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Conceived and designed the experiments: MK KP. Performed the experiments: MK KP TB LSH MBT HT UBS. Analyzed the data: MK KP TB LSH MBT HT UBS. Wrote the paper: MK KP LSH UBS.
Streptococcus pneumoniae is a member of the Mitis group of streptococci which, according to 16S rRNA-sequence based phylogenetic reconstruction, includes 12 species. While other species of this group are considered prototypes of commensal bacteria, S. pneumoniae is among the most frequent microbial killers worldwide. Population genetic analysis of 118 strains, supported by demonstration of a distinct cell wall carbohydrate structure and competence pheromone sequence signature, shows that S. pneumoniae is one of several hundred evolutionary lineages forming a cluster separate from Streptococcus oralis and Streptococcus infantis. The remaining lineages of this distinct cluster are commensals previously collectively referred to as Streptococcus mitis and each represent separate species by traditional taxonomic standard. Virulence genes including the operon for capsule polysaccharide synthesis and genes encoding IgA1 protease, pneumolysin, and autolysin were randomly distributed among S. mitis lineages. Estimates of the evolutionary age of the lineages, the identical location of remnants of virulence genes in the genomes of commensal strains, the pattern of genome reductions, and the proportion of unique genes and their origin support the model that the entire cluster of S. pneumoniae, S. pseudopneumoniae, and S. mitis lineages evolved from pneumococcus-like bacteria presumably pathogenic to the common immediate ancestor of hominoids. During their adaptation to a commensal life style, most of the lineages gradually lost the majority of genes determining virulence and became genetically distinct due to sexual isolation in their respective hosts.
Phylogenetic analysis based on 16S rRNA sequences of type strains of the more than 50 Streptococcus species reveal a clustering pattern that reflect their pathogenic potential and ecological preferences , . One exception is the Mitis group, which contains one of the leading pathogens affecting mankind, Streptococcus pneumoniae, along with 11 species that are prototype commensals of the upper respiratory tract. S. pneumoniae is strikingly similar to the three commensal species Streptococcus mitis, Streptococcus oralis, and Streptococcus infantis often causing problems of identification in clinical microbiology laboratories –. Introduction of the species Streptococcus pseudopneumoniae  emphasized this problem. Properties that explain the pathogenic potential of S. pneumoniae include a polysaccharide capsule, IgA1 protease, pneumolysin, autolysin, and several surface-exposed proteins that mediate contact with components of host tissues and secretions –.
Most members of the Mitis group of streptococci are naturally competent for genetic transformation and produce well-characterized competence pheromones (CSPs) and pheromone receptors , . Accordingly, homologous recombination is believed to play a major role in the evolution of these bacteria, which is reflected in mosaic structures in gene sequences –, and may have important implications for the circumscription of individual species , . Expression by occasional isolates of the commensal species of proteins that are known to contribute to virulence in S. pneumoniae has been taken as evidence of horizontal gene transfer , –. Such data led Hakenbeck and coworkers  to suggest “a smooth transition” between these species. To what extend transitional forms are involved in occasionally reported cases of meningitis, septicemia, toxic-shock-like syndrome, and eye infections attributed to the otherwise commensal species is not known.
The aim of this study was to investigate the evolutionary history of the pneumococcus and its close commensal relatives using a polyphasic phylogenetic strategy. By analysis of this unique cluster of closely related species with very distinct pathogenic potentials we were able to propose a model for the evolution of pathogenic and commensal streptococci. We further show that related commensal streptococci show genetic diversification to an extent that challenges current definitions of prokaryotic species.
Alignment of the sequences of the four housekeeping genes, ddl, gdh, rpoB, and sodA, obtained for 118 strains tentatively assigned to S. pneumoniae, S. mitis, S. oralis, and S. infantis plus eight sets of sequences extracted from S. pneumoniae genomes revealed a remarkable sequence polymorphism resulting in a total of 92 ddl alleles (mean distance 0.105±0.011), 99 gdh alleles (mean distance 0.111±0.009), 95 rpoB alleles (mean distance 0.045±0.005), and 94 sodA alleles (mean distance 0.053±0.006). Virtually all shared alleles were found among strains of S. pneumoniae. Identical sequences in all loci were found in some reference strains assigned to S. mitis (NCTC 8029/SK24, NCTC 8031/SK320, and ATCC 12398/SK319) and S. infantis (CCUG 25812 and CCUG 25857). Although listed as separate strains in the respective strain collection catalogues, they originate in the same laboratory and we assume that they represent the same isolate (NCTC 8031 is erroneously listed as Lactococcus lactis subsp. lactis in the NCTC cataloque). As a consequence, shared ddl, gdh, rpoB, or sodA alleles among strains assigned to S. mitis, S. oralis, or S. infantis were virtually non-existent. The sequences reported in this paper have been deposited in GenBank (http://www.ncbi.nlm.hih.gov/Genbank) under accession numbers EU797799-798270.
A phylogenetic tree based on concatenated sequences (1716 bp) of ddl-gdh-rpoB-sodA showed three major monophyletic clusters supported by bootstrap values of 87 to 99 (Figure 1). One of the three clusters containing more than 50 deeply branching lineages included type strains of S. pneumoniae, S. pseudopneumoniae, and S. mitis (red cluster in Figure 1). Within this cluster the lineage containing the S. pneumoniae type strain branched off into a tight sub-cluster of 25 strains including eight strains represented by sequences extracted from S. pneumoniae genomes. With the exception of the lineage containing the S. pseudopneumoniae type strain and two other relatively close strains, virtually all of the remaining lineages consisted of only a single strain. We cannot exclude that the lack of branching of the S. mitis lineages compared to that of the S. pneumoniae lineage is a result of overrepresentation of disease-associated strains compared to the individual lineages of commensal non-pneumococcus isolates. We refer to the entire red cluster of 84 strains as the pneumoniae-mitis-pseudopneumoniae cluster. The second cluster (blue cluster in Figure 1), likewise, comprised numerous deeply branching lineages one of which included the type strain of S. oralis. One of the subclusters (dark blue) of this cluster were composed of four strains previously referred to as “S. mitis biovar 2” , which clearly is more related to S. oralis than to S. mitis based on these data. The third very diffuse cluster (green cluster in Figure 1) included the type strain of S. infantis and several other reference collection strains received under that designation.
