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Applied and Environmental Microbiology, December 2003, p. 7435-7446, Vol. 69, No. 12
0099-2240/03/$08.00+0 DOI: 10.1128/AEM.69.12.7435-7446.2003
Center for Food Safety and Applied Nutrition, U.S. Food and Drug Administration, College Park, Maryland 20740,1 The Lobster Institute, University of Maine, Orono, Maine 044692
Received 27 March 2003/ Accepted 15 September 2003
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We present in this report the first description of the isolation of V. fluvialis-like bacteria from lobsters with limp lobster disease. Because of possible human disease implications, studies were undertaken to determine the clinical and microbial characteristics of this newly recognized marine Vibrio pathogen. Although the emergence of this pathogen poses a significant economic threat that merits additional studies, the causative V. fluvialis-like strains are probably not infectious for humans. Understanding how this organism is able to overcome species barriers and adapt to new hosts is crucial to the production of disease-free seafoods.
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All of the isolates were identified as V. fluvialis-like organisms by using a standard set of biochemical tests with the conventional API 20E microtube test panel (1% NaCl used as diluent; BioMérieux, Inc., Hazelwood, Mo.) as a focal point of analysis (Table 1). Analytab Products profiles were referred to the analytical profile index or were identified by consultation with the technical services group of BioMérieux Vitek, Inc., who analyzed the profiles by using the APILAB software version 3.2.2 (APILAB Plus; BioMérieux). Cultures were maintained on TSA-S; frozen cultures were stored at -70°C in tryptic soy broth (Difco) supplemented with 1% NaCl (TSB-S) and 25% glycerol. For biotyping, the isolates were identified phenotypically by using a standard set of biochemical tests as described by Baumann and Schubert (12), which included gas production from D-glucose and the utilization of salicin, D-glucuronate, and glutarate. Unless otherwise noted, the growth media just described, TSA-S or TSB-S, were used as the routine culture media.
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TABLE 1. Characteristics
of V. fluvialis-like isolates obtained from ill
lobstersa
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Crude
hemagglutinin preparation.
A crude potassium thiocyanate (KSCN)
hemagglutinin preparation was isolated from V. fluvialis
strain 1AMA by using the procedure described previously by Tall et al.
(61).
Hemagglutination
assay.
Hemagglutination
assays on cells grown on TSA-S plates at 20°C as described
above were performed by the procedure described by Tall et al.
(61). For use in the
assay, sheep, chicken, bovine, rabbit, guinea pig, and human A, O, and
B erythrocytes (RBCs) were suspended in 0.9% NaCl to a final
concentration of 0.3%. Bacterial cells were suspended in saline
to an A660 of 0.5. One hundred-microliter aliquots
of each bacterial cell suspension were diluted twofold in 0.9%
saline in wells of a 96-well round-bottomed microtiter plate (Nunc,
Thomas Scientific, Inc., Swedesboro, N.J.). One hundred-microliter
aliquots of the diluted cell samples were mixed with 100 µl of
washed RBCs, followed by incubation for 4 h at 30°C.
Negative controls consisted of 100 µl of saline mixed with
equal volumes of RBCs. The microtiter plates were observed
macroscopically for agglutination of the RBCs. KSCNextracts were also analyzed in a similar
fashion.
Preparation of intact DNA for
PFGE analysis.
Agarose
plugs containing DNA were prepared as described previously by McCarthy
and Khambaty (44).
Strains were grown at 20°C in TSB-S on a shaker at 100 rpm; 1.0
ml of each culture was harvested at a cell density of
0.6 at
A610. Washed cells in 1.0 ml of ice-cold Pett V
plus E buffer (10 mM Tris, 1.0 M NaCl, 20 mM EDTA [pH
8.0]) were embedded into 1% PFGE-grade agarose plugs, which
after solidification were lysed in EC lysis buffer (1 M
NaCl, 6 mM Tris, 0.1 M EDTA, 0.5% Sarkosyl, 0.2% sodium
deoxycholate, 1 mg of lysozyme per ml [pH 8.0]) at
37°C for 1 h, followed by a wash step in ESP buffer
(0.5 M EDTA, 1% Sarkosyl, 1 mg of proteinase K per ml [pH
9.0] incubated at 55°C for 8 h), followed by
another two washing steps with phenylmethylsulfonyl fluoride solution
(10 mM Tris HCl, 1 mM EDTA, 1.5 mM phenylmethylsulfonyl fluoride
[pH 8.0]) for 1 h each. The plugs were rinsed three
more times with T10E50 buffer (10 mM Tris HCl, 50
mM EDTA [pH 8.0]) for 1 h each and stored at
4°C in the final wash
solution.
PFGE analysis.
Agarose slices (2 mm) for use in the
analysis were rinsed in sterile distilled water and equilibrated in the
appropriate restriction enzyme digestion buffer, followed by digestion
for 6 h in fresh restriction enzyme digestion buffer
(according to the technical reference guide for each enzyme) containing
20 to 30 U of either NotI, ApaI, or SmaI
restriction enzymes (New England Biolabs, Beverly, Mass.).
Electrophoresis was carried out by transferring washed slices
(0.5x Tris-borate-EDTA [TBE]) to a 1%
PFGE-grade agarose gel and then sealing the wells. The DNA in the gel
was resolved using a Bio-Rad CHEF-DRII PFGE apparatus (Bio-Rad
Laboratories, Hercules, Calif.). Restriction fragments were separated
over a size range of approximately 25 to 800 kb using 0.5x TBE.
