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Applied and Environmental Microbiology, October 2006, p. 6593-6599, Vol. 72, No. 10
0099-2240/06/$08.00+0 doi:10.1128/AEM.03068-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Laboratory of Food Microbiology and Food Preservation, Department of Food Safety and Food Quality, Faculty of Bioscience Engineering, Ghent University, Ghent,1 Laboratory of Human Histology, University of Liege, Liege, Belgium2
Received 29 December 2005/ Accepted 31 July 2006
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In the present work an iqPCR method for detection of S. aureus enterotoxin B (SEB) was developed and evaluated using both pure cultures and foods. The sensitivity of the iqPCR method was compared to the sensitivities of two commercially available systems (SET-RPLA [Oxoid, Basingstoke, United Kingdom] and VIDAS-SET2 [bioMérieux, Marcy-l'Etoile, France]), as well as to the sensitivity of an in-house ELISA that served as an internal reference for iqPCR.
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TABLE 1. Characteristics of S. aureus strains used in the present study
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Antibodies, antigens, and in-house ELISA.
Five different sandwich formats using capture and detection antibodies and three direct ELISA formats using only a detection antibody were tested (Table 2). The formats were tested in duplicate and compared with each other using a twofold serially diluted standard solution of SEB (Toxin Technology, Inc., Sarasota, Fla.) as an antigen. All ELISA reactions were performed using 50 µl per well (96-well flat-bottom Microlon 600 extra-high-binding-capacity microtiter plates or Microlon 600 high-binding-capacity strip plates; Greiner bio-one B.V., Wemmel, Belgium), as described elsewhere (8).
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TABLE 2. Overview of ELISA formats tested, antibodies, and resulting sensitivities
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FIG. 1. Schematic diagram of the sandwich iqPCR model using the same capture and detection antibody for recognition of different epitopes on an antigenic molecule. Reprinted from reference 14 with permission from the American Association for Clinical Chemistry.
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The standard curve was reproduced using the same conditions in a different laboratory and with a different cycler (ABI Prism SDS 7000; Applied Biosystems, Foster City, Calif.).
The preliminary investigations of iqPCR specificity comprised a limited experimental setup with filter-sterilized cultures of S. aureus strains producing SE other than SEB (Table 1), as well as with cultures of a nonenterotoxigenic strain (which did not produce SEA, SEB, SEC, SED, and SEE), which were inoculated into TSB (approximately 6 log CFU ml1) and incubated for 24 h at 37°C.
Commercial SE detection systems.
Staphylococcal enterotoxin test kits for detection of staphylococcal enterotoxins A, B, C, and D by reversed passive latex agglutination (SET-RPLA; Oxoid) and an enzyme-linked fluorescent assay (VIDAS-SET2) with a Mini VIDAS compact automated immunoassay analyzer (bioMérieux) for SEA, SEB, SEC, SED, and SEE were used for comparison and to confirm results obtained with iqPCR. The assays were performed according to the manufacturers' protocols.
Determination of SEB production in food and culture media.
SEB production and detection in five different foods were investigated. Cooked ham, tuna, and paella were obtained from a local producer on the day of production. Additionally, milk reconstituted from a milk powder and a mixture of caramel and coffee creamer (mass ratio, 1:4) were both prepared in the laboratory. The pH and water activity of foods were measured using a pH meter (type 763; Knick, Berlin, Germany) with an electrode (model 104063123; Ingold, Urdorf, Switzerland) and a cryometer (AW-Kryometer; type AWK-20; NAGY Messsysteme GmbH, Gäufelden, Germany), respectively. Portions (50 g) of each food product were sterilized (121°C for 15 min), which ensured removal of the background flora and mimicked the processing conditions used for foods such as infant formulations and at the same time allowed unhampered S. aureus growth that would result in detectable SEB production. Sterilized foods were inoculated with 1 ml of an appropriate dilution of an overnight culture of an S. aureus strain (incubated at 37°C), providing a toxin-relevant inoculum level of approximately 6 log CFU g1 or 6 log CFU ml1, and were incubated at the optimal S. aureus growth temperature (37°C) for 24 h. Two additional samples of milk were inoculated and incubated at 22 and 42°C for 24 h.
SEB was extracted from inoculated foods by mixing 10 g of food with VIDAS-SET2 extraction buffer (mass/volume ratio, 1:1). The mixture was incubated for 20 min at room temperature and centrifuged at 16,000 x g (22 min at 22°C). The supernatant was separated by injection through a syringe with prewetted cotton in its cylinder. The eluate collected was immediately analyzed for the presence of SEB (or stored for a maximum of 24 h at 20°C). All samples were analyzed by iqPCR, in-house ELISA, VIDAS-SET2, and SET-RPLA. Besides food samples, a standard solution of SEB spiked into TSB or milk was simultaneously examined by iqPCR, which allowed quantification of SEB. iqPCR measurement was performed in duplicate or triplicate. For VIDAS-SET2 SEB was extracted from another 10 g of each sample by following the manufacturer's instructions.
