Previous Article | Next Article ![]()
Applied and Environmental Microbiology, June 2004, p. 3535-3540, Vol. 70, No. 6
0099-2240/04/$08.00+0 DOI: 10.1128/AEM.70.6.3535-3540.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Departament de Microbiologia, Facultat de Biologia, Universitat de Barcelona, 08028 Barcelona, Spain
Received 26 November 2003/ Accepted 3 February 2004
|
|
|---|
|
|
|---|
E. coli O157:H7 was the first serotype associated with hemorrhagic colitis (33, 45), although more than 100 STEC serotypes have since been isolated from different sources, including contaminated food (22) and recreational (14) and drinking (21, 28, 39) water.
Usually, the isolation of pathogens from the environment is difficult due to the low proportion of pathogens compared with the generally high microbial concentration. Consequently, the confirmation of a presumptive causative agent involved in an outbreak is not always achieved (5). Moreover, the detection of non-O157 STEC strains is particularly difficult due to the lack of common phenotypic characteristics such as those presented by typical E. coli O157:H7 strains (delayed fermentation of sorbitol and the absence of ß-glucuronidase activity). As a result, they cannot be identified with selective culture media such as sorbitol-MacConkey agar supplemented with cefixime and tellurite (46) or Rainbow agar (3), which are recommended for E. coli O157:H7 isolation. Some molecular methods based on the detection of Shiga toxins have been described because these are the unique common features among non-O157 strains (46). However, most of them are expensive and time-consuming and do not allow the isolation of clones. Furthermore, they are not able to detect strains carrying stx genes that do not express the toxin.
Recently, a new molecular method suitable for the screening and isolation of potential Shiga toxin-producing strains has been developed based on the detection of the stx2 gene (4). This method has allowed the detection of stx2 gene-carrying bacteria among coliform bacteria grown on Chromocult coliform agar (Merck, Darmstadt, Germany) by using a specific probe to detect a fragment of 378 bp of the A subunit of the stx2 gene. The advantage of this method is that individual colonies can be obtained, and then the clone can be isolated and further characterized, which is important to a better understanding of the ecology of the stx2 gene in bacterial populations.
This study reports the prevalence and the isolation of bacteria carrying the stx2 gene in several samples of raw human sewage from different treatment plants and wastewater from different slaughterhouses by the most probable number (MPN) method combined with a nested PCR and the colony hybridization method (4). Additionally, the effects of secondary and tertiary treatments on the bacterial indicators (numbers of total coliforms [TC], fecal coliforms [FC], and E. coli organisms) in relation to the stx2 gene-carrying bacteria were also determined for samples from two sewage treatment plants. The population of stx2 gene-carrying bacteria was also monitored over a 1-year period to assess seasonal changes in STEC shedding, which has previously been described for E. coli O157:H7 (10). Finally, stx2 gene-carrying strains were phenotypically characterized.
|
|
|---|
Sample collection.
Samples were collected aseptically and transferred into sterile containers according to standard procedures (6). The samples were then placed in coolers, transported to the laboratory, and kept at 4°C. Analysis was performed within 6 h of sampling. The characteristics of the sampling sites are summarized in Table 1. Raw wastewater samples were taken from the influents of five different urban wastewater treatment plants and three different slaughterhouses to compare the prevalences of stx2 in waters of different origins. In addition, the effect on the elimination of these bacteria of a treatment based exclusively on lagooning (plant 4) and of a secondary (activated-sludge) and tertiary (lagooning) treatment (plant 5) was analyzed. Samples from treatment plant 4 were taken during the winter season, when a lower reduction of microbial populations has been described to occur (7). This treatment plant consists of four successive lagoons. Samples were taken from raw sewage, lagooning effluent 2 (between lagoons 2 and 3), and lagooning effluent 3 (between lagoons 3 and 4).
|
View this table: [in a new window] |
TABLE 1. Characteristics of the municipal sewage treatment plants and animal slaughterhouses and enumeration of stx2 gene-carrying bacteria and bacterial indicators analyzed in this studya
|
Enumeration of bacterial indicators.
Numbers of FC, E. coli organisms, and TC were also analyzed for all the samples. The enumeration was performed using the membrane filtration method according to previously standardized methods (6). M-FC agar (Difco) was used for the enumeration of FC at 44.5°C, and Chromocult coliform agar (Merck) was used for the enumeration of E. coli organisms and TC at 37°C.
DNA extraction.
