RESEARCH ARTICLE A Global Survey of Hypervirulent Aeromonas hydrophila (vAh) Identified vAh Strains in the Lower Mekong River Basin and Diverse Opportunistic Pathogens from Farmed Fish and Other Environmental Sources Tingbi Xu,a Cody R. Rasmussen-Ivey,b Francesco S. Moen,a Ana Fernández-Bravo,c Brigitte Lamy,d,e Roxana Beaz-Hidalgo,c Chan Dara Khan,f Graciela Castro Escarpulli,g Ina Salwany M. Yasin,h Maria J. Figueras,c Mohamad Azzam-Sayuti,i Muhammad Manjurul Karim,j K. M. Mazharul Alam,j Thao Thu Thi Le,k Ngo Huynh Phuong Thao,k Samuel Addo,l Samuel Duodu,m Shahzad Ali,n Tooba Latif,n Sothea Mey,f Thay Somony,f Mark R. Lilesa aDepartment of Biological Sciences, Auburn University, Alabama, USA bDepartment of Biology, Tufts University, Medford, Massachusetts, USA cUnit of Microbiology, Department of Basic Health Sciences, Faculty of Medicine and Health Sciences, IISPV, University Rovira i Virgili, Reus, Spain dINSERM U1065, Laboratoire de Bactériologie, CHU Nice, Faculté de Médecine, Université Côte d’Azur, Nice, France eCentre for Molecular Bacteriology and Infection, Imperial College of London, London, United Kingdom fAquatic Animal Health and Disease Management Office, Department of Aquaculture Development, Fisheries Administration, Ministry of Agriculture Forestry and Fisheries, Phnom Penh, Cambodia gLaboratorio de Investigación Clínica y Ambiental, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Ciudad de México, Mexico hDepartment of Aquaculture, Universiti Putra Malaysia, Serdang, Selangor, Malaysia iInstitute of Bioscience, Universiti Putra Malaysia, Serdang, Selangor, Malaysia jDepartment of Microbiology, University of Dhaka, Dhaka, Bangladesh kDivision of Aquacultural Biotechnology, Biotechnology Center of Ho Chi Minh City, Ho Chi Minh City, Vietnam lDepartment of Marine and Fisheries Sciences, University of Ghana, Legon, Ghana mDepartment of Biochemistry, Cell, and Molecular Biology, University of Ghana, Legon, Ghana nWildlife Epidemiology and Molecular Microbiology Laboratory, Department of Wildlife and Ecology, University of Veterinary and Animal Sciences, Lahore, Pattoki, Pakistan ABSTRACT Hypervirulent Aeromonas hydrophila (vAh) has emerged as the etiologic agent of epidemic outbreaks of motile Aeromonas septicemia (MAS) in high-density aquaculture of farmed carp in China and catfish in the United States, which has caused millions of tons of lost fish. We conducted a global survey to better understand the evolution, geographical distribution, and phylogeny of vAh. Aeromonas isolates were isolated from fish that showed clinical symptoms of MAS, and pure cultures were screened for the ability to utilize myo- inositol as the sole carbon source. A total of 113 myo-inositol-utilizing bacterial strains were included in this study, including additional strains obtained from previously published culture collections. Based on a gyrB phylogeny, this collection included 66 A. hydrophila isolates, 48 of which were vAh. This collection also included five new vAh isolates from diseased Pangas catfish (Pangasius pangasius) and striped catfish (Pangasianodon hypophthal- Editor Luke R. Iwanowicz, USGS, Eastern mus) obtained in Cambodia and Vietnam, respectively. Genome sequences were generated Ecological Science Center from representative vAh and non-vAh isolates to evaluate the potential for lateral genetic Copyright © 2023 Xu et al. This is an open- transfer of the myo-inositol catabolism pathway. Phylogenetic analyses of each of the nine access article distributed under the terms of the Creative Commons Attribution 4.0 genes required for myo-inositol utilization revealed the close affiliation of vAh strains International license. regardless of geographic origin and suggested lateral genetic transfer of this catabolic Address correspondence to Mark R. Liles, pathway from an Enterobacter species. Prediction of virulence factors was conducted to lilesma@auburn.edu. determine differences between vAh and non-vAh strains in terms of virulence and secretion The authors declare no conflict of interest. Received 12 September 2022 systems. Core genome phylogenetic analyses on vAh isolates and Aeromonas spp. disease Accepted 5 February 2023 isolates (55 in total) were conducted to evaluate the evolutionary relationships among vAh Published 23 February 2023 and other Aeromonas sp. isolates, which supported the clonal nature of vAh isolates. March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 1 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum IMPORTANCE This global survey of vAh brought together scientists that study fish disease to evaluate the evolution, geographical distribution, phylogeny, and hosts of vAh and other Aeromonas sp. isolates. In addition to vAh isolates from China and the United States, four new vAh isolates were isolated from the lower Mekong River basin in Cambodia and Vietnam, indicating the significant threat of vAh to modern aquaculture and the need for improved biosecurity to prevent vAh spread. KEYWORDS Aeromonas hydrophila, pathogen, freshwater fish, pandemic, comparative genomics, worldwide A eromonas species are ubiquitous in aquatic habitats and can be found in both freshand brackish water (1). Aeromonas hydrophila is one of the most well-known patho- genic species within the genus Aeromonas and is known for its high tolerance to extremes of temperature, pH, and salinity that enable it to flourish in a variety of environments and to be an opportunistic pathogen in a diverse range of hosts, including fish, amphibians, birds, reptiles, and mammals (2–6). Typically, A. hydrophila causes motile Aeromonas septicemia (MAS) in fish that are infected with other primary pathogens, such as Flavobacterium col- umnare, or are under stress due to harsh environmental conditions and/or high-density farming (7, 8). MAS is associated with high mortality within a short time, and infected fish generally show a variety of symptoms, such as hemorrhaging and lesions on the fish sur- face (9). A. hydrophila disease isolates are known to have significant antigenic diversity, with more than 40 O-antigen serotypes observed (10, 11). The epidemic outbreaks among farmed fish due to hypervirulent A. hydrophila (vAh) have been notable for their rapid emergence and high mortality (12, 13). The first isolated strain of this deadly