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Applied and Environmental Microbiology, November 2005, p. 7426-7433, Vol. 71, No. 11
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.11.7426-7433.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Environmental Health, Science, and Policy, University of California, Irvine, California 92697-7070
Received 4 January 2005/ Accepted 14 July 2005
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16% of the samples, with concentrations ranging from 102 to 104 genomes per liter. However, a plaque assay using two human tissue culture cell lines, HEK-293A and A549, yielded negative results, suggesting that adenoviruses detected by real-time PCR are likely noninfectious. Enterovirus genome was detected in
7% of the samples by reverse transcription-PCR. Analysis by Spearman's rho rank order correlation showed significant correlations between fecal indicator bacteria and indicator virus (total coliform, fecal coliform, enterococcus, and coliphage values). However, no significant correlations were found between human adenoviruses quantified by real-time PCR and culturable coliphages or fecal indicator bacteria. Kruskal-Wallis chi-square analysis showed significant seasonal variability of all fecal indicator bacteria and coliphages, while no significant variability was observed for adenoviruses or enteroviruses. This study presents the first quantitative measurement of human adenovirus genomes in urban rivers and their statistical relationship to fecal indicator bacteria and coliphages. The uncoupling between high-number genome copies of adenoviruses detected by real-time PCR and the absence of infectivity detected by tissue culture suggests that genome-based detection methods are inadequate for direct assessment of human health risk. |
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Microbial contamination of our aquatic environments poses a potential public health risk when improperly managed (1, 8). The U.S. Environmental Protection Agency has established microbial pollution indicator standards recommending the use of bacterial indicators, including counts of total and fecal coliforms and enterococci, during routine monitoring (10). However, studies have shown that current bacterial indicator standards may not accurately indicate the viral quality of our waters (20, 41). Furthermore, previous studies of viral quality of coastal waters are mainly qualitative, rather than quantitative. Although a few recent investigations have reported developing real-time PCR methods for quantification of human viruses and their detection in sewage (26, 28, 29), little is known yet about the quantitative abundance of human viruses in the aquatic environment (13).
Proper monitoring of human viruses in our waters is of particular importance, because the Centers for Disease Control and Prevention suggest that the causative agent of nearly 50% of all acute gastrointestinal illnesses is suspected to be viral (6). With approximately 100 potentially water-transmissible human viruses associated with human waste, it is simply impossible to detect all viruses (2). However, certain human viruses and coliphages may beneficially serve as an index in determining viral contamination and the presence of human fecal waste (20, 31, 32). Adenovirus, a double-stranded DNA virus belonging to the family Adenoviridae, is a possible candidate as an index virus. Adenovirus is frequently found in urban rivers and polluted coastal waters (5, 7, 20, 32, 33, 39), and studies conducted in Europe suggest that adenovirus be used as an index of human viral pollution (32). Adenoviruses have also been shown to display greater resistance to UV treatments because they contain double-stranded DNA, which allows for repair of damaged DNA by using the enzymes of host cells (18, 23). Thurston-Enriquez et al. (40) showed that a UV dose of 103 mJ/cm2 was required to achieve a 99% inactivation of adenovirus serotype 40 (1 of 51 serotypes of adenovirus) in treated groundwater. Currently, the UV dose commonly applied for drinking water and wastewater treatment is between 30 and 40 mJ/cm2.
This study demonstrates the application of a newly developed quantitative PCR method (19) for assessing the adenovirus concentration in southern California urban rivers and investigates the relationship between adenoviruses detected by genomic amplification and by tissue culture infectivity assay. This study also provides insight into the relationships of current monitoring standards by determining if significant correlations exist between fecal indicator bacteria, coliphages, and human viruses.
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FIG. 1. Sampling locations along Los Angeles and San Gabriel Rivers. LA1 is located at the mouth of the Los Angeles River, LA2 is located approximately 10 miles upstream, and LA3 is located approximately 35 miles upstream from the mouth. SG1 is located at the mouth of the San Gabriel River, and SG2 is located approximately 5 miles upstream.
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Concentration of water samples for viral analysis.
Ten-liter water samples were concentrated to
115 ml using a tangential flow filtration system (TFF) with a 30-kDa molecular-mass-cutoff Omega cartridge (Pall Life Science, Hauppauge, NY) at a flow rate of 350 to 450 ml/min under a constant pressure at <10 lb/in2. The samples were spiked with bacteriophage
HSIC, and the titers were determined with water samples prior to and after TFF concentration by plaque assay to determine the rate of viral recovery.
HSIC was isolated from the coastal water off Hawaii and was not found in urban river waters in southern California. Therefore, there are no interfering effects from the viral recovery assay (22). Immediately after concentration, 1 ml of the concentrated samples was used for coliphage plaque assay; the rest were stored at 80°C for later use.
Detection of coliphages.
Densities of coliphages and F-specific coliphages were determined by using both TFF-concentrated and nonconcentrated water samples. Both 100 µl and 1 ml of the concentrated and nonconcentrated samples were mixed with 1 ml of bacterial host in 3 ml of soft agar and poured over an LB agar bottom plate. Escherichia coli ATCC 15597 strain was used as the host for general coliphages (both somatic and F+ coliphage), while E. coli Famp was the specific host used for F-specific coliphages. Details of the plaque assay can be found in Jiang et al. (20). Plaques were enumerated after 12 to 24 h of incubation at 37°C.
Viral nucleic acid purification by GuSCN-silica bead extraction.
The method of Boom et al. (3) was used for viral nucleic acid purification and removal of PCR inhibitors for all environmental concentrates. Briefly, 900 µl of guanidinium thiocyanate lysis buffer (GuSCN) was added to a mixture of 40 µl of silica particle and 50 µl or 100 µl of viral concentrate at room temperature for 10 min. The mixture was then centrifuged, the supernatant was discarded, and the pellet was washed. The pellet was dried briefly, and nucleic acid was eluted from beads with 50 µl of 1x Tris-EDTA at 56°C.
Detection of human enterovirus by RT-PCR and probe hybridization.
The pan-enterovirus-specific primer sequences used for reverse transcription-PCR (RT-PCR) were 5'-CCTCCGGCCCCTGAATG-3' and 5'-ACCGGATGGCCAATCCAA-3' (11). This primer pair amplifies a target at the highly conserved 5' untranslated region of enteroviruses. The PCR protocol followed that previously described by Tsai et al. (42). To confirm the amplicon, DNA in gel was transferred to positively charged MagnaGraph 0.45 Transfer Nylon membrane (Osmonics, Inc., Minnetonka, MN) via Southern transfer (36), and the membranes were prehybridized for 1 h at 37°C in solution containing 6x SSC (1x SSC is 0.15 M NaCl plus 0.015 M sodium citrate), 5x Denhardt solution, 0.05% sodium pyrophosphate, 100 mg of salmon sperm/ml, and 0.5% sodium dodecyl sulfate. Hybridization was carried out overnight at 45°C in solution containing 6x SSC, 1x Denhardt solution, 100 mg of salmon sperm/ml, 0.05% sodium pyrophosphate, and 25 ng of the [
-32P]ATP-labeled oligonucleotide probe/ml. The sequence for the pan-enterovirus probe is 5'-TACTTTGGGTGTCCGTGT TTC-3'. After hybridization, the membrane was washed three times at room temperature (15 min each wash) and two more times at 55°C (1 h each time) with a solution containing 6x SSC, 1% sodium dodecyl sulfate, and 0.05% sodium pyrophosphate to remove any unbound probe. The membrane was sealed in a plastic bag and exposed to X-ray film for 24 to 48 h at 80°C.
Detection of human adenovirus by real-time PCR.
