B. anthracis VNTR sequences found in many different chromosomal and plasmid locations exhibit a few or even dozens of different allelic states, showing that this bacterium has a degree of diversity frequently lacking among pathogenic microbes [
16]. MLVA is currently utilized to identify different sub-populations and particular strains of interest [
7,
13,
14]. For
B. anthracis, six chromosomal loci and one locus on each of pXO1 and pXO2 have been used for this technique [
14]. In the study of Keim et al. [
15], a global
B. anthracis (over 400 strains) analyzed and subdivided two major clonal lineages (A and B) and 86 unique MLVA 8 genotype using eight-loci MLVA. This eight-loci MLVA has also been used to examine the genotypes of
B. anthracis in France [
5], Poland [
6], Italy [
4], and countries in southern [
14] and northern Africa [
24]. In 2007, Van Ert et al. [
36], used a 15 marker-loci, MLVA15, to examine a collection of 1,033
B. anthracis isolates from 42 countries. This group described three major lineages (A, B, and C) that were further subdivided into 12 clonal sub-lineages or sub-groups, and finally 211 unique MLVA15 genotypes. Le Flèche et al. [
21] augmented the MLVA8 assay by proposing 14 additional markers. Additionally, Lista et al. [
24] expanded the MLVA21 assay with the addition of four markers (25-loci MLVA) and described two new branches, D and E.
The eight-locus MLVA was used in our study of
vrrB1,
vrrB2,
vrrC1,
vrrC2, and CG3 identified by sequencing
B. anthracis amplified fragment length polymorphism markers [
12].
vrrA was identified by Andersen et al. [
2], and the remaining two loci were identified by analysis of the pXO1 and pXO2 plasmid sequences [
27].
vrrA and
vrrB are located in genes encoding hypothetical protein.
vrrC is located in a gene encoding a Ftsk-SpooIIIE DNA translocase family homologue.
vrrA,
vrrB, and
vrrC markers are found in protein coding regions of the
B. anthracis genome. As the MLVA marker expands or contracts, the amino acid composition of the protein will be altered [
11,
31]. This genotyping method had been previously used for consistent subspecies typing worldwide for discrimination of the
B. anthracis genome with the highly monomorphic nature [
13,
14,
24]. Among the isolates analyzed in our study, eight VNTR markers had different levels of variability in four loci (
vrrA,
vrrB1,
vrrB2, and pXO2) and were much more variable than other loci.
Based on the MLVA profiles, Korean
B. anthracis isolates were assigned to both the A and B branches. Similar genetic dissimilarity has been found in
B. anthracis isolates originating from several geographic regions in Africa, Europe, North America, and South America [
14]. In a previous analysis,
B. anthracis isolates originating from Asia, Turkey, and China were assigned to branch A [
36]. It is interesting that our Korean isolates belong to both the A and B branches although our data agree with the results of a previous study [
30].
Variations in the number of repeat sequences at a given locus, or in-sequence heterogeneity among individual isolates, allows discrimination among strains. These may be due to slipped-strand mispairing and can occur in combination with inadequate DNA mismatch repair during replication [
35]. However, the discriminative power of VNTR markers becomes limited when analyzing strains of close geographical origins [
25]. In such situations, diversity can be demonstrated by either analyzing a greater number of VNTR markers [
24] or using more sensitive markers [
34,
36].
SNPs have been used in several studies as important markers that linked sequence variations to phenotypic changes, thus elucidating the molecular basis of diseases [
2,
7,
11,
19]. These are also considered extremely valuable to perform phylogenetic analysis as SNPs have very low mutation rates and are less prone to homoplasy [
15]. Comparative full-genome sequencing between eight strains of
B. anthracis which led to the discovery of about 3,500 SNPs was reported in the study of Read et al. [
29] along with 990 SNPs in 26 diverse isolates [
15]. These results demonstrate the usefulness of a few strategically placed SNPs that may replace a large number of SNPs for typing
B. anthracis strains and generating an SNP-based tree.
canSNP have also been previously used to successfully differentiate
B. anthracis isolates and identify worldwide patterns of distribution in which the major clonal lineage A had been shown to be widespread globally [
36]. In the study of Van Ert et al. [
36],
B. anthracis isolates are subdivided into two previously recognized distinct major sub-lineages (A and B) according to the canSNP data, and further divided into 6 of 12 different sub-lineages. In this study, data from an eight-locus MLVA also clearly classified these strains into two major lineages. The more common genotype among the
B. anthracis strains previously analyzed and globally distributed strains is the A genotype [
36]. However, location of the distinct sub-groups is geographically restricted. Strains obtained from the KCDC (S0303, S0304, S0307, and S0308) and Pasteur strain belong to the A.Br.Ames sub-group, which is found in central and eastern China [
30]. The Ames strain was obtained in Texas (USA) in 1981. Later, other isolates were shown to be closely related to the Ames strain [
17], indicating the rarity of this strain in nature. Despite its scarcity, the Ames strain is widely used as a reference strain in many laboratories for genotyping analysis.
Two similar strains of
B. anthracis (14578) from the KCDC and from the laboratory stock used in our study were found to belong to the A.Br.Vollum sub-lineage. This sub-lineage genotype is dominant in southern Africa and is also present in Europe [
33,
36]. Three strains (Sterne, HS, and delta Sterne) were found to belong to the A.Br.001/002 sub-group, and a similar genotype has been identified in central and eastern China [
36]. canSNP analysis of one laboratory strain (14185) showed that it belongs to the A.Br.003/004 sub-group in which is common in South America.
One of the
B. anthracis isolates (KJ) collected recently from Korea belonged to the A.Br.005/006 sub-group, which is common in southern Africa [
36]. The Korean
B. anthracis isolates from CH analyzed in our study belonged to the B.Br.001/002 canSNP sub-group. This sub-group is primarily found in southern Africa [
14]. The major clonal lineages found in Asia are usually assigned to lineage A, which is more common than the other lineages and distributed globally. In contrast, distribution of B lineage isolates is more geographically restricted. B lineage isolates have been found in southern Africa (B.Br.Kruger sub-lineage and B.Br.001/002 canSNP sub-group genotypes), some parts of Europe (B.CNEVA-9006 sub-lineage), and a small region in California, USA [
5,
6,
15]. Additionally, a major clonal lineage B genotype was identified in Korean isolates from CH in this study, and these isolates were closely related to the B1 cluster of MLVA reported by Ryu et al. [
30].
Anthrax is rare among humans but very common among grazing animals due to the natural spore transmission cycle. Spores that are formed in a place where an animal died from anthrax are the main source of infection for grazing animals. It is also plausible that livestock grazing over dry, dusty, and contaminated soil inhale spores, leading to infection. Humans can be infected through contact with diseased animals or animal products depending on the route of spore entry: cutaneous (the most frequent form of natural infection), inhalation, and gastrointestinal. Throughout history, anthrax had been widely spread around the world through the trade of infected live animals or meat, hides, hair, wool, or bones from such animals. Infected animals and products are often transported in long distances for industrial, food, or handicraft purposes, and the anthrax spores may find their way to livestock in the local community, thus spreading the disease in locations distant from the original infection source [
3]. Restricting the geographical distribution of
B. anthracis is primarily a result of niche specialization associated with adaptive differences among the different lineages [
10,
14]. However, genetic evidence indicates that human activities have dramatically influenced the global population structure of
B. anthracis [
14,
20,
36]. Given that natural outbreaks of anthrax are extremely rare, the introduction of new lineages in Korea might be the result of agricultural development and increased international trade. Results of the present study have added further insight into
B. anthracis phylogeny and the distribution of Korean isolates.