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Blackwell Science, LtdOxford, UKEMIEnvironmental Microbiology 1462-2920Blackwell Publishing Ltd, 200359719729Review ArticleDiversity of the genus BurkholderiaT.

Coenye and P. Vandamme

Environmental Microbiology (2003) 5(9), 719–729 doi:10.1046/j.1462-2920.2003.00471.x

Minireview

Diversity and significance of Burkholderia species


occupying diverse ecological niches

Tom Coenye* and Peter Vandamme gene sequences, showing the positions of all of the
Laboratory of Microbiology, Ghent University, K. L. Burkholderia species and representatives of related gen-
Ledeganckstraat 35, B-9000 Gent, Belgium. era, is shown in Fig. 1.

Summary Diversity of the genus Burkholderia

Members of the genus Burkholderia are versatile The genus Burkholderia was created by Yabuuchi et al.
organisms that occupy a surprisingly wide range of (1992) to accommodate the former rRNA group II
ecological niches. These bacteria are exploited for pseudomonads, excluding Pseudomonas pickettii and
biocontrol, bioremediation and plant growth promo- Pseudomonas solanacearum, which were transferred to
tion purposes, but safety issues regarding human the genus Ralstonia (Yabuuchi et al., 1995). Traditionally,
infections, especially in cystic fibrosis patients, have Burkholderia species are known as plant pathogens and
not been solved. This minireview gives an overview of soil bacteria with two important exceptions, B. mallei
the taxonomic and ecological diversity of the genus and B. pseudomallei, which are primary pathogens for
with particular emphasis on strains belonging to the humans and animals. Our present knowledge on the nat-
Burkholderia cepacia complex and addresses the ural diversity of members of this genus indicates that the
important question whether ‘good’ and ‘bad’ strains range of interactions between these bacteria and their
are actually the same. hosts is more complex, diverse, and, often, contradictory.
The interactions of some species seem restricted to one
type of host, whereas others have a much wider host
The genus Burkholderia contains over 30 species, which
range. The type of interaction may be that of a pathogen
occupy remarkably diverse ecological niches, ranging
but can also be symbiotic, or both.
from contaminated soils to the respiratory tract of humans.
Burkholderia caryophylli, Burkholderia plantarii,
The Burkholderia cepacia complex is ubiquitous in nature
Burkholderia glumae and Burkholderia andropogonis are
and can be found in soil, water (including sea water), the
the species that are known as plant pathogenic Burkhold-
rhizosphere of plants, in humans and various animal spe-
eria species. Burkholderia caryophylli is pathogenic for
cies and in the hospital environment. Burkholderia cepa-
carnations (Dianthus caryophyllus) but also causes onion
cia complex isolates have been exploited for various
rot (Ballard et al., 1970; Palleroni, 1984). Burkholderia
purposes, including biological control of plant pathogens,
plantarii causes seedling blight of rice and forms the dis-
bioremediation of recalcitrant xenobiotics and plant
ease-causing substance tropolone, a non-benzoid aro-
growth promotion. Unfortunately, some Burkholderia spe-
matic compound with a seven-membered ring (Azegami
cies have been involved in human infections, and safety
et al., 1987; Urakami et al., 1994). Burkholderia glumae
issues regarding these human infections are hampering
causes rot of rice grains and seedlings and has emerged
the wide-spread biotechnological applications. The pur-
during the past two decades as the most important bac-
pose of this minireview is to give an overview of the
terial pathogen of rice in Japan, Korea and Taiwan (Goto
remarkable diversity of the genus Burkholderia and to
and Ohata, 1956; Kurita and Tabei, 1967; Uematsu et al.,
shed some light on the important question whether or not
1976; Urakami et al., 1994). Burkholderia andropogonis
clinical and environmental B. cepacia complex isolates
is the causative agent of stripe disease of sorghum
are the same. A phylogenetic tree based on 16S rRNA
(Andropogon sp.) and leaf spot of velvet bean (Stizolo-
bium deeringianum). Two different pathovars (B. andro-
pogonis pv. andropogonis and pv. stizolobii) have been
Received 19 February, 2003; accepted 4 April, 2003. *For correspon-
dence. E-mail Tom.Coenye@UGent.be; Tel. (+32) 9 2645114; Fax described (Palleroni, 1984). Pseudomonas woodsii, an
(+32) 9 2645092. important pathogen of carnation (Smith, 1911), was
© 2003 Society for Applied Microbiology and Blackwell Publishing Ltd
720 T. Coenye and P. Vandamme
Fig. 1. 16S rDNA based phylogenetic tree
showing the positions of all of the Burkholderia
species and representatives of related genera.
Scalebar indicates 5% sequence dissimilarity.