DNA extraction was performed according to a previously described protocol with minor modifications (12). Samples were centrifuged at 250 x g and 4°C for 15 min to remove solid particles that could interfere with the DNA extraction and subsequent PCR. In order to quantify the stx2 gene-carrying bacteria by the MPN-nested-PCR method (4), bacterial cells from five aliquots of 10, 1, 0.1, and 0.01 ml of the supernatant were harvested by centrifugation at 16,000 x g for 5 min. Supernatants were then removed, and 200 µl of lysis buffer consisting of 10 mM Tris-HCl, 1 mM EDTA, and 0.5% Triton X-100 was added to each tube. The samples were resuspended, heat treated in a bath at 100°C for 10 min, and immediately transferred to ice-cold absolute ethanol. Samples were then centrifuged at 16,000 x g for 5 min, and 2 µl of the supernatant was used as a template for nested-PCR amplification.
Detection and quantification of stx2 gene-carrying bacteria.
The detection and quantification of stx2 gene-carrying bacteria were performed by a combination of the MPN technique and nested PCR and by colony hybridization.
The MPN of bacteria carrying the stx2 gene was determined after the nested-PCR amplification (performed as described below) of DNA extracted from 10-fold dilutions of each sample. All PCR assays were performed in 25-µl volumes containing 2 mM MgCl2, 10x buffer provided by the manufacturer (Eppendorf, Hamburg, Germany), 200 µM deoxynucleoside triphosphate, 2 U of Taq DNA polymerase (Eppendorf), a 0.3 µM concentration of each primer, and 2 µl of the extracted DNA, and the final volume was adjusted with sterile double-distilled water. External and internal reverse and forward primers used in this study were described previously (24). First, PCR and nested-amplification products of 378 and 169 bp, respectively, were resolved on a 2% agarose gel and stained with ethidium bromide. Nested-PCR amplification products were confirmed by dot blotting using an internal digoxigenin-labeled probe consisting of 26 bp of the A subunit of the stx2 gene (24), according to previously established protocols (4). The MPN was calculated by counting the obtained bands corresponding to positive amplification. The sensitivity of this quantification method was calculated by analyzing 10-fold dilutions of a culture of E. coli O157:H7 ATCC 43889 grown in tryptic soy broth at 37°C for 6 h both by MPN-nested PCR and by plating replicate dilutions on TSA.
The enumeration of bacteria carrying the stx2 gene by colony hybridization was performed as follows. Tenfold dilutions of each sample were prepared with Ringer 1/4 Solution (Oxoid, Basingstoke, England). Aliquots of 250 µl were spread onto 140-mm-diameter Chromocult coliform agar plates and incubated at 37°C for 24 h. The counting of blue and red colonies was performed for the enumeration of TC and E. coli organisms, respectively. Later, plates from dilutions presenting heavy but nonconfluent colony growth were selected for colony transfer, which was performed by carefully placing a nylon membrane onto the surface of the agar and quickly peeling it from the plate. Later, the bacterial cells on the membranes were lysed and fixed as described previously (26). The membranes were washed twice with a solution consisting of 0.1% sodium dodecyl sulfate and 3x SSC (20x SSC is 3 M NaCl plus 0.3 M sodium citrate, pH 7.0) at 68°C for 1 h 30 min and prehybridized with standard prehybridization solution at 68°C for 2 h. The membranes were then hybridized with the specific probe at 65°C. The external PCR primers for the stx2 gene that were described previously (24) were used to prepare the stx2-specific probe used in the colony hybridization. The DNA extracted from temperate bacteriophages induced from stx2-positive E. coli strains was used as the template for the PCR as previously described (4). The 378-bp amplimer obtained was labeled with digoxigenin to be used later as a specific probe according to the manufacturer's instructions (Roche Diagnostics, Mannheim, Germany). Labeling was performed by the incorporation of digoxigenin-11-deoxyuridine-triphosphate during the PCR as described previously (23). The specificity of the probe was evaluated by using the collection strains E. coli ATCC 43889, E. coli C600, E. coli CN13, and E. coli DH5
. The digoxigenin-DNA luminescent detection kit (Roche Diagnostics) was used to detect positive hybridization by placing membranes in contact with X-ray films according to the manufacturer's instructions. Colonies showing a positive hybridization signal were counted. Then, stx2-positive strains were isolated on TSA from the original Chromocult coliform agar plate, and the presence of the stx2 gene was confirmed by specific PCR as described below.
Sequencing.
Some of the fragments obtained in the nested PCR were sequenced with the Big Dye terminator cycle sequencing ready reaction kit (Applied Biosystems, Madrid, Spain) and the ABI PRISM 3700 DNA sequencer (Applied Biosystems) according to the manufacturer's instructions. The samples were sequenced in both the reverse and forward orientations with the same primers used in the nested PCR.
Phenotypic characterization.
