# Isolation and Characterization of Capnocytophaga bilenii sp. nov., a Novel Capnocytophaga Species Detected in a Gingivitis Subject

Angéline Antezack, Manon Boxberger, Bernard La Scola, Virginie Monnet-Corti

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Angéline Antezack, Manon Boxberger, Bernard La Scola, Virginie Monnet-Corti. Isolation and Characterization of Capnocytophaga bilenii sp. nov., a Novel Capnocytophaga Species Detected in a Gingivitis Subject. Pathogens, 2021, 10 (5), pp.547. 10.3390/pathogens10050547. hal-03279635

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# Isolation and Characterization of *Capnocytophaga bilenii* sp. nov., a Novel *Capnocytophaga* Species Detected in a Gingivitis Subject

Angéline Antezack<sup>1,2,3,4 ID</sup>, Manon Boxberger<sup>3,4 ID</sup>, Bernard La Scola<sup>3,4 ID</sup> and Virginie Monnet-Corti<sup>1,2,3,4,* ID</sup>

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**Citation:** Antezack, A.; Boxberger, M.; La Scola, B.; Monnet-Corti, V. Isolation and Characterization of *Capnocytophaga bilenii* sp. nov., a Novel *Capnocytophaga* Species Detected in a Gingivitis Subject. *Pathogens* **2021**, *10*, 547. https://doi.org/10.3390/pathogens10050547

Academic Editor: Shigeki Kamitani

Received: 6 April 2021

Accepted: 30 April 2021

Published: 1 May 2021

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**Copyright:** © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

**Abstract:** *Capnocytophaga* species are commensal gliding bacteria that are found in human and animal oral microbiota and are involved in several inflammatory diseases, both in immunocompromised and immunocompetent subjects. This study contributes to increased knowledge of this genus by characterizing a novel species isolated from a dental plaque sample in a male with gingivitis. We investigated morphological and chemotaxonomic characteristics using different growth conditions, temperature, and pH. Cellular fatty acid methyl ester (FAME) analysis was employed with gas chromatography/mass spectrometry (GC/MS). Phylogenetic analysis based on 16S rRNA, orthologous average nucleotide identity (OrthoANI), and digital DNA-DNA hybridization (dDDH) relatedness were performed. The Marseille-Q4570T strain was found to be a facultative aerobic, Gram-negative, elongated, round-tipped bacterium that grew at 25–56 °C and tolerated a pH of 5.5 to 8.5 and an NaCl content ranging from 5 to 15 g/L. The most abundant fatty acid was the branched structure 13-methyl-tetradecanoic acid (76%), followed by hexadecanoic acid (6%) and 3-hydroxy-15-methyl-hexadecanoic acid (4%). A 16S rDNA-based similarity analysis showed that the Marseille-Q4570T strain was closely related to *Capnocytophaga leadbetteri* strain AHN8855T (97.24% sequence identity). The OrthoANI and dDDH values between these two strains were, respectively, 76.81% and 25.6%. Therefore, we conclude that the Marseille-Q4570T strain represents a novel species of the genus *Capnocytophaga*, for which the name *Capnocytophaga bilenii* sp. nov. is proposed (=CSUR Q4570).

**Keywords:** *Capnocytophaga*; dental plaque; gingivitis; culturomics; sp. nov.

## 1. Introduction

The genus *Capnocytophaga* (Gr. n. *kapnos*, smoke; N.L. fem. n. *Cytophaga*, a bacterial genus name; N.L. fem. n. *Capnocytophaga*, bacteria requiring carbon dioxide and related to the cytophaga) belongs to the large family *Flavobacteriaceae* and currently counts 10 species with a validly published and correct name [1]. *Capnocytophaga* species are primarily commensals of the oral cavity in humans and animals, especially dogs and cats. They are recognized as opportunistic pathogens, leading to various extra-oral infections, including severe sepsis [2], bloodstream infections [3], abscess [4,5], vertebral osteomyelitis [6], pneumonia [7], and perinatal infections [8] in both immunocompetent and immunosuppressed patients. In addition, *Capnocytophaga* species have been thought to play a role in cancer development. For example, *Capnocytophaga gingivalis* has been identified as strongly correlated with oral squamous cell carcinoma (OSCC) and has been described as a promising diagnostic marker [9,10]. The genus *Capnocytophaga* was also found in increased amounts

<footnote n="1">¹ Ecole de Médecine Dentaire, Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, 27 Boulevard Jean Moulin, 13385 Marseille, France; angeline.antezack@univ-amu.fr</footnote>

<footnote n="2">² Assistance Publique-Hôpitaux de Marseille (AP-HM), Hôpital Timone, Service de Parodontologie, 264, Rue Saint Pierre, 13385 Marseille, France</footnote>

<footnote n="3">³ Institut de Recherche Pour le Développement (IRD), Assistance Publique-Hôpitaux de Marseille (AP-HM), MEPHI, Aix-Marseille Université, 27 Boulevard Jean Moulin, 13005 Marseille, France; manon.boxberger@hotmail.fr (M.B.); bernard.la-scola@univ-amu.fr (B.L.S.)</footnote>

<footnote n="4">⁴ IHU Méditerranée Infection, 19–21 Boulevard Jean Moulin, 13005 Marseille, France</footnote>

<footnote>* Correspondence: virginie.corti@univ-amu.fr</footnote>
in the saliva of lung cancer patients [11]. Moreover, several studies have reported members of the genus *Capnocytophaga* as periodontal pathogens [12–14]. Periodontal diseases are multifactorial inflammatory pathologies that are characterized by progressive destruction of the tooth-supporting apparatus [15]. An increase in an abundance of *Capnocytophaga* species was found in subjects with gingivitis [16] and periodontitis [17]. Furthermore, the genus *Capnocytophaga* is one of the main sources of β-lactamases in the oral cavity and constitutes the main oral reservoir of macrolide–lincosamide–streptogramin genes, adding to their pathogenicity [18].

In this study, we used the rapid and precise routine identification by matrix-assisted laser desorption ionization time-of-flight (MALDI-TOF) mass spectrometry (MS) for the identification of an unknown strain, which was isolated from a dental plaque sample from a 25-year-old male with gingivitis. The Marseille-Q4570T strain was described using morphological examinations and biochemical characteristics and compared to its closely related phylogenetic neighbors. We propose for this strain the species name *Capnocytophaga bilenii* sp. nov (=CSUR Q4570).

**2. Results**

**2.1. Strain Identification and Classification**

The Marseille-Q4570T strain was isolated from a dental plaque sample of a 25-year-old male with gingivitis living in Marseille, France. The Marseille-Q4570T strain could not be identified by MALDI-TOF MS, as the score was lower than 1.8 (Figure 1).

