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Limón-González MM, Hernández-Castro R, Martínez-Hernández F, Xicohtencatl-Cortes J, Ramírez-Alvarez H, Palomares-Resendiz EG, Díaz-Aparicio E. Genetic diversity of Chlamydia pecorum detected in sheep flocks from Mexico. Braz J Microbiol 2022. [DOI: https:/doi.org/10.1007/s42770-022-00682-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
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Limón-González MM, Hernández-Castro R, Martínez-Hernández F, Xicohtencatl-Cortes J, Ramírez-Alvarez H, Palomares-Resendiz EG, Díaz-Aparicio E. Genetic diversity of Chlamydia pecorum detected in sheep flocks from Mexico. Braz J Microbiol 2022. [DOI: https://doi.org/10.1007/s42770-022-00682-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
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Limón-González MM, Hernández-Castro R, Martínez-Hernández F, Xicohtencatl-Cortes J, Ramírez-Alvarez H, Palomares-Resendiz EG, Díaz-Aparicio E. Genetic diversity of Chlamydia pecorum detected in sheep flocks from Mexico. Braz J Microbiol 2022; 53:605-613. [PMID: 35119684 PMCID: PMC9151965 DOI: 10.1007/s42770-022-00682-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 01/13/2022] [Indexed: 02/06/2023] Open
Abstract
Chlamydia pecorum, an obligate intracellular bacterium, is associated with reproductive and systemic diseases in sheep, goats, pigs, cattle, and koalas. The main conditions include polyarthritis, conjunctivitis, enteritis, pneumonia, encephalomyelitis, orchitis, placentitis, and abortion. Even though there are several studies showing that C. pecorum infections are widely spread in the world, in Mexico there are no reports. During 2016, as part of a sheep restocking program in Mexico, sheep were imported from New Zealand. Briefly after their arrival in the herds in the State of Mexico, these sheep presented abortions during the last third of gestation. A total of 62 sheep vaginal swabs that had presented abortion from different municipalities of the State of Mexico were collected. Bacterial isolation was performed using L929 mouse fibroblasts, and molecular identification was achieved by 23S rRNA (Chlamydiaceae family) and ompA gene (species-specific) real-time polymerase chain reaction (PCR). In addition, the 16S rRNA subunit and ompA gene were amplified and sequenced. Seven of 62 samples were positive for C. pecorum by bacterial isolation, 23S rRNA, and ompA gene real-time PCR. The 16S rRNA subunit and ompA gene amplicons were purified and the nucleotide sequence was determined in both directions. The consensus sequences homology search was performed using BLASTn analysis and showed a 100% of homology with the C. pecorum 16S rRNA subunit and 99% with the C. pecorum ompA gene. The population structure analyses using ompA gene demonstrated 15 genetic populations or clusters of 198 sequences from GenBank and our sequences were in a particular genetic structure corresponding to genotype "O." Herein, we describe the presence of C. pecorum in sheep imported from New Zealand into Mexico. Genetic analysis of the ompA gene showed that the isolates belong to genotype O and are related to strains isolated from sheep, cattle, and koalas.
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Affiliation(s)
- M M Limón-González
- Facultad de Medicina Veterinaria y Zootecnia, Universidad Nacional Autónoma de México, Coyoacán, 04510, Ciudad de México, Mexico.
