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Appl Environ Microbiol, February 1998, p. 543-548, Vol. 64, No. 2
Department of Veterinary Clinical Sciences,
Massey University, Palmerston North, New
Zealand,1 and
Institute of Veterinary
Bacteriology, University of Berne, CH-3001 Berne,
Switzerland2
Received 25 August 1997/Accepted 13 November 1997
This article describes the first successful detection of airborne
Mycoplasma hyopneumoniae under experimental and field
conditions with a new nested PCR assay. Air was sampled with
polyethersulfone membranes (pore size, 0.2 µm) mounted in filter
holders. Filters were processed by dissolution and direct extraction of
DNA for PCR analysis. For the PCR, two nested pairs of oligonucleotide primers were designed by using an M. hyopneumoniae-specific
DNA sequence of a repeated gene segment. A nested PCR assay was
developed and used to analyze samples collected in eight pig houses
where respiratory problems had been common. Air was also sampled from a
mycoplasma-free herd. The nested PCR was highly specific and 104 times as sensitive as a one-step PCR. Under field
conditions, the sampling system was able to detect airborne M. hyopneumoniae on 80% of farms where acute respiratory disease
was present. No airborne M. hyopneumoniae was detected on
infected farms without acute cases. The chance of successful detection
was increased if air was sampled at several locations within a room and
at a lower air humidity.
Mycoplasma hyopneumoniae,
the etiologic agent of enzootic pneumonia (EP) in pigs, causes major
economic losses in the pig industry worldwide (21). Several
countries have established EP-free herds as parts of national pig
health schemes (12, 13). However, despite rigid biosecurity
measures, many of these herds become reinfected with EP each year. As a
consequence of these often-unexplained reinfections, the hypothesis of
airborne agent transmission between farms has been tested in a number
of field studies. It was demonstrated that the risk of reinfection of
EP-free herds was associated with the distance to conventional pig
farms in the neighborhood and with the sizes of these farms as well as
with the concentration of pigs in the area (11, 24, 26). These risk factors indicate an airborne transmission process. However,
the pathogen has never been isolated from the air. Early attempts by
Tamàsi (25) were only partially successful. An isolate
that looked morphologically similar to M. hyopneumoniae colonies was described, but the identity of the organism remained undetermined.
Accurate diagnosis of EP is essential to prevent infection from
spreading. The most commonly used diagnostic methods are serological analyses such as direct or blocking enzyme-linked immunosorbent assay
(6, 9, 16, 18, 23) and direct detection of the organism in
clinical samples by immunofluorescence (10). In recent
years, molecular genetic techniques which have improved sensitivity and
specificity have become available (3, 16). The molecular
genetic methods benefit from the fact that the microorganisms do not
have to be alive at the time of analysis. This makes the tools
attractive for use in detection by air sampling techniques, for
example, air filtration, which may adversely affect survival.
Air filtration is one of the simplest and cheapest air sampling
techniques available for the investigation of bioaerosols (4). It has been used successfully in combination with PCR assays (19). The objective of this project was to establish a highly sensitive and specific nested PCR method and to develop a
filtration-based air sampling technique for the detection of M. hyopneumoniae in the air.
Strain growth conditions and DNA extraction.
The porcine
Mycoplasma and Acholeplasma strains used in this
study are listed in Table 1. M. hyopneumoniae and Mycoplasma flocculare were grown in
Friis medium (8). The other strains were grown in B medium
(7). The cells were cultivated until the end of the
exponential phase of growth, harvested by centrifugation at 20,000 × g for 20 min, washed three times in TE buffer (10 mM
Tris-HCl, 1 mM EDTA; pH 7.5), and resuspended in 1/100 of the original
volume of TE buffer. Titration of the viable cells (estimated as CFU
per milliliter) was performed by spreading samples of sequential 10-fold dilutions on solid Friis medium (8) and counting the colonies after 10 days of incubation.