To further evaluate the clustering we analyzed the cell wall polysaccharide structure of all strains. Two monoclonal antibodies were used to detect epitopes characteristic of the backbone and the phosphocholine residues of C-polysaccharide, respectively. We have previously demonstrated that reactivity with both antibodies is indicative of the phosphocholine-containing C polysaccharide, which constitutes the Lancefield group O antigen . This structure was present in all 17 S. pneumoniae strains and, with 5 exceptions, in all other 57 strains of the pneumoniae-mitis-pseudopneumoniae cluster. Two of the 5 exceptional strains (SK598 and SK601) lacked the phosphocholine residue of the C-polysaccharide/group O antigen. We previously showed that ethanolamine substitutes for phosphocholine in such strains . The remaining three strains showed evidence of phosphocholine but lacked the characteristic epitope of the backbone of C polysaccharide. While phosphocholine was a component also of the cell wall polysaccharide of all 28 strains of the Oralis cluster in agreement with previous observations , they all lacked the backbone characteristic of the C-polysaccharide/group O antigen. These observations provide further support for the two major clusters in Figure 1. Strains of the deeply branching “Infantis cluster” showed variable presence of the two epitopes.
Sequence comparison of 16S rRNA genes has become a standard method for phylogenetic analysis . Cluster analysis of a stretch of 439 to 449 nucleotides corresponding to positions 51 to 493 in the Escherichia coli 16S rRNA gene, which is the phylogenetically informative part of the 16S rRNA gene in streptococci, confirmed that the strains in Figure 1 are unrelated to the remaining species of Mitis group streptococci. However, analysis of 73 representatives of the strains included in Figure 1 failed to reveal clusters supported by significant bootstrap values (Figure S1). In agreement with previous observations  this is, in part, due to conservation of the 16S rRNA sequence within the Mitis group of streptococci.
The genomes of the streptococci of this study harbor four copies of the rRNA operon. In four strains from the S. oralis cluster the initial 16S rRNA sequences were ambiguous. Sequencing of individual 16S rRNA genes in these strains revealed two distinct alleles closely similar to the S. oralis type strain and the S. mitis type strain, respectively (Figure S2). This intragenomic polymorphism, similar to that reported for occasional strains of other bacterial species , is direct evidence of homologous recombination between the two major clusters in Figure 1. The unequivocal affiliation of these four strains with rRNA gene polymorphisms with S. oralis in the ddl-gdh-rpoB-sodA tree (Figure 1), was supported by DNA-DNA hybridization (71.0% and 70.3% homology of SK100 and SK105 to the S. oralis type and 54.8% and 52.8% homology to the S. mitis type, respectively). Combined these data strongly suggest transfer of gene sequences from S. mitis to S. oralis. Theoretically, the presence of two pairs of identical sequences would either require two independent events of homologous recombination affecting two of the four gene copies or an aborted intragenomic repair/homogenization as a divergent copy resulting from a homologous recombination event is assumed to be corrected by a rapid intragenomic homogenization process . Combined with equivocal clustering based on 16S rRNA sequences, these findings invalidate the use of 16S rRNA sequences for species differentiation in this part of the Mitis group of Streptococcus.
To obtain further comparative data on the genetic relationships and divergence within the clusters we determined the sequence of the competence-inducing peptide ComC of 66 selected strains. The amino acid sequences showed a remarkable diversity (Table S2). Two major pheromone types (pherotypes) have been described within natural populations of S. pneumoniae and a few additional pherotypes have been reported for occasional isolates [for review see ref. 33]. Remarkably, with few exceptions, each of the strains of the pneumoniae-mitis-pseudopneumoniae cluster, excluding S. pneumoniae, possessed a unique ComC sequence. Numerous distinct ComC sequences and pherotypes were also detected among strains of the S. oralis and S. infantis clusters. In spite of this significant polymorphism, a distinct signature sequence in the ComC leader peptide was observed for each of the three phylogenetic clusters (Table 1 and Table S1). It is assumed that the ComC leader sequence is recognized by the dedicated CSP transporter ComA, conceivably explaining why the leader is relatively conserved. Interestingly, one S. mitis strain (SK145) had a ComC leader sequence representing a chimera between typical S. mitis and S. oralis signatures, and one S. pneumoniae strain (SK676) had a ComC with a leader sequence signature identical to that of S. oralis strains (Table S1). Both of these aberrant sequences suggest a recombination event affecting the comC gene. Switching of CSP among strains of streptococci was previously reported . Overall, these findings further support the clustering based on housekeeping gene sequences and underscore the significant genetic polymorphisms within the clusters.
The alignments of housekeeping gene sequences showed clear mosaic structures suggestive of homologous recombination having contributed to the long-term evolution of the observed alleles. To examine if interspecies recombination contributes to this process we compared phylogenetic patterns deduced from each of the four sequenced housekeeping genes. For all 124 strains, save four, the clustering based on each of the four gene sequences was concordant. The most striking exception was one strain (SK597), which according to ddl, ComC sequences, and cell wall polysaccharide type was part of the S. mitis complex but in trees based on gdh, rpoB, and sodA sequences clustered with S. oralis. The remaining three strains were all part of the Infantis cluster and each had one or two loci (ddl and/or sodA) that were reminiscent of S. mitis or S. oralis. Interestingly, the tree strains in the lineage that included the S. pseudopneumoniae type had a sodA allele typical of S. pneumoniae whereas all other loci were typical of S. mitis.