recently shown to be a junior synonym of B. andropogonis producing strains isolated from a vertisol on the island of
(Coenye et al., 2001a). Martinique. These bacteria constituted the dominant cul-
The majority of Burkholderia species however, are tivable population in this soil. B. caledonica strains were
known as soil bacteria, which exhibit different types of isolated from the rhizosphere of different plants in Scot-
non-pathogenic interactions with plants. The ecological land (Coenye et al., 2001b). Some of these soil-borne
role of species like Burkholderia glathei, Burkholderia Burkholderia species were detected in several soil types
graminis, Burkholderia phenazinium, Burkholderia car- as transconjugants that acquired the plasmids pJP4 or
ibensis, Burkholderia caledonica, Burkholderia hospita, pEMT1 (containing genes required for the degradation of
Burkholderia terricola and Burkholderia sacchari is largely 2,4-dichlorophenoxyacetic acid) following inoculation of a
unknown. Burkholderia glathei was proposed for strains donor strain (Newby et al., 2000; Goris et al., 2002). A
isolated from fossil lateritic soils in Germany (Zolg and more detailed study of some of these transconjugants
Ottow, 1975). Burkholderia phenazinium strains were iso- entailed the description of B. hospita and B. terricola
lated from soil and were characterized by the production (Goris et al., 2002). Both species were isolated as pJP4
of iodinin (Bell and Turner, 1973; Viallard et al., 1998). or pEMT1 containing transconjugants of agricultural soil
Strains belonging to B. graminis were first isolated by in Belgium; the latter has also been isolated from soil
Viallard et al. (1998) from the rhizosphere of wheat, corn samples in Scotland, Italy and Spain (P. Vandamme,
and pasture grasses during a field survey of French and unpubl. obs.). The name B. sacchari was proposed for a
Australian soils. Burkholderia caribensis was described by single strain recovered from the soil of a sugar-cane plan-
Achouak et al. (1999) for a group of exopolysaccharide- tation in Brazil (Brämer et al., 2001). This organism can