0099-2240/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Detection of Mycoplasma hyopneumoniae by
Air Sampling with a Nested PCR Assay
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ABSTRACT
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References
![]()
INTRODUCTION
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References
![]()
MATERIALS AND METHODS
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References
TABLE 1.
Porcine Mycoplasma and Acholeplasma
strains used in this study and their reaction in the nested
PCR assay
Air sampling system. Air was sampled with polyethersulfone membranes (47-mm diameter) with a pore size of 0.2 µm (Supor200; Gelman Sciences, Ann Arbor, Mich.) and mounted in filter holders (Schleicher & Schuell GmbH, Dassel, Germany). The air was pumped at a rate of 18.3 to 20.0 liters/min with a vacuum pressure pump (Millipore, Bedford, Mass.). The airflow in the filter system was controlled with an in-line rotameter (Messerli Messtechnik, Riehen, Switzerland).
In order to determine the sensitivity of detection of mycoplasmas on the filters, we filtered 1-ml samples of a consecutively 10-fold-diluted culture of M. hyopneumoniae NCTC10110 to obtain samples with concentrations ranging from 106 to 0 viable cells/ml. An experimental aerosol of M. hyopneumoniae was generated by nebulizing a formaldehyde-inactivated culture in a closed 0.54-m3 chamber with a commercial nebulizer (DP10; DPMedical, Medela, Baar, Switzerland) with a vaporization rate of approximately 2 ml/min. The plume was sampled for 10 s and 1 and 6 min with the sampling system described above. The experimental setup captured approximately 1/10 of the volume of the evaporated material per time unit.Air sample processing for PCR assay.
The filters from the
air samplings and the artificially contaminated filters were thoroughly
dried, folded, and dissolved in 5 ml of chloroform by vortexing in a
15-ml Falcon tube (catalog no. 2059; Becton Dickinson, Lincoln Park,
N.J.). Drying was necessary to ensure complete dissolution of the
polyethersulfone membranes. The DNA was then extracted by the addition
of 3.3 ml of TE buffer and shaking for 10 min at room temperature.
Phase separation was achieved by centrifugation for 10 min at
10,000 × g. After recovery of the aqueous phase, the
chloroform phase was extracted a second time with 2 ml of TE buffer.
Subsequently the aqueous phases were combined and extracted with 5 ml
of phenol-chloroform-isoamyl alcohol (49.5:49.5:1). After phase
separation by centrifugation for 10 min at 10,000 × g,
the aqueous phase was recovered, mixed with 8 ml of chilled ethanol and
400 µl of 3M sodium (pH 5.5), and cooled at
20°C for 10 min to
precipitate the DNA. The precipitated DNA was recovered by
centrifugation for 20 min at 10,000 × g, dried, and
resuspended in 50 µl of TE buffer.
Design of specific oligonucleotide primers and PCRs. The oligonucleotide primers used in the PCRs are based on the sequence data for the 1,023-bp repeated element MHYP1-03-950 (GenBank/EMBL accession no. AF004388) (7a). This sequence has been shown to be specific for the species M. hyopneumoniae and is present at one to seven copies per chromosome. Seven copies of MHYP1-03-950 were shown to be present in the M. hyopneumoniae type strain, NCTC10110. The repeated element MHYP1-03-950 does not contain sequences typical for insertion sequences or known multicopy gene families. Southern blot analysis of genomic DNA of M. flocculare, Mycoplasma hyorhinis, Mycoplasma hyosynoviae, and Acholeplasma laidlawii with a labelled probe of MHYP1-03-950 did not show hybridization signals under low-stringency conditions (7a). Two nested pairs of oligonucleotide primers (Table 2) were designed with the primer analysis software OLIGO 4 (National Biosciences, Plymouth, Minn.). The outer primer pair (MHP950-1L and MHP950-1R) in the first reaction gave an amplification product of 913 bp, and the inner primer pair (MHP950-2L and MHP950-2R) in the second reaction gave a product of 808 bp. Both primer pairs were designed to be used at an annealing temperature of 52°C for practical reasons.
