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Published online before print
November 21, 2007, 10.1101/gr.7020108 Genome Res. 18:161-171, 2008 ©2008 by Cold Spring Harbor Laboratory Press; ISSN 1088-9051/08 $5.00
Letter Chlamydia trachomatis: Genome sequence analysis of lymphogranuloma venereum isolates1 The Pathogen Sequencing Unit, The Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, CB10 1SA, UK; 2 Chlamydia and Molecular Laboratory, Department of Clinical Microbiology, University College Hospitals NHS Foundation Trust, The Windeyer Institute of Medical Sciences, London, W1T 4JF, UK; 3 Molecular Microbiology Group, University Medical School, Southampton General Hospital, Southampton, SO16 6YD, UK; 4 Health Protection Agency South East, Southampton Laboratory, Southampton General Hostpital, Southampton, SO16 6YD, UK; 5 Centre for Proteomic Research, School of Biological Sciences, University of Southampton, Southampton, SO16 7PX, UK; 6 School of Public Health, University of California at Berkeley, Berkeley, California 94720, USA
Chlamydia trachomatis is the most common cause of sexually transmitted infections in the UK, a statistic that is also reflected globally. There are three biovariants of C. trachomatis: trachoma (serotypes A–C) and two sexually transmitted pathovars; serotypes D–K and lyphogranuloma venereum (LGV). Trachoma isolates and the sexually transmitted serotypes D–K are noninvasive, whereas the LGV strains are invasive, causing a disseminating infection of the local draining lymph nodes. Genome sequences are available for single isolates from the trachoma (serotype A) and sexually transmitted (serotype D) biotypes. We sequenced two isolates from the remaining biotype, LGV, a long-term laboratory passaged strain and the recent "epidemic" LGV isolate-causing proctitis. Although the genome of the LGV strain shows no additional genes that could account for the differences in disease outcome, we found evidence of functional gene loss and identified regions of heightened sequence variation that have previously been shown to be important sites for interstrain recombination. We have used new sequencing technologies to show that the recent clinical LGV isolate causing proctitis is unlikely to be a newly emerged strain but is most probably an old strain with relatively new clinical manifestations.
Chlamydia trachomatis is the major cause of sexually transmitted infections (STIs) globally with an estimated 89 million cases in 1995 (Peeling and Brunham 1996
C. trachomatis-causing LGV are much more invasive than serovars A–K; they cause systemic infections, infect monocytes, and disseminate to the local lymph nodes, where they can cause large swellings characteristic of bubonic diseases. LGV serovars are endemic in parts of Africa, South East Asia, South America, and the Caribbean (Viravan et al. 1996
Complete genome sequences are only available for a single ocular and a single genital-tract isolate of C. trachomatis, Har-13 and UW-3, respectively (Stephens et al. 1998
The aim of this study was to complete the genomic analysis of the remaining C. trachomatis biovariant, LGV. The LGV isolate sequenced, strain L2/434/Bu (referred to as C. trachomatis strain L2) was originally isolated from an inguinal bubo of a LGV case 40 yr ago in California (Schachter and Moncada 2005
General features of the C. trachomatis strain L2 genome and comparisons with ocular and genital isolates The genome of C. trachomatis strain L2 is composed of a single circular chromosome of 1.039 Mb and a plasmid of 7499 bp, predicted to encode 889 and eight coding sequences (CDS), respectively (Fig. 1; Table 1). The plasmid was identical in sequence and gene content to that previously published for this strain (Comanducci et al. 1988
Comparison of the strain L2 genome sequence with those of strains C. trachomatis strain UW-3 (strain UW-3) and C. trachomatis strain Har-13 (strain Har-13) (Stephens et al. 1998
Wider comparisons were also performed between strain L2 and more distant members of the Chlamydiaceae, including Chlamydophila pneumoniae (Read et al. 2000
These whole-genome comparisons agreed with previous findings showing that the Chlamydiaceae are extremely similar in gene content, even amongst more distantly related isolates (Read et al. 2003
Evidence of functional loss
However, there is further evidence for genome decay in strain L2; CTL0426A is a remnant formed by the likely deletion of two CDS, orthologs of which (CT173/CTA_0189 and CT174/CTA_190; unknown function) remain present and intact in strains UW-3 and Har-13 (Fig. 3). Other CDSs within the PZ that show variation include those encoding Phospholipase D (PLD). The PZ encodes four PLD CDSs (CTL0409, CTL0411, CTL0413, and CTL0414; PLD locus 2), which show extensive variation in sequence between isolates. Whilst orthologs of CTL0411 and CTL0413 in C. trachomatis strains UW-3 and Har-13 appear intact and conserved in sequence, those for CTL0409 and CTL0414 have suffered multiple independently acquired frameshift mutations and deletion events (summarized in Fig. 3).
