Prevalence and Identification of Burkholderia pseudomallei and Near-Neighbor Species in the Malabar Coastal Region of India

Accurate identification of pathogens with biowarfare importance requires detection tools that specifically differentiate them from near-neighbor species. Burkholderia pseudomallei, the causative agent of a fatal disease melioidosis, is one such biothreat agent whose differentiation from its near-neighbor species is always a challenge. This is because of its phenotypic similarity with other Burkholderia species which have a wide spread geographical distribution with shared environmental niches. Melioidosis is a major public health concern in endemic regions including Southeast Asia and northern Australia. In India, the disease is still considered to be emerging. Prevalence surveys of this saprophytic bacterium in environment are under-reported in the country. A major challenge in this case is the specific identification and differentiation of B. pseudomallei from the growing list of species of Burkholderia genus. The objectives of this study included examining the prevalence of B. pseudomallei and near-neighbor species in coastal region of South India and development of a novel detection tool for specific identification and differentiation of Burkholderia species. Briefly, we analyzed soil and water samples collected from Malabar coastal region of Kerala, South India for prevalence of B. pseudomallei. The presumptive Burkholderia isolates were identified using recA PCR assay. The recA PCR assay identified 22 of the total 40 presumptive isolates as Burkholderia strains (22.72% and 77.27% B. pseudomallei and non-pseudomallei Burkholderia respectively). In order to identify each isolate screened, we performed recA and 16S rDNA sequencing. This two genes sequencing revealed that the presumptive isolates included B. pseudomallei, non-pseudomallei Burkholderia as well as non-Burkholderia strains. Furthermore, a gene termed D-beta hydroxybutyrate dehydrogenase (bdha) was studied both in silico and in vitro for accurate detection of Burkholderia genus. The optimized bdha based PCR assay when evaluated on the Burkholderia isolates of this study, it was found to be highly specific (100%) in its detection feature and a clear detection sensitivity of 10 pg/μl of purified gDNA was recorded. Nucleotide sequence variations of bdha among interspecies, as per in silico analysis, ranged from 8 to 29% within the target stretch of 730 bp highlighting the potential utility of bdha sequencing method in specific detection of Burkholderia species. Further, sequencing of the 730 bp bdha PCR amplicon of each Burkholderia strain isolated could differentiate the species and the data was comparable with recA sequence data of the strains. All sequencing results obtained were submitted to NCBI database. Bayesian phylogenetic analysis of bdha in comparison with recA and 16S rDNA showed that the bdha gene provided comparable identification of Burkholderia species.


