Two Clostridium perfringens Type E Isolates in France

Clostridiumperfringens type E is a less frequently isolated C. perfringens type and has not previously been reported in France. We have characterized two recent type E isolates, C. perfringens 508.17 from the intestinal content of a calf that died of enterotoxemia, and 515.17 from the stool of a 60-year-old woman, subsequent to food poisoning, which contained the plasmid pCPPB-1 with variant iota toxin and C. perfringens enterotoxin genes.


Introduction
Clostridium perfringens is a ubiquitous gram-positive, spore forming anaerobic bacterium which produces different toxins and is responsible for various diseases in man and animals such as gangrene, food poisoning, diarrhea, necrotic enteritis, and enterotoxemia. Based on the production of four toxins (alpha, beta, epsilon, and iota), C. perfringens was traditionally divided into five toxin types (A to E) [1]. More recently, the C. perfringens nomenclature was expanded to seven types (A to G) by adding C. perfringens enterotoxin (CPE) and NetB carrying strains as different toxin types [2].
C. perfringens type E is characterized by the production of iota toxin. Iota toxin is a binary toxin consisting of a binding component (Ib) and an enzymatic component (Ia) which enters cells and modifies the actin cytoskeleton by ADP-ribosylation of actin monomers [3,4]. C. perfringens type E is a less frequently isolated type from clinical samples. This toxin type has been isolated from cases of diarrhea or hemorrhagic enteritis and sudden death in neonatal calves, mainly in the US, and more rarely in other animals such as chickens, lambs, goats, and cows [5][6][7][8][9][10][11][12][13]. In France, C. perfringens type E isolation has not been previously reported. Here we describe two recent type E isolates, 508.17 and 515.17.

Identification of Two C. perfringens Type E and Investigation of Iota Toxin Production
The two C. perfringens isolates 508. 17 and 515. 17 were identified as C. perfringens type E by detection of iota toxin genes with routine PCR toxin gene identification of C. perfringens [14]. The production of iota toxin in C. perfringens 508.17 and 515.17 was investigated by western blotting with specific antibodies against Ia and Ib. The reference type A C. perfringens strain ATCC 13124 was used as a control. As shown in Figure 1, both components Ia and Ib were detected in the supernatant of C. perfringens 508.17 and 515.17 but not in C. perfringens ATCC 13124.
The biological activity was tested on Vero cells. The concentration of culture supernatant yielding 50% rounded cells was 156 ng/mL (total protein) for 508.17 and 650 ng/mL (total protein) for 515.17. The level of cytotoxicity was increased four-fold after α-chymotrypsin treatment of the culture supernatants. In comparison, the 50% cytotoxic activity of purified recombinant iota toxin on Vero cells was obtained with 15 ng/mL Ib and 8 ng/mL Ia (not shown). Concentrated supernatants of C. perfringens 508.17 (5 µg total protein), C. perfringens 515.17 (5 µg total protein), and C. perfringens ATCC 13124 (5 µg total protein) as control, as well as purified Ia (1 ng) and Ib (1 ng) were run on a 10% SDS-PAGE and transferred on nitrocellulose. Blots were incubated with specific rabbit serum against Ia and Ib, respectively, and then with goat immunoglobulin against rabbit IgG labeled with peroxidase. The bands at 55 kDa in the western blot with anti-Ib and the double bands in the western blot with anti-Ia resulted from partial proteolytic degradation.

In Vitro Actin ADP-Ribosylation
The enzymatic activity of iota toxin in C. perfringens 508.17 and 515.17 culture supernatants was tested by in vitro ADP-ribosylation with muscular and cellular actin. As shown in Figure 2, ADP-ribosylation of both muscular and cellular actin was observed with culture supernatants from C. perfringens 508.17 and 515.17, as well as the purified Ia control. The type A C. perfringens ATCC 13124 did not show any actin ADP-ribosylation.
Toxins 2019, 11, 138 3 of 10 supernatants was tested by in vitro ADP-ribosylation with muscular and cellular actin. As shown in Figure 2, ADP-ribosylation of both muscular and cellular actin was observed with culture supernatants from C. perfringens 508.17 and 515.17, as well as the purified Ia control. The type A C. perfringens ATCC 13124 did not show any actin ADP-ribosylation.