The PZ PLDs are known to be unique to C. trachomatis and the related rodent pathogen, C. muridarum (Nelson et al. 2006
Metabolism There is evidence of functional gene loss outside of the PZ region of strain L2. CDSs CTL0228 and CTL0856 are pseudogenes of fumarate hydratase (fumC; fumarase C) and succinate dehydrogenase (sdhC; cytochrome B subunit), respectively. Fumarases are involved in the citric acid cycle, either reversibly converting fumarate into L-malate or converting oxaloacetate into succinate, depending on oxygen availability (Guest and Roberts 1983 Like FumC, succinate dehydrogenase is also required for the metabolism of fumarate by facilitating the aerobic interconversion of fumarate and succinate. In Escherichia coli, succinate dehydrogenase is encoded by four genes, sdhA–D. sdhA and sdhB encode the succinate dehydrogenase flavoprotein and iron–sulphur protein subunits, respectively. SdhA and SdhB are both anchored to the cytoplasmic membrane by SdhC and SdhD. SdhC also possesses a cytochrome b556 domain involved in electron transport. Analysis of the C. trachomatis genome sequences showed that all carried orthologs of the genes sdhA, sdhB, and sdhC (CTL0854–CTL0856), but none possessed sdhD homologs. However, it is evident that whilst the sdhA and sdhB remain intact, the orthologs of sdhC in all of the sequenced C. trachomatis carry the same frameshift mutation (following codon 103), as well as other additional point mutations (Table 2). This appears to be specific to C. trachomatis, since these genes are intact in the other sequenced Chlamydiaceae (data not shown).
Other potentially important pseudogenes lie within a cluster of two CDSs encoding a pyruvoyl-dependent arginine decarboxylase (CTL0627; PvlArgDC) and an arginine/ornithine antiporter (CTL0628/ArcD) (Graham et al. 2002
The PvlArgDC family of enzymes are involved in the biosynthesis of putrescine from L-arginine. Since Chlamydia spp. lack any other genes for arginine catabolism (Graham et al. 2002
Recent clinical C. trachomatis LGV isolate causing proctitis: Biological properties and sequence
Strain UCH-1 was sequenced using a pyrosequencing approach (454/Roche GS20). In total, 691 single base-pair differences were detected using MUMmer (Delcher et al. 1999 However, since we did not resequence all of the remaining called differences between strains, the sequence should be considered to be a contiguous draft. A summary of all of the base-pair differences can be found in Supplemental Table 2, along with a comment on whether the base has been confirmed by capillary resequencing, lies within a homopolymer, or represents a low-confidence base call. Analysis of the coding capacity of strain UCH-1 showed that it was identical to strain L2 (Table 1). This extended to the complement of pseudogenes; with only one exception, CTLon_0574 (CTLon_0574 carries 2/3 mutations found in its strain L2 pseudogene ortholog CTL0578); all of the strain UCH-1 pseudogenes exhibited the same defining mutation(s) carried by their defunct strain L2 orthologs (Table 2).