Introduction
In India, melioidosis is considered as an emerging disease [1]. Though melioidosis cases are considered to be significantly under-reported in India, few studies suggest that the disease is completely prevalent in India [2,3]. Some clinical cases of melioidosis incidences are being documented from states of Karnataka, Tamilnadu, Pondicherry, Kerala, Maharashtra, Orissa, Assam, West Bengal and Tripura [4]. Nevertheless, very fewer surveys, in the country, have been undertaken to study the environmental distribution of B. pseudomallei, the causative agent of melioidosis. This could be due to factors such as limited laboratory support and/or low clinical suspicion in some areas. Howbeit, this information is highly useful in determination of the disease transmission pathway and epidemiology [5].
Isolation and culturing is recommended as the "gold standard" method of B. pseudomallei identification in all reference laboratories till date [6]. Gram staining, antibiotic susceptibility testing, specific biochemical tests such as maltose acidification, esculin hydrolysis, arginine dihydrolase test and colonial characteristics on differential Ashdown agar are also used for confirmation of this bacterium [7,8]. In this scenario, the availability of a pure culture is critical. The high degree of phenotypic and genotypic similarity presented by the members of Burkholderia genus stands as a major challenge in differentiating this pathogen from near-neighbor Burkholderia species [9]. In such cases, direct identification methods are most beneficial.
Of the 80 and above Burkholderia species [10], whole genome sequence based information for more than 35 species has been made available to the scientific community [11]. This genetic information is being used to understand the taxonomic position of these bacteria and also to differentiate the species. Comprehensive phylogenetic analysis of Burkholderia species based on 16S rDNA [10,12], recA [13][14][15][16] and acdS [17] genes has coherently compartmentalized them into two main lineages-(1) Burkholderia species with pathogenic properties and (2) Non-pathogenic species with positive association with plants. Several DNA based methods for detection of Burkholderia species of biowarfare agents namely B. pseudomallei and B. mallei have also been reported. The methods include PCR-RFLP [18,19], PCR followed by sequencing [15], multiplex PCRs [20], RT-PCRs [21][22][23] and so on. In case of recA, sequence polymorphism provides clear distinction between genomovars of BCC [13][14][15]. However, as a limitation, recA based pyrosequencing assay was not able to differentiate B. multivorans strains of B. cepacia complex (BCC) from B. ambifaria [24]. The former methods, though sensitive, are time consuming (eg. PCR-RFLP) and are not cost effective (eg. RT-PCR). Additionally, they require skilled personnel for result interpretation. In case of conventional PCRs, the differential identification is difficult in interpretation, as strains of a single species give different amplicon sizes [20]. Since Burkholderia species include bacteria of multi-host pathogens related to emerging infectious diseases as well as biotechnological importance, need for a promising, rapid, robust, easily interpretable and cost effective detection tool for specific identification of individual species is ascending.
The western coastal region of India, with an annual rainfall of about 300 cm, agriculture as the major occupation and a high population of diabetics, is predicted for endemicity of melioidosis [25]. Clinico-epidemiological studies reported from this region reveal the prevalence of melioidosis among patients [25,26,27]. This disease occurs among susceptible hosts predominantly during wet season and B. pseudomallei increases in number and survival in environment during rainfall and with the rise in water table level [15,28]. Canvassing soil for occurrence of Burkholderia is routinely followed in endemic regions since it is the common dwelling place for Burkholderia and novel Burkholderia species are often encountered [9,29]. However, no environmental survey has been undertaken, to the best of our knowledge. With this background, this work aimed to study the prevalence of B. pseudomallei in soil and water samples collected from Malabar coastal region of Kerala, South India during rainy and winter season. To achieve this objective, we employed conventional isolation method followed by recA and 16S rDNA sequencing method to identify the Burkholderia pseudomallei strains isolated from environmental samples. During this study, we encountered Burkholderia pseudomallei, nonpseudomallei Burkholderia and non-Burkholderia strains and were identified by recA and 16S rDNA sequencing scheme. Furthermore, we developed a novel bdha PCR assay to include in the routine recA and 16S rDNA sequencing scheme for better and accurate identification of Burkholderia species. Further, the evolutionary role of bdha among the Burkholderia species was studied by performing Bayesian phylogenetic analysis in comparison with that of recA and 16S rDNA genes.

Bacterial strains and media
Burkholderia pseudomallei NCTC 10274 was received from Defence Research Development and Organization and other reference strains listed in Table 1 were procured from ATCC (USA), MTCC (Chandigarh, India) and NCIM (Imtech, Pune, India). All bacterial strains and isolates used in this study were maintained at -80°C in 15% glycerol stocks for future use. Ashdown's selective medium was used for isolation of Burkholderia. Unless mentioned, all bacterial cultures were cultivated using trypticase soy broth (TSB) and trypticase soy agar (TSA). ASH was prepared as described previously (Ashdown 1979) using individual dehydrated media components and salts (Himedia, India). Antibiotics were used at a final concentration of 4 mg/ml for gentamicin and 100 mg/ml for ampicillin.

Burkholderia isolation
Malabar coastal region of South India was selected for isolation of Burkholderia from soil and water samples. Thirty soil samples from rubber plantations in Malabar region and 12 water samples from river banks of Kerala Backwaters were collected during June (rainy season), October and November (winter season). Briefly, 20-30 g of each soil sample from selected sites was collected from depths of 10 cm and 30 cm using sterile spatula in sterile pouch having zip locks. Approximately 1 l of each water sample was collected from 50 cm depth of river banks in sterile glass containers. Precautions were taken to prevent cross-contamination during sampling. The collected samples were further transported to Defence Microbiology laboratory and stored at 4°C until examination for prevalence of Burkholderia. For sample preparation, 5 g of soil or 5 ml of water was aliquoted into a sterile container and 30 ml of sterile distilled water was added. The suspension was shaken vigorously for 1 min and allowed to settle for 5-10 min. From the supernatant fluid thus obtained, 2 ml was transferred into 18 ml of Ashdown's selective enrichment broth (ASB) [30] and incubated for enrichment at 37°C for 48 h. After incubation, 100 μl of the broth was spread onto Ashdown's selective enrichment agar (ASA) [7] and incubated at 37°C for 48 h. Presumptive isolates obtained were streaked onto trypticase soy agar (TSA), incubated at 37°C for 24 h and purified. All purified isolates were stored in trypticase soy broth (TSB) containing 15% glycerol at -80°C for future use.