The CHEF Mapper was programmed with a voltage gradient of 6 V/cm and a
switch time ramped linearly from 2 to 10 s over the course of
23 h. The gel was stained with ethidium bromide (1 µg
of ethidium bromide per ml) and photographed by using UV
transillumination. The DNA fingerprints were digitized by using an
Imagestore 7500 gel documentation system (Ultra Violet Products, Inc.,
Upland, Calif.) and saved as TIFF files. The fingerprints generated
were evaluated with Molecular Analyst DST version 1.6 software
(Bio-Rad). To allow comparisons between different gels, DNA fragments
on each gel were normalized by using a XbaI-digested DNA from
a Salmonella enterica Newport sample as the molecular weight
standard. A 1.5% band tolerance was selected for use during
comparisons of DNA profiles. Cluster analysis was performed by the
unweighted pair-group method using arithmetic averages, and DNA
relatedness was calculated based on the Dice
coefficient.
Plasmid isolation and
analysis.
Plasmids were
isolated from TSB-S overnight 20°C cultures by using a Wizard
Miniprep kit (Promega, Madison, Wis.); the final volume was 45
µl. Purified plasmids were subjected to electrophoresis through
a 1% agarose gel in either 1x Tris-acetate-EDTA buffer
(pH 8) or 1x TBE buffer (pH
8).
CHO cell elongation assay.
The ability of the enterotoxin to
elongate CHO cells was estimated by a modification
(36) of a procedure
described previously by Guerrant et al.
(26). One CHO cell unit
was defined as the reciprocal of the dilution that caused elongation of
50% of the cells contained in a well of a 96-well plate.
Controls included similarly obtained supernatants from a culture grown
at 37°C of a known CHO cell-elongating Vibrio cholerae
strain, CVD103-HgR, as well as uninoculated culture medium
with and without polymyxin B (2
mg/ml).
Lobster challenge
studies.
To satisfy
Koch's postulates, healthy lobsters (weight, 450 to 500
g each), free of pathogens, were separated into groups of six and were
allowed to acclimate at 20°C in eight separate self-contained
aquaria containing artificial seawater (20 ppt) for 24 h. The
aquaria were housed in the aquaculture facility at the University of
Maine at Orono. V. fluvialis-like strains 1AMA (plasmid
positive) and 31 (plasmid negative) were inoculated onto TSA-S plates
and incubated for 18 h at 20°C. A cell suspension
containing approximately 1010 CFU/ml (i.e., having an
A660 of 0.3 when diluted 1:100) was made in
2% saline. Dilutions of this cell suspension were prepared and
used in an experiment designed to determine the 50% lethal dose
(LD50). Lobsters were challenged by injection into the
dorsal sinus. Finally, animals in a control group were given sterile
2% saline only. The lobsters were then placed back into the
aquaria, observed, and monitored for signs of illness. The remaining
portion of inoculum was diluted and plated onto TSA-S for viability and
inoculum size determination. Hemolymph was aseptically removed from ill
and control lobsters, diluted 10,000-fold in 2% saline, and
plated onto both a MA and a TCBS agar plate. In one experiment, pooled
samples of heart and midgut tissues (weight of each sample, 5
g total, from five animals) were placed in 50 ml of 2% saline,
blended in a sterile Warring blender for 1 min at a high speed, and
diluted 10,000-fold. One hundred-microliter aliquots were spread plated
onto MA and TCBS agar plates. Suspected V. fluvialis-like
colonies were isolated and identified by API 20E, and
V. fluvialis-positive colonies were further analyzed by
PFGE.
Suckling mouse assay.
V. fluvialis cells were
tested for their ability to cause fluid accumulation in a suckling
mouse as previously described by Kothary et al.
(35,
36) in accordance with
Institutional Animal Care and Use Committee-approved protocol number
301. Comparatively, V. cholerae O1 strain N16961 and V.
parahaemolyticus strain TX 2103 were also analyzed. The optical
absorbances (A650) of the suspensions were adjusted
to 50, 10, 1, and 0.1 U prior to oral feeding (50 µl).
Estimates of the numbers of CFU in these suspensions were obtained by
quantitative spread plating onto TSA-S. Pregnant Institute of Cancer
Research mice were obtained from Harlan Sprague Dawley
(Indianapolis, Ind.). After 6 h, the mice were sacrificed by
cervical dislocation and the fluid accumulation ratio was determined.
The fluid accumulation ratio was expressed as 1,000 times the ratio of
the weight of the stomach plus intestine to the remaining body weight.
Six mice were used for each inoculum tested in the assay. The stomach
plus intestine from some of the mice were examined for the presence of
live organisms.
Electron
microscopy.
For negative
staining, a cell suspension containing approximately 109
cells/ml was prepared by suspending cells from TSA-S plates, cultured
as described above, in 1 ml of fixative (3% glutaraldehyde in
0.1 M sodium cacodylate [pH 7.2]) contained in an Eppendorf
tube. After a 1-h incubation at room temperature, the cells were washed
twice in 0.01 M phosphate-buffered saline (pH 7.4) (Sigma Chemical
Co.), and 15 µl was applied to the coated surface of a 300-mesh
carbon-coated copper grid. After allowing the cells to settle on the
grid for 1 min, excess liquid was removed and the specimens were
stained for 1 min with 15 µl of 1% phosphotungstic acid
adjusted to pH 6.8 using 1 M NaOH. Excess stain was removed, and the
specimens were allowed to air dry.
