Vibrio parahaemolyticus is a Gram-negative halophilic, aerobic bacterium that is distributed in marine and estuarine environments worldwide [
1]. In the 1950s, Fujino demonstrated that
V. parahaemolyticus was the etiological agent responsible for a gastroenteritis outbreak in Osaka, Japan. Presently, in Taiwan, Japan and other South East Asian countries,
V. parahaemolyticus cause over half of all food poisoning outbreaks of bacterial origin [
2,
3]. Baross and Liston in the late 1960s identified
V. parahaemolyticus in seawater, sediments and shellfish in the United States [
4,
5]. Today,
V. parahaemolyticus is the leading cause of seafood-associated bacterial gastroenteritis in the United States.
V. parahaemolyticus can also cause serious wound infections resulting in necrotizing fasciitis when wounds are exposed to
V. parahaemolyticus contaminated water [
6-
8]. Although less common,
V. parahaemolyticus can cause fatal septicemia in immune compromised hosts [
6,
7]. Most isolates of
V. parahaemolyticus are non-pathogenic and only a small number can cause infections in humans [
1]. Clinical isolates of
V. parahaemolyticus produce beta type hemolysis on blood agar (Wagatsuma agar) called the Kanagawa-phenomenon (KP), which is linked to the production of a thermostable direct hemolysin (TDH) [
9-
11]. TDH damages eukaryotic cells by acting as a pore forming toxin that alters the ion balance of cells [
12]. The presence of the
tdh gene, which encodes TDH is often used as a diagnostic tool to identify pathogenic isolates of
V. parahaemolyticus. Five sequence variants of
tdh (named
tdh1 to
tdh5) have been identified, however only
tdh2 appears to have a high-level of transcription [
13,
14]. In the 1980s, several cases of gastroenteritis caused by hemolytic KP-negative TDH-negative
V. parahaemolyticus isolates were reported [
11]. These isolates contained a TDH-related hemolysin (TRH) encoded by
trh, which showed 69% sequence similarity with
tdh [
11]. TDH and TRH are considered the main virulence factors of
V. parahaemolyticus and strains can contain either TDH or TRH or both [
15-
19]. Although isolates that do not contain
tdh or those that have a deletion in
tdh are still cytotoxic to cells. Hence, the overall mechanism involved in the organism's pathogenesis remains unclear.
Analysis of the complete genome sequence of
V. parahaemolyticus RIMD2210633, a clinical isolate recovered in Japan in 1996, identified a type III secretion system (T3SS) on each chromosome designated T3SS-1 and T3SS-2 [
20]. Subsequently, the functional significance of both T3SSs was determined using deletion mutants [
21]. The T3SS-1 deletion mutants had significantly decreased cytotoxic activity compared with that of the wild type [
21]. The T3SS-2 deletion mutants showed diminished intestinal fluid accumulation, in an enterotoxicity assay using the rabbit ileal loop test, whereas T3SS-1 mutants were similar to the wild type [
21]. In addition, a number of effector proteins for these T3SSs have been identified [
22-
24]. T3SS-1 is present in both clinical and environmental isolates and has a percent G+C content similar to the rest of the genome indicating that this region is ancestral to the species [
20]. Henke and Bassler [
25] found that unlike other T3SSs in pathogenic
E. coli, which are activated by quorum sensing, T3SS-1 in
V. parahaemolyticus is repressed at high cell densities.
Associated with T3SS-2 encoded on chromosome 2 are Tdh1 and Tdh2, as well as a cytotoxic necrotizing factor, an exoenzyme T, and at least five transposases [
20]. The presence of transposases and a G+C content of 40% (less than the overall genome), suggests that T3SS-2 may be a integrative element similar to pathogenicity islands identified in pathogenic
E. coli, S. enterica, and
V. cholerae, which we named
Vibrio parahaemolyticus island-7 (VPaI-7) [
20,
26]. T3SS-2 is present predominantly in the
V. parahaemolyticus O3:K6 highly virulent strains recovered after 1995, whereas most clinical isolates recovered before 1995 do not encode T3SS-2 indicating that the region is not essential for virulence, but may enhance virulence when present [
20].
Serotyping of
V. parahaemolyticus isolates has identified more than 13 O antigen groups and 71 K antigen types [
27]. Up until 1995,
V. parahaemolyticus associated gastroenteritis was caused by many different serogroups, although in some geographic regions specific serogroups predominated. For example, in the United States a predominance of the O4 serogroup among clinical isolates was apparent [
28-
32]. In 1995, an outbreak of
V. parahaemolyticus infections occurred in Calcutta, India, which caused rapid hospitalization of those infected and were caused by a single serotype, a new O3:K6 highly virulent strain [
33]. Since 1995, a global dissemination of this
V. parahaemolyticus new highly virulent strain is evident since it has now been isolated throughout Asia, America, Africa, and Europe [
3,
29,
34-
40]. For example, in 1998, the new highly virulent strain was responsible for a large outbreak of gastroenteritis in Galveston Bay, Texas [
29]. Later on that year, the highly virulent strain was responsible for large gastroenteritis outbreaks in Long Island Sound-Connecticut, New York, and New Jersey [
41]. In 2005, the highly virulent strain caused a major outbreak in Chile with over 1,000 cases [
3]. Non-O3:K6 pathogenic isolates recovered since 1995, including O4:K68, O1:KUT, and O1:K25 serotypes, have been shown to be closely related to the new highly virulent O3:K6 strain based on molecular typing schemes and phylogenetic approaches [
29,
30,
37-
39,
42-
44].
Previously, it was thought that
V. parahaemolyticus was confined to tropical climates, however recent studies report the recovery of O3:K6 isolates from the water in Southern Chile and Alaska, that up until now were considered too cold to support the growth of this organism [
35,
45,
46]. These recent discoveries suggest a change in the organism's ability to adapt and survive in colder environments. Indeed the ability of
V. parahaemolyticus to survive and proliferates in its environmental niches, in shellfish and in the human intestine may have resulted from the acquisition of regions encoding novel traits which are differentially regulated in different niches. Additionally, the spread of the organism is another indication of global warming, which is likely to play a role in increasing
V. parahaemolyticus distribution and occurrence.
First, we used a two step genomic approach to elucidate the genomic changes that may have resulted in the emergence of the new highly virulent O3:K6 and related strains. We performed in silico whole genome comparisons of V. parahaemolyticus RIMD2210633 versus the genome sequences of V. cholerae N16961, V. vulnificus YJ016 and CMCP6, and V. fischeri ES114. We constructed genome BLAST atlases of each species to determine regions unique to V. parahaemolyticus. We uncovered 24 regions greater than 10 kb that were unique to RIMD2210633 and absent from the other Vibrio species examined. These included functionally distinct regions such as the class 1 integron, f237-like phages, Vibrio parahaemolyticus genomic island regions (VPaI-1 to VPaI-7), a lipopolysaccaride (LPS)/capsule polysaccharide (CPS) region, two osmotic stress response clusters, two T3SSs and a T6SS. Next, we compared the RIMD2210633 genome sequence to that of AQ3810, an O3:K6 strain isolated in 1983, to elucidate the steps involved in the emergence of the globally disseminated O3:K6 highly virulent strain. This analysis identified several regions unique to one isolate or the other. Molecular analysis of the distribution of regions unique to RIMD2210633 among 42 natural isolates revealed that only regions encoding integrase or transposase genes (7 island regions) were variably present. We reconstructed the phylogeny of the 42 isolates based on multilocus sequence analysis, and mapped the distribution of the 7 island regions, which showed that these regions were acquired by the new O3:K6 highly virulent strain and predominant in one clade.