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Applied and Environmental Microbiology, December 2003, p. 7137-7144, Vol. 69, No. 12
0099-2240/03/$08.00+0 DOI: 10.1128/AEM.69.12.7137-7144.2003
Copyright © 2003, American
Society for
Microbiology. All Rights Reserved.
University of Florida, Gainesville, Florida 32611
Received 12 March 2003/ Accepted 4 September 2003
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V. vulnificus is indigenous to estuaries worldwide and can be readily isolated from the environment (24, 30, 37); however, standard detection methods require enrichment and selective plating media to reduce the growth of background organisms (10). Species identification requires additional time-consuming assays that are frequently inaccurate and laborious. Standard plate count based on DNA probe hybridization for colony identification can also be used for enumeration in oyster tissues (19, 36, 37), but this assay still requires overnight growth of bacteria and usually involves several days of processing time for large numbers of samples. Numerous studies have indicated that, under conditions of reduced temperatures (4 to 5°C) and nutrient availability, vibrios become nonculturable on standard media while retaining viability (8, 13, 26, 32, 33). Although the contribution of a viable but nonculturable (VBNC) population to V. vulnificus disease is unknown, human infections have been reported with VBNC V. cholerae (8). Therefore, enumeration assays that do not require cultivation may be useful for risk assessment. Several PCR assays (5, 6, 23), as well as reverse transcription-PCR (RT-PCR) (9) for detection of vibrios without culture have been described; unfortunately, these methods are not inherently quantitative and require post-PCR analysis for enumeration of V. vulnificus.
Real-time PCR offers rapid, quantitative analysis for detection of food-borne pathogens (1, 2, 7, 18, 21, 22). The TaqMan system (PE Applied Biosystems Inc., Foster City, Calif.) uses fluorogenic probes to detect PCR products as they form; the exonuclease activity of Taq polymerase releases a labeled reporter dye at the 5' end of the probe from the quencher dye at the 3' end with each cycle of amplification. Thus, increased fluorescence is directly proportional to the formation of PCR products. Plotting the increase in fluorescence versus cycle number gives a comprehensive picture of the PCR process, and quantification of initial template concentration can be calculated from data on the exponential phase of amplification.
The most frequent target of species-specific V. vulnificus DNA probes and PCR assays is the hemolysin/cytolysin gene, vvhA (39). The present study also employed this sequence to develop a quantitative real-time PCR assay with TaqMan technology. Assay sensitivity and specificity were examined in pure or mixed cultures, and enumeration of V. vulnificus by real-time PCR, in either artificially inoculated or naturally contaminated oysters, was compared to plate count determinations with a gene probe. VBNC cells were also examined by real-time PCR analysis.
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TABLE 1. Bacterial
isolates evaluated by real-time PCR
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V.
vulnificus real-time PCR assay.
Oligonucleotide sequences were
derived from the V. vulnificus structural gene for cytolysin,
vvhA (GenBank accession number
M34670). The
probe is localized to a region of the gene that previously had been
used as a species-specific genetic probe
(36). Primer Express
software (version 1.5; PE Applied Biosystems) was used to design the
TaqMan probe (5'CCG TTA ACC GAA CCA CCC GCA A3') and
the forward (5'TGT TTA TGG TGA GAA CGG TGA CA3') and
reverse (5'TTC TTT ATC TAG GCC CCA AAC TTG3') PCR
primer set. Probe and primers were assessed for species specificity by
a BLAST (National Center for Biotechnology Information) search to
determine homology to known sequences.
