- Open Access
Accurate, rapid and high-throughput detection of strain-specific polymorphisms in Bacillus anthracis and Yersinia pestis by next-generation sequencing
© Cummings et al; licensee BioMed Central Ltd. 2010
- Received: 15 December 2009
- Accepted: 1 September 2010
- Published: 1 September 2010
In the event of biocrimes or infectious disease outbreaks, high-resolution genetic characterization for identifying the agent and attributing it to a specific source can be crucial for an effective response. Until recently, in-depth genetic characterization required expensive and time-consuming Sanger sequencing of a few strains, followed by genotyping of a small number of marker loci in a panel of isolates at or by gel-based approaches such as pulsed field gel electrophoresis, which by necessity ignores most of the genome. Next-generation, massively parallel sequencing (MPS) technology (specifically the Applied Biosystems sequencing by oligonucleotide ligation and detection (SOLiD™) system) is a powerful investigative tool for rapid, cost-effective and parallel microbial whole-genome characterization.
To demonstrate the utility of MPS for whole-genome typing of monomorphic pathogens, four Bacillus anthracis and four Yersinia pestis strains were sequenced in parallel. Reads were aligned to complete reference genomes, and genomic variations were identified. Resequencing of the B. anthracis Ames ancestor strain detected no false-positive single-nucleotide polymorphisms (SNPs), and mapping of reads to the Sterne strain correctly identified 98% of the 133 SNPs that are not clustered or associated with repeats. Three geographically distinct B. anthracis strains from the A branch lineage were found to have between 352 and 471 SNPs each, relative to the Ames genome, and one strain harbored a genomic amplification. Sequencing of four Y. pestis strains from the Orientalis lineage identified between 20 and 54 SNPs per strain relative to the CO92 genome, with the single Bolivian isolate having approximately twice as many SNPs as the three more closely related North American strains. Coverage plotting also revealed a common deletion in two strains and an amplification in the Bolivian strain that appear to be due to insertion element-mediated recombination events. Most private SNPs (that is, a, variant found in only one strain in this set) selected for validation by Sanger sequencing were confirmed, although rare false-positive SNPs were associated with variable nucleotide tandem repeats.
The high-throughput, multiplexing capability, and accuracy of this system make it suitable for rapid whole-genome typing of microbial pathogens during a forensic or epidemiological investigation. By interrogating nearly every base of the genome, rare polymorphisms can be reliably discovered, thus facilitating high-resolution strain tracking and strengthening forensic attribution.
- Variable Number Tandem Repeat
- Yersinia Pestis
- Fragment Library
- Massively Parallel Sequencing
- Pestis Strain
Microbial forensics is a discipline with an epidemiological foundation focused on the characterization, analysis and interpretation of evidence derived from a disease outbreak to identify it as a criminal event (a biocrime, an inadvertent release or a hoax) and distinguish it from a natural disease outbreak (reviewed by Budowle et al., Cummings and Relman ). Microbial forensic investigations seek to obtain information regarding the identification or source of the evidentiary material with the ultimate goals of identifying those responsible for the crime (that is, attribution), excluding innocent or unlikely sources, and reconstructing the events of a case. In this sense, a search for commonalities and clustering to identify the source of infection is similar to the standard epidemiologic methods used to investigate outbreaks of infectious diseases. Microbial forensic findings can be supportive for criminal prosecution or for actions that might be taken as a result of national policy decisions.
As an example of the use of genetic evidence, we briefly describe the aspects of the anthrax letter attack of 2001 (for further details see Amerithrax Investigation documents ). Emergence of several anthrax cases and the discovery of letters carrying Bacillus anthracis spores in the offices of several media outlets and the US Senate created an immediate need to obtain forensic evidence that could assist in identifying the source of the B. anthracis and ultimately the perpetrator(s) of this act. Genetic evidence was pursued to eliminate potential candidate sources of the B. anthracis spores, but identifying informative individualizing genetic markers was and is a challenge. At the time of the bioterrorist event, Sanger shotgun sequencing was the best approach for identification of genetic markers for attribution purposes. Because Sanger shotgun sequencing is costly and labor-intensive, only the genomes of a few (at most) selected reference samples and the evidence sample were sequenced [4–6]. Comparative genomics methods were then used to search for polymorphisms that could distinguish the samples to some degree, with the intention of designing targeted assays (for example, PCR or TaqMan® assays) with which to screen the repository of collected candidate laboratory samples. Unfortunately, no such polymorphisms were initially discovered by this approach.