To further explore the extent of allelic exchange between recognized species we analyzed an overlapping 460 base pair (bp) stretch of our 124 gdh sequences and the 146 gdh alleles that have been detected among 2612 sequence types of S. pneumoniae (www.mlst.net). Seven of the S. pneumoniae gdh alleles (gdh alleles 20, 40, 57, 94, 97, 107, and 117, represented in a total of 23 sequence types) clustered within the pneumoniae-mitis-pseudopneumoniae cluster outside the S. pneumoniae lineage. None clustered with the Oralis and Infantis clusters.
Combined with the described intragenomic 16S rRNA gene polymorphism and the mentioned few aberrant and chimeric ComC amino acid sequences, the occasional in-congruent phylogenetic topologies for individual loci are indicative of very limited homologous recombination between clusters. The different frequencies of recombination affecting different loci and different pairs of species are likely to reflect the extent of sequence divergence , which conceivably has become a barrier to efficient recombination between the Mitis and Oralis clusters with the exception of loci that contain highly conserved sequences such as the 16S rRNA gene. Using an identical strategy we previously demonstrated a significantly higher prevalence of recombination affecting clinical isolates of S. sanguinis (27%) and streptococci belonging to the Anginosus group (14%).
The within-group genetic distance for the 25 strains of the S. pneumoniae cluster based on concatenated ddl-gdh-rpoB-sodA sequences was calculated to be 0.010±0.003 (Mean±standard error of the mean) closely similar to the value calculated on the basis of concatenated sequences of six loci (aroE, gdh, gki, recP, spi, xpt) in the 2612 recognized sequence types of S. pneumoniae (www.mlst.net), i.e., 0.010±0.001, and similar to the distance that may be calculated for several other species of pathogenic bacteria for which comprehensive sequence data are available (not shown). In striking contrast, the corresponding values were 0.086±0.007 for the remaining part of the pneumoniae-mitis-pseudopneumoniae cluster, and 0.097±0.008 for the Oralis cluster. To evaluate to what extent the extensive sequence diversity among strains of the Mitis lineages was reflected in the overall level of DNA homology between strains we compared seven selected strains to the type strain of S. mitis (NCTC 12261). By tradition, DNA homology of more than 70% determined in a DNA-DNA hybridization assay is expected for two strains belonging to the same species . In concordance with the significant sequence divergence only one of seven stains (SK138) of the Mitis lineages showed a hybridization value exceeding 70% (70.2%). The remaining strains showed hybridization values of 49.2 (SK612), 50.9 (SK667), 59.6 (SK596), 59.6 (SK319), 60.3 (NCTC 8029/SK24), and 67.1% (SK137) to the S. mitis type strain. These values indicate that the red cluster in Figure 1, which contains the type strains of the recognized species S. pneumoniae, S. pseudopneumoniae, and S. mitis, consists of a considerable number of separate evolutionary lineages most of which represent distinct species according to current taxonomic standards. No direct correlation between DNA-DNA hybridization values and sequence divergence in the four sequenced loci could be demonstrated indicating that sequence similarities at selected housekeeping gene loci are poor markers of the overall similarity revealed by DNA-DNA hybridization. Nevertheless, a crude estimate by rarefaction analysis based on the examined sample of isolates suggests that the existing number of species according to current criteria (≥70% hybridization) that would belong in the red cluster is several hundreds. The limited hybridization data available for S. oralis and S. infantis cluster strains do not allow conclusions as to the number of distinct taxa at the species level within those clusters.
To estimate the evolutionary distance of S. pneumoniae strains and of strains in the remaining part of the pneumoniae-mitis-pseudopneumoniae cluster from a hypothetical immediate common ancestor we calculated the genetic distance of each strain from their common node identified by the Oralis cluster as an out-group in the tree (Arrow in Figure 1). The mean genetic distance of S. pneumoniae strains was 0.031±0.001 (Mean±Standard deviation) and the mean genetic distance of other strains of the pneumoniae-mitis-pseudopneumoniae cluster was 0.024±0.003. This difference is statistically highly significant (p<0.0001).
Capsule production is a crucial virulence factor of S. pneumoniae and is generally assumed to distinguish pathogenic pneumococci from commensal Mitis group streptococci by its ability to confer protection against host phagocytes. In addition to capsule production, the significance of the IgA1 protease, pneumolysin, autolysin, neuraminidase, and several surface proteins has been demonstrated in experimental pneumococcal infections , –. During our previous analysis of cell-wall associated polysaccharides of S. mitis we unexpectedly identified a second polysaccharide distinct from the group O antigen . As this polysaccharide may be the equivalent of the capsular polysaccharide in S. pneumoniae we analyzed the annotated nearly finished genome sequence of the type strain of S. mitis (JCVI-CMR). An operon flanked by the genes dexB and aliA and structurally similar to the cap operon in S. pneumoniae  was identified. This equivalent of a cap operon in S. mitis NCTC 12261 is composed of 20 genes and spans 21,357 bp (Figure S3). Among the 90 recognized capsular serotypes of S. pneumoniae a cap operon size range of 10,337 bp to 30,298 bp located between dexB and aliA was reported , whereas in certain pneumococci lacking capsule expression a capN homologue in addition to one or two open reading frames corresponding to the ABC transporter aliB and a variable number of Box elements amounting to 5 to 7 kb are present between dexB and aliA . To determine the presence of a similar cap operon at this location we used long range PCR amplification in an examination of all 76 strains of the pneumoniae-mitis-pseudopneumoniae cluster. The primers reported by Bentley et al.  surprisingly did not amplify a product even in the S. pneumoniae strains except for strain TIGR4, which was included as a control. The alternative primer set subsequently designed for this study resulted in an amplicon from 8 strains (supplemented by 8 genome sequences) of S. pneumoniae and from 28 of the remaining 59 strains of the cluster. Fourteen of the non-pneumococcus amplicons were larger than 15 kb (the lower limit for cap operons in S. pneumoniae is 10 kb), and 13 were 5 to 7.5 kb (similar to non-encapsulated S. pneumoniae). Amplicons smaller than 6 kb obtained from some strains were shown by sequence analysis to be artifacts (Figure 2). It is conceivable that the 15–21 kb operons detected in half of the strains of the Mitis lineages (including the S. mitis type strain NCTC 12261 for which the sequence is available) encode proteins responsible for biosynthesis and transport of a capsular polysaccharide as exemplified by the one structurally identified in our previous study . None of the three S. pseudopneumoniae had a cap operon of a size compatible with capsule expression. Among amplicons obtained from nine Oralis cluster strains three were suggestive of capsule expression. This is likely to represent the polysaccharide previously referred to as the coaggregation receptor carbohydrate in S. oralis by Cisar and his colleagues .
