Genetic characterization of trh positive Vibrio spp. isolated from Norway

The thermostable direct hemolysin (TDH) and/or TDH-related hemolysin (TRH) genes are carried by most virulent Vibrio parahaemolyticus serovars. In Norway, trh+ V. parahaemolyticus constitute 4.4 and 4.5% of the total number of V. parahaemolyticus isolated from blue mussel (Mytilus edulis) and water, respectively. The trh gene is located in a region close to the gene cluster for urease production (ure). This region was characterized in V. parahaemolyticus strain TH3996 and it was found that a nickel transport operon (nik) was located between the first gene (ureR) and the rest of the ure cluster genes. The organization of the trh-ureR-nik-ure gene cluster in the Norwegian trh+ isolates was unknown. In this study, we explore the gene organization within the trh-ureR-nik-ure cluster for these isolates. PCR analyses revealed that the genes within the trh-ureR-nik-ure gene cluster of Norwegian trh+ isolates were organized in a similar fashion as reported previously for TH33996. Additionally, the phylogenetic relationship among these trh+ isolates was investigated using Multilocus Sequence Typing (MLST). Analysis by MLST or ureR-trh sequences generated two different phylogenetic trees for the same strains analyzed, suggesting that ureR-trh genes have been acquired at different times in Norwegian V. parahaemolyticus isolates. MLST results revealed that some pathogenic and non-pathogenic V. parahaemolyticus isolates in Norway appear to be highly genetically related.


INTRODUCTION
Vibrio parahaemolyticus is a halophilic, Gram-negative proteobacterium ubiquitous in the marine and estuarine environment worldwide (Iida and Honda, 2006). It is one of the main bacterial pathogens associated with raw and undercooked seafood in Asia and the U.S. (Su and Liu, 2007). During the last decade, a V. parahaemolyticus clonal complex (mainly composed of O3:K6 serotype strains) has emerged, encompassing at least 14 serotypes (Okura et al., 2008), and described by the term "pandemic group" (Matsumoto et al., 2000;Okura et al., 2003;Nair et al., 2007).
Although the mechanism by which V. parahaemolyticus causes enteric disease is not fully understood, two virulence factors are usually associated with clinical isolates: the genes encoding for thermostable direct hemolysin (TDH), (tdh) and TDH-related hemolysin (trh) (Gonzalez-Escalona et al., 2006). Of the two, trh is less frequently observed than tdh (Nishibuchi and Kaper, 1995). Several variants of tdh have been identified, all of which are about 98% identical (Nishibuchi and Kaper, 1995). In the case of trh, only two gene variants have been described, denoted trh1 and trh2; these are about 84% identical in sequence (Kishishita et al., 1992). The differences between trh and tdh are greater, showing only about 68% similarity (Nishibuchi et al., 1989). While V. parahaemolyticus can carry both genes and simultaneously express them, it appears that such isolates produces less TDH than trh negative isolates (Xu et al., 1994).
Little is known about how these virulence factors are acquired by V. parahaemolyticus, although it has been suggested that the horizontal gene transfer of pathogenicity island(s) might be the acquisition mechanism (Nishibuchi and Kaper, 1995;Hurley et al., 2006;Izutsu et al., 2008). The trh gene is located in a region of ∼16 kb that containing the nik (nickel acquisition system) and ure genes. This characteristic was observed in all trh+ strains analyzed (Park et al., 2000). A transposase gene has been identified next to the trh gene, suggesting the possibility that the entire region might have been transmitted into V. parahaemolyticus strains by an insertion sequence (IS)-mediated mechanism (Park et al., 2000). Isolates exhibiting trh+ are almost exclusively urease positive (ure+), which is not a typical characteristic for V. parahaemolyticus (Kaysner et al., 1994). This association was also observed in all Norwegian trh+ isolates (Bauer et al., 2006). Using long and accurate PCR (LA-PCR), Iida et al. (1998) found that the region between the trh and ureC genes was less than 8.5 kb. The gene organization of the trh-ureR-nik-ure gene cluster was determined in V. parahaemolyticus strain (TH3996) (Park et al., 2000), but whether other trh+ isolates have the same organization remains unknown.
Various typing methods are used to distinguish bacterial strains for epidemiological purposes (Foxman et al., 2005). However, conventional serotyping against O and K antigens appears to be of limited epidemiological value for V. parahaemolyticus, particularly given the recent emergence of O3:K6 and the other serotypes encompassed by the term "pandemic group" (Chowdhury et al., 2004a,b;Gonzalez-Escalona et al., 2008). Pulsed Field Gel Electrophoresis (PFGE) has been a favored method for genotyping V. parahaemolyticus isolates (Marshall et al., 1999) because of its high discrimination index, and has successfully been used in outbreak investigations worldwide. It has also been used to type V. parahaemolyticus isolates from seafood (Wong et al., 1999(Wong et al., , 2000Lu et al., 2000;McLaughlin et al., 2005). As PFGE is based on restriction enzyme digestion of total DNA, one potential drawback is that it may not be sensitive to recent genetic events such as horizontal gene transfer, which may be an important source of variability among isolates. An alternative approach, Multilocus Sequence Typing (MLST), is based on direct sequence analysis of housekeeping genes and a public database has recently been established to archive V. parahaemolyticus sequences (http://pubmlst.org/vparahaemolyticus) (Gonzalez-Escalona et al., 2008). MLST is comparable in cost to PFGE, and provides a different, if not better, details of the genetic relationships among isolates (e.g., evolutionary relationships) (Foxman et al., 2005). However, MLST analyses must be interpreted with caution since it is less sensitive for detecting recent genetic changes in populations that can be detected by PFGE, such as genome inversions, transposons, and plasmid, which in some cases will cause changes in their PFGE profiles.
The main objective of this study was to examine the genetic relationship among trh+ V. parahaemolyticus isolates from Norway by using a combination of MLST and ureR-trh region sequence analysis. Furthermore, the organization of the trh-ureRnik-ure cluster was was explored in all of the trh+ isolates.