Culturing of the anthrax evidence eventually revealed that several variants with different colony morphologies were present as a mixture . When these phenotypic variants were purified and characterized by shotgun sequencing, each was found to harbor a unique genetic variation. Real-time PCR assays targeting four variants in the anthrax evidence (designated A1, A3, D and E) were designed and used to screen the sample repository. Samples found to contain the same array of variants were considered to be more closely related to the evidence.
The strategy undertaken in response to the 2001 anthrax attacks suffered from several technical shortcomings. Results could not be obtained expeditiously, making impractical a rapid response during exigent circumstances, during which the threat of continued attack persisted . Because of cloning and sequencing artifacts, and limited depth of coverage, many initial putative polymorphisms had to be verified by PCR and direct sequencing, which required additional time, cost and labor, and eliminated most of the initially identified 'polymorphisms'. Finally, by screening the approximately 1,000-sample B. anthracis investigation repository for a limited set of polymorphisms, which were identified by sequencing of a few selected isolates, most of the genome for most strains was simply not assayed, thus potentially missing information that might uniquely identify the source.
MPS technologies introduced in the past few years enable the generation of over 50 GB (and counting) of sequence data from a single instrument run, an example being the sequencing by oligonucleotide ligation and detection (SOLiD™) system from Applied Biosystems. This level of throughput makes feasible the sequencing of multiple bacterial genomes in a short period of time (approximately 1 week) and at a relatively low cost (< US$10,000 per sequencing run and much less on a per bacterial genome basis; reviewed in [8, 9]). Before the introduction of this technology, time and cost constraints limited whole-genome sequencing to a small number of strains or isolates to identify potentially informative genetic markers. Characterization of additional strains, because of limited throughput and prohibitive costs, required screening a small selection of the polymorphic loci discovered by the initial comparison of the few complete reference genomes. Although this was the only viable approach for screening genetic variation between strains and isolates, there were two major limitations. The selected genetic marker sites may not be informative for the investigative question(s) and most of the genomes of the samples were underinterrogated, thus any other individualizing markers that may reside in the genome would go undetected. It is now feasible to sequence the entire genome of any culturable strain of interest rapidly and accurately for a reasonable cost using the current technology. The greatest level of resolution for strains is achieved by interrogating every base of the genome rather than restricting the search to selected loci.
When a closely related reference genome is available, an accurate consensus sequence can be derived by mapping fragment or mate-paired reads to a reference . Referenced assembly has the advantage of leveraging the property of two-base encoding in SOLiD™ system data. Interrogating each base twice and requiring two adjacent colorspace differences significantly reduces error rates in detection of single-nucleotide polymorphisms (SNPs). In addition, the depth of coverage yields a greater accuracy for variant identification. We applied these methods to two bacterial species, B. anthracis and Y. pestis, to determine the possibility of sensitive and accurate detection of SNPs in closely related microbial genomes, analyzed in parallel.
Validation of library barcoding
To facilitate the analysis of several strains on a single flow cell, genomes were indexed by ligating a unique six-base barcode to each library. The barcodes were sequenced during the SOLiD™ system run, then for each fragment read, the corresponding strain was assigned by matching to the known barcode sequences. Single mismatches in the barcode sequence were tolerated. Fidelity of the barcoding process was estimated after read mapping by identifying 27 unique SNPs in one Y. pestis strain with at least 25× coverage and then counting the number of reads overlapping the SNP that perfectly matched the reference genome or the other three Y. pestis genomes sequenced in this run. At these 27 positions, 2,274 reads matched the consensus (that is, the non-reference allele), whereas only 6 reads matched the reference allele, suggesting that they could be derived from one of the other three Y. pestis genomes in the experiment. Normalized for library representation, the maximum estimated rate of 'bleed-through' between libraries was 0.076%.