A. hydrophila pathotype, J-1, was obtained in Jiangsu province, China, from an epidemic outbreak of MAS that resulted in high mortality in cultured carp and bream in 1989 (14). Outbreaks of MAS caused by vAh were reported again in Jiangsu and in Guangdong and Fujian provinces in 2010 (15), resulting in about 2,200 tons of fish losses per year in China (16, 17). The isolated vAh strains J-1, NJ-35, and ZC1 were all categorized as sequence type 251 (ST251), and were found to be clonal based on genome sequence analyses (12). The first report of a vAh isolate in the United States was strain S04-690, which was isolated from channel catfish (Ictalurus punctatus) in Mississippi in 2004 (4). The first major MAS out- break in the United States was in catfish production ponds in western Alabama in 2009, from which vAh strain ML09-119 was isolated. The MAS outbreaks due to vAh in Alabama have continued, causing the loss of more than 5,000 tons of farmed channel catfish each year, and the current accumulative loss of farmed channel catfish due to vAh in the state of Alabama is estimated to be over 40 million pounds (Anita Kelly, unpublished data) (18). Due to the lack of effective control, vAh is a consistent threat to U.S. and Chinese aquaculture, and many more countries could be affected. To date, there have not been any vAh global surveillance efforts. Previous studies of vAh isolated from carp in China or from catfish in the United States indicate that these strains share a recent common ancestor and have common features, such as the ability to utilizemyo-inositol as the sole carbon source (19). Based on phyloge- netic analysis of vAh-specific gene sequences, vAh isolates from carp are at the root of the vAh tree, suggesting that the emergence of vAh in the United States was due to importa- tion of live carp species or fish products from Asia (4). Beginning in the 1960s, silver carp (Hypophthalmichthys molitrix) and bighead carp (Hypophthalmichthys nobilis) were introduced into U.S. catfish ponds to control algal blooms. Massive flooding of the Mississippi River in 1993 resulted in the release of Asian carp into the Mississippi River basin, where these inva- sive carp species have continued to spread and are a major threat to the Great Lakes ecosys- tem (20). The importation of bighead carp into the United States is now prohibited based on the Asian Carp Prevention and Control Act signed into law in 2010. The global value of trade in exporting live carp was estimated at $164 million in 2020, with China being the world leader in live carp export at $103 million per year (21). The lack of sufficient biosecurity measures to prevent the spread of vAh-infected fish prompted the need for a global survey March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 2 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum to assess vAh dissemination among various farmed fish species in different regions of the world. Despite the evidence that vAh strains are clonal and have recently spread from Asia to the United States, there are some genetic differences among vAh strains. In particular, while vAh isolates from carp species in China typically have a complete type VI secretion system (T6SS) (12, 22), most vAh isolates from channel catfish in the United States, and especially from western Alabama, lack a complete T6SS and only carry hcp1, tssH, and vgrG1 (23). The carp vAh isolate NJ-35, which has a complete T6SS, has been found to express a phospholipase that contributes to biofilm formation and virulence in zebrafish (Danio rerio) (24). While lacking many T6SS-associated genes, the presence of hcp1 and vgrG1 have been found to contribute to vAh ML09-119 virulence (23), but the degree to which the T6SS plays a role in fish host specificity and virulence has yet to be defined. The evolution of vAh strains as they infect and replicate in different fish species is of significant interest. Our lack of knowledge regarding fish host range and geographic distribution also prompted us to con- duct a vAh global survey. As a group of fish disease experts from around the world, we pri- marily sampled freshwater fish with disease symptoms characteristic of MAS and obtained pure bacterial cultures that were evaluated for growth on myo-inositol, a phenotype that has been consistent in vAh strains isolated from China and the United States. A phylogenetic analysis ofmyo-inositol-utilizing strains using gyrB sequences was conducted to further char- acterize disease isolates. Finally, for representative vAh and non-vAh strains, we conducted comparative genome analyses to provide further information on the phylogeny and pre- dicted virulence factors of vAh strains. This study is a first step toward a better understand- ing of vAh worldwide distribution, uniting fish disease researchers in a network that can help track the distribution of vAh and developing methods to protect farmed fish against this emerging pathogen. RESULTS AND DISCUSSION Identification ofmyo-inositol-utilizing Aeromonas sp. strains. This global vAh survey relied upon an extensive network of microbiologists willing to participate in screening fish disease isolates and cryopreserved collections for the presence of myo-inositol utilizing A. hydrophila strains. There have been no previous reports of A. hydrophila strains with the ability to use myo-inositol as the sole carbon source other than vAh strains (i.e., ST251). Therefore, by screening bacterial isolates for growth on myo-inositol in a minimal medium, our goal was to rapidly and cost-effectively identify putative vAh strains from diverse locales. From this extensive survey, 43 myo-inositol-utilizing Aeromonas sp. strains were isolated from Pabda (Ompok pabda) from Bangladesh, Pangas catfish from Cambodia, lake water from Finland, Koi (Cyprinus rubrofuscus) from France, basa fish (Pangasius bocourti) from Malaysia, rainbow trout (Oncorhynchus mykiss) from Mexico, crab (Brachyura spp.) from Norway, trout (Oncorhynchus spp.) and human feces from Spain, and striped catfish from Vietnam (Table 1). Typical vAh strains cultured on tryptic soy agar (TSA) produce smooth, rounded, opaque col- onies that have a light yellow color with a 2- to 3-mm diameter range after 24 h of incuba- tion (25). The strains that showed a colony morphology consistent with