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Applied and Environmental Microbiology, August 2005, p. 4523-4530, Vol. 71, No. 8
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.8.4523-4530.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Department of Biological Sciences and Wrigley Institute for Environmental Studies, University of Southern California, Los Angeles, California 90089-0371,1 Institute of Marine Sciences, The University of North Carolina at Chapel Hill, 3431 Arendell Street, Morehead City, North Carolina 285572
Received 14 July 2004/ Accepted 10 March 2005
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In the United States, Escherichia coli and enterococci are currently used as indicators of microbial water quality, serving as proxies for the potential presence of pathogenic bacteria and viruses. There are no currently mandated tests for viral indicators in recreational and shellfish harvesting waters, in part because of the lack of suitable available assays. However, bacterial indicators alone are inadequate predictors of viral pathogens, which have been shown to sometimes be present even in waters with low bacterial indicator concentrations; reports from numerous locations, including the study area reported here (11, 12, 22), show an absence of a significant quantitative relationship between indicator bacteria and viral pathogens, as reviewed by Griffin et al. (8).
The traditional "gold standard" method of human pathogenic viral detection is cell culture assay. It is costly, time-consuming, and impractical for monitoring, because it requires large sample volumes and days to weeks for results. Also, some viruses do not grow in tissue culture. This is unsuitable for management of recreational or shellfish harvesting waters (and many clinical and environmental applications), and rapid genetic techniques as potential alternatives have recently been developed (8, 12, 14, 17-21). Although genetic methods may also detect inactive viruses, such methods have been shown to correlate with detection of viable viruses by cell culture when used with samples in natural waters (5). Some recent studies have used integrated cell culture and PCR, with a cell culture step of several hours to a few days followed by PCR, showing viruses capable of infecting the cell culture much more rapidly than cell culture alone (7, 15, 26, 27). While this approach has some advantages and may be suitable for research studies, it also is more costly and time-consuming than direct reverse transcriptase PCR (RT-PCR). For this study, we tested and applied an approach with features that may be particularly suitable for routine monitoring and management of beaches and shellfish harvesting waters: small sample volume (1 liter), minimized turnaround time, and no costs associated with cell culture.
In order to apply genetic detection methods to detect viruses from natural waters, it is necessary to concentrate the viruses into a very small volume and extract the RNA so that it is free of impurities. Although it was shown several years ago that small charged filters could be used to capture viruses with reasonably good efficiency (2, 30), there were no established methods to recover the viral RNA from the filters. Most previously published approaches for PCR analysis of viruses from seawater samples used ultrafiltration and subsequent RNA extraction of this concentrate. The concentrate was then subjected to conventional RT-PCR (9, 11, 22) or quantitative RT-PCR (qRT-PCR) analysis (4, 13). Katayama et al. (13) reported that negatively charged filters were efficient (>61%) in capturing viruses from relatively small volumes of seawater for qRT-PCR and for virus cultivation. This appeared to be a promising protocol for routine virus assays. However, our attempt to reproduce that method in our laboratory was prevented by the lack of availability (in the United States) of the proprietary extraction kit described in that report; we also noted that the concentrations of poliovirus they used in their seeding experiments (300 to 770 PFU/ml) were very high compared to what one might see in field samples, leading to questions about recovery at realistic field concentrations. We modified the Katayama et al. (13) protocol to include a readily available extraction kit, different qRT-PCR parameters that we tested in a previous study to avoid inhibition (1), and a range of test virus concentrations at levels more realistic of real-world field samples. We also tested this modified protocol with both freshwater and seawater samples and compared the cellulose mixed-ester filter retention with the retention of more porous and freely flowing glass fiber filters used in a previous enterovirus field study (1). Overall, we found that our modified filter/qRT-PCR method was rapid and reasonably efficient for both fresh- and seawater samples, with the best efficiency found with the cellulose acetate/nitrate filters in freshwater and fine-pore glass filters in seawater. We had reduced and somewhat variable, but still acceptable, recovery even at very low virus concentrations that had not been tested in previous studies. Finally, we applied the protocol to successfully detect and quantify enteroviruses in two creek or storm drain systems whose outlets are near popular bathing beaches of Santa Monica Bay (SMB) in Los Angeles, Calif.
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Filters were collected and stored flat in polyethylene Whirl-Pak bags (18 oz.) at 80°C prior to RNA extraction. Preliminary tests in which the filters were instead folded into quarters and put into 2-ml microcentrifuge tubes yielded much lower recovery. Filters were extracted using the RNeasy mini kit (QIAGEN category no. 74106) and QIAvac 24 vacuum manifold (QIAGEN category no. 19403). The extraction protocol was modified from the manufacturer's instructions as follows: 1 ml lysis buffer RLT (with 10 µl ß-mercaptoethanol) was added directly into each Whirl-Pak bag and allowed to soak the filter for 10 min, and the resulting extracts (lysates) were carefully removed by pipette into 2-ml microcentrifuge tubes (droplets hanging in the bag and water clinging to the filter were first squeezed to the bottom corner of the bag by manually applying pressure to the outside of the bag). If there was visible filter or sample debris, the particulate matter was removed by brief centrifugation. One volume of 70% ethanol (usually 1 ml) was then added to the extract and mixed by pipetting. Samples were transferred to the RNeasy spin columns filtered through with the QIAvac at approximately 500 mm Hg vacuum and were washed on the manifold, once with 700 µl RW1 solution and twice with 500 µl RPE solution to remove contaminants. The columns were cleared of remaining droplets of buffer by centrifugation into a 2-ml collection tube (14,000 rpm, Eppendorf 5415 microfuge, 2 min), and the buffer was discarded. The RNA was eluted from the columns into a 1.5-ml collection tube with 50-µl volumes of RNase-free water by centrifugation (10,000 rpm, 2 min; Eppendorf) after allowing the water to stay in the column 1 min. This filter extraction step typically took up to 2 h for 15 samples. In this study, we routinely froze the extracts at 80°C for qRT-PCR analysis the next day.
For each PCR, 5 µl of the 50-µl RNA was analyzed by qRT-PCR on a Mx3000P Thermal Cycler (Stratagene, Inc.). The PCR protocol was modified from the single-tube RT-PCR method previously developed for sludge samples by Monpoeho et al. (19, 20). Primers and probe, unchanged from the original published method (except for the BHQ quencher), were reverse primer Ev1 [5'-GATTGTCACCATAAGCAGC-3'] and forward primer Ev2 [5'-CCCCTGAATGCGGCTAATC-3'], synthesized by QIAGEN, and Ev-probe (5'-FAM-CGGAACCGACTACTTTGGGTGTCCGT-BHQ-Phosphor-3'), synthesized by Sigma Genosys. A GenBank BLAST search done on 3 June 2004 revealed that only human (not other animal) enteroviruses matched all three primer and probe sequences. Each PCR contained 5 µl RNA extract and 20 µl master mix; each 20 µl master mix contained 1x Taq gold buffer (ABI), 5.5 mM MgCl2 (ABI), 500 µM deoxynucleoside triphosphates (ABI), 6% glycerol (Sigma Chemical Co.), 2% PVP 40(polyvinylpyrrolidone; average molecular weight of 40,000; Sigma Chemical Co.), 500 nM Ev1, 400 nM Ev2, 120 nM Ev-probe, 1.5 µg T4 gene 32 protein (Ambion), 10 U of RNAsin (ABI), 2.5 U of AmpliTaq gold (ABI), and 5 U of murine leukemia virus RT (ABI). Each RNA extract was analyzed in duplicate. Enterovirus RNA was transcribed into cDNA at 50°C for 45 min, the cDNA was amplified by PCR after a 95°C 10-min hot start for 50 cycles at 94°C for 15 s and 60°C for 1 min. Fluorescence measurements were made during the extension step, every cycle at 60°C. Calculations for quantification were done by the Stratagene QPCR software in real time, with raw data saved for possible reanalysis. Parameters (e.g., fluorescence threshold) were set manually after PCR was completed to generate a standard curve with optimal statistics (usually r2 > 0.95; slope around 3.3), and unknowns were calculated based on that standard curve. Standards were prepared using the poliovirus stock described above. Standards used in the high concentration set were 10-fold dilutions ranging from 330 viral particles/well to 3.3 x 105 viral particles/well, while the seven standards used in the low-concentration set were 33, 99, 330, 990, 3,300, 9,900, and 33,000 viral particles/well. The lower range of standards was used with lower seeding concentrations. qRT-PCR results were available 3 h after the start of analysis, making the total PCR preparation and analysis time less than 5 h for 15 samples (or <8 h including filtration and reasonable setup and transfer times; somewhat less for single samples). Results are reported as equivalent virus particles per unit of sample volume, meaning that this is where the qRT-PCR calculation indicated the sample appeared relative to the standard curve prepared from poliovirus standards. For various reasons (see Discussion) these should not be considered necessarily to be linearly proportional to the viral titer in the field but instead are treated as relative units.
To estimate the loss of recovery efficiency due to inhibition of the qRT-PCR assay by contaminants present in the RNA extracts and for losses during extraction, filters from unspiked field samples (i.e., with no seeded poliovirus) were cut in half before extraction, with half of the filter being "spiked" with 0.1 µl (6.6 x 105 particles) poliovirus and the other half untreated. The filters went through the extraction and qRT-PCR assays together with other samples. Comparison of the recovered virus in the spiked field sample (i.e., spiked minus unspiked field sample) with the normal standard curve (i.e., poliovirus added directly to a PCR with no sample extract) permitted estimation of the extent of RT-PCR inhibition by the extracts plus extraction losses.
Field study.
HA filters were used for the investigation of enterovirus contamination along Ballona Creek (BC) of Los Angeles on 16 July 2003 and investigation of TC on 13 April 2004. BC originates from the center of Los Angeles, encompassing an urban watershed ending at the Pacific Ocean, receiving urban wastewaters from streets, lawns, and potentially sewage leaks along the way. Two 1-liter water samples were obtained from seven different locations along BC, representing locations where bridges cross the concrete-lined channel (Fig. 1). TC is a small mountain creek that runs through a canyon and mountain community with low population density and no centralized sewer system (homes are on individual septic systems). Two 1-liter water samples were obtained from 10 different locations along Topanga Creek (Fig. 1). One liter of each water sample was filtered through the HA filter, and extraction and analysis in duplicate was performed as described for the seeding experiments above. Other parameters measured included temperature and salinity by a handheld probe from Yellow Springs Instruments, Inc.
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FIG. 1. Map of field sample locations. The light zone marked "Los Angeles" is largely urbanized, and the darker "Santa Monica Mountains" has greatly reduced population density.
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TABLE 1. Average recovery efficiencies (combination of filtration, extraction and PCR efficiencies from 50 ml samples) of seawater and freshwater over a poliovirus seeding range from 6.6 to 330,000 enterovirus particles/ml, as determined by linear regression (see Fig. 2 and 3)a
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FIG. 2. qRT-PCR-estimated recovery of seeded polioviruses from freshwater samples with three filter types. The y axis indicates where the sample results occurred on the standard curve prepared from poliovirus. Lines are linear regressions forced through the origin. Panel A shows data for the entire concentration range, and panel B shows only the lower range. All data points from duplicate measurements (two assays from each extracted filter) are shown. The same poliovirus stock was used for the seeding (x axis) and for the standard curve used to calibrate the y axis, hence the slope reflects the recovery. In the poliovirus stock used there was approximately 1 PFU per 66 enterovirus particles.
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FIG. 3. qRT-PCR-estimated recovery of seeded polioviruses from seawater samples with three filter types. This figure is the same as Fig. 2, but it is for seawater samples.
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In the field study, samples were freshwater with the exception of Pacific (salinity of 30 practical salinity units [PSU] compared to seawater at about 33 PSU) and Lincoln (9.5 PSU); temperatures in BC ranged 23 to 26°C and 12 to 15°C in TC. Field results of enterovirus measurements (Table 2) showed that from TC, the negative controls showed no detectable enteroviruses, and 2 out of 10 samples were detectably positive in both replicates: Falls and Backbone. A third sample, from Paradise, appeared positive in only one of the two replicates. Only the Falls sample was statistically significant above controls. In BC (Table 2), two out of seven samples were clearly positive for enteroviruses: Pacific and Higuera. These are samples taken from nonadjacent areas. There was a very low but detectable background level seen in one out of three negative controls from BC, and some of the field samples from BC had one replicate undetectable and one slightly detectable. We interpret the detectable negative control as probably a small contamination of RNA or PCR products in a reagent or tube used in that study. It did not interfere with detection and quantification of enteroviruses in the clearly contaminated samples from the Pacific and Higuera locations.
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TABLE 2. Ballona Creek (16 July 2003) and Topanga Creek (13 April 2004) field study enterovirus concentrations, in units of equivalent enterovirus particles per milliliterb
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FIG. 4. Amount of RNA detected in an extract after it was subjected to two freeze-thaw cycles as a percentage of the amount of RNA detected after one freeze-thaw cycle.