BACTERIAL ISOLATES
A total of 31 V. parahaemolyticus and two V. alginolyticus isolates were included in the present study (Table 1). Twenty-two of these strains were isolated from different regions in Norway (Figure 1) and nine comparator strains were from other regions of the world, including 4 from the United States which have been recently been characterized using MLST (Gonzalez-Escalona et al., 2008). Of the 22 Norwegian strains, 16 were trh+ (13 from environmental sources, 3 from clinical sources). The trh+ environmental strains were from water and blue mussel (Mytilus edulis) samples, collected from four different areas in Norway (Figure 1). The three trh+ clinical isolates were kindly donated by Jørgen Lassen from the Norwegian Institute of Public Health. The 6 trh-strains consisted of 4 environmental strains (3 from blue mussels, 1 from water) and two clinical strains. Norwegian trh-environmental isolates 551 and 580 were also included because they represent a larger PFGE cluster, consisting of trh-V. parahaemolyticus collected from several different locations along the Norwegian coast over several years; the PFGE pattern of these isolates appears very similar to the V. parahaemolyticus trh+ clinical isolate 224 (Ellingsen et al., 2008). Of the nine strains isolated in other countries, 5 were trh-and the other 4 were trh+. Both V. alginolyticus strains, 647va and 751va, were environmental isolates carrying a trh-like gene.
All presumptiveV. parahaemolyticus isolates were analyzed for the presence of oxidase, halophilic characteristics, (growth in presence of: 0, 3, 6, and 10% NaCl) and by the API-20E Enteric Identification System (BioMerieux, France). The colony morphology was assessed on TCBS agar (Oxoid, Cambridge, UK). In addition, the identity of V. parahaemolyticus isolates were confirmed by V. parahaemolyticus-specific PCR targeting the toxR gene (Bauer and Rorvik, 2007).