DNA preparation
Total genomic DNA (gDNA) from bacterial strains and isolates used in this study was isolated according to a protocol described elsewhere [31]. Each DNA sample thus prepared was spectrophotometrically quantified using Nanodrop 2000 spectrophotometer (Thermo Scientific Nanodrop, USA) and stored frozen at −20°C until use.

PCR confirmation
The presumptive Burkholderia isolates recovered from the soil and water samples were confirmed using recA PCR assay, wherein gDNA from reference strains of Burkholderia including B. pseudomallei, B. mallei, B. cepacia and B. gladioli were used as positive control. The PCR assay was performed using BUR3 and BUR4 primers ( Table 2) as described elsewhere [15].

bdha in silico analysis
An initial in silico nucleotide search for highly conserved Burkholderia genus specific genes with marked level of interspecies variation was conducted using whole genome sequence of B. pseudomallei strain K96243 (accession no. BX571966) available on National Center for Care was taken to screen evolutionary conserved, fundamentally/metabolically important and versatility genes for this purpose. Accordingly, nucleotide sequences of oxidoreductases family, chaperones and structural protein genes were used as queries to determine specific sequences within the genus of Burkholderia. For each matching nucleotide sequence, in silico coverage analysis was done at two taxonomic levels of Burkholderia-genus and family Burkholderiaceae; using online BLASTN analysis (http://blast.ncbi.nlm.nih.gov/Blast.cgi). In this step, sequences showing near 100% coverage of query sequence and significant expect (e) value of < 10 -100 were selected. Promising nucleotide sequences were further edited according to the BioEdit v7.2.5 (http://www.mbio.ncsu.edu/bioedit/bioedit.html) software default parameters and analyzed for the distribution of conserved regions and variation among the interspecies of the genus using the Entropy (H x ) plot option [32]. Of the sequences encountered, 3-hydroxybutyrate dehydrogenase (bdha) (BPSS0017) was selected as genus-specific gene target by analyzing for the unique detection specificity within the genus required for the present study. Pairwise progressive sequence alignment of bdha nucleotide sequence of Burkholderia and non-Burkholderia species, which were retrieved from NCBI, was performed using Clustal X2. Entropy plot for bdha was generated using BioEdit v7.2.5. The identity scores for the bdha sequence of Burkholderia species were obtained by the use of GAP program of GCG Wisconsin package (http://www.biology.wustl.edu/gcg/before_you_begin.html).

bdha PCR assay development
After in silico nucleotide analysis, whole-genome sequence of B. pseudomallei strain K96243 was referred for designing primers for specific amplification of the bdha gene. Gene Runner 3.0 software (http://www.generunner.net/) was used for designing and evaluating the primer pair.
Care was taken so that the primer is situated in the blocks of highly conserved regions showing nearly 100% conservation in bdha and so as to establish PCR-sequencing based differentiation among the interspecies of Burkholderia. Table 2 lists the primers designed with respective oligonucleotide sequence and amplicon size. Each 20 μl PCR reaction contained 1.25 U Taq polymerase (Sigma, India), 50 μM of each deoxynucleotide triphosphate (Fermentas, India), 1x PCR buffer, 2.0 mM MgCl 2 , 0.6 pmol of each oligonucleotide primer, and 50 ng of template DNA. Thermal cycling was carried out in Master cycler-Pro thermal cycler (Eppendorf, Germany) using the designed primers with an initial denaturation for 4 min at 94°C followed by 30 cycles of denaturation for 30 s at 94°C, annealing for 30 s at 58°C, and extension at 72°C for 45 s, with a final 8 min extension at 72°C. Approximately 5 μl of each PCR product was visualized by agarose gel (2% w/v) electrophoresis.

Specificity and sensitivity determination
To determine the authenticity of the bdha PCR assay in terms of detection specificity, PCR was performed as above using genomic DNA of both Burkholderia and non-Burkholderia bacteria listed in Table 1 as template. Each strain was evaluated for reactivity at least twice. The sensitivity of the optimized end-point PCR format was assayed using B. pseudomallei ATCC 23343. To achieve this, gDNA was serially diluted tenfold from 100 ng/μl to 1 pg/μl using double distilled water and PCR was performed as mentioned above with 1 μl of DNA dilutions as template. Approximately 5 μl of each PCR product was visualized by agarose gel (2% w/v) electrophoresis.

