The genomes of eight treponemes including T. p. pallidum strains (Nichols, SS14, DAL-1 and Mexico A), T. p. pertenue strains (Samoa D, CDC-2 and Gauthier), and the Fribourg-Blanc isolate, were amplified in 133 overlapping amplicons, and the restriction patterns of these fragments were compared. The approximate sizes of the genomes investigated based on this whole genome fingerprinting (WGF) analysis ranged from 1139.3–1140.4 kb, with the estimated genome sequence identity of 99.57–99.98% in the homologous genome regions. Restriction target site analysis, detecting the presence of 1773 individual restriction sites found in the reference Nichols genome, revealed a high genome structure similarity of all strains. The unclassified simian Fribourg-Blanc isolate was more closely related to T. p. pertenue than to T. p. pallidum strains. Most of the genetic differences between T. p. pallidum and T. p. pertenue strains were accumulated in six genomic regions. These genome differences likely contribute to the observed differences in pathogenicity between T. p. pallidum and T. p. pertenue strains. These regions of sequence divergence could be used for the molecular detection and discrimination of syphilis and yaws strains.
Citation: Mikalová L, Strouhal M, Čejková D, Zobaníková M, Pospíšilová P, Norris SJ, et al. (2010) Genome Analysis of Treponema pallidum subsp. pallidum and subsp. pertenue Strains: Most of the Genetic Differences Are Localized in Six Regions. PLoS ONE 5(12): e15713. https://doi.org/10.1371/journal.pone.0015713
Editor: Olivier Neyrolles, Institut de Pharmacologie et de Biologie Structurale, France
Received: August 5, 2010; Accepted: November 28, 2010; Published: December 29, 2010
Copyright: © 2010 Mikalová 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: This work was supported by grants from the U.S. Public Health Service to G.M.W. (R01 DE12488 and R01 DE13759) and S.J.N. (R01 AI49252 and R03 AI69107), and by the grants of the Grant Agency of the Czech Republic (310/04/0021 and 310/07/0321), the grant of the Ministry of Health of the Czech Republic (NR8967-4/2006), and that of the Ministry of Education of the Czech Republic (VZ MSM0021622415) to D.S. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Strains of Treponema pallidum subspecies pallidum (T. p. pallidum) are the causative agents of syphilis, whereas strains of Treponema pallidum subsp. pertenue (T. p. pertenue) cause yaws. These subspecies differ in their invasiveness and pathogenicity to humans. Although yaws, like syphilis, is a multi-stage disease, yaws is primarily restricted to skin and bone manifestations. Syphilis is a sexually transmitted disease affecting people worldwide, whereas yaws is transmitted by a direct skin contact predominantly in developing countries with a warm, humid climate. Moreover, unlike yaws strains, syphilitic treponemes can cross the placental barrier and infect the foetus. All of these differentiating characteristics reflect underlying differences in the genomic sequences of T. p. pallidum and T. p. pertenue.
In 1962, Fribourg-Blanc et al.  isolated a morphologically similar treponemal strain from a baboon (Papio cynocephalus) living in the West African Republic of Guinea. In this study, about 65% of the 111 Guinea baboons tested were seropositive for a treponemal infection ; however, no similar treponeme-reacting antibodies were found in more than 1300 sera taken from baboons from Kenya and Cambodia . None of the seropositive baboons showed signs of infection clinically, but extracted bacteria were able to cause experimental hamster infection indicating that they were pathogenic . Experimental inoculation of humans with the Fribourg-Blanc strain indicate that it is infectious to humans –. Other groups have also reported the occurrence of yaws in gorillas and chimpanzees .
The T. p. pallidum, T. p. pertenue and Fribourg-Blanc treponemes cannot be distinguished by morphology, protein content or physiology , . Moreover, there is serological cross-reactivity between T. p. pallidum and T. p. pertenue, and the immune response in experimentally infected animals to the Fribourg-Blanc treponeme is indistinguishable from that to T. p. pallidum. These observations have been cited as evidence that syphilis and endemic treponematoses are caused by the same pathogen, and that the distinctive clinical manifestations of the diseases is a result of geographical, climate, host and other differences not related to genetic differences between these treponemes –. However, the simultaneous existence of syphilis and yaws, respectively, in neighboring urban and rural areas of equatorial Africa argues against this hypothesis .
There is an increasing amount of data showing that such genetic differences between T. p. pallidum and T. p. pertenue exist . A genetic difference between T. p. pallidum Nichols and T. p. pertenue CDC 2575 was found in the gene TP1038 (tpF1) , and additional differences were identified in the 16S rRNA gene . Sequence changes identified in the 5′- and 3′-flanking regions of TP0171 (tpp15)  differentiate T. p. pallidum from other tested treponemes, including T. p. pertenue, T. p. endemicum and the Fribourg-Blanc simian isolate. As shown by Centurion-Lara et al. , the tprI and tprC loci together with variable 5′- flanking regions of TP0171 (tpp15) can differentiate between T. p. pallidum, T. p. pertenue, T. p. endemicum and the unclassified simian isolate. The phylogenetic analysis of 6 tpr genes performed by Gray et al.  identified high levels of genetic variation between human treponemal subspecies when compared to observed variability within individual subspecies, supporting genetic separation of 3 treponemal subspecies into distinct entities.
