Genomic and clinical evidence uncovers the enterohepatic species Helicobacter valdiviensis as a potential human intestinal pathogen

Helicobacter. 2017 Oct;22(5). doi: 10.1111/hel.12425. Epub 2017 Aug 11.

Abstract

Background: Helicobacter valdiviensis is a recently described enterohepatic species isolated from wild bird's fecal samples. Currently, its pathogenic potential and clinical significance are unknown mainly due to the lack of whole-genome sequences to compare with other helicobacters and the absence of specific screenings to determine its prevalence in humans.

Materials and methods: The species type strain (WBE14T ) was whole-genome-sequenced, and comparative analyses were carried out including the genomes from other Helicobacter species to determine the exact phylogenetic position of H. valdiviensis and to study the presence and evolution of virulence determinants. In parallel, stools from diarrheic patients and healthy individuals were screened by PCR to assess the clinical incidence of H. valdiviensis.

Results: Helicobacter valdiviensis belongs to a monophyletic clade conformed by H. canadensis, H. pullorum, H. winghamensis, H. rodentium, and H. apodemus. Its predicted genome size is 2 176 246 bp., with 30% of G+C content and 2064 annotated protein-coding genes. The patterns of virulence factors in H. valdiviensis were similar to other enterohepatic species, but evidence of horizontal gene transfer from Campylobacter species was detected for key genes like those coding for the CDT subunits. Positive PCR results confirmed the presence of H. valdiviensis in 2 of 254 (0.78%) stools of patients with acute diarrhea while not a single sample was positive in healthy individuals.

Conclusions: Horizontal gene transfer has contributed to shape the gene repertory of H. valdiviensis, which codes for virulence factors conserved in other pathogens that are well-known human pathogens. Additionally, the detection of H. valdiviensisDNA in diarrheic patients supports its role as a potential emergent intestinal pathogen. Further, sampling efforts are needed to uncover the clinical relevance of this species, which should be accomplished by the isolation of H. valdiviensis from ill humans and the obtention of whole genomes from clinical isolates.

Keywords: Helicobacter valdiviensis; comparative genomics; diarrhoea; enterohepatic helicobacters; horizontal gene transfer; virulence factor.

MeSH terms

  • Adult
  • Base Composition
  • Case-Control Studies
  • Child, Preschool
  • Computational Biology
  • Feces / microbiology*
  • Female
  • Gastrointestinal Diseases / epidemiology
  • Gastrointestinal Diseases / microbiology*
  • Gastrointestinal Diseases / pathology*
  • Helicobacter / classification*
  • Helicobacter / genetics
  • Helicobacter / isolation & purification*
  • Helicobacter / pathogenicity
  • Helicobacter Infections / epidemiology
  • Helicobacter Infections / microbiology*
  • Helicobacter Infections / pathology*
  • Humans
  • Incidence
  • Infant
  • Male
  • Mass Screening / methods
  • Middle Aged
  • Phylogeny
  • Polymerase Chain Reaction
  • Retrospective Studies
  • Sequence Analysis, DNA
  • Virulence Factors / genetics
  • Whole Genome Sequencing

Substances

  • Virulence Factors

Associated data

  • GENBANK/KJ534293
  • GENBANK/KX503247
  • GENBANK/KY814473
  • GENBANK/KJ534302
  • GENBANK/LC102854
  • GENBANK/CP016503
  • GENBANK/KF549904
  • GENBANK/CP011485
  • GENBANK/KX504357