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1 Department of Medical Microbiology and Infectious Diseases, Canisius
Wilhelmina Hospital, Nijmegen, The Netherlands
2 Department of Human Microbiology, Sackler School of Medicine, Tel-Aviv
University, Tel-Aviv, Israel
*
Correspondence: Corné H.W. Klaassen,
c.klaassen{at}cwz.nl
| Abstract |
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Keywords AFLP / coding tandem repeats / high resolution typing / identification pathogenic aspergilli / MLST
| INTRODUCTION |
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Over the years, many different molecular methods have been developed for Aspergillus strain typing. Because of its clinical significance, these methods were primarily directed at A. fumigatus. The most promising techniques are either PCR based, such as analysis of microsatellite length polymorphisms (MLP)/short tandem repeats (STR) (Bart-Delabesse et al. 1998; de Valk et al. 2005) and amplified fragment length polymorphism (AFLP) analysis (Warris et al. 2003; de Valk et al. 2007b), or based on non-coding repetitive sequences (such as the Afut1 element) in combination with restriction fragment length polymorphisms (RFLP) (Girardin et al. 1993). Use of these and other methods has been reviewed by Varga (2006). Three recent additions to this diverse list are multilocus sequence typing (MLST) (Bain et al. 2007), coding tandem repeats (Balajee et al. 2007; Levdansky et al. 2007) and retrotransposon insertion-site context (RISC) typing (de Ruiter et al. 2007). Depending on the exact reason for strain typing and on the technical resources in a particular setting, the choice for either of these methods could be appropriate.
Classically, without the availability of genomic sequence information, the process of developing a new strain typing method often involved many laborious selection and optimisation experiments. At present, in the genomics era, the availability of whole genome sequences has had a great impact on our options to develop novel and state-of-the-art fingerprinting methods. We now can develop new fingerprinting methods using highly targeted approaches with much higher à priori chances of being successful than before. Naturally, as more genomic sequence information is becoming available, these chances will continue to increase.
Here, we will present a number of applications for several of these genotyping methods and discuss the impact of the availability of genomic sequence data on the applications of these methods.
High resolution exact strain typing using short tandem repeats
Microsatellites or STR"s are ubiquitously present in the genomes of
many fungi including Aspergillus spp. Microsatellites, as tools for
the identification of and discrimination between individual organisms, already
have a relatively long history in human forensic applications where they
currently comprise the global "gold standard" in the
identification process of individuals. The use of STR"s offers a number
of technical advantages over many other fingerprinting techniques including:
ease of amplification, multiplex options, extremely high discriminatory power,
an exact unambiguous (numerical) and highly portable and exchangeable typing
result, ability to detect mixed samples, construction of databases, etc.
Because of these advantages, there is a growing interest in the use of STR
based methods for strain typing in the microbial field as well.
Bart-Delabesse et al. (1998) reported the first application of microsatellites for A. fumigatus. These markers were obtained by screening genomic DNA libaries of A. fumigatus for suitable, microsatellite containing sequences, a process that proved quite laborious in the pre-genomics era. A panel of 4 dinucleotide repeats was selected that performed well in comparative genotyping experiments (Lasker 2002). Recently, based on genomic sequence data that has become available, de Valk et al. (2005) reported a novel set of 9 tandem repeats for typing A. fumigatus isolates, the so-called STRAf assay (STR"s of A. fumigatus). In contrast to the previously developed typing scheme, this panel also contained tri- and tetranucleotide repeat markers and, in addition, all loci contained a single uninterrupted repeat element. By using multicolor multiplex approaches with these novel markers, large numbers of isolates can be analyzed in a short period of time. Because of the larger number of loci, the STRAf assay yielded a superior discriminatory power for typing A. fumigatus isolates. In Fig. 1, a graphical representation of the diversity with the A. fumigatus population is shown. The minimal spanning tree represents 99 presumably unrelated A. fumigatus isolates. Almost all isolates could be discriminated from each other. The ones that could not be discriminated by the STRAf assay also proved to be indistinguishable using other molecular methods such as AFLP analysis. Furthermore, the STRAf assay proved to be an extremely robust typing assay. It has been shown that deliberate and significant changes to the experimental protocol did not lead to wrong typing results with this assay (de Valk et al. 2007a).