DNA PREPARATION
DNA was extracted from one colony of cells suspended in 200 µl sterile distilled water. The suspension was boiled for 10 min followed by centrifugation at 12,000 × g for 5 min. The supernatant (crude DNA) stored at −20 • C until used as template in PCR.

AMPLIFICATION OF THE trh-ureR-nik-ure REGION
A set of 12 primer pairs ( Table 2) were designed using the Primer2 software (http://frodo.wi.mit.edu/cgi-bin/primer3/ primer3_www.cgi) and the trh-ureR-nik-ure sequence AB038238.1 (Park et al., 2000) (antisense) as target. The target sequences of these primers were located in regions that spanned contiguous open reading frames (ORFs), as illustrated in Figure 2. Two additional sets of primers were used in order to amplify any partial trh (Honda et al., 1991;Honda and Iida, 1993)and ureR sequences from all trh+ isolates ( Table 2). PCR was performed on all trh+ isolates, using the following conditions in a 50 µl reaction solution: 1× buffer (10 mM Tris-Cl pH 8.8, 1.5 mM MgCl 2 , 50 mM KCl, 0.1% Triton X-100), 0.24 mM of each nucleotide (dNTP mix), 1.5 U µl −1 Dynazyme II (all from Thermo Scientific, Vantoa, Finland), 20 pmol of the UtoxF primer, 20 pmol of the reverse primer, and 2 µl of sample DNA. The PCR running conditions were: an initial denaturation of 95 • C for 4 min, 35 cycles of 94 • C for 1 min, 50 • C for 1 min and 72 • C for 2 min, and a final elongation step of 72 • C for 1.5 min in a Bio-Rad Ismart cycler (BioRad, Hercules, CA). Reference V. parahaemolyticus isolate AQ4037 (trh1+) was used  as positive control. Reference V. parahaemolyticus isolate 222 (trh-) was used as negative control. All primers were synthesized by Medprobe (Oslo, Norway). All PCR amplicons resulting from V. parahaemolyticus isolate 438 were sequenced by Medprobe in order to confirm specific PCR amplification.

trh AND ureR SEQUENCE ANALYSIS
All partial ureR-trh and trh sequences genes were aligned and manually trimmed to be 1417 and 497 bp in length, respectively, using the Mega 3.1 software (Kumar et al., 2004), starting at position 1436 relative to AB038238.1 (GenBank, http://www.ncbi.nlm.nih.gov). Phylogenetic analysis of those sequences was performed using Mega 3.1 software (Kumar et al., 2004). Minimum evolution (ME) trees for both the ureR-trh sequences and partial trh sequences were constructed using the kimura-2 parameter model to estimate the genetic distances. Additional trh gene sequences available at GenBank database were included in the analysis (Figure 5). The statistical support of the nodes in the ME tree was assessed by 1000 bootstrap re-sampling. All amplified trh and ureR PCR products were sequenced by MedProbe (Oslo, Norway). The new sequences were deposited in GenBank under accession numbers FJ409538-FJ409547.

tdh ANALYSIS
The presence of tdh was assessed by colony hybridization (DePaola et al., 2003) and/or by PCR amplification (Bej et al., 1999). The forward and reverse primers were 5 -gttctgatgagatattgt ttgttg-3 and 5 -gttggatatacacattaccaat-3, respectively. The PCR reactions were performed as described above; except 0.2 mM Frontiers in Cellular and Infection Microbiology www.frontiersin.org December 2013 | Volume 3 | Article 107 | 3 of each nucleotide (dNTP mix) and 1.0 U µl −1 Dynazyme II were used, with 30 cycles and an annealing temperature of 55 • C.