Comparison of the iga gene locus in publicly available S. pneumoniae genomes (TIGR4, R6, OXC141, INV104, INV200, and 23F) with the corresponding area of the S. mitis type strain NCTC 12261 genome (www.tigr.org) showed complete synteny in the area containing the iga gene in S. pneumoniae apart from the absent iga gene in S. mitis NCTC 12261 (in agreement with phenotypic differences) and an additional iga paralog (zmpD) in some strains (Figure 3). PCR amplification of the area in all 57 strains of Mitis lineages and 17 S. pneumoniae strains resulted in amplicons from 25 strains. The size of the amplicon (larger than 7 kb or smaller than 2 kb) was in complete agreement with presence or absence of the demonstrated IgA1 protease activity and supports the conclusion that the iga gene, when present, is found in the same context as in S. pneumoniae. In contrast, all of five examined strains from the Oralis cluster gave an amplicon of approximately 2 kb in spite of detectable IgA1 protease activity, suggesting that the iga gene is located elsewhere in the S. oralis genome.
The pneumolysin gene (ply), once considered to be a defining property of S. pneumonieae, was recently demonstrated in occasional isolates of S. mitis , . The primer pair used in the present study to detect ply and its neighboring gene lytA, which encodes autolysin, amplified a 15 kb fragment in S. pneumoniae strain TIGR4 and a 4.7 kb fragment from S. mitis strain SK142, of which the latter lacks these two virulence genes. The primers yielded a 15 kb amplicon in the majority of S. pneumoniae strains in accordance with presence of the ply-lytA region. Occasional absence of a PCR product was assumed to be due to lack of match of the primers. Most other strains of the pneumoniae-mitis-pseudopneumoniae cluster yielded a fragment of 4.7 or 4.0 kb indicating absence of the two genes. However, two of the S. pseudopneumoniae strains and three additional strains from the cluster yielded an amplicon compatible with the presence of both ply and lytA in the same region, and two strains gave an intermediate size amplicon (approximately 8 kb). Presence versus absence of the ply-lytA area was confirmed by Southern blotting using ply and lytA specific gene probes. This analysis demonstrated that the two strains yielding an intermediate size amplicon had the lytA gene but lacked ply. None of the strains in the Oralis and Infantis clusters showed evidence of ply or lytA except for the Mitis/Oralis hybrid strain (SK597), which possessed both.
Results of phenotypic characterization of the strains demonstrated that many metabolic enzymes as well as optochin susceptibility and bile solubility present in S. pneumoniae were present in lower proportions of other pneumoniae-mitis-pseudopneumoniae cluster strains (Table S2). Likewise, Southern blot analysis showed that 30% of strains of Mitis lineages but none of the strains of the Oralis and Infantis clusters showed presence of the IS1381, which has been considered characteristic of S. pneumoniae. BoxB elements, which are present in multiple copies interspersed in S. pneumoniae genomes and are capable of modulating gene expression, and enhance the genome plasticity , were present in all other pneumoniae-mitis-pseudopneumoniae cluster strains, though yielding band of varying numbers and intensities as detected by Southern blotting.
As shown in Figure 1 presence of cap, iga, ply, and lytA genes was randomly distributed in the strains belonging to the Mitis lineages of the red cluster in contrast to the S. pneumoniae in which we obtained evidence of their presence in the majority of strains. Combined with the identical location in the genome of these virulence genes, when present, the findings suggest a gradual loss of genes encoding virulence properties and selected metabolic enzymes, Box B elements, and IS1381 in strains of the Mitis lineages.
To examine to what extent this gene loss affected the genome size of Mitis lineage strains we determined the approximate genome size of 10 strains. The size determined for the individual strains was SK135: 1,829 Kb, SK142/NCTC 12261: 1,832 Kb based on genome sequence, SK321: 1,686 Kb, SK322: 1,924 Kb, SK597: 1,777 Kb; SK599: 1,945 Kb, SK605: 1,668 Kb, SK609: 1,902 Kb, SK675: 1,626 Kb, and SK674: 1,866 Kb. In agreement with the genome reduction hypothesis the mean genome size of strains of the Mitis lineages was 1.8 mb (range: 1.7–1.9 mb) compared to a mean size of 2.1 mb for sequenced genomes of S. pneumoniae strains.
Comparison of the genomes of S. pneumoniae strains TIGR4, R6, and G54 and the near finished genome of S. mitis NCTC 12261 using cut-off values of 40% amino acid sequence identity and ≥80% coverage of the query gene showed that 661, 457 and 451 proteins present in S. pneumoniae TIGR4, R6, and G54, respectively, were absent in the S. mitis type strain. When duplicate proteins shared by two or all three strains of S. pneumoniae and transposons, insertion sequences, and phage proteins were eliminated, a total of 765 proteins unique to S. pneumoniae relative to S. mitis remained. By comparison, 100 S. mitis proteins not present in any of the S. pneumoniae strains were identified when protein fragmentation due to the unfinished S. mitis genome was taken into account.