A recent article by Harper et al.  mapped more than a dozen loci in the genomes of T. p. pallidum, T. p. pertenue, the Fribourg-Blanc isolate and other treponemal strains. They identified several nucleotide positions where all T. p. pallidum and T. p. pertenue strains investigated differed in a particular genome position. Moreover, the Fribourg-Blanc strain shared similar nucleotide changes as T. p. pertenue, indicating its close relationship to T. p. pertenue strains. However, a few nucleotide changes discriminated the Fribourg-Blanc strain from T. p. pertenue.
To further delineate the relationships between treponemal pathogens, we performed a systematic, whole genome comparison of four T. p. pallidum strains, three strains T. p. pertenue, and the Fribourg-Blanc simian isolate using whole genome fingerprints (WGF) and sequencing of divergent chromosomal regions.
Whole genome fingerprinting (WGF) of T. p. pallidum strains (Nichols, SS14, DAL-1 and Mexico A), T. p. pertenue strains (Samoa D, CDC-2 and Gauthier) and the Fribourg-Blanc isolate
Four T. p. pallidum genomes, three genomes of T. p. pertenue, and the Fribourg-Blanc genome were amplified in 133 overlapping TPI amplicons, and the restriction patterns of these fragments were compared. The estimated genome sizes and differences in the restriction target sites (RTS) as well as the year and place of strain isolation are shown in Table 1. The previously published RTS data for the rabbit pathogen, Treponema paraluiscuniculi strain Cuniculi A  were also included in Table 1. In the Nichols genome, 223 BamHI, 157 EcoRI, and 259 HindIII restriction sites were found. In all other genomes, the numbers of detected RTS were similar with only small differences, except of T. paraluiscuniculi genome, where the total number of different RTS was 190.
The smallest genome was that of T. paraluiscuniculi strain Cuniculi A (1133.4 kb). The size of all other investigated genomes was very similar and fell into a range of 1139.3–1140.4 kb, representing a maximal genome size difference of 0.07%. The numbers of missing/additional restriction target sites were used as binary data for construction of unrooted tree illustrating the relatedness of individual genomes (Figure 1). An unrooted tree is presented; however, T. paraluiscuniculi represented a clear outlier.
An unrooted tree (Tree View) constructed from the binary RTS data illustrating the relatedness of individual genomes. In addition, we incorporated also RTS data for T. paraluiscuniculi strain Cuniculi A that were taken from the previously published work of Strouhal et al. . Bar scale represents 0.01 restriction target site substitutions per tested RTS. T. p. pallidum strains causing syphilis are shown in bold.
The remaining genomes clustered into a T. p. pallidum cluster and a T. p. pertenue cluster that also contained the Fribourg-Blanc isolate (Figure 1). The T. p. pallidum cluster contained two pairs of related genomes including Nichols with DAL-1, and SS14 with Mexico A, respectively. Restriction target site analysis detected 1,773 individual RTS in the Nichols genome representing 10,636 bp. With the assumption that most differences in RTS were caused by single nucleotide changes, the estimated sequence similarity was calculated for all genomes (Table 1). The estimated genome sequence identity ranged between 99.57 and 99.98%; the similarity within T. p. pallidum strains when compared to similarity between T. p. pallidum and T. p. pertenue strains was substantially higher.
The WGF approach identified 15 genomic regions (TPI5B, TPI12A, TPI12B, TPI13, TPI21A, TPI21C, TPI25B-A, TPI32B, TPI34aa, TPI42A, TPI49, TPI55, TPI65B, TPI71A-C and TPI77) with detectable indels (Figure 2). Four regions showed variability in all investigated strains (in TPI intervals TPI12A, TPI32B, TPI34aa, and TPI71A-C). Six regions (in TPI intervals TPI12B, TPI13, TPI21C, TPI25B-A, TPI42A, and TPI77) showed changes in all T. p. pertenue and Fribourg-Blanc strains but none in T. p. pallidum genomes, whereas eight regions (in TPI intervals TPI5B, TPI13, TPI21A, TPI42A, TPI49, TPI55, and TPI65B) displayed changes in individual strains only. In the latter group, three such regions were found in the T. p. pertenue Gauthier strain (in TPI21A, TPI49, and TPI65B), one in Samoa D strain (in TPI5B), two in the Fribourg-Blanc isolate (in TPI42A, and TPI55), one in T. p. pallidum DAL-1 genome (in TPI13), and one in the Nichols genome (in TPI13).