Based on these data, we estimate that there are 573 high-confidence base differences that distinguish strain UCH-1 from strain L2. Of these bases, 457 occur within CDSs, which is slightly fewer than would be expected assuming a random distribution (data not shown). The most notable sequence variation (because of its possible utility for diagnostics) is found within a CDS that encodes the translocated actin recruiting phosphoprotein (Tarp; CTLon_0712). C. trachomatis entry into the host cell is a result of chlamydial reconfiguration of the host cells actin skeleton, and it is proposed that Tarp contributes to the pathogen-directed phagocytosis, i.e., the uptake of elementary bodies (EBs) (Jewett et al. 2006 These data show that when comparing the classical LGV isolate and the recent clinical isolate causing proctitis, there is no evidence of gene gain or obvious mutations that would indicate further functional loss. Therefore, the only differences between these two isolates that could explain the differing disease outcomes include altered levels of gene expression brought about, for example, by mutations in the promoter regions or through SNPs that lead to amino acid substitutions that impact on protein function. Whilst it is not possible to accurately predict the former, the possible functional impact of amino acid substitutions can be investigated by comparing the level of conservative and nonconservative sequence changes.
Distribution of SNPs and dN/dS analysis of the strain L2 genome
To investigate the functional and evolutionary significance of the identified SNPs, nonsynonymous (dN) and synonymous (dS) substitution rates were calculated for strain L2 CDSs in comparison to their orthologs in strains Har-13, UW-3, or UCH-1 (Fig. 5B; Table 3). Comparison of dN and dS can be used to assess the influence of selection on protein evolution. A low dN/dS ratio (dN/dS <<1) indicates strong stabilizing selection, whereas a high ratio (dN/dS >1) indicates positive selection and diversification. Since the majority of CDS shared between strain L2 and either Har-13 or UW-3 share >99% sequence identity, it was not possible to accurately identify those CDSs that were truly under strong stabilizing selection. However, the calculation of dN/dS was useful to identify genes or domains subject to diversifying selection, such as putative virulence factors or candidate vaccine targets that modulate the host immune response (Smith et al. 1995
CDSs, with a dN/dS >1, taken from the strains L2 and UCH-1 comparison included pmpH (Pmp; polymorphic outer membrane protein), three other membrane proteins, and exodeoxyribonuclease (CTL0583) (data not shown). Similarly, hypothetical and membrane proteins were highly represented in CDSs with a dN/dS >1 or both strain Har-13 and UW-3 comparisons (38%–60% depending on the comparison; Table 3). But, also included within proteins showing the highest dN/dS >1 were pseudogenes, which would be expected to show a higher level of divergence (these genes are not expressed and therefore not subject to purifying selection), and those known to be important for interactions with the host: Pmp proteins (Grimwood and Stephens 1999
The interpretation of dN/dS data has to be tempered by the observation of Rocha et al. (2006)
Whole genome sequence analysis of the LGV biovariants completes the data set that now samples the complete range of diversity found in C. trachomatis. This work shows that the LGV genome is remarkably similar to the previously sequenced ocular and genital C. trachomatis isolates. The low variation in gene content between these biovariants is in agreement with previous microarray data, and rules out the possibility that additional acquired DNA present in C. trachomatis strain L2 could explain differences in tissue tropism and disease outcome. It is clear from the comparisons that gene loss and/or small-scale mutational change are the major driving forces shaping host adaptation and tissue tropism of C. trachomatis. The major region of variation is the PZ and variation here is primarily due to the loss/degeneration of the cytotoxin gene(s) as previously described (Belland et al. 2001
In addition, PLDs are important sites of sequence variation, showing both multiple deletions and frameshift mutations. Phospholipases are known to play important roles in pathogenesis in a wide range of bacterial pathogens (Schmiel and Miller 1999
These genome comparisons have highlighted evidence for further loss of metabolic capacity. C. trachomatis has lost the genes encoding citrate synthase, aconitase, and isocitrate dehydrogenase (McClarty 1999