| | - R Hernández-Castro
- Departamento de Ecología de Agentes Patógenos, Hospital General "Dr. Manuel Gea González", Tlalpan, 14080, Ciudad de México, Mexico
| | - F Martínez-Hernández
- Departamento de Ecología de Agentes Patógenos, Hospital General "Dr. Manuel Gea González", Tlalpan, 14080, Ciudad de México, Mexico
| | - J Xicohtencatl-Cortes
- Laboratorio de Bacteriología Intestinal, Hospital Infantil de México "Dr. Federico Gómez", Cuauhtémoc, 06720, Ciudad de México, Mexico
| | - H Ramírez-Alvarez
- Facultad de Estudios Superiores Cuautitlán, Universidad Nacional Autónoma de México, 54714, Cuautitlán Izcalli, Estado de México, Mexico
| | - E G Palomares-Resendiz
- Centro Nacional de Investigación Disciplinaria en Salud Animal e Inocuidad (CENID-SAI), Instituto Nacional de Investigaciones ForestalesAgrícolas y Pecuarias, Cuajimalpa, 05110, Ciudad de México, Mexico
| | - E Díaz-Aparicio
- Centro Nacional de Investigación Disciplinaria en Salud Animal e Inocuidad (CENID-SAI), Instituto Nacional de Investigaciones ForestalesAgrícolas y Pecuarias, Cuajimalpa, 05110, Ciudad de México, Mexico
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Szymańska-Czerwińska M, Mitura A, Niemczuk K, Zaręba K, Jodełko A, Pluta A, Scharf S, Vitek B, Aaziz R, Vorimore F, Laroucau K, Schnee C. Dissemination and genetic diversity of chlamydial agents in Polish wildfowl: Isolation and molecular characterisation of avian Chlamydia abortus strains. PLoS One 2017; 12:e0174599. [PMID: 28350846 PMCID: PMC5370153 DOI: 10.1371/journal.pone.0174599] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Accepted: 03/10/2017] [Indexed: 11/29/2022] Open
Abstract
Wild birds are considered as a reservoir for avian chlamydiosis posing a potential infectious threat to domestic poultry and humans. Analysis of 894 cloacal or fecal swabs from free-living birds in Poland revealed an overall Chlamydiaceae prevalence of 14.8% (n = 132) with the highest prevalence noted in Anatidae (19.7%) and Corvidae (13.4%). Further testing conducted with species-specific real-time PCR showed that 65 samples (49.2%) were positive for C. psittaci whereas only one was positive for C. avium. To classify the non-identified chlamydial agents and to genotype the C. psittaci and C. avium-positive samples, specimens were subjected to ompA-PCR and sequencing (n = 83). The ompA-based NJ dendrogram revealed that only 23 out of 83 sequences were assigned to C. psittaci, in particular to four clades representing the previously described C. psittaci genotypes B, C, Mat116 and 1V. Whereas the 59 remaining sequences were assigned to two new clades named G1 and G2, each one including sequences recently obtained from chlamydiae detected in Swedish wetland birds. G1 (18 samples from Anatidae and Rallidae) grouped closely together with genotype 1V and in relative proximity to several C. abortus isolates, and G2 (41 samples from Anatidae and Corvidae) grouped closely to C. psittaci strains of the classical ABE cluster, Matt116 and M56. Finally, deep molecular analysis of four representative isolates of genotypes 1V, G1 and G2 based on 16S rRNA, IGS and partial 23S rRNA sequences as well as MLST clearly classify these isolates within the C. abortus species. Consequently, we propose an expansion of the C. abortus species to include not only the classical isolates of mammalian origin, but also avian isolates so far referred to as atypical C. psittaci or C. psittaci/C. abortus intermediates.
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Affiliation(s)
| | - Agata Mitura
- Department of Cattle and Sheep Diseases, National Veterinary Research Institute, Pulawy, Poland
| | - Krzysztof Niemczuk
- Department of Cattle and Sheep Diseases, National Veterinary Research Institute, Pulawy, Poland
| | - Kinga Zaręba
- Department of Cattle and Sheep Diseases, National Veterinary Research Institute, Pulawy, Poland
| | - Agnieszka Jodełko
- Department of Cattle and Sheep Diseases, National Veterinary Research Institute, Pulawy, Poland
| | - Aneta Pluta
- Department of Biochemistry, National Veterinary Research Institute, Pulawy, Poland
| | - Sabine Scharf
- Institute of Molecular Pathogenesis, Friedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Jena, Germany
| | - Bailey Vitek
- Institute of Molecular Pathogenesis, Friedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Jena, Germany
| | - Rachid Aaziz
- University Paris-Est, Anses, Animal Health Laboratory, Bacterial Zoonoses Unit, Maisons-Alfort, France
| | - Fabien Vorimore
- University Paris-Est, Anses, Animal Health Laboratory, Bacterial Zoonoses Unit, Maisons-Alfort, France
| | - Karine Laroucau
- University Paris-Est, Anses, Animal Health Laboratory, Bacterial Zoonoses Unit, Maisons-Alfort, France
| | - Christiane Schnee
- Institute of Molecular Pathogenesis, Friedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Jena, Germany
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Samanta I, Bandyopadhyay S. Infectious Diseases. PET BIRD DISEASES AND CARE 2017. [PMCID: PMC7121861 DOI: 10.1007/978-981-10-3674-3_2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The chapter describes bacerial, viral, parasitic and fungal infections commonly detected in pet birds. The chapter includes history, etiology, susceptible hosts, transmission, pathogenesis, clinical symptoms, lesion, diagnosis, zoonosis, Treatment and control strategy of Tuberculosis, Salmonellosis, Chlamydiosis, Campylobacteriosis, Lyme disease, other bacterial infection, Newcastle disease, Avian Influenza infection, West Nile Virus infection, Usutu virus infection, Avian Borna Virus infection, Beak and feather disease, other viral infection, Toxoplasmosis, Giardiasis, Cryptosporidiosis, other parasitic infection, Cryptococcosis, Aspergillosis, Other fungal infections.