A A schematic representation of indels found in all T. p. pertenue strains and the Fribourg-Blanc isolate but not found in any of the investigated T. p. pallidum strains (see also Table 3). Please note that TP0132 gene was not annotated in pertenue and Fribourg-Blanc strains. B Identified variable genomic regions in most of the investigated strains and isolates (see also Table 2). For more detailed structure of TP0126–TP0127 region see Figure 3, for details on TP0433–TP0434 locus, see . C Indels specific for individual strains and isolates (see also Table 4). T. p. pallidum strains causing syphilis are shown in bold. Deletions are shown as vertical lines, insertions as lines with black triangles.
Variable genome regions present in all investigated strains
The four genome regions showing variability found in most of the investigated strains are listed in Table 2 and depicted in Figure 2. In the intergenic region between genes TP0126 and TP0127, there was an insertion of tprK-like sequence of 1204 bp found in a subpopulation within the Nichols strain . A similar insertion was found also in the DAL-1 genome. In the SS14 and Mexico A genomes, the tprK-like sequence was slightly longer (1255 bp). T. p. pertenue (Samoa D, CDC-2 and Gauthier) and the Fribourg-Blanc isolate showed a similar insertion of a tprK-like sequence of 1269 bp. The Nichols genome was the only one showing variability of this region on a strain population level. The occurrence of this tprK-like sequence in all isolates examined indicates that it was present in the common ancestor of these treponemal strains. The inserted tprK-like sequence is located in the 3′ flanking region of tprD that serve as a donor site for variable regions (V regions) of tprK gene . Twenty of these donor sites (DS27–DS47, ) were localized in the inserted tprK-like sequence (between genes TP0126–TP0127) in all pallidum strains with the exception of DS31, which was altered in SS14 and Mexico A strains. In all investigated pertenue strains and in the Fribourg-Blanc isolate, only minor changes were found in the predicted donor sites including 1 nt change in DS38, DS40 and DS41, respectively. In addition, 6 nt changes were identified in DS39. Gene conversion-like mechanism between these donor sequences and the V regions of tprK gene was proposed . In all investigated strains, gene prediction algorithms identified between TP0126-TP0127 loci 2 or 3 new genes encoding hypothetical proteins (Figure 3).
The newly annotated genes and the previously described gene conversion donor sites for the tprK variable (V) sequences  in the intergenic region between genes TP0126 and TP0127 are shown for each strain tested. T. p. pallidum strains causing syphilis are shown in bold.
In the arp gene , variable number of repetitive sequences (60 bp in length) among investigated strains was found. Arp gene sequence corresponded to the TP0433 and TP0434 gene loci in the published genome sequence , and included most of the length of TP0433 and TP0434 genes. As shown by resequencing, the TP0433 and TP0434 genes are fused. The whole genome annotation of this chromosomal locus  as two genes resulted from sequencing error present in the published sequence . In addition, 14 repetitions instead of 7 published in Fraser et al.  were found in the Nichols genome. The same number of repetitions was found in the SS14 and DAL-1 genome, whereas 16 repetitions were found in the Mexico A genome. The Fribourg-Blanc isolate showed 15 repetitions, a number similar to T. p. pallidum strains. In contrast, T. p. pertenue strains showed lower numbers of repetitive sequences ranging from 4 to 12. Moreover, the arp repeat region was not only variable in size, but also in the sequence of individual repeat units. In T. p. pallidum strains, 4 types (type I, II, III, II/III) of 60 bp-individual repeat sequences were found whereas in the T. p. pertenue strains, only 1 type of the repeat motif was identified . In the Fribourg-Blanc isolate, sequentially identical repeat motifs were found , although the number of repeat units was similar to T. pallidum strains.
In the TPI34aa region, a variable number of repetitive sequences was found in gene TP0470 , . The number of repetitions (24 bp in length) ranged between 10 and 37 (Table 2). In strains with 22 or more repetitions, the sequencing reads were not able to cover the entire region and ended inside one of the identical repetitive sequences. Because reads from both directions overlapped in repeats, the sequence of repeats was known. However, the exact number of repeats could not be deduced from the antiparallel sequence reads. Therefore, the number of repetitive motifs was estimated from the PCR products visualized on agarose gels. The hypothetical protein TP0470 with repetitions was predicted to be an inner membrane protein (Table 2).
In the region TPI71A-C (in hypothetical protein gene TP0967), Mexico A and SS14 strains showed an insertion of 9 bp, whereas Gauthier, CDC-2 and Fribourg-Blanc strains contained an identical 12 bp insertion. In contrast, a 6 bp deletion in this region was detected in the Samoa D genome. The sequence of TP0967 gene in the DAL-1 strain was identical to that of the Nichols sequence.