<figure><img src="image_4.png" /><figcaption>**Figure 1.** MALDI-TOF MS reference mass spectrum for the Marseille-Q4570T strain. Spectra from 12 individual colonies were compared and a reference spectrum was generated.</figcaption></figure>

The 16S rDNA-based similarity analysis of the Marseille-Q4570T strain against Gen-Bank yielded the highest nucleotide sequence similarities of 97.24% sequence identity with *Capnocytophaga leadbetteri* strain AHN8855T (GenBank accession no. NR_043464.1). As this value was lower than the 98.65% threshold for differentiating two species [19], the Marseille-Q4570T strain was considered to be a potential new species within the genus *Capnocytophaga*. The 16S rRNA gene sequence was deposited into GenBank under the accession number MW762958. The phylogenetic tree highlighting the position of the Marseille-Q4570T strain relative to other closely related species is shown in Figure 2.
<figure><img src="image_5.png" /><figcaption>**Figure 2.** Maximum likelihood tree based on the comparison of 16S rRNA gene sequences showing the phylogenetic relationships of the Marseille-Q4570T strain and other closely related species. Bootstrap values (expressed as percentages of 1000 replications) are displayed at the nodes. Only bootstrap values of 70% or greater are shown. Type strains are indicated with superscript T. GenBank accession numbers of 16S rRNA are indicated in parentheses. Sequences were aligned using MUSCLE (Multiple Sequence Comparison by Log Expectation) with default parameters, and phylogenetic inference was obtained using the maximum likelihood method and MEGA X software [20]. Bootstrap values obtained by repeating the analysis 1000 times to generate a majority consensus tree are indicated at the nodes. There was a total of 1409 positions in the final dataset.</figcaption></figure>

## 2.2. *Phenotypic Characteristics*

Growth was observed on Columbia agar with 5% sheep blood (BioMérieux, Marcy l’Etoile, France) at 37 °C after 48 h of incubation in an aerobic atmosphere. Growth was also achieved in anaerobic (AnaeroGen Compact; Oxoid, Thermo Scientific, Dardilly, France) and microaerophilic atmospheres (campyGEN; Oxoid, Thermo Scientific, Dardilly, France). The temperature range of the strain was determined to be 25–56 °C, with an optimum growth temperature of 37 °C. The bacterial cells tolerated a pH of 5.5 to 8.5 (optimum pH 5.5) and an NaCl content ranging from 5 to 15 g/L (optimum 5 g/L). Colony appearance on Columbia agar with 5% sheep blood (BioMérieux, Marcy l’Etoile, France) incubated at 37 °C for 2 days was yellow-orange, smooth, and shiny. Cells were slender (0.3–0.4 × 8.5–17 µm), elongated, round-tipped, and Gram-negative, as determined by scanning electron microscopy (SEM) (Figure 3a). The cells were intertwined to form a dense network (Figure 3b).

Using an API 50 CH strip, positive results were shown for D-galactose, D-glucose, D-fructose, D-mannose, methyl αD-mannopyranoside, methyl αD-glucopyranoside, N-acetyl-glucosamine, amygdalin, arbutin, esculin ferric citrate, salicin, D-cellobiose, D-maltose, D-lactose, D-melibiose, D-saccharose, D-trehalose, inulin, D-melezitose, D-raffinose, amidon, glycogen, xylitol, gentiobiose, and D-turanose. Using an API ZYM strip, positive reactions were obtained for alkaline phosphatase, C4 esterase, C8 esterase lipase, leucine arylamidase, valine arylamidase, cystine arylamidase, trypsin, α-chymotrypsin, acid phosphatase, naphthol-AS-BI-phosphohydrolase, α-glucosidase, and N-acetyl-β-glucosaminidase. In addition, the Marseille Q4570T strain was negative for oxidase and catalase activity. The comparison of phenotypic characteristics between the Marseille-Q4570T strain and other *Capnocytophaga* species is listed in Table 1.
<figure><img src="image_6.png" /><figcaption>**Figure 3.** Micrograph electron microscopy of the Marseille-Q4570T strain. (a) A single cell after 48 h growth on Columbia agar with 5% sheep blood (TM4000 SEM, Hitachi High-Tech, HHT, Tokyo, Japan), and (b) the network organization of the cells (SU5000 FE-SEM, Hitachi High-Tech, HHT, Tokyo, Japan). Scales and acquisition settings are shown in the figure.</figcaption></figure>

<table><caption>**Table 1.** Phenotypic and biochemical characterization of the Marseille-Q4570T strain compared with other *Capnocytophaga* species.</caption><thead><tr><th>Characteristics</th><th>1</th><th>2</th><th>3</th><th>4</th><th>5</th><th>6</th><th>7</th><th>8</th><th>9</th></tr></thead><tbody><tr><td>Oxidase activity</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>+</td><td>+</td><td>—</td><td>—</td></tr><tr><td>Catalase activity</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>+</td><td>+</td><td>—</td><td>—</td></tr><tr><td>Fermentation of:</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Amygdalin</td><td>w</td><td>—</td><td>+</td><td>w</td><td>—</td><td>ND</td><td>ND</td><td>ND</td><td>ND</td></tr><tr><td>Cellobiose</td><td>w</td><td>—</td><td>+</td><td>—</td><td>—</td><td>+</td><td>—</td><td>ND</td><td>ND</td></tr><tr><td>Fructose</td><td>+</td><td>—</td><td>+</td><td>—</td><td>+</td><td>+</td><td>—</td><td>+</td><td>ND</td></tr><tr><td>Galactose</td><td>+</td><td>w</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>ND</td><td>ND</td></tr><tr><td>Glucose</td><td>+</td><td>w</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>ND</td></tr><tr><td>Lactose</td><td>+</td><td>w</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>ND</td><td>ND</td></tr><tr><td>Raffinose</td><td>+</td><td>—</td><td>+</td><td>+</td><td>w</td><td>+</td><td>—</td><td>ND</td><td>ND</td></tr><tr><td>API ZYM</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Alkaline phosphatase</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td></tr><tr><td>C<sub>4</sub> esterase</td><td>+</td><td>w</td><td>—</td><td>—</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td></tr><tr><td>C<sub>8</sub> esterase lipase</td><td>+</td><td>w</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td></tr><tr><td>C<sub>14</sub> lipase</td><td>—</td><td>ND</td><td>—</td><td>ND</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td></tr><tr><td>Leucine arylamidase</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td></tr><tr><td>Valine arylamidase</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td></tr><tr><td>Cystine arylamidase</td><td>+</td><td>+</td><td>+</td><td>—</td><td>+</td><td>—</td><td>—</td><td>+</td><td>+</td></tr><tr><td>Trypsin</td><td>+</td><td>—</td><td>—</td><td>+</td><td>—</td><td>+</td><td>+</td><td>—</td><td>+</td></tr><tr><td>α-Chymotrypsin</td><td>+</td><td>w</td><td>—</td><td>w</td><td>—</td><td>—</td><td>—</td><td>—</td><td>+</td></tr><tr><td>Acid phosphatase</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td></tr><tr><td>Naphthol-AS-BI-Phosphohydrolase</td><td>+</td><td>ND</td><td>+</td><td>ND</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td></tr><tr><td>α-Galactosidase</td><td>—</td><td>ND</td><td>—</td><td>ND</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td></tr><tr><td>β-Galactosidase</td><td>—</td><td>+</td><td>+</td><td>w</td><td>+</td><td>—</td><td>—</td><td>+</td><td>—</td></tr><tr><td>β-Glucuronidase</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td></tr><tr><td>α-Glucosidase</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td><td>+</td></tr><tr><td>β-Glucosidase</td><td>—</td><td>—</td><td>—</td><td>—</td><td>+</td><td>—</td><td>—</td><td>—</td><td>+</td></tr><tr><td>N-Acetyl-β-Glucosaminidase</td><td>+</td><td>+</td><td>+</td><td>+</td><td>—</td><td>+</td><td>+</td><td>+</td><td>—</td></tr><tr><td>α-Mannosidase</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td></tr><tr><td>α-Fucosidase</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>—</td><td>+</td><td>—</td><td>—</td></tr></tbody></table>

