The use of molecular methods for identification of
Nocardia is based on restriction endonuclease digestion, nucleic acid amplification, or nucleotide sequencing techniques. For accurate diagnosis of
Nocardia spp. due to their diversity, we cannot rely on using phenotypic or genotypic methods alone (
27). A combination of molecular and phenotypic methods is efficient in detection and identification of
Nocardia species. To date, the
Nocardia genus comprises 113 species (
28). The present study was done to identify
Nocardia species based on profiles obtained from PCR - RFLP of the
hsp65 gene and sequencing of the 16S rRNA gene. The most commonly used enzymes in
Nocardia are
MspI,
HinfI,
BstEII, and
BsaHI (
14,
18). PCR - RFLP analysis of the
groEl gene has been done to distinguish
Nocardia isolates from the genus
Mycobacterium (
29). Steingrube et al. reported 12 species and taxa of
Nocardia by a PRA method using the
MspI and
BsaHI enzymes (
30). Thus, the PRA (PCR restriction enzyme pattern analysis) allowed the identification of the drug pattern types in
Nocardia spp. In addition, PCR - RFLP of the
hsp65 gene can lead to a rapid, presumptive species identification (
14). Here, we have earned the pattern profiles of the isolates of
Nocardia. In the present study, the results obtained from biochemical tests of the strains of
Nocardia from soil (
17) were compared with the results obtained from PCR - based RFLP assay. It appears that PCR - based RFLP analysis is a useful tool to detect and distinguish
Nocardia spp. from the soil and clinical specimens and distinguish
Nocardia from another similar genus such as
Mycobacterium, Rhodococcus,
Dietzia, etc. (
20,
31). In a study, biochemical tests, amplification, and REA (Restriction Endonuclease Analysis) of portions of the 16S rRNA gene (digested by
HinP1I and
DpnII) and
hsp65 gene (digested by
MspI,
HinfI, and
BsaHI) were done to detect 28 isolates of
Nocardia and one isolate was not identifiable by its HSP gene RFLP pattern (
18). In our study, seven strains (En12, En28, En39, En43, En46, E47, and En49) produced
hsp65 restriction-endonuclease fragment patterns that were not in agreement with their identification by biochemical/phenotypic tests (
Table 2). RFLP patterns in these strains, except strain En12, were different from other known PCR - RFLP profiles. In this study, 25 isolates showed PCR - RFLP patterns and sequencing of 16S rRNA gene results similar to biochemical tests (
Table 2). Significantly, each of these approaches has its advantages and disadvantages to identify species. On the other hand, any of them are usually not sufficient to identify all strains of
Nocardia alone. For instance, one of the advantages of the PRA technique (PCR - RFLP analysis targeting
hsp65 gene) is differentiation of the genus
Mycobacterium of
Nocardia species (
32). Another study using the
hsp65 PCR - RFLP method and restriction enzymes
MspI,
HinfI,
BsaHI,
HaeIII, and
BstEII identified nine isolates to species and biotype levels. In addition, three isolates were identified to species level and two isolates to genus level (
20). Rodriguez - Nava et al. focused on PRA of the
hsp65 gene using
BstEII,
MspI, and
HinfI to differentiate
Nocardia species and reported the restriction patterns of 36 species of
Nocardia many of which had the same restriction patterns (
14). Some of
Nocardia species have similar biochemical and morphological features and PCR - RFLP profiles. It seems further testing for species detection probabilities such as DNA sequencing is essential especially for new species (
18). The 16S rRNA gene sequence plays an important role in species identification and taxonomy. This gene is used for phylogenetic studies (
31,
33). By using
BstEII digests alone, unique RFLP patterns (130+ 310 bp bands) were obtained for 6 strains of
Nocardia (En28, En39, En43, En46, En47, and En49). In these strains, the
MspI restriction enzyme produced restriction patterns consisting of three bands (three strains) or four bands (four strains) and
HinfI enzymes produced restriction patterns consisting of two bands in these 6 isolates (