Genome changes specific for T. p. pertenue strains and the simian Fribourg-Blanc isolate
We found six regions showing differences between all investigated T. p. pallidum and all tested T. p. pertenue strains (Figure 2). In all cases, the Fribourg-Blanc isolate showed changes similar to T. p. pertenue strains. These six regions contained 4 deletions and 2 insertions (Table 3). In the hypothetical protein gene TP0132, a deletion of 38 bp was observed in T. p. pertenue strains; in the Fribourg-Blanc isolate, sequence differences were dispersed over a broader region, reducing its length to 172 bp relative to the 210 bp region found in T. p. pallidum strains. The TP0132 gene was not annotated in the T. p. pertenue genomes due to these relative deletions, which result in frameshifts and thus shorter predicted protein products.
The gene coding for fibronectin binding outer membrane protein TP0136  exhibited a 63 bp deletion in all non-T. p. pallidum strains. Gene TP0136 contains two nearly identical 96 nt-long repetitions  and the observed deletion was localized in the second one. In the genome of T. p. pertenue CDC-2 strain and of the Fribourg-Blanc isolate, an additional 33 bp insertion was found in this region. TP0136 protein was thus 10 amino acids shorter in the CDC-2 and in the Fribourg-Blanc strains and 21 amino acids shorter in the Samoa D and the Gauthier strains. However, the annotated lengths of the predicted proteins are 470 amino acids in Samoa D and Gauthier strains and 481 amino acids in CDC-2 and Fribourg-Blanc isolates because of the presence of additional sequence differences in the TP0136 gene.
All non-T. p. pallidum strains had a deletion of 33 bp in the TP0266 gene resulting in a 11 amino acid shorter hypothetical TP0266 protein and an insertion of 52 bp into the intergenic region between TP0548 and TP0549 genes. In the latter case, a new hypothetical gene TP0548.1 encoding a polypeptide with 65 amino acids in length was annotated.
An insertion of 635 bp in the tprF gene (TP0316) was found in all T. p. pertenue strains and also in the Fribourg-Blanc isolate. The insertion was sequentially similar to tprI and led to tprF elongation. A deletion of 377 bp in the region comprising genes TP1030 and TP1031 was found in the T. p. pertenue and Fribourg-Blanc strains and resulted in an elongation of the tprL (TP1031) gene.
Genome regions with changes specific to individual strains
Eight strain-specific regions are listed in Table 4. Five out of the 8 strains investigated showed strain-specific genome differences (see also Figure 2). Three such regions were identified in the Gauthier strain comprising deletions in hypothetical genes of a variable length in the range between 9 bp and 302 bp. The Fribourg-Blanc isolate showed one 48 bp deletion in the hypothetical gene TP0548 and one insertion of repetitive sequence (430 bp in length) in the intergenic region (IGR) between TP0696 and TP0697 genes. A deletion of 303 bp in the hypothetical gene TP0067 was specific for the Samoa D genome. A specific 58 bp insertion was found in the DAL-1 strain in the gene coding for fibronectin binding outer membrane protein . A deletion of 64 bp in the Nichols intergenic region between genes TP0135 and TP0136 was found in one Nichols subpopulation whereas the other one contained the longer version published previously . Since all other investigated strains showed the shorter version in this region, the longer version published is specific for a Nichols subpopulation (see Table 4).
Changes identified by sequencing in the heterologous genome regions
TPI intervals showing length differences after restriction analysis were sequenced (corresponding accession numbers are shown in Table S2). Obtained sequences were compared to the corresponding ones in the reference Nichols genome. Altogether, 36 genes were sequenced in these heterologous regions in all 8 investigated genomes with the exception of 3 genes (TP0134, TP0315, TP0316) in the Mexico A strain and 3 additional genes (TP0433–434, TP1029) in the Fribourg-Blanc isolate. In 27 of these genes comprising TP0125, TP0128, TP0130, TP0133–134, TP0137–138, TP0265, TP0267–269, TP0430–432, TP0435–441, TP0549–553, TP1029, no major sequence changes (MSC) or frameshift mutations were found. Major sequence changes, defined as contiguous amino acid replacements comprising 10 and more residues or 15 and more dispersed amino acid replacements, and were observed in 15 genes (TP0126, TP0127, TP0129, TP0131, TP0132, TP0135, TP0136, TP0266, TP0315, TP0316, TP0433–TP0434, TP0548, TP1030 and TP1031) (see also Tables 2, 3 and 5). Three of these genes (TP0132, TP0135 and TP1030) were found to contain sequencing errors in the published Nichols genome . In the TP0132, a false 1 nt deletion between coordinates 153123–153124 was found. Reannotation resulted in