B. anthracis resequencing
B. anthracis SOLiD™ system sequencing statistics
A2012 (Florida Ames)
Beads found, n
Uniquely placed beads (≤ 3 mismatches), n (%)
Bases not uniquely covered, n (%)
Chromosome median coveragea
pXO1 median coverage
pXO1 mean copy number, n
pXO2 median coverage
pXO2 mean copy number
SNPs in B. anthracis strains, relative to Ames ancestor
Total calls, n
Total calls, n
Total calls, n
The other three B. anthracis strains each had between 352 and 471 unambiguous SNPs on the chromosome and two plasmids, with no more than 13 ambiguities, 4 of which were the result of misalignment of reads from an imperfect repeat sequence. As expected, the number of SNPs distinguishing any two strains was proportional to previous variable number tandem repeat (VNTR) predictions of evolutionary distance [10, 13], with the most divergent strain (A0377) having the greatest number of variations. Ten private SNPs (that is, a, variant in only one strain in this set) were arbitrarily selected from each of the three non-Ames ancestor strains for validation by PCR amplification and Sanger sequencing. Because these SNPs were found in only one strain, they had a higher probability of being due to sequencing error than did SNPs common to more than one strain. All 30 of these SNPs were verified as true polymorphisms (data not shown).
SNP detection performance in B. anthracis A2012 versus Sterne
Excluding SNP clustersa
Y. pestis resequencing
Y. pestis SOLiD™ system sequencing statistics
La Paz (Bolivia)
Beads found, n
Uniquely placed beads (≤ 3 mismatches), n (%)
Bases not uniquely covered, n (%)
Chromosome median coverage a
pCD1 median coverage
pCD1 mean copy number, n
pPCP1 median coverage
pPCP1 mean copy number
pMT1 median coverage
pMT1 mean copy number
SNPs in Y. pesti s strains, relative to CO92
Total calls, n
Total calls, n
Total calls, n
Total calls, n
B. anthracis is a clonal pathogen that emerged from a B. cereus relative. The genetic differences related to this emergence include at least one important chromosomal mutation (plcR) and the acquisition of two virulence plasmids, pXO1 and pXO2, which transformed a soil-living opportunistic pathogen into one capable of catastrophic disease in mammals. The great success of this new pathogen in its new niche has eliminated recombination, as evidenced by whole-genome SNP analysis . Whole-genome SNP discovery was guided by an unbiased genotyping analysis of a large strain collection [10, 18] and then followed by extensive SNP genotyping [12, 19]. This has established one of the most accurate phylogenetic reconstructions of any bacterial species . SNP genotypes are now the gold standard in B. anthracis subtyping, and their power is only limited by the genotyping technology. The future is clearly the performance of whole-genome genotyping with a focus on the SNPs. A whole-genome approach eliminates discovery bias, assays for thousands of known SNPs, and discovers novel SNPs that will be strain-specific . In the case of a bioterrorism event, strain-specific identifiers provide a valuable tool for tracking a biocrime (inclusion) and eliminating (exclusion) natural disease events from the investigative process. As in human forensic investigations, the exclusionary power is tremendously important, and its value in an investigation should not be underestimated.
Y. pestis is a very young species that probably arose during the past 20,000 years . As a result, there has been very little time for genetic mutations that can be used as genetic markers to accumulate within this species as a whole. For example, a multilocus sequence typing (MLST) analysis of globally diverse strains found no variation at six loci . This is especially the case for some of the molecular groups within Y. pestis. The best example of this is the 1.ORI group, which experienced a global expansion when it was spread from coastal regions in China to Africa, Europe, North America, South America and Australia during the third plague pandemic . Despite its global distribution, the 1.ORI group is nearly monomorphic, because of the historical bottleneck that occurred in China. In addition, specific populations that are the result of this global expansion of the 1.ORI group, such as North American and South American populations, are even more monomorphic, as they may be the result of a single introduction event . Previous whole-genome comparisons using Sanger sequences indicated that phylogenetically informative SNPs can be identified in multiple strains from these very recent populations, such as North American Y. pestis[24, 25]. Our results demonstrate that MPS can also be used to identify these types of differences but much more rapidly and cheaply than by Sanger sequencing.
We have demonstrated the rapid and accurate simultaneous resequencing of eight bacterial genomes in a single flow cell run of a MPS instrument. The accuracy conferred by two-base encoding and emulsion PCR and the high depth of coverage obtained from the SOLiD™ system allowed most SNPs to be easily distinguished between closely related strains of B. anthracis and Y. pestis. The results of this study demonstrate the feasibility of using massively parallel sequencing technology to perform whole-genome strain typing to obtain accurate results while scanning the whole-genome of several strains simultaneously. Similar analyses, using Solexa or 454 sequencing, of Escherichia coli clones derived from a long-term evolution experiment , Francisella tularensis clinical isolates , or Salmonella Typhi clinical isolates  further highlight the ability of MPS to identify essentially all genetic differences between closely related strains.