Sequencing analysis
For both Burkholderia and non-Burkholderia isolates that were isolated in this study, recA, bdha and 16S rDNA gene sequencing was performed to confirm the organism identity.
Respective primers used for PCR amplifying the three genes from each isolate are listed in Table 2. Sequencing reactions were prepared using Applied Biosystems Big Dye Terminator ready reaction mix version 3.1 as per manufacturer's instructions and capillary electrophoresis was run in Applied Biosystems ABI-Prism 3100 genetic analyzer system using Applied Biosystems Performance Optimized Polymer 6 (POP-6). Resultant raw sequence data obtained from both template and anti-sense strands of the PCR products were aligned to derive consensus sequence using the CAP contig assembly program of the BioEdit software v7.2.5. Consensus sequences were analyzed using Basic Local Alignment Search Tool (BLASTN) (www.ncbi.nlm. nih.gov) to establish the correct organism identity. The sequences were analyzed for chimera as described elsewhere [33].
Nucleotide sequence accession numbers

Phylogenetic analysis
Bayesian analysis was conducted using the bdha, recA and 16S rDNA gene sequences to determine the rate of diversity within Burkholderia genus, as depicted by each gene. The nucleotide sequences of Burkholderia species of this study were also involved in this exercise (S1 Supporting Information). MrBayes version v3.2 (MCMC package) was used for this purpose [34]. The diagnostic frequency was set for 5,000 generation. The default run length was 50,000 or until the standard deviation of split frequencies was below 0.

Isolates recovered
Of the total 40 samples screened, 19 (63.33%) and 5 (41.66%) soil and water samples respectively resulted in bacterial growth on ASH agar (Table 1). All 24 samples exhibited bacteria with multiple colony morphologies. Forty colonies (approx. 1-3 colonies from each sample based on the colony morphology) were non-randomly chosen as representatives of colony morphologies observed and purified from ASH agar. The presumptive isolates thus obtained were consistent in their respective growth feature, upon purification and repeated subculturing on ASH medium. presumptive isolates as Burkholderia species (Table 1). The PCR analysis was repeated thrice and the results were found to be unambiguously reproducible. As a test of sensitivity, gDNA from 18 PCR-negative isolates was conventionally isolated and evaluated by PCR. In this repetitive PCR screening, all 18 isolates were subsequently negative. On the other hand, all 22 recA positive isolates were concurrently found to be Burkholderia when re-tested for PCR assay using conventionally isolated gDNA.

Conservation and variation analysis of bdha
A BLASTN analysis of bdha sequence of B. pseudomallei K96243 strain resulted in alignment of the gene against almost all the sequenced Burkholderia species and strains as well as Achromobacter xylosoxidans with significant expect (e) value of < 10 -100 . Insignificant e-value match (approx. 9 x 10 -117 ) was recorded against newly added species of Burkholderia-B. phymatum, along with Ralstonia solanacearum, Chromobacterium violaceum, Pseudomonas dinitrificans, Thiomonas intermedia, Hyphomicrobium species, Janthinobacterium agaricidamnosum, Actinoplanes missouriensis and Kitasatospora setae. Further in silico analysis of bdha nucleotide sequence for conservation and homology among Burkholderia species revealed a characteristic pattern of the arrangement of conservative regions. These regions were found to be distributed in a mosaic pattern within the variable regions (Fig 1). These variation regions were found to be corresponding single nucleotide mutation points throughout the gene with the Burkholderia genus as noticed in ClustalX2 alignment (Fig 2). This characteristic genetic distinction of bdha within the Burkholderia genus encouraged us for development of Burkholderia genus-specific PCR assay. From the in silico nucleotide sequence analysis using GAP program, it was evident that the level of sequence variations among Burkholderia inter-species was rather high due to the sequence polymorphisms; ranging from 8% to 29% (Table 3) However, highest rate of similarity ranging from 96 to 99% was noticed among B. pseudomallei, B. mallei and B. thailandensis. Additionally intra-species variations ranged from 0 to 0.1%. The higher level of sequence variations in bdha sequence among Burkholderia species confers more possibilities for confirmative distinction on nucleotide sequencing platform.

Design of PCR primers and amplification of Burkholderia bdha
Of the 786 bp gene length, sites that amplify 730 bp were targeted for PCR amplification of bdha gene. The forward primer bdha-F was a 19-mer oligonucleotide spanning bases from 12 to 30, comprising the first conserved region of the gene. On the other hand, reverse primer bdha-R was a 20-mer spanning complementary bases from 721 to 740, which represents the conserved region situated at the 3' end of the gene. Screening of the designed PCR primers for rate of specificity within the Burkholderia species provided unequivocal result in terms of primer match and expected amplicon length. Upon performing PCR, specific amplification of 730 bp was observed without any non-specificity. The developed PCR assay was found to be highly specific in identification of Burkholderia species (Table 1) and the results were in complete concurrence with that of recA PCR.
Although A. xylosoxidans gave a strong BLASTn hit for the bdha gene of B. pseudomallei, the designed primer pair was sufficiently divergent from the A. xylosoxidans sequence. This in Table 3. bdha nucleotide sequences identity between the Burkholderia species.
Species no.
Species name % Identity with species no.       silico result correlated with a lack of amplification being detected in A. xylosoxidans using the bdha PCR. Meanwhile, screening for bdha sequence of closely related bacteria including Pandoraea pnomenusa and P. aeruginosa revealed that the designed primers were completely absent in them. In case of R. solanacearum only reverse primer was located with a mismatch at third nucleotide. Therefore, not surprisingly, the former mentioned bacterium was not identified in the developed Burkholderia-specific PCR assay. No reactivity was recorded with other non-Burkholderia strains as well. The specificity of the PCR was found to be reproducible. The analytical sensitivity of bdha PCR assay to detect Burkholderia was found to be 10 pg when evaluated for B. pseudomallei NCTC 10274 (Fig 3). However, bdha was found in duplicate copies, one copy on each chromosome, in case of B. cepacia GG4, B. cenocepacia strains H111, AU1054, J2315, B. vietnamiensis G4 and B. gladioli BSR3. Multiple copies of bdha in these species highlight the possible improvement in detection sensitivity of bdha PCR assay.

Phylogenetic analysis of Burkholderia bdha, recA and 16S rDNA
In order to determine the reliability of bdha gene in systematic identification of Burkholderia genus, we conducted phylogenetic analysis. The primary tool for better understanding of evolutionary relationships among organisms, i.e., phylogenetic tree was employed for this purpose. We followed a comparative approach to assess bdha gene. To achieve this, earlier established genes namely, recA and 16S rDNA were selected. Phylogenetic trees were constructed for all the three genes (Figs 4, 5 and 6). Bayesian analyses in case of all three genes studied revealed that the Burkholderia genus encompasses high diversity.
All three phylogeny trees revealed the distinct cluster of B. cepacia complex and B. pseudomallei group. The formation of distinct clusters-BCC and B. pseudomallei group revealed the possible co-evolution of the human pathogens. Though not highly distinct, Burkholderia species of agro-importance were also clustered as a separate group from the former mentioned groups. The clustering of B. lata strain 383 in the BCC group, in case of all three dendrograms, The nucleotide stretch of bdha targeted in PCR amplification for specific detection of Burkholderia was observed. B. phymatum was found to be clustered separately from the saprophytic Burkholderia group in bdha phylogenetic tree. The insignificant e-value of the bacterium was ruled out as a reason for this difference in clustering. Due to the unavailability of recA sequence for uncultured Burkholderia species no information of their position in the genus was obtained. In the case of bdha topology uncultured Burkholderia species were found to be clustered within the BCC; whereas in case of 16S rDNA topology, they were grouped among Burkholderia species of agro-importance. Burkholderia sp. CGE1001 and CGE1003 were clustered in the plant related Burkholderia species in both bdha and recA topology. A different cluster was noticed for non-Burkholderia species namely Ralstonia solanacearum, Pseudomonas aeruginosa, Chromobacterium and Pandoraea.