API ZYM and API 50 CH test kits (bioMérieux, Marcy l'Etoile, France) were used for the characterization of the Marseille-Q4570T strain. Strains: 1, Marseille-Q4570T; 2, *Capnocytophaga leadbetteri* strain AHN8855T [21]; 3, *Capnocytophaga ochracea* [1,21,22]; 4, *Capnocytophaga haemolytica* [21,23]; 5, *Capnocytophaga granulosa* [21,23,24]; 6, *Capnocytophaga cynodegmi* [25,26]; 7, *Capnocytophaga canimorsus* strain 7120T [26,27]; 8, *Capnocytophaga sputigena* [1,28]; 9, *Capnocytophaga gingivalis* [1,29].+, positive; w, weakly positive; —, negative; ND, no data available.
The most abundant fatty acid was the branched structure 13-methyl-tetradecanoic acid (76%), followed by hexadecanoic acid (6%) and 3-hydroxy-15-methyl-hexadecanoic acid (4%). Several other unsaturated, branched, and specific 3-hydroxy structures were also described. This fatty acid profile corresponds to the commonly described compositions for *Capnocytophaga* strains [30] (Table 2).

<table><caption>**Table 2.** Cellular fatty acid compositions of the Marseille-Q4570T strain and other *Capnocytophaga* species.</caption><thead><tr><th>Fatty Acid</th><th>1</th><th>2</th><th>3</th><th>4</th></tr></thead><tbody><tr><td>C<sub>13:0</sub></td><td>TR</td><td>ND</td><td>ND</td><td>ND</td></tr><tr><td>C<sub>13:0</sub> iso</td><td>1.3</td><td>–</td><td>3</td><td>TR</td></tr><tr><td>C<sub>14:0</sub></td><td>1.8</td><td>TR</td><td>TR</td><td>TR</td></tr><tr><td>C<sub>14:0</sub> iso</td><td>TR</td><td>ND</td><td>ND</td><td>ND</td></tr><tr><td>C<sub>14:0</sub> 3-OH</td><td>TR</td><td>ND</td><td>ND</td><td>ND</td></tr><tr><td>C<sub>15:0</sub></td><td>TR</td><td>TR</td><td>TR</td><td>TR</td></tr><tr><td>C<sub>15:0</sub> iso</td><td>75.6</td><td>61</td><td>75</td><td>78</td></tr><tr><td>C<sub>15:0</sub> 3-OH iso</td><td>1.7</td><td>3</td><td>2</td><td>3</td></tr><tr><td>C<sub>16:0</sub></td><td>5.8</td><td>12</td><td>3</td><td>4</td></tr><tr><td>C<sub>16:0</sub> 3-OH</td><td>1.7</td><td>2</td><td>4</td><td>4</td></tr><tr><td>C<sub>17:0</sub></td><td>TR</td><td>TR</td><td>TR</td><td>TR</td></tr><tr><td>C<sub>17:0</sub> iso</td><td>TR</td><td>ND</td><td>ND</td><td>ND</td></tr><tr><td>C<sub>17:0</sub> 3-OH iso</td><td>4.1</td><td>2</td><td>8</td><td>7</td></tr><tr><td>C<sub>17:0</sub> anteiso</td><td>TR</td><td>ND</td><td>ND</td><td>ND</td></tr><tr><td>C<sub>18:0</sub></td><td>1.3</td><td>4</td><td>TR</td><td>2</td></tr><tr><td>C<sub>18:1n9</sub></td><td>2.8</td><td>6</td><td>2</td><td>TR</td></tr><tr><td>C<sub>18:2n6</sub></td><td>2.7</td><td>10</td><td>3</td><td>2</td></tr></tbody></table>

All values are given as a percentage of total fatty acids. Strains: 1, Marseille-Q4570T; 2, *C. ochracea* 25T [30]; 3, *C. gingivalis* 27T [30]; *C. sputigena* 4T [30]. –, Not detected; TR, trace amounts (<1%); ND, no data available.

## 2.3. Genome Sequencing Information and Genome Properties

The genome size of the Marseille-Q4570T strain was 2,730,939 bp long with a 38.4% G+C content. It was assembled into 20 contigs with a mean coverage of 31.0%. It was deposited into GenBank under the accession number JAGDYP010000000. Of the 2512 predicted genes, 2460 were protein-coding genes and 52 were RNAs (four 5S rRNA, two 16S rRNA, two 23S rRNA, 41 tRNA, and three ncRNA). There were 961 genes with putative function (by COGs) for the Marseille-Q4570T strain (Table 3). Finally, 1388 genes (55.3%) were annotated as hypothetical proteins for the Marseille-Q4570T strain. A circular map showing a complete view of the genome of the Marseille-Q4570T strain is shown in Figure 4.

## 2.4. Comparison to Closely Related Bacterial Strains

The genome of the Marseille-Q4570T strain was compared to the available genomes of nine closely related bacterial strains: *Capnocytophaga canimorsus*, *C. cynodegmi*, *C. gingivalis*, *C. haemolytica*, *C. leadbetteri*, *C. ochracea*, *C. sputigena*, *Flavobacterium johnsonia*, and *Flavobacterium lutivivi*. The genome size of our strain (2.7 Mb) was larger than that of *C. canimorsus* (2.4 Mb), *C. cynodegmi* (2.6 Mb), *C. haemolytica* (2.6 Mb), and *C. ochracea* (2.6 Mb). In addition, the G+C content of our strain (38.4%) was equal to that of *C. sputigena* and higher than that of *F. lutivivi* (32.4%), *F. johnsonia* (34.1%), *C. cynodegmi* (34.4%), and *C. canimorsus* (36.3%).