Real-time PCR assays used the TaqMan (PE Applied Biosystems) reagents and technology. This assay is based on the fluorescence emitted from the cleavage of a reporter dye during PCR; fluorescence of the reporter dye is suppressed in the intact probe due to the close proximity of a quencher dye. PCR amplification reaction mixtures (50 µl) contained various concentrations of the DNA sample (3.0 µl), TaqMan buffer A (5 mM MgCl2; 200 µM dATP, dGTP, dCTP, and 400 µM dUTP), a TaqMan fluorogenic probe (0.25 µM), primers (0.90 µM each), and AmpliTaq Gold DNA polymerase (2.5 U). Reactions were performed in triplicate for each PCR sample in capped 0.2-ml thin-walled reaction tubes (Bio-Rad Laboratories, Hercules, Calif.). The PCR protocol consisted of holding samples at 50°C for 2 min, followed by denaturation at 95°C for 10 min and then by 40 cycles of 95°C for 15 s and 60°C for 1 min. Reactions were performed with the GeneAmp 5700 sequence detection system, and data were analyzed with GeneAmp 5700 sequence detection system software (PE Applied Biosystems). The amplified PCR product was detected by monitoring the increase in fluorescence signal generated from the 6-carboxyfluorescein-labeled probe. Quencher dye was TAMARA (6-carboxy-N,N,N',N'-tetramethylrhodamine). Amplified PCR products (100 bp) were verified by electrophoresis with a 4% low-melting-temperature agarose (NuSieve GTG; BioWhittaker Molecular Applications, Rockland, Maine) with ethidium bromide staining as described by Sambrook et al. (28).
Fluorescence
intensity, as an indicator of amplicon concentration, was calculated
from the equation
Rn =
(Rn+) -
(Rn-) (reporter signal
fluorescence minus normalized background). The signal amplification
(
Rn) was then plotted against PCR cycles
to generate cycle threshold (Ct) values. The
Ct is the initial cycle in which amplification is
detected as exceeding an arbitrary threshold. Standard curves for
quantitation were plotted from triplicate samples by using
Ct values of 10-fold dilutions of template
extracted from 2 x 109 CFU of V. vulnificus
MO6-24/O ml-1. The Ct values for
experimental samples were also calculated from the means of triplicate
PCRs.
Sensitivity and specificity of
V. vulnificus real-time PCR.
Specificity of real-time PCR was
determined by comparing PCR products derived from V.
vulnificus (n = 28) to non-V. vulnificus
(n = 22) DNA templates. For sensitivity assays, DNA
was extracted from pure cultures of V. vulnificus MO6-24/O (2
x 109 CFU ml-1) and serially
diluted in Tris-EDTA buffer to generate a standard curve used for
enumeration of unknown samples. Enumeration of V. vulnificus
by real-time PCR was compared to plate count values. Cells were
incubated at 30°C with agitation in LB until early stationary
phase. Samples were serially diluted in ASW to determine CFU per
milliliter on LA plates. DNA from diluted cells was extracted and
precipitated with ethanol as described above. These experiments were
repeated with or without the addition of V. parahaemolyticus
strain NY 3547 (3.2 x 106 CFU
ml-1) cells prior to DNA extractions in order to
determine the influence of background
DNA.
DNA probing of colony blot
hybridizations.
V.
vulnificus from oyster homogenates was enumerated using the
species-specific VVAP oligonucleotide probe and colony blot
hybridization procedure previously described by Wright et al.
(36). Briefly, colonies
from plate counts on LA were transferred in triplicate to Whatman
(Maidstone, England) 541 filters and hybridized with a species-specific
alkaline phosphatase-labeled probe (DNA Technologies A/S
Denmark). Probe-positive colonies were detected by
measuring alkaline phosphatase enzymatic activity with an appropriate
chromogenic substrate and were enumerated to determine concentrations
of V. vulnificus.
Detection of
V. vulnificus in artificially inoculated oysters.
Oyster (Crassostrea
virginica) meats (ca. 30 g) were diluted (1:10) in ASW
and homogenized (Lab-Blender 400 stomacher; Tekmar Company, Cincinnati,
Ohio) for 90 s. Oyster homogenates (10 ml) were seeded with
early-stationary-phase V. vulnificus MO6-24/O cells diluted in
ASW to concentrations of 102 to 107 CFU
ml-1. Bacterial inocula were determined by colony
blot hybridization, as described above. Aliquots (1.0 ml) of seeded
homogenates were centrifuged (5,000 x g for 10 min),
and DNA was extracted and precipitated with ethanol for real-time PCR
quantification, as described
above.
Detection of indigenous V.
vulnificus in oysters.
Oysters were purchased from Florida
gulf coast wholesalers, stored at 4 ± 2.0°C, and
assayed within 2 days of harvest date. To increase background levels of
V. vulnificus, oysters were incubated, with agitation, in a
30°C water bath (Gyrotory; New Brunswick Scientific, Edison,
N.J.) for 12 to 24 h in ASW. Oyster sample preparation
included scrubbing with a brush under running tap water and shucking
using an aseptic technique. Thirty to 50 g of oyster meat
(approximately three to five oysters) was homogenized with the
stomacher or a conventional blender (Waring Commercial, Torrington,
Colo.) for 90 s in an equal weight of ASW. Homogenates (250
µl) were centrifuged (5,000 x g for 10 min),
and DNA was extracted and precipitated with ethanol as described above.
Magnetic bead DNA purification (Dynal AS, Oslo, Norway) was also
performed on selected samples as previously described
(18). V.
vulnificus cells in dilutions of oyster homogenates were
enumerated by both real-time PCR and colony blot hybridization as
described above. Statistical analysis was based on the Student
t test using paired and equal variance of the log CFU per
gram.
Enumeration of VBNC
cells.
To evaluate
real-time PCR detection of VBNC cells, V. vulnificus MO6-24/O
was incubated at 30°C in LB until the early-stationary-growth
phase (109 CFU ml-1). Cells (1.0 ml) were
centrifuged (5,000 x g for 10 min), washed three times
in 1.0 ml of ASW to remove residual nutrients from the growth media,
and resuspended in ASW. Microcosm flasks (n = 2)
containing ASW (99 ml) were inoculated with washed cultures (1.0 ml) to
achieve an inoculum concentration of ca. 107 CFU
ml-1. Microcosms were stored at 4 ±
2.0°C and monitored to assess VBNC induction during a 43-day
period by real-time PCR assay, plate counts, and growth in alkaline
peptone water (APW), as previously described
(10). Cultures were
considered nonculturable when plate counts were below detectable levels
(<100 CFU ml-1) and no visible turbidity was
observed in APW enrichment tubes. The viability of cells was assessed
with nucleic acid staining dyes (LIVE/DEAD BacLight bacterial
viability kit; Molecular Probes, Eugene, Oreg.). This two-color
fluorescence assay determines bacterial viability based on cell
membrane integrity. Cell membranes of all bacteria cells stained with
SYTO 9 have a green fluorescence. Propidium iodide stain penetrates
bacteria with damaged cell membranes and generates a red fluorescence.
Therefore, viable bacterial cells with intact membranes stain green,
while nonviable cells are red. Acridine orange direct counts (AODC) of
samples were estimated with 0.01% acridine orange staining
(J. T. Baker Chemical Co., Phillipsburg, N.J.). Fluorescent
cells in microcosm samples were visualized and enumerated with a
fluorescence microscope (Nikon; Labphot) in a counting chamber
(Bright-Line; Hausser Scientific, Horsham, Pa.). To further confirm the
viability of VBNC cells, cultures were resuscitated following a
temperature upshift of the microcosm as described by Whitesides and
Oliver (33). Samples (10
ml) of VBNC microcosms were incubated at room temperature for
24 h, and culturability was determined by plate counts and
growth in APW enrichment
broth.
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Rn) of all 28 isolates of
V. vulnificus and lack of product from all 22 non-V.
vulnificus strains (Table
1). Amplified PCR product
size was verified by gel electrophoresis (not shown). Limits of sensitivity of V. vulnificus real-time PCR were determined from end point titration of DNA extracted from pure culture. Linear values for PCR amplification were achieved for dilutions of purified DNA concentrations ranging from 7.2 x 10-5 to 72.0 ng µl-1 (Fig. 1). Real-time PCR amplification of DNA obtained from serial dilutions of pure culture in ASW was detected at <250 CFU ml-1 but showed a linear range of detection from 2.3 x 102 to 2.3 x 108 CFU ml-1 (log 2.4 to 8.4 CFU ml-1) based on plate counts (Table 2). The limit of linear detection in the PCR assay with a total reaction volume of 50 µl using 3.0 µl of genomic DNA, assuming 100% extraction efficiency, was extrapolated to be six cells per PCR. Comparison of bacterial concentrations, as determined by plate counts on LA and real-time PCR results, showed excellent correlation (r2 = 0.99). Linear detection of amplification product also was observed in the presence of exogenous cells, with 3.2 x 106 CFU of V. parahaemolyticus NY 3547 ml-1 added to V. vulnificus cultures (Table 2) and showed correlation to real-time PCR enumeration without added V. parahaemolyticus (r2 = 0.99) and to plate counts (r2 = 0.99).