Discussion
This study has shown that Burkholderia pseudomallei and near-neighbour species occur in Malabar coastal region of Kerala. The prevalence of B. pseudomallei in the environmental samples of the region during rainy and winter season can be co-related with the cases of melioidosis in this region as reported in previous studies [25,26,27]. Presence of this bacterium in species were aligned using Clustal Omega. The alignment reveals the conservedness of the gene stretch at the extremes along with the variations throughout the stretch.
doi:10.1371/journal.pntd.0004956.g002  environment during rainy and wet seasons have been witnessed in endemic regions worldwide [5,9,[37][38][39][40][41][42]. Diverse morphotypes demonstrated by the presumptive colonies on Ashdown agar were doubted as novel but unreported putative B. pseudomallei colony morphologies. Withal, detailed molecular characterization revealed that the isolates included only five B. pseudomallei strains with typical morphotypes illustrated by Chantratita and co-workers   [43]. However, other morphotypes recovered from the samples collected this region were identified to be Burkholderia species belonging to B. pseudomallei group and BCC as well as non-Burkholderia species. The recovery of different species of Burkholderia using Ashdown medium, re-confirmed the broad range of selectivity confered by this culture medium [44,45]. Though ASH medium is recommended for selective isolation of B. pseudomallei based on differential colony morphotyping, growth of non-pseudomallei Burkholderia and non-Burkholderia species, evidenced that the medium is not narrow in its range of selectivity. Similar results have been reported by other groups [46,47].
Identification of Burkholderia strains among the isolates recovered in this study was done using recA PCR assay using specific primers BUR3 and BUR4. Encounter of recA negative results with some of the isolates was used as confirmation that the isolates included non-Burkholderia as well. 16S rDNA gene sequencing was adopted to identify those recA negative isolates. Parallely, all the recA positive isolates were subjected to both recA and 16S rDNA sequencing for identification of species. As a result, the bacterial consortium present in the regions studied was found to include B. pseudomallei, B. thailandensis, B. cepacia, B. cenocepacia, B. anthina, B. ambifaria, B. diffusa and B. vietnamiensis among Burkholderia and non-Burkholderia including Comamonas testosteroni, Chromobacterium violaceum, Stenotrophomonas maltophilia, Achromobacter xylosoxidans, Achromobacter ruhlandii, Pseudomonas stutzeri, Klebsiella pneumoniae, Enterobacter cloacae, Pandoraea sp. and Chryseobacterium sp. B. pseudomallei was successfully differentiated from B. thailandensis by performing arabinose utilization test as well as by multiplex PCR assay reported by Lee and co-workers [20].
In the process of determining highly conversed gene for detection and differentiation of Burkholderia species, emphasis was given to screen those involved in versatility and fundamental metabolic processes. Also, essential genes are more evolutionarily conserved than nonessential genes [48]. As a reason genes including oxidoreductases family, chaperones and structural protein genes were examined and bdha was found to be promising. In silico analysis of bdha for conservation and homology among Burkholderia species revealed a characteristic pattern of the arrangement of conservative regions. The conservative regions were found to be distributed in a mosaic pattern within the variable regions. This characteristic genetic distinction of bdha within the Burkholderia genus encouraged us for the development of Burkholderia genusspecific PCR assay. The novel pair of universal primer designed targeting conserved regions of the bdha resulted in a 730 bp PCR amplicon. The analytical sensitivity of our bdha PCR assay to detect Burkholderia was found to be 10 pg/μl when evaluated on B. pseudomallei NCTC 10274. However, bdha is present in duplicate copies, one copy on each chromosome, in case of B. cepacia GG4, B. cenocepacia strains H111, AU1054, J2315, B. vietnamiensis G4 and B. gladioli BSR3. Multiple copies of bdha in former mentioned species highlight the possible improvement in detection sensitivity of our PCR assay. This also explains the usefulness of the described PCR assay in sensitive detection of Burkholderia. Presence of bdha in A. xylosoxidans with 83% identity during BLASTN analysis was not a surprising issue. A. xylosoxidans is a beta proteobacterial pathogen often misidentified as B. cepacia complex in cystic fibrosis cases [49]. Absence of the designed primers for specific amplification of bdha in non-Burkholderia strains including A. xylosoxidans, R. solanacearum, P. aeruginosa revealed the detection specificity of the developed PCR assay.
Genus-specific PCR assays such as the novel bdha PCR play critical role in preliminary confirmation of outbreaks as well as endemicity of the continuously growing Burkholderia genus in a particular location. Due to the unavailability of representative strains of all Burkholderia species, we also retrieved their respective bdha sequences from NCBI database. Screening of our universal primers for rate of specificity within the Burkholderia species provided unequivocal result in terms of primer match and expected amplicon length. The sequence analysis of the 730 bp bdha portion revealed that sequence variations among Burkholderia species ranged from 8% to 29%. Hence higher level of sequence variations in bdha sequence confers more possibilities for confirmative distinction among Burkholderia species.