To understand the impact of different incubation temperatures on SEB production, two SEB-producing strains, S. aureus ATCC 14458 and SK64f, were inoculated into TSB at a concentration of approximately 2 log CFU ml1. Nonenterotoxigenic S. aureus strain 171 served as a negative control. Cultures were incubated at 10, 22, 37, and 42°C, and SEB production was analyzed after 4, 8, 12, and 24 h in duplicate. Analyses were performed using iqPCR and in-house ELISA.
SEB and microbiological analysis of presumably naturally contaminated foods.
Six different, presumably naturally contaminated foods were obtained at the point of sale or directly from the producer on day 0 (strawberry-vanilla ice cream, peach fruit yoghurt, chocolate soy milk, ready-to-eat salmon-based salad, ready-to-eat tuna-based salad, and cooked ham). Each of the foods was divided into two portions (20 and 30 g). The 20-g portions were then divided into two 10-g portions, and therefrom two 8-g portions were spiked with 2 ml pure SEB (1 ng g1) to obtain a final concentration of 0.2 ng g1. Both 10-g portions (8 g food and 2 ml SEB solution) were extracted as described above and analyzed by iqPCR and VIDAS-SET2. The 30-g portion was used to determine the microbiological loads of the food (namely, the aerobic mesophilic count and the presumptive S. aureus count, as described above).
Statistical analyses.
Statistical calculations of mean values, standard deviations, and 95% confidence intervals were performed with Microsoft Excel 2003. The normality of data distribution for both in-house ELISA and iqPCR was determined with SPSS 12.0 (SPSS, Inc., Chicago, IL) using the Shapiro-Wilks W test. Appropriate Pearson correlations between the values in the linear range for iqPCR (SEB concentration versus Ct) and for in-house ELISA (SEB concentration versus optical density) were calculated.
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FIG. 2. Standard curves for ELISA format 4 with twofold serial dilutions of SEB solution in TSB ( ), expressed as optical density at 450 nm [O.D.(450 nm)], and for iqPCR with fivefold ( ) and additional twofold (x) serial dilutions of SEB solution in TSB, expressed as Ct values, for detection of SEB spiked in TSB, showing the detection ranges and sensitivities of the two detection techniques. The dashed arrows indicate the start of the dynamic (quantitative) range for iqPCR and ELISA, and the solid arrows indicate the end of the dynamic range. A sample with no SEB ( ) was used as a negative control in iqPCR.
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Development of iqPCR.
Detection of SEB with iqPCR started at a Ct greater than 20 (Fig. 3), allowing quantitative determination in the linear Ct range from approximately 23 to 30. Average measurements obtained with iqPCR with standard SEB spiked into TSB showed that the sensitivity was approximately 1,000 times higher (less than 10 pg ml1) than the sensitivity of ELISA (Fig. 2). Known concentrations of SEB spiked into reconstituted milk powder (starting concentration, 750 ng ml1) were detectable with iqPCR in a 105-fold-diluted sample (corresponding to approximately 7.5 pg ml1).
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FIG. 3. iqPCR amplification plot for fivefold serial dilutions of SEB spiked into TSB (the starting and final SEB concentrations were 750 ng ml1 and 1.8 pg ml1, respectively), showing the reporter signal versus amplification cycle. The four negative controls were a sample without SEB, a sample without coating antibody, a sample without detection antibody, and a sample without streptavidin-DNA complex; all had a Ct of more than 30.
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In iqPCR, all samples tested containing SE other than SEB had a Ct value of about 30 and thus were comparable to the negative control sample. Nor were positive results observed in the SET-RPLA test with anti-SEB antibodies. This limited study indicated that there was no cross-reactivity of the SEB antibodies used with other SE or metabolites formed.
Determination of SEB production in food and laboratory media.
All five foods inoculated with S. aureus had pH and water activity values greater than 5.8 and 0.98, respectively.
In paella and cooked ham inoculated S. aureus ATCC 14458 grew to concentrations of approximately 9 log CFU g1. In samples of the caramel-coffee creamer mixture and tuna no growth of S. aureus occurred. The resulting SEB production, as detected with iqPCR, is shown in Fig. 4. Quantitative interpretation of the data shown in Fig. 4 (based on a comparison of Ct values for different dilutions of food samples with Ct values for known SEB concentrations in TSB run in the same reaction) showed that the amounts of SEB produced in paella and in cooked ham were 15 ng g1 and 6 ng g1, respectively. SEB was detectable in the caramel-coffee creamer mixture and tuna, but the amounts were below the quantification limits, indicating that may have been transfer of SEB with the inoculum. Also, the VIDAS-SET2 analysis of inