Previous Article | Next Article 
Applied and Environmental Microbiology, January 2002, p. 86-92, Vol. 68, No. 1
0099-2240/02/$04.00+0 DOI: 10.1128/AEM.68.1.86-92.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Inoculation onto Solid Surfaces Protects Salmonella spp. during Acid Challenge: a Model Study Using Polyethersulfone Membranes
Purushottam V. Gawande and Arvind A. Bhagwat*
Produce Quality and Safety Laboratory, Henry A. Wallace Beltsville Agricultural Research Center, Agricultural Research Service, USDA, Beltsville, Maryland 20705-2350
Received 20 June 2000/
Accepted 11 October 2001

ABSTRACT
Salmonellae are the most frequently reported cause of outbreaks
of food-borne gastroenteritis in the United States. In clinical
trials, the oral infective dose (ID) for healthy volunteers
was estimated to be approximately 1 million cells. However,
in reports from various outbreaks, the ID of
Salmonella species
associated with solid foods was estimated to be as few as 100
cells. We found that fresh-cut produce surfaces not only provided
suitable solid support for pathogen attachment but also played
a critical role in increasing the acid tolerance of the pathogen.
However the acidic nature of certain produce played no role
in making salmonellae resistant to stomach acidity. Inoculation
onto fresh-cut produce surfaces, as well as onto inert surfaces,
such as polyethersulfone membranes and tissue paper, increased
the survival of salmonellae during acid challenge (50 mM Na-citrate,
pH 3.0; 37°C; 2 h) by 4 to 5 log units. Acid challenge experiments
using cells inoculated onto polyethersulfone membranes provided
a model system suitable for studying the underlying fundamentals
of the protection that occurs when
Salmonella strains are associated
with solid foods. The surface-associated acid protection, which
was observed in several
Salmonella strains, required de novo
protein synthesis and was independent of stationary-phase sigma
transcription factor.

INTRODUCTION
The complex nature of todays food distribution chain
has created opportunities for fresh-cut fruits and vegetables
to become contaminated with pathogens (
2,
5,
9). Moreover, different
methods used to extend the shelf life of the fresh-cut produce
are likely to pave the way for microbial growth and spoilage
that may not occur under ordinary circumstances (
6,
28). Growers
have limited control over conditions in the field compared to
those in an enclosed production facility. Prevention of contamination
caused by human pathogens during the harvesting, washing, cutting,
packaging, and transporting of the produce is of considerable
importance to public health and, consequently, is a major issue
for the fresh-cut-produce industry (
8,
17,
23).
Salmonellae are the most frequently reported cause of food-borne gastroenteritis in the United States. Even though fresh fruits and vegetables are implicated less frequently than foods of animal origin, salmonellae have been isolated from several types of fruits and vegetables (3, 8, 10). Of the contaminated samples 44 out of 1,000 identified in a recent survey of high-volume imported fresh produce, about 80% (35 cases) were contaminated with Salmonella and 20% (9 cases) were contaminated with Shigella (http://vm.cfsan.fda.gov/~dms/prodsur6.htm). A number of consumer market research reports have predicted that the demand for fresh-cut fruits will increase rapidly in the near future, with food service establishments and school lunch programs being the major customers (1).
The number of bacteria consumed in contaminated food can vary considerably, as does the infective dose (ID) of enteric pathogens (7, 21). The ID of Shigella flexneri, which is commonly transmitted by person-to-person spread via a fecal-oral route, is approximately 100 cells (7). Salmonella spp. which primarily cause food-borne infections, are much less acid resistant, and their ID is still a controversial issue (7, 19, 22). In clinical trials where defined inocula were fed to human volunteers, the ID was estimated to be at least 106 bacteria (22). At the same time, there are reports from various outbreaks that when the cells were ingested with a food source, Salmonella spp. caused infection at a much lower ID (
100 cells) (11, 12, 18). It has been suggested that solid foods, especially those rich in fat, may protect salmonellae against stomach acidity (11, 29). The biochemical and molecular events leading to the surface-associated protection are not yet fully understood.
