c Necrotic enteritis (NE) is an economically important disease of poultry caused by certain Clostridium perfringens type A strains. NE pathogenesis involves the NetB toxin, which is encoded on a large conjugative plasmid within a 42-kb pathogenicity locus. Recent multilocus sequence type (MLST) studies have identified two predominant NE-associated clonal groups, suggesting that host genes are also involved in NE pathogenesis. We used microarray comparative genomic hybridization (CGH) to assess the gene content of 54 poultry isolates from birds that were healthy or that suffered from NE. A total of 400 genes were variably present among the poultry isolates and nine nonpoultry strains, many of which had putative functions related to nutrient uptake and metabolism and cell wall and capsule biosynthesis. The variable genes were organized into 142 genomic regions, 49 of which contained genes significantly associated with netB-positive isolates. These regions included three previously identified NE-associated loci as well as several apparent fitness-related loci, such as a carbohydrate ABC transporter, a ferric-iron siderophore uptake system, and an adhesion locus. Additional loci were related to plasmid maintenance. Cluster analysis of the CGH data grouped all of the netB-positive poultry isolates into two major groups, separated according to two prevalent clonal groups based on MLST analysis. This study identifies chromosomal loci associated with netB-positive poultry strains, suggesting that the chromosomal background can confer a selective advantage to NE-causing strains, possibly through mechanisms involving iron acquisition, carbohydrate metabolism, and plasmid maintenance. C lostridium perfringens is an important Gram-positive anaerobic pathogen of humans and animals and is found ubiquitously in soil and in the gastrointestinal tract of vertebrates. It causes a number of histotoxic and enterotoxemic diseases, including necrotic enteritis (NE), an economically important disease of poultry. NE is characterized by necrotic lesions in the small intestine and can occur in an acute form, which is often responsible for high flock mortality, and a subclinical form, which results in production losses (1). A novel toxin, NetB, is present in the majority of disease-associated isolates and plays a critical role in NE pathogenesis (2, 3).As a species, C. perfringens produces an array of extracellular toxins, four of which (alpha, beta, epsilon, and iota) form the basis for a toxin-typing scheme (4). Several of these toxins, including beta2-toxin, C. perfringens enterotoxin (CPE) (in non-food-borne strains), and all of the typing toxins except for alpha-toxin, are encoded on a conserved family of large plasmids related to the pCW3 tetracycline resistance plasmid (5-7). These plasmids share a conserved core region that includes the transfer of the clostridial plasmid (tcp) locus required for conjugation (6,8,9). The gene encoding NetB was recently localized to a 42-kb pathogenicity locus, NELoc-1, which resides on an ϳ85-kb p...