Table 1;
Figure 2). Eventually, after analyzing the RFLP band patterns generated by each of the three enzymes, we detected new RFLP patterns “A” and “B”. We performed the 16S rRNA gene sequences (1500bp) for all the isolates of
Nocardia, especially for strains that gave the new RFLP patterns (See
Table 1). The gene Bank accession numbers of the 16S rRNA gene for
Nocardia isolates in our study are given in
Table 2. Based on phenotypic test results in our previous report (
17), isolate En28 was identified as
N. africana. After the analysis of PCR - RFLP of the
hsp65 gene, we observed a new pattern “A” (
BstEII, 130/310;
MspI, 120/140/180;
HinfI, 190/250). This isolate after conducting the sequence analysis of 16S rRNA gene was 100% similar to
N.ignorata DSM 44496. The RFLP profile of the
hsp65 gene for
N. ignorata according to the report of Rodriguez - Nava et al. was
BstEII, 80/320;
MspI, 130/120/115/70;
HinfI, 190/250 (
14). After performing the BLAST comparison, isolates En46 and En47 (whit RFLP pattern B) showed the greatest similarity to
N. cummidelens HBUM174688 (En 46; similarity 99.66% with a difference in 5 nucleotides, En47; similarity 99.93% with a difference in 1 nucleotide), when compared to the NCBI nucleotide sequence (
25). Isolates En39 and En43 had a similar RFLP pattern “B” (
BstEII, 130/310;
MspI, 70/110/120/140;
HinfI, 190/250), which, after sequencing of 16S rRNA gene, were identified as
N. otitidiscaviarum and
N. soli, respectively (See
Table 1). Steingrube et al. (1995) reported various patterns for
N. asteroides and
N. otitidiscaviarum by
MspI for initial digestion and then restriction with
BsaHI for an amplified 439 - bp segment of the 65 - kDa heat shock protein gene (DNA amplification and restriction) (
30). According to previous studies, the RFLP pattern of the
hsp65 gene was reported for
N. ignorata as
BstEII, 80/320;
MspI, 130/120/115/70;
HinfI, 190/250,
N. soli and
N. cummidelens as
BstEII, 80/320;
MspI, 130/120/115/70;
HinfI, 190/250,
N. asteroids type IV,
N. cyriacigeorgica, and
N. neocaledoniensis as
BstEII, 440;
MspI, 180/145-130/120 - 115;
HinfI, 440 (
14). In this study, we obtained new RFLP patterns for
N. cummidelens,
N. ignorata, and
N. soli (See
Table 2). It is possible that some
Nocardia spp. contained two different
hsp65 restriction - endonuclease fragment patterns (or more than two). Therefore, the
hsp65 restriction - endonuclease fragment pattern results for
N. ignorata,
N. soli, and
N. otitidiscaviarum differed from those of other research (
14). The 16S rRNA gene sequencing showed that strains En8 and En39 both belonged to
N. otitidiscaviarum, while strain En8 had the expected
hsp65 restriction - endonuclease fragment pattern D and strain En39 had a new pattern B. The RFLP pattern obtained in the isolate En49 (RFLP pattern B:
BstEII, 130/310;
MspI, 70/110/120/140;
HinfI, 190/250) due to the sequence similarity of the 16S rRNA gene (
Figure 3, similarity 99.06% to
N. coubleae OFN N11) was considered as
N. coubleae (See
Table 2). It is noteworthy that, any pattern for the RFLP of
hsp65 gene was not identified for
N. coubleae until now. Hence, determining the
hsp65 gene patterns in various species of
Nocardia can be helpful to get a more accurate diagnosis. In addition to the identification of
Nocardia spp., the PCR - RFLP and sequencing techniques could be used for detection and differentiation of unusual species of
Nocardia and distinguish
Nocardia and
Mycobacterium species from each other (
30). Based on the findings of previous published papers and the results of the present study, the same RFLP pattern of
hsp65 gene could be present in several different
Nocardia species. Similarly, the phenotypic properties may be different even in
Nocardia isolates that belong to the same species. PCR - RFLP analysis targeting
hsp65 is a rapid method for identification of
Nocardia species if the pattern of all species was determined in databanks of NCBI. Therefore, it is recommended that RFLP -
hsp65 profiles be determined to create a comprehensive database for all discovered species of
Nocardia.