JOURNAL OF CLINICAL MICROBIOLOGY, May 1994, p. 1238-1245 Vol. 32, No. 5 0095-1137/94/$04.00+0 Copyright ©D 1994, American Society for Microbiology hepaticus sp. nov., a Microaerophilic Bacterium Isolated from Livers and Intestinal Mucosal Scrapings from Mice J. G. FOX,'* F. E. DEWHIRST,2 J. G. TULLY,3 B. J. PASTER,2 L. YAN,' N. S. TAYLOR,' M. J. COLLINS, JR.,4 P. L. GORELICK,4 AND J. M. WARDs Division of Comparative Medicine, Massachusetts Institute of Technology, Cambridge, Massachusetts 021391; Department of Molecular Genetics, Forsyth Dental Center, Boston, Massachusetts 021152; and Mycoplasma Section, Laboratory ofMolecular Microbiology, National Institute ofAllergy and Infectious Diseases,3 Program Resources, Inc./DynCorp, National Cancer Institute-Frederick Cancer Research and Development Center,4 and Veterinary and Tumor Pathology Section, Office of Laboratory Animal Science, National Cancer Institute,5 Frederick, Maryland 21702 Received 6 December 1993/Returned for modification 11 January 1994/Accepted 14 February 1994

A bacterium with a spiral shape and bipolar, single, sheathed flagella was isolated from the livers of mice with active, chronic . The also colonized the cecal and colonic mucosae of mice. The bacterium grew at 37°C under microaerophilic and anaerobic conditions, rapidly hydrolyzed urea, was catalase and oxidase positive, reduced nitrate to nitrite, and was resistant to cephalothin and nalidixic acid but sensitive to metronidazole. On the basis of 16S rRNA gene sequence analysis, the organism was classified as a novel helicobacter, Helicobacter hepaticus. This new helicobacter, like two other murine Helicobacter species, H. muridarum and "H. rappini," is an efficient colonizer of the gastrointestinal tract, but in addition, it has the pathogenic potential to elicit persistent hepatitis in mice.

During the last decade, microaerophilic spiral-to-curve- strong urease activity, we hypothesized that this bacterium may shaped bacteria isolated from the stomachs of humans and be another helicobacter. In this paper, we provide biochemical, animals have been the focus of considerable research because ultrastructural, and molecular data confirming that this bacte- of their association with gastric disease (24). These microor- rium represents a new Helicobacter species, H. hepaticus. ganisms are recognized as belonging to the genus Helicobacter. It is now known that the type species Helicobacterpylori causes MATERIALS AND METHODS active, chronic gastritis and in humans (14, 21, 24). This microorganism has also been recently linked to Fifteen strains (Hh-1 through Hh-15) of H. hepaticus were the development of gastric adenocarcinoma and gastric muco- isolated from the livers of SCID/NCr mice. In addition, seven sa-associated lymphoma (11, 25, 27, 41). Several additional strains of H. hepaticus (Hh-16 through Hh-22) were isolated Helicobacter species have been isolated from the stomachs of from either colonic or cecal mucosal scrapings from SCID/NCr various mammalian species (2, 5, 12, 22) and have been shown or A/JCr mice. Briefly, the original isolate, Hh-1, was isolated to cause various degrees of gastritis in their hosts (9, 10, 13). from the liver of a mouse with multifocal hepatitis by streaking Additional Helicobacter species have been isolated from the liver tissue onto moist Columbia blood agar plates (Remel intestinal tracts of mammals (6, 35, 37, 38) and birds (4). One Labs, Lenexa, Kans.) and incubating it at 37°C under anaerobic of them, H. muridarum, primarily colonizes the ilea and ceca of conditions (GasPak system; BBL Microbiology Systems, Cock- rodents but can also apparently elicit gastritis after colonizing eysville, Md.). Subsequent isolations of bacteria from infected the gastric mucosae of older rodents (23, 31). Also, "Helico- livers were performed on either moist Trypticase soy agar bacter (Flexispira) rappini," which has periplasmic fibers like H. blood agar plates or brucella blood agar with TVP (tri- muridarum and H. felis but is distinguishable by the shape of its methoprim, vancomycin, polymyxin) (Remel Labs) at 37°C protoplasmic cylinder, has been associated with abortion in sheep and intestinal disease in animals and humans (1, 16, 32). Experimental inoculation of "H. rappini" into guinea pigs also TABLE 1. Oligonucleotide primers used for PCR amplification and causes abortion (3). Most recently, "H. rappini" has been sequencing of 16S rDNA isolated from the colons and ceca of mice (34). Thus, as the genus expands, it is clear that Helicobacter species can infect Type Sequence (5'--3')" Position" Orientation several animal species as well as colonize different anatomical PCR AGAGTTTGATYCTGGCT 8-24 Forward regions of the gastrointestinal system (13). PCR TACGGYTACCTTGTTACGACT 1493-1513 Reverse A spiral-to-curved bacterium was observed with Steiner's Sequencing ACTGCTGCCTCCCGT 344-358 Reverse silver stains in livers of barrier-maintained mice suffering from Sequencing GTRTTACCGCGGCTGCTG 519-536 Reverse multifocal necrotic hepatitis (39, 40). Because of the mi- Sequencing CTACCAGGGTATCTAATC 786-804 Reverse croaerophilic nature of the bacterium, its morphology, and its Sequencing GGTTGCGCTCGTTGCGGG 1096-1113 Reverse Sequencing GGAATCGCTAGTAATCG 1337-1353 Forward Sequencing CCCGGGAACGTATTCACCG 1369-1387 Reverse * Corresponding author. Mailing address: Division of Comparative a Base codes are standard International Union of Biochemistry codes for bases Medicine, Massachusetts Institute of Technology, Cambridge, MA and ambiguity. 02139. Phone: (617) 253-1757. Fax: (617) 258-5708. 6 Numbering based on that of . 1238 VOL. 32, 1994 HELICOBACTER HEPATICUS IN MICE 1239