© 2003 Society for Applied Microbiology and Blackwell Publishing Ltd, Environmental Microbiology, 5, 719–729
Diversity of the genus Burkholderia 721
produce polyhydroxyalkanoates from a wide range of car- caledonica but have so far not been cultured and their
bon sources (Brämer et al., 2001; 2002). exact taxonomic position remains uncertain.
Several Burkholderia species have developed intimate Interactions between burkholderias and humans or ani-
beneficial interactions with plants and colonize roots, mals are traditionally known for B. mallei and B.
stems and leaves. The ability to fix atmospheric nitrogen pseudomallei. The former causes glanders in horses,
has been established in several burkholderias including mules and donkeys and was one of the first biological
named species like Burkholderia vietnamiensis (see weapons of the 20th century, being used by Germany
below) and Burkholderia kururiensis [the name B. kuru- during World War I (Wheelis, 1998). Glanders in humans
riensis was proposed for a single strain isolated from an is acquired from infected animals or by contact with organ-
acquifer polluted with trichloroethylene (Zhang et al., isms causing glanders via ingestion or inhalation (Palle-
2000)] (Gillis et al., 1995; Magalhaes Cruz et al., 2001; roni, 1984). Burkholderia pseudomallei is the aetiological
Estrada-De Los Santos et al., 2001), tentatively named agent of melioidosis in humans and animals, and is
species like ‘Burkholderia tropicalis’ and ‘Burkholderia endemic to South-east Asia, Northern Australia and tem-
brasilensis’, and unnamed strains probably representing perate regions that border the equator (Dance, 1991).
several novel species (Estrada-De Los Santos et al., Humans can be infected by soil contamination of skin
2001). ‘Burkholderia tropicalis’ and ‘B. brasilensis’ have abrasions, ingestion or inhalation (Dance, 2000). Sporad-
not been formally described but strains of these putative ically the organism is acquired via person-to-person or
novel species have been recovered from various parts of animal-to-person spread (Dance, 2000). Burkholderia
banana and pineapple plants in South-America. Burkhold- pseudomallei is a saprophytic organism that routinely can
eria tuberum and Burkholderia phymatum are novel spe- be isolated from environmental niches like water, moist
cies (Vandamme et al., 2002) reported to be capable of soil and rice paddies (Brook et al., 1997). These two spe-
nitrogen fixation and nodulation in tropical legume plants cies were shown to represent a single genomic species
(Moulin et al., 2001). The former species was isolated by DNA–DNA hybridization criteria (Rogul et al., 1970).
from root nodules of Aspalathus carnosa in South Africa; However, the major differences in their biochemical activ-
the latter from root nodules of Machaerium lunatum in ities and in the clinical symptoms and epidemiology justify
French Guiana. The capacity to induce nodule formation this two-species concept. Recently, several environmental
was reported for two B. caribensis and one B. dolosa (B. B. pseudomallei-like organisms were formally classified
cepacia genomovar VI, Vermis et al., 2003) isolate as well as Burkholderia thailandensis (Brett et al., 1998). In con-
(Moulin et al., 2001). However, recent experiments with trast to B. pseudomallei, B. thailandensis strains are not
this B. dolosa isolate revealed that the nodA and nif genes correlated with human disease and are avirulent in the
could not longer be detected (C. Boivin-Masson, pers. Syrian golden hamster animal model (Brett et al., 1997).
comm.) suggesting that the isolate lost this capacity or One of the B. thailandensis isolates which was obtained
that the original observation was based on experimental from a surface soil along a roadside in Thailand, was later
error. Although all of these species can be considered reclassified as Burkholderia ubonensis (Yabuuchi et al.,
endosymbionts, they are all culturable on agar slants in 2000). Phylogenetically, the latter species belongs to the
normal laboratory conditions. Plant endosymbionts B. cepacia complex (see below, Fig. 1).
belonging to the genus Burkholderia, which remain uncul- Finally, several Burkholderia species occupy multiple
tured despite numerous attempts have been reported in niches, may have both pathogenic and symbiotic interac-
several studies. Endosymbionts of leaf galls of Psychotria tions with plants, and have become known as opportunis-
kirkii were classified as Candidatus Burkholderia kirkii tic pathogens in humans. Although they are not
(Van Oevelen et al., 2002). Uncultured bacterial endosym- considered important pathogens for the normal human
bionts of the arbuscular mycorrhizal fungi belonging to the population, some are considered serious threats for spe-
Gigasporaceae (Bianciotto et al., 1996; 2000) were cific patient groups such as cystic fibrosis patients. These
recently formally classified as Candidatus Glomeribacter species include all Burkholderia cepacia complex bacte-
gigasporarum (Bianciotto et al., 2003). These bacteria are ria, Burkholderia gladioli and Burkholderia fungorum.
close relatives of the genus Burkholderia and were also Burkholderia gladioli strains have been isolated from
reported to contain putative nif genes (Minerdi et al., decayed onions, Gladiolus sp., Iris sp. and rice, for which
2001). Most remarkable, Van Borm et al. (2002) recently this species is believed to be pathogenic, and from various
showed that the microflora inhabiting a pouch-shaped human clinical sources (Palleroni, 1984; Miyagawa and
organ at the junction of the midgut and the intestine of Kimura, 1989; Ura et al., 1996). Burkholderia gladioli con-
Tetraponera ants partially consists of Burkholderia spe- sists of two pathovars (pv. gladioli and pv. allicola) as it
cies, which are most likely involved in the oxidative recy- appeared that it comprised organisms with different
cling of nitrogen-rich metabolic waste. These organisms pathogenic capacities (Palleroni, 1984). Strains belonging
are phylogenetically closely related to B. fungorum and B. to Burkholderia cocovenenans (also known as