RESULTS AND DISCUSSION
The strains of V. parahaemolyticus and V. alginolyticus in this study presented the typical phenotypic characteristics of their type strains, ATCC 17802 and ATCC 17749, respectively. All V. parahaemolyticus strains resulted in positive PCR amplification of the toxR gene, but the two V. alginolyticus isolates (647va and 751va) did not produce any amplicons using the same PCR primers.

MLST
The main objective of the present study was to establish the genetic relationships among trh+ V. parahaemolyticus isolated from Norwegian environmental (mussels and seawater) or clinical sources. The 22 Norwegian V. parahaemolyticus isolates were differentiated into 15 different sequence types (STs), of which 12 had not previously been reported in the V. parahaemolyticus MLST database (Table 1, Figure 3), indicating a high degree of genotypic diversity among these isolates. This confirms earlier reports of diversity among V. parahaemolyticus found in other geographic locations (Gonzalez-Escalona et al., 2008;Johnson et al., 2009;Rodriguez-Castro et al., 2009). Three of the STs we identified in the Norwegian samples had already been described in the MLST database: ST3, ST6, and ST34. Interestingly, ST3 is believed to be the ancestral type of pandemic CC (Gonzalez-Escalona et al., 2008), ST6 is a singleton that does not appear related to any known CC, and ST34 is believed to be the ancestral type of CC34 (Gonzalez-Escalona et al., 2008). Our analysis also revealed the existence of a new V. parahaemolyticus CC, CC49 (Figure 3,  Table 1).
Of the nine non-Norway isolatesV. parahaemolyticus used as reference strains, four (9546257;DI-C2, 98-513-F51 and 98-513-F52) had been previously analyzed by MLST and belonged to a clonal complex (CC34) (Gonzalez-Escalona et al., 2008) and the other five were ST3, except strain 223. It was difficult to obtain good quality recA sequences for most isolates studied, specifically at both ends of the sequences. In the case of clinical V. parahaemolyticus isolate 223; a complete recA sequence was not obtained. However, the six remaining loci were identical to those of isolates belonging to CC3 (ST3). This suggests that isolate 223 belongs to CC3 and is a single sequence variant (SLV) on recA locus of its ancestral type (ST3). The majority of these CC3 isolates were acquired in Asian or South American countries (Table 1), further emphasizing the worldwide distribution of the pandemic clonal group.
Only 16 of the 22 Norwegian V. parahaemolyticus isolates were carrying the trh gene. These isolates were subdivided into eight different STs. Interestingly, seven of these trh+ V. parahaemolyticus environmental isolates were shown to be identical by MLST (ST-76), even though they originated from different sources, locations and collection years (2004 and 2006). This indicates their persistence in the coastal environs of Norway. One trh+ environmental isolate (281) displayed the same ST  All target sequences are reported with respect to AB038238.1 (Park et al., 2000). *Primers designed by Honda et al. (1991), Honda and Iida (1993   had been suggested to be the ancestral clone of CC34, which consists of non-pandemic isolates (Gonzalez-Escalona et al., 2008). Isolate 224 may further indicate an association of this cluster with human disease (Gonzalez-Escalona et al., 2008), as well as strengthen the possible role of ST-34 as the ancestral clone of this clonal complex. Clinical isolate 224 (tdh+/trh+) is a single locus variant from two environmental isolates 551 and 580 (tdh-/trh-) belonging to ST-77. The exact origin of 224 is unknown: the patient did not report any stay abroad prior to the infection; however, it is possible the patient ate food that had been re-contaminated during preparation or the patient had consumed imported seafood.
Finding two identical STs in different regions of the world provides evidence that a clonal complex, different from the pandemic clonal complex, is spreading outside its original geographic location. There could be numerous routes for such rapid worldwide dissemination, for transport of contaminated ballast water (McCarthy et al., 1992;McCarthy and Khambaty, 1994), imported food, the motion of oceanic currents, (Martinez-Urtaza et al., 2008a) or human travel activity (Lantagne et al., 2013). One isolate (novel ST-81) was identified to be trh-/tdh-, and recovered from a wound infection (Table 1). One isolate 227 was ST-3 ("pandemic" clone) and isolated from a clinical case in Norway (Table 1). However, it is unclear whether the pandemic clone has reached the Norwegian environment since there were no epidemiological links to a Norwegian source. Pandemic V. parahaemolyticus had been previously reported in the European environment (Martinez-Urtaza et al., 2005;Quilici et al., 2005;Caburlotto et al., 2008).
MLST was also performed on the two V. alginolyticus sequences using the same conditions as for V. parahaemolyticus. However, the PCR did not result in amplification for five of seven MLST loci. Sequences obtained from gyrB and dtdS genes were not identified in the MLST database (http://pubmlst.org/ vparahaemolyticus).