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FIG. 1. Standard
curves for V. vulnificus real-time PCR. Standard curves were
plotted for the log cell number of bacteria versus the number of cycles
required to reach Ct and were based on the means of
triplicate samples. Samples were derived from dilutions of DNA
extracted from cells either in pure culture or in oyster homogenates.
Equations of lines for pure culture and homogenates were y
= 3.50x + 14.5 and y
= 3.33x + 30.7,
respectively.
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TABLE 2. Sensitivity
of V. vulnificus real-time PCR assay
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TABLE 3. Enumeration
of V. vulnificus from inoculated oysters
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TABLE 4. Enumeration
of indigenous V. vulnificus in oysters
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FIG. 2. Enumeration
of VBNC V. vulnificus cells from microcosms. Levels
of V. vulnificus MO6-24/O (CFU per milliliter)
were determined by real-time PCR (R-PCR) and plate count
colony hybridizations, as described in the text. Bacterial viability
was based on whether cells stained green (viable) or red (nonviable) in
the LIVE/DEAD BacLight assay as observed by fluorescence
microscopy. Total direct counts of cells per milliliter (AODC) were
made by enumeration of cells stained with acridine orange. Standard
deviations of the values obtained from these assays ranged from 0 to
0.5 log CFU ml-1 for duplicate
microcosms.
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Limiting factors for PCR sensitivity are generally sample purity and volume size. Greater sensitivity (6 to 8 CFU g-1) has been reported for real-time PCR analysis of V. cholerae (18) in seeded oyster homogenates using magnetic bead DNA purification, and similar levels have been enumerated in food with L. monocytogenes (1) or S. enterica (7). However, the use of magnetic beads did not increase the sensitivity of detection of V. vulnificus in oysters. In our studies, DNA template extraction methods were sufficient to remove impurities from seawater or complex oyster matrices that might interfere with the assay, and concentration of DNA templates by simple vacuum evaporation or ethanol precipitation increased the level of sensitivity. Initially, we observed decreased detection sensitivity in naturally infected oysters compared to that in artificially inoculated samples. We found that slight modifications in the Qiagen DNA extraction (decreasing the sample volume) and PCR (increasing reaction volume) protocols resulted in about a 10-fold increase in sensitivity. The reason for less-sensitive PCR detection by the initial protocol is not clear; however, decreased sample volumes may increase cell lysis and DNA extraction efficiency and/or reduce concentrations of PCR inhibitors. Also, native vibrios are more resistant to depuration protocols than those in artificially inoculated oysters (31), suggesting greater affinity or compartmentalization in oyster tissues (12). Natural bacterial populations may also exhibit stress responses or other unknown factors that make them more refractory to lysis than those in seeded samples. These data suggest that evaluation of treatments for the reduction of V. vulnificus in oysters should be based on examination of natural populations, as results may differ from those obtained through artificial inoculation
Numbers obtained by V. vulnificus real-time PCR correlated well with plate counts based on colony blot hybridization enumeration, supporting the use of real-time PCR for quantitative analysis. For one lot, the real-time PCR assay was able to enumerate V. vulnificus cells that were not detected by the gene probe, suggesting greater sensitivity for the PCR assay. Although the colony blot assay will theoretically detect 10 CFU g-1, this sensitivity is difficult to attain in high levels of background colonies commonly seen in oyster homogenates. On the other hand, PCR may amplify dead cells that are not detected by viable plate counts, and amplification could represent a false-positive result (14). Comparison of individual lots indicated significant differences in the numbers obtained by the two methods for 3 of 10 lots; however, there was no significant difference between methods when comparisons were based on the means of all the samples. For two lots showing significant differences in comparisons between methods, numbers were actually higher for colony hybridizations than for PCR, suggesting that the source of variation was not dead cells but rather inherent assay variability. This issue is further complicated by the observation that VBNC vibrios may retain viability but lose the ability to grow on solid medium.