Blast search of each set of unique proteins revealed that 83 of the 100 “unique proteins” in S. mitis had homologs in S. sanguinis, S. gordonii, S. agalactiae, S. thermophilus and other related streptococci and none lacked homologs in other bacteria. In contrast, a total of 384 (excluding puplicates, transposons, insertion sequences, and phage proteins) of the 765 “unique proteins” in S. pneumoniae lacked known homologs outside S. pneumoniae. The vast majority of these 384 proteins are of unknown function and conceivably are proteins representing an ancestral form of the pneumococcus.
In spite of close genetic relationships, the pneumococcus and other members of the Mitis group of streptococci have strikingly different pathogenic potential. This difference is particularly striking for S. pneumoniae and S. mitis, which are genetically very closely related as evidenced by Figure 1. The goal of our phylogenetic analyses of this unique cluster of species was to elucidate the evolutionary processes that resulted in this situation.
The key question was if gene acquisition or gene loss explains the distinct pathogenic potential of the two species and how the immediate common ancestor of S. pneumoniae and S. mitis looked like. The sequence analyses as well as overall genome comparisons by DNA-DNA hybridization performed in the present study surprisingly demonstrated that S. pneumoniae is but one of several hundred distinct phylogenetic lineages of a cluster of otherwise commensal streptococci known as S. mitis or S. pseudopneumoniae in which S. pneumoniae is no more genetically divergent from other members of the cluster than individual lineages of S. mitis are from each other. The name S. pseudopneumoniae was recently assigned to one of these lineages . This finding emphasizes that the evolutionary processes that determined the distinct pathogenic potential of S. pneumoniae, S. pseudopneumoniae, and the individual lineages of S. mitis, took place subsequent to the existence of a common ancestor of the three species after separation from other Mitis group streptococci such as S. oralis and S. infantis. This is also supported by the finding that selected orthologous genes in the pneumococcus-pseudopneumoniae-mitis cluster and the S. oralis cluster, respectively, were located in different contexts in the genome.
Theoretically, two different evolutionary scenarios may explain the difference in pathogenic potential. The phylogenetic tree in Figure 1 might imply that S. pneumoniae represents a lineage of the pneumoniae-mitis-pseudopneumoniae cluster that recently became a successful and rapidly expanding population. In this hypothetical scenario, its success and particular pathogenic potential could be a result of the successive import of virulence genes distributed among other lineages of the cluster as a result of individual acquisition from other sources. This scenario is in agreement with the general view that pathogenic bacteria evolve by acquisition of virulence properties . However, several observations are in conflict with this explanation and support the opposite scenario, i.e., that, in recent times, commensal S. mitis lineages evolved from a pathogenic population as a result of loss of virulence and other genes. First, comparative analysis of three genomes of S. pneumoniae with that of the type strain of S. mitis showed significantly more proteins unique to three S. pneumoniae strains TIGR4, Rd, and G54 (N=765) than to the S. mitis type strain (N=100), although the latter figure conceivably is an underestimation due to the fact that only one genome sequence is available. The fact that 384 out of 765 unique S. pneumoniae proteins had no known homologs in other bacteria, strongly suggests an ancient origin of this lineage. In contrast, the finding that the majority of the significantly lower number of proteins unique to the S. mitis type strain relative to S. pneumoniae showed high homology to proteins in S. sanguinis, S. gordonii and other closely related streptococci and that none lacked homologs in other known bacteria suggest that the genes by which S. mitis differ from S. pneumoniae were acquired more recently, presumably independently by individual S. mitis lineages. Genome analysis of additional S. mitis strains is required to elucidate the latter hypothesis, but preliminary data obtained in our laboratory show distinct cell protein patterns of strains of S. mitis (not shown).
Secondly, support for the more ancient origin of the S. pneumoniae lineage was obtained by estimating genetic distances in the phylogenetic tree in Figure 1. These estimates showed that strains of S. pneumoniae are significantly more distant (p<0.0001) than strains of the S. mitis lineages from their common node (Arrow in Figure 1). The conclusion that this difference is in support of the more ancient origin of S. pneumoniae implies the same rate of diversification in the two populations, which is not necessarily true. Due to its different epidemiological behavior, S. pneumoniae is more likely to meet a diversity of potential recombination partners than commensal streptococci, which largely remain associated with single lineages of hosts. Although one result of homologous recombination is diversification, the process at high frequency may also contribute to homogenization of the gene pool, which conceivably is more prevalent for genes under no selection for diversity as evidenced by the low number of alleles of housekeeping genes relative to the total number of sequence types in S. pneumoniae. This may mean that the longer evolutionary distance calculated for S. pneumoniae may represent an underestimation.
Finally, the mosaic pattern of virulence-gene presence or absence in otherwise syntenic domains of the genomes of the commensal S. mitis lineages of the pneumoniae-mitis-pseudopneumoniae cluster, and the indirect evidence of gradual loss of selected phenotypic traits (Table S2) leading to significantly smaller genome size among the commensals support that gene loss has been and still may be an ongoing process in S. mitis lineages.