shortening of the hypothetical protein TP0132 from 69 to 64 amino acids. The reannotated TP0132 was similar to the corresponding genes in all other tested T. p. pallidum strains. However, in T. p. pertenue strains, gene TP0132 was not annotated (Table 3). Another false 1 nt deletion in the published Nichols genome was detected in the gene TP0135 between coordinates 155746–155747 leading to protein shortening (from 313 to 283 amino acids). Because of the sequencing protocol used, the published sequence of strain SS14  contained the same sequence error in position 157003–157004. The corrected Nichols and SS14 sequences of the TP0135 gene showed only few nucleotide differences when compared to corresponding sequences in strains DAL-1, Mexico A, Samoa D, Gauthier, CDC-2 and Fribourg-Blanc. In the TP1030, two false 1 nt deletions were found between coordinates 1124003–1124004 and 1124188–1124189 in the Nichols genome, respectively. Moreover, in the published SS14 genome , a false 1 nt deletion between coordinates 1124003–1124004 of the Nichols genome (i.e. between SS14 coordinates 1125634–1125636) was found. Reannotation resulted in shortening of hypothetical protein TP1030 from 165 to 51 amino acids in both Nichols and SS14 genomes. The reannotated TP1030 gene was similar to the corresponding genes in the other T. p. pallidum strains. In T. p. pertenue strains, the 377 bp long deletion in this region resulted in deletion of the TP1030 gene (Table 3). Twelve remaining genes with MSC or frameshift comprising TP0126, TP0127, TP0129, TP0131, TP0266, TP0315, TP0316, TP0433–434, TP0548 and TP1031 are listed in Tables 2–5. Except for the tprD gene (TP0131), fbp gene (TP0136) , tprF (TP0316), arp gene (TP0433–TP0434) and tprL (TP1031), all 6 other genes (TP0126, TP0127, TP0129, TP0266, TP0315, and TP0548) coded for hypothetical proteins. At least four of them were predicted as inner or outer membrane proteins.
To test whether the sequenced genes cluster the strains in a pattern similar to that obtained from the RTS analysis, trees showing phylogenetic relationships were constructed. Out of 36 sequenced genes, 8 genes showing more than 4 nucleotide replacements were selected and the corresponding sequences were used to construct unrooted trees. Four genes (TP0129, TP0132, TP0133, TP0266) showed a pattern very similar to the RTS tree (data not shown), whereas 4 genes (TP0131, TP0136, TP0548, and TP1031) differed from this tree (Figure 4). In the phylogenetic tree constructed from sequences of TP0131 (tprD), the T. p. pertenue strain Gauthier is closely related to T. p. pallidum strains whereas T. p. pallidum strain Mexico A is clustered with T. p. pertenue strains. In the other trees, constructed from sequences of TP0136, TP0548 and TP1031 genes, the sequence variability (shown as a length of tree branches) within T. p. pallidum strains is similar (or higher) than the sequence difference between T. p. pallidum and T. p. pertenue strains.
A An unrooted tree constructed from the binary RTS data without Cuniculi A data. Bar scale represents 0.01 restriction target site substitutions per RTS. The unrooted trees constructed from sequences of 4 treponemal genes including TP0131, TP0136, TP0548, and TP1031 are shown in panel B, C, D, and E, respectively. Bar scale represents 0.01 nucleotide substitutions per site. Bootstrap values based on 1,000 replications are shown next to branches. T. p. pallidum strains causing syphilis are shown in bold.
All investigated strains showed strikingly similar genome size varying only in 1.1 kb. The genome size showed no correlation with subspecies classification to T. p. pallidum and T. p. pertenue. Interestingly, the largest genome was found in the Fribourg-Blanc isolate, being 0.4 kb larger than the second largest genome of T. p. pallidum Mexico A. In contrast, the genome size of the T. paraluiscuniculi strain Cuniculi A (1133.4 kb, D. Šmajs, unpublished results) is considerably smaller, probably reflecting the different host specificities of T. p. pallidum and T. paraluiscuniculi. It is therefore clear that the genetic differences between T. p. pallidum and T. p. pertenue are in fact very subtle, although they are almost certainly responsible for the observed differences in pathogenesis in humans and experimentally infected animals. The differences in restriction sites, including additional and missing restriction target sites, clearly grouped T. p. pallidum strains into a separate cluster when compared to T. p. pertenue strains (Table 1, Figure 1). The T. p. pertenue group also contained the Fribourg-Blanc isolate, although it was more distantly separated from the T. p. pertenue strains. The close relationship between the Fribourg-Blanc treponemes and T. p. pertenue strains has been found also by Gray et al. , based on the phylogeny of tprC and tprI genes.