AMPLIFICATION OF THE trh-ureR-nik-ure REGION
The organization of the trh-ureR-nik-ure region previously described in most trh+ isolates (Park et al., 2000) was also explored in Norwegian trh+ V. parahaemolyticus and V. alginolyticus isolates. Amplification of the trh-nik-ure region of these isolates resulted in PCR products of correct length, but with exceptions for six isolates (Figure 4, Table 2). Isolate V. parahaemolyticus 647 Va did not produce any amplicon with primer pair 1 (tnp). Isolates 221, 228, 747, 748, and 749 did not produce any amplicon with primer pair 2 (trh) (Figures 2, 4). Additionally, weak amplicons of the correct size were observed with primer pair 2 and 3 (trh and ureR) for all isolates, except for isolates 224, 647Va, and 751Va for which no amplicons were obtained. Comparing these sequences to those previously submitted to NCBI revealed that the targeted regions of the forward and/or reverse primer of these primer sets (2 and 3) were variable between trh1 and trh2, thus explaining the observation of weak and secondary products of different sizes for the trh2 sequences (data not shown). In conclusion, these primer sets were inadequate for isolates harboring the trh2 gene. We avoided the challenge presented by these two primer pairs by using two additional primer sets (trh and trh-ureR (Honda et al., 1991;Honda and Iida, 1993).
Sequences obtained from isolate 438 confirmed that the PCR products were the intended targets (data not shown). The gene organization of the trh-ureR-nik-ure region of all trh+ isolates was shown to be identical to the cluster described by Park et al. (2000). One of the V. alginolyticus isolates (647) was negative for primer pair 1 (tnp). Whether this result is due to the absence of this gene, or if there are mutations in the target sequence(s) is currently unknown. Sequencing the genome of these strains will reveal in which genomic region the trh gene is present, identify the surrounding genes, and also provide a possible explanation for the presence of trh in these isolates.

PARTIAL trh AND ureR SEQUENCES
Sequence analysis performed on ureR-trh region sequences (1417 bp) obtained from the 22 trh+ isolates (Table 1) showed a total of eight different sequences ( Figure 5A). In contrast, an analysis of only the partial trh sequences resulted in seven different sequences ( Table 1). This discrepancy was a result of a single nucleotide difference in the ureR-trh intergenic region (position 698) between isolates 747 (ST-78) and 228 (ST-73). Alignment of the partial trh gene sequences of all trh+ isolates with representative trh1 and trh2 sequences retrieved from GenBank revealed that V. parahaemolyticus isolates 224 (ST-34), 9546257 (ST-32), DI-C2 (ST-35), 98-513-F51 (ST-33), and 98-513-F52 (ST-34) and both V. alginolyticus isolates harbored the trh1 sequence type, while the remaining isolates carried trh2 sequence type ( Figure 5A). The partial trh sequences of the two V. alginolyticus isolates (647Va and 751Va) were identical. The three trh1 sequences had a four nucleotide insert (GATA) 160 bp upstream of the trh start codon (position 2090, relative to AB038238.1), and a deletion 101 bp upstream. These mutations were in the non-coding region. The trh1 gene is occasionally associated with the presence of tdh (as observed in isolate 224), although the two V. alginolyticus isolates in this study were negative for this gene by PCR. The trh2 type had previously been described in a V. alginolyticus isolated from Alaskan oysters (Gonzalez-Escalona et al., 2006). This is the first report of trh1 in V. alginolyticus. The presence of trh in other Vibrio spp. than V. parahaemolyticus has previously been described, and suggests that environmental Vibrio spp. may be the reservoir for the trh gene (Gonzalez-Escalona et al., 2006;Masini et al., 2007). This is not unique, since another V. parahaemolyticus pathogenicity determinant (tdh gene) was previously identified in a V. alginolyticus isolate (Cai et al., 2007). This re-enforced the reported highly mobile nature of these genes in marine environment among Vibrio.