Under fasting conditions, the luminal pH in healthy volunteers is in the range of 1.5 to 5.5 (27). In this study, we demonstrate that various Salmonella strains that would normally be killed during acid challenge (pH 3.0; 37°C; 2 h), survived an identical acid challenge when inoculated on fresh-cut produce surfaces. The specific objective of the present study was to examine whether the surface inoculation affects the ability of salmonellae to survive acidic conditions that mimic those in the human stomach. Further, it was our intent to develop a model system which would enable us to design molecular biology experiments to study the phenomenon of the surface contact-mediated acid protection.

MATERIALS AND METHODS
Bacterial strains and media.
Salmonella enterica serovar Typhimurium ATCC 14028s and its
rpoS mutant strain SF1005 were obtained from Ferric Fang (
13).
Other
Salmonella strains were obtained from the Salmonella Genetic
Stock Center (SGSC), Calgary, Alberta, Canada (Table
1). Cultures
were routinely started from freezer stocks for growth on Luria-Bertani
(LB) medium. For some experiments, cells were grown in LB broth
buffered with either 100 mM MES (morpholineethanesulfonic acid;
pH 5.5) or 100 mM MOPS (morpholinepropanesulfonic acid; pH 8.0);
these are referred to as adapted and unadapted growth conditions,
respectively. Following overnight incubation at 37°C, a
single colony was selected and inoculated into 10 ml of LB broth
in a 125-ml Erlenmeyer flask. The cells were grown for 17 to
19 h at 37°C with shaking at 200 rpm to obtain stationary-phase
cultures. Cultures from the stationary growth phase were harvested
by centrifugation at 4,000
x gfor 10 min, washed once with 3
volumes of saline (0.9% NaCl), and suspended in 350 to 400 µl
of saline. The cells were allowed to incubate at room temperature
for 15 to 20 min before acid challenge assays were performed.
Acid challenge assays. (i) Acid challenge in planktonic (free-cell suspension) state.
Approximately 10
8 cells (5 µl of washed cell suspension)
were suspended in 1 ml of 50 mM Na-citrate buffer (pH 3.0),
which was equilibrated at 37°C. Acid challenge was performed
for 2 h at 37°C. The cells were collected by centrifugation
(12,000
x g for 10 min) and resuspended in 1.0 ml of 50 mM phosphate
buffered saline (PBS; pH 7.2). Surviving cells were determined
by estimating viable counts after appropriate dilutions made
in 50 mM PBS or buffered peptone water (BPW) were plated at
pH 7.3 on LB agar media. In addition, for treatments where a
low survival rate was expected, a duplicate set of samples were
processed in which cells (after acid challenge and centrifugation)
were suspended in 100 µl of PBS before being plated on
LB agar medium. Using this protocol, the appearance of a single
colony at a starting cell density of 10
8 per ml during acid
challenge sets the detection limit for the surviving population
at 1.0
x 10
6%.
(ii) Acid challenge of S. enterica cells inoculated onto solid surfaces.
Granny Smith apples (Malus domestica Borkh), Roma tomatoes (Lycopersicon esculentum Mill.) and cucumber (Cucumis sativus L.) obtained from a local market were surface sterilized using 70% ethanol and sliced with a sterile knife. Approximately 2- to 3-mm-thick slices, weighing 8 to 12 g, were inoculated on the cut surface with bacterial cultures as described below. The pH at the surface of the fresh-cut produce was measured using pH paper indicator strips (Sigma Chemical Co., St. Louis, Mo.).
Acid challenge was performed on fresh-cut produce or on water agar (1.6% agar in distilled water) surfaces. Several replicates of the fruit slices (8 to 12 g each) were spotted with a Salmonella serovar Typhimurium cell suspension (5 µl each, containing 108 cells). The fruit slices were incubated in a closed container at room temperature for approximately 20 to 30 min in order to allow the cells to adhere to the sliced fruit surface. The cells on the fruit surface were acid challenged by homogenizing each slice in 100 ml of prewarmed (37°C) Na-citrate buffer (50 mM; pH 3.0) for 2 min at 230 rpm (Stomacher 400 circulator; Seward Inc., London, United Kingdom). There was no significant change in the pH (< 0.1 pH unit) upon homogenization. The homogenized produce was then incubated at 37°C for 2 h. After incubation, the fruit slices were homogenized again (230 rpm; 1 min), and serial dilutions in PBS were used for viable-count determinations on LB agar plates. To determine the recovery of the inoculated cells from the produce, an independent set was processed identically, except 100 ml of buffered peptone water (Difco Laboratories, Detroit, (Mich.) was used instead of Na-citrate buffer and viable counts were determined immediately. As controls, uninoculated fresh-cut produce slices were placed in BPW, homogenized as described above, and examined for the presence of contaminating bacteria.