In order to visualize the acidic mucosubstances by transmission electron microscopy, samples were treated by using an Alcian Blue staining procedure described by Fassel et al. (24a). Ultrathin Eponate sections made using a Leica Ultracut S ultramicrotome were doubly stained with aqueous 3% uranyl acetate and Reynolds' lead citrate (53). The specimens were examined using a Philips 400 transmission electron microscope operating at an accelerating voltage of 80 kV.
Heat kill (decimal reduction)
studies.
Decimal reduction
times (D37) were determined for V. fluvialis-like
strain 1AMA by preparing a cell suspension in 1% saline (10 ml)
containing approximately 108 CFU/ml (0.3 U at
A660). The cell suspension was then exposed to a
temperature of 37°C by using an immersed coil apparatus (Protol
Instrument, Stirlingshire, United Kingdom). At 5-min
intervals up to and including 60 min, survivors were plated onto TSA-S
at each sampling interval using an Autoplate 4000 spiral plater (Spiral
Biotech, Bethesda, Md.). Following incubation at 20°C for
24 h, residual cell populations were determined using a Laser
Colony scanner, Model 500A (Spiral Biotech). D37 values from
each of three replicates were combined to yield the average
D37 value.
Outer membrane
preparation.
Outer membrane
preparations for V. tubiashii, V. vulnificus, and
V. fluvialis were prepared using the
LiC2H3O2-LiCl procedure described
previously by Johnston et al.
(30) and analyzed by
sodium dodecyl sulfate-polyacrylamide gel electrophoresis
(SDS-PAGE).
SDS-PAGE analysis.
To determine the outer membrane
protein profiles and the protein profile of the hemagglutinin, SDS-PAGE
was performed as described by Laemmli
(38), using 8 to
25% gradient gels in a PhastSystem (Amersham Pharmacia Biotech,
Piscataway, N.J.).
Molecular weight
estimations.
The molecular
weights of the denatured and reduced outer membrane preparations and
hemagglutinin were estimated by the relative mobility method of Weber
et al.
(68).
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Morphologically, the V. fluvialis-like isolates were gram-negative, straight- to curved rod-shaped bacteria possessing the typical ultrastructure (0.5 to 0.8 µm in width and 1.2 to 3 µm in length) of members of the family Vibrionaceae (Fig. 1). They were motile by means of polar flagella. Additionally, the lobster isolates possessed numerous tubular appendages (Fig. 1) similar to those expressed by Vibrio campbellii (12). However, the appendages observed for the lobster isolates were neither as long nor as numerous as those described for V. campbellii.
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FIG. 1. (A)
Transmission electron photomicrograph of a 1% phosphotungstic
acid negatively stained preparation of Vibrio fluvialis-like
strain 1AMA showing typical Vibrio-like ultrastructure. Bar,
0.5 µm. (B) A higher magnification of a tubular
structure typically seen in these organisms. Bar, 0.5 µm.
(C) The single polar ensheathed flagellum. Bar, 0.1
µm.
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FIG. 2. Transmission
electron photomicrograph of Vibrio fluvialis-like strain 1AMA
stained with (A) and without (B) Alcian Blue and
lysine. Note the thickened but extensive fibrous, electron-dense matrix
formed by the condensation of the capsular glycocalyx when stained with
Alcian Blue and lysine. Compare panel A with panel B to visualize the
effect of Alcian Blue and lysine staining. Bars, 0.25
µm.
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Biochemically, all of the V. fluvialis-like lobster isolates were positive for o-nitrophenyl-ß-D-galactopyranoside, arginine dihydrolase activity, and indole production, and all produced acid from glucose and mannose. All of the isolates were sensitive to the vibriostatic compound 2,4-diamino-6,7-isopropyl pteridine phosphate (compound 0/129; 150 µg), and all possessed oxidase activity. All of the strains were negative for lysine decarboxylase activity, ornithine decarboxylase activity, H2S production, urea hydrolysis, Voges-Proskauer reaction, acid production from D-sorbitol, L-rhamnose, and production of poly-ß-hyrdoxybutyrate storage granules. All of the isolates required supplementation with at least 1% NaCl in the growth medium.
All of the isolates were highly susceptible to apramycin, chloramphenicol, ciprofloxacin, cephalothin, gentamicin, imipenin, kanamycin, nalidixic acid, rifampin, streptomycin, sulfisoxazole, trimethoprim-sulfamethoxazole, tetracycline, trimethoprim, and norfloxacin. Six of the isolates were found to be resistant to erythromycin. Two other isolates were found to be resistant to ampicillin and carbenicillin and thus might possess a common ß-lactamase resistance mechanism (29).
One interesting characteristic of these organisms was that all of the isolates grew better at 20°C than at higher temperatures. A thermal reduction time (D value) at 37°C was found to be 5.77 min for lobster V. fluvialis-like type strain 1AMA.
PFGE analysis.
Of the three restriction enzymes used
for PFGE analysis, i.e., ApaI, NotI, and
SmaI, NotI restriction enzyme digestion produced DNA
fragments suitable for analysis of the 19 lobster V.
fluvialis-like isolates. As shown in Fig.