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Chahota R, Ogawa H, Mitsuhashi Y, Ohya K, Yamaguchi T, Fukushi H. Genetic Diversity and Epizootiology ofChlamydophila psittaciPrevalent among the Captive and Feral Avian Species Based on VD2 Region ofompAGene. Microbiol Immunol 2013; 50:663-78. [PMID: 16985288 DOI: 10.1111/j.1348-0421.2006.tb03839.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
To study genetic diversity and occurrence of Chlamydophila psittaci, a total of 1,147 samples from 11 avian orders including 53 genera and 113 species of feral and captive birds were examined using ompA gene based nested PCR. Three types of chlamydiae: C. psittaci (94.12%), C. abortus (4.41%) and unknown Chlamydophila sp. (1.47%) were identified among 68 (5.93%) positive samples (Psittaciformes-59, Ciconiiformes-8 and Passeriformes-1). Based on nucleotide sequence variations in the VD2 region of ompA gene, all 64 detected C. psittaci strains were grouped into 4 genetic clusters. Clusters I, II, III and IV were detected from 57.35%, 19.12%, 10.29% and 7.35% samples respectively. A single strain of unknown Chlamydophila sp. was found phylogenetically intermediate between Chlamydophila species infecting avian and mammalian hosts. Among Psittaciformes, 28 out of 81 tested species including 10 species previously unreported were found to be chlamydiae positive. Chlamydiosis was detected among 8.97% sick and 48.39% dead birds as well 4.43% clinically normal birds. Therefore, it was observed that though various genetically diverse chlamydiae may cause avian chlamydiosis, only a few C. psittaci strains are highly prevalent and frequently associated with clinical/subclinical infections.
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Affiliation(s)
- Rajesh Chahota
- Department of Applied Veterinary Science, United Graduate School of Veterinary Sciences, Gifu, Japan
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Madani SA, Peighambari SM. PCR-based diagnosis, molecular characterization and detection of atypical strains of avian Chlamydia psittaci in companion and wild birds. Avian Pathol 2013; 42:38-44. [PMID: 23391180 DOI: 10.1080/03079457.2012.757288] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Chlamydiosis is one of the most important infectious diseases of birds. In this study, 253 clinical samples were taken from 27 bird species belonging to seven orders. Thirty-two (12.6%) samples were positive for Chlamydia psittaci major outer membrane gene (ompA) DNA by a nested polymerase chain reaction (PCR). Twelve nested PCR-positive specimens were typed by ompA gene-based PCR-restricted fragment length polymorphism, using CTU/CTL primers and AluI restriction enzyme. Four restriction patterns were identified, including genotype A (two specimens from an African grey parrot [Psittacus erithacus] and a lorikeet [Trichoglossus haematodus]), genotype B (two specimens from a rock dove [Columbia livia] and a canary [Serinus canaria]), a third new restriction pattern (six specimens from African grey parrots), and a fourth new restriction pattern (two specimens from a ring-necked parakeet [Psittacula krameri] and an Alexandrine parakeet [Psittacula eupatria]). The third and the fourth restriction patterns are suggested to be provisional genotypes I and J, respectively. Partial sequencing of the ompA gene of seven specimens completely correlated with the results of PCR-restricted fragment length polymorphism and confirmed the presence of genotypes A and B and the two new provisional genotypes I and J. The two new genotypes have the closest identity with C. psittaci genotype F and Chlamydia abortus, respectively. From an evolutionary perspective, both new genotypes, particularly genotype J, are intermediate between the two species, C. psittaci and C. abortus.