For adenovirus analysis by real-time PCR, samples were further concentrated by ultracentrifugation. In brief, 10 ml of TFF concentrate was centrifuged at 41,000 rpm with an SW41 Beckman rotor for 1.5 h at 10°C. The pellets were resuspended in
200 µl of the supernatant, and 100 µl was purified by GuSCN-silica bead extraction (as described above). Either 1 µl or 4 µl of purified viral concentrate (TFF ultracentrifugation) was used in triplicate reaction mixtures for real-time PCR. The standard curve used for quantification was plotted using Ct values of sixfold dilution of cloned adenovirus serotype 5 hexon gene (19). Quadruplicate samples were used for each dilution point, and a standard curve was run for each set of assay.
Real-time PCR primers and protocols were those developed by He and Jiang (19). Each real-time PCR mixture (25 µl) contained 1x TaqMan Universal PCR Master mix, 300 nM each primer, and 200 nM TaqMan probe. Degenerative primers specific to adenoviruses were 5'-GACTCYTCWGTSAGYTGGCC-3' and 5'-CCCTGGTAKCCRATRTTGTA-3', and the probe was FAM-AACCAGTCYTTGGTCATGTTRCATTG-TAMRA. (FAM is 6-carboxyfluorescein, and TAMRA is 6-carboxytetramethylrhodamine.) This real-time PCR assay specifically detects human adenovirus serotypes 1 to 7, 9, 17, 19, 21, 28, 37, 40, and 41 and simian serotype 25. The PCR cycles consist of holding samples at 50°C for 2 min and then 95°C for 10 min, followed by 45 cycles, each consisting of 95°C for 15 s, 56°C for 15 s, and 62°C for 30 s with 1-s increments between each cycle. An Applied Biosystems 7000 Sequence Detector system was used for real-time PCR, and the data was analyzed with ABI Prism 7000 software.
Tissue culture analysis for infectious human adenoviruses.
The infectivity of adenoviruses in environmental concentrates was analyzed using two cell lines, A549 and HEK-293A (19). The human embryonic kidney cell line (HEK-293A) was obtained from the University of Southern California (courtesy of Michael Lai) at 34 passages and was used in this study between passages 42 and 50. A human lung carcinoma cell line (A549) was obtained from the Los Angeles Sanitation District (courtesy of Shawn Thompson) at 108 passages and was used in this study between passages 115 and 123. The A549 human lung carcinoma cell line is currently the most commonly used cell line for adenovirus propagation and plaque titration while the 293 human kidney embryonic cells are mostly used as a package cell line for production of nonreplicative adenovirus vectors (15, 17, 37). HEK-293A is a recombinant cell line with an insertion of adenovirus E1 gene, so that E1 protein (early expression protein) is always expressed to enhance adenovirus replication (16). HEK-293A has a better ability to adhere to tissue culture plates than 293.
After TFF concentration and ultracentrifugation, approximately 200 µl of viral concentrate was purified by chloroform extraction, filtered through 0.2-µm low-protein binding and retention Whatman filters (Whatman International, Ltd., Clifton, NJ), and overlaid onto monolayers of HEK-293A and A549 cells. After being gently shaken for 60 min at 37°C, the monolayers were washed with prewarmed phosphate-buffered saline and overlaid with 1.25% agarose containing 5% Dulbecco's modified essential medium, 50-µg/ml gentamicin, and 2.5-µg/ml amphotericin B. The cell culture was incubated for 7 to 8 days in 5% CO2 at 37°C, and then a second overlay was carried out as described above and incubated for an additional 7 to 10 days. Cell cultures were examined under an Olympus microscope using a 10x magnification lens for plaque formation.
Statistical analysis.
Spearman's rho rank order correlation was used to determine correlations in seasonal distribution of fecal indicator bacteria, coliphages, and human adenoviruses detected by real-time PCR. In addition, a point-to-point correlation of each data point was viewed by scatter plots. Kruskal-Wallis chi-square analysis was used to determine significant variability in parameters during rainy and nonrainy seasons. The SPSS program (SPSS, Inc., Illinois) was used for all statistical analyses; correlations were considered significant at a 95% confidence level.