vAh and evident growth on myo-inositol (i.e., increase in the optical density at 600 nm [OD600] of .0.4 over 48 h) were further validated by molecular phylogenetic analyses (26, 27). The 43 myo-inositol-utilizing Aeromonas strains collected worldwide were subjected to vAh-specific and/or gyrB-targeted PCR using the primer sets listed in Table 2. A phylogenetic analysis was conducted using gyrB sequences from these isolates in addition to Aeromonas sp. type strains and previously described vAh strains from China and the United States (Fig. 1). The phylogeny of these strains revealed a great diversity of Aeromonas spp. that were obtained in this survey, including A. bestiarum, A. bivalvium, A. caviae, A. dhakensis, A. finlandensis, A. media, A. salmonicida, A. sobria, and A. veronii. Interestingly, some of these Aeromonas spp. had not been previously shown to have the ability to use myo- inositol as a carbon source, including A. bestiarum, A. bivalvium, A. caviae, A. dhakensis, A. media, and A. veronii (26, 28–30). While these Aeromonas species were not the target of this survey, this adds to our knowledge of the use of myo-inositol among diverse March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 3 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum TABLE 1 Bacterial isolates used in this study Country of GenBank species Species based on Reference Strain ID isolation Pathotype Isolation source assignation phylogeny and ANI Accession ID or source AL09-71 USA vAh Channel catfish A. hydrophila A. hydrophila NZ_CP007566.1 58 AL09-79 USA vAh Channel catfish A. hydrophila A. hydrophila NZ_LRRV00000000.1 47 ALG15-098 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05223361 12 IPRS15-28 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05223362 12 J-1 China (P.R.C.) vAh Crucian carp A. hydrophila A. hydrophila NZ_CP006883.1 16 JBN2301 China (P.R.C.) vAh Crucian carp A. hydrophila A. hydrophila NZ_CP013178.1 59 ML09-119 USA vAh Channel catfish A. hydrophila A. hydrophila NC_021290.1 60 ML09-121 USA vAh Channel catfish A. hydrophila A. hydrophila NZ_LRRX00000000.1 47 ML09-122 USA vAh Channel catfish A. hydrophila A. hydrophila NZ_LRRY00000000.1 47 ML10-51K USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05223363 12 NJ-35 China (P.R.C.) vAh Crucian carp A. hydrophila A. hydrophila NZ_CP006870.1 16 GYK1 China (P.R.C.) vAh Mandarin fish A. hydrophila A. hydrophila NZ_CP016392.1 61 D4 China (P.R.C.) vAh Blunt-snout bream A. hydrophila A. hydrophila NZ_CP013965.1 62 PB10-118 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN01085622 47 pc104A USA vAh Channel catfish A. hydrophila A. hydrophila NZ_CP007576.1 58 S04-690 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN02404466 4 S13-612 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05292362 12 S13-700 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05292363 12 S14-296 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05292365 12 S14-452 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05256776 12 S14-458 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05223364 12 S14-606 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05292366 12 S15-130 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05223365 12 S15-400 USA vAh Channel catfish A. hydrophila A. hydrophila SAMN05223367 12 ZC1 China (P.R.C.) vAh Grass carp A. hydrophila A. hydrophila SAMN02404465 4 AL10-121 USA vAh Channel catfish A. hydrophila A. hydrophila NZ_LRRW00000000.1 63 AL09-80 USA vAh Channel catfish A. hydrophila A. hydrophila JX275838 27 G3 China (P.R.C.) vAh Mandarin fish A. hydrophila A. hydrophila KX822741.1 64 AH11P USA vAh Catfish A. hydrophila A. hydrophila KC133524.1 65 IB102 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085433.1 66 JG102 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085448.1 66 JG103 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085449.1 66 JG101 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JN177329.1 66 DLNG201 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085458.1 66 XX-52 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JX025794.1 67 XX-22 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JX025792.1 67 4LNG202 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085443.1 66 4LNS301 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JN177325.1 66 4LNG102 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085441.1 66 PW06 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JN177338.1 66 DBHS101 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085454.1 66 2JBN302 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085474.1 66 2JBN103 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085472.1 66 DLNG102 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085457.1 66 2JBN102 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085471.1 66 2JFN201 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085476.1 66 DLNG202 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085459.1 66 LNB103 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085451.1 66 PW14 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085452.1 66 DBHS102 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JQ085455.1 66 XX-58 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JX025795.1 67 AL09-77 USA vAh Channel catfish A. hydrophila A. hydrophila JX275844.1 27 XX-14 China (P.R.C.) vAh Carp A. hydrophila A. hydrophila JX025791.1 67 AL09-138 USA vAh Channel catfish A. hydrophila A. hydrophila JX275841.1 27 AL10-13 USA vAh Channel catfish A. hydrophila A. hydrophila JX275833.1 27 ML09-139 USA vAh Channel catfish A. hydrophila A. hydrophila JX275834.1 27 AL09-74 USA vAh Channel catfish A. hydrophila A. hydrophila KF913679.1 4 CPF2-S1 Cambodia vAh Pangas catfish A. hydrophila A. hydrophila JANLOJ000000000 This study DT-TKT-2020-677 Vietnam vAh Striped catfish A. hydrophila A. hydrophila OP198653 This study DT-TKT-2020-680 Vietnam vAh Striped catfish A. hydrophila A. hydrophila OP198652 This study DT-TKT-2020-681 Vietnam vAh Striped catfish A. hydrophila A. hydrophila OP198651 This study DT-TTD-2020-734 Vietnam vAh Striped catfish A. hydrophila A. hydrophila NZ_JALRNI010000001.1 This study VL-2013-869 Vietnam non-vAh Striped catfish A. hydrophila A. hydrophila NZ_JALRNJ000000000.1 This study BT-2012-871 Vietnam non-vAh