Of the rare SNP calling errors encountered in this study, many are associated with repeat sequences. False-positive SNP calls are often localized to repeat regions or multicopy sequences in the genome. When sequences are identical, unique mapping of reads derived from them is not possible and false-positive SNPs are not called. However, when the sequences differ only by a small number of bases, reads derived from one copy may incorrectly map to a different copy, and this can result in false-positive SNP calls. This phenomenon accounts for the majority of the false-positive SNPs detected in this study. Although these false-positive SNPs are technically errors, they often do lead to the identification of indel polymorphisms (for example, VNTRs) that could be valuable loci for discriminating strains or isolates. Repeats can also impair detection of real SNPs (that is, false-negatives), as was observed in the mapping of A2012 (Ames ancestor) reads to the B. anthracis Sterne genome.
Fragment libraries are well suited to the detection of SNPs in very closely related genomes, such as the B. anthracis or Y. pestis strains analyzed here. They can be constructed from a small amount of genomic DNA and are amenable to barcoding for greater throughput. However, fragment libraries are not as well suited as mate-pair libraries for detection of genomic rearrangements or identification of polymorphisms in non-unique regions of the genome. By allowing otherwise unmappable reads to be unambiguously anchored to a unique region of the genome, mate-pairs facilitate indel detection and result in higher sensitivity for detection of clustered SNPs. Furthermore, long-distance linkage between paired reads allows de novo assembly, which may reveal sequences not present in the reference genome, and inference of large chromosomal rearrangements. The use of mate-pair libraries in this study could have eliminated errors caused by incorrect mapping of reads to multiple copies of a nearly identical sequence at different locations in the genome. Mate-pair libraries, however, are unlikely to eliminate errors in tandem repeat sequences unless the repeat units are large and the size of the 'insert' between the two reads is very tightly constrained. Preparation of mate-pair libraries is more complicated and requires more starting material, and barcoding of mate-pair libraries is not currently possible on the SOLiD™ system, so when speed and throughput are important and a very closely related reference genome is available, fragment libraries may be preferable. The choice of whether to use fragment or mate-pair libraries should be guided by the types of polymorphisms to be detected, and the expected degree of relatedness between the strains of interest and their respective reference sequences.
Well-defined reference samples are crucial for comparative genomics studies and assay development, but it is well known that genome sequences deposited in public databases contain errors. For example, in this study, Y. pestis reads were mapped against the published genomic sequence of strain CO92. Ten putative SNPs that were common to all four test strains had been previously identified by directed resequencing as errors in the CO92 sequence (DMW and PK, unpublished data, Additional File 3) and therefore could be filtered from the list of polymorphisms. Without this prior knowledge, a researcher would come to the wrong conclusion regarding the degree of variation and what constitutes an informative marker. Given the high throughput and accuracy of the SOLiD™ system, it may be beneficial, particularly for biosafety and biosecurity programs, to re-analyze selected reference genomes, so that high-quality, error-corrected reference standards can be publicly available.
The morphological variants found in the evidence from the 2001 anthrax attacks were present as minority components in the mixture, with much lower prevalence than the wild type, making them potentially difficult to detect. MPS could also be applied to this scenario to rapidly and effectively type these low-level variants and substantially reduce the false-negative rate due to stochastic sampling. Consider the situation where each of the variable loci can be amplified by PCR, yielding an amplicon of approximately 200 bp in length. The combined length for a four-variant positive sample would be 800 bp. Sequencing of these amplicons on the SOLiD™ system would yield a theoretical coverage depth of approximately 12.5 million, assuming throughput of 10 GB per fragment run. By multiplexing amplicons from 256 specimens, coverage would still be approximately 50,000 times, which is estimated to be sufficient for detection of variants present at fewer than 1 in 10,000 in a mixed sample. It may also be possible to identify minority variants, albeit with lower sensitivity, by directly sequencing mixed genomic DNA samples, as recently demonstrated for E. coli and Salmonella Typhi .