Using dDDH analysis, the Marseille-Q4570T strain exhibited values ranging from 33.5% [31.1–36%] with *C. gingivalis* to 21.0% [18.7–23.4%] with *F. johnsoniae* (Table 4). These values are lower than the 70% threshold used for delineating prokaryotic species, thus confirming that the Marseille-Q4570T strain represents a new species [10]. In addition, using OrthoANI analysis, the Marseille-Q4570T strain exhibited values ranging from 76.81% with *C. leadbetteri* to 67.01% with *F. lutivivi* (Figure 5).
<table><caption>**Table 3.** Number of genes associated with the clusters of orthologous group (COG) functional categories of the Marseille-Q4570T strain.</caption><thead><tr><th>Code</th><th>Marseille-Q4570<sup>T</sup> Strain</th><th>Description</th></tr></thead><tbody><tr><td>[J]</td><td>129</td><td>Translation, ribosomal structure, and biogenesis</td></tr><tr><td>[A]</td><td>0</td><td>RNA processing and modification</td></tr><tr><td>[K]</td><td>40</td><td>Transcription</td></tr><tr><td>[L]</td><td>67</td><td>Replication, recombination, and repair</td></tr><tr><td>[B]</td><td>1</td><td>Chromatin structure and dynamics</td></tr><tr><td>[D]</td><td>12</td><td>Cell cycle control, cell division, and chromosome partitioning</td></tr><tr><td>[Y]</td><td>0</td><td>Nuclear structure</td></tr><tr><td>[V]</td><td>21</td><td>Defense mechanisms</td></tr><tr><td>[T]</td><td>15</td><td>Signal transduction mechanisms</td></tr><tr><td>[M]</td><td>74</td><td>Cell wall/membrane/envelope biogenesis</td></tr><tr><td>[N]</td><td>2</td><td>Cell motility</td></tr><tr><td>[Z]</td><td>0</td><td>Cytoskeleton</td></tr><tr><td>[W]</td><td>0</td><td>Extracellular structures</td></tr><tr><td>[U]</td><td>20</td><td>Intracellular trafficking, secretion, and vesicular transport</td></tr><tr><td>[O]</td><td>50</td><td>Posttranslational modification, protein turnover, and chaperones</td></tr><tr><td>[X]</td><td>0</td><td>Mobilome: prophages, transposons</td></tr><tr><td>[C]</td><td>63</td><td>Energy production and conversion</td></tr><tr><td>[G]</td><td>46</td><td>Carbohydrate transport and metabolism</td></tr><tr><td>[E]</td><td>87</td><td>Amino acid transport and metabolism</td></tr><tr><td>[F]</td><td>47</td><td>Nucleotide transport and metabolism</td></tr><tr><td>[H]</td><td>65</td><td>Coenzyme transport and metabolism</td></tr><tr><td>[I]</td><td>34</td><td>Lipid transport and metabolism</td></tr><tr><td>[P]</td><td>48</td><td>Inorganic ion transport and metabolism</td></tr><tr><td>[Q]</td><td>20</td><td>Secondary metabolites biosynthesis, transport, and catabolism</td></tr><tr><td>[R]</td><td>118</td><td>General function prediction only</td></tr><tr><td>[S]</td><td>69</td><td>Function unknown</td></tr></tbody></table>

<table><caption>**Table 4.** Numerical DNA-DNA hybridization values (%) obtained by comparison between the Marseille-Q4570T strain and other closely related species using the Genome-to-Genome Distance Calculator 2 (GGDC 2) [32]. The confidence intervals indicate the inherent uncertainty in estimating DNA-DNA hybridization values from intergenomic distances based on models derived from empirical test data sets.</caption><thead><tr><th>Species</th><th>1</th><th>2</th><th>3</th><th>4</th><th>5</th><th>6</th><th>7</th><th>8</th><th>9</th><th>10</th></tr></thead><tbody><tr><td>1 Capnocytophaga bilenii<br>Marseille-Q4570<sup>T</sup></td><td>100.00</td><td>33.5<br>(31.1-36)</td><td>25.6<br>(23.3-28.1)</td><td>25.6<br>(23.3-28.1)</td><td>24.0<br>(21.7-26.5)</td><td>23.7<br>(21.4-26.1)</td><td>23.4<br>(21.1-25.8)</td><td>22.5<br>(20.2-25)</td><td>22.1<br>(19.9-24.6)</td><td>21.0<br>(18.7-23.4)</td></tr><tr><td>2 Capnocytophaga gingivalis</td><td></td><td>100.00</td><td>32.4<br>(30-34.9)</td><td>35.2<br>(32.7-37.7)</td><td>20.0<br>(17.8-22.4)</td><td>30.4<br>(28-32.9)</td><td>23.4<br>(21.1-25.9)</td><td>23.5<br>(21.2-25.9)</td><td>28.0<br>(25.7-30.5)</td><td>22.9<br>(20.6-25.4)</td></tr><tr><td>3 Capnocytophaga leadbetteri</td><td></td><td></td><td>100.00</td><td>24.8<br>(22.5-27.3)</td><td>25.4<br>(23.1-27.9)</td><td>23.7<br>(21.4-26.1)</td><td>22.0<br>(19.7-24.4)</td><td>23.7<br>(21.4-26.2)</td><td>21.5<br>(19.3-24)</td><td>23.5<br>(21.2-25.9)</td></tr><tr><td>4 Capnocytophaga sputigena</td><td></td><td></td><td></td><td>100.00</td><td>23.3<br>(21-25.7)</td><td>31.0<br>(28.6-33.5)</td><td>20.0<br>(17.8-22.4)</td><td>22.0<br>(19.7-24.4)</td><td>22.2<br>(19.9-24.7)</td><td>26.6<br>(24.3-29.1)</td></tr><tr><td>5 Flavobacterium lutivivi</td><td></td><td></td><td></td><td></td><td>100.00</td><td>22.0<br>(19.7-24.4)</td><td>19.1<br>(16.9-21.5)</td><td>21.6<br>(19.3-24)</td><td>27.8<br>(25.4-30.3)</td><td>19.1<br>(17-21.5)</td></tr><tr><td>6 Capnocytophaga ochracea</td><td></td><td></td><td></td><td></td><td></td><td>100.00</td><td>23.3<br>(21-25.8)</td><td>23.4<br>(21.1-25.9)</td><td>26.6<br>(24.3-29.1)</td><td>30.1<br>(27.8-32.7)</td></tr><tr><td>7 Capnocytophaga cynodegmi</td><td></td><td></td><td></td><td></td><td></td><td></td><td>100.00</td><td>44.2<br>(41.7-46.8)</td><td>22.7<br>(20.4-25.1)</td><td>24.5<br>(22.2-27)</td></tr><tr><td>8 Capnocytophaga canimorsus</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td>100.00</td><td>24.5<br>(22.2-27)</td><td>21.2<br>(18.9-23.6)</td></tr><tr><td>9 Capnocytophaga haemolytica</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td>100.00</td><td>29.0<br>(26.6-31.5)</td></tr><tr><td>10 Flavobacterium johnsoniae</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td>100.00</td></tr></tbody></table>

Pangenome analysis of the Marseille-Q4570T strain showed a total of 25,508 gene clusters distributed as follows: core genes = 2, soft core genes = 0, shell genes = 1037, and cloud genes = 24,469, respectively (Figure 6).
<figure><img src="image_7.png" /><figcaption>**Figure 4.** A circular map generated using the CGView Server<sup>BETA</sup> [31] showing a complete view of the genome of the Marseille-Q4570<sup>T</sup> strain.</figcaption></figure>

<figure><img src="image_8.png" /><figcaption>**Figure 5.** Heatmap generated with orthologous average nucleotide identity (OrthoANI) values calculated using OAT software between the Marseille Q4570T strain and nine other closely related species.</figcaption></figure>
<figure><img src="image_9.png" /><figcaption>**Figure 6.** Pangenome analysis of the Marseille-Q4570T strain's whole-genome sequences. A maximum likelihood tree was constructed from accessory genome elements (left). The presence (blue) and the absence (white) of accessory genome elements are presented on the right.</figcaption></figure>

## 2.5. *Description of Capnocytophaga bilenii nov. sp.*

Capnocytophaga bilenii (bi.le.nii N.L. gen. masc. n. bilenii, from Bilen, named after the French clinical microbiologist Melhem Bilen, an expert in new species isolation).