© 2003 Society for Applied Microbiology and Blackwell Publishing Ltd, Environmental Microbiology, 5, 719–729
722 T. Coenye and P. Vandamme
‘Pseudomonas farinofermentans’) produce toxoflavin and 2001d; 2001e). Apart from B. cepacia, also genomovars
bongkrekic acid and are responsible for cases of food V and IX were identified as established Burkholderia spe-
poisoning caused by consumption of fermented corn flour cies, i.e. B. vietnamiensis (Gillis et al., 1995) and B. pyr-
(Zhao et al., 1995). Burkholderia cocovenenans was rocinia (Imanaka et al. 1965) respectively. Isolates from B.
shown to be a junior synonym of B. gladioli (Coenye et al., multivorans (genomovar II), B. cenocepacia (genomovar
1999); the latter having nomenclatural priority. Similarly, III) and B. stabilis (genomovar IV) were present in histor-
also Pseudomonas antimicrobica [a name proposed for a ical P. multivorans or P. kingii strain collections (Stanier
single isolate that was antagonistic to a wide range of et al., 1966; Ballard et al., 1970; Samuels et al., 1973) but
phytopathogenic bacteria and fungi (Attafuah and Brad- were only considered representing novel species with the
bury, 1989; Walker et al., 1996)] was demonstrated to be application of species delineation standards as currently
a junior synonym of B. gladioli (Coenye et al., 2000). defined (Wayne et al., 1987). Until now, strains from
Burkholderia fungorum too has been recovered from a genomovars VI (B. dolosa), VII (B. ambifaria) and VIII (B.
wide range of ecological niches, including root nodules of anthina) have not been found in historical collections.
plants, fungi, and clinical specimens of humans and ani- All of these B. cepacia complex species have been
mals (Coenye et al., 2001b; P. Vandamme, unpubl. obs.). isolated from environmental and human clinical sources.
Animal infections caused by B. cepacia complex have
been reported (Berriatua et al., 2001) but in general, its
The Burkholderia cepacia complex
distribution in animal species and infection therein, is not
Like many other burkholderias, B. cepacia was originally well-documented. Burkholderia cepacia complex bacteria
known as a plant pathogenic pseudomonad. Pseudomo- are universal contaminants of cosmetic and pharmaceu-
nas cepacia was described by Burkholder in 1950 as the tical solutions (for reviews see Pankhurst and Philpott-
causative agent of bacterial rot of onion bulbs, causing a Howard, 1996; Jimenez, 2001) and can cause contami-
disease called sour skin (Burkholder, 1950). In subse- nation of water supplies (see for example Koenig and
quent years however, the group of human opportunistic Pierson, 1997), sterile solutions (like disinfectant solu-
pathogens known as ‘eugonic oxidisers group 1¢ and, tions, mouth wash and anaesthetics), and disposable
later, Pseudomonas kingii, and the environmental organ- equipment leading to nosocomial infections and pseu-
ism known as Pseudomonas multivorans (Morris and doepidemics (for a review see Coenye and LiPuma,
Roberts, 1959; Stanier et al., 1966; Jonsson, 1970), were 2003). Burkholderia cepacia complex organisms have
shown to represent the same species (Ballard et al., 1970; also been recovered from unpasteurised bovine milk
Snell et al., 1972; Samuels et al., 1973; Sinsabaugh and (Moore et al., 2001) and from gelatine, a product of animal
Howard, 1975). During the past decade, international col- origin often used in the food industry (De Clerck and De
laborative polyphasic-taxonomic studies (Coenye et al., Vos, 2002). In humans B. cepacia complex bacteria have
2001c) have demonstrated that strains identified as B. been associated with a wide variety of infections, most
cepacia actually represent a complex of closely related often in patients with an underlying disabling illness
species or genomovars. This group, collectively referred (including persons with chronic granulomatous disease).
to as the B. cepacia complex, comprises at least nine However, severe community acquired infections (including
species (Table 1) sharing a high degree of 16S rDNA (98– endocarditic and pneumonia) have been reported as well
100%) and recA (94–95%) sequence similarity, and mod- (for a review see Coenye and LiPuma, 2003). More impor-
erate levels of DNA–DNA hybridization (30–50%) (Van- tantly, patients with cystic fibrosis (CF) are particularly
damme et al., 1997; 2000; 2002; 2003; Coenye et al., susceptible to infections caused by these bacteria.

Table 1. Overview of the Burkholderia cepacia complex.

