four C. perfringens strains (PB-1, TGII002, TGII003, and 3441) used in the study were isolated from retail meat products in Japan, according to the methods previously described . Several C. perfringens strains (F5603, F4969, NCTC8533, NCTC8081, NCTC8084 and ATCC13124) were used as positive or negative controls, as specified.
All strains were cultured in FTG (fluid thioglycolate; Difco Laboratories) medium, or TGY (3% tryptic soy broth [Difco], 2% glucose, 1% Yeast extract [Difco], and 0.1% L-Cysteine [Wako]) medium. For spore formation, Duncan-Strong medium was also used .
Sequence of the cpe gene in isolates carrying an atypical cpe locus
A cpe genotyping PCR assay was first performed as described previously . Since they contained unique cpe loci, the cpe sequences present in isolates PB-1, 3441, TGII002, and TGII003 were directly sequenced from PCR products amplified using primers (cpe-SD, cpe-DB, cpe-DB4, cpe-F3 and cpe-B3) that were derived from PB-1 sequence information (see Results and Table S1). Each PCR mixture contained 1 µl of template DNA preparation, 0.25 µl of GoTaq Flexi DNA polymerase (Promega), 2 µl of 2 mM NTPs, 4 µl of 25 mM MgCl2, 10 µl of PCR buffer, 2 µl of each primer pair (1 µM final concentration). The PCR reactions for determining cpe gene sequence were conducted in a iCycler (BioRad) using the following conditions: 94°C, for 2 min; 35 cycles of 94°C for 30 sec, 50°C for 60 sec, 68°C for 60 sec; and a single extension at 68°C for 8 min. DNA samples of all investigated strains were prepared with InstaGene Matrix kit (Bio-Rad) using a previously described method .
Toxin genotyping and PCR survey of the representative plasmid-borne genes
The toxin genotype of investigated isolates was determined using a multiplex PCR genotyping assay, as previously reported .
A PCR assay of representative individual genes present on other known C. perfringens plasmids was also performed for isolates PB-1, TGII002, TGII003, and 3441. Using previously described primers , , , the genes investigated by PCR included the rep gene found on cpe plasmids pCPF4969 and pCPF5603, the rep gene carried on the etx plasmid pCP8533etx, and the tcpF, cna, dcm, dam, soj, parB, capK, comEC, ThiF, spaC, and virS-like genes found on pCPF4969 or pCPF5603. For investigating the presence of tcp genes (tcpA and tcpH), IS1470, IS1151 and IS1469, newly constructed primers were used (Table S2). Each PCR mixture contained 1 µl of template DNA, 1 µl of Tfi DNA polymerase (Invitrogen), 2 µl of 2 mM NTPs, 1.5 µl of 50 mM MgCl2, 10 µl of PCR buffer, and 2 µl of each primer pair (1 µM final concentration). PCR reactions used the following conditions: 94°C, for 2 min; 35 cycles of 94°C for 30 sec, 55°C for 60 sec, 68°C for 60 sec; with a single extension at 68°C for 8 min.
Pulsed-field gel electrophoresis
C. perfringens DNA plugs were prepared according to methods previously described . Briefly, each strain was cultured in TGY medium for 16 to 18 hours at 37°C. Overnight TGY cultures were washed, pelleted, and then resuspended in TE buffer and mixed with 2% pulsed-field gel electrophoresis (PFGE)-certified agarose (Bio-Rad Laboratories), for a final agarose concentration of 1%. Those plugs were treated with acromoprotease (1 mg/ml [WAKO]) and then treated with proteinase K (1 µg/ml [Wako]). Treated plugs were electrophoresed in a CHEF-DR II PFGE system (Bio-Rad Laboratories) as previously described .
Southern blot analysis of pulsed-field gels
Electrophoresed gels were exposed to UV in a CL-1000 ultraviolet crosslinker (UVP) to cut DNA and then denatured in sodium hydroxide solution (0.5 M NaOH, 1.5 M NaCl). DNA fragments in treated gels were then transferred to a positively charged Nylon membrane (Roche). Nylon membranes were cross-linked and then used for hybridization with DIG-labeled cpe probe as described previously using the PCR DIG probe synthesis kit (Roche) . After hybridization with a probe, the pulsed-field Southern blots were developed using reagents from the DIG DNA detection kit (Roche).
Sequencing of the PB-1 cpe plasmid
Using a previously described method , crude plasmid DNA was prepared from the PB-1 strain. To sequence the cpe plasmid in that strain, the crude plasmid DNA preparation was digested with restriction enzymes (XbaI or HindIII). Digested DNA fragments were then ligated into pBlueScript II SK+ vector and transformed into E. coli HST01 strain (TaKaRa) according to the methods described previously . DNA inserts in randomly selected transformants were sequenced on both strands and the resultant sequences were subjected to BLAST analysis. When the acquired sequence was apparently derived from a plasmid, the inserted DNA fragment was completely sequenced and that DNA sequence information was used to construct contigs. The constructed contigs were then connected using long PCR assays. From these procedures, the cpe plasmid in PB-1 strain (pCPPB-1) was completely sequenced using sequencing primers (Table S3).