TABLE 2. Sources and accession numbers of strains studied

Organism Strain examineda Culture collection no.' GenBank accession no." Helicobacter hepaticus isolate Fox Hh-1 ATCC 51449 U07573 Fox Hh-2T ATCC 51448T U07574 Fox Hh-3 ATCC 51450 U07575 Reference species Arcobacter cryaerophila CCUG 17801T ATCC 43158T L14624 Arcobacter butzleri CCUG 10373 L14626 Arcobacter skirrowii CCUG 10374T L16625 Campylobacter coli CCUG 11238T ATCC 33559T L04312 Campylobacter concisus Tanner 484T ATCC 33237T L04322 Campylobacter fetus subsp. fetus ATCC 27374T M65012 Campylobacter lan CCUG 23947T ATCC 35221T L04316 Campylobacter rectus Tanner 37IT ATCC 33238T L04317 "Flexispira rappini" NADC 1893T ATCC 43966T M88137 "Gastrospirillum hominis 1" L10079 "Gastrospirillum hominis 2" L10080 Helicobacter acinonyx Eaton 90-119-3T ATCC 51 101T, CCUG 29263T M88148 Helicobacter canis NCTC 12739T L13464 CCUG 18818T ATCC 35683T M88150 Helicobacter felis Lee CS1T ATCC 49179T M37642 Helicobacterfennelliae CCUG 18820T ATCC 35684T M88154 Helicobacter mustelae Fox R85-13-6T ATCC 43772T M35048 Lee STIT CCUG 29262T, ATCC 49282T M80205 Helicobacter nemestrinae ATCC 49396T X67854 Helicobacter pametensis Seymour B9T CCUG 29255T M88147 ATCC 43504T M88157 Helicobacter sp. strain Bird-B Seymour BIOT CCUG 29256T M88139 Helicobacter sp. strain Bird-C Seymour B52T CCUG 29561T M88144 Helicobacter sp. strain CLO-3 CCUG 14564 LMG 7792 M88151 succinogenes Tanner 602WT ATCC 29543T M88159 a Sources of the strains from which sequences were determined were as follows: Eaton, K. A. Eaton, Department of Veterinary Pathobiology, Ohio State University, Columbus; Fox, J. G. Fox, Division of Comparative Medicine, Massachusetts Institute of Technology, Cambridge; Lee, A. Lee, Department of Microbiology and Immunology, University of New South Wales, Sydney, Australia; Seymour, C. Seymour, Department of Microbiology, Boston University School of Medicine, Boston, Mass.; Tanner, A. Tanner, Department of Microbiology, Forsyth Dental Center, Boston, Mass.; ATCC, American Type Culture Collection, Rockville, Md.; CCUG, Culture Collection, University of Goteborg, Goteborg, Sweden; LMG, Laboratorium voor Microbiologie en microbielle Genetica, Ghent, Belgium; NADC, National Animal Disease Center, Ames, Iowa; and NCTC, National Collection of Type Cultures, London, United Kingdom. b Alternate culture collection sources for sequenced strains. 16S rRNA sequences for these strains are available for electronic retrieval from GenBank under the accession numbers shown above. Through cross-distribution of data bases, these sequences should also be available from the EMBL and DDBJ data bases. under microaerophilic conditions in vented jars containing N2, mal cycler. Ten microliters of the crude DNA and 1 p.M (each) H2, and CO2 (90:5:5:). primers were added to the reaction mixture, which had a final Electron microscopy. Cells grown on Trypticase soy agar volume of 82 p.l. Ampliwax PCR GemlOOs (Perkin-Elmer) blood agar plates were gently suspended in 10 mM Tris buffer were used in a hot-start protocol as suggested by the manu- (pH 7.4) at a concentration