This study compares the identification, typing, and phylogenetic relationships of the most prevalent clinical Nocardia species in Spain, as determined via sequence analysis of their housekeeping genes gyrB and rpoB, with the results returned by the gold standard 16S rRNA method. gyrB and rpoB analyses identified Nocardia abscessus, N. cyriacigeorgica, N. farcinica, and the N. nova complex, species that together account for more than half of the human nocardiosis cases recorded in Spain. The individual discriminatory power of gyrB and rpoB with respect to intraspecies typing, calculated using the Hunter-Gaston discriminatory index (HGDI), was generally high (HGDI, 0.85 to 1), except for rpoB with respect to N. farcinica (HGDI, 0.71). Phylogenetically, different degrees of intra-and interspecies microheterogeneity were observed for gyrB and rpoB in a group of 119 clinical strains. A single 16S haplotype was obtained for each species, except for the N. nova complex (8 types), while gyrB and rpoB were more polymorphic: N. abscessus had 14 and 18 haplotypes, N. cyriacigeorgica had 17 and 12, N. farcinica had 11 and 5, and the N. nova complex had 26 and 29 haplotypes, respectively. A diversity gradient was therefore seen, with N. farcinica at the bottom followed by N. abscessus and N. cyriacigeorgica in the middle and N. nova complex at the top. The complexity of the N. nova complex is highlighted by its six variations in the GyrB 126 AAAPEH motif. gyrB sequencing (with or without rpoB sequencing) offers a simple means for identifying the most prevalent Nocardia species in Spanish medical laboratories and for determining the intraspecific diversity among their strains.
Members of the genus Nocardia are ramified Gram-positive bacilli that normally live in dust, sand, soil, decaying vegetation, and stagnant water (1). To date, nearly 99 Nocardia species have been identified (see NCBI taxonomy for Nocardia, http://www.ncbi.nlm .nih.gov/Taxonomy/Browser/wwwtax.cgi?idϭ1817 and http://www .bacterio.cict.fr/n/nocardia.html), but this number undergoes constant modification. Some one-third of Nocardia species are known human pathogens, and new pathogenic species causing different clinical problems are constantly being discovered (2, 3). Infection occurs mainly via the respiratory tract, later disseminating to other locations, such as the central nervous system. Localized infection is caused by traumatic injury and gives rise to abscesses (4).Partial 16S rRNA gene sequencing is the gold standard for identifying Nocardia spp. (1). However, the conservation of 16S can be an obstacle to distinguishing between closely related species, such as those of the Nocardia nova complex (5, 6). To overcome this disadvantage and to establish phylogenetic relationships at the intra-and interspecies levels, other protein-encoding genes have been studied, such as the 65-kDa heat shock protein hsp65 (7), the essential secretory protein secA1 (8), gyrB, which is the -subunit of DNA gyrase and a type II DNA topoisomerase (9), and rpoB, which is th...