Figure 2.
In vitro ADP-ribosylation of muscular and cellular actin with C. perfringens 508.17 (508) and 515.17 (515). ADP-ribosylation with purified Ia from NCIB10748 is shown as a positive control. No actin ADP-ribosylation was observed with the type A C. perfringens strain ATCC 13124.
Iota toxin Ia and Ib components from 508.17 and 515.17 strains are highly similar (99.73% and 99.83% at the amino acid level), closely similar to those of pCPPB-1 iota toxin components (99.87% similarity), and more distantly related to classical iota toxin (91.2% and 89.7%, respectively) ( Table 1). Iota toxin sequences from 508.17 and 515.17 strains show a low relatedness (40-42% identity) to iota toxin variant BEC/CPILE found in contaminated food in Japan [15,16]. The two isolates also contain alpha toxin, perfringolysin, and cpe genes. CPE from 508.17 and 515.17 strains are identical at the amino acid sequence level with variant CPE from pCPPB-1, and differ from classical CPE at 12 positions (Table 2).

Phylogenetic Analysis
Phylogenetic analysis of the C. perfringens core-genome shows that the two strains 508.17 and 515.17 are related but not identical (Figure 3). Both strains are neighbors within a specific clade, emerging between the type A strain MJR7757A (originated from a human host) and type A JFP strains (originated from foal or dog hosts). However, they are distantly related to the classical C. perfringens type E strain JGS1987. Of note, the strain 508.17 is characterized by the absence of the toxin gene cpb2, whereas the two type E strains 515.17 and JGS1987 show identical toxin gene content.

Discussion
Most C. perfringens type E strains have been found to contain the iota toxin (iap and ibp) genes on a plasmid flanked by the insertion sequence IS1151 and in close proximity to a silent cpe gene [17]. Iota toxin plasmids have mostly a pCPF5603 backbone with insertion of iap and ibp genes within the cpe promoter, thus preventing cpe transcription in addition to nonsense and frame-shift mutations in the open reading frame (ORF) [13]. More recently, four C. perfringens type E strains have been characterized to have iap and ibp genes on a pCPPB-1-related plasmid. pCPPB-1 is a~67 kbp plasmid containing 72 putative ORFs that are organized in three regions, a putative replication plasmid and transfer region, a toxin region, and a variable region. pCPPB-1 retains the backbone of pCPF4969 that is the classical plasmid containing cpe in C. perfringens type A, but lacks IS elements in the vicinity of toxin genes. In contrast to pCPF5603, pCPPB-1 contains a functional cpe. Indeed, albeit iap and ibp genes are inserted into the cpe promoter region, only the promoter P3 is missing. The two other cpe promoters (P1 and P2) are the major promoters, and are preserved, therefore allowing cpe expression. This is in contrast to the strains with iota toxin plasmid of the pCPF5603 family, which produce no CPE even in sporulation conditions [18]. Iota and cpe genes harbored on pCPPB-1 plasmid show variations with the corresponding genes on classical strains. Indeed, iap and ibp from pCPPB-1 share 87% and 89% identity with the corresponding genes of C. perfringens E NCIB10748 [18,19], respectively, at the nucleotide level. The variant CPE from pCPPB-1 is 96% identical (10 amino acid differences on 319) to classical CPE [18].
Recently, C. perfringens strains isolated from food poisoning outbreaks in Japan were characterized as producing an iota toxin variant called BEC (binary toxin of C. perfringens) or CPILE (Clostridium perfringens iota-like enterotoxin) [15,16]. These strains lack cpe genes and CPE production. The two components BECa/CPILE-a and BECb/CPILE-b share 43% and 41-42% identity with Ia and Ib from the classical C. perfringens type E strain NCIB10748, respectively [15,16]. becA and becB are located on a large size plasmid (pCP-OS1/pCP-TS1, 54,635 bp) for which most parts (69%) are highly similar (92-99% identity) with sequences of the plasmid pCP13 from C. perfringens strain 13 [18]. BEC/CPILE is enterotoxic and induces fluid accumulation in rabbit ileal loop and suckling mice [15,18]. BECa/CPILEa ADP-ribosylates all isoforms of actin monomers and retains a similar structure compared to Ia [20]. Iota toxins from strains 508.17 and 515.17 share the same enzymatic activity profile as BEC/CPILE. Indeed, they also ADP-ribosylate both muscular and cellular actin. However, iota toxins from 508.17 and 515.17 as well as the classical iota toxin retain a low level of identity with BEC/CPILE.
The two French C. perfringens type E isolates have distinct chromosomal genetic backgrounds related but not identical to those of the variant C. perfringens type E [18]. They are distantly related to the classical C. perfringens type E and enterotoxigenic and non-enterotoxigenic type A strains, as well as type A strains with chromosomally located cpe [21,22] (Figure 3). However, the two French isolates have acquired a pCPPB-1 plasmid similar to that found in the variant C. perfringens type E strains isolated from meat products in Japan [18]. The two French isolates 508.17 and 515.17 have distinct origins, from calf and food intoxication in man, respectively. Their relatedness with C. perfringens type E strains reported in Japan raises questions as to whether they share a common source, and what the possible mode of dissemination might be.

