title: Subtyping of the Legionella pneumophila "Ulm" outbreak strain using the CRISPR-Cas system.
abstract: In 2009/2010 an outbreak of Legionnaires' disease with 64 cases including four fatalities took place in the city of Ulm/Neu-Ulm in Germany. L. pneumophila serogroup 1, mAb type Knoxville, sequence type (ST) 62 was identified as the epidemic strain. This strain was isolated from eight patients and from a cooling tower in the city of Ulm. Based on whole genome sequencing data from one patient strain, we identified an Lvh type IV secretion system containing a CRISPR-Cas system. The CRISPR sequence contains 38 spacer DNA sequences. We used these variable DNA spacers to further subtype the outbreak strain as well as six epidemiologically unrelated strains of CRISPR-Cas positive ST62 strains isolated at various regions in Germany. The first 12 spacer DNAs of eight patient isolates and three environmental isolates from the suspected source of infection were analyzed and found to be identical. Spacer DNAs were identified in further six epidemiologically unrelated patient isolates of L. pneumophila of ST62 in addition to the 12 "core" spacers. The presence of new spacer DNAs at the 5' site downstream of the first repeat indicates that these CRISPR-Cas systems seem to be functional. PCR analysis revealed that not all L. pneumophila sg1 ST62 strains investigated exhibited a CRISPR-Cas system. In addition, we could demonstrate that the CRISPR-Cas system is localized on a genomic island (LpuGI-Lvh) which can be excised from the chromosome and therefore may be transferable horizontally to other L. pneumophila strains.
authors: German Consiliary Laboratory for Legionella, Dresden University, Germany.
authors: Christian
authors: C
authors: Lück
authors: Department of Genomics and Applied Microbiology & Göttinger Genomics Laboratory, Institute of Microbiology and Genetics, Georg-August-University of Göttingen, Grisebachstr. 8, 37077 Göttingen, Germany.
authors: Elzbieta
authors: E
authors: Brzuszkiewicz
authors: Cellular Interactions of Bacterial Pathogens, Centre for Biological Threats and Special Pathogens, Division 2 (ZBS 2), Robert Koch Institute, Nordufer 20, 13353 Berlin, Germany.
authors: Kerstin
authors: K
authors: Rydzewski
authors: German Consiliary Laboratory for Legionella, Dresden University, Germany.
authors: Tetyana
authors: T
authors: Koshkolda
authors: Cellular Interactions of Bacterial Pathogens, Centre for Biological Threats and Special Pathogens, Division 2 (ZBS 2), Robert Koch Institute, Nordufer 20, 13353 Berlin, Germany.
authors: Katharina
authors: K
authors: Sarnow
authors: Institute of Medical Microbiology and Hygiene, Ulm University Hospitals, Germany.
authors: Andreas
authors: A
authors: Essig
authors: Cellular Interactions of Bacterial Pathogens, Centre for Biological Threats and Special Pathogens, Division 2 (ZBS 2), Robert Koch Institute, Nordufer 20, 13353 Berlin, Germany. Electronic address: heunerk@rki.de.
authors: Klaus
authors: K
authors: Heuner
mesh_terms: D064113:CRISPR-Cas Systems; D004196:Disease Outbreaks; D004783:Environmental Microbiology; D014644:Genetic Variation; D044404:Genomic Islands; D005838:Genotype; D005858:Germany / Q000453:epidemiology; D006801:Humans; D016952:Legionella pneumophila / Q000145:classification* / Q000235:genetics* / Q000302:isolation & purification; D007877:Legionnaires' Disease / Q000453:epidemiology* / Q000382:microbiology*; D017720:Molecular Epidemiology
keywords: CRISPR–Cas; Genomic island; Legionella pneumophila Ulm; Outbreak