Striped catfish A. hydrophila A. hydrophila NZ_JALRNL000000000.1 This study VL-2012-870 Vietnam non-vAh Striped catfish A. hydrophila A. hydrophila NZ_JALRNK000000000.1 This study Ae34 Japan non-vAh Koi carp A. hydrophila A. hydrophila NZ_BAXY00000000.1 68 AD9 USA non-vAh Alga A. hydrophila A. hydrophila NZ_JFJO00000000.1 69 ATCC 7966 USA non-vAh Milk A. hydrophila A. hydrophila CP000462 70 ESV-357 Mexico non-vAh Rainbow trout A. hydrophila A. hydrophila KJ743520.1 71 ESV-371 Mexico non-vAh Rainbow trout A. hydrophila A. hydrophila KJ743529.1 71 ESV-381 Mexico non-vAh Rainbow trout A. hydrophila A. hydrophila KJ743537.1 71 ESV-394 Mexico non-vAh Rainbow trout A. hydrophila A. hydrophila KJ743549.1 71 ESV-399 Mexico non-vAh Rainbow trout A. hydrophila A. hydrophila KJ743514.1 71 0.14 Spain non-vAh Oscar A. hydrophila A. sobria JANLFC000000000 This study 14 Malaysia non-vAh Clinical A. hydrophila A. dhakensis NZ_AOBM00000000.1 72 D69555 Spain non-vAh Human feces A. hydrophila A. hydrophila OP198650 This study 2006 4153 Spain non-vAh Human hemoculture A. hydrophila A. hydrophila OP198649 This study (Continued on next page) March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 4 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum TABLE 1 (Continued) Country of GenBank species Species based on Reference Strain ID isolation Pathotype Isolation source assignation phylogeny and ANI Accession ID or source AE210 Finland non-vAh FW lake water A. hydrophila A. hydrophila JN711784.1 73 AH10 China (P.R.C.) non-vAh Grass carp A. hydrophila A. hydrophila NZ_CP011100.1 74 TN97-08 USA non-vAh Bluegill A. hydrophila A. hydrophila NZ_LNUR00000000.1 47 AHNIH1 USA non-vAh Human tissue A. hydrophila A. hydrophila NZ_CP016380.1 75 MN98-04 USA non-vAh Tilapia A. hydrophila A. hydrophila SAMN04967900 47 AL97-91 USA non-vAh Channel catfish A. hydrophila A. hydrophila SAMN04967787 47 AL06-06 USA non-vAh Goldfish A. hydrophila A. hydrophila NZ_CP010947.1 23 AL10-121 USA non-vAh Channel catfish A. hydrophila A. hydrophila NZ_LRRW00000000.1 47 116 Malaysia non-vAh Clinical A. hydrophila A. dhakensis NZ_ANPN00000000.1 72 173 Malaysia non-vAh Clinical A. hydrophila A. dhakensis NZ_AOBN00000000.1 72 187 Malaysia non-vAh Clinical A. hydrophila A. dhakensis NZ_AOBO00000000.1 72 226 Malaysia non-vAh Clinical A. hydrophila A. hydrophila NZ_JEML00000000.1 72 259 Malaysia non-vAh Clinical A. hydrophila A. dhakensis NZ_AOBP00000000.1 72 277 Malaysia non-vAh Clinical A. hydrophila A. dhakensis NZ_AOBQ00000000.1 72 RB-AH Canada non-vAh Soil A. hydrophila A. hydrophila NZ_JPEH00000000.1 76 CIP 107985 Thailand non-vAh Frog A. hydrophila subsp. ranae A. hydrophila NZ_CDDC00000000.1 77 YL17 Malaysia non-vAh Compost A. hydrophila A. dhakensis NZ_CP007518.2 78 SSU USA non-vAh Human A. hydrophila A. dhakensis NZ_AGWR00000000.1 79 665N Spain non-vAh Seafood A. bivalvium A. bivalvium DQ504430 80 ESV-353 Mexico non-vAh Rainbow trout A. bestiarum A. bestiarum KJ743516.1 71 ESV-364 Mexico non-vAh Rainbow trout A. bestiarum A. bestiarum KJ743524.1 71 ESV-367 Mexico non-vAh Rainbow trout A. bestiarum A. bestiarum KJ743526.1 71 0.2 Spain non-vAh Oscar A. caviae A. caviae OP198648 This study 1P11S3 Malaysia non-vAh Basa fish A. dhakensis A. dhakensis NZ_JADPIC000000000 81 KOR1 China (P.R.C.) non-vAh Mangrove A. dhakensis A. dhakensis NZ_LJOE00000000.1 82 P1S3 Bangladesh non-vAh Pabda A. dhakensis A. dhakensis OP198647 This study P2L2 Bangladesh non-vAh Pabda A. dhakensis A. dhakensis OP198646 This study P3I3 Bangladesh non-vAh Pabda A. dhakensis A. dhakensis OP222574 This study P3L1 Bangladesh non-vAh Pabda A. dhakensis A. dhakensis OP222573 This study P3L2 Bangladesh non-vAh Pabda A. dhakensis A. dhakensis OP222572 This study P3L3 Bangladesh non-vAh Pabda A. dhakensis A. dhakensis OP222571 This study P3S1 Bangladesh non-vAh Pabda A. dhakensis A. dhakensis OP222570 This study P3S3 Bangladesh non-vAh Pabda A. dhakensis A. dhakensis OP222569 This study HE40 Finland non-vAh FW lake water A. finlandensis A. finlandensis HG970924.1 83 4287D Finland non-vAh FW lake water A. finlandensis A. finlandensis NZ_JRGK00000000.1 29 4AK4 China non-vAh Carp A. hydrophila A. media NZ_CP006579.1 84 ESV-360 Mexico non-vAh Rainbow trout A. media A. media KJ743508.1 71 ESV-383 Mexico non-vAh Rainbow trout A. media A. media KJ743513.1 71 R100 Spain non-vAh Trout A. media A. hydrophila KP400944.1 85 AH31 Norway non-vAh Crab A. media A. media KP400946.1 86 BWH65 USA non-vAh Perch A. caviae A. media NZ_LESK00000000.1 12 0890 France non-vAh Koi carp A. media A. media OP222568 This study 18900 USA non-vAh Canadian perch A. salmonicida A. salmonicida JANLFD000000000 This study ESV-355 Mexico non-vAh Rainbow trout A. sobria A. sobria KJ743518.1 71 ESV-396 Mexico non-vAh Rainbow trout A. salmonicida A. salmonicida KJ743550.1 71 ESV-400 Mexico non-vAh Rainbow trout A. veronii A. veronii KJ743553.1 71 0.15 Spain non-vAh Oscar A. veronii A. veronii OP222567 This study D47366 Spain non-vAh Human feces A. veronii A. veronii OP222566 This study ESV-393 Mexico non-vAh Rainbow trout A. veronii A. sobria KJ743548.1 71 ESV-397 Mexico non-vAh Rainbow trout A. veronii A. veronii KJ743551.1 71 EN3600 China (P.R.C.) non-vAh Human tissue E. cloacae E. cloacae NZ_CP035633.1 87 GGT036 Korea non-vAh Soil E. cloacae E. cloacae NZ_CP009756.1 88 M12X01451 USA non-vAh Human tissue E. cloacae E. cloacae NZ_CP017475.1 89 B1 Ghana non-vAh Tilapia Plesiomonas shigelloides P. shigelloides OP222552 This study D1 Ghana non-vAh Tilapia Enterobacter spp. Enterobacter spp. OP222553 This study E1 Ghana non-vAh Tilapia P. shigelloides P. shigelloides OP222554 This study G1 Ghana non-vAh Tilapia P. shigelloides P. shigelloides OP222555 This study B2 Ghana non-vAh Tilapia A. veronii A. veronii OP222556 This study F2 Ghana non-vAh Tilapia P. shigelloides P. shigelloides OP222557 This study 8 Pakistan non-vAh Rohu P. aeruginosa P. aeruginosa OP222558 This study 21 Pakistan non-vAh Rohu P. aeruginosa P. aeruginosa OP222559 This study 37 Pakistan non-vAh Gulfam P. aeruginosa P. aeruginosa OP222560 This study 38 Pakistan non-vAh Rohu P. aeruginosa P. aeruginosa OP222561 This study 53A Pakistan non-vAh Rainbow trout Serratia liquefaciens S. liquefaciens OP222562 This study 62 Pakistan non-vAh Silver carp P. aeruginosa P. aeruginosa OP222563 This study 63 