3, all but one strain produced patterns suitable for comparison with the
method described above. The lone strain that produced a smear will
require further evaluation. DNA fingerprinting patterns generated with
endonuclease NotI and analyzed by PFGE revealed that 18 of the
19 isolates either shared a common DNA fingerprint pattern or possessed
minor variants thereof. These results suggest that the isolates
represent five closely related subgroups. PFGE fingerprint pattern
subgroup A was found in three isolates from a single lobster, and PFGE
fingerprint pattern subgroups A2 and A3 were each isolated from
different animals. PFGE fingerprint pattern subgroup B was found in 11
isolates obtained from four different animals, and PFGE fingerprint
pattern subgroup C was found in 2 isolates from a single animal. The
single nontypeable isolate also came from the same animal from which
the PFGE fingerprint pattern subgroup C isolates were obtained. There
was one animal that was infected with both PFGE fingerprint pattern
subgroups A and B. Table 1
lists the isolate names and PFGE group assignments. Approximately 12 to
17 NotI-digested DNA fragments were generated for each
pattern, which ranged in size from less than 48.5 to approximately 500
kb. Isolates 1AMA (type strain), 6AlMA, and 15A4TSA presented identical
banding patterns and represent banding pattern subgroup A. Cluster
analysis showed that these isolates possessed a Dice index of
100%, signifying that they are essentially identical. Cluster
analysis showed that PFGE subgroups A2 (strain DB6) and A3 (strain DB8)
are tightly grouped together and are slightly more related to each
other than to strains making up subgroup A. In comparison to subgroup
A, there were three-band differences between subgroup fingerprint
patterns A and A2 and two-band differences between subgroup fingerprint
patterns A and A3. Dice coefficients for strains DB8 and DB6 were 89.7
and 85.7%, respectively. The PFGE subgroup B banding pattern was
seen in 11 of the 19 isolates. Among these strains, Dice coefficients
were 100%, suggesting shared uniqueness within subgroup B, even
though these isolates were obtained from four different lobsters. The
subgroup B banding pattern differed from that of subgroup A by the
addition of six bands and the loss of three bands, giving a Dice
coefficient of 62.1%. Finally, the PFGE subgroup C banding
pattern was the most distinct pattern seen among all of the isolates.
The Dice coefficient for these isolates was approximately
52%.
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FIG. 3. Electrophoretic
migration patterns and similarity dendrogram of NotI-digested
Vibrio fluvialis-like genomic DNA obtained by PFGE. Lanes 1 to
18 represent strains 1AMA, 6A1MA, 15A4TSA, DB6, DB8, 2E1MA, 3DMA,
4D119MA, 5E2MA, 8D122MA, 9DMA, 10C119MA, 11EMA, 18C110MA, DB7, 27F3MA,
28F4MA, and 31F7G, respectively. Each strain's PFGE pattern type
is listed as well. DNA molecular weight scale was derived from
XbaI-digested Salmonella newport AM01144 genomic DNA.
V. fluvialis-like strain 7E1AMA is not shown in the picture
but was shown to be a member of the PFGE subtype type B group by PFGE
analysis.
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Infection studies.
Preliminary experimental infections of
H. americanus lobsters were performed using V.
fluvialis-like type stain 1AMA (plasmid positive) and V.
fluvialis-like strain 31F7G (plasmid negative), both isolated from
animals displaying limp lobster disease. The cumulative mortalities
resulting from dorsal sinus injection of bacteria in lobsters
demonstrated high virulence for the plasmid-bearing strain and
suggested that V. fluvialis could be the etiological agent of
limp lobster disease. Table
2 shows the results of the animal challenge studies. The LD50
for plasmid-bearing 1AMA was approximately 1 x 106
CFU per ml, with death occurring by 120 h after challenge.
Higher doses (above 1 x 107 CFU per ml) showed
mortality, with death occurring earlier, within 96 h and as
early as 7 h postchallenge (108 CFU per ml). In
comparison, the LD50 for plasmid-negative 31F7G was
approximately 1.25 x 108 CFU per ml, with death
occurring within 18 h after challenge. All animals challenged
with 2.5 x 107 CFU per ml of the plasmid-negative
strain survived, as did all control animals challenged with 2%
NaCl. These results suggest that the presence of a plasmid may enhance
the disease process. However, because these studies were not done with
isogenic plasmid-bearing and -nonbearing strains, these results may
also reflect interstrain variation in virulence. Tissue affinity
studies demonstrated that the challenge microorganisms accumulated in
heart and midgut tissues as well as in the hemolymph (Table
3). Microorganisms recovered from experimentally infected lobsters
displaying limp lobster disease exhibited biochemical and PFGE profiles
that were indistinguishable from those of the challenge strain (data
not shown).