Name Other designation References

B. cepacia B. cepacia genomovar I Vandamme et al. (1997)


B. multivorans B. cepacia genomovar II Vandamme et al. (1997)
B. cenocepacia B. cepacia genomovar III Vandamme et al. (1997; 2003)
B. stabilis B. cepacia genomovar IV Vandamme et al. (1997; 2000)
B. vietnamiensis B. cepacia genomovar V Gillis et al. (1995); Vandamme et al. (1997)
B. dolosa B. cepacia genomovar VI Coenye et al. (2001d); Vermis et al. (2003)
B. ambifaria B. cepacia genomovar VII Coenye et al. (2001e)
B. anthina B. cepacia genomovar VIII Vandamme et al. (2002)
B. pyrrocinia B. cepacia genomovar IX Vandamme et al. (2002)
B. ubonensisa Yabuuchi et al. (2000)

a. The taxonomic position of B. ubonensis within the B. cepacia complex has not been fully established

© 2003 Society for Applied Microbiology and Blackwell Publishing Ltd, Environmental Microbiology, 5, 719–729
Diversity of the genus Burkholderia 723
B. cepacia complex and CF complex colonized CF patients have a much poorer out-
come following lung transplantation (the only therapeutic
Cystic fibrosis is the most frequent hereditary disease in option for succesfull intermediate term survival for CF
Caucasian populations, affecting approximately 1 in 2570 patients with end-stage pulmonary disease) than their
live births (Rosenstein and Zeitlin, 1998). Cystic fibrosis non-infected counterparts (Aris et al., 2001; LiPuma,
symptoms are caused by a mutation in the cystic fibrosis 2001).
transmembrane conductance regulator (CFTR) gene, a
cAMP dependent transepithelial chloride channel. The
Biocontrol, bioremediation and plant-growth-promotion
consequences of mutant CFTR protein are complex but
applications
the resultant altered epithelial surface liquid in some way
predisposes the respiratory tract of affected persons to The biological control of plant diseases, insects and
bacterial infections (Dinwiddie, 2000). Airway infections in nematodes by microorganisms (both bacteria and fungi)
CF patients are characterized by intercurrent acute exac- has been proposed as an alternative or a supplement to
erbations with fever, weight loss, increased cough, change chemical pesticides and the use of introduced biological
in volume, colour or appearance of sputum, increased control could have enormous ecological and economical
respiratory rate, dyspnea and appearance of infiltrates on benefits (Parke and Gurian-Sherman, 2001; Gerhardson,
chest radiographs (Gilligan, 1991). Typically, periods of 2002). The two traditional approaches used for biological
relative well-being are followed by episodes of these pul- control of soil-borne plant pathogens in the field have
monary exacerbations, which result in a progressive dete- been (i) crop rotation, to allow time for residential antag-
rioration of the lung function. The improvement of onists to ‘sanitize’ the soil or for propagules of specialized
antimicrobial therapy has contributed significantly to the pathogens to die, and (ii) the addition of organic amend-
increased median survival age but chronic pulmonary ments to soil to stimulate residential antagonists. How-
infection is still the leading cause of death among CF ever, the greatest progress towards biological control of
patients (Liou et al., 2001). Common bacterial pathogens soil-borne plant pathogens has been made with antago-
in young CF patients include Staphylococcus aureus and nists introduced with the planting material, i.e. biological
Haemophilus influenzae. Pseudomonas aeruginosa infec- control with plant-associated microorganisms (Cook,
tion becomes more common during adolescence and by 1990). Burkholderia cepacia complex strains can be
adulthood almost 80% of CF patients are infected with this used to control seedling and root diseases in vitro and in
organism (Lyczak et al., 2002). field tests, and can replace chemical alternatives. Field
Several reports on the recovery of bacteria now known tests have shown that such strains can colonize the
as B. cepacia complex from CF patients appeared in the rhizosphere of several crops, including corn, maize, rice,
late 1970s and early 1980s (LiPuma, 1998). The first pea, sunflower and radish, and thereby significantly
detailed description of its clinical significance was pub- increases the crop yield, even in the absence of patho-
lished by Isles et al. (1984), who also described the so- gens (Parke et al., 1991; McLoughlin et al., 1992; Bowers
called ‘cepacia syndrome’, a progressive respiratory fail- and Parke, 1993; Hebbar et al., 1998; Tran Van et al.,
ure with necrotising pneumonia that affected some but not 2000). One of the most-studied biocontrol strains is B.
all patients. Similar increases in incidence were subse- ambifaria strain AMMDT. It was isolated from the rhizo-
quently noted in other North-American and European CF sphere of peas (Pisum sativum) grown in a Aphanomy-
centres (reviewed in Coenye and LiPuma, 2003). From ces root rot nursery in Wisconsin (USA) in 1985. It has
these initial studies, several risk factors for B. cepacia activity against Pythium aphanidermatum (responsible for
complex acquisition could be identified, including age, pre- and post-emergence damping-off in peas) and Aph-
severity of underlying lung disease, use of aminoglycoside anomyces euteiches (responsible for root rot in peas)
antibiotics, previous hospitalization and the presence of a (Parke, 1990; Parke et al., 1991; Bowers and Parke,
B. cepacia complex colonized sibling. Clustering of cases 1993; King and Parke, 1993; Heungens and Parke, 2000;
in some centres and the decrease of colonization follow- 2001; Parke and Gurian-Sherman, 2001).
ing segregation of colonized and non-colonized patients The exceptional metabolic versatility of B. cepacia com-
in other centres suggested that B. cepacia complex could plex bacteria and strains belonging to other Burkholderia
be transmitted between CF patients; since then numerous species can also be used for bioremediation purposes.
reports have provided epidemiologic and genotyping evi- Constituents of crude oils [including polycyclic aromatic
dence for interpatient spread (reviewed in Coenye and hydrocarbon (PHA) compounds], herbicides (including
LiPuma, 2003). Compared to P. aeruginosa, B. cepacia 2,4-dichlorophenoxyacetic acid and 2,4,5-trichlorophe-
complex infects only a small proportion of CF patients but noxyacetic acid, the principal component of Agent
nevertheless has a significant impact on survival (Liou Orange), TCE and ether derivatives used as gasoline
et al., 2001). In addition, it has been shown that B. cepacia additives can be degraded by Burkholderia isolates (Kil-