Pakistan non-vAh Rohu Eneterobacter cancerogenus E. cancerogenus OP222564 This study PB USA non-vAh Rainbow trout A. sobria A. sobria OP222565 This study Aeromonas species. Additionally, it suggests that this ability may contribute to the per- sistence of these bacteria in aquatic habitats and the virulence of these opportunistic pathogens in diverse warm-water fish species. Based on the gyrB phylogeny, A. hydrophila strains isolated from Spain, Mexico, Finland, Cambodia, and Vietnam grouped together and formed well-supported clades. Furthermore, the gyrB phylogeny indicated that all previously described vAh strains (i.e., ST251) grouped to- gether within a monophyletic clade with bootstrap support, clearly distinct from other myo- March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 5 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum TABLE 2 Primer sets for PCR to amplify gyrB or vAh-specific genetic locia Primer set Direction Sequence Amplicon size (bp) 2986F Forward 59-CTATTACTGCCCCCTCGTTC-39 167 2986R Reverse 59-ATTGAGCGGTATGCTGTCG-39 vAh-SerF Forward 59-AG9CATCACCAGCGTTGGCCC-39 502 vAh-SerR Reverse 59-GCCGGGCTGAACTTCCGCAT-39 gyrB3F Forward 59-TCCGGCGGTCTGCACGGCGT-39 680 gyrB9R Reverse 59-ACCTTGACGGAGATAACGGC-39 gyrB7F Forward 59-GGGGTCTACTGCTTCACCAA-39 680 gyrB14R Reverse 59-TTGTCCGGGTTGTACTCGTC-39 aPrimer sets 2986F/R and vAh-SerF/R were used for vAh identification, and primer sets gyrB3F/9R and 7F/14R were used for gyrB amplification. inositol utilizing Aeromonas sp. strains (Fig. 1). Interestingly, the vAh clade included strains from Cambodia (CPF2-S1) and Vietnam (DT-TKT-2020-677, DT-TKT-2020-680, DT-TKT- 2020-681, and DT-TTD-2020-734). The Cambodian vAh strain CPF2-S1 was one of five myo-inositol utilizing bacterial isolates that were positive for vAh-specific PCR and isolated from Pangas catfish in the Mekong River basin. The four vAh isolates from Vietnam were all obtained from diseased striped catfish in the Mekong River delta, and three of them (DT-TKT-2020-677, DT-TKT-2020-680, DT-TKT-2020-681) are closely related to a recently reported vAh strain, DT-TTD-2020-734, obtained from striped catfish in the Mekong River delta (31). These newly described vAh strains indicate that additional fish species are susceptible to vAh and that the Mekong River basin is an active region of vAh disease transmission. Inositol catabolism phylogeny. The evolutionary history of the inositol catabolism pathway among myo-inositol-utilizing Aeromonas spp. was inferred based on the amino acid sequences of IolA, IolC, IolD, IolE, IolG, InoE, InoF, and InoL, which were obtained from representative vAh and other Aeromonas sp. genomes (Fig. S1A to H). The variability in inositol gene content among these strains precluded a concatenated phylogenetic analysis. Among vAh strains, there were no differences observed in the evolutionary history of gene products required for myo-inositol transport (InoE, InoF, and InoL) or catabolism (IolA, IolC, IolD, IolE, and IolG), with all vAh strains present in the same monophyletic clade and having strong bootstrap support (Fig. S1A to H). This is consistent with the observation that vAh strains are clonal, including the newly isolated vAh strains from Cambodia (CPF2-S1) and Vietnam (e.g. DT-TTD-2020-734). Another consistent observation was that the inositol-related gene products from vAh strains share a close relationship with orthologous sequences from Enterobacter cloa- cae, which has been hypothesized to be the origin of the inositol catabolism pathway present in vAh strains (27). In contrast, the sequences obtained from other Aeromonas species were distantly related to those from vAh strains and E. cloacae, including A. dhakensis 1P11S3, A. dhakensis P3I3, A. dhakensis P3L3, A. media R100, A. sobria ESV-355, and A. sobria ESV-393. The evolutionary history of inositol utilization among Aeromonas sp. therefore appears to be complex, with horizontal gene transfer of inositol transport and catabolism postulated to play an important role. This survey revealed a large diversity of other Aeromonas species that can utilize myo-inositol. Future research should explore the role ofmyo-inositol utilization in the persistence and virulence of opportunistic Aeromonas sp. pathogens. The role of myo-inositol utilization in vAh persistence and virulence should also be further explored. Channel catfish have been shown to synthesize myo-inositol in brain, kidney, and liver tissues, and soy-based fish feed containing a high concentration of phytic acid (inositol hexaphosphate) (32, 33). The inositol derived from fish tissues and dietary sources may provide both a carbon source and an environmental signal that induces expression of vAh virulence factors. The transcriptional regulator IolR is responsible for the regulation of iol genes as well as other virulence factors in bacterial pathogens, such as Salmonella enterica (34, 35). IolR has also been found to regulate autoaggregation and biofilm formation in the vAh strain NJ-35 (36). Furthermore, the presence of myo-ino- sitol that accumulates in sediment from fish feed may help vAh to persist within the environment. March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 6 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum FIG 1 Phylogeny of Aeromonas species isolates based on the gyrB gene. The evolutionary relationships of vAh and other Aeromonas sp. isolates were inferred using the maximum likelihood method based on gyrB gene sequences. A total of 1,000 iterations were performed for determination of bootstrap support, with bootstrap values indicated by the size of the circle at each supported node. March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 7 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum FIG 2 Pairwise comparison of average nucleotide identity (ANI) of vAh, non-vAh, and myo-inositol-utilizing Aeromonas sp. isolates. Genome sequences of vAh, non-vAh, and myo-inositol-utilizing Aeromonas sp. isolates were pairwise compared using JSpeciesWS. ANI values of .95% indicate that two strains belong to the same species. Average nucleotide identity (ANI). The pairwise ANI comparisons for 63 Aeromonas sp. genomes, including representative vAh strains from China, Cambodia, the United States, and Vietnam showed high ANI values (.99%) for all vAh