Based on this evidence we propose that the immediate common ancestor of the pneumoniae-mitis-pseudopneumoniae cluster was a bacterium with resemblance to the present-day pneumococcus with all the properties associated with virulence. One of these properties, the IgA1 protease, conceivably evolved by gene duplication in response to emergence of the immunoglobulin A1 (IgA1) subclass in the common ancestor of man, chimpanzees, and gorillas , which according to recent calculations existed 6 to 7 million years ago . The IgA1 subclass became the principal mediator of adaptive immunity in the upper respiratory tract, the only habitat of these bacteria, and presumably exerted a strong selection pressure upon them. While the pneumococcus lineage conserved the expression of both capsule production and IgA1 protease activity to ensure their ability to colonize in the presence of IgA1 antibodies , lineages evolving into a commensal life style with a more subtle relationship with the mucosal immune system and the host in general gradually lost both characters and achieved the colonization advantage of the capsule-deficient phenotype . The frequent isolation of capsule-deficient pneumococci may be an indication of the same process going on within that lineage, but at a slower rate. This evolutionary model proposing that the pneumoniae-mitis-pseudopneumoniae cluster arose from a pneumococcus-like organism pathogenic to the immediate ancestor of hominoids is consistent with our inability to isolate S. mitis-like bacteria from a range of mammals including old and new world monkeys, pigs, dogs, sheep, cattle, rats and mice (this study), while there is evidence of pneumococci causing infections in chimpanzees .
It is conceivable that the very small population of human individuals (100–1000) living some 120,000 years ago  represented a substantial bottleneck especially for pathogens like S. pneumoniae which, in contrast to commensals, induce immunity in their hosts resulting in discontinued colonization. The subsequent and very recent expansion of the human population facilitated the lineage-specific expansion of the pneumococcus population reflected in the phylogenetic tree in Figure 1.
In contrast to S. pneumoniae, the remaining part of the pneumoniae-mitis-pseudopneumoniae cluster diversified into numerous distinct lineages, which, in parallel with adaptation to a commensal life style with the ensuing loss of virulence genes and genome reduction, became sexually isolated as a result of the primarily vertical spread of commensal streptococci . Simple physical isolation, stringent requirements for sequence similarity between donor and recipient for efficient homologous recombination, possibly combined with a lack of purging of genotypes from within the population as a result of immune tolerance towards commensal bacteria, resulted in genetic divergence to a degree that renders the majority of the high number of lineages separate species by current taxonomic standards. Although the consequence of identical or dissimilar competence stimulating peptides (CSP) for the ability of pairs of streptococci to exchange gene sequences is yet unknown, it is possible that the virtually strain-specific CSPs of these commensal streptococci contribute to the genetic barrier between individual lineages.
Several attempts have been made to identify crucial virulence factors of pneumococci in mouse models , . Based on recognized relationships with humans, the results of the present study clearly demonstrate that capsule and IgA1 protease production in strains of some of the S. mitis lineages does not result in a pathogenic phenotype, suggesting that a multitude of properties working in concert make pneumococci pathogenic to man. The results of this study provide unique insight into the evolutionary history that resulted in genetically closely related streptococci with remarkably different pathogenic potential. Emergence of pathogenic bacteria is often explained by acquisition of key virulence genes by traditionally commensal species . Our results suggest the opposite scenario, i.e., that commensal streptococci gradually evolved from a pathogen by genome reduction. The model finally provides an explanation to the difficulties often encountered in clinical microbiologic laboratories in differentiating S. pneumoniae and S. mitis and the findings challenge current definitions of bacterial species.
The core of this study included 118 strains of α-hemolytic streptococci tentatively assigned to the species S. pneumoniae, S. mitis, S. oralis, S. infantis, and S. pseudopneumoniae based on comprehensive phenotypic characterization as described . The strains were own isolates from healthy individuals, referred isolated from clinical microbiology laboratories and originating from infections including bacteremia in neutropenic patients and patients with endocarditis, and selected strains from reference culture collections. Some of the referred clinical isolates were received as potential intermediary forms of S. pneumoniae and S. mitis or S. oralis. Nine were isolated from Japanese individuals and the remaining isolates were from Caucasians (Table S3). An additional seven type strains of other species in the Mitis group of streptococci were included in selected analyses (See Figure S1). The bacteria were cultivated on Todd Hewitt agar (Difco Laboratories, Detroit, Mich.) incubated for 2 days at 37°C in an anaerobic chamber.
In an unsuccessful attempt to isolate S. mitis and S. oralis-like bacteria we sampled the buccal mucosa of a variety of mammals including new world monkeys, pigs, dogs, sheep, cattle, rats and mice. More than 100 isolates from Mitis salivarius agar cultures were phenotypically characterized as described  and sequencing of 16S rRNA was performed on selected strains.
Internal fragments of the housekeeping genes ddl, gdh, rpoB, and sodA and of the 16S rRNA genes were amplified by PCR and sequenced using primers listed in Table S1. Primers purchased from DNA Technology (Aarhus, Denmark) were designed on the basis of published nucleotide sequences (Table S1). For the PCR we used approximately 1 ng whole-cell DNA as template and Ready-To-Go PCR beads (Amersham Pharmacia Biotech, Uppsala, Sweden). The temperature profile for the PCR was an initial denaturation at 94°C for 5 min, followed by 30 cycles at 94°C for 1 min, 60°C for 1 min, and 72°C for 2 min followed by a final extension at 72°C for 8 min. Amplicons were purified using Wizard Minicolumns (Promega, Madison, Wis.). Sequencing of both strands of the amplified fragments was achieved with the same primers and the Thermo Sequenase dye terminator cycle sequencing kit (Amersham Life Science, Cleveland, Ohio) with an Applied Biosystems PRISM 377 automated sequencer (Perkin-Elmer Applied Biosystems, Norwalk, Conn.).
We previously used sequences of ddl, gdh, rpoB, and sodA in a phylogenetic analysis of a broader spectrum of Streptococcus species . While the ranges of the rpoB (516 nt) and sodA (366 nt) sequences was identical to those used previously the closer mutual relationship of the species examined in the present study made it possible to design alternative primers for gdh and ddl that resulted in longer sequences. The ddl (288 nt) and gdh (546 nt) sequences were partially overlapping with the sequences used in the MLST scheme for S. pneumoniae: ddl, nucleotides 577–864 (this study) versus 463–903 (MLST), and gdh, nucleotides 802–1347 (this study) versus 840–1299 (MLST).