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FIG. 2. Monthly geometric mean distribution of total coliforms (a), fecal coliforms (b), and enterococci (c) at all sampling sites, and their annual geometric mean distribution at each sampling site (d). Dark bars indicate storm events within 48 h of sample collection, light gray bars indicate light rain (<0.05 in.), and open bars indicate no precipitation within 72 h of sample collection.
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FIG. 3. Monthly geometric mean distribution of coliphages (a) and F-specific coliphages (b) at all sampling sites and their annual geometric mean distribution at each sampling site (c). Bar symbols are the same as described in the legend to Fig. 2.
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FIG. 4. Scatter plots of point-by-point relationships of all biological parameters collected during the study. (a) Best-fit lines represent the relationships between enterococci and fecal coliforms (blue), total coliforms and fecal coliforms (green), and total coliforms and enterococci (red). (b) Best-fit lines represent the relationships between coliphages and fecal coliforms (blue), coliphages and total coliforms (green), and coliphages and enterococci (red). (c) Best-fit lines represent the relationships between F-specific coliphages and enterococci (blue), F-specific coliphages and total coliforms (green), and F-specific coliphages and fecal coliforms (red). (d) Best-fit lines represent the relationships between adenoviruses and enterococci (blue), adenoviruses and total coliforms (green), and adenoviruses and fecal coliforms (red). (e) Best-fit lines represent the relationship between adenoviruses and coliphages (green) and adenoviruses and F-specific coliphages (red).
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HSIC in the water samples, with a range of recovery rate from <10% to >100% (Fig. 5).
HSIC belongs to the Siphoviridae family, with an average head size of
47 nm and tail length of
147 nm (22). Human adenoviruses are medium-sized viruses with an average capsid size ranging from 90 to 100 nm, while enteroviruses are small viral particles with most members being <60 nm. Therefore, the recovery for adenoviruses may be slightly higher than that indicated by
HSIC seeding study, while enteroviruses may have equal or a slightly lower recovery rates. Due to the variability of viral recovery rates, the final viral concentration quantified by real-time PCR was not corrected by the loss during viral concentration. Therefore, the concentration presented below represents a conservative estimation of viruses in the environment.
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FIG. 5. Histogram of bacteriophage HSIC concentration recovery rates with the Tangential Flow Filtration system with a 30-kDa molecular-mass-cutoff filtration cartridge.
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FIG. 6. Adenovirus monthly median concentrations (a), occurrence at all sampling sites (b), and annual median concentrations (c) and occurrence (d) at each sampling site. Bar symbols are the same as described in the legend to Fig. 2.
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FIG. 7. Monthly occurrence of enteroviruses (a) and the frequency of their detection at each sampling site (b). Bar symbols are the same as described in the legend to Fig. 2.
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In accordance with previous observations, our current investigation shows that the Los Angeles and San Gabriel Rivers are contaminated with fecal indicator bacteria and human viruses. The concentrations of both fecal indicator bacteria and coliphages were higher at the upstream locations of both rivers, while median concentrations of adenoviruses were higher at the mouth of each river. The decrease of fecal indicator bacteria and coliphage concentration from freshwater to saline water indicates the land source of these organisms and their decay and dilution at the mouth of rivers by ocean water. The higher concentrations of adenoviruses detected at the mouth of rivers could be technology artifacts, due to the presence of higher concentrations of PCR inhibitors in the upstream water. The investigation of real-time PCR efficiency using various environmental matrices has shown that the real-time PCR efficiency reduced to one-third when nutrient-rich creek water was used as the viral seeding matrix in comparison to ocean water as a seeding matrix (20a). To achieve the absolute quantification of viral genomes in environmental samples, a viral seeding study needs to be conducted for each individual sample to correct for nucleic acid extraction and PCR efficiencies. In spite of the higher concentration of adenoviruses detected at the mouth of the river, adenoviruses were found more frequently at upstream sites of the Los Angeles River. This indicates, as for the fecal indicator bacteria and coliphages, that the sources of adenoviruses are urban.