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Affiliation(s)
- S A Madani
- Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Tehran, P.O. Box 14155-6453, Tehran, Iran
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Yatsentyuk SP, Obukhov IL. Molecular genetic characterization of avian Chlamydophila psittaci isolates. RUSS J GENET+ 2007. [DOI: 10.1134/s1022795407110026] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Schwarzová K, Betáková T, Neméth J, Mizáková A. Detection of Borrelia burgdorferi sensu lato and Chlamydophila psittaci in throat and cloacal swabs from birds migrating through Slovakia. Folia Microbiol (Praha) 2007; 51:653-8. [PMID: 17455806 DOI: 10.1007/bf02931634] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
We have screened 91 migratory birds representing 32 species during the autumn of 2003 for the presence of the zoonotic pathogens Borrelia and Chlamydophila. Using polymerase chain reaction (PCR), B. burgdorferi sensu stricto was detected in cloacal swabs and, in two causes, also in throat swabs in 8 individuals (8.7 %) representing 7 birds species; B. garinii and B. afzelii were not detected. C. psittaci was detected only in cloacal swabs; 6 birds (6.6 %) from four species were found to be positive. The PCR products were sequenced and the sequences were compared phylogenetically with the gene sequences of 14 Chlamydophila strains retrieved from nucleotide databases; although the sequenced DNA was only 110 bp long, all obtained sequences created a new cluster with sublines branching from a position close to the periphery of the genus. All tested samples appear distinct within the known species and were most similar to C. felis or C. abortis.
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Affiliation(s)
- K Schwarzová
- Institute of Virology, Slovak Academy of Sciences, Bratislava, Slovakia
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Van Loock M, Vanrompay D, Herrmann B, Vander Stappen J, Volckaert G, Goddeeris BM, Everett KDE. Missing links in the divergence of Chlamydophila abortus from Chlamydophila psittaci. Int J Syst Evol Microbiol 2003; 53:761-770. [PMID: 12807198 DOI: 10.1099/ijs.0.02329-0] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Pathological and serological evidence and DNA-DNA reassociation data indicate that Chlamydophila psittaci and Chlamydophila abortus are separate species. C. psittaci causes avian systemic disease and C. abortus causes abortion. Both previously belonged to Chlamydia psittaci are associated with zoonotic and enzootic outbreaks. Genetic studies suggest that they are closely related and because of the recent availability of diverse C. psittaci strains and comparative data for several genes, it was possible to explore this relationship. The parrot C. psittaci strain 84/2334 was found to have DNA sequences that were identical to an extrachromosomal plasmid in duck C. psittaci strain N352, to rnpB in strain R54 from a brown skua and to the rrn intergenic spacer in parakeet strain Prk/Daruma (from Germany, Antarctica and Japan, respectively). Analysis of ompA and the rrn spacer revealed progressive diversification of the strains, with 84/2334 resembling what might have been a recent ancestor of C. abortus. Another C. psittaci strain (VS225) showed evidence of having undergone convergent evolution towards the C. abortus-like genotype, whereas strain R54 diverged independently. For the first time, these studies link C. abortus in an evolutionary context to the C. psittaci lineage. It has been concluded that C. abortus diverged from C. psittaci, and so strain R54 was designated a C. psittaci strain. It is recommended that characterization of C. psittaci and C. abortus strains should utilize more than a single method and more than a single gene.
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Affiliation(s)
- M Van Loock
- Department of Animal Sciences, Katholieke Universiteit Leuven, Kasteelpark Arenberg 21 (Laboratory of Gene Technology) and 30 (Laboratory of Physiology and Immunology of Domestic Animals), 3001 Leuven, Belgium
| | - D Vanrompay
- Department of Molecular Biotechnology, Ghent University, Coupure Links 653, 9000 Ghent, Belgium
| | - B Herrmann
- Department of Clinical Microbiology, University Hospital, S-751 85 Uppsala, Sweden
| | - J Vander Stappen
- Department of Animal Sciences, Katholieke Universiteit Leuven, Kasteelpark Arenberg 21 (Laboratory of Gene Technology) and 30 (Laboratory of Physiology and Immunology of Domestic Animals), 3001 Leuven, Belgium
| | - G Volckaert
- Department of Animal Sciences, Katholieke Universiteit Leuven, Kasteelpark Arenberg 21 (Laboratory of Gene Technology) and 30 (Laboratory of Physiology and Immunology of Domestic Animals), 3001 Leuven, Belgium
| | - B M Goddeeris
- Department of Animal Sciences, Katholieke Universiteit Leuven, Kasteelpark Arenberg 21 (Laboratory of Gene Technology) and 30 (Laboratory of Physiology and Immunology of Domestic Animals), 3001 Leuven, Belgium
| | - K D E Everett
- Department of Microbiology, University of Georgia, Athens, GA 30602, USA
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Affiliation(s)
- D Longbottom
- Moredun Research Institute, Pentlands Science Park, Bush Loan, Penicuik, Midlothian EH26 0PZ, UK
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Abstract
This review summarizes the dramatic changes that have occurred in the taxonomy of bacteria known as Chlamydia. Best known for the diseases they cause in humans, these intracellular bacteria also comprise many species that are responsible for a wide variety of clinically and economically important diseases in livestock and companion animals. The old taxonomy grouped most of these species into C. psittaci because systematic methods for routinely distinguishing them were not available. DNA-based testing methods are now available that distinguish different chlamydial families, genera, and species. This summary reviews these tests and a number of oligonucleotide primers that distinguish these groups using PCR and PCR-RFLP. DNA-based methods are also being used to discover new families of chlamydia-like bacteria, at least one of which is responsible for abortion in cattle (Waddlia chondrophila). This review summarizes the pathogenic roles of the Chlamydiaceae, new families, and individual species within the order Chlamydiales. These discoveries create opportunities for veterinarians to carry out epidemiological studies of chlamydiae that previously were not possible.