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1 liter) of field samples and that simple extraction of those filters and qRT-PCR can be used to detect viruses within hours. Our protocol differed from that of Katayama et al. (13) in a few ways that we think are more appropriate for our laboratory. First, we did not rinse the filters with acid and elute with base as done by Katayama et al. Instead, we extracted the filters directly into a small volume suitable for direct qRT-PCR analysis. We found in preliminary experiments that the acid-base treatment did not significantly improve overall recovery but that it did require extraction from a much larger liquid volume and thus made the subsequent extraction steps more difficult and time-consuming (we were also not using the extracts to grow viruses in cell culture, so this part of the Katayama procedure was deemed unnecessary). Second, we used an RNA extraction kit readily available in the United States and Europe (QIAGEN, Inc.) rather than the kit used by Katayama et al. (13), which is not available in the United States. This allows the procedure to be used in many more laboratories around the world. Third, we used a modified real-time PCR protocol originally developed for sewage sludge by Monpoeho et al. (19), which includes components to reduce interference common in many field samples (especially in "dirty" samples where human fecal-borne pathogens are suspected). These components include T4 gene 32 protein (a single-stranded nucleic acid binding protein), polyvinylpyrrolidone, and RNase inhibitor. We found in preliminary experiments that these components improved overall recovery by twofold or more in some field samples, hence we used these qRT-PCR reagents instead of a commercially available kit. Our overall recommended protocol is shown as a flowchart in Fig. 5.
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FIG. 5. Flow chart of protocol for measuring enteroviruses in natural waters, with dashed lines indicating possible locations of tests for recovery and efficiency of various steps. diam., diameter.
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In our tests with added polioviruses, the overall recovery percentage was highest at high additions and was reduced at low additions. This suggests that low but detectable virus amounts in field samples are probably underestimates. It also means that attempts to use internal standards to correct for all losses would require multiple parallel additions (different concentrations) to each sample to cover the proper internal standard range. Owing to the variability in losses and detection, we report results as "equivalent enterovirus particles," but they should not necessarily be considered to be proportional to an actual virus titer. The reduced efficiency at low titers may be due to difficulty in capturing viruses, extraction losses, or storage losses. Regarding storage losses, we found that refreezing the extract for later analysis led to significant losses at low virus concentrations (Fig. 4). Thus, refreezing might result in false negatives. We speculate that this loss may be due to adsorption of viruses on the container walls.
While our recovery values from seeded field samples at low virus abundance may seem low in an absolute sense, it is important to consider we tested under realistic conditions highly relevant to actual field studies, not under ideal lab conditions or by spiking artificial seawater. At high enterovirus concentrations typical of other studies (see, e.g., reference 13), our recovery was comparably high, but we found such results to be unrealistic for field studies. We are not aware of any comparable small-volume and rapid method that has been shown to be better at the low (but still potentially hazardous) virus concentrations expected from contaminated recreational or shellfish harvesting waters.
We noted clear differences in uncorrected recovery in fresh- and seawater samples, and our inhibition experiments suggested that the differences may be in large part due to differences in inhibition of the PCR due to materials in the field extracts. Inhibition has been reported to be common and variable in extracts from field samples (28). Internal standards may be used to make some corrections for inhibition (Fig. 5), but as we noted, the concentration-dependent recovery would require careful choice of a range of internal standard additions, and the additional cost and effort may not be suitable for all studies.
For the two sets of field results, we saw a much higher level of enterovirus contamination (>10 times greater at "hotspots") in BC than in TC. This may be because BC is an urban storm drain that passes through a highly urban watershed, while TC passes through a residential but relatively pristine mountain area with a much smaller potential for human fecal contamination. Nevertheless, it shows that even relatively pristine waterways in inhabited areas can have detectable enterovirus contamination.
In summary, the approach used here represents a readily usable means to detect human enteroviruses in field samples from freshwater and marine environments. It has the potential to be applied in routine monitoring.
We thank Ximena Hernandez, Rosi Dagit, Steve Williams, Ian Hewson, Mike Schwalbach, Anand Patel, Josh Steele, Denene Blackwood, and Jason Gregory for assistance in sample collection and preparation and Douglas Moore for providing the titered poliovirus stocks.
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e, and S. B. Grant. 2003. A tiered approach for identification of a human fecal pollution source at a recreational beach: case study at Avalon Bay, Catalina Island, California, USA. Env. Sci. Technol. 37:673-680.[CrossRef]
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