Emerg Infect DisEmerging Infect. DisEIDEmerging Infectious Diseases1080-60401080-6059Centers for Disease Control and Prevention20587192332189509-145210.3201/eid1607.091452DispatchDispatchGeographic Differences in Genetic Locus Linkages for Borrelia burgdorferiGenetic linkages in B. burgdorferiTravinskyBridgitBunikisJonasBarbourAlan G.Author affiliation: University of California, Irvine, California, USAAddress for correspondence: Alan G. Barbour, University of California, Irvine, 3012 Hewitt, Irvine, CA 92697-4028, USA; email: abarbour@uci.edu7201016711471150

Borrelia burdorferi genotype in the northeastern United States is associated with Lyme borreliosis severity. Analysis of DNA sequences of the outer surface protein C gene and rrs-rrlA intergenic spacer from extracts of Ixodes spp. ticks in 3 US regions showed linkage disequilibrium between the 2 loci within a region but not consistently between regions.

Keywords: Lyme diseaseLyme borreliosisIxodes scapularisIxodes pacificusBorrelia burgdorferigenotypeospCbacteriavector-borne infectionsdispatch

Most bacterial pathogens comprise a variety of strains in various proportions. For Borrelia burgdorferi, an agent of Lyme borreliosis, strains differ in their reservoir host preferences (1), propensities to disseminate in humans (2,3), and prevalences in ticks by geographic area (4,5). Strain identification of B. burgdorferi now is predominantly based on DNA sequences of either of 2 genetic loci: 1) the plasmid-borne, highly polymorphic ospC gene, which encodes outer surface protein C (6,7), or 2) the intergenic spacer (IGS) between the rrs and rrlA rDNA, here called IGS1. Other loci for genotyping are the plasmid-borne ospA gene (7) and the rrfA-rrlB rDNA intergenic spacer, here called IGS2 (8). The apparent clonality of B. burgdorferi was justification for inferring strain identity from a single locus (9,10), but the extent of genomewide genetic exchange in this species may have been underestimated (6).

Given reports of an association between disease severity and B. burgdorferi genotype (2,3), prediction of a strain’s virulence potential from its genotype has clinical, diagnostic, and epidemiologic relevance. But is a single locus sufficient for this assessment?

The Study

To investigate this issue, we determined sequences of ospC and IGS1 loci, and in selected cases the ospA and IGS2 loci, in 1,522 DNA extracts from B. burgdorferi–infected Ixodes scapularis nymphs collected from the northeastern, mid-Atlantic, and north-central United States during the summers of 2004, 2005, 2006, and 2007, as described (4,11). We also included results from 214 infected I. pacificus nymphs collected in Mendocino County, California (5); 20 infected I. pacificus adults from Contra Costa County, California (J. Bunikis and A.G. Barbour, unpub. data); and 10 B. burgdorferi genomes (strains B31, ZS7, 156a, 64b, 72a, 118a, WI91-23, 94a, 29805, and CA-11.2a), for which sequences are publicly available (www.ncbi.nlm.nih.gov). Multilocus sequence typing (MLST), based on 8 chromosomal housekeeping genes, had been carried out for several strains represented in the extracts (Table) (4,12). The corresponding MLST types of the 10 genome sequences were assigned by reference to a B. burgdorferi MLST database (http://borrelia.mlst.net) (12). For this study, we also determined the MLST type of strain CA8.

The methods for 1) DNA extraction from ticks (11), 2) PCR amplification of ospC, ospA, and IGS1 (7), 3) amplification of IGS2 (8), and 4) amplification of 8 chromosomal loci for MLST (12) have been described. Sequences for both strands were determined from either PCR products or cloned fragments with custom primers (7). We followed the basic nomenclature of Wang et al. (13) until, after exhausting the alphabet, we assigned both a letter and, arbitrarily, the number 3 (e.g., C3) when a new nucleotide sequence differed by >8% from known ospC alleles. We distinguished ospC variants with <1% sequence difference by adding a lowercase letter, e.g., Da and Db. Except for ospC D3 and Oa, novel polymorphisms were confirmed in at least 1 other sample. To simplify IGS1 nomenclature, we numbered types sequentially, beginning with the original 9 types (7); ospA alleles (7) and IGS2 loci were likewise sequentially numbered. The Table A1 provides accession numbers for all sequences, as well as original and revised names for IGS1 sequences.

For 741 Ixodes ticks from northeastern and north-central United States or from northern California, 1 ospC allele was identified and sequenced. In the remaining samples, we found a mixture of strains or evidence of >2 ospC and/or >2 IGS sequences (9). In 678 (91%) of the 741 samples with a single ospC, the allele could be matched with particular IGS1 (Table). We identified 9 unique ospC sequences: Fc, Ob, Ub, A3, B3, C3, D3, E3, and F3, all from the north-central United States. Alleles H3 and I3 of California were recently reported by Girard et al. (5). Of 32 codon-aligned ospC sequences, 6 pairs and 1 trio (Fa, Fb, and Fc) differed in sequence by <1% (Figure, panel A). Nine novel IGS1 sequences, numbered 24–31 and 33, were discovered in samples from which ospC alleles were determined.