© 2003 Society for Applied Microbiology and Blackwell Publishing Ltd, Environmental Microbiology, 5, 719–729
724 T. Coenye and P. Vandamme
bane et al., 1982; Folsom et al., 1990; Krumme et al., can have serious implications for potential biotechnologi-
1993; Bhat et al., 1994). Well-characterized biodegrada- cal applications.
tive strains include G4 (Nelson et al., 1987; Folsom et al.,
1990; Shields et al., 1991; Leahy et al., 1996; McClay
Prevalence of members of the B. cepacia complex in CF
et al., 1996; Massol-Deya et al., 1997) and CRE-7 (Muel-
patients and in the environment
ler et al., 1996), which both belong to the B. cepacia
complex. Several Burkholderia strains with potential appli- All nine B. cepacia complex species have been identified
cations in bioremediation are extremely well-studied with in CF sputum cultures, but several recent studies indicate
regard to their biotechnological potential but are taxonom- that they are unequally represented. Surveys form the US
ically poorly characterized. For example, strain NF100 (LiPuma et al., 2001), Canada (Speert et al., 2002), Italy
(Hayatsu et al., 2000) and strain LB400 (Haddock et al., (Agodi et al., 2001) and Belgium (De Boeck and P. Van-
1993; Seeger et al., 1995; Billingsley et al., 1997; Master damme, unpubl. obs.) indicated that, although there are
and Mohn, 1998) are phylogenetically closely related to national differences, most patients are infected with B.
B. glathei and B. fungorum, respectively, but their exact cenocepacia or B. multivorans (Table 2).
taxonomic status remains to be determined. An overview There are much less systematic studies regarding the
of Burkholderia strains capable of degrading recalcitrant distribution of the B. cepacia complex species in environ-
xenobiotics can be found in the Biodegradative Strain mental samples. Balandreau et al. (2001) recovered 22 B.
Database (Urbance et al., 2003; http://bsd.cme.msu.edu/ cepacia complex isolates from the rhizosphere of wheat
bsd/index.html). and maize and from roots and shoots of wheat and lupine,
grown in France and Australia. Of these, 21 belonged to
B. cenocepacia, whereas a single isolate belonged to B.
Identification and misidentification of B. cepacia complex
ambifaria. Fiore et al. (2001) recovered 120 B. cepacia
isolates
complex isolates from maize rhizosphere. The majority
Identification of members of the B. cepacia complex is not belonged to B. cepacia, B. cenocepacia and B. ambifaria.
straighforward (see for example Shelly et al., 2000; Henry In a similar study, Bevivino et al. (2002) recovered 75
et al., 2001; Brisse et al., 2002). In a large-scale study, isolates from maize rhizosphere. Only B. cenocepacia
McMenamin et al. (2000) recovered 1051 isolates from (53.4%), B. ambifaria (37.3%), B. pyrrocinia (8.0%) and
608 CF patients receiving care in 115 treatment cities in B. cepacia (1.3%) were isolated. During a study of urban
91 centres in the USA. Of the 770 isolates referred as B. and suburban soils in three large cities in the USA, Miller
cepacia complex, 11% were misidentified. On the other and co-workers isolated B. cepacia complex isolates from
hand, of the 281 isolates received as unidentified or ‘not 14 (15%) of 91 sampled sites. Sixty-eight B. cepacia com-
B. cepacia complex’, 36% actually were B. cepacia com- plex isolates were recovered, mainly belonging to B. amb-
plex. Organisms that have been misidentified as B. cepa- ifaria and B. pyrrocinia (Miller et al., 2001; 2002). 127 B.
cia complex include P. aeruginosa, Stenotrophomonas cepacia complex isolates were recovered from agricultural
maltophilia, Ralstonia pickettii, Achromobacter xylosoxi- soils in the USA by Gonzalez et al. (2001). The majority
dans, Bordetella hinzii, Brevundimonas sp., Chryseobac- belonged to B. ambifaria (42.5%), B. cepacia (24.4%), B.
terium sp. and members of the Enterobacteriaceae. In cenocepacia (22.8%) and B. pyrrocinia (10.2%). Thus far,
addition, among isolates misidentified as B. cepacia com- overall, B. cepacia, B. cenocepacia, B. ambifaria and B.
plex, a variety of novel species mainly belonging to the b- pyrrocinia dominate in soil samples, whereas the other
Proteobacteria have been described. These comprise genomovars are rarely found. Although the knowledge
several novel Burkholderia species (including B. fun-
gorum, B. caledonica, B. terricola and B. hospita), novel
Ralstonia species (including Ralstonia gilardii, Ralstonia Table 2. Prevalence of Burkholderia cepacia complex organisms in
mannitolilytica and Ralstonia taiwanensis) and members CF specimens (in percentage of infected patients).
of the novel genera Pandoraea (Pandoraea apista, Pan-
USA Canada Italy Belgium
doraea pnomenusa, Pandoraea norimbergensis, Pando- Genomovar (n = 606) (n = 445) (n = 62) (n = 33)
raea pulmonicola and Pandoraea sputorum) and
I 2.6 0.2 4.8 –
Inquilinus (Inquilinus limosus). The clinical significance of II 37.8 9.7 4.8 57.8
these novel species is mostly unclear. Anecdotal evidence III 50.0 82.9 72.6 27.3
indicates that several are capable of chronic colonization IV 0.2 3.8 3.2 12.1
V 5.1 1.6 – 3.0
of the CF lung and/or person-to-person transmission. The VI 2.0 – – –
erroneous identification of an organism as B. cepacia VII 0.7 – – –
complex has serious medical, social and psychological VIII 0.2 – – –
IX 0.2 – – –
implications for infected CF patients and misidentification