The cells were Gram-negative, facultative aerobic, elongated round-tipped bacteria, approximately 0.3 to 0.4 µm wide and 8.5 to 17 µm long. Colonies on Columbia agar with 5% sheep blood (BioMérieux, Marcy l'Etoile, France) incubated at 37 °C for 2 days were yellow-orange, smooth, and shiny. The temperature range for growth was 25-56 °C (optimum 37 °C). The bacterial cells tolerated a pH of 5.5 to 8.5 (optimum pH 5.5) and an NaCl content ranging from 5 to 15 g/L (optimum 5 g/L). Using an API 50 CH strip, positive results were shown for D-galactose, D-glucose, D-fructose, D-mannose, methyl αD-mannopyranoside, methyl αD-glucopyranoside, N-acetyl-glucosamine, amygdalin, arbutin, esculin ferric citrate, salicin, D-cellobiose, D-maltose, D-lactose, D-melibiose, D-saccharose, D-trehalose, inulin, D-melezitose, D-raffinose, amidon, glycogen, xylitol, gentiobiose, and D-turanose. According to the API ZYM system, cells were positive for alkaline phosphatase, C4 esterase, C8 esterase lipase, leucine arylamidase, valine arylamidase, cystine arylamidase, trypsin, α-chymotrypsin, acid phosphatase, naphtol-AS-BI-phosphohydrolase, α-glucosidase, and N-acetyl-β-glucosaminidase. The most abundant fatty acid was the branched structure 13-methyl-tetradecanoic acid (76%), followed by hexadecanoic acid (6%) and 3-hydroxy-15-methyl-hexadecanoic acid (4%). The genome size of the Marseille-Q4570T strain was 2.7 Mb long with a 38.4% G+C content. The type strain, Marseille-Q4570T (CSUR Q4570), was isolated from a sample of dental plaque of a male with gingivitis. The sequence data of the Marseille-Q4570T 16S rRNA gene and the whole genome were deposited in the GenBank database under accession numbers MW762958 and JAGDYP010000000, respectively.

## 3. Discussion

In this study, we describe a novel species belonging to the genus *Capnocytophaga* isolated from a dental plaque sample of a male with gingivitis living in Marseille, France. The other *Capnocytophaga* species currently described are also generally isolated from the human oral cavity (C. gingivalis, C. granulosa, C. haemolytica, C. leadbetteri, C. ochracea, and C. sputigena), and also that of dogs and cats (C. canimorsus, C. cynodegmi, and C. canis) [33]. Among members of the genus *Capnocytophaga*, the Marseille-Q4570T strain shared the highest 16S rRNA gene sequence similarities (97.24% sequence identity) with C. leadbetteri
strain AHN8855T, an anaerobic Gram-negative rod bacterium isolated from the oral cavity of children [21]. According to the literature, little is known about *C. leadbetteri* pathogenicity. To our knowledge, only two *C. leadbetteri* infections have been previously reported: chorioamnionitis in a 33-year-old immunocompetent pregnant woman [8] and febrile interstitial lung pneumonia in a 66-year-old HIV-positive male [7]. Recently, the association between *C. leadbetteri* and cancer was investigated. An abundance of *C. leadbetteri* was found to be significantly increased in subjects with OSCC, and the expression of genes involved in bacterial chemotaxis, flagellar assembly, and lipopolysaccharide biosynthesis were shown to be significantly elevated, suggesting a potential association between this microorganism and OSCC [34]. Another study identified *C. leadbetteri* as a potential biomarker of thick white coating in patients with gastric cancer [35]. In an exploratory study, Acharya et al. found that *C. leadbetteri* was significantly more abundant in the saliva of treated and well-maintained chronic periodontitis subjects than in healthy controls with similar bleeding on probing score, suggesting that the salivary microbiome might be used as a biomarker to identify periodontitis-susceptible subjects [17]. These preliminary results are particularly promising, as periodontal disease is at high risk of recurrence [36]. Here, the Marseille-Q4570T strain was isolated from a dental plaque sample of a male with gingivitis, and further studies are needed to investigate the putative association between this strain and gingival inflammation.

The genomic content (dDDH, orthoANI, and pangenome) and biochemical characteristics clearly indicated that the Marseille-Q4570T strain could be differentiated from other *Capnocytophaga* species. Based on the results from phenotypic, chemotaxonomic, genomic, and phylogenetic analyses, we concluded that the Marseille-Q4570T strain represents a novel species of the genus *Capnocytophaga*, for which the name *Capnocytophaga bilenii* sp. nov. is proposed (=CSUR Q4570).

# 4. Materials and Methods

## 4.1. *Strain Isolation and Phenotypic Tests*

A sample of dental plaque was collected from a 25-year-old male with gingivitis living in Marseille, France. The patient gave informed consent, and the study was approved by the Comité de Protection des Personnes (C.P.P.) Sud-Ouest et Outre-Mer 1 (no. ID RCB: 2020-A01234-35—CPP 1-20-075 ID 9806). Briefly, the sampling area was first isolated by cotton rolls and gently air dried for 5 s to remove any saliva present. Supra-gingival plaque was collected using a sterile curette and placed in a 1.5 mL Eppendorf tube containing 1.0 mL of Aé-Ana transport medium (Culture-Top, Eurobio scientific, Les Ulis, France). After vortexing for 30 s, a 10-fold dilution series of the sample was prepared in phosphate-buffered saline 1×. Columbia sheep blood agar plates (BioMérieux, Marcy l'Etoile, France) were inoculated with 50 µL each of $10^{-4}$ to $10^{-8}$ diluted plaque suspension. After 48 h of incubation in an aerobic atmosphere at 37 °C, the culture plates were inspected using a magnifying glass and any microcolonies or colonies showing satellitism were passaged onto a fresh Columbia agar sheep blood plate. MALDI-TOF MS protein analysis was performed with a Microflex LT mass spectrometer (Bruker Daltonics, Bremen, Germany; external mass spectrometer calibration accuracy ± 300 ppm), as previously reported [19]. The obtained spectra were imported into BioTyper-RTCTM version 3.0 software (Bruker Daltonics GmbH) and analyzed by standard pattern matching (with default parameter settings). Interpretation of the scores was carried out as previously reported [19]. One purified strain, designated Marseille-Q4570T and deposited in the Collection de Souches de l'Unité des Rickettsies under accession number Q4570, could not be identified by MALDI-TOF MS.

Gram staining was carried out using standard Gram stain, and morphological characteristics were observed using a scanning electron microscope (TM4000 SEM, Hitachi High-Tech, HHT, Tokyo, Japan) and a field emission scanning electron microscope (SU5000 FE-SEM, Hitachi High-Tech, HHT, Tokyo, Japan) with cultures grown on Columbia agar with 5% sheep blood (BioMérieux, Marcy l'Etoile, France) at 37 °C for 48 h under aerobic
conditions. A colony was collected from agar and immersed in a 2.5% glutaraldehyde fixative solution. The slide was gently washed in water, air-dried, and examined with a TM4000 SEM and a SU5000 FE-SEM operated at 15.0 kV and 10.0 kV, respectively.

Subculture of the Marseille-Q4570T strain was attempted at a wide range of temperatures (25, 28, 31.5, 37, 41.5, and 56 °C) on Columbia agar with 5% sheep blood, and in different conditions of pH (5.5, 6.5, 7.5, and 8.5) and salinity (5, 10, and 15 g/L) on Columbia agar base (bioMérieux, Marcy l'Etoile, France). Growth of the strain was also tested in anaerobic (AnaeroGen Compact; Oxoid, Thermo Scientific, Dardilly, France) and microaerophilic (campyGEN; Oxoid, Thermo Scientific, Dardilly, France) conditions at 37 °C for 48 h. API ZYM and API 50 CH kits (bioMérieux, Marcy l'Etoile, France) were used to perform biochemical analysis according to the manufacturer's instructions. To evaluate whether our strain was able to form spores, heat shock at 80 °C for 10 min was conducted. Oxidase (MASTDISCS® ID, Mast Group Ltd., Bootle, Merseyside, United Kingdom) and catalase (bioMérieux, Marcy l'Etoile, France) assays were also performed. Finally, fatty acid methyl ester (FAME) analysis by GC/MS cellular fatty acid methyl ester (FAME) analysis was performed by GC/MS. Two samples were prepared with approximately 20 mg of bacterial biomass per tube harvested from several culture plates. Fatty acid methyl esters were prepared as described by Sasser [21]. GC/MS analyses were carried out as previously described [22]. Briefly, fatty acid methyl esters were separated using an Elite 5-MS column and monitored by mass spectrometry (Clarus 500—SQ 8 S, Perkin Elmer, Courtaboeuf, France). A spectral database search was performed using MS Search 2.0 operated with the Standard Reference Database 1A (NIST, Gaithersburg, MD, USA) and the FAME mass spectral database (Wiley, Chichester, UK).

## 4.2. *Extraction and Genome Sequencing*

Genomic DNA was extracted using the EZ1 biorobot (Qiagen, Courtaboeuf, Les Ulis, France) with the EZ1 DNA tissue kit and then sequenced on the MiSeq technology (Illumina, San Diego, CA, USA) with the Nextera Mate Pair sample prep kit and Nextera XT Paired end (Illumina, San Diego, CA, USA), as previously described [23]. In order to improve the genome sequence, an Oxford Nanopore approach was performed on 1D genomic DNA sequencing for the MinIon device using an SQK-LSK109 kit. The library was constructed from 1 µg genomic DNA without fragmentation and end repair. Adapters were ligated to both ends of genomic DNA. After purification on AMPure XP beads (Beckman Coulter Inc, Fullerton, CA, USA), the library was quantified by a Qubit assay with the high sensitivity kit (Life technologies, Carlsbad, CA, USA). A total of 1047 active pores were detected for the sequencing and the WIMP workflow was chosen for bioinformatic analysis in real time. After 1 h of run time and end life of the flowcell, 617,960 reads were generated as raw data.

## 4.3. *Assembly and Annotation of the Genome Sequence*

The assembly was performed with a pipeline incorporating different software (Velvet [37], Spades [38], Soap Denovo [39]) and trimmed data (MiSeq and Trimmomatic [40] software) or untrimmed data (only MiSeq software). GapCloser was used to reduce assembly gaps. Scaffolds < 800 bp and scaffolds with a depth value < 25% of the mean depth were removed. The best assembly was selected using different criteria (number of scaffolds, N50, number of N).

Prokka (Galaxy v 1.14.5) was used for prediction in the Open Reading Frame (ORF) with the default settings [41]. Deviations in the sequencing regions predicted by ORFs were excluded. BlastP was used to predict the bacterial proteome (E value of 1e03, coverage of 70%, and percent identity of 30%) according to the Orthological Group (COG) database. In the absence of a match, the search for BlastP in the database [42] was extended with an E value of 1e03, coverage of 70%, and percent identity of 30%. However, if the length of the sequence was less than 80 amino acids (aa), an E value of 1e05 was used. The rRNA and tRNA genes were retrieved using Prokka (Galaxy v 1.14.5) [43,44]. In addition,
CGView Server<sup>BETA</sup> [31] was used to generate a circular map showing a complete view of the genome of the Marseille-Q4570<sup>T</sup> strain.

### 4.4. Phylogenetic Analysis and Genome Comparison

The 16S rRNA gene sequence of the Marseille-Q4570<sup>T</sup> strain was obtained and compared to the most closely related species retrieved using NCBI BLAST (National Center for Biotechnology Information, Basic Local Alignment Search Tool; https://blast.ncbi.nlm.nih.gov/Blast.cgi, accessed on 5 January 2021) and then submitted to the GenBank database. Phylogenetic analyses were performed using MEGA X software [23], with genetic distances determined according to the Kimura two-parameter model [24] and phylogenies reconstructed with the maximum-likelihood method. The topology of the phylogenetic tree was conducted using the bootstrap method with 1000 repetitions. All positions containing gaps and missing data were eliminated from the dataset (complete deletion option). To estimate the mean level of nucleotide sequence similarity at the genome level between the Marseille-Q4570<sup>T</sup> strain and closely related species, the digital DNA-DNA hybridization (dDDH) and the orthologous average nucleotide identity (OrthoANI v 0.93.1) parameters were calculated using the OAT [45] and GGDC (Genome-to-Genome Distance Calculator v 2.1) [32] software programs, respectively. The Pangenome distribution of the Marseille-Q4570<sup>T</sup> strain and other closely related species was evaluated using Roary software (Galaxy v 3.13.0) [46].

**Author Contributions:** Conceptualization, A.A., B.L.S. and V.M.-C.; methodology, A.A.; software, A.A.; validation, B.L.S. and V.M.-C.; formal analysis, A.A.; investigation, A.A. and M.B.; resources, A.A., B.L.S. and V.M.-C.; data curation, A.A.; writing—original draft preparation, A.A.; writing—review and editing, A.A., B.L.S. and V.M.-C.; visualization, A.A., B.L.S. and V.M.-C.; supervision, B.L.S. and V.M.-C.; project administration, B.L.S. and V.M.-C.; funding acquisition, B.L.S. and V.M.-C. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research was funded by the French government under the "Investissements d'avenir" (Investments for the Future) program managed by the Agence Nationale de la Recherche (ANR, French National Agency for Research) (reference: Méditerranée Infection 10-IAHU-03).