Oysters commonly harbor 103 to 105 CFU of aerobic, heterotrophic bacteria g-1 in their tissues during summer months in temperate climates (30, 37). V. vulnificus may comprise 10 to 50% of these culturable populations and is easily enumerated from spread plates by colony hybridization to a DNA probe (37). However, in colder environments, numbers decline rapidly, and the organism becomes nondetectable by standard culture methods. In vitro microcosm studies have indicated that starvation and/or temperature downshifts induce a dormant state that is not culturable on standard media; however, culturability may be resuscitated with a temperature upshift (33). Other studies have argued that viability is not recovered upon resuscitation by the culture as a whole, but, rather, small selected numbers of cells remain culturable and are able to multiply under these conditions (4). Conditions that induce or resuscitate growth of VBNC V. vulnificus in oysters or seawater are unclear but may play a role in assessing virulence potential. The decline in reported V. vulnificus cases in colder months strongly suggests that under these environmental conditions, which could induce the VBNC state, cells are not virulent. However, experimental VBNC Vibrio spp. cells have demonstrated virulence in animal (13, 26, 27) and human (8) infections. Unfortunately, evaluation of VBNC is hampered by the fact that independent indicators of viability (i.e., RNA expression and electron transport) may also shut down to nondetectable levels (9, 17, 32).
We employed quantitative real-time PCR to examine VBNC induction and found that the DNA concentration of nonculturable cells, as determined by real-time PCR, was sustained throughout these experiments. Viability was confirmed by the presence of a nonpermeable cell wall, as indicated by the BacLight assay. As expected, dead cells (i.e., without intact membranes) increased initially as the cultures aged; however, after extended incubation, dead cells also declined to nondetectable levels, presumably due to complete degradation of membranes and/or loss of nucleic acid integrity. Prior to the decline in dead cells, real-time PCR values slightly exceeded viable-cell counts by BacLight; however, once dead cells were no longer detected, concentrations of cells determined by real-time PCR closely paralleled concentrations of viable cells reported by BacLight. These data suggest that detectable DNA may persist in dead cell "ghosts," initially contributing to real-time PCR amplification products, but was not a factor once cells were truly nonculturable in these microcosms. Whether or not DNA from dead cells remains stable in oyster homogenates is unclear. Endogenous DNase(s) may reduce the expected half-life of extracellular DNA (25), and experiments have shown only slight reduction of nucleic acid content following DNase treatment of cells prior to DNA extraction of VBNC cells (18).
Rapid, accurate enumeration methods are needed for monitoring shellfish harvesting areas and for evaluation of postharvest treatments to reduce V. vulnificus in oysters. Alternative detection strategies have combined real-time PCR and most-probable-number (MPN) enrichment protocols to enhance sensitivity and eliminate problems associated with DNA from dead cells (2). MPN enumeration is based on end-point titration of samples in enrichment medium, and real-time PCR provided improved detection for confirmation of V. vulnificus-positive growth. Recently, RT-PCR analysis of V. vulnificus demonstrated prolonged detection of hemolysin gene expression in VBNC cultures (9), and our assays are consistent with these results. These methods may be required for evaluation of treatments, such as freezing, that could preserve DNA from large numbers of dead cells and lead to false-positive amplification by PCR. Future studies will compare different applications for analysis of postharvest treatments, including enrichment methods, as well as use of RT-PCR for assessing more-transient RNA expression.
It should be noted that none of the available methods of V. vulnificus detection are able to discriminate virulent from avirulent strains of the species, as virulence determinants are not generally well defined. The genetic targets for the real-time PCR assay, as well as gene probes of most available detection methods, are based on the hemolysin gene. There is no in vivo evidence that expression of this gene contributes to virulence. Although the protein is a potent cytolysin and may be lethal in mice at nanogram-per-kilogram levels (15), it is expressed in both virulent and avirulent strains (20). Studies of isogenic mutants indicated that loss of vvhA gene function did not reduce virulence in mice (35). Conversely, expression of a capsular polysaccharide (CPS) has been clearly associated with disease in animal models (11, 29, 34, 40). Virulence and increased CPS expression of individual colonies are marked by opaque colony morphology, but a gene probe for detection of encapsulated V. vulnificus in food or environmental samples is not available. Our laboratory recently identified a V. vulnificus CPS operon (38), and current research is attempting to correlate genetic variation at this locus with the virulence phenotypes in order to identify a potential virulence gene targets.
This study was funded in part by an NRI from USDA and by Florida Sea Grant.
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