© 2003 Society for Applied Microbiology and Blackwell Publishing Ltd, Environmental Microbiology, 5, 719–729
Diversity of the genus Burkholderia 725
about the distribution of the different genomovars in envi- sis G4) (for an overview see http://igweb.integratedge-
ronmental samples is restricted and although misidentifi- nomics.com/GOLD/). It can be expected that knowledge
cation is common, it is obvious that the same species that derived from these genome sequencing projects will allow
occur in the environment, colonize and infect CF patients, us to gain further insights into functional diversity, evolu-
albeit to different degrees. tion and pathogenicity mechanism. This may provide the
scientific basis for important decisions regarding infection
control and the biotechnological use of Burkholderia
Is the natural environment the reservoir for B. cepacia
strains.
complex infections in CF patients?

Indirect evidence for the speculation that the environment


serves as a reservoir for acquisition of novel B. cepacia Acknowledgements
complex species comes from the observation that infec- T. C. and P. V. are indebted to the Fund for Scientific
tion control measures (including segregation of patients) Research – Flanders (Belgium) for a position as postdoctoral
have reduced but not eliminated new infections (often fellow and research grants respectively. T.C. also acknowl-
with isolates showing novel fingerprint types). Direct evi- edges the support from the Belgian Federal Government
dence was obtained from genotyping studies, in which (Federal Office for Scientific, Technical and Cultural Affairs).
clinical and environmental isolates were compared using
state-of-the-art molecular fingerprinting techniques.
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