**Institutional Review Board Statement:** The study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Comité de Protection des Personnes (C.P.P.) Sud-Ouest et Outre-Mer 1 (no. ID RCB: 2020-A01234-35—CPP 1-20-075 ID 9806).

**Informed Consent Statement:** Informed consent was obtained from the subject involved in the study.

**Data Availability Statement:** The data presented in this study are contained within the article.

**Acknowledgments:** The authors thank Nicholas Armstrong for performing the fatty acid analyses and Marine Makoa Meng and Anthony Fontanini for the electron microscopy observation.

**Conflicts of Interest:** La Scola B. is co-founder of the culture-top startup company. Boxberger M. received a PhD grant supported by L'Occitane Society.

## References

1. Leadbetter, E.R.; Holt, S.C.; Socransky, S.S. *Capnocytophaga*: New genus of gram-negative gliding bacteria. I. General characteristics, taxonomic considerations and significance. *Arch. Microbiol.* **1979**, *122*, 9–16. [CrossRef]

2. Hundertmark, M.; Williams, T.; Vogel, A.; Moritz, M.; Bramlage, P.; Pagonas, N.; Ritter, O.; Sasko, B. *Capnocytophaga canimorsus* as Cause of Fatal Sepsis. *Case Rep. Infect. Dis.* **2019**, *2019*, 3537507. [CrossRef]

3. Mendes, F.R.; Bruniera, F.R.; Schmidt, J.; Cury, A.P.; Rizeck, C.; Higashino, H.; Oliveira, F.N.; Rossi, F.; Rocha, V.; Costa, S.F. *Capnocytophaga sputigena* bloodstream infection in hematopoietic stem cell transplantations: Two cases report and review of the literature. *Rev. Inst. Med. Trop. Sao Paulo* **2020**, *62*, e48. [CrossRef] [PubMed]

4. Bello, A.; Castaneda, A.; Vakil, A.; Varon, J.; Surani, S. *Capnocytophaga* Induced Acute Necrotizing and Exudative Pericarditis with Abscess Formation. *Case Rep. Infect. Dis.* **2018**, *2018*, 6437928. [CrossRef] [PubMed]

5. Daigle, P.; Lee, M.-H.; Flores, M.; Campisi, P.; DeAngelis, D. *Capnocytophaga sputigena* as a cause of severe orbital cellulitis and subperiosteal abscess in a child. *Can. J. Ophthalmol.* **2020**. [CrossRef] [PubMed]
6. Duong, M.; Besancenot, J.F.; Neuwirth, C.; Buisson, M.; Chavanet, P.; Portier, H. Vertebral Osteomyelitis Due to Capnocytophaga Species in Immunocompetent Patients: Report of Two Cases and Review. *Clin. Infect. Dis.* **1996**, *22*, 1099–1101. [CrossRef] [PubMed]

7. Fossé, Q.; Plateau, C.; Gomart, C.; Decousser, J.W.; Gallien, S. Severe community-acquired *Capnocytophaga leadbetteri* pneumonia in a HIV-infected patient. *Med. Mal. Infect.* **2018**, *48*, 155–157. [CrossRef] [PubMed]

8. Mekouar, H.; Voortman, G.; Bernard, P.; Hutchings, G.; Boeras, A.; Rodriguez-Villalobos, H. *Capnocytophaga* species and perinatal infections: Case report and review of the literature. *Acta Clin. Belg.* **2012**, *67*, 42–45. [CrossRef]

9. Mager, D.L.; Haffajee, A.D.; Devlin, P.M.; Norris, C.M.; Posner, M.R.; Goodson, J.M. The salivary microbiota as a diagnostic indicator of oral cancer: A descriptive, non-randomized study of cancer-free and oral squamous cell carcinoma subjects. *J. Transl. Med.* **2005**, *3*, 27. [CrossRef]

10. Karpiński, T.M. Role of Oral Microbiota in Cancer Development. *Microorganisms* **2019**, *7*, 20. [CrossRef]

11. Yan, X.; Yang, M.; Liu, J.; Gao, R.; Hu, J.; Li, J.; Zhang, L.; Shi, Y.; Guo, H.; Cheng, J.; et al. Discovery and validation of potential bacterial biomarkers for lung cancer. *Am. J. Cancer Res.* **2015**, *5*, 3111–3122. [PubMed]

12. Gajardo, M.; Silva, N.; Gómez, L.; León, R.; Parra, B.; Contreras, A.; Gamonal, J. Prevalence of Periodontopathic Bacteria in Aggressive Periodontitis Patients in a Chilean Population. *J. Periodontol.* **2005**, *76*, 289–294. [CrossRef]

13. Ciantar, M.; Gilthorpe, M.S.; Hurel, S.J.; Newman, H.N.; Wilson, M.; Spratt, D.A. *Capnocytophaga* spp. in Periodontitis Patients Manifesting Diabetes Mellitus. *J. Periodontol.* **2005**, *76*, 194–203. [CrossRef]

14. Nonnenmacher, C.; Mutters, R.; de Jacoby, L.F. Microbiological characteristics of subgingival microbiota in adult periodontitis, localized juvenile periodontitis and rapidly progressive periodontitis subjects. *Clin. Microbiol. Infect.* **2001**, *7*, 213–217. [CrossRef]

15. Papapanou, P.N.; Sanz, M.; Buduneli, N.; Dietrich, T.; Feres, M.; Fine, D.H.; Flemmig, T.F.; Garcia, R.; Giannobile, W.V.; Graziani, F.; et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions: Classification and case definitions for periodontitis. *J. Periodontol.* **2018**, *89*, S173–S182. [CrossRef]

16. Park, O.-J.; Yi, H.; Jeon, J.; Kang, S.-S.; Koo, K.-T.; Kum, K.-Y.; Chun, J.; Yun, C.-H.; Han, S. Pyrosequencing Analysis of Subgingival Microbiota in Distinct Periodontal Conditions. *J. Dent. Res.* **2015**, *94*, 921–927. [CrossRef] [PubMed]

17. Acharya, A.; Chen, T.; Chan, Y.; Watt, R.M.; Jin, L.; Mattheos, N. Species-Level Salivary Microbial Indicators of Well-Resolved Periodontitis: A Preliminary Investigation. *Front. Cell. Infect. Microbiol.* **2019**, *9*, 347. [CrossRef]

18. Ehrmann, E.; Handal, T.; Tamanai-Shacoori, Z.; Bonnaure-Mallet, M.; Fosse, T. High prevalence of -lactam and macrolide resistance genes in human oral Capnocytophaga species. *J. Antimicrob. Chemother.* **2014**, *69*, 381–384. [CrossRef] [PubMed]

19. Kim, M.; Oh, H.-S.; Park, S.-C.; Chun, J. Towards a taxonomic coherence between average nucleotide identity and 16S rRNA gene sequence similarity for species demarcation of prokaryotes. *Int. J. Syst. Evol. Microbiol.* **2014**, *64*, 346–351. [CrossRef] [PubMed]

20. Kumar, S.; Stecher, G.; Li, M.; Knyaz, C.; Tamura, K. MEGA X: Molecular Evolutionary Genetics Analysis across Computing Platforms. *Mol. Biol. Evol.* **2018**, *35*, 1547–1549. [CrossRef]

21. Frandsen, E.V.G.; Poulsen, K.; Kononen, E.; Kilian, M. Diversity of *Capnocytophaga* species in children and description of *Capnocytophaga leadbetteri* sp. nov. and *Capnocytophaga* genospecies AHN8471. *Int. J. Syst. Evol. Microbiol.* **2008**, *58*, 324–336. [CrossRef] [PubMed]

22. Culture Collection University of Gothenburg (CCUG); Curators of the CCUG; CCUG 9716. Available online: www.ccug.se/strain?id=9716 (accessed on 15 March 2021).