The strains carrying the stx2 gene were biochemically phenotyped using the Phene-Plate system with 96-well PhP-RE microplates (Ph-Plate Microplate Technique AB, Stockholm, Sweden) developed for FC phenotyping analyses. They were used according to the manufacturer's instructions. Additionally, the presence of ß-D-glucuronidase activity and the ability to ferment sorbitol in 24 h were assessed. The sorbitol fermentation test was performed by inoculating purple bromocresol broth tubes containing 1% D-sorbitol (Sigma, St. Louis, Mo.) with the strain to be tested and incubating them at 37°C for 24 h. The ß-glucuronidase activity was assessed by inoculating the strain in 250 µl of phosphate-buffered saline with a ß-glucuronidase tablet (Diatabs, Rosko, Denmark) and incubating it for 4 h or overnight at 37°C. The expression of the E. coli O157 serotype was tested by Western blot analysis of the lipopolysaccharide (LPS) with specific anti-O157 antibodies (Oxoid) as described below. Strains from different samples showing different PhP phenotypes and LPS patterns were identified with the commercial identification test API 20E (BioMérieux, La Balme, France). These strains were stored at 70°C in 15% glycerol for further studies.
Extraction of LPS and Western blotting.
The extraction of LPS was conducted with the proteinase K method (11). Then, 10 µl of the extracted LPS was subjected to electrophoresis in duplicate by using denaturing polyacrylamide gels (17). One gel was silver stained (41) to study LPS patterns, and the other was used for Western blotting with a Mini-Protean II dual-slab cell and a Mini Trans-Blot electrophoretic transfer cell (Bio-Rad, Richmond, Calif.). Briefly, the gel was electrotransferred onto nitrocellulose membranes (Hybond ECL; Amersham Pharmacia Biotech, Little Chalfont, Buckinghamshire, England) in a solution containing 25 mM Tris, 192 mM glycine, and 20% methanol. The gel was run at 150 V for 1 h according to the manufacturer's instructions. Later, membranes were processed by immunoblotting (31) using O157-specific antibodies (Oxoid) as specific primary antibodies.
Shiga toxin protein production.
The production of Shiga toxin proteins, both Stx1 and Stx2, was detected by methods described previously (29) using the commercial Duopath Verotoxin detection kit (Merck) according to the manufacturer's instructions. Briefly, five to six colonies from the TSA plates were inoculated in 1 ml of CAYE broth modified according to Evans (Merck) and incubated for 6 h at 37°C. After incubation, 180 µl of the culture was mixed with 20 µl of polymyxin B solution and further incubated for 10 min at 37°C. A volume of 160 µl of the mixture was dispensed into the circular sample port on the test device. Results were observed after 20 min of room temperature incubation.
|
|
|---|
![]() View larger version (55K): [in a new window] |
FIG. 1. Amplification products of the nested PCR used for MPN enumeration of stx2 gene-carrying bacteria in sewage samples. Lanes: 1ml, replicates of 1-ml sample; 0.1ml, replicates of 0.1-ml sample; 0.01ml, replicates of 0.01-ml sample; M, 100-bp DNA marker; H, I, and J, negative DNA extraction controls; K, negative PCR control; L, positive PCR control (strain ATCC 43889); N, negative nested-PCR control.
|
![]() View larger version (15K): [in a new window] |
FIG. 2. Monitoring of stx2 strains ( ), E. coli (x), FC ( ), and TC ( ) over a 1-year period in the municipal sewage treatment plant.
|
|
View this table: [in a new window] |
TABLE 2. Effect of diverse sewage treatments on the number of bacteria
|
According to the LPS pattern and the phenotype obtained with the PhP system, 59 representative strains were selected for further characterization. A total of 28 different LPS patterns and 44 different Phene system phenotypes with an identity level of 0.975 were observed. Strains from different samples with different LPS patterns and phenotypes were considered representatives of each sample. Later, these strains were identified with the API 20E system. Fifty-five of these isolates were classified as E. coli (all of these, with one exception, were indole positive), while the others could not be identified with the API 20E system. The majority of the isolated strains was able to ferment sorbitol within 24 h and had ß-D-glucuronidase activity (46). Only five strains were unable to ferment sorbitol within 24 h, of which only one belonged to the E. coli O157:H serotype. This serotype was also negative for the ß-D-glucuronidase test.
Production of Shiga toxins.