of approximately 108 cells per ml. facturer. The following conditions were used for amplification: Samples were negatively stained with 1% (wt/vol) phospho- denaturation at 94°C for 45 s, annealing at 50°C for 45 s, and tungstic acid (pH 6.5) for 15 to 20 s. Specimens were examined elongation at 72°C for 45 s with an additional 5 s added for with a JEOL model JEM-1200EX transmission electron mi- each cycle. A total of 25 cycles were performed, followed by a croscope operating at 100 kV. final elongation step at 72°C for 15 min. The purity of the Biochemical characterization. Detailed biochemical charac- amplified product was determined by electrophoresis in a 1% terization of strains Hh-1 through Hh-10 (Table 1) was per- agarose gel (FMC Bioproducts). DNA was stained with formed as previously described (23, 29). In the remaining 12 ethidium bromide and viewed under short-wavelength UV strains, , Gram stain reaction, oxidase, catalase, and light. urease activities and sensitivity to nalidixic acid, cephalothin, Purification of PCR products. The amplified DNA was and metronidazole were determined. purified by precipitation with polyethylene glycol 8000 (20). Crude DNA isolation. Bacteria were cultured on Trypticase After removal of Ampliwax, 0.6 volume of 20% polyethylene soy agar blood agar plates. A loopful of cells was harvested and glycol 8000 (Sigma) in 2.5 M NaCl was added, and the mixture suspended in 100 ,ul of lysis buffer (50 mM Tris-HCl [pH 7.6], was incubated at 37°C for 10 min. The sample was centrifuged 1 mM EDTA, 0.5% Tween 20, 200 ,ug of proteinase K per ml) for 15 min at 15,000 x g, and the pellet was washed with 80% and incubated at 55°C for 2 h. The proteinase K was inacti- ethanol and pelleted as before. The pellet was air dried, vated by being heated to 95°C for 10 min. Crude DNA was dissolved in 30 p.l of distilled water, and used for cycle then precipitated with 2 volumes of cold absolute ethanol. sequencing as described below. Amplification of 16S rRNA cistrons. The 16S rRNA cistrons Sequencing methods. The DNA sample from PCR was were amplified with the top two primers in Table 1. PCRs were directly sequenced with a cycle-sequencing kit (TAQuence performed in thin-walled tubes with a Perkin-Elmer 480 ther- cycle sequencing kit; United States Biochemical Corp.). The 1240 FOX ET AL. J. CLIN. MICROBIOL.

Our sequence data base contains approximately 300 sequences A determined in our laboratory, and another 200 were obtained from GenBank or the Ribosomal Database Project (26). Reference strains used in the 16S rRNA analysis are given in Table 2. Similarity matrices were constructed from the aligned sequences by using only those sequence positions for which 90% of the strains had data. The similarity matrices were corrected for multiple base changes at single positions by the method of Jukes and Cantor (15). Phylogenetic trees were constructed by the neighbor-joining method of Saitou and Nei (33, 36). GenBank accession number. The GenBank and culture collection accession numbers for the strains examined in this report are given in Table 2.

RESULTS

.i Isolation, morphology, and growth characteristics. After a 4- .iml .:. 3- to 7-day incubation under anaerobic or microaerophilic J. :.: conditions, a thin spreading film was noted on the agar surface. Examination with dark-field and phase microscopy revealed the presence of spiral, motile bacteria. While the bacteria grow anaerobically, microaerophilic conditions were routinely used to isolate bacteria from the liver and are considered the optimal environmental conditions for growth of H. hepaticus. The bacteria were gram negative, curved to spiral, and 1.5 to 5.0 pum long and 0.2 to 0.3 pum wide. Ultrastructure. The organism had a smooth surface and lacked periplasmic fibers, which are found in the two mouse intestinal helicobacters "H. rappini" and H. muridarum (3, 23). The organism varied in shape and size from curved to spiral, having one to several spirals (Fig. 1A). The bacteria were characterized by bipolar sheathed flagella (one at each end) (Fig. I B). B Biochemical and physiological characteristics. Ten strains of H. hepaticus were subjected to a number of tests to distinguish biochemical and physiological properties which were then compared with those of known Helicobacter species. Like H. muridarum and "H. rappini," H. hepaticus has strong urease activity and was oxidase and catalase positive. H. hepaticus strains consistently produced H2S by using lead acetate and reduced nitrate to nitrite. The bacteria grew microaerophilically at 37°C but not at 25 or 42°C. The bacteria also grew in 1.5% NaCl, 1% glycine, 0.04% triphenyltetrazo- lium chloride, and 0.1% trimethylamine N-oxide (anaerobical- ly). H. hepaticus hydrolyzed indoxyl acetate but did not hydro- lyze hippurate, nor did it produce hemolysis in blood agar or FIG. 1. Negatively stained preparation of H. hepaticus Hh-2. (A) produce yellow pigment. The remaining 12 strains were also Typical cell with a single subterminal at either end. Bar, 500 gram negative, curved to spiral, and motile, as well as catalase, nm. (B) Sheathed flagellum (arrow). Bar, 200 nm. oxidase, and strongly urease positive. All of the strains were resistant to both cephalothin and nalidixic acid but sensitive to metronidazole. manufacturer's protocol was followed. The six sequencing Phylogenetic analysis. We analyzed approximately 95% of primers are given in Table 1. Primers were end labeled with 33P the total RNA sequence for strain Hh-1 and partial sequences (Dupont, NEN) by using the manufacturer's protocol. Approx- for Hh-2 and Hh-3. The sequences for the three mouse liver imately 100 ng of purified DNA from the PCR was used for strains were identical. Comparison of the consensus sequence sequencing. Reaction products were loaded onto 8% poly- with those of other bacteria in our data base indicated that the acrylamide-urea gels, electrophoresed, and detected by expo- H. hepaticus sequence was most closely related to that of H. sure to X-ray film for 24 h. muridarum (97.8% similarity). This degree of sequence differ- 16S rRNA data analysis. A program set for data entry, ence clearly identifies H. hepaticus as a novel species. Strain editing, sequence alignment, secondary structure comparison, Hh-2 was compared with 26 reference species in the genera similarity matrix generation, and dendrogram construction for Helicobacter, Wolinella, Arcobacter, and Campylobacter. The 16S rRNA data was written in Microsoft QuickBASIC for use similarity matrix for these comparisons is presented in Table 3. on IBM PC-AT and compatible computers (28). RNA se- A phylogenetic tree constructed with the neighbor-joining quences were entered and aligned as previously described (28). method is presented in Fig. 2. H. hepaticus falls in a cluster of VOL. 32, 1994 HELICOBACTER HEPATICUS IN MICE 1241