23. Yamamoto, T.; Kajiura, S.; Hirai, Y.; Watanabe, T. *Capnocytophaga haemolytica* sp. nov. and *Capnocytophaga granulosa* sp. nov., from Human Dental Plaque. *Int. J. Syst. Bacteriol.* **1994**, *44*, 324–329. [CrossRef]

24. Culture Collection University of Gothenburg (CCUG); Curators of the CCUG; CCUG 14446. Available online: www.ccug.se/strain?id=14446 (accessed on 15 March 2021).

25. Culture Collection University of Gothenburg (CCUG); Curators of the CCUG; CCUG 54501. Available online: www.ccug.se/strain?id=54501 (accessed on 15 March 2021).

26. Brenner, D.J.; Hollis, D.G.; Fanning, G.R.; Weaver, R.E. *Capnocytophaga canimorsus* sp. nov. (formerly CDC group DF-2), a cause of septicemia following dog bite, and *C. cynodegmi* sp. nov., a cause of localized wound infection following dog bite. *J. Clin. Microbiol.* **1989**, *27*, 231–235. [CrossRef]

27. Culture Collection University of Gothenburg (CCUG); Curators of the CCUG; CCUG 53895. Available online: www.ccug.se/strain?id=53895 (accessed on 15 March 2021).

28. Culture Collection University of Gothenburg (CCUG); Curators of the CCUG; CCUG 64133. Available online: www.ccug.se/strain?id=64133 (accessed on 15 March 2021).

29. Culture Collection University of Gothenburg (CCUG); Curators of the CCUG; CCUG 30012. Available online: www.ccug.se/strain?id=30012 (accessed on 15 March 2021).

30. Dees, S.B.; Karr, D.E.; Hollis, D.; Moss, C.W. Cellular fatty acids of *Capnocytophaga* species. *J. Clin. Microbiol.* **1982**, *16*, 779–783. [CrossRef]

31. Stothard, P.; Wishart, D.S. Circular genome visualization and exploration using CGView. *Bioinformatics* **2005**, *21*, 537–539. [CrossRef] [PubMed]

32. Meier-Kolthoff, J.P.; Auch, A.F.; Klenk, H.-P.; Göker, M. Genome sequence-based species delimitation with confidence intervals and improved distance functions. *BMC Bioinform.* **2013**, *14*, 60. [CrossRef] [PubMed]
33. Jolivet-Gougeon, A.; Bonnaure-Mallet, M. Screening for prevalence and abundance of *Capnocytophaga* spp. by analyzing NGS data: A scoping review. *Oral Dis.* **2020**. [CrossRef]

34. Zhang, L.; Liu, Y.; Zheng, H.J.; Zhang, C.P. The Oral Microbiota May Have Influence on Oral Cancer. *Front. Cell. Infect. Microbiol.* **2020**, *9*, 476. [CrossRef]

35. Xu, J.; Xiang, C.; Zhang, C.; Xu, B.; Wu, J.; Wang, R.; Yang, Y.; Shi, L.; Zhang, J.; Zhan, Z. Microbial biomarkers of common tongue coatings in patients with gastric cancer. *Microb. Pathog.* **2019**, *127*, 97–105. [CrossRef] [PubMed]

36. Tonetti, M.S.; Greenwell, H.; Kornman, K.S. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. *J. Periodontol.* **2018**, *89*, S159–S172. [CrossRef]

37. Zerbino, D.R.; Birney, E. Velvet: Algorithms for de novo short read assembly using de Bruijn graphs. *Genome Res.* **2008**, *18*, 821–829. [CrossRef]

38. Bankevich, A.; Nurk, S.; Antipov, D.; Gurevich, A.A.; Dvorkin, M.; Kulikov, A.S.; Lesin, V.M.; Nikolenko, S.I.; Pham, S.; Prjibelski, A.D.; et al. SPAdes: A New Genome Assembly Algorithm and Its Applications to Single-Cell Sequencing. *J. Comput. Biol.* **2012**, *19*, 455–477. [CrossRef]

39. Luo, R.; Liu, B.; Xie, Y.; Li, Z.; Huang, W.; Yuan, J.; He, G.; Chen, Y.; Pan, Q.; Liu, Y.; et al. SOAPdenovo2: An empirically improved memory-efficient short-read de novo assembler. *GigaScience* **2012**, *1*, 18. [CrossRef]

40. Bolger, A.M.; Lohse, M.; Usadel, B. Trimmomatic: A flexible trimmer for Illumina sequence data. *Bioinformatics* **2014**, *30*, 2114–2120. [CrossRef]

41. Hyatt, D.; Chen, G.-L.; LoCascio, P.F.; Land, M.L.; Larimer, F.W.; Hauser, L.J. Prodigal: Prokaryotic gene recognition and translation initiation site identification. *BMC Bioinform.* **2010**, *11*, 119. [CrossRef]

42. Clark, K.; Karsch-Mizrachi, I.; Lipman, D.J.; Ostell, J.; Sayers, E.W. GenBank. *Nucleic Acids Res.* **2016**, *44*, D67–D72. [CrossRef]

43. Seemann, T. Prokka: Rapid prokaryotic genome annotation. *Bioinformatics* **2014**, *30*, 2068–2069. [CrossRef]

44. Cuccuru, G.; Orsini, M.; Pinna, A.; Sbardellati, A.; Soranzo, N.; Travaglione, A.; Uva, P.; Zanetti, G.; Fotia, G. Orione, a web-based framework for NGS analysis in microbiology. *Bioinformatics* **2014**, *30*, 1928–1929. [CrossRef] [PubMed]

45. Lee, I.; Ouk Kim, Y.; Park, S.-C.; Chun, J. OrthoANI: An improved algorithm and software for calculating average nucleotide identity. *Int. J. Syst. Evol. Microbiol.* **2016**, *66*, 1100–1103. [CrossRef] [PubMed]

46. Page, A.J.; Cummins, C.A.; Hunt, M.; Wong, V.K.; Reuter, S.; Holden, M.T.G.; Fookes, M.; Falush, D.; Keane, J.A.; Parkhill, J. Roary: Rapid large-scale prokaryote pan genome analysis. *Bioinformatics* **2015**, *31*, 3691–3693. [CrossRef] [PubMed]