Earlier studies provide a molecular insight on the dual role of bdha in Burkholderiapromoting symbiosis with host plants and favoring the persistence of pathogenic Burkholderia under oxygen-limited conditions within the host [48,50]. Yet, to the best of our knowledge, no studies have been implicated on the possible role of bdha gene in evolution of bacteria. Molecular evolutionary studies comprising of genome sequence analysis and knockout experiments on Escherichia coli, Helicobacter pylori and Neisseria meningitidis revealed that essential genes of bacteria are more conserved than nonessential genes over microevolutionary and macroevolutionary time scales [51]. On this basis, we evaluated bdha gene for possible diagnostic and phylogenetic application with respect to Burkholderia species. To achieve this, phylogenetic trees were constructed based on recA, 16S rDNA and bdha sequences, respectively (Figs 4, 5 and 6). The comparison of phylogenetic trees was robust since the tree-splits were treated differentially based on the bootstrap value.
Several groups have performed phylogenetic studies on Burkholderia species, mainly on BCC using recA [13,15] and16S rDNA [12] genes. We took major care to consider almost all species and strains of Burkholderia used in the previous studies and performed phylogenetic study for their respective bdha, recA and 16S rDNA afresh. Uncultured Burkholderia species data was also considered based on feasibility and availability of required gene sequence information. We made additional improvements in the present phylogenetic study by involving more than one strain of species wherever possible in order to obtain consistent results. Bayesian analysis, the most recommended method to elucidate the patterns of pathogens dispersal in a phylogeny, was employed in order to attain accuracy in evaluation of uncertainty of phylogenies [52]. Bayesian reconstruction methods also enable further generalization of conditional probability analysis by removing the necessity to fix the Markov model parameters to obtain ancestral states and the necessity to specify a fixed tree topology with known branch lengths. Bayesian inference integrates conclusions over all possible parameter values [53]. Upon comparison, all three genes resulted in congruent separation of Burkholderia species into two major clusters, one comprised of B. pseudomallei group and the other comprised of BCC. Both bdha and recA based phylogenetic trees resulted in tight and differentiable clustering of Bcc members and B. pseudomallei group. Clustering of B. lata strain 383 was noteworthy in all three trees. B. lata strain 383 is a member of BCC commonly encountered as an industrial contaminant with inherent resistance to preservatives [54]. Clustering of uncultured Burkholderia species within the BCC cluster in case of bdha phylogeny provides valuable information that they are possibly co-evolved along with the BCC members or they are members of the complex. This signified the discriminatory proficiency of bdha in terms of evolution of Burkholderia species in a precise way similar to recA. These observations indicate that the use of the bdha gene of the present study stands as an unequivocal strategy with bilateral application of being exercised as a specific detection tool and evolution analyzer.
In conclusion, we studied the prevalence of B. pseudomallei and its near-neighbor species in the Malabar coastal region of South India. The prevalence of these pathogenic species in the region highlights the possibility of exposure of the habitats to these infectious agents. Besides to the prevalence study, we also have established a novel, user friendly and deployable PCR method followed by sequencing of PCR amplicon for the detection of biologically significant species of Burkholderia. The results indicate the applicability of our PCR method followed by the sequencing of bdha PCR amplicon in microbial detection from environmental and clinical samples during any outbreaks or in routine laboratory diagnoses. Besides nucleotide sequencing approach, the inbuilt interspecies variations with respect to bdha might possibly promote for the development of species-specific internal probes for identification of Burkholderia at species level. The species-specific internal probes can be employed in several DNA based detection platforms including real-time PCR, microarrays and oligonucleotide arrays for identification of Burkholderia species. As a possible advantage, one need not explore specific genes for each individual species separately. The clustering of the Burkholderia species in case of bdha phylogenetic tree, though in general agreement with that of recA and 16S rDNA trees, noteworthy clustering of uncultured Burkholderia species within BCC highlights the discriminatory power of bdha. Based on our study, future developments of species-specific detection assays based on the bdha sequence polymorphisms or use of the gene as a component of multiple-locus sequence type database for pertinent use as molecular diagnostic tool are foreseen.