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The key element in the use of microsatellites is to translate the electrophoretic mobility of the obtained fragment (reflected as the size of the fragment in bp and obtained on a high resolution electrophoretic platform) to the corresponding number of repeats. Unfortunately, this mobility is dependent on many factors such as the presence/absence of denaturing compounds, the sieving matrix that is used, the exact base composition and sequence of the fragment, run temperature, presence of different fluorescent labels and even something that may appear only trivial such as the sizing marker (de Valk et al. 2007a; Tu et al. 1998; Vainer et al. 1997). In order to transfer a microsatellite based assay to a different electrophoresis platform, a careful calibration of the new platform has to be established. Similar to the situation in human forensics, a series of allelic ladder was constructed that contain reference fragments with established repeat numbers. By running these allelic ladders, every platform can be calibrated to yield exchangeable typing data with any given set of isolates (de Valk et al. submitted for publication). Thus, the STRAf assay has all the key ingredients to be successfully used for global standardisation of A. fumigatus typing.
Simultaneous identification and strain typing
In recent years, there has been a growing interest in the use of more
accessible techniques such as MLST approaches for fungal identification
purposes and strain typing. This approach that is exclusively based on
sequencing data has the advantage of the development of accurate databases
totally reliable for taxonomy. However, whereas MLST performs well at the
genus and species level, in the case of Aspergillus (and in contrast to other
species like Candida) the discriminatory power at the subspecies level turns
out to be disappointing (Bain et
al. 2007).
AFLP analysis is a highly discriminatory method at the intraspecies level. In AFLP analyses, fragments are amplified from random locations throughout an organisms" genome in a highly reproducible manner (Vos et al. 1995). The discriminatory power of AFLP analysis equals that of the STR panels (de Valk et al. 2007b) and Afut1 RFLP analysis. However, like with any other fingerprinting method based on DNA banding patterns, its long-term stability and reproducibility may be quite challenging. Development of AFLP fingerprinting requires no prior sequence information. However, depending on the genome composition (GC-content and distribution, presence of multicopy elements), certain combinations of restriction enzymes and selective residues could prove to be more suitable than others. At present, based on available genomic sequence data, one can predict in silico which fragments will be obtained with any known genome (Bikandi et al. 2004).
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Strain typing based on coding tandem repeats
Coding tandem repeats are adjacent in-frame coding DNA sequences of 2 to
200 nucleotides in length that are directly repeated; these repeated units may
be completely identical or partially degenerate
(Li et al. 2004). The
number of these coding-repeat copies often varies among different isolates
leading to expansion or contraction of amino-acid blocks. Coding repeats have
been observed in a number of prokaryotic and eukaryotic genomes where they
play an important role in generating variability in cell-surface immunogenic
antigens and adhesins, thereby evading the immune system or enhancing
pathogenicity (Gravekamp et al.
1998; Jordan et al.
2003; Verstrepen et
al. 2005). The inter-strain variability in the number of
coding sequences can also serve as an extremely robust and rapid typing
technique. Sequence analysis of a single, highly-variable gene, Protein A
(spa) or clumping factor (cflb) has been successfully
applied to strain differentiation amongst Staphylococcus aureus
isolates which generally exhibit low variability and poorly discernible
population genetic structure (Shopsin
et al. 1999). Recently, an analysis of the genome of
A. fumigatus identified as many as 292 genes with internal repeats.
Fourteen of 30 selected genes showed size variation of their repeat-containing
regions among 11 clinical A. fumigatus isolates. One of these, the
cell wall protein Afu3g08990 is involved in conidial germination and
adhesion (Levdansky et al.
2007).
Importantly, the repeat containing region of Afu3g08990 or CSP (cell-surface protein) was shown to vary significantly between A. fumigatus isolates from various origin (Levdansky et al. 2007; Balajee et al. 2007) (Fig. 3) By simply sequencing the Afu3g08990 repeat region in the various isolates and performing a phylogenetic analysis using the maximum parsimony method, it was possible to successfully "sub-type" fifty five epidemiologically linked A. fumigatus isolates from six nosocomial outbreaks of invasive aspergillosis. The results were concordant with another discriminatory genotyping technique, the Afut1 RFLP typing method. However, while Afut1 typing is labor and time intensive, needs specialised equipment and is not high throughput, Afu3g08990/CSP-typing requires only the ability to perform PCR and have access to an automated sequencer. Also, interpretation of the sequence information does not require sophisticated algorithms nor dedicated software and thus can be seamlessly integrated into any clinical microbiology laboratory.
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It is worthy to note that in the A. fumigatus genome there is a
substantial enrichment of putative cell-surface and/or secreted proteins that
contain internal repeats. While 2.9 % of the
9 900 genes in the A.
fumigatus genome contain coding repeats, at least 12.5 % of all putative
cell-wall encoding genes do so, a greater than 4-fold increase. This suggests
that as found in a number of other fungal genomes, repeats in A.
fumigatus may play an important role in generating variability in
cell-surface immunogenic antigens and adhesins, thereby evading natural
predators in its natural environment and the immune system in its inadvertant
host.
| CONCLUSIONS |
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