PCR analysis of the locus containing toxin genes
To investigate the presence in other isolates of the iota toxin-like genes identified by sequencing the PB-1 cpe plasmid (see Results), a PCR assay was first performed using PB-1cpeB7 and PB-1 iAF primers for sequences in the variant iap gene and PB-1 iB-R2 and PB-1PCPF4 primers for sequences in the variant ibp gene (Table S1). This PCR mixture contained 1 µl of template DNA preparations, 1 µl of Tfi Taq polymerase (Invitrogen), 2 µl of 2 mM NTPs, 1.5 µl of 50 mM MgCl2, 10 µl of PCR buffer, and 2 µl of each primer pair (1 µM final concentration). PCR conditions were the same as used for PCR survey of plasmid genes.
To investigate the proximity of the variant cpe, iap, and ibp genes in isolates carrying a previously uncharacterized cpe locus, a PCR assay was performed with cpe-d2 and NISR1.3 primers for the cpe downstream region, cpe-B3 and PB-1 iaF primers for cpe and iap-like connection, and PB-1cpeB7 and PB-1 iB-R2 primers for iap-like and ibp-like connection (Table S1). Each PCR mixture contained 1 µl of template DNA preparation, 25 µl of PrimeStar Max polymerase Premix (TaKaRa), and 2 µl of each primer pair (1 µM final concentration). PCR reactions were performed under the following conditions: 94°C, for 2 min; 40 cycles of 94°C for 30 sec, 65°C (61°C for cpe and cpe downstream region assay) for 30 sec, 68°C for 120 sec; with a single extension at 68°C for 8 min.
Overlapping PCR assays for the locus carrying the variant cpe gene of PB-1 were performed. Primers used for investigating toxin loci are listed in Table S4. Each PCR mixture contained 1 µl of template DNA preparation, 0.2 µl of Platinum Taq polymerase (Invitrogen), 2 µl of 2 mM NTPs, 1.5 µl of 50 mM MgCl2, 5 µl of PCR buffer, and 2 µl of each primer pair (1 µM final concentration). PCR conditions used were: 1 cycle at 94°C for 2 min; 35 cycles at 94°C for 30 s, 58°C for 1 min, and 72°C for 100 s; and a single extension of 72°C for 10 min.
PCR analyses to evaluate carriage of the pCPF4969 variable region and the transfer region
The PCR survey results and complete sequence analysis of the pCPPB-1 cpe plasmid indicated that the cpe locus is harbored on a plasmid in three other food isolates and suggested those plasmids might possess a similar variable region as pCPPB-1 and pCPF4969, which is a classical cpe plasmid. To evaluate the similarities of variable regions of the cpe plasmids in these three isolates, overlapping PCR analyses were performed with the same primers that had been used for evaluating the cpe plasmid in soil isolates carrying an atypical cpe locus , . Also, to evaluate the presence of a putative plasmid transfer region in these three isolates, overlapping PCR assays were performed using previously described primers and newly constructed primers based on pCPPB-1 sequence data obtained in this study (Table S5) , , .
Each PCR mixture contained 1 µl of template DNA preparation, 0.2 µl of Platinum Taq polymerase (Invitrogen), 2 µl of 2 mM NTPs, 1.5 µl of 50 mM MgCl2, 5 µl of PCR buffer, and 2 µl of each primer pair (1 µM final concentration). PCR conditions used included: 1 cycle at 94°C for 2 min; 35 cycles at 94°C for 30 s, 58°C for 1 min, and 72°C for 100 s; with a single extension of 72°C for 10 min.
Total RNA preparations and RT-PCR analysis of toxin genes
From results of sequencing analyses and PCR assays for toxin genes, PB-1, TGII002, TGII003, and 3441 were each found to carry a new toxin locus containing variant cpe and iota toxin genes (see Results). The expression of these variant toxin genes were investigated with RT-PCR assays using cpe-F3 and cpe-B3 primers for the cpe gene, PB-1cpeB7 and PB-1 iA-F primers for the variant iap gene, and PB-1 iB-R2 and PB-1PCPF4 primers for the variant ibp- gene (Table S1). For total RNA preparations, 10 ml culture specimens of TGY media (4 hours) or DS media (18 to 24 hours) were collected by centrifugation at 5,000 g for 10 min. After the supernatant was discarded, 5 ml of RNAlater reagent (Ambion) were added and mixed with a vortex mixture, and then stored at 4°C. Total RNA was extracted from stored bacteria using the RNeasy Mini kit (QIAGEN) according to the manufacturer's instructions. Prepared RNA samples were then treated with TURBO DNA-free (Ambion) to remove contaminated DNA according to the manufacturer's instructions.