A) Bayesian and maximum-likelihood phylogenetic inference of outer surface protein C (ospC) gene sequences and B) concatenated multilocus sequence typing (MLST) sequences of Borrelia burgdorferi. Sequences were aligned by codon. Labels at the tips refer to ospC alleles (A) or MLST (ST) and linked ospC alleles (B; Table). Consensus phylograms were the output of the MrBayes version 3.1.2 algorithm (http://mrbayes.csit.fsu.edu). There were 500,000 generations with the first 1,000 discarded. Nodes with posterior probabilities of >0.5 are indicated by values above the branches. Below the branches are integer values for nodes with support of >500 of 1,000 bootstrap iterations of the maximum-likelihood method, as carried out with the PhyML 3.0 algorithm (www.atgc-montpellier.fr/phyml). For both data sets and both algorithms, the models were general time reversible with empirical estimations of the proportions of invariant sites and gamma shape parameters. Scale bars indicate genetic distance. GenBank accession numbers for sequences are given in the Table A1.

When we confined analysis to samples from northeastern states, we confirmed linkage disequilibrium between ospC and IGS1 loci (7,10,14). However, when results from north-central states and California were included, a different picture emerged (Table, Figure, panel B). Most of the ospC alleles showed concordance with the chromosomal loci; monophyletic MLST showed either the same ospC allele or a minor variant of it. However, in several instances, the ospC alleles were linked to different IGS1 sequences, different ospA sequences, and/or different MLST with internal nodes in common. We observed this linkage for ospC alleles A, G, Hb, and N. In the case of ospC Hb, the shared internal node was deep.

We applied the Simpson index of diversity, as implemented by Hunter and Gaston (15), to the data in the Table to compare the discriminatory power (DP) of genotyping on the basis of a combination of ospC and IGS1 sequences with genotyping by 8-locus MLST (12). For double-locus typing, there were 43 types were found for 678 strains; DP value was 0.96. For MLST in this data set, 36 types were shown for 554 strains; DP was 0.95. In the study of Hoen et al. in which selection was made for geographic isolation, 37 types were distributed among 78 strains; DP was 0.97 (4).

Conclusions

Dependence on a single locus for typing may falsely identify different lineages as the same, especially when the samples come from different regions. Other loci may be as informative as ospC or IGS1, but the abundance of extant sequences for these loci justifies their continued use. Uncertainties about the linkage of ospC and IGS1 usually can be resolved by sequencing the ospA allele (Table). IGS2 provided little additional information in this study.

One interpretation of these findings is that lateral gene transfer of all or nearly all of an ospC gene has occurred between different genetic lineages. We previously had not detected recombination at the IGS1 locus on the chromosome (7), but there may be recombination at other chromosomal loci, as well as plasmid loci (6). Besides extending the understanding of the geographic structuring of the B. burgdorferi population, the results indicate that the ospC allele does not fully represent the complexity of B. burgdorferi lineages; thus, inferring phenotypes on the basis of this single locus should be made with caution.

Suggested citation for this article: Travinsky T, Bunikis J, Barbour AG. Geographic differences in genetic locus linkages for Borrelia burgdorferi. Emerg Infect Dis [serial on the Internet]. 2010 Jul [date cited]. http://dx.doi.org/10.3201/eid1607.091452

Acknowledgment

We thank Robert S. Lane for providing strain CA8.

This research was supported by Centers for Disease Control and Prevention Cooperative Agreement CI 00171-01 and National Institutes of Health grant AI065359.