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TABLE 2. Infection
studies with V. fluvialis-like organisms in lobsters: dose
response
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TABLE 3. Infection
studies with V. fluvialis-like organisms in lobsters: tissue
affinity
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TABLE 4. Fluid
accumulation responses induced by different doses of V.
cholerae O1 strain N16961, V. parahaemolyticus strain
TX2103, and V. fluvialis-like strains 1AMA, 2E1MA, and 31F7G
in suckling mice
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Because hemagglutinins expressed by marine vibrios could be outer membrane proteins (OMPs), we decided to isolate OMP complexes from V. fluvialis 1AMA. For comparison, we also isolated OMP complexes from V. vulnificus and V. tubiashii. No hemagglutination activity or proteolytic activity could be found associated with these cellular components (data not shown). However, SDS-PAGE analysis (data not shown) revealed that the V. fluvialis OMP complexes are composed of more than eight proteins with four major protein bands (molecular masses, 43, 30, 20, and 14 kDa). In comparison, the SDS-PAGE-separated OMP complexes isolated from V. tubiashii possessed a single major protein band of 40 kDa, and the SDS-PAGE-separated OMP complexes isolated from V. vulnificus possessed two major protein bands of 35 and 40 kDa, respectively; both of these profiles differed from that of V. fluvialis, although a common protein band with similar molecular mass was noted (data not shown).
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Lobsters with this syndrome display weakness, lethargy, and slow or ineffectual responses to sensory stimuli. Vibrio fluvialis-like organisms were the predominant microorganisms isolated from the ill lobsters. Altogether, 19 strains were obtained. Other microorganisms isolated secondarily included Aeromonas species from two of the five culture-positive samples. However, these organisms were isolated only after MB enrichment followed by growth on TSA containing 10 µg of ampicillin per ml. This is not surprising since mixed Vibrio infections have been reported (29, 64). Of interest was the observation that only 18 of 19 isolates could grow on TCBS agar. The fact that some of the isolates could not grow on TCBS is also not surprising since other Vibrio species, such Vibrio hollisae, Vibrio damsela (now classified as Photobacterium damselae), and Vibrio metschnikovii, have also been reported not to grow or not to grow well on this medium (23, 24). Of further interest was the finding that 7 of the 18 isolates that could grow on TCBS were sucrose positive. Typically, human-derived V. fluvialis isolates are sucrose positive (23). The observation that less than half of the strains fermented sucrose is not unexpected among members of the genus Vibrio. For example, Farmer et al. (23) reported that as many as 99% of V. cholerae, but only 10 to 15% of V. vulnificus, 5% of V. damsela, and 1% of V. parahaemolyticus isolates from clinical specimens, are sucrose positive. Thus, sucrose fermentation is now being considered as a questionable taxonomic trait for the identification and isolation of V. vulnificus from TCBS (23).
Collectively, the results from the biochemical analyses suggest that the lobster V. fluvialis-like isolates taxonomically fall under Vibrio group 5 (arginine dihydrolase positive) as described by Farmer et al. (23). The presence of arginine dihydrolase activity is diagnostic for a number of species of Vibrio (12). Two other taxonomically important characteristics, production of poly-ß-hyrdoxybutyrate storage granules and expression of an ensheathed flagellum, help to classify them in the genus Vibrio and exclude them from placement in the genera Photobacterium, Plesiomonas, and Aeromonas (12). The need for NaCl in the growth medium is another important trait found for a considerable number of marine vibrios and is one that defines a strict need for NaCl by these V. fluvialis-like isolates. However, the Na+ ion requirement for these organisms is currently unknown. All were able to grow in TSB supplemented with 1 to 2% NaCl, and all but one of the isolates could grow in the presence of 4% NaCl. Conversely, only 2 of the 19 isolates could grow in the presence of 8% NaCl. Salt tolerance historically has been used as a taxonomic trait to differentiate members of the genera Photobacterium and Vibrio (salt tolerant) from members of the related genera, Aeromonas and Plesiomonas (salt intolerant). The observation that all of the isolates were also sensitive to the vibriostatic compound 0/129 further separates them from members of the genus Aeromonas and from Vibrio furnissii (12).
V. fluvialis isolates were once grouped phenotypically into two biogroups (biotypes) based on the criteria put forth by Lee et al. (39). These researchers initially observed that organisms previously known as group F and group EF6 vibrios could be differentiated from each other based on two characteristic traits: gas production from the fermentation of glucose and the source or host from which they were isolated. Those organisms that were isolated from patients with diarrhea as well as from the environment and that did not produce gas during the fermentation of glucose were assigned to biogroup 1. Those organisms that were isolated only from environmental sources and also produced gas from the fermentation of glucose were placed in the biogroup 2 taxon. Brenner et al. (15) later used DNA-DNA hybridization analysis to demonstrate that strains from both biogroups were related but that strains assigned to biogroup 2 were sufficiently different from those in biogroup 1 to warrant status as a new species; they proposed that the biogroup 2 strains be named V. furnissii (15). Table 1 shows the results of the biochemical characterization of the lobster V. fluvialis-like isolates. We found that 15 of 19 lobster V. fluvialis-like isolates could produce gas from the fermentation of glucose, a trait which is exclusively positive for V. furnissii (originally biogroup 2), and that 18 of the 19 isolates could utilize salicin, a trait exclusively positive for V. fluvialis strains (originally biogroup 1). However, all of the lobster isolates could utilize neither D-glucuronate nor glutarate, which are positive traits for V. fluvialis biogroup 1 strains. Thus, on the basis of all of the foregoing biochemical test results, we propose that the lobster V. fluvialis-like isolates obtained in this study possibly embody a new biogroup for V. fluvialis. None of the isolates displayed bioluminescence as was previously described by Baumann and Schubert (12). Additionally, the organisms isolated in this study did not resemble those reported by Diggles et al. (22), which were isolated from phyllosoma larvae of the packhorse rock lobster, Jasus verreauxi, raised in an experimental culture facility. Finally, DNA-DNA hybridization experiments would help to taxonomically classify these organisms within the genus (15).