The significance of finding mutations in arcD and PvlArgDC in strains L2 and Har-13, respectively, whilst they are apparently intact in the genital isolate strain UW-3, is unclear. Studies on the pH of C. trachomatis inclusions indicates that either a similar homeostatic balance to the host cell (Dautry-Varsat et al. 2005
Whilst it is clear from experimental data that loss of a particular pathway (e.g., trp biosynthesis) accounts for a single, important, metabolically defined difference between chlamydial biovariants (Stephens et al. 1998
The most overwhelming impression of the C. trachomatis strain L2 genome is the lack of variation in terms of coding capacity when compared with the other serovars. This is further reinforced by the comparison of strain L2 with the recent proctitis strain UCH-1 (isolated in 2006). It has been proposed that the LGV proctitis strain is a new epidemic isolate that is rapidly spreading worldwide. Whilst the symptoms caused by the proctitis strains are atypical, the genome of UCH-1 is almost identical to that of strain L2, which was isolated in 1969 and has been adopted as a "model" strain by many laboratories for routine studies. Although it is impossible to rule out that SNPs do not subtly change the function or the level of expression of key genes within the genome, we can say that there is no additional coding capacity to explain the differences in clinical manifestations. We favor the views of Schachter and Monocada (2005)
Bacterial strains We sequenced the widely studied C. trachomatis strain L2/434/Bu (L2; ATCC VR902B) and a recent clinical isolate strain L2/UCH-1/proctitis (UCH-1). C. trachomatis strain UCH-1 was isolated from a rectal swab of a 49-yr-old MSM who was HIV positive and Hepatitis C negative. He attended a London Genital and Urinary Medicine (GUM) clinic in January 2006 showing clinical signs of proctitis. The rectal sample tested positive for C. trachomatis (negative for Neisseria gonorrhoeae) using a conventional C. trachomatis Nucleic Acid Amplifcation Test (CT NAAT). This sample was sent to the Health Protection Agency (Colindale) for routine LGV analysis. Confirmation that this strain was a LGV biovariant was ascertained using the primers CT1 and CT5 as described in Ngandjio et al. (2003)
Growth of C. trachomatis strains L2 and UCH-1 C. trachomatis strain UCH-1 was initially isolated in BGMK cells in Dulbeccos Modified Eagles Medium (DMEM) containing 0.03 M glucose, vancomycin at 10 µg/mL–1, Gentamicin at 10 µg/mL–1, and Cycloheximide at 1 µg/mL–1.
Purification of chromosomal DNA for genome sequencing
Sequencing C. trachomatis strains L2 and UCH-1 C. trachomatis strain UCH-1 chromosomal DNA was sequenced using a 454/Roche GS20 machine, according to the manufacturers protocols, producing 304,953 reads with an average length of 105 bp, representing a theoretical 30.8-fold coverage of the genome. The 454 sequence reads were assembled de novo into 18 nonredundant contigs with an average of 29.8-fold coverage, using the 454/Roche Newbler assembly program. These contigs were reordered based on BLAST alignments with strain L2. The gaps between these contigs were closed by directed PCR and the products sequenced with BigDye terminator chemistry on ABI3730 capillary sequencers. The genomes of C. trachomatis strains L2 and UCH-1 have been submitted to the public database.
In silico genome analysis
Orthologous gene sets were identified by reciprocal FASTA searches. Only those pairs of homologous CDSs were retained for further analysis, where the predicted amino acid identity was
Synonymous and nonsynonymous substitution-rate calculations were determined for orthologous gene sets generated by reciprocal best-match FASTA analysis and aligned using Needle from the EMBOSS suit of software (Rice et al. 2000
We thank the core-sequencing and informatics teams at the Sanger Institute for their assistance and The Wellcome Trust for its support of the Sanger Institute Pathogen Sequencing Unit. This work was supported by The Wellcome Trust grants 080348 to I.N.C. We acknowledge the expert technical support of Lesley Cutcliffe, Rachel Skilton, S. Kalman, and R.W. Davis.
7 Corresponding author.
E-mail nrt{at}sanger.ac.uk; fax 44-1223-494919. [Supplementary material is available online at www.genome.org. The genome sequence data from this study has been submitted to EMBL: AM884176, AM886278, AM884177, and AM886279.] Article published online before print. Article and publication date are at http://www.genome.org/cgi/doi/10.1101/gr.7020108
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Received August 10, 2007; accepted in revised format October 15, 2007. This article has been cited by other articles:
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