GenBank accession numbers of sequences of <italic>Borrelia burgdorferi</italic> in this study*
Strain nameospC alleleospC accession no.Former IGS1† nameRevised IGS1 nameIGS1 accession no.ospA alleleospA accession no.IGS2‡ nameIGS2 accession no.
B31AAE0007921A1AE0007831AE0007901GQ463603
CA4AEU3777461A-68410EU37780123GQ443123
CA6AEU3777481A-68410EU377803
2206617AAE0007921A-684/67211GQ47828922GQ443122
64bBaCP0014223A3ABKA020000013CP001421
B373BaEU3777793B3EU377795
51405UTBaEU3758256A6EU37581514GQ443114
ZS7BbNC_0117243D16NC_01172828CP001199
JD1CaDQ4374625G24DQ437478
BL515CaEU3777745G24EU377790
OC4DaAF0298635A5AY275201
516113DaAY2752175A5AY2752015GQ4336364GQ463606
424404DbGQ4782835A5AY27520118GQ4431187GQ463609
CA-11.2aDbCP0014845A-23919ABJY0200000727CP001473
N40EAY2752219A9AY2752119M57248
B348EAF4678759C9AF467863
990503FaAY2752254C17GQ130198
B156FaEU3777764C17EU377792
MI407FbEF5374334D18EF537367
1469205FcGQ4782854D18EF53736713GQ4431136GQ463608
MR616GEU3777716B26EU377787
72aGCP0013756B26ABGJ020000069CP001370
1468503GAY2752235C22GQ13020121GQ443121
B509HaEU3777812D12EU377797
156aHbCP0012712D12ABCV020000012CP001257
519014UTHbEU3758312D12EU375823
519512HbGQ4782862D12EU375823
CA92-0953HbEU3777512D-71313EU377806
B500IaAF4678787A7AF467866
B331IaAF4678747A7AF4678627GQ443107
1472505IaAY2752197A7AY27520510GQ443110
WI91-23IaCP0014467A7ABJW0200000611CP001447
CA92-1096IbEU3777527A7EU377807
CA337IbEU3777527A7EU37780730GU815347
118aJCP0015355B20ABGI020000018CP001542
297KAY2752142B2AY2751922X854422GQ463604
501604KAY2752142A2AY275191
149901KAY2752142E14GQ12010431GU815348
47703UTLEU3758322E14GQ120104
29805MCP0015506A6ABJX020000282CP0015543GQ463605
CA92-1337MEU3777536A6EU377808
MR661NEU3777754A4EU3777914GQ433635
500203NAY2752164A4AY275199
MI418NEF5374305E23EF537363
51108NAY2752165E23GQ130203
501427OaFJ9972816C27AY275204
2207807ObFJ9972826A6ABJX02000028
23509TAY2752228C28AY275209
1476702TAY2752228C-80829GQ47828820GQ443120
94aUaCP0014938A8ABGK020000028CP001500
B485UaEU3777698A8EU377785
48802UaAY2752208A8ABGK0200000216GQ443116
2207116UaEU3777698A8EU37778512GQ44311210GQ463612
426905UbGQ4782878E30GQ1301978GQ4431089GQ463611
2206613A3EF5925412E14GQ12010419GQ443119
2250201B3EF5925425E23GQ13020317GQ443117
50202C3EF5925434C17GQ13019815GQ4431155GQ463607
2150902D3EF592544New31GQ478290
2127701E3EF5925455B20GQ1302008GQ463610
HRT25E3EF5925455A-72521EU88697524GQ443124
LMR28E3EF5925455A5AY27520125GQ443125
1456802F3EF5925475A5AY275201
CA8H3FJ9327335A825EU88697426GQ247743
CA11I3FJ9327344C17GQ130198
CA12I3FJ9327344C17GQ130198

*Boldface indicates new accession number from this study.
†IGS1, rrs-rrlA intergenic spacer region.
‡IGS2, rrf-rrlB intergenic spacer.

Linkages between ospC alleles and other loci in <italic>Borrelia burgdorferi</italic> strains*
ospCIGS1Geographic region*Representative cultured isolate or tick sample†IGS1-ospC associations‡ospAIGS2MLST§
A11, 2B3145/52111
A11222066174/422155
A103CA4, CA614/182312
Ba3164b, B37339/41317,58,59
Ba6251405UT7/914130
Bb164ZS72820
C241JD1, BL51510/108511
Da5151611313/145438
Db5242440413/1518751
Db193CA11.2A16/1627470
E91, 2N40, B34817/199119
Fa171, 2, 3B15661/64348
Fb182MI40714/1986
Fc18214692057/813656
G26172a, MR61610/119414
G222, 314685039/1021448,49
Ha/Hb121B509/156a13/13224
Hb122519014UT56/6511232
Hb133CA92-095320/202326
Ia71B500, B33112/167415,16
Ia72WI91-235/511471
Ib73CA92-109630417
J201, 2118a3/58434
K2129767/68223
K1421499017/10312
L14247703UT23/258229
M61298054/42312
M62, 3CA92-133716/1617313
N41MR661, 50020341/414109,36
N232511088/102143
Oa2715014271/154
Ob6222078076/72
T2812350916/168437
T292147670210/1120446
Ua8194a, B48519/198418
Ua82488024/416447
Ua17222071164/41210
Ub3024269053/389
A314222066136/6192
B3231, 222502013/317157
C3172502026/9155
D331221509021/1
E320221277014/48852
E3213HRT2512/1224
E353LMR2812/1225
F35214568028/1284
H3253CA837/40264(72)
I3173CA11, CA125/5274

*Regions: 1, northeastern United States; 2, north-central United States; 3, northern California; 4, western Europe; osp, outer surface protein; IGS, intergenic spacer; MLST, multilocus sequence typing; –, MLST not determined.
†Tick samples (4) are indicated by italics; strains with genome sequences are indicated in boldface.
‡Number of tick extracts with the listed IGS1 locus (numerator)/number of extracts with the listed ospC allele (denominator).
§MLST from (4,12) or this study (in parentheses).