Genomes of Mitis group streptococci include four copies of the rRNA gene operon, all present in the same orientation within the genome. For selected strains showing considerable ambiguity in areas of the 16S rRNA gene sequence, genome fragments each containing one copy of the16S rRNA gene were separated by pulsed field gel electrophoresis (PFGE) of genomic DNA prepared from bacteria harvested from a Todd-Hewitt broth culture  and cleaved in the agar plugs with 1 U of the intronic endonuclease I-CeuI (New England Biolabs, Hertfordshire, United Kingdom), which recognizes a sequence unique to 23S rRNA genes . This was possible because the four rRNA operons were in the same orientation in the genome. The individual fragments were purified from the gel using a Qiagen Gel Extraction kit (Quiagen) and subjected to amplification and sequencing of the 16S rRNA gene as described above. ComC sequences were determined as described previously  using primers listed in Table 1. Briefly, the primers 2tArg2 and 2tGlu, which are complementary to tRNA genes flanking the comCDE operon, were used to PCR-amplify a stretch of approximately 2.7 kb. The primer NPARG, which complements a sequence in the Arg-tRNA gene downstream of the 2tArg2 primer, was used for sequencing of the comC gene with the initial amplicon as template. The nucleotide sequences were translated to peptide sequences.
Phylogenetic and molecular evolutionary analyses were conducted using MEGA version 4.0 software . The Minimum evolution algorithm was applied based on the Nucleotide Maximum Composite Likelihood analysis of all positions. Bootstrap analysis was based on 500 replicates. For comparison, analyses were also conducted with the Neighbor Joining algorithm.
The genome areas potentially containing the genes encoding proteins involved in capsular biosynthesis, IgA1 protease, pneumolysin, and autolysin were amplified in selected strains by long range PCR with primers designed on the basis of conserved sequences in flanking genes in genomes available for S. pneumoniae and in the unfinished S. mitis NCTC 12261 genome available at the J. Craig Venter Institute- Comprehensive Microbial Resource database (JCVI-CMR) (http://cmr.jcvi.org/tigr-scripts/CMR/CmrHomePage.cgi). For the long range PCR we used the Expand Long Template PCR System (Roche Molecular Biochemicals) with buffer 3, approximately 2 ng of whole-cell DNA as template, and 30 pmol of each primer in a 50 µl reaction volume. The thermal cycling program included denaturation for 2 min at 94°C, 30 cycles of 94°C for 10 sec, 55°C for 30 sec, and 68°C for 20 min, followed by an extension at 68°C for 10 min. The primers are listed in Table S4. For the cps gene cluster the two primers were based on conserved sequences in dexB (SP0342 in S. pneumoniae TIGR4) and aliA (SP0366 in S. pneumoniae TIGR4), which universally flank the cap operon in S. pneumoniae  and in S. mitis NCTC 12261 (JCVI-CMR). In addition, the oligonucleotides 1430 and 1402 described by Jiang et al.  were tried. For the iga gene area we used primers based on conserved sequences in a conserved hypothetical protein (SP1153 in S. pneumoniae TIGR4) and the ribonuclease H II gene (SP1156 in S. pneumoniae TIGR4), and for amplification of the ply-lytA region we used primers based on conserved sequences in the flanking recA (SP1940 in S. pneumoniae TIGR4) and the gene encoding an ABC transporter (SP1919 in S. pneumoniae TIGR4).
Presence of homologous gene sequences was confirmed by Southern blot analysis. The gene-specific probes represented the genes ply, lytA, IS1381, and BoxB in S. pneumoniae strain NCTC 7465T. Approximately 10 µg genomic DNA was digested with MspI and EcoRI, respectively, according to the manufacturer's recommendations (Roche Molecular Biochemicals, Indianapolis, IN). Following treatment with 0.05 µg RNAse (DNase free, Roche Molecular Biochemicals) restriction fragments were separated by electrophoresis in 1% agarose gels for 16 h at 2 V/cm in TAE buffer (0.04 M Tris/acetate, 2 mM EDTA, pH 8.0). The separated fragments were transferred and fixed onto NytranN nylon membranes (Schleicher & Schuell, Keene, N.H.) and hybridizations were performed as described  except that the filters were soaked in 1% Triton X-100 before prehybridization and that 0.1% sodium pyrophosphate was included in all hybridization buffers. The DNA fragments used for probes were prepared by cloning PCR products into plasmid vector pCRII using the TA-Cloning kit (R&D Systems Europe Ltd., Abingdon, England). For the PCR amplifications performed as described above we used whole-cell DNA from S. pneumoniae strain NCTC7465T as template and the primers listed in Table S4. The clonings were confirmed by partial DNA sequencing. The probe representing the gene encoding pneumolysin was a DNA fragment in the open reading frame encoding amino acids 8 to 449 as described by Walker et al. . The probe for the lytA gene encoding the pneumococcal autolysin was a 624-bp fragment containing 181 nucleotides of the sequence upstream of the open reading frame and 443 nucleotides encoding the N-terminal part of the autolysin . The probe representing insertion sequence IS1381 was a 746-bp fragment of the 846-bp segment . The oligonucleotide used as probe for the BOX element was 5′-GTCAGTTCTATCTACAACCTCAAAACAGTGTTTTGA-3′ representing the consensus sequence of the BoxB subunit . The plasmid DNA probes were labeled with α32P-dATP (Amersham International, Amersham, England) by the Random Primed Labeling Kit (Roche Molecular Biochemicals). Hybridization was at 60°C and the final post-hybridization wash was at 60°C in 1×SSC (0.15 M NaCl, 0.015 M Na-citrate, pH 7.0), 0.1% SDS, 0.1% sodium pyrophosphate. Hybridization with an oligonucleotide labeled with γ32P-ATP (Amersham International) using T4 polynucleotide kinase (Roche Molecular Biochemicals) was performed in 6×SSC at 50°C as was the wash. The same membranes were used for all hybridizations each time after stripping by soaking in boiling 1% SDS. The S. pneumoniae TIGR4 genome harbours 127 BOX elements . In Southern blots, S. pneumoniae strains showed 15 to 20 bands of varying intensity hybridizing with the BoxB probe. Therefore, a semi-quantitative estimate of BoxB elements in the genomes of strains (values 0–5+) was based on the number and intensity of hybridizing bands visible in the Southern blots.