In general, antibiotic resistance is infrequently observed in Vibrio species compared with species of the family Enterobacteriaceae. Only the antibiotic susceptibilities of the clinically significant Vibrio species have been studied in detail (12, 23). Few of the V. fluvialis-like strains possessed antibiotic resistance. Similar findings were reported previously by Farmer et al. (23) and Farmer (24) for 25 strains of V. fluvialis obtained from human infections. Most (>84%) were susceptible to tetracycline, chloramphenicol, streptomycin, and kanamycin, while some were resistant to ampicillin and carbenicillin. The results reported herein are consistent with this study's findings. In comparison, Chowdhury et al. (19) tested 44 environmental and clinical strains of Vibrio mimicus and found that the environmental strains were resistant to streptomycin, kanamycin, and trimethoprim-sulfamethoxazole, while clinical strains were susceptible. They also found that environmental strains showed variable resistance to ampicillin (44%) but that clinical strains were susceptible; all strains tested were susceptible to chloramphenicol and gentamicin.
Morphologically, the V. fluvialis-like isolates possessed the typical ultrastructure of members of the family Vibrionaceae, including the expression of ensheathed polar flagella. An Alcian Blue-lysine staining technique was useful in determining the ultrastructural nature of an acidic mucopolysaccharide expressed by these organisms. These results also suggest that more than one type of capsule may be expressed as well. Many of the marine vibrios have been shown to express several different capsular types (5, 28). The chemical composition of the capsule expressed by the lobster V. fluvialis-like isolates is currently unknown. However, capsule expression by human-derived V. fluvialis strains has been known since 1983, when Shimada and Sakazaki showed the presence of a mucoid antigen which inhibited O agglutination in some strains isolated from humans (56). Though other marine vibrios, such as V. cholerae, can shift to a rugose colonial phenotype, which has been associated with expression of an amorphous exopolysaccharide promoting cell aggregation and greater resistance to antimicrobial agents (45, 46, 67). There was no evidence of the rugose colony phenotype expressed by the lobster isolates. However, strict nutrient response studies as described by Mizunoe et al. (45) and Wai et al. (67), which have been shown to induce the rugose colonial morphology, have not been performed.
Electron microscopy also showed that each cell expresses a polar ensheathed flagellum typical of that displayed by members of the genus Vibrio. Lateral flagella were not observed for these strains, although V. fluvialis isolates obtained from human clinical cases are known to possess such flagella (57). Cross-absorption analysis (58), which may reveal the extent to which the H antigens of the lobster V. fluvialis-like strains are similar to the H antigens of human V. fluvialis strains, is currently in progress.
None of the V. fluvialis-like strains grew at temperatures above 23°C, although rigid growth temperature studies were not performed. To our knowledge, this is the first report of a V. fluvialis-like bacterium whose growth resembles that of two recently described psychrophilic pathogenic marine Vibrio species, Vibrio viscosus and Vibrio wodanis (42). The latter are known to cause winter ulcers affecting salmonid fish raised in the cold coastal waters of Norway, Iceland, and Scotland (42). To date, all of the vibrios analyzed have been shown to be sensitive to heat, although wide ranges of thermal inactivation rates and conditions have been reported (49). However, with the exception of V. cholerae, V. vulnificus, and V. parahaemolyticus, relatively little is known about the susceptibility of any of the lesser-known vibrios to various food preservation methods. Cook and Ruple (20) reported that decimal reduction time of 78 s at 47°C was useful in decreasing the number of V. vulnificus in raw oysters and that heating oysters for 10 min in water at 50°C was sufficient to reduce V. vulnificus populations to undetectable levels. Thermal D values (times required to reduce the viable population of a given strain by 90%) and Z values (absolute values of the temperature required to reduce 1 log unit scale of D values) for encapsulated V. vulnificus cells were reported by Kim et al. (31) to be higher than those for unencapsulated cells. The results of both the heat-killed studies and the suckling mice challenge studies with the V. fluvialis-like strains support the strict growth temperature restriction data described above. They also suggest that these organisms probably would not survive at human body temperatures long enough to establish infection in humans.
In addition, heated and unheated cell-free culture supernatants and polymyxin B lysates from three isolates caused the elongation of CHO cells, suggesting the presence of a hitherto unknown enterotoxin (26, 37).
A crude preparation possessing hemagglutination activity was found to be free of proteolytic activity. Furthermore, heating the crude preparation at 100°C for 5 min abolished all hemagglutination activity, while exposing the hemagglutinin to trypsin did not. These results indicate that the hemagglutinin is a heat-sensitive, trypsin-resistant surface protein. Additionally, outer membrane complexes were shown to be free of proteolytic and hemagglutination activity. Together, these results suggest that the hemagglutinin is an adherence factor rather than a protease or an OMP.
Molecular
characteristics of V. fluvialis-like bacteria.
PFGE analysis revealed that 18 of the
19 isolates either shared a common DNA fingerprint pattern or possessed
minor variants thereof. These results suggest that the isolates
represent five closely related subgroups. The fact that the
epidemiological picture of the limp lobster disease outbreak was due to
a group of nonclonal, but highly related, strains is not too surprising
in that several diseases caused by various pathogenic marine vibrio
species do not seem to be clonal. For example, Ryang et al.