Analysis of restriction target sites provided another estimate of genome sequence similarity among the investigated strains to the Nichols genome. In this assessment, the assumption is made that mutation rates at the restriction sites occur at the same rate as the genomic DNA overall, and that there is no positive or negative selection with regard to restriction sites. Also, enzymes with a single sequence specificity were selected, so that a difference of a single base pair was sufficient to render a restriction site inactive. The analysis of 1,773 restriction sites in PCR amplicons in each of the 8 strains examined resulted in the representative sampling of 10,636 bp in each genome. The overall genome difference between T. p. pallidum and T. p. pertenue strains by this measure was only 0.36% to 0.37%, indicating an extreme sequence similarity between T. p. pallidum and T. p. pertenue despite the fact that strains belonging to both subspecies cause distinct and quite different human diseases. The close relatedness of Fribourg-Blanc isolate with T. p. pertenue strains suggests a possible transmission of a T. p. pertenue ancestor from African non-human primates to the human population (or vice versa). Interestingly, treponemes isolated from baboons appear to be well adapted to them and do not cause any clinical symptoms, but are pathogenic to hamsters . The geographical regions with incidence of yaws overlap with the occurrence of simian treponemes . In addition, this strain was able to cause human infection similar to yaws –. The syphilis and yaws-causing treponemes thus could originate from Africa as previously suggested by Livingstone .
Within the T. p. pallidum cluster, two subgroups of two strains each were observed, including Nichols and DAL-1 or SS14 and Mexico A strains, respectively. In 2006, Marra et al.  described the genetic diversity within T. p. pallidum strains in the intergenic region between TP0126 and TP0127 (see also Table 2). About 20% of clinical isolates in the USA did not contain a 51 bp insertion between these genes and were similar to the Seattle 81-4 strain, while 80% of them were similar to the SS14 strain . This diversity within the T. p. pallidum cluster correlates with differences in other genomic regions (P. Pospíšilová, unpublished data), indicating that at least two genetically distinct groups of T. p. pallidum strains coexist in the human population.
The genomic regions showing variability in most of investigated strains (IGR TP0126-TP0127, arp, TP0470, TP0967) of T. p. pallidum, T. p. pertenue strains and the Fribourg-Blanc isolate were originally identified in the genome of T. paraluiscuniculi strain Cuniculi A . This fact indicates that these regions might be variable in most other pathogenic treponemal strains and isolates. The tprK-like sequence inserted in the tprD 3′ flanking region was found in three versions of different lengths among the 8 investigated strains. Interestingly, in the Nichols genome, this insertion is present only in a smaller part of treponemal population , suggesting that this region could be deleted without markedly decreasing fitness. Indeed, it is possible that a deletion of this region occurred after passage to rabbits, which have been used for propagation of the Nichols strain for nearly a century. Two additional variable regions contain repetitive sequences with varying number of repetitions. In the arp gene , 14 repetitions (60 bp in length) were found in the Nichols genome. However, the published Nichols genome sequence , described only 7 tandem repetitions in this region probably as a result of incorrect automated computer assembly. Gain or loss of tandemly repeated sequences is likely to result from either slipped strand synthesis or recombination events and often has important biological functions, such as length variation in Mycoplasma coat lipoproteins . In Legionella pneumophila, similar intragenic tandemly repeated sequences are often polymorphic and the number of repeats could reflect origin of the strains . The observed difference in number of tandem repeats and the fact that the Arp protein is immunogenic  suggests a similar antigenic function. The arp repeat unit variability in T. p. pallidum strains is used as a part of molecular typing system differentiating at least 12 subtypes of T. p. pallidum . Moreover, Liu et al.  and Harper et al.  classified T. p. pallidum Arp repeat motifs into 4 types (I, II, III, II/III) based on amino acid variations. Since T. p. pertenue strains contained identical repeat type (II) and differed from T. p. pallidum strains, variability in repeat types was correlated with a sexual transmission strategy .
Differences between T. p. pallidum and T. p. pertenue strains comprised several differences in tpr genes including the MSC and small indels in tprD in diverse strains, insertions in tprF and elongation of tprL. Centurion-Lara et al.  showed that several tprD alleles (D, D2 and D3) exist among T. p. pallidum (D, D2) and pertenue (D2, D3) strains. The Mexico A strain contained the D2 allele that is typical for pertenue strains with exception of the Gauthier strain (containing D3 allele of tprD). These findings confirm the unusual clustering of the Mexico A and the Gauthier strains in the phylogenetic tree constructed from sequences of tprD locus (Figure 4B). Phylogenetic analyses performed by Gray et al.  revealed that D2 allele at tprD is the ancestral allele and the other non-D2 alleles are likely the result of 2 subsequent gene conversion events between the tprD and tprC loci, where the tprC serve as a donor. The observed difference in tprD (TP0131) cluster, when compared to phylogenetic tree obtained from RTS analysis, thus appears to result from gene conversion events . On the other hand, increased variability within T. p. pallidum strains in TP0136, TP0548 and TP1031 (tprL), respectively, appears to result from positive selection of these loci in pallidum strains. The tpr genes are found in several strains of Treponema pallidum and also in T. paraluiscuniculi, and their paralogous proteins are sequentially related to the major outer sheath protein (Msp) of Treponema denticola . The tpr genes are heterogeneous both within and between the T. pallidum subspecies and strains examined , , . Although the precise role of tpr genes remains unknown, there is increasing evidence that the Tpr proteins are involved in pathogenesis and/or immune evasion. TprK protein induces a strong immune response , , , and the variable regions of TprK form targets for specific antibodies . Since tprF is considerably shorter in T. p. pallidum strains and contains – when compared to T. p. pertenue strains and to Fribourg-Blanc isolate – a frameshift mutation, it is likely that tprF is either not functional or has an altered function in T. p. pallidum strains. Although tprL in either its shortened or elongated forms does not have a recognizable signal sequence in the corresponding protein sequence, these differences in amino acid sequence could result in altered cellular functions. In summary, at least three of the 12 tpr genes (tprD, F, and L) are different in sequence or longer in T. p. pertenue strains. We postulate that the longer versions represent ancient (original) tpr versions present in T. p. pertenue strains and in Fribourg-Blanc isolate.