Ms Travinsky is a senior research associate in the Department of Microbiology and Molecular Genetics, University of California, Irvine. Her research interests include the genetic diversity and phylogeography of Borrelia species.

ReferencesBrisson D, Dykhuizen DE ospC diversity in Borrelia burgdorferi: different hosts are different niches. Genetics. 2004;168:71322 10.1534/genetics.104.02873815514047Wormser GP, Brisson D, Liveris D, Hanincova K, Sandigursky S, Nowakowski J, Borrelia burgdorferi genotype predicts the capacity for hematogenous dissemination during early Lyme disease. J Infect Dis. 2008;198:135864 10.1086/59227918781866Dykhuizen DE, Brisson D, Sandigursky S, Wormser GP, Nowakowski J, Nadelman RB, The propensity of different Borrelia burgdorferi sensu stricto genotypes to cause disseminated infections in humans. Am J Trop Med Hyg. 2008;78:8061018458317Hoen AG, Margos G, Bent SJ, Diuk-Wasser MA, Barbour AG, Kurtenbach K, Phylogeography of Borrelia burgdorferi in the eastern United States reflects multiple independent Lyme disease emergence events. Proc Natl Acad Sci U S A. 2009;106:150138 10.1073/pnas.090381010619706476Girard YA, Travinsky B, Schotthoefer A, Federova N, Eisen RJ, Eisen L, Population structure of the Lyme disease spirochete Borrelia burgdorferi in the western black-legged tick (Ixodes pacificus) in northern California. Appl Environ Microbiol. 2009;75:724352 10.1128/AEM.01704-0919783741Qiu WG, Schutzer SE, Bruno JF, Attie O, Xu Y, Dunn JJ, Genetic exchange and plasmid transfers in Borrelia burgdorferi sensu stricto revealed by three-way genome comparisons and multilocus sequence typing. Proc Natl Acad Sci U S A. 2004;101:141505 10.1073/pnas.040274510115375210Bunikis J, Garpmo U, Tsao J, Berglund J, Fish D, Barbour AG Sequence typing reveals extensive strain diversity of the Lyme borreliosis agents Borrelia burgdorferi in North America and Borrelia afzelii in Europe. Microbiology. 2004;150:174155 10.1099/mic.0.26944-015184561Derdakova M, Beati L, Pet'ko B, Stanko M, Fish D Genetic variability within Borrelia burgdorferi sensu lato genospecies established by PCR-single-strand conformation polymorphism analysis of the rrfA-rrlB intergenic spacer in Ixodes ricinus ticks from the Czech Republic. Appl Environ Microbiol. 2003;69:50916 10.1128/AEM.69.1.509-516.200312514035Qiu WG, Dykhuizen DE, Acosta MS, Luft BJ Geographic uniformity of the Lyme disease spirochete (Borrelia burgdorferi) and its shared history with tick vector (Ixodes scapularis) in the northeastern United States. Genetics. 2002;160:8334911901105Hanincova K, Liveris D, Sandigursky S, Wormser GP, Schwartz I Borrelia burgdorferi sensu stricto is clonal in patients with early Lyme borreliosis. Appl Environ Microbiol. 2008;74:500814 10.1128/AEM.00479-0818539816Barbour AG, Bunikis J, Travinsky B, Hoen AG, Diuk-Wasser MA, Fish D, Niche partitioning of Borrelia burgdorferi and Borrelia miyamotoi in the same tick vector and mammalian reservoir species. Am J Trop Med Hyg. 2009;81:112031 10.4269/ajtmh.2009.09-020819996447Margos G, Gatewood AG, Aanensen DM, Hanincova K, Terekhova D, Vollmer SA, MLST of housekeeping genes captures geographic population structure and suggests a European origin of Borrelia burgdorferi. Proc Natl Acad Sci U S A. 2008;105:87305 10.1073/pnas.080032310518574151Wang IN, Dykhuizen DE, Qiu W, Dunn JJ, Bosler EM, Luft BJ Genetic diversity of ospC in a local population of Borrelia burgdorferi sensu stricto. Genetics. 1999;151:15309872945Attie O, Bruno JF, Xu Y, Qiu D, Luft BJ, Qiu WG Co-evolution of the outer surface protein C gene (ospC) and intraspecific lineages of Borrelia burgdorferi sensu stricto in the northeastern United States. Infect Genet Evol. 2007;7:112 10.1016/j.meegid.2006.02.00816684623Hunter PR, Gaston MA Numerical index of the discriminatory ability of typing systems: an application of Simpson's index of diversity. J Clin Microbiol. 1988;26:246563069867