(55) looked at the
diversity of isolates obtained from primary V. vulnificus
septicemia patients in Korea. They found that, of 22 strains evaluated,
4 could not be typed by PFGE in repeated trials. The PFGE patterns of
the remaining 18 strains showed a remarkable polymorphism consisting of
12 to 19 fragments (fragment size range, 20 to 870 kb). For the most
part, these results showed that V. vulnificus strains isolated
from Korea are genetically diversified. Because the epidemiology of
V. vulnificus is so closely tied to its ecology, Singer et al.
(P. D. Singer, B. D. Tall, F. M.
Khambaty, and D. B. Shah, Abstr. 94th Gen. Meet. Am. Soc.
Microbiol. 1994, abstr. C-417, p. 564, 1994) examined an assembly of
V. vulnificus strains by PFGE analysis to determine if genomic
differences existed among strains that were obtained from different
environmental and clinical sources. Their results also showed extensive
diversity among the V. vulnificus isolates analyzed and
suggested that strains in the environment that infect humans are not
dominated by derivatives from a single clone. Similar results were
found by Buchrieser et al.
(17) and by Tamplin et
al. (62). However, an
emerging debate regarding whether or not eel-pathogenic V.
vulnificus isolates constitute a distinct biogroup (biogroup 2)
has come to the forefront. Recent data reported by Gutacker et al.
(27) suggest that only
eel-pathogenic biogroup 2 strains are clonal, while eel-pathogenic
V. vulnificus biogroup 1 strains are not. However, a
definitive study in which PFGE analysis has been combined with other
definitive population-based molecular tools, such as multilocus enzyme
electrophoresis analysis, has not been done. Taken together, the
results obtained in the present study indicate that limp lobster
disease is probably caused by a cohort of highly related, strictly
halophilic, psychrophilic V. fluvialis-like
strains.
Antibiotic resistance in Vibrio species is presumably an innate rather than an acquired trait through plasmid transfer or antibiotic selection (23). Seventeen of the 19 V. fluvialis-like strains were found to possess plasmids (Table 1). Some possessed multiple plasmid bands. However, linkage of the presence of plasmids in these organisms to antibiotic resistance has not been determined. Those marine vibrios that are known to possess plasmids (drug resistance, P sex plasmids, and transferable R plasmids) include O1 and non-O1 V. cholerae, V. fluvialis, V. anguillarum, and V. parahaemolyticus strains (6-9, 11, 43). The fish pathogen V. anguillarum also harbors a virulence plasmid, pJM1, that encodes an 86-kDa OMP, OM2 (1-3). These studies showed that the OMP is necessary for iron transport and regulation and is inducible under conditions of iron limitation. Furthermore, Davidson et al. showed that plasmids were carried by 12% of 42 clinical and environmental V. vulnificus isolates (21). In contrast, these authors found that 20 of 32 (62.5%) unidentified lactose-fermenting Vibrio spp. possessed plasmids with molecular masses ranging from 2.1 to 150 MDa. There have also been cases of antibiotic resistance found in outbreaks of V. cholerae, which demonstrated a global resistance pattern to multiple antibiotics (25); Pedersen et al. (51) found that most V. anguillarum O1 strains were resistant to colistin and sensitive to ampicillin and cephalothin, while most V. anguillarum O2 strains were sensitive to colistin but resistant to ampicillin and cephalothin. There are recent reports indicating that withdrawal of antibiotics (or selective pressure) during a cholera epidemic can lead to loss of the antibiotic resistance phenotype (66). Though tetracycline or oxytetracycline is used to treat lobsters showing signs of gaffkemia, there was no evidence of any resistance to this antibiotic in the lobster V. fluvialis-like isolates. Even though initial anecdotal evidence (R. Bayer, unpublished data) that oxytetracycline could abate limp lobster disease in ill animals obtained from lobster pounds suggested early in the investigation of the outbreak that the causative agent was bacterial in character, it should be noted that the use of these drugs for mitigating this disease has not been approved. However, it was the effectiveness of these preliminary antibiotic susceptibility studies that spurred the sending of the hemolymph samples to the FDA for preliminary analyses.
Animal challenge
studies.
To determine the
pathogenic mechanism involved and to satisfy Koch's postulates,
lobster challenge studies were performed. Results reported herein
showed that V. fluvialis-like organisms could be recovered
6 h postinfection from lobsters given a dose of approximately
108 CFU/ml from both pooled heart and midgut samples at
levels of 8.4 x 104 CFU/g and 3.8 x
105 CFU/g, respectively. The mean geometric peak number of
organisms recovered from hemolymph was
3 x
104 CFU/ml. All animals presented clinical signs of limp
lobster disease. Even though the reduced numbers of organisms recovered
from these samples were unexpected given the relatively high inoculum
size, the overall geometric mean number of organisms recovered from
these samples is similar to what others have found with other marine
vibrios. For example, after the oral administration of 107
CFU of V. cholerae O139 to 10 human volunteers, only 1.4
x 104 CFU/g of stool and 1.6 x
103 CFU/ml of duodenal fluid, respectively, were recovered
(60). Additionally, the
immune status of the lobsters used in these preliminary studies was not
known. In hindsight, it would have been interesting to test whether
other pathogenic marine vibrios, such as V. cholerae and
V. parahaemolyticus, would have caused a similar disease.
Future studies are warranted.