strains (Fig. 2), which was consist- ent with the previous core genome-based phylogeny indicating the clonality of all known vAh strains (12). In contrast, only a few non-vAh A. hydrophila strains showed high ANI values compared with vAh strains, and most ANI values ranged from 96% to 97%. The exceptions to this were strains that had been putatively indicated as A. media, A. sobria, and A. veronii based on phylogenetic analyses, all of which had discrepancies between the species affiliation indi- cated by ANI values and their species affiliation indicated in GenBank as previously described (37). Based on these ANI data and a core genome-based phylogeny, the phylogenetic affilia- tions of several strains were revised (see below and Table 1). This survey also included diverse Aeromonas sp. isolated from diseased fish and other environments, as revealed by the A. hydrophila-Aeromonas sp. pairwise ANI comparisons that ranged from 67% to 93%. Aeromonas core genome phylogenetic analysis. The phylogenetic relationships among the representative vAh and diverse Aeromonas sp. strains included in this survey were inferred based on a set of core genome sequences totaling 3.8 Mb (Fig. 3). A subset of vAh strains was included in the core genome phylogeny due to some of the strains lacking high-quality genome sequences (e.g., Vietnamese vAh strains DT-TKT-2020-681 DT-TKT-2020-677, DT-TKT-2020-680). Consistent with the gyrB phylogeny, the Aeromonas core genome phylogeny indicated that all vAh strains, including the newly identified strains from Cambodia and Vietnam, form a monophyletic clade with strong bootstrap support that is distinct from other A. hydrophila or other Aeromonas sp. strains (Fig. 3). While the clonal vAh clade showed little variation among its members for the core genome phy- logeny, there was significant intraspecies genetic variability observed among the other Aeromonas sp. Strains, including within A. hydrophila, A. dhakensis, A. media, and A. sobria. Based on this core genome phylogeny (and ANI values), there were many bacterial isolates described as A. hydrophila that were affiliated with A. dhakensis, A. media, or A. sobria, and these revised phylogenetic affiliations have been indicated (Table 1). In this analysis, the exclusion of small fragments was set to 10 kbp because these fragments were found to be flanked by highly repetitive sequences, which were previously demonstrated to contribute less to the production of core genomes. This removal was chosen as a blanket approach to increase computational efficiency and decrease the noise generated from repetitive sequences, as this study is solely based on sequence-based comparisons. However, with the growing body of knowledge that shows repetitive regions as significant in regulation, future studies should focus on these noncoding regions. March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 8 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum FIG 3 Phylogeny of Aeromonas sp. isolates based on the core genome sequences. The evolutionary relationships of vAh and other Aeromonas sp. isolates were inferred using the maximum likelihood method, based on core genome sequences. A total of 1,000 bootstrap replications were conducted, and bootstrap values are represented by the size of the circle for each supported node. Virulence factors encoded in Aeromonas sp. genomes. Representative vAh and non-vAh genomes were evaluated for their encoded potential to secrete virulence factors (Fig. 4). In agreement with previous studies, vAh strains were universally found to encode complete type 2 secretion systems, which have been found to be essential to the virulence of a vAh strain isolated from a channel catfish in the United States (38). In contrast, type 3 secretion systems were only identified in non-vAh strains. Interestingly, the type 6 secre- tion systems (T6SS) were complete only in a subset of vAh strains as has been previously described (23). Most of the vAh isolates from China, with the one exception of strain GYK1, March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 9 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum FIG 4 Predicted virulence factors for vAh and other Aeromonas sp. strains. Aeromonas genomes were annotated using RAST and submitted to MacSyFinder for secretion system analysis. Maximum independent E value and minimal profile coverage were set as the default, while the maximum E value was set as 1.0. Virulence factors include type 1 secretion system (T1SS), type 2 secretion system (T2SS), type 4 pili (T4P), tight adherence system (TAD), type 3 secretion system (T3SS), flagellum, a phylogenetic subtype of type 6 secretion system (T6SSi), and type 9 secretion system (T9SS). were predicted to possess the complete T6SS, which has been shown to contribute to bio- film formation and virulence in fish (24). The two new vAh isolates from Cambodia and Vietnam (CPF2-S1, DT-TTD-2020-734) possessed the entire T6SS, which further demonstrates their close relationship to vAh strains isolated from carp in China. In contrast, many of the vAh strains isolated from channel catfish in the United States lacked a complete T6SS, with the notable exception of S14-452 and other strains isolated from the Mississippi delta (23). VAh core genome phylogenetic analysis. The phylogenetic relationships among the representative vAh strains included in this survey were inferred based on a set of core ge- nome sequences present in all sequenced vAh strains (Fig. 5). The vAh core genome phylogeny FIG 5 Phylogeny of vAh isolates based on the core genome sequences. The evolutionary relationships of vAh isolates were inferred using the maximum likelihood method, based on core genome sequences. A total of 1,000 bootstrap replications were conducted, and bootstrap values are represented by the size of the circle for each supported node. March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 10 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum indicated that the newly identified strains obtained from diseased fish in Cambodia and Vietnam form a monophyletic clade with strong bootstrap support with vAh strains isolated from crucian carp (Carassius carassius) and mandarin fish (Siniperca chuatsi) in China. Moreover, these vAh isolates from Cambodia and Vietnam share a close