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Applied and Environmental Microbiology, November 2005, p. 6730-6735, Vol. 71, No. 11
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.11.6730-6735.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Saitama Institute of Public Health, Saitama 338-0824,1 Division of Microbiology, National Institute of Health Sciences, Setagaya-ku, Tokyo 158-8501, Japan2
Received 31 January 2005/ Accepted 28 June 2005
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Loop-mediated isothermal amplification (LAMP) is a novel nucleic acid amplification technique that relies on an autocycling strand displacement DNA synthesis performed by the Bst DNA polymerase large fragment (13, 15, 16, 18). LAMP is different from PCR in that six primers perform the amplification of the target gene, the amplification uses a single temperature step at 60 to 65°C for about 60 min, and the amplification products have many types of structures in large amounts. Thus, LAMP is more specific, rapid, and simple to perform than PCR. Furthermore, gel electrophoresis is not needed because the LAMP method synthesizes a large amount of DNA where the products can be detected by simple turbidity or fluorescence (1). Thus, expensive equipment is not necessary to give a high level of precision, one equivalent to or greater than those of other PCR techniques. Recently, we have shown the efficiency of LAMP assay for detecting Salmonella (unpublished data).
In the present study, liquid eggs naturally contaminated with low numbers of Salmonella were tested by using the LAMP assay. In addition, salmonellae from liquid eggs were characterized to strain and serotype levels.
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Culture method for the liquid egg sample.
The 24 samples were collected from the egg plant in the spring of 2003 to measure the contamination level of Salmonella. Liquid egg samples were homogenized with a stomacher, and 1-ml aliquots were plated onto five plates of MLCB agar (Oxoid). After incubation at 37°C for 24 h, some of the suspected colonies were tested for antibody agglutination by using a Salmonella antibody kit (Unipath; Oxoid) and confirmed by using the biochemical characteristics on TSI (Eiken Chemical Co., Ltd., Tokyo, Japan) and LIM (Eiken Chemical). For aerobic plate counts, 1 ml of a 101- to 104-fold dilution of each sample in phosphate-buffered saline was poured onto 19 ml of plate count agar (Nissui Pharmaceutical Co., Ltd., Tokyo, Japan), followed by incubation at 36 to 37°C for 24 h.
The sensitivity of Salmonella detection by the culture method was compared to the reaction yield by the lamp and PCR assay. A total of 25 g of all samples of liquid egg was homogenized with 225 ml of buffered peptone water (BPW) by using a stomacher (model 400; A. J. Seward, London, United Kingdom), followed by incubation at 37°C for 20 h. After incubation, 0.5 ml of each culture was added to 10 ml of TT broth (Oxoid) and RV broth (Oxoid). The TT and RV broths were incubated at 42°C for 20 h and from this 0.01 ml of each culture was streaked onto xylase lysine deoxycholate agar and BGM agar (Oxoid), followed by incubation at 37°C for 24 h. A portion of the suspected colonies form XLD and BGM agars were confirmed by using antibody agglutination and biochemical characteristics described above. Confirmed isolates were further serotyped for agglutination with Salmonella O and H antigens (Denkaseiken, Tokyo, Japan).
The enrichment culture in BPW was used as samples for the LAMP and PCR assays.
LAMP assay.
The LAMP reaction was performed with a Loopamp DNA amplification kit (Eiken Chemical). A portion (50 µl) of the samples pre-enriched in BPW was taken for the LAMP assay. It was added to 50 µl of the extraction solution (pH 12.5) to extract DNA and heated at 95°C for 5 min. After flash heating, the samples were centrifuged (Tomy, Tokyo, Japan). The supernatant was transferred to a new microtube and used as the template DNA solution for the LAMP assay. The LAMP reaction mixture contained the primers (20 µl) for Salmonella detection, Bst polymerase (1 µl), YO-PRO-1 iodide (0.125 µl. intercalating; Molecular Probes, Eugene, OR), and template DNA solution (5 µl). The reaction mixture was incubated at 65°C for 60 min with a thermal cycler (ABI7700; Applied Biosystems, Foster City, CA) and then heated to 80°C for 2 min to terminate the reaction. The LAMP amplicon was detected as a value of fluorescence (delta Rn) in real-time when there was an increase in fluorescence intensity caused by the intercalating dye. In addition, turbidity produced by magnesium pyrophosphate as a by-product during the reaction was visually monitored. Salmonella DNA extracted from a suspension of serovar Enteritidis cells by heating at 95°C for 5 min was used a as positive control in the LAMP assay.