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DNA digested with
HindIII was used as molecular mass standard. The
sensitivity of the method was determined by the analysis of artificially contaminated filters with 0.1-ml samples of a culture of
M. hyopneumoniae NCTC10110 at 108 viable
cells/ml which was sequentially diluted from 10 to 1010
times in culture medium. The same extraction protocols as for filters
from the air sampling were used.
DNA sequence analysis of the 808-bp PCR product of the inner reaction
was done with the PRISM Ready Reaction DyeDeoxy Terminator Cycle
sequencing kit (Applied Biosystems/Perkin-Elmer Cetus, Norwalk, Conn.)
with oligonucleotides MHP950-2L and MHP950-2R in an ABI Prism 310 genetic analyzer (Applied Biosystems/Perkin-Elmer Cetus).
Field sampling. Air was sampled in pig rooms on seven commercial farms, in one pig room in an animal clinic, and in one room in a research facility (specific-pathogen-free [SPF] facility, negative control). Farms where EP was present were either SPF farms with a laboratory-confirmed reinfection with M. hyopneumoniae but whose pigs showed no acute clinical signs (three farms) or conventional farms whose pigs had acute respiratory problems diagnosed by the local veterinarian (four farms). A detailed description of the farms and rooms is given in Table 3.
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(i) Protocol 1. Different sampling durations (1, 10, and 100 min) at one location in the room were used (farms 1 and 2).
(ii) Protocol 2: Six samples, each taken over 10 min, were collected at six different locations in one room (farms 4, 5, and 6).
(iii) Protocol 3: A cumulative sample was collected over 60 min at different locations in the room with one filter only (farms 4, 7, 8, and 9).
Additionally, on farms 4, 7, 8, and 9, dust samples were collected in the same room where air samples were collected. Dust was scratched from surfaces and ventilation ducts at different locations in the room and transferred into a sterile plastic container. From each sample, 100 mg of dust was suspended in 1 ml of TE buffer and subsequently extracted by the same protocols used for air sampling with the filters.Statistical analysis.
Data were analyzed with the
statistical package SPSS (version 7.5; SPSS Inc., Chicago, Ill.). To
test for differences among groups, the
2 test and the
Mann-Whitney U test were used. Logistic regression techniques were used
to explore farm and room variables influencing the PCR outcome.
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RESULTS |
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Specificity and sensitivity of the nested PCR assay. In order to analyze the specificities of the individual PCRs and in particular of the nested PCR assay, 2 ng of purified DNA from 15 different strains of M. hyopneumoniae, including the type strain, NCTC10110 (= ATCC 25934), as well as DNA from several closely related porcine Mycoplasma and Acholeplasma species, was used as a template in the reactions (Table 1). All strains of M. hyopneumoniae showed the expected DNA fragments in the individual PCRs and in the nested PCR, while none of the other Mycoplasma or Acholeplasma species showed any amplification product in either the single or the nested PCR assay (Table 1). DNA sequence analysis of the 808-bp fragment obtained from the inner PCR of a few selected strains with widely varying origins (Table 1) as well as from two field samplings revealed a 99.7% identity of the nucleotides to those in the corresponding fragment MHYP1-03-950 from the type strain, NCTC10110 (sequence AF004388). The fragments from strains S924, Hungary 1, and Beaufort, as well as those from the field samples, differed from sequence AF004388 at two nucleotide positions that were different for each strain, while strains BQ 14 and YZ differed from sequence AF004388 at the same three nucleotide positions. In control PCRs with the universal prokaryotic primers 16SUNI-L and 16SUNI-R, a 1.4-kb PCR product from the 16S rRNA gene rrs was amplified from all Mycoplasma and Acholeplasma species tested.