Agar plates (1.6% agar [wt/vol] in distilled water) were prepared with approximately 20 ml of agar per plate. Four spots of Salmonella serovar Typhimurium cell suspension (5 µl each, containing 108 cells) were placed on the agar surface. The agar plates were incubated at room temperature for 20 to 30 min, after which the agar was peeled off the plates and processed as described for the fresh-cut produce.
(iii) Acid challenge of Salmonella serovar Typhimurium cells inoculated onto polyethersulfone membranes.
Polyethersulfone membranes (0.22 µm thick) (Durapore membrane; Millipore Inc., Bedford, Mass.) were washed in distilled water for 1 h and dried at room temperature before they were laid on water agar plates (1.6% agar [wt/vol] in distilled water). Salmonella serovar Typhimurium cells (5 µl; approximately 108 cells) were placed on individual polyethersulfone membranes and allowed to incubate at room temperature for 20 to 30 min. To determine the optimum incubation time prior to acid challenge, cells were allowed to incubate on polyethersulfone membranes for 1 to 60 min. The cells resting on the polyethersulfone disk were acid challenged as described above. All the experiments were repeated at least three times. In some cases, chloramphenicol was added at a final concentration of 100 µg per ml for 20 min prior to inoculation onto membranes. The cells were then inoculated onto membranes, which were placed on water agar containing chloramphenicol (100 µg per ml). Acid challenge assays were performed as described above.

RESULTS
Survival of Salmonella serovar Typhimurium inoculated onto fresh-cut produce.
The survival of
Salmonella serovar Typhimurium under acidic
conditions (pH 3.0) was tested while the cells were adhering
to various fresh-cut fruits (Fig.
1). Our studies show that
several fresh-cut fruits with a wide pH range allowed
Salmonella serovar Typhimurium to survive acid challenge when the cells
were inoculated on the surface. Neutral and inert support, such
as water agar, also provided comparable protection during acid
challenge. The same cells did not survive identical acid challenge
in cell suspensions (planktonic state). Uninoculated fresh-cut
produce was free of contaminating bacteria. Most of the inoculated
cells of
Salmonella serovar Typhimurium could be recovered from
the fresh-cut produce surface in buffered peptone (cucumber,
93.1% ± 6.8%; tomato, 76.0% ± 15.4%; apple, 82.9%
± 12.0%) (Fig.
1).
Survival of Salmonella serovar Typhimurium inoculated onto inert supports.
In order to determine if the nutrient composition of fresh-cut
fruits had a role in providing protection against acid challenge,
Salmonella serovar Typhimurium cells were inoculated on various
inert supports, such as polyethersulfone membranes, Whatman
filter paper, and tissue paper (low lint; nonabrasive) (Skillcraft,
Duluth, Minn.) before the acid challenge assay (Fig.
2). When
compared to the survival rate of planktonic cells, inoculation
on various inert supports resulted in 4- to 5-log-fold better
survival during acid challenge. The protection for Whatman filter
paper and tissue paper was slightly lower than that observed
for polyethersulfone membranes.
Surface contact-mediated acid protection requires de novo protein synthesis.
Cells acquired the ability to survive acid challenge within
the first 15 to 20 min after inoculation onto the polyethersulfone
membrane (Fig.
3). The addition of a membrane disk into the
assay tube containing planktonic cells at any point during the
2-h incubation did not protect the cells against acid challenge
(data not shown). In order to determine if the initial incubation
period of 15 to 20 min was due to the time necessary to synthesize
new proteins, cells were treated with sublethal concentrations
of chloramphenicol during the first 20 min on polyethersulfone
membranes before they were subjected to acid challenge (Table
2). The cells treated with chloramphenicol (100 µg/ml;
20 min) were viable but did not exhibit surface-associated high
survival rates during acid challenge. The data support the concept
that de novo protein synthesis is necessary after inoculation
onto a solid support in order for the bacteria to survive subsequent
acid challenge. Contact with solid surfaces per se was not required
for higher survival during acid challenge, as cells dissociated
in saline after being in contact with polyethersulfone membranes
for 20 min were able to exhibit high survival rates even when
acid challenged in the planktonic state (Table
2). Our initial
attempts to identify the newly synthesized protein(s) by one-dimensional
polyacrylamide gel electrophoresis were inconclusive (data not
shown).
Surface contact-mediated protection and cell density during acid challenge.
To determine if the inoculum size had any effect on the bacterial
survival rate and/or the ability to recover cells from polyethersulfone
membranes in saline, serial dilutions of
Salmonella serovar
Typhimurium were inoculated onto polyethersulfone membranes
and acid challenged as described above (Fig.
4). Identical sets
of filters were extracted with saline to determine the effect
of cell density on the recovery of cells from polyethersulfone
membranes. Despite variations in the inoculum size (10
8 to 10
4 cells), cell recovery and the survival rate of bacteria inoculated
onto polyethersulfone membranes were fairly constant.
Surface contact-mediated acid protection in other strains of Salmonella.
In order to determine if the phenomenon described above is restricted
to
Salmonella serovar Typhimurium or is applicable to other
salmonellae, several strains of
Salmonella spp. were examined
for survival of acid challenge after their inoculation onto
polyethersulfone membranes (Table
3). Our data indicate that
a number of
Salmonella strains, such as
S. enterica serovar
Enteritidis,
S. enterica serovar Dublin,
S. enterica serovar
Paratyphi B, S.
enterica serovar Anatum, and
S. enterica serovar
Typhi, showed severalfold-higher survival rates when they were
acid challenged after inoculation onto polyethersulfone membranes.
However, no such protection was observed for
S. enterica serovar
Paratyphi A and
S. enterica serovar Pullorum strains.
Salmonella serovar Typhimurium LT2 is a natural isolate carrying an
rpoS mutation. In order to determine if the protection observed with
surface-inoculated cells is dependent on the
rpoS regulon, the
survival of strain LT2 was compared with that of strain SF1005.
Both strains exhibited comparable acid survival before and after
inoculation onto polyethersulfone membranes, suggesting that
the increased acid protection observed subsequent to inoculation
onto solid support occurs independently of
rpoS regulation.
View this table:
[in this window]
[in a new window]
|
TABLE 3. Survival of acid challenge by various Salmonella strains and chemotaxis, flagellum and motility mutants in the planktonic versus surface-associated states
|
Effect of culture conditions on surface contact-mediated acid protection.
Salmonella serovar Typhimurium synthesizes several proteins
crucial for acid survival during its stationary growth phase
(
14,
15). From this large set of proteins, the synthesis of
about 50 proteins has been demonstrated to be under the control
of the
rpoS regulon (
16,
24).
Salmonella serovar Typhimurium
also has an alternative acid tolerance pathway which requires
growth under acidic conditions and is also induced in the stationary
growth phase (
4). Growth under acidic (pH 5.5) and alkaline
(pH 8.0) conditions in LB medium allowed us to compare the contributions
of the two acid protection pathways to the increased acid survival
of cells inoculated on solid supports (Fig.
5). Wild-type cells
from unadapted growth conditions (LB-MOPS; pH 8.0) (i.e., the
rpoS pathway is active) were more sensitive to acid challenge
on polyethersulfone membranes than adapted cultures (LB-MES;
pH 5.5) (i.e., the
rpoS-independent pathway). Likewise, strain
SF1005 survived acid challenge better when grown at pH 5.5,
indicating that cells probably utilize an
rpoS-independent acid
survival pathway when inoculated onto solid supports.
Role of motility and flagella in surface-mediated acid protection.
We tested several mutants of
Salmonella serovar Typhimurium,
defective in motility and flagellum synthesis, for acid survival
after they were inoculated on solid supports (Table
3). All
the mutants were able to survive the acid challenge at a higher
rate after their inoculation onto polyethersulfone membranes,
indicating that cells may be utilizing alternate adherence mechanisms
other than those involving flagella.