In this study, eight genomic DNA samples were analyzed on a single SOLiD™ system flow cell using barcoding to allow multiplexing of samples. Consumables for this experiment had a list price of less than US$8,000, so the reagent cost per genome was less than US$1,000. Using 208 million mapped reads with 35 bp read length, the average coverage obtained in this study was approximately 100-fold. Conservatively assuming that it is possible to get accurate SNP calls with 50-fold coverage (, data not shown), the number of strains that can be analyzed in parallel can be doubled to 16. Furthermore, with the current SOLiD™ 3.0 system specifications, it is possible to obtain 300 million mapped reads of 50 bases or approximately twice the coverage obtained here. Thus, it is technically possible to sequence at least 32 strains simultaneously on a single flow cell for approximately US$250 per genome in consumable costs. The efforts required by a skilled team to obtain DNA samples, construct libraries, analyze data and validate results constitute a significant expense that does not scale as readily as instrument reagents, so further multiplexing of samples will require the development of improved automation protocols and analytical tools.
These results demonstrate that in the event of another bioterrorism case or public health concern, whole-genome sequences of several isolates could be obtained with high accuracy within a matter of days, particularly for viable, culturable specimens. Because of the lower cost, that is, as much as 250 times less than was possible during the initial anthrax investigation, combined with the high coverage (10-100 times greater than shotgun sequencing) and lower error (> 99.9999% accuracy), large repositories could be completely sequenced. With dedicated efficient software for alignment and annotation, and recognition of refractory sequencing results at nominal parts of the genome, sequencing of whole genomes can now be used as a diagnostic and analytical tool for forensic and epidemiologic investigations, rather than just as a research tool.
The B. anthracis isolates used in this study consisted of four unique strains. The first, A0032, is an isolate from Changping, China, which falls in the A.Br.008/009 can SNP group . The second, A0324, is a strain originating from Slovakia, and is also of the A.Br.008/009 can SNP group, which was described by Okinaka et al. as having a unique plasmid SNP in common with only a few other strains from this particular region. The next isolate, A0377, originates from Haiti and is consistent with the A.Br.WNA lineage; it falls within the large (236 isolates) subclade node that is located third from the terminal node, based on the sequenced strain described by Kenefic et al.. The final strain, A2012, was isolated from the first fatality victim, Robert Stevens, during the 2001 letter attacks. This is the Ames strain that was used in these attacks and was identified as this strain via multilocus VNTR analysis 8 genotyping .
Four Yersinia pestis strains were examined in this study: 92A-4261, 90A-4021, 97A-7970 and La Paz. Strain 92A-4261 was isolated from a flea pool collected in Plumas County, California in August 1992. Strain 90A-4021 was isolated in Siskiyou County, California in July 1990 from a chipmunk. Strain 97A-7070 was isolated from a flea pool collected in San Bernardino County, California in July 1997. The La Paz strain was isolated from a human in 1969 in La Paz, Bolivia. All four of these strains are assigned to the 1.ORI group, which spread around the world during the third plague pandemic in the 1800 s and 1900 s .
Genomic DNA preparation
Genomic DNA was prepared as follows (all DNA isolation reagents were obtained from Sigma Chemical Co., St. Louis, MO, USA unless otherwise stated). Lawn cultures from single colonies of each isolate were prepared by streaking onto plates of Trypticase Soy AGar with 5% sheep blood (Hardy Diagnostics, Santa Maria, CA, USA) followed by 20 hours of incubation at 37°C for B. anthracis or 48 hours of incubation at 28°C for Y. pestis. Cells were harvested and suspended in 11 ml of TE buffer (10 mM Tris pH 8.0, 1 mM EDTA). The cell suspensions were frozen in liquid nitrogen for ~2 min and then thawed in a water bath at 65°C. This freeze-thaw step was repeated twice, giving for a total of three cycles. To each extraction lysate, 225 μl of 20% sodium dodecyl sulfate and 45 μl of proteinase K 20 mg/ml were added, and mixed gently for 5 min. This step was followed by a 2 hour incubation at 55°C. Next, 2.5 ml of 5 M NaCl were added and the mixture was mixed by rocking for 5 min. To the suspension, 1.4 ml of 10% (w/v) hexadecyltrimethylammonium bromide (CTAB) in 0.7 M NaCl were added, and mixed thoroughly by inversion followed by a 10 minute incubation at 65°C. After incubation, 12 ml chloroform-isoamyl alcohol (24:1) were added, and the solution gently mixed by inversion for 10 min followed by a centrifugation step for 10 minutes at 4°C at 3,220 g. The upper aqueous phase was then collected and again extracted with chloroform:isoamyl alcohol. After the final centrifugation step, the upper aqueous phase was collected and isopropanol (0.6 v/v) was added for DNA precipitation overnight at -20°C. The precipitated DNA was then pelleted at 4°C and 3,220 g for 30 minutes. The supernatant was removed, and 1 ml of 70% ethanol was added to wash the DNA pellet. The DNA was then re-pelleted at 4°C at 3,220 g for 10 minutes, the was supernatant removed, and the pellet briefly dried and resuspended in 500 μl of TE buffer.