The observed differences in the TP0136 gene coding for an antigenic fibronectin binding protein  could result in variations in the binding specificity and affinity of the T. p. pertenue versions of TP0136 lipoprotein that could possibly impact the pathogenic properties of T. p. pertenue strains. Interestingly, the fast-growing pathogenic strain DAL-1  has a 58 bp insertion in this gene resulting in a frameshift and hence a major protein sequence change in this antigen. Three additional differences between T. p. pertenue and T. p. pallidum strains included changes in 2 hypothetical genes (TP0132, TP0266) and one in the IGR TP0548-TP0549. However, biological consequences of these differences remain unknown. Several hypothetical proteins encoded by the genes listed in Tables 2–5 are predicted inner or outer membrane proteins indicating their possible role in transport and antigenic properties of treponemes. Although no signal sequences were identified in the TprL and TP0548, these proteins were recently predicted as rare outer membrane proteins , favoring the latter function.
All the detected differences found in the tested genomes could be used for their molecular identification in clinical samples isolated from patients. This is an important application for differentiation of pallidum and pertenue strains, especially for African children  and pregnant women , where serological cross-reactivity of syphilis- and yaws-causing treponemes complicates the clinical diagnostics of both diseases. However, these differences need to be verified in a larger set of strains before they could be used as a reliable discriminative target between yaws- and syphilis-causing agents.
It has been proposed previously that syphilis, yaws, and the other endemic treponematoses are all caused by the same organism, and that climate or cultural differences result in differences in manifestations and transmission patterns. However, syphilis and yaws have distinctive lesions and patterns of pathogenesis, and typically do not provide full immunologic cross protection in experimental animal infections , . The data presented in this study indicate that the genomes of T. p. pallidum and T. p. pertenue are very similar in both genome size and structure. Furthermore, the simian Fribourg-Blanc isolate is closely related to T. p. pertenue strains, suggesting that yaws may be a primate treponematosis rather than a distinctly human disease , . Most of the genetic differences represent relatively simple genetic changes that occurred during the evolution of these genomes, and it is likely that these minor differences, representing less than 0.4% of the genome of these organisms, have given rise to the distinct infection patterns observed in syphilis and yaws. Unfortunately, because none of the T. pallidum subspecies nor T. carateum have been cultured continuously in vitro, directed mutagenesis of the divergent loci to determine their potential roles in pathogenesis is not currently possible. However, continued accumulation of genomic information, coupled with functional studies of the proteins encoded by these loci, may shed light on the important determinants involved in the microevolution of the pathogenic treponemes.
Materials and Methods
Isolation of T. p. pallidum, T. p. pertenue and Fribourg-Blanc chromosomal DNA
T. p. pallidum Nichols and SS14 as well as T. p. pertenue Samoa D and Gauthier chromosomal DNA was prepared as described by Fraser et al.  from treponemes obtained from experimentally infected rabbits. Treponemes were purified by Hypaque gradient centrifugation as described previously , . DAL-1 and Mexico A (T. p. pallidum strains), CDC-2 (T. p. pertenue strain) and the unclassified Fribourg-Blanc simian isolate were obtained from David L. Cox (CDC, Atlanta, USA) as a rabbit testicular tissue containing treponemal cells (Table 1). To separate treponemes from the eukaryotic rabbit testicular cells, samples were briefly centrifuged at 100×g for 5 min to sediment these cells. The DNA of these samples was amplified from cells using QIAGEN Whole Genome Amplification REPLI-g Kit (Qiagen, Hilden, Germany) according to manufacturer's instructions.