DISCUSSION
The studies presented here were undertaken to examine the acid
challenge response of
Salmonella serovar Typhimurium cells subsequent
to their inoculation onto solid surfaces. An inert support,
i.e., a polyethersulfone membrane, was selected (150 to 200
µm thick, low protein binding, and high wettability) to
facilitate the acquisition of data. After 20 to 30 min of incubation
on polyethersulfone membranes, most of the
Salmonella serovar
Typhimurium cells (97.5% ± 8.5%) were recovered by vortexing
the membranes in either saline or PBS (Table
2). Thus, the association
of cells with polyethersulfone membranes appears to be loose
and certainly not at the stage where it could be referred to
as a biofilm. The degree of protection during acid challenge
as a result of inoculation onto polyethersulfone membranes was
4 to 5 log-fold. In the event of pathogen outbreaks associated
with solid foods, higher protection may be observed, as certain
foods, in addition to providing a solid surface for attachment,
may also be a source of essential amino acids, such as glutamate,
lysine, or arginine (
10a,
24,
29). The experiments described
here provide a system suitable for studying the underlying fundamentals
of protection observed when
Salmonella strains are associated
with solid foods (
11,
12,
18). Previous studies have indicated
that once the pH barrier of the stomach has been breached, the
number of surviving bacteria reaching the intestines does not
affect the severity of the disease (
26,
27). This further implies
that the ability to adhere to solid surfaces may significantly
influence the ID of a specific enteric pathogen, and it needs
to be analyzed further.
It has been suggested that Salmonella outbreaks with a low ID are often associated with a food source with a high fat content (11, 12, 18). Boiled egg white (but not boiled rice), which is low in fat but rich in proteins, is also reported to protect Salmonella from acid challenge (29). Based on the data presented here, it appears that the primary factor in the observed protection by solid foods could be merely the availability of a solid support for pathogen attachment. While the precise roles played by either the fat or protein content of the food in acid protection of bacteria is yet to be determined, it appears that the ability of ground beef to raise the pH of the acidified medium did play a crucial role (29). Placing a polyethersulfone membrane or a fruit slice in the acid challenge buffer solution did not cause any change in pH during the 2-h incubation period (<0.1 pH unit) (data not shown). In fact, acidity at the produce surface had little influence on the induction of an acid tolerance response or on surface contact-mediated protection (Fig. 1). The observed protection appeared widespread across several strains of Salmonella species and with many different neutral solid supports, such as ordinary tissue paper and Whatman filter paper (Fig. 2). The lack of surface-associated protection during acid challenge in Salmonella serovar Pullorum and Salmonella serovar Paratyphi A is intriguing. Whether it reflects true genetic variation in acid survival mechanisms among different strains will require further investigation.
Salmonella serovar Typhimurium possesses at least two stationary-phase acid tolerance systems, one that is acid induced and
transcription factor (encoded by rpoS) independent and another that is unresponsive to pH but is regulated by the
transcription factor (4, 20). Our data indicate that surface contact-mediated protection is more robust when cells are grown under mild acidic conditions (LB-MES; pH 5.5). The contribution of an rpoS-mediated acid survival pathway appears minimal, since strain SF1005 was able to protect itself once inoculated onto solid surfaces, provided the cells were grown in LB-MES medium (pH 5.5) (Fig. 5). The acid-inducible rpoS-independent acid tolerance system has recently been characterized in Salmonella serovar Typhimurium, in which the outer membrane protein, OmpR, appears to play a crucial role (4, 20). The exact biochemical mechanism by which OmpR functions is not yet known. It is interesting to note that the acid-inducible OmpR system has been speculated to be a major virulence factor of the organism (4, 16, 24).
In E. coli, chemotaxis and type I pilus genes (cheA and fimH, respectively) play a critical role in attachment and biofilm formation (25, 30). Although the identity of the de novo-synthesized proteins is not yet clear, the proteins do not appear to be the products of the che (chemotaxis), mot (motility), or flg (flagella) operon (Table 3). Salmonella serovar Typhimurium cells required 15 to 20 min to acquire contact-mediated acid protection after their inoculation onto polyethersulfone membranes (Fig. 3). No surface contact-mediated acid protection was observed in the presence of chloramphenicol (Table 2). This indicates that synthesis of new proteins might be induced in the cells due to the surface contact with polyethersulfone membranes. Genomewide analysis using RNA transcripts obtained from the surface-associated cells may help to identify likely transcriptional or translational regulatory elements or new genes which may have roles in acid protection.

