e Non-O1/O139 Vibrio cholerae is naturally present in aquatic ecosystems and has been linked with cholera-like diarrhea and local outbreaks. The distribution of virulence-associated genes and genetic relationships among aquatic isolates from China are largely unknown. In this study, 295 aquatic isolates of V. cholerae non-O1/O139 serogroups from different regions in China were investigated. Only one isolate was positive for ctxB and harbored a rare genotype; 10 (3.4%) isolates carried several types of rstR sequences, eight of which carried rare types of toxin-coregulated pili (tcpA There was no correlation between the prevalence of putative virulence genes and that of CTX prophage or TCP genes, whereas there were correlations among the putative virulence genes. Further multilocus sequence typing (MLST) placed selected isolates (n ؍ 70) into 69 unique sequence types (STs), which were different from those of the toxigenic O1 and O139 counterparts, and each isolate occupied a different position in the MLST tree. The V. cholerae non-O1/O139 aquatic isolates predominant in China have high genotypic diversity; these strains constitute a reservoir of potential virulence genes, which may contribute to evolution of pathogenic isolates.
Vibrio cholerae is the causative agent of cholera, a life-threatening diarrheal disease. Of the more than 200 known V. cholerae serogroups, only O1 and O139 are associated with epidemic and pandemic cholera (1). V. cholerae strains in other serogroups (non-O1/O139 V. cholerae) are often nonpathogenic or associated with only mild illness (2). However, depending in part on the virulence factors which they carry, they have been linked with more-severe, cholera-like illness and have been associated with sporadic cases and outbreaks of gastroenteritis and extraintestinal infections in both developing and developed countries (2-7).Two genetic elements associated with virulence in pathogenic O1 and O139 V. cholerae are a lysogenic filamentous bacteriophage (CTX prophage), which encodes cholera toxin (CT) (8), and the toxin coregulated pilus (TCP) pathogenicity island, which encodes factors involved in intestinal colonization. The CTX prophage uses TCP as a receptor, allowing V. cholerae infection and prophage integration into the bacterial chromosome (8), resulting in the emergence of new toxigenic strains. Non-O1/O139 strains that carry the genes for the CTX prophage and TCP and express CT have been linked with occurrences of severe disease. Other factors that have been associated with virulence include heat-stable toxin (NAG-ST) and hemolysin (Hly) (9). Recently, several novel virulence mechanisms, including a type III secretion system (TTSS) and a type 6 secretion system (T6SS), have been identified in non-O1/O139 isolates (10, 11).Non-O1/O139 V. cholerae strains are naturally present in aquatic ecosystems, such as rivers, estuaries, and coastal waters (4, 12). We hypothesize that carriage of these and other virulence factors by non-O1/O139 strains creates an environmental reservoir of criti...