RNA preparations (1 µl of aliquot) obtained from TGY cultures were used for RT-PCR assays detecting the iap and ibp toxin mRNA, and RNA preparations (4 µl of aliquot) from Duncan-Strong media were used for detecting the cpe mRNA and the sigK mRNA (for confirming spore formation). RT-PCR assays were performed using Superscript III One-Step RT-PCR with Platinum Taq (Invitrogen). Reaction mixture contained DNA template, 25 µl of Reaction Mix, 2 µl of each primer pair (1 µM final concentration), and 2 µl of SuperScript III RT/Platinum Taq Mix, The reaction program for reverse transcription (one cycle at 45°C for 30 min) used the following PCR amplification program: 1st cycle 94°C for 5 min; 2nd to 35th cycles, 94°C for 30 s, 55°C for 30 s, and 68°C for 1 min; 36th cycle, and 68°C for 8 min. For detecting the possible presence of contaminating DNA, a PCR reaction was performed with Platinum Taq DNA polymerase and the same PCR amplification program as described above. Reaction mixture contained template RNA preparations, 0.2 µl of Platinum Taq DNA polymerase (Invitrogen), 2 µl of 2 mM NTPs, 1.5 µl of 50 mM MgCl2, 10 µl of PCR buffer, and 2 µl of each primer pair (1 µM final concentration).
Sequence analysis of the ssp4 gene and assessment of spore heat resistance properties
To help evaluate potential heat resistance properties of spores made by type E isolates carrying the variant cpe gene, sequencing analysis was first performed, as described , , for the ssp4 gene, which is a very important gene affecting heat resistance of C. perfringens spores. The D value at 100°C for spores of strains PB-1 and 3441 were also determined according to methods previously described . The D value of spores made by other isolates at 100°C was not determined, because spore formation by TGII002, and TGII003 strains was highly variable from experiment to experiment.
Nucleotide sequence accession numbers
The complete pCPPB-1 sequence was deposited in GenBank under accession number AB604032. The sequence of the variant cpe genes present in the four surveyed isolates were deposited under accession number AB604033 to AB604035, and the sequence of the ssp4 gene in the four isolates were deposited under accession number AB604038 to AB604041. The sequences from MLST analysis can be located under accession number AB604044 to to AB604091.
Alignment of deduced amino acid substitutions in the variant cpe ORF. Putative CPE amino acid substitutions encoded by strains PB-1 were highly homologous with the previously known cpe gene, especially in the receptor binding region and the major cytotoxicity region. Different amino acid substitutions are indicated as a bold letter.
Analysis of variant Ia component of iota toxin that is putatively produced by strain PB-1. Upper portion shows putative functional regions. Lower portion shows comparison of deduced amino acid sequence of the iota toxin Ia component encoded by pCPPB-1, C. perfringens type E strain (JGS1987), or the activity component of CdtA toxin in C. difficile.
Analysis of the Ib component of iota toxin that is putatively produced by the PB-1 strain. Upper portion shows putative functional regions. Lower portion shows comparison of deduced amino acid sequence among iota toxin Ib component on pCPPB-1, Ib component in C. perfringens type E strain (JGS1987), and the CdtB binding component of CDT in C. difficile.
Comparison of nucleotide sequence of the variant iap gene of pCPPB-1 against the iap gene of type E isolate (JGS1987). Blue bar indicates primer sites using multiplex PCR toxin genotyping assay .
Comparison of nucleotide sequence of the variant ibp gene of pCPPB-1 against the ibp gene of classical type E isolates (JGS1987).
Schematic presentation showing putative cpe promoter sequences in the chromosomal cpe strain NCTC10240 versus those in the the PB-1 strain carrying the plasmid borne variant cpe gene.
Overlapping PCR assays of plasmid encoding the variant cpe gene in four isolates using primers designed to amplify the pCPF5603/pCPPB-1 transfer region. Shown are results obtained using DNA from strains (PB-1, 3441, TGII002 and TGII003), which carry the plasmid-borne variant cpe gene or from F4969 and F5603 which carry the classical cpe plasmids pCPF4969 and pCPF5603. Using primers previously described, the region assayed with PCR reaction (T6 to T16) contained the eight tcp (tcpA to tcpI) genes and the intP gene, which genes are thought to be necessary for plasmid transfer (Table S4) , . The overlapping PCR (reaction T14t to T16t) used newly constructed primers based on the sequence information of the tcpA region on pCPPB-1 (Table S4).
Overlapping PCR assays of plasmid carrying the variant cpe gene in four isolates using primers designed to amplify the pCPF4969 variable region. Shown are results using DNA specimens from strains (PB-1, 3441, TGII002 and TGII003), which carries the variant cpe gene or from F4969 and F5603, which are strains carrying the classical cpe plasmid pCPF4969 and pCPF5603 .
Overlapping PCR assays of the plasmids encoding the variant cpe gene in four isolates using primers designed to amplify the toxin region. Shown are results using DNA from strains (PB-1, 3441, TGII002 and TGII003), which carries the variant cpe gene and variant iota genes, and from NCTC8084 type E strain carrying the silent cpe gene and iota genes.
Primers for PCR survey of 18 genes.
Primers for overlapping PCR assays for pCPPB-1 iota-like toxin region PCR.
Conceived and designed the experiments: K. Miyamoto. Performed the experiments: K. Mimura NY K. Miyamoto MN. Analyzed the data: K. Miyamoto JL BM SA. Contributed reagents/materials/analysis tools: K. Mimura. Wrote the paper: K. Miyamoto JL BM.
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