ACKNOWLEDGMENTS
We thank W. S. Conway, J. W. Foster, K. C. Gross, J. Karns,
J. Lindsay, J. McEvoy, and M. Wachtel for helpful comments and
criticism.

FOOTNOTES
* Corresponding author. Mailing address: Produce Quality and Safety Laboratory, USDA-ARS, 10300 Baltimore Ave., Bldg. 002, Room 117, Plant Science Institute, BARC-W, Beltsville, MD 20705-2350. Phone: (301) 504-5106. Fax: (301) 504-5107. Email:
bhagwata{at}ba.ars.usda.gov.


REFERENCES
1 - Anonymous. 2000. Fresh sliced apples: waiting to boom? Fresh Cut June:1822.
2 - Anonymous. 1998. National advisory committee on the microbiological criteria for foods: microbiological safety evaluations and recommendations on fresh produce. Food Control 9:321347.[CrossRef]
3 - Backer, H. D., J. C. Mohle-Boetani, S. B. Werner, S. L. Abbott, J. Farrar, and D. J. Vugia. 2000. High incidence of extra-intestinal infections in a Salmonella havana outbreak associated with alfalfa sprouts. Public Health Rep. 115:339345.[CrossRef][Medline]
4 - Bang, I. S., B. H. Kim, J. W. Foster, and Y. K. Park. 2000. OmpR regulates the stationary-phase acid tolerance response of Salmonella enterica serovar Typhimurium. J. Bacteriol. 182:22452252.[Abstract/Free Full Text]
5 - Beuchat, L. R. 1996. Pathogenic microorganisms associated with fresh produce. J. Food Prot. 59:204216.
6 - Beuchat, L. R., and J. H. Ryu. 1997. Produce handling and processing practices. Emerg. Infect. Dis. 3:459465.[Medline]
7 - Blaser, M. J., and L. S. Newman. 1982. A review of human Salmonellosis. I. Infective dose. Rev. Infect. Dis. 4:10961106.
8 - Brackett, R. E. 1999. Incidence, contributing factors, and control of bacterial pathogens in produce. Postharvest Biol. Technol. 15:301311.
9 - Brackett, R. E. 1994. Microbiological spoilage and pathogens in minimally processed fruits and vegetables, p.269312. In R. C. Wiley (ed.), Minimally processed refrigerated fruits and vegetables. Van Nostrand Reinhold, New York, N.Y.
10 - Campbell, J. V., J. Mohle-Boetani, R. Reporter, S. Abbott, J. Farrar, M. Brandl, R. Mandrell, and S. B. Werner. 2001. An outbreak of Salmonella serotype Thompson associated with fresh cilantro. J. Infect. Dis. 183:984987.[CrossRef][Medline]
10 - Cui, S., J. Meng, and A. A. Bhagwat. 2001. Availability of glutamate and arginine during acid challenge determines cell density-dependent survival phenotype of Escherichia coli strains. Appl. Environ. Microbiol. 67:49144918.[Abstract/Free Full Text]
11 - DAoust, J. Y. 1985. Infective dose of Salmonella typhimurium in cheddar cheese. Am. J. Epidemiol. 122:717719.[Free Full Text]
12 - DAoust, J. Y., B. J. Aris, P. Thisdele, A. Durante, N. Brisson, D. Dragon, G. Leachapelle, M. Johnston, and R. Laidley. 1975. Salmonella eastbourne outbreak associated with chocolate. Can. Inst. Food. Sci. Technol. J. 8:181184.
13 - Fang, F. C., S. J. Libby, N. A. Buchmeier, P. C. Loewen, J. Switala, J. Harwood, and D. G. Guiney. 1992. The alternative sigma factor katF (rpoS) regulates Salmonella virulence. Proc. Natl. Acad. Sci. USA 89:1197811982.[Abstract/Free Full Text]
14 - Foster, J. W. 1991. Salmonella acid shock proteins are required for the adaptive acid tolerance response. J. Bacteriol. 173:68966902.[Abstract/Free Full Text]
15 - Foster, J. W., and H. K. Hall. 1990. Adaptive acidification tolerance response of Salmonella typhimurium. J. Bacteriol. 172:771778.[Abstract/Free Full Text]
16 - Foster, J. W., and M. Moreno. 1999. Inducible acid tolerance mechanisms in enteric bacteria. Novartis Found. Symp. 221:5569.[Medline]
17 - Hao, Y. Y., and R. E. Brackett. 1993. Influence of modified atmosphere on growth of vegetable spoilage bacteria in media. J. Food Prot. 56:223228.