relationship, indicating that they originated from a common ancestor. In contrast, two other strains isolated from carp in China, ZC1 and JBN2301, form a well-supported clade with vAh strains isolated from catfish in the United States (4). The successful isolation of vAh from farmed Pangas catfish in Cambodia and from farmed striped catfish in Vietnam broadens the knowledge of the geographical distribution of vAh and the fish species in which this emerging pathogen can cause disease. Due to the rapid growth of the live fish trade in Asia and beyond, this pathogen could be transmitted to more countries and infect more fish species without sufficient biosafety (39). This calls for future development of rapid and inexpensive diagnostic assays to identify vAh strains and aid in biosecurity precautions to prevent further dissemination of this virulent pathogen. MATERIALS ANDMETHODS Bacterial isolates. Fish that demonstrated the typical symptoms of MAS, especially with external hemorrhaging and in farms experiencing high fish mortality, were collected for diagnosis and autopsy at the local institution. Aeromonas sp. isolates were recovered from diseased fish from aquaculture ponds in Bangladesh, Cambodia, Finland, France, Ghana, Malaysia, Mexico, Norway, Pakistan, Spain, Thailand, and Vietnam (Table 1). The fish species sampled were tilapia (Oreochromis niloticus), striped catfish, pabda, Pangas catfish, basa catfish, rainbow trout, carp (Cyprinidae spp.), and perch (Perca spp.), while in some cases isolates were obtained from other environmental samples such as lake water, crab, seafood, and human feces (Table 1). Organs with the high- est concentration of vAh, including liver, spleen, and kidney, were used to inoculate tryptic soy agar (TSA) plates (Beckton Dickinson, New Jersey, USA) or other bacteriologic growth medium appropriate for A. hydrophila cultiva- tion, and these cultures were incubated at 30°C for 24 to 48 h. The vAh strain ML09-119 served as a control for comparison. Single colonies that showed A. hydrophila morphology were cultured on TSA (30°C, 24 h) to obtain isolated colonies. Three colonies of each strain were cultured separately in 2 mL of M9 broth medium supplemented with 5.5 mMmyo-inositol as previously described (27). The vAh strain ML09-119 and the non-vAh strain AL06-06 served as positive and negative controls, respectively. Cultures were grown at 30°C for 48 h to re- cord their growth as measured by the optical density at 600 nm (OD600). The utilization of myo-inositol of an unknown isolate was monitored by turbidity and CFU counts (as previously described). An increase in turbidity (change in OD600 of.0.4) was observed formyo-inositol-utilizing strains over 48 h. Pure cultures ofmyo-inositol- utilizing strains were subsequently identified as vAh by phylogenetic analysis of gyrB sequences following previ- ously described methods (12, 40). Validated vAh strains were cryopreserved in tryptic soy broth (TSB) containing 20% glycerol at280°C. Phylogenetic analysis based on gyrB from myo-inositol-utilizing strains. Genomic DNA of the myo-inositol-utilizing isolates was isolated using the E.Z.N.A. bacterial DNA isolation kit according to the manufacturer’s protocol (Omega Bio-Tek, Norcross, GA, USA). Bacterial DNA was quantified with a NanoDrop instrument (Thermo Fisher Scientific, Waltham, MA, USA) and used as a template for PCR amplify gyrB gene sequences using Aeromonas genus-level primer sets (Table 2) (41). To avoid the potential off-target priming and increase PCR specificity (42), touchdown PCR was conducted to generate gyrB products and performed on a Mastercycler Nexus thermo cycler (Eppendorf, Hamburg, Germany) with 50 ng of genomic DNA (gDNA) iso- lated from each strain, 25 mL of EconoTaq Plus green 2X master mix (Lucigen Corp., Middleton, WI, USA), and 0.5 mL of 20 mM reverse and forward primers. The thermal cycling parameters were 94°C for 3 min, 10 cycles of 94°C for 30 sec, 68°C for 30 sec (21°C per cycle), and 72°C for 1 min, and then 25 cycles of 94°C for 30 sec, 58°C for 30 sec, and 72°C for 1 min and a final extension at 72°C for 5 min. The gyrB gene amplicons were Sanger sequenced as described previously (27, 40) and assembled into consensus sequences using CLC Genomics Workbench (Qiagen, Inc., Aarhus, Denmark). The gyrB sequence reads were trimmed for quality, assembled into consensus sequences, and aligned with an existing gyrB sequence database obtained from Chinese and U.S. vAh and non-vAh strains (12), using ClustalW in MEGA X (43). The gyrB sequence database included sequences varying from 422 to 1,068 bp and included Aeromonas sp. type strains to confirm species affiliations. Phylogenetic relationships of the inositol-utilizing Aeromonas sp. strains and appropriate type strains were determined by the construction of a phylogenetic tree using MEGA X (43). In total, 100 strains were included in the tree, including 5 new vAh strains and 38 new non-vAh strains. Among the 66 A. hydrophila strains, some were removed due to poor sequence quality and/or the lack of an available viable culture from which to recover a better-quality gyrB sequence. The evolutionary history of the strains in the gyrB database was inferred using the maximum likelihood (ML) method (44). The ML analysis was conducted with 1,000 iterations for bootstrap support, with bootstrap values shown on each branch of the gyrB tree as a circle proportional to bootstrap support. The gyrB tree was annotated and visualized using iTOL v6 (45). The gyrB tree was rooted using the A. sobria type strain. Genome sequencing based on the gyrB phylogeny. Representative isolates of different inositol- utilizing Aeromonas lineages were selected for Illumina sequencing based on the results of the gyrB phylo- genetic tree. The sequenced strains were selected to represent vAh and inositol-utilizing Aeromonas from multiple geographical locations, including Spain, Mexico, Cambodia, Vietnam, Bangladesh, and Malaysia. The March/April 2023 Volume 11 Issue 2 10.1128/spectrum.03705-22 11 Downloaded from https://journals.asm.org/journal/spectrum on 01 June 2023 by 197.255.68.131. Global Survey of Hypervirulent Aeromonas hydrophila Microbiology Spectrum fragment libraries were constructed using a Nextera XT DNA library prep kit (Illumina, San Diego, CA, USA) based