The pre-enrichment culture with BPW of all samples from egg-breaking plants was tested by using the methods described above.
PCR assay.
The pre-enrichment culture in BPW of the samples was treated to extract DNA in a similar way as that for LAMP assay described above. The template DNA solution was neutralized by adding 1/10 volume of Tris-HCl (0.1 M, pH 7.0). PCR-targeted invA was performed as follows. Primer set SIN-1 and -2 (each 0.5 µl; Takara, Shiga, Japan), deoxynucleoside triphosphate mixture (4 µl), X10 Taq buffer (5 µl), Takara Taq (0.25 µl), template DNA solution (2.5 µl), and distilled water (37.75 µl) were mixed in a reaction tube. The reaction was performed at 94°C for 1 min for denaturing, 55°C for 1 min for annealing, and 72°C for 1 min for extension using a thermal cycler (ABI7000; Applied Biosystems). After 35 cycles and finally heating to 72°C for 10 min, PCR products were separated by agarose gel electrophoresis (3%). After staining with ethidium bromide, the size of the PCR product (378 bp) was compared to that of the serotype Enteritidis strain used as a positive control.
PFGE for Salmonella isolates.
Pulsed-field gel electrophoresis (PFGE) typing of S. Enteritids was performed by the method of Izumiya et al. (8, 9). All isolates were analyzed by using the restriction endonucleases BlnI (Takara) and XbaI (Takara). PFGE was performed with a CHEF-DR II apparatus (Bio-Rad Laboratories, Richmond, CA) at 6 V/cm and 14°C. A linearly ramped switching time from 5 to 50 s was applied for 21 h. A Lambda phage ladder (Bio-Rad Laboratories) was used as a molecular size marker.
A dendrogram was constructed from the PFGE profiles according to the Dice coefficient and an unweighted pair-group method with arithmetic averaging cluster analysis was performed with Finger-Printing II software (Bio-Rad Laboratories). Strains showing more than 80% similarity were defined as the same subtype.
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TABLE 1. Detection of salmonellae in liquid egg from plant A in the spring of 2003
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TABLE 2. Detection of salmonellae in liquid egg from four plants and serotypes of the isolates in the autumn of 2003
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Serotypes of the 156 isolates were determined (Table 2). A total of 25 serotypes were detected in the samples from four plants. Further analyses of the isolates were performed by using PFGE. The strains that showed the same pattern in PFGE were regarded as a single strain. At plants A, C, and D serotype Enteritidis was the major serotype, and more than 11 serovar Braenderup strains were detected at plant B specifically and predominantly. A few serotypes were predominant in all plants where 7 to 13 serotypes were isolated.
Fifty-four strains of serotype Enteritidis from liquid egg samples from all of the plants in the autumn of 2003 were analyzed. We found 12 types (I to XII) in the patterns by using PFGE with BlnI (Fig. 1). The patterns with BlnI were distributed in two main clusters with a similarity percentage of <45%. Further, using the result with similar percentages of >80%, types III and IV were resolved to five (a to e) and two (a and b) subtypes, respectively. On the other hand, the patterns with XbaI were distributed into two main clusters with a similar percentage of <27%, which were constructed with six patterns (I to VI) (Fig. 2). Types I and III and type IV were resolved to two (a and b) and three (a to c) subtypes, respectively.
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FIG. 1. PFGE typing with BlnI in Salmonella sp. serotype Enteritidis strains isolated from unpasteurized liquid egg. PFGE patterns of S. Enteritidis strains were distributed among 12 major types (I to XII). Types III and IV consisted of five and two subtypes, respectively.
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FIG. 2. PFGE typing with XbaI in Salmonella sp. serotype Enteritidis strains isolated from unpasteurized liquid egg. PFGE patterns of serotype Enteritidis strains were distributed among six major types (I to VI). Types I, III, and IV consisted of two, two, and three subtypes, respectively.