Frontiers in Cellular and
Comparison of the minimum evolution (ME) trees generated from the concatenated sequences of the seven genes (MLST) of all trh+ V. parahaemolyticus isolates and their 1417 bp ureRtrh region, revealed different evolutionary stories between the housekeeping genes and this virulence region (Figures 5A,B). As expected, the ureR-trh1 region was identical among the members of the clonal complex 34 (CC34), which all belong to closely related STs (Figure 5B). In the case of the V. alginolyticus isolates, this region was more similar (99%) to the one in V. parahaemolyticus (TH3996) than to the one present in CC34 isolates (96%), indicating that this region of V. alginolyticus was acquired from a different genetic background that the one in CC34 isolates. On the other hand, even though strains 225 and 422 contained identical ureR-trh2 region, they belonged to very distant STs, respectively), both located at distant part of the ME MLST tree.
These results also demonstrate how MLST, in conjunction with ureR-trh cluster analysis, is a powerful technique for revealing evolutionary events inside the V. parahaemolyticus species. It has been suggested that Vibrio spp. are more vulnerable to horizontal gene transfer than the other prokaryotic species (Dryselius et al., 2007), and that frequent recombination events further drive clonal diversification (Gonzalez-Escalona et al., 2008). In this study, the conservation of the ureR-trh1 among isolates belonging to CC34 (Gonzalez-Escalona et al., 2008) suggests that this region was acquired before those isolates started to diverge.
MLST analyses indicate that V. parahaemolyticus isolates 225 (ST-74) and 422 (ST-76), both containing an identical ureR-trh2 region, have diverged in the past (Figure 5B), and suggest that this region was acquired recently. Another possible explanation could be that this region evolved or changed more slowly in comparison with the other housekeeping genes (MLST). However, since MLST analyzes housekeeping genes, presuming a recent acquisition of that region seems a more parsimonious explanation. Whether this ureR-trh2 region was acquired recently by only one or both of these isolates, remains unknown.
Furthermore, analysis of the ME tree generated with the concatenated sequences of the seven genes of all the V. parahaemolyticus isolates in this study, including tdh+/trh-and tdh-/trhisolates, showed that some isolates were highly related despite their tdh or trh content ( Figure 5C). These findings support previous reports that these elements could be laterally acquired (Nishibuchi and Kaper, 1995;Park et al., 2000). An example is strain 551 (ST-77), which, although not carrying either determinant, is nonetheless closely related to isolates belonging to the ancestral type of CC34 (ST-34) which contains ureR-trh1 region ( Figure 5C). Isolate 551 is a SLV of isolates belonging to ST-34 and differed by six nucleotide changes on locus pyrC. This amount of changes in this locus, compared to the other six, indicates that these different variants of the locus have arisen by recombination rather than mutation (Gonzalez-Escalona et al., 2008). The lack of ureR-trh1 region in this isolate (551) could be due to a loss of this region or that this isolate did not acquired it. Whole genome sequencing of these strains will provide some insights into the loss/acquisition of the ureR-trh1 region by these isolates.