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(% Difference) I I I Helicobacter hepaticus Helicobacter muridarum Helicobacter canis _NFkispira rappini Helicobacter cinaedi Helicobacterfennelliae Helicobacter sp. CLO-3 Helicobacterpylori Helicobacter nemestrinae Helicobacter acinonyx Gastrospirillum hominisN 1 Ganstrospirillum hominis 2 Helicobacterfelis Helicobaaerpametensis Helicobacter sp. Bird-C Helicobacter sp. Bird-B Helicobacter mustelae Wol,inella succinogenes Arcobacter cayaerophilus Arcobacter skirrowii Arcobacter butzleri Campylobacter rectus Campylobacter concisus Campylobacterfetus Campylobacter helveticus Cainpylobacter lari CampyIobacterjejuni FIG. 2. Phylogenetic tree for 27 strains of Helicobacter, Wolinella, Arcobacter, and Campylobacter species on the basis of 16S rRNA sequence similarity. The scale bar represents a 5% difference in nucleotide sequence as determined by measuring the length of horizontal lines connecting any two species. intestinal helicobacters which includes H. muridarum, H. canis, The epizootiology of the disease at present is unknown. "H. rappini," and H. cinaedi. However, like that of other Helicobacter species, its normal Differentiation of H. hepaticus from other Helicobacter spe- ecological niche is probably the gastrointestinal tract. Prior to cies. The phenotypic characteristics which differentiate H. the association of H. hepaticus with hepatitis in mice, two other hepaticus from other named and described Helicobacter species helicobacters, H. muridarum and "H. rappini," had been cul- are presented in Table 4. tured from the mouse gastrointestinal tract (23, 30, 34). Both are natural colonizers of the lower gastrointestinal tract, where DISCUSSION their presence doesn't apparently elicit an inflammatory re- under circumstances not com- An active, chronic hepatitis was detected during 1991 to sponse (30, 34). H. muridarum, 1993 in several inbred strains of mice originating from the pletely understood but probably related to subtle pH changes Frederick Cancer Center barrier-maintained facility. As de- in the stomachs of rodents as they age, can colonize gastric scribed by Ward et al. (39, 40), H. hepaticus was associated with tissue in both mice and rats and can induce gastritis (31). On acute, focal nonsuppurative necrotizing hepatitis in young mice the basis of our preliminary culture results, H. hepaticus can be which progressed to chronic, active hepatitis. This chronic isolated from the ceca and colons of mice with and without H. hepatitis was characterized by minimal necrosis, hepatocyto- hepaticus-associated liver lesions (8). H. hepaticus is actively megaly, oval cell hvperplasia, and cholangitis. With Steiner motile because of the single sheathed flagellum at one or each stain, helical organisms were seen between hepatocytes adja- end of the bacteria. As for the two other intestinal colonizers cent to areas of necrosis in young mice and throughout the of mice, H. muridarum and "H. rappini," the presence of the livers of older mice with chronic hepatitis. The bacteria were flagella is probably important in colonization of mucus in the observed by electron microscopy in bile canaliculi (39, 40). To intestinal crypts. date, the chronic, active hepatitis has been diagnosed in at least Even though all three mouse helicobacters colonize the 15 strains of mice in 16 buildings located at the Frederick lower gastrointestinal tract, H. hepaticus can be differentiated Cancer Center premises. In addition, the hepatic lesions have from the two other helicobacters of mice biochemically by the been associated with a high incidence of hepatic tumors in ability of H. hepaticus to reduce nitrate and to grow in 1% A/JCr mice, which normally have a low frequency of hepatic glycine. Also, ultrastructurally, the single bipolar sheathed tumors (40). The hepatitis has also been successfully repro- flagellum and curved-to-slightly spiral shape of H. hepaticus duced in germ-free mice by oral inoculation of H. hepaticus (8). easily distinguish this organism from the two other known VOL. 32, 1994 HELICOBACTER HEPATICUS IN MICE 1243

rodent helicobacters, which have multiple bipolar flagella and periplasmic fibrils. Why some inbred mouse strains appear more susceptible to developing liver lesions is unknown but - &z may be related to the host genotype. It is well-known that the X mouse is often one of the determinants in 0D haplotype conferring pC x resistance or susceptibility to a number of infectious agents. C0 0 Alternatively, different strains of H. hepaticus may exist with 0. --~ 60* various degrees of pathogenic potential. There is precedence Q 2 for Helicobacter species causing hepatitis under certain circum- stances: can cross C. "H. rappini" the placenta of pregnant sheep, CD induce abortions, and cause acute hepatic necrosis in sheep U, an "H. 0- X 10 fetuses (3, 16). Also, organism closely resembling _.0 0U, rappini" was observed in the common bile duct of rats exper- t*0 +++++++ ++ ++ + + 0 imentally infected with the liver fluke, Fasciola hepatica (7). aL. The authors speculated that the fluke infection altered the biochemical properties of the rats' bile and allowed the bacte- CD ria to colonize this normally bacteriostatic milieu. Thus, H. _.. CD H3 hepaticus is similar to all other known Helicobacter species in being an efficient colonizer of the gastrointestinal tract, but in addition it has the to elicit in CDO mn pathogenic potential hepatitis 0D several strains of mice, and in one strain, A/JCr, H. hepaticus is 00 o ~~~ strongly associated with hepatic cancer (39, 40). 0D While little has been done experimentally regarding the role 00 of Helicobacter species in hepatic disease, there has been substantial research with Campylobacterjejuni-associated hep- +++++I ++ atitis in mice (17-19). Focal necrotic hepatitis in the absence of diarrhea also has been noted in mice 1 to 2 months after oral _~~~~~~~.3 CD dosing with selected strains of C. jejuni (17, 19). The liver 0.3 lesions and 4 months C. + persisted, by postinoculation, jejuni CD C 0: was still cultured and inflammation in both the parenchyma oQ o C. CD CI and portal triads became extensive. Ten micrograms of the 00 factor isolated from selected strains (in 4 3 + purified hepatotoxic n0 of 20 tested) of C. jejuni reproductively caused acute hepatic CD dd-Y mice when inoculated - necrosis in 0. ,Z = specific-pathogen-free V:~~~~~~~~~~~~~: intravenously. Interestingly, when the hepatotoxic factor was C i given intravenously at two time points 14 days apart, a diffuse + mononuclear inflammatory hepatitis developed which mim-