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TABLE 3. PFGE patterns of Salmonella sp. serovar Enteritidis isolates during sampling for 16 days at each egg-breaking plant
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Based on the results of Salmonella detection in 110 samples of unpasteurized liquid eggs, the LAMP assay was the most effective of the three methods used. In one (0.9%) sample, Salmonella was detected by LAMP assay but not by the culture method. Although there was a possibility of false positives, the positive reaction was considered to be true because of the high specificity and sensitivity of LAMP assay due to the mechanics of the LAMP. The PCR method failed to detect Salmonella in 10% of samples. At plants B, C, and D, the PCR assay but not the LAMP assay failed to detect Salmonella, although the culture enrichment in BPW was performed for both the PCR and the LAMP assays. Therefore, the LAMP assay seems to be more efficient and sensitive than PCR.
In unpasteurized liquid eggs naturally contaminated with Salmonella at low levels (1 to 25 cells/25 g of liquid egg), all methodsLAMP assay, PCR assay, or the culture methodwere successful in detecting the pathogen (Table 1). The initial number of Salmonella might be increased to more than 1,000 cells/ml after enrichment.
The detection levels in plants A and D by the culture method, LAMP, and PCR assays were >92.9%. Although the detection levels at plants A, B, and D of the culture method and LAMP assay were >92.3%, the detection levels at plant B by the PCR assay were 76.9% and by the culture method and the LAMP assay were 92.3%. Thus, the PCR assay was not as effective for samples from plant B. In three of four samples in which Salmonella was detected by the LAMP assay but not by the PCR assay, serotype Braenderup was isolated but not serotype Enteritidis. However, there were no differences between the PCR sensitivities of serotypes Braenderup and Enteritidis (data not shown). At plant C, the detection level was lower than at the other plants. It may be reasoned that here that the total bacterial count was larger than those of the other plants. These results indicate that the LAMP assay should be used because it is rapid and simple and because the possibility of false-positive reactions is similar to that which can be expected with other methods. To confirm the specific amplicons by LAMP, reactions showing many size patterns and ladder patterns on electrophoresis are useful. In the present study, one sample from plant A, which was detected by LAMP assay but not PCR assay and the culture method, was tested and showed ladder patterns on electrophoresis. In addition, analysis of the sequence of a part of the amplicon might be more useful to confirm the results of LAMP assay.
The liquid egg at the egg-breaking plants tested in the present study was finally pasteurized before shipping. However, the contamination of Salmonella should be monitored prior to pasteurization and minimized to produce a safer liquid egg product. The LAMP method is effective for monitoring unpasteurized and pasteurized liquid products.
Although many serotypes of Salmonella were detected in each plant, each plant was highly infected with Salmonella. Furthermore, in the serotype Enteritidis strains that were analyzed by PFGE totals of 12 and 6 distinct patterns were shown with BlnI and XbaI, respectively. In each plant, the PFGE patterns detected were limited. Using BlnI, only one type, including three subtypes, and two types, including two subtypes, were detected at plants B and D, respectively. Using XbaI, the major PFGE type was individually different among three plants (A, C, and D). Although the patterns by BlnI were more distributed than those by XbaI, the result of PFGE with XbaI seems to adapt in epidemiological analysis of serotype Enteritidis isolates.
Because egg is thick and rich in lipid and protein, it is difficult to perfectly remove liquid egg from the equipment in a product line. Salmonella, known for its survival in dried conditions (10, 11), can live in liquid egg remaining in a product line. We thought the high frequency of Salmonella detection in the liquid egg samples was due to contamination of the product line. Brushing and washing with abundant water, followed by treatment with disinfectants, is effective for removing the rest of the liquid. To thoroughly wash the angles of the equipment, dismantling the equipment at regular intervals is a way to reduce Salmonella contamination.
Because the eggs were supplied from various farms, strains showing the same pattern seem to come from the unsanitary production line in the plant rather than from the eggs themselves. These results were similar at plants A, C, and D when evaluated using XbaI. However, type III, including five subtypes (a to e) by BlnI was the predominant pattern at plants A, B, and D. Because shelled eggs were supplied from different farms to each plant, the strains shown to be type III may spread in Japan. Of 91 serotype Enteritidis strains isolated from patients in hospitals in the central area of Japan during 2003, 14 were type III, although the strains have not been analyzed by PFGE with BlnI (unpublished data).
The present study demonstrated that the LAMP assay was effective for detecting Salmonella in egg samples rapidly and at a high sensitivity. Since Salmonella control is important for safety in foods containing egg, the effective strategy could be improved hygiene in places related with egg such as egg breaking plant.
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