Whole genome fingerprinting
Whole genome fingerprinting was performed as described previously , . The complete nucleotide sequence of the T. p. pallidum strain Nichols (GenBank accession no. AE000520, ) was divided into 133 overlapping DNA regions (Treponema pallidum intervals - TPI) ranging between 801 and 21000 bp. The median and average lengths of these TP intervals were 9110 bp and 9590 bp, respectively. Each TP interval was amplified using the GeneAmp® XL PCR Kit (Roche Molecular Systems, Branchburg, NJ, USA) according to manufacturer's recommended protocol with two reagent mixes. The Lower reagent mix contained 6.6 µL of water, 6.0 µL of 3.3× XL Buffer II, 4.0 µL of 10 mM dNTP Blend, 2.4 µL of 25 mM Mg(OAc)2 Solution, 0.5 µL of primer F (100 nmol/L) and 0.5 µL of primer R (100 nmol/L). The primers used are shown in Table S1 (Supplementary Material). The Upper reagent mix contained 19.0 µL of water, 9.0 µL of 3.3× XL Buffer II, 1.0 µL of rTth DNA Polymerase XL and 1.0 µL of DNA template. The PCR reactions were performed on GeneAmp® PCR System 9700 (Applied Biosystems, Foster City, CA, USA) and started with initial denaturation step (94°C for 60 sec), continued by 16 cycles with temperature changing from 94°C (15 sec) to 65°C (10 min), followed by 12 cycles with temperatures 94°C for 15 sec and 67°C for 10 min with increment of 15 sec to each following cycle. The final PCR step comprised 72°C for 10 min. All PCR products were digested with an initial set of three restriction enzymes, BamHI, EcoRI and HindIII or their combinations. In the Nichols reference genome (GenBank accession no. AE000520), 223 BamHI, 157 EcoRI, and 259 HindIII restriction sites were present. Additional digestions were performed with AccI (144 restriction target sites), AvaII (2 sites), BsmAI (2 sites), ClaI (90 sites), DpnI (5 sites), EcoRV (180 sites), HinfI (9 sites), KpnI (101 sites), MluI (200 sites), MseI (17 sites), NcoI (57 sites), NdeI (4 sites), NheI (15 sites), NsiI (22 sites), RsrII (5 sites), SacI (23 sites), SapI (39 sites), SpeI (6 sites), SphI (64 sites), XbaI (38 sites), and XhoI (111 sites) to reduce the distance between adjacent restriction sites to less than 4 kb. All enzymes were obtained from New England Biolabs (NEB, Frankfurt am Main, Germany). Two amplicons (TPI32B and TPI34aa) out of the total 133 amplified chromosomal regions contained repetitive sequences and were further analyzed by amplification of small subregions of each amplicon (481 and 771 bp, respectively) to accurately estimate the number of repetitions in amplicons. The repetitive sequences of TPI32B (between coordinates 461079–461499 in the Nichols genome) were amplified using 32BrepF1 (5′-CGTTTGGTTTCCCCTTTGTC-3′) and 32BrepR1 (5′-GTGGGATGGCTGCTTCGTATG-3′) primers. The TPI34aa subregion containing repetitions (Nichols coordinates 497265 - 497688) was amplified with TPI34F4 (5′-GTCTTGTGCACATTATTCAAG-3′) and TPI34R5 (5′-CTTCGTGCAACATCGCTACG-3′) primers.
XL PCR products showing length differences when amplified from different treponemal strains were used for DNA sequencing using the Taq DyeDeoxy Terminator Cycle Sequencing Kit (Applied Biosystems, Foster City, CA, USA). Oligonucleotide sequencing primers from a previous study  were supplemented with additional primers designed using the Primer3 software . The LASERGENE program package (DNASTAR, Madison, WI, USA) was used to assembe the consensus sequences.
Construction of phylogenetic trees
The software PAUP* 4b10  and its graphical interface PaupUp 18.104.22.168. Beta  were used for construction of phylogenetic trees using both binary restriction target site (RTS) data and nucleotide sequences of sequenced regions. A distance analysis was applied for binary data (number of additional/missing RTS), and the corresponding tree was built using the neighbor joining algorithm. DNA sequences used for tree constructions were aligned using on-line available ClustalX software (http://www.clustal.org/)  and the Modeltest 3.7  was used to identify the best model of nucleotide substitutions. Phylogenetic trees were constructed by maximum parsimony method from aligned sequences or by using a maximum likelihood method from the best model identified by Modeltest 3.7. The TreeView 1.6.6 software  was used for graphical presentations of corresponding trees.
The list of primers used for whole genome fingerprinting (WGF) of treponemal genomes.
The authors thank Dr. David Cox for providing the DAL-1, Mexico A, CDC-2 and Fribourg-Blanc strains.
Conceived and designed the experiments: DÅ ES GMW SJN. Performed the experiments: LM MS PP. Analyzed the data: LM MS DÄŒ MZ PP. Contributed reagents/materials/analysis tools: SJN ES MS LM DÅ GMW. Wrote the paper: LM DÅ.
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