C. perfringens Isolates
C. perfringens 508.17 was isolated from the intestinal content of a 6-month-old calf that died with an enterotoxemia syndrome in central France. The calf received a vaccination against blue tongue one day before. The strain 515.17 was from the stool of a 60-year-old woman in a nursing home showing a C. perfringens food poisoning. The stool of two other patients of the same food poisoning outbreak yielded classical enterotoxigenic C. perfringens strains with cpe gene located on the chromosome.

Iota Toxin Production and Purification
Ia and Ib components of iota toxin were produced and purified as previously described [23]. Briefly, iap and ibp from C. perfringens NCIB10748 were cloned into the Escherichia coli-C. perfringens shuttle vector pJIR750 yielding pMRP147 and pMRP384 which have been transfected by electroporation into the lecithinase-negative C. perfringens strain 667. The recombinant C. perfringens strains were grown and the culture supernatants were processed as indicated above. Ia and Ib were purified by DEAE-Sephacel chromatography and gel filtration on Superdex200 as previously described [23].
Rabbit antibodies against purified Ia and Ib were produced and checked as previously described [25,26].

Western Blotting
C. perfringens concentrated culture supernatants Ia and Ib were run on a 10% SDS-PAGE and transferred onto nitrocellulose. After blocking with 5% nonfat dry milk in phosphate-buffered saline, the membranes were washed with Tris-HCl 10 mM ( pH 7.5) containing 150 mM NaCl and 0.1% Tween20 (TTS). The membranes were incubated with either rabbit anti-Ia or anti-Ib antibodies (1:3000 concentration) (Jackson Immunoresearch 111-035-006) for 1 h at room temperature. After three washes in TTS, membranes were incubated with horseradish peroxidase goat anti-rabbit immunoglobulins (1:3000) for 1 h at room temperature, and then processed for chemiluminescence with Immobilon Western (Millipore, Guyancourt 78280, France).

Cytotoxicity Assay
Vero (African green monkey kidney) cells were grown in Dulbecco's modified Eagle medium (DMEM) supplemented with 10% fetal calf serum at 37 • C and 5% CO 2 . Cells were grown as confluent monolayers in 96-well plates. Then, the medium was changed to DMEM containing 0.1% bovine serum albumin and the cells were incubated with serial dilutions of C. perfringens culture supernatants. Changes in cell morphology characterized by cell rounding were microscopically observed after 18 h incubation.

Sequence Accession
The assembled genome sequences of strains 508.17 and 515.17 were deposited in the European Nucleotide Archive and are available under accession numbers UWOV01000001-UWOV01000120 and UWOU01000001-UWOU01000116, respectively.