Despite the fact that all of these strains produced the PCR products of the stx2 gene, only 23 isolates (39%) produced the toxin protein Stx2, 4 isolates (7%) produced Stx1 but failed to produce Stx2, and only 1 isolate (2%) produced Stx1 and Stx2 (Table 3). The last isolate corresponded to the E. coli O157 isolate. There was a higher proportion of bacteria that carried the stx2 gene and were not capable of toxin production among municipal sewage isolates than among animal wastewater isolates: 94% of the bacteria from municipal sewage versus 43% from animal wastewater samples.
|
View this table: [in a new window] |
TABLE 3. Toxin production and distribution of stx1 and stx2 genes between the different representative strains isolated
|
|
|
|---|
Unlike what happens with cattle shedding of E. coli O157:H7 (9), there were no significant seasonal differences in the levels of shedding of stx2 gene-carrying bacteria in the monitored human wastewater treatment plant. These results are in agreement with those from studies performed with contaminated river waters in Japan, which found stx2 gene-carrying bacteria at densities between 102 and 104 cells per ml independently of the season (16). The high diversity of E. coli serotypes and other enterobacteria which may carry the stx2 gene may explain such a difference, because the MPN-nested-PCR method analyzes all these bacterial groups at the same time. There was only a minor decrease in the number of stx2 gene-carrying bacteria for two samples obtained during the winter. Data from this study and the fact that E. coli O157:H7 cells have been demonstrated to survive for long periods in manure (15, 43) and in water (5, 32, 42) suggest that human sewage and animal wastewater, in addition to cattle and other, wild animals, should be regarded as reservoirs of STEC.
There was a reduction in the number of stx2 gene-carrying strains after treatment in both treatment plants analyzed. In treatment plant 4, there was a larger reduction in the number of stx2 gene-carrying strains than in the number of bacterial indicators, suggesting that STEC strains are not specifically resistant to the lagooning treatment. It was not possible to compare this treatment with the activated-sludge treatment plus lagooning system (plant 5), because after secondary treatment, the numbers of stx2 gene-carrying bacteria were already under the limit of detection. Values of reduction could not be calculated; it can be stated only that the log10 reduction was greater than 1.2 log10 units. However, the activated-sludge treatment plus lagooning system was also observed to be efficient for the reduction in the number of stx2 gene-carrying bacteria. The values obtained in treatment plant 4 confirm previous results showing a small reduction in the number of FC during the winter season, which is the period in which the results reported here were obtained (7).
The specific colony hybridization method used in this study enabled the isolation of 138 coliform strains carrying the stx2 gene. The expected PCR band of 378 bp corresponding to the stx2 gene amplimer was produced by all strains, with the exception of five strains that appeared to lose the gene after subcultivation. This phenomenon is consistent with the results of previous studies of clinical samples that showed the loss of stx genes upon subcultivation (13; J. C. Paton and A. W. Paton, Letter, J. Clin. Microbiol. 35:1917, 1997). Only one strain belonged to the serotype O157:H, which suggests a low prevalence of this serotype in stx2-carrying strains in the analyzed samples.
This study shows that the stx2 gene is commonly present in municipal sewage and animal wastewaters of different origins, with a wide distribution range among coliform bacteria. Some of these bacteria not only harbor the gene but also are able to produce the toxins and consequently may represent a potential health risk, which must be taken into account. Most of the analyzed strains that expressed the Stx2 toxin arose from animal samples. Stx1 toxin production was also detected in some strains (4 of 59), usually arising from samples of human origin. It should be noted that in isolates from human wastewater and wastewater of animal origin, the gene is not always expressed. The toxin is produced in approximately 50% of the strains from animal wastewater, while of the strains from human sewage, although all of them carried the gene, less than 10% showed expression of the protein toxin. Hence, the animal strains seemed to maintain the characteristic, while the human strains have acquired the gene in a nonfunctional way, since they do not produce Stx2.
The presence of the stx1 gene evaluated in bacterial populations in this study has also been observed in the genomes of free bacteriophages infectious for E. coli or Shigella spp. present in sewage (8, 24). It is well known that the stx2 gene is carried in the genomes of temperate bacteriophages, which may be the origin of free phages detected in sewage. Although the presence of inducible phages in the strains analyzed in this study has not been evaluated (this topic will be the subject of future studies), the potential contribution of phages to the mobility of the stx2 gene should not be underestimated. The presence of the stx2 gene in populations detected in sewage (phages or bacteria) indicates an exchange of this gene between these populations. More information is needed to understand the ecology of the stx2 gene in water environments and its involvement in the pathogenicity of STEC strains.
|
|
|---|
3538 isolated from Escherichia coli O157:H7. Appl. Environ. Microbiol. 65:3855-3861.
This article has been cited by other articles:
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Copyright © 2009 by the American Society for Microbiology. For an alternate route to Journals.ASM.org, visit: http://intl-journals.asm.org | More Info»