It is not a surprise that plaque assays for adenoviruses of river samples yielded negative results. The most likely explanation for the discrepancy in results obtained by real-time PCR and plaque assay is that most human viruses in the aquatic environment are noninfectious. Natural or sewage treatment processes such as solar radiation or chlorination can inactivate adenoviruses without degrading viral physical structure or genome integrity. A previous study addressed this concern by showing that environmental samples that contain only inactivated viruses tested positive by molecular methods such as RT-PCR (38). The discrepancy between viral particle counts and PFU is well known in clinical virology (25). This discrepancy, generally known as plaquing efficiency, varies by virus, virus serotype, type of tissue cultures used for plaque assay, etc. He and Jiang (19) showed that
0.1% of 105 adenovirus genomes per liter in primary treated sewage were infectious by plaque assay of HEK-293A tissue culture. Assuming that the contamination source in the urban rivers investigated in this study resembles primary sewage effluence, we expect <10 infectious adenoviruses per 104 adenovirus genome to be detected by real-time PCR. This theoretical calculation is near the borderline of our lower detection limit for plaque assay. Therefore, any environmental and sewage treatment processes that further reduce the ratio between genome copy and PFU will result in nondetectable results. Another explanation for this nondetectable result by tissue culture may be that these environmental adenoviruses did not possess any binding affinity to the cell lines used. For example, the A549 cell line is sensitive to adenoviruses serotypes 2 and 5, while the HEK-239A line is known to support the proliferation of serotypes 2, 5, 40, and 41. The diversity of human adenovirus serotypes in the aquatic environment is not yet known. Furthermore, adenoviruses in the river water may adsorb to suspended solids (9), which may impair their ability to bind to cell receptors, potentially causing false-negative results. Finally, the sensitivity of the plaque assay may be less than the infectivity assay based on cytopathic effect; we may have missed some infectious viruses by using only the plaque assay in this study.
When the seasonal distributions of fecal indicator bacteria and coliphages were compared, the highest concentrations of all parameters were detected in November during the first major storm of the rainy season. Similar trends were observed with high concentrations during the month of February during a period of heavy rainstorms. However, no significant increase of indicator concentration was observed during the month of January, suggesting that light localized rain showers may not have a significant impact on bacterial load in urban runoff. The similarity between indicator bacterium and coliphage seasonal distribution patterns suggests that both bacteria and coliphages are of similar origin. This is also supported by best-fit lines in scatter plots indicating positive relationships between fecal indicator bacteria and coliphages (Fig. 4a to c). In contrast, the seasonal distribution of adenoviruses detected by real-time PCR was very different and did not respond well to the rain events. No positive correlation between adenoviruses and fecal indicator bacteria or coliphages was observed, except for F-specific phages (Fig. 4d and e). Negative relationships between adenoviruses and fecal indicator bacteria or coliphages indicate that adenoviruses may be of different origin. Indicator bacteria and coliphages may be generated by natural sources such as birds, animal feces, and/or regrowth in nutrient-rich soil and/or riverbed sediments (4, 12, 14, 35). They are flushed out by rainwater and transported to rivers during storm events. Human adenoviruses and enteroviruses are only from human source contamination. The pollution of the river from human sources may be sporadic throughout the season, which is independent of rain events. On the other hand, our real-time PCR method may fail to detect adenoviruses after storm events, due to the higher concentrations of PCR inhibitors presented in storm water (C. Surbeck et al., unpublished data).
This study presents the first quantitative investigation of human adenoviruses in environmental samples with real-time PCR, and it represents a significant advancement in our ability to make a rapid assessment of the viral quality of waters. However, PCR results significantly overestimated the occurrence of infectious viruses in the environment. Therefore, caution should be taken in directly extrapolating positive PCR results of human viruses to human health risks. Furthermore, human adenoviruses were more frequently detected than enteroviruses, suggesting their potential to serve as a better index for human sewage.
We thank Daniel Lee and Mike Vuong for assistance with sample collection, fecal indicator bacteria, and coliphage analysis. We thank Mandy Han for assistance with tissue culture analyses and Weiping Chu for technical assistance in the laboratory.
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