Genomic DNA extracts were quantified using a commercial kit for double stranded DNA (PicoGreen®; Molecular Probes, Inc., Eugene, OR, USA) according to the manufacturer's recommendations. Sample fluorescence was then measured using a fluorometer (Gemini XPS; Molecular Devices, Inc., Sunnyvale, CA, USA).
SOLiD™ system sequencing
Barcoded fragment libraries were constructed for each of the B. anthracis and Y. pestis strains as follows. Genomic DNA (1.5 to 2 μg) was sheared, end-repaired (End-It; Epicentre Biotechnologies, Madison, WI, USA) and ligated to barcoded sequencing adapters. Construct fragments of 175 to 200 bp in size were selected and purified from a 6% PAGE gel. Resulting libraries were nick-translated and amplified using 11 to 17 cycles of PCR, before purification and quantification (2100 Bioanalyzer; Agilent Technologies, Santa Clara, CA, USA). Libraries were pooled in equimolar ratios, and templated beads were generated by emulsion PCR before deposition onto a single SOLiD™ system flow cell. Sequencing was carried out to 35 base pairs using SOLiD™ 3 chemistry (Applied Biosystems, Foster City, CA, USA).
Alignment of SOLiD™ system reads to B. anthracis Ames ancestor (Refseq accessions NC_007530.2, NC_007322.2 and NC_007323.3), B. anthracis Sterne (Refseq accession NC_005945.1) or Y. pestis CO92 (Refseq accessions NC_003143.1, NC_003131.1, NC_003132.1 and NC_003134.1), was performed using the SOLiD™ System Analysis Pipeline Tool http://solidsoftwaretools.com/gf/project/corona/, allowing a maximum of three colorspace mismatches per read (the core alignment program within this pipeline is mapreads). SNPs were called using either diBayes http://solidsoftwaretools.com/gf/project/dibayes/ or the SOLiD™ System Analysis Pipeline Tool. Heterozygous SNPs reported by the software were interpreted as ambiguous, as bacteria are haploid. SNP identification between the B. anthracis Ames ancestor and Sterne finished chromosome sequences was performed using the MUMmer suite . The genome alignment in the GBAA_1572 region of B. anthracis was manually edited to obtain the proper alignment of 27 bp repeat units (see Figure 2B). Further investigation of putative false-positive SNPs also led to the confirmation of four SNPs that were not called by MUMmer because of their localization within repeat sequences.
Up to 10 private SNPs were selected from each of the three previously unsequenced strains. Flanking PCR primers were designed 250 to 300 nucleotides to either side of each SNP and used for PCR amplification followed by bidirectional Sanger sequencing (BigDye® Terminator v1.1 Cycle Sequencing Kit) on a DNA analyzer (3730x1 Applied Biosystems, Foster City, CA, USA). SNPs were validated by the alignment of Sanger contigs to the Ames ancestor genomic sequence and SNP detection using MUMmer .
Quantitative real-time PCR
Four TaqMan® assays were designed for each putative copy number variation locus: two within the amplified region and one flanking each end of the amplified region. MGB probes were labeled with 6-FAM (see Additional File 4). Real-time amplification was performed using TaqMan® Universal PCR Master Mix and a real-time PCR system (Model 7500; Applied Biosystems). Reactions were run in triplicate on strains with and without the copy number variation, and fold-change values were calculated using the ΔΔCt method .
We thank Will Probert of the Microbial Diseases Laboratory of the California Department of Public Health for providing three Y. pestis strains. This work was supported in part by the Pacific Southwest RCE (AI065359) and the Department of Homeland Security Science and Technology Directorate (NBCH2070001 and HSHQDC-08-C00158).
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