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Affiliation(s)
- K D Everett
- Department of Medical Microbiology and Parasitology, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
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Bart M, Guscetti F, Zurbriggen A, Pospischil A, Schiller I. Feline infectious pneumonia: a short literature review and a retrospective immunohistological study on the involvement of Chlamydia spp. and distemper virus. Vet J 2000; 159:220-30. [PMID: 10775466 DOI: 10.1053/tvjl.1999.0451] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A short literature review of feline infectious pneumonia, feline Chlamydia and Paramyxoviridae is presented. In a retrospective study (from 1987 to 1996) 245 cases of feline pneumonia or conjunctivitis/rhinitis were investigated: histological diagnoses and aetiologies were compared; all lungs were examined immunohistologically for the occurrence of chlamydia and of canine distemper virus (CDV), but neither pathogen could be demonstrated. The results confirm previous reports indicating that feline chlamydia is not a primarily pulmonary pathogen and that CDV is not a causative agent of pneumonia in cats as it is in large felids. The review provides a summary of the known causes and pathology of infectious pneumonia in cats (in order of frequency), although some remain aetiologically uncertain. It focuses on chlamydia and distemper virus - a recognized and as yet unknown cause of feline pneumonia. The role and especially the frequency of chlamydia as a cause of feline pneumonia are controversial but distemper virus, known to cause pneumonia in dogs and large felids, has not as yet been demonstrated in cats. The aims of the retrospective study were to determine the occurrence of chlamydia in 245 cases of feline pneumonia or conjunctivitis/rhinitis, and to investigate the presence of CDV in these lungs.
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Affiliation(s)
- M Bart
- Institute of Veterinary Pathology, University of Zurich, Switzerland.
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Meijer A, Morré SA, van den Brule AJ, Savelkoul PH, Ossewaarde JM. Genomic relatedness of Chlamydia isolates determined by amplified fragment length polymorphism analysis. J Bacteriol 1999; 181:4469-75. [PMID: 10419941 PMCID: PMC103574 DOI: 10.1128/jb.181.15.4469-4475.1999] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The genomic relatedness of 19 Chlamydia pneumoniae isolates (17 from respiratory origin and 2 from atherosclerotic origin), 21 Chlamydia trachomatis isolates (all serovars from the human biovar, an isolate from the mouse biovar, and a porcine isolate), 6 Chlamydia psittaci isolates (5 avian isolates and 1 feline isolate), and 1 Chlamydia pecorum isolate was studied by analyzing genomic amplified fragment length polymorphism (AFLP) fingerprints. The AFLP procedure was adapted from a previously developed method for characterization of clinical C. trachomatis isolates. The fingerprints of all C. pneumoniae isolates were nearly identical, clustering together at a Dice similarity of 92.6% (+/- 1.6% standard deviation). The fingerprints of the C. trachomatis isolates of human, mouse, and swine origin were clearly distinct from each other. The fingerprints of the isolates from the human biovar could be divided into at least 12 different types when the presence or absence of specific bands was taken into account. The C. psittaci fingerprints could be divided into a parakeet, a pigeon, and a feline type. The fingerprint of C. pecorum was clearly distinct from all others. Cluster analysis of selected isolates from all species revealed groups other than those based on sequence data from single genes (in particular, omp1 and rRNA genes) but was in agreement with available DNA-DNA hybridization data. In conclusion, cluster analysis of AFLP fingerprints of representatives of all species provided suggestions for a grouping of chlamydiae based on the analysis of the whole genome. Furthermore, genomic AFLP analysis showed that the genome of C. pneumoniae is highly conserved and that no differences exist between isolates of respiratory and atherosclerotic origins.
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Affiliation(s)
- A Meijer
- Research Laboratory for Infectious Diseases, National Institute of Public Health and the Environment, 3720 BA Bilthoven, University Hospital Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.
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