GEOGRAPHICAL DISTRIBUTION OF trh+ V. parahaemolyticus STs IN NORWAY
The isolation of multiple trh+ V. parahaemolyticus strains from all four sampling sites shows that these types of isolates are prevalent on the coast of Norway (Figure 1, Table 1). MLST analysis showed that most areas have unique V. parahaemolyticus populations, as evidenced by their different STs; exceptions were ST-76 and ST-77, which were isolated from 3 (Hvaler, Vallø, and Oslo) and 2 (Oslo and Flødevigen) of the four areas tested, respectively. The presence of the same ST across those different areas has no easy explanation although this could be due to either ocean currents or interchange of blue mussels among different Norwegian coastal areas. One area of special interest was Hvaler, where V. parahaemolyticus strains belonged to three different ST with different degrees of similitude. For example ST-79 (trh2-2) and ST-74 (trh2-4) were located closely in the concatenated sequence ME tree (Figure 5B), and carried different trh gene variant. While strain 438 , was identical to other strains isolated from Oslo and Vallø, it also carried the same trh gene variant than ST-74. This detail indicates that there are different populations of trh+ V. parahaemolyticus in the same area (Hvaler), carrying the same trh variant, suggesting horizontal gene transfer of this gene among them. Interestingly, the ST-76 strains in Hvaler and Vallø were isolated from blue mussels while the ST-76 strains from Oslo were all isolated from water.
Also, it appears to be a high prevalence of trh2 vs. trh1 gene in environmental V. parahaemolyticus in Norway, but in order to offer a more conclusive answer to this phenomenon more strains from different areas, seasons, and years, should be analyzed. trh2+ was observed in all environmental trh+ V. parahaemolyticus and two of the 3 Norwegian clinical cases. In the other hand, trh1 gene was observed exclusively in the V. alginolyticus analyzed, and in one of the 3 Norwegian clinical cases. trh1+ V. alginolyticus were isolated in two distant regions Flødevigen and Oslo, Nordstrand bad, indicating that there appears to be strains in those regions that act as a reservoir of trh genes in the Norwegian aquatic environment.

CONCLUSION
Our study presents new information regarding the genetic relationship among trh+ isolates, and introduces a PCR screening method demonstrating that the organization of the trh-ureR-nik-ure gene cluster found in the Norwegian trh+ V. parahaemolyticus isolates is identical to the one previously described for strain TH3996 (Park et al., 2000). Overall, these results showed that the genetic background of trh+ V. parahaemolyticus in Norwegian coasts is highly complex and there appears to be a movement of the same, or highly similar, strains between coastal regions. Additionally, the current study is (to the author's knowledge) the first to indicate a genetic relationship between trh+ and/or tdh+ V. parahaemolyticus and non-pathogenic environmental isolates. These intriguing results warrant closer examination of the trh+ and/or tdh+ isolates [224 (ST-34) and 228 (ST-73)] and their non-pathogenic "relatives" [551 (ST-77) and 281 (ST-6)], which may provide unique information regarding the transfer of genetic elements carrying trh and/or tdh. In conclusion, MLST and ureR-trh sequence analysis generated two different evolutionary trees, suggesting that ureR-trh genes have been acquired or lost at different times by Norwegian V. parahaemolyticus isolates.

AUTHOR CONTRIBUTIONS
Anette B. Ellingsen, Jaran S. Olsen, Per E. Granum, and Liv M. Rørvik designed parts of the study. Anette B. Ellingsen and Liv M. Rørvik organized the collection of Vibrios. Anette B. Ellingsen, Jaran S. Olsen, and Narjol González-Escalona performed laboratory and phylogentic analyses. Anette B. Ellingsen, Liv M. Rørvik and Narjol González-Escalona analyzed the data obtained from the whole study. Anette B. Ellingsen, Jaran S. Olsen, Per E. Granum, Liv M. Rørvik and Narjol González-Escalona wrote the final manuscript. All authors read and approved the final manuscript.