In order to analyze the suitability of the method for air sampling, nebulized, formaldehyde-inactivated M. hyopneumoniae cells were sampled in order to obtain filters with approximately 700, 4,000, and 24,000 CFU of M. hyopneumoniae. Nested PCR of the filter extracts (see Materials and Methods) revealed the presence of M. hyopneumoniae on filters from all three samplings. For analysis of the sensitivity, different filters artificially contaminated with various amounts of M. hyopneumoniae NCTC10110 containing seven copies of the target sequence were prepared as described above and subjected to nested PCR. Figure 1 shows the results of the electrophoretic analysis of the products of the first and second PCRs in the nested PCR assay. The detection limit of the first PCR with the primers MHP950-1L and MHP950-1R is in the range of 104 viable cells/filter, yielding a clearly visible 913-bp band. However, when the PCR products of this first reaction were used as templates for the second reaction in a nested PCR, the 808-bp fragment from the second step was clearly visible for samples containing as few as one viable cell/ml. No signal was detected for filters with averages of 10
1 viable cells/ml or
fewer.
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Field sampling. The conditions under which air was sampled are described in Table 3, and PCR results are shown in Table 4. For farms where acute respiratory problems were present, the overall proportion of air filters with a positive PCR result was 53.6%, while none of the filters from SPF farms where reinfections occurred tested positive in the assay. Of the farms where acute respiratory problems were present, 80% had at least one positive filter result. All negative control samples tested negative.
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DISCUSSION |
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This study documents the first successful attempt to definitely identify M. hyopneumoniae in samples from air in the vicinity of infected pigs. With an air sampling system using polyethersulfone membranes with a pore size of 0.2 µm, a simple method to recover DNA from the filters, and a nested PCR assay, it was possible to detect DNA of M. hyopneumoniae under both experimental and field conditions.
PCR amplification-based tests for the detection of microorganisms are generally highly sensitive, allowing in principle a single chromosome equivalent of a cell to be detected when pure DNA is used as a template. In practice, however, this sensitivity is only very rarely achieved due to inhibitory substances in the samples to be tested, dilutions of the original samples by preparative procedures, or loss of DNA during laborious extraction procedures. Typically for mycoplasmas, the sensitivity is on the order of 10,000 cells per reaction (20). This sensitivity of a one-step PCR is, however, not enough for the detection of microorganisms in the air. In order to increase the sensitivity, nested (two-step) PCRs have been developed for the detection of various microorganisms, including several mycoplasmas (20). We have developed a highly sensitive nested PCR method based on the DNA sequence of a repeated gene segment of M. hyopneumoniae and used it to detect M. hyopneumoniae on filters used for air samplings. The method includes rapid dissolution of polyethersulfone filters and simultaneous extraction of DNA to be used for the nested PCR. Using filters that contained known numbers of M. hyopneumoniae cells (titrated as live cells), we observed a sensitivity of 1 viable cell/filter with the nested PCR, compared with 104 viable cells/filter with one-step PCR. We had made a similar observation with a nested PCR used for the direct detection of Mycoplasma mycoides subsp. mycoides SC in clinical samples (17). Taking into account the dilution which is due to sample preparation and the small volume used for the first PCR step, the nested PCR was capable of detecting less than one viable cell per reaction. This is possible because prokaryotes contain more than one chromosome equivalent under exponential growth conditions. The gene target used for the PCR is the repetitive element MHYP1-03-950, one to seven copies of which are present in each chromosome of M. hyopneumoniae. This element is well conserved within the species M. hyopneumoniae, as shown by DNA sequence analysis, and it is absent from genetically and taxonomically related mycoplasmas. This explains the high detection limit and the high specificity of the nested PCR. Detection can be lower than 1 viable cell per reaction, which is of particular advantage in air sampling.