DNA was isolated using a French pressure cell (Thermo Spectronic) and purified by chromatography on hydroxyapatite as described by Cashion et al. . DNA-DNA hybridization was carried out at Deutsche Sammlung von Mikroorganismen und Zellkulturen Gmbh, Braunschweig, Germany as described by De Ley et al. , with the modifications described by Huss et al.  and Escara & Hutton , using a model 2600 spectrophotometer equipped with a model 2527-R thermo programmer and plotter (Gilford Instrument Laboratories).
Two monoclonal antibodies, HAS and HASP8, specific for the phosphocholine residues and for the “backbone” of pneumococcal cell wall C-polysaccharide (=Lancefield group O antigen), respectively, were used for examination of cell wall extracts by ELISA as described . Each strain was propagated in 10 ml of Todd/Hewitt broth and harvested by centrifugation. The bacterial pellet was suspended in 1 ml lysis buffer consisting of 0.05 M Hepes, pH 7.0, 0.1 M NaCl, 1 mM MgCl2, 100 U mutanolysin and 1 mg lysozyme per ml (Sigma, St. Louis, MI, USA). After incubation for 4 h at 37°C cell debris was removed by centrifugation. The supernatant constituted the cell wall extract that was analyzed by ELISA as described .
Coverage of existing species within the S. mitis complex of species was determined by rarefaction analysis using the program Analytic Rarefaction 1.3, available at http://www.uga.edu/strata/software/
Approximate genome sizes were determined for 9 strains of S. mitis (SK135, SK142/NCTC 12261, SK321, SK322, SK597; SK599, SK605, SK609, SK675) and one strain of S. pseudopneumoniae (SK674) by PFGE analysis of whole-cell DNA digested with SmaI. Digested genomic DNA from S. pneumoniae TIGR4 served as size reference. Genome sizes of S. pneumoniae strains for which the complete genome sequences are available and for S. mitis NCTC12261, for which a near complete genome sequence is available, were extracted from the respective public databases.
Genomes of S. pneumoniae strains TIGR4, R6, and G54 and S. mitis NCTC 12261 were compared to identify genes that were unique to S. pneumoniae and S. mitis, respectively. The search was an NCBI blastp of each polypeptide against the non-redundant database. The search used an expectation value cutoff of 1e-10 and BLAST was instructed to report the top 1000 hits. The resulting HSPs were filtered to include only those that contributed to the best sum(p) for that particular query/target pair. These HSPs were aggregated to eliminate overlap, where necessary, and the average % Identity and % Coverage of the query molecule was calculated. These hits were then filtered at 40% identity and 80% coverage. The source organism for all hits was retrieved from the NCBI and hits were grouped by query protein and source organism to produce a list of organisms and the number of mitis/pneumo unique genes that hit each.
Phylogenetic tree constructed with the minimal evolution algorithm and based on partial 16S rRNA gene sequences of 80 strains of mitis group streptococci. Type strains are shown with species designation. The settings in the program MEGA 3.1 were as follows: Gaps/missing: pairwise deletions; Distance method: Nucleotide: Tamura and Nei (Gamma=1). Bootstrap values (%) are based on 1000 replications (only values above 70% are shown). Note dual alleles harbored by four strains are included separately (alleles designated A and B). Strains allocated to species/ clusters according to phylogenetic analysis based on concatenated sequences of housekeeping genes (Figure 1) are indicated by green, Infantis cluster; ruby, S. pneumoniae, pink, S. pseudopneumoniae, red, S. mitis; blue, Oralis cluster.
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Phylogenetic tree constructed with the minimum evolution algorithm and based on partial sequences of individual 16S rRNA genes (439 to 449 nucleotides corresponding to positions 51 to 493 in the Escherichia coli 16S rRNA gene in 4 strains showing sequence polymorphism among the four individual rRNA operons labeled A through D. Sequences obtained for type strains of S. mitis and S. oralis are included for comparison. The numbering of nucleotides is according to the 16S rRNA gene of E. coli. Bootstrap values (%) are based on 1000 replicates. Gaps are indicated by “-”
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Gene organization of the cap locus between dexB and aliA and flanking regions in S. mitis NCTC12261 compared with S. pneumoniae strains D39, G54, and TIGR4.
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Amino acid sequence of competence stimulating peptides (CSPs) from strains of streptococci assigned to species according to the cluster analysis in Fig. 1 (SK strains) or as indicated in previously publications. Cluster-specific amino acid signatures within the leader sequence are summarized in Table 1.
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Phenotypic properties and BoxB and insertion sequence elements among S. pneumoniae, S. pseudopneumoniae, and S. mitis strains illustrating genome reduction in S. mitis
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Strains analyzed in the study with site of isolation, origin, and previous designation.
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Primers used for PCR amplification and sequencing of genes.
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We thank David Riley for help with database searches.
Competing Interests: The authors have declared that no competing interests exist.
Funding: This research was financed by unconditional grants from the Carlsberg, Velux, and Karen Elise Jensen foundations, and from the Faculty of Health Sciences, University of Aarhus.