0 icked the chronic hepatopathy noted in mice orally infected 0. +++I CD _F_.~~~~~~~~~t o with C. jejuni 10 months previously (18). The authors suggested C) s 0 that the of mononuclear inflammation was _0. 0 0 increasing intensity due to a persistent host response to the active moiety of the

C> CD CD hepatotoxic factor-a possible consequence of an immuno- O I r pathological tissue response (18). Although further studies are required to test this hypothesis, these findings may provide important clues to the pathogenesis of the hepatotoxic hepa- R5 titis noted in mice infected with H. hepaticus. 0 With the ability to isolate and characterize this new murine pathogen, the prevalence ofH. hepaticus in other mice colonies wrl as well as its pathogenic potential can be determined. Further- more, we can begin to explore whether the organism can colonize other hosts, including humans, and elicit a pathologic -5 response. 0+ + + + Description of H. hepaticus sp. nov. H. hepaticus (he.pa'ti. O-* cus. Gr. adj. hepatikos, relating to the liver). Cells are slender curved-to-spiral rods (0.2 to 0.3 ,um by 1.5 to 5.0 ,um) which form one to three spiral turns. They are gram negative and nonsporulating and are motile by means of sheathed, single, are but cultures often 0 .0 bipolar flagella. Colonies pinpoint, ~0o:0 -0 00 o appear as a thin spreading layer on agar media. Cells exhibit 0. microaerophilic or anaerobic growth, but there is no growth aerobically. There is growth at 37°C but not at 25 or 42°C. There is growth in 1.5% NaCl, 1% glycine, 0.4% triphenyl- n tetrazolium chloride, and 0.1% trimethylamine N-oxide (anaerobically). H. hepaticus produces urease, catalase, and

-A WA .,00 -0. oxidase Nitrate is reduced. is detected on lead C's00 @: activity. H2S -4 00 acetate discs. Indoxyl acetate is hydrolyzed, whereas hippurate 1244 FOX ET AL. J. CLIN. MICROBIOL. is not. Cells are resistant to cephalothin and nalidixic acid but metabolism, vol. 3. Academic Press, Inc., New York. sensitive to metronidazole. Cells have been isolated from the 16. Kirkbride, C. A., C. E. Gates, J. E. Collins, and M. S. Ritchie. as of with 1985. Ovine abortion associated with an anaerobic bacterium. J. colons and ceca of mice, as well from the livers mice Am. Vet. Med. Assoc. 186:789-791. active, chronic hepatitis. The type strain Hh-2 was isolated 17. Kita, E., N. Katsui, K. Nishi, M. Emoto, Y. Yanagase, and S. from the liver of a mouse with active, chronic hepatitis. The Kashiba. 1986. Hepatic lesions in experimental Campylobacter type strain has been deposited with the American Type jejuni infection of mice. J. Gen. Microbiol. 132:3095-3103. Culture Collection as ATCC 51448. The essentially complete 18. Kita, E., F. Nishikawa, K. Kamikaidou, A. Nakano, N. Katsui, and 16S rRNA sequence of the type strain is available for elec- S. Kashiba. 1992. Mononuclear cell response in the liver of mice tronic retrieval from the GenBank, EMBL, and DDBJ data infected with hepatotoxigenic . J. Med. Mi- bases under accession no. U07574. crobiol. 37:326-331. 19. Kita, E., D. Oku, A. Hamuro, F. Nishikawa, M. Emoto, Y. Yagyu, N. Katsui, and S. Kashiba. 1990. Hepatotoxic activity of Campy- ACKNOWLEDGMENTS lobacter jejuni. J. Med. Microbiol. 33:171-182. We acknowledge Thomas 0. MacAdoo, Virginia Polytechnic Insti- 20. Kusukawa, N., T. Uemori, K. Asada, and I. Kato. 1990. Rapid and tute and State University, for assistance in naming the organism. reliable protocol for direct sequencing of material amplified by the This work was supported by grants DE-08303 and DE-10374 from polymerase chain reaction. 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