Production of hemolysins or cytotoxins by human-derived V. fluvialis was first reported by Lockwood et al. (41). Studies in our lab showed that a human-derived V. fluvialis strain can produce an enterotoxigenic El Tor-like cytotoxin (37). Purified preparations of such toxins have not been obtained for any of the lobster isolates. Farmer et al. (23) pointed out that only 20% of human V. fluvialis isolates yielded positive rabbit ileal loop test results for enterotoxin. However, Nishibuchi et al. (48) were able to discriminate pathogenic and toxigenic clinical strains from nonpathogenic, nontoxigenic environmental V. fluvialis strains by using the suckling mouse assay. Thus, the suckling mouse assay seems to be a sensitive assay for determining enterotoxigenicity and for discriminating between toxigenic and nontoxigenic vibrio strains. The fluid accumulation responses seen in suckling mice infected with V. fluvialis-like strains were dependent on both dose and strain. Additionally, V. fluvialis-like organisms were not recovered from intestinal contents of infected mice. These data support the 37°C thermal reduction data and suggest that the mechanism resulting in fluid accumulation in mice differs from the disease process observed in lobsters by requiring neither the persistence of viable microorganisms nor the presence a plasmid. Incidentally, there were no human cases of occupational or lobster-related illness reported during the time of the outbreak. Though the causation of human disease through intoxication is theoretically possible, the possibility is very remote and would probably be dose dependent and would most likely involve eating raw or severely undercooked lobster products.
Why did this particular disease outbreak appear? The answer to this question still remains a mystery. One possibility may be the effect of global climatic patterns on the cyclic nature of infectious diseases. Recently, a review by Lipp et al. (40) addressed many of these issues and concerns. Global climatic patterns, such as El Niño and the North Atlantic oscillation (NAO), have been shown to influence the abundance and ecology of pathogens naturally present in the environment (10, 63). Data from ice cores found in Greenland have demonstrated that the NAO has caused intermittent climatic undulations characterized by temporally active and passive phases which may affect the abundance of marine fish and zooplankton (10). It is unclear whether this effect ascends through trophic levels to top-dwelling, long-lived marine predators (63).
Other global weather patterns which have been shown to affect the marine environment include the carriage of iron-laden dust from one area of the globe to another. Data reported by Garrison et al. (25a) show that dust, heavily laden with iron and arising from the desert regions of Africa, can be transported by upper air currents created by the NAO. The dust, transported from Africa, is deposited in the Caribbean waters, ultimately stimulating planktonic blooms. Satellite data indicate that African dust plumes can reach the Eastern coast of North America and travel as far north as Greenland. A case is also made by Garrison et al. that these planktonic blooms influence the occurrence of coral bleaching disease. Furthermore, we know from the studies reported by Romalde et al. (54) that marine vibrios predominately associate with plankton species during such plankton blooms. Could a similar set of circumstances have occurred in the Gulf of Maine during the summers of 1997 and 1998? Such links between the occurrence of limp lobster disease and global weather patterns have not been established. However, to appreciate the complexity of the environmental parameters associated with the occurrence of limp lobster disease, one also needs to look at the traditional harvesting practices of Maine lobstermen. The lobster season in Maine occurs from late May through October and November. During August, the lobstermen begin to send their catch to lobster pounds. Lobsters housed in pounds (essentially a marine aquaculture technique) seem to be more susceptible to infections, possibly due to confinement and stress (52, 59). It is also typical for the lobstermen in Maine to set their traps according to the natural migration patterns of lobsters within the Gulf of Maine. By the end of July, the lobstermen have set the maximum number of traps that is feasibly manageable. Because of the large number of traps that are set (in some cases several hundred per lobsterman), the traps tend to remain in the water longer between harvest dates, essentially setting up a confined aquaculture situation similar to that found in the lobster pounds and thus creating the optimal conditions for the transmission and sustenance of disease. This scenario could explain why limp lobster disease was first observed in lobsters housed in pounds and later in lobsters harvested directly from traps. It is not clear at this time if conditions optimal for the V. fluvialis-like pathogen to establish the disease were first present in the pounds or could have existed in the wild.
Is there a correlation between the pathogenesis, emergence, and persistence of this strictly halophilic marine vibrio and its stenothermal growth temperature requirements? Were there other human activities associated with the occurrence of the epidemic? What is the natural life history of the disease? Are other hosts involved? All of these questions remain unresolved.
In summary, we have biochemically and molecularly characterized a group of V. fluvialis-like isolates obtained from ill lobsters afflicted with a newly described systemic disease. Analysis of the isolates by PFGE revealed five closely related subgroups. We have also provided evidence for the satisfaction of Koch's postulates at both the organismal and molecular levels, supporting the hypothesis that this microorganism is the etiological agent responsible for this disease, now known as limp lobster disease. Although V. fluvialis has emerged as a pathogen capable of infecting fish and humans, we now report for the first time its ability to cause disease in crustaceans, a finding that poses a significant threat to animal and economic health, thereby meriting additional studies. Understanding how this organism is able to overcome species barriers and adapt to new hosts is crucial in producing disease-free seafoods.
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