on the manufacturer’s protocol, followed by paired-end sequencing conducted on an Illumina MiSeq platform (46). Sequence reads were imported into CLC Genomics Workbench, which was used to trim sequences for quality, followed by de novo assembly using default settings. Draft genome contig sequences were generated for strains CPF2-S1 (Cambodia), 14 (Malaysia), 1P11S3 (Malaysia), ESV-393 (Mexico), ESV-399 (Mexico), R100 (Spain), VL-2013-869 (Vietnam), BT-2012-871 (Vietnam), VL-2012-870 (Vietnam), and DT-TTD- 2020-734 (Vietnam). For subsequent phylogenomic analyses and prediction of virulence factors, a database was constructed that also included the existing sequences of vAh strains isolated from carp species in China and from catfish in the United States, along with other Aeromonas sp. strains isolated in China, the United States, Malaysia, and Japan. Inositol catabolism phylogeny. A genomic database was generated that included draft genome sequences of strains isolated in Mexico, Spain, Cambodia, Bangladesh, Malaysia, and Vietnam that were supplemented with genome sequences of vAh strains from China and the United States, as well as from Enterobacter spp. which are predicted to be the origin of the inositol catabolism pathway present in vAh strains (22, 47). A total of 15 open reading frames (ORFs) were identified in the myo-inositol catabolism pathway in vAh strains, from which we selected proteins shown to be required for inositol utilization (IolA, IolC, IolD, IolE, and IolG) for phylogenetic analysis (48). The proteins predicted to be involved in myo-inositol transport, InoE, InoF, and InoL, were also included in the phylogenetic analyses (49). Given the unique evolutionary histories associated with these proteins involved in inositol catabolism, a sepa- rate phylogenetic analysis was conducted for each of these amino acid sequences. An ML tree with 1,000 iterations for bootstrap support was conducted on MEGA X as described above and visualized using ITOL v6. Average nucleotide identity. To evaluate the overall genetic similarity between vAh, non-vAh, and myo-inositol-utilizing Aeromonas spp., the ANI values of the 63 Aeromonas genomes were compared using JSpeciesWS (50) and visualized with Daniel’s XL Toolbox v7.3.4 (51). According to the criteria for taxonomic affilia- tion of new genomes, an ANI value of.95% indicated that two strains belong to the same species (52, 53). Aeromonas core genome analysis. Both noncoding and coding sequences of vAh and non-vAh strains, including A. sobria, A. media, A. dhakensis, and A. salmonicida strains, were used for a core genome phy- logenetic analysis. In general, small fragments do not influence the overall quality of core genomes due to these small genomic regions being flanked by highly repetitive sequences. Removing small fragments helped to improve overall accuracy by decreasing the noise generated from repetitive sequences; therefore, any con- tigs less than 10 kb were filtered from Aeromonas genomes by limiting them from mapping to multiple regions. FASTA files of the filtered sequences were submitted to Mugsy v1.2.3, a multiple whole genome align- ment tool, using default parameters (54). The alignment was processed by GBLOCK v0.91b for the identifica- tion of highly conserved regions across all Aeromonas spp. strains as previously described (55). The parameters used in GBLOCK for retention were dependent upon the input alignment as previously described (12). Briefly, a maximum of 8 contiguous regions, a minimum of 30 sequences for conserved regions, and 51 sequences for flanked positions were used for the gapped positions within a block. A ML tree based on the final alignment was generated using MEGAX with default parameters for the 60 Aeromonas spp. strains, including 28 vAh strains. The ML tree was further visualized using iTOL v6. VAh core genome phylogenetic analysis. To assess the phylogeny of vAh strains isolated from Cambodia, China, the US, and Vietnam, a vAh core genome was created using both coding and noncoding sequences of representative vAh. Contigs less than 10 kb in size were removed to increase computational effi- ciency, and filtered data were submitted as FASTA files to the multiple whole-genome alignment tool Mugsy v1.2.3 (54), under default parameters. The resulting alignment was subsequently processed with GBLOCK v0.91b (55) in order to identify regions of high conservation across all isolates. Parameters for retention by GBLOCK are dictated by the input alignment and were the following: a minimum of 31 and 51 sequences for conserved and flanked positions, respectively, a maximum of 8 contiguous, but nonconserved positions, a min- imum block length of 10, and one-half of the sequences allowed to possess gapped positions within a block. From the final alignment, a maximum likelihood (ML) phylogeny for the vAh isolates was inferred using RAxML v8.2.8 (56) under the general time reversible model of evolution with estimated proportions of invaria- ble sites and rate variation among sites (i.e., GTR1 I1 G) and 1,000 bootstraps to determine branch supports, as described previously (22). Trees were visualized using iTOL v6. Virulence factor prediction. Virulence factor prediction and identification of secretion systems fol- lowed previously described methods (23, 57). Briefly, the secretion systems of Aeromonas strains were identified with the program MacSyFinder. The data set option was set as “unordered” to evaluate the draft genome of each strain. The minimal profile coverage was set to 0.5, the maximum E value was set to 1.0, and the maximum independent E value was 0.001. Secretion systems of vAh, non-vAh, and myo-inositol- utilizing Aeromonas strains were identified and indicated with mandatory and accessory genes, and the corresponding copy numbers were determined. Data availability. The sequences were deposited in the GenBank database under accession no. OP198646 to OP198653 for the gyrB sequences, and the genome sequences were deposited as JANLOJ000000000.1, NZ_JALRNI010000001.1, NZ_JALRNJ000000000.1, NZ_JALRNL000000000.1, NZ_JALRNK000000000.1, JANLFC000000000.1, and JANLFD000000000.1 (Table 1). SUPPLEMENTAL MATERIAL Supplemental material is available online only. SUPPLEMENTAL FILE 1, PDF file, 2.1 MB. 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