The field sampling showed that air sampling is most successful on farms with acute clinical problems (80% of these had at least one positive air sample). On farms with a higher rate of chronic disease associated with a lower prevalence of clinical signs, no M. hyopneumoniae DNA was found in air samples. This indicates a low concentration of the agent under these circumstances. It is well known that M. hyopneumoniae cannot be isolated consistently easily during the entire course of the disease (14, 23). Once the lung lesions start to regress at approximately 9 weeks after infection (14), the isolation of mycoplasmas becomes difficult as their concentration in tissue declines. It is therefore important to obtain samples from the right age group of pigs. In Switzerland, farmers wean pigs at the age of 4 to 6 weeks. At this stage, pigs will become infected if kept on a farm with EP problems, and the best time to sample for airborne mycoplasmas would be 6 to 8 weeks later (14), which is at an age of 10 to 14 weeks. In this study, success in isolating M. hyopneumoniae DNA from an air sample was also associated with the ages of the pigs. It appears that obtaining samples for somewhat younger pigs would have been advantageous. Also, in future studies, an assessment of the infection status of the pigs at the time of air sampling (for example, by analyzing nasal swabs) would be desirable (16, 23).
Coughing is considered the most reliable clinical indicator of EP infection (22). Coughing starts about 2 weeks after infection and peaks after 5 weeks before gradually declining (14, 23). Because mycoplasmas become airborne through coughing, the concentration of infectious aerosol particles will also be higher when coughing is most prevalent. This is consistent with the results of this study, in which more positive samples were obtained in rooms with a lot of coughing pigs.
The results also showed that the volume of air sampled is not the most important factor in the sampling protocol. Positive results were obtained with volumes as low as 20.0 liters, while some samples of >1,000 liters were negative. Although we could exclude in our assay an inhibitory effect on PCR amplifications due to samplings of large volumes, it has to be noted that samplings of large volumes, in particular from highly contaminated air, could give false-negative results due to the inhibitory action on PCR by nontarget DNA and other substances (1). The result therefore is probably related to the fact that the distribution of airborne M. hyopneumoniae is not uniform within a pig room. The complex air circulation patterns within a pig room make it hard to predict where positive samples may be obtained. It has therefore been suggested that air samples should be collected at a number of different sites within an animal room in order to obtain a representative result (27). The cumulative sampling protocol used in this study seems to be the most suitable approach in this situation.
In this study, air humidity was an influential factor as to whether infectious aerosols were detected in a pig room, with lower humidity being associated with positive sampling results. The relative humidity of the air influences particle aggregation and net water flow and therefore also particle size. The more hygroscopic a particle, the larger it gets in a humid environment and the higher its sedimentation rate (5). In a drier environment, particles will thus remain airborne over a longer time period, which increases the airborne particle concentration and the chance of particle capture in air filters.
The alternative method of sampling dust instead of air was not successful. Only one of four dust samples was suspected of being positive in the PCR assay. Dust samples may contain organic inhibitors which have a negative effect on the PCR assay.
The results of this study using a nested PCR assay strongly support the hypothesis of airborne transmission of M. hyopneumoniae. However, questions about the potential survival of airborne M. hyopneumoniae and maximum travel distances between farms remain to be investigated.
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ACKNOWLEDGMENTS |
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We are thankful to Rudolf Meier for sharing with us his extensive air sampling experience and for making air sampling equipment available. We also thank Lazlo Stipkovits, Budapest, Hungary, for providing cultures of M. hyorhinis, M. hyosynoviae, Acholeplasma axanthum, Acholeplasma granularum, and A. laidlawii; Margrit Krawinkler for cultures of M. hyopneumoniae and M. flocculare; Marylin Kobisch, CNEVA, Ploufragan, France, and Steven Djordjevic, Camden, New South Wales, Australia, for M. hyopneumoniae strains; and Roger S. Morris for the critical review of the field sampling design. We thank Yvonne Schlatter for technical help and Marcus Spallek for helping with the field work.
This project was funded by the Swiss National Science Foundation (grant 823B-040072) and supported by the Institute of Veterinary Bacteriology, University of Berne.
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FOOTNOTES |
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* Corresponding author. Mailing address: Department of Veterinary Clinical Sciences, Massey University, Palmerston North, New Zealand. Phone: 64 6 350 61 44. Fax: 64 6 350 56 16. E-mail: K.Staerk{at}massey.ac.nz.
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