18 - Hedberg, C. W., J. A. Korlath, J. Y. DAoust, K. E. White, W. L. Schell, M. R. Miller, D. N. Cameron, K. L. MacDonald, and M. T. Osterholm. 1992. A multistate outbreak of Salmonella javiana and Salmonella oranienburg infections due to consumption of contaminated cheese. JAMA 268:32033240.[Abstract/Free Full Text]
19 - Hornick, R. B., S. E. Greisman, T. E. Woodward, H. L. DuPont, A. T. Dawkins, and M. J. Snyder. 1970. Typhoid fever: pathogenesis and immunological control. N. Engl. J. Med. 283:739746.[Medline]
20 - Lin, J., I. S. Lee, J. Frey, J. L. Slonczewski, and J. W. Foster. 1995. Comparative analysis of extreme acid survival in Salmonella typhimurium, Shigella flexneri, and Escherichia coli. J. Bacteriol. 177:40974104.[Abstract/Free Full Text]
21 - Lin, J., M. P. Smith, K. C. Chapin, H. S. Baik, G. N. Bennett, and J. W. Foster. 1996. Mechanisms of acid resistance in enterohemorrhagic Escherichia coli. Appl. Environ. Microbiol. 62:30943100.[Abstract/Free Full Text]
22 - McCullough, N. B., and C. W. Eisele. 1951. Experimental human salmonellosis. I. Pathogenicity of strains of Salmonella meleagridis and Salmonella anatum obtained from spray-dried whole egg. J. Infect. Dis. 88:278289.[Medline]
23 - Odumeru, J. A., S. J. Mitchell, D. M. Alves, J. A. Lynch, A. J. Yee, S. L. Wang, S. Styliadis, and J. M. Farber. 1997. Assessment of the microbiological quality of ready-to-use vegetables for health-care food services. J. Food Prot. 60:954960.
24 - Park, Y. K., B. Bearson, S. H. Bang, I. S. Bang, and J. W. Foster. 1996. Internal pH crisis, lysine decarboxylase and the acid tolerance response of Salmonella typhimurium. Mol. Microbiol. 20:605611.[CrossRef][Medline]
25 - Pratt, L. A., and R. Kolter. 1998. Genetic analysis of Escherichia coli biofilm formation: roles of flagella, motility, chemotaxis and type I pili. Mol. Microbiol. 30:285293.[CrossRef][Medline]
26 - Schlech, W. F., D. P. Chase, and A. Badley. 1993. A model of food-borne Listeria monocytogenes infection in the Sprague-Dawley rat using gastric inoculation: development and effect of gastric acidity on infective dose. Int. J. Food Microbiol. 18:1524.[CrossRef][Medline]
27 - Verdu, E., F. Viani, D. Armstrong, R. Fraser, H. H. Siegrist, B. Pignatelli, J.-P. Idstrom, C. Lederberg, A. L. Blum, and M. Fried. 1994. Effect of omeprazole on intragastric bacterial counts, nitrates, nitrites, and N-nitroso compounds. Gut 35:455460.[Abstract/Free Full Text]
28 - Watada, A. E. 1997. Quality maintainance of fresh-cut fruits and vegetables. Foods Biotechnol. 6:229233.
29 - Waterman, S. R., and P. L. C. Small. 1998. Acid-sensitive enteric pathogens are protected from killing under extremely acidic conditions of pH 2.5 when they are inoculated onto certain solid food sources. Appl. Environ. Microbiol. 64:38823886.[Abstract/Free Full Text]
30 - Watnick, P., and R. Kolter. 2000. Biofilm, city of microbes. J. Bacteriol. 182:26752679.[Free Full Text]
Applied and Environmental Microbiology, January 2002, p. 86-92, Vol. 68, No. 1
0099-2240/02/$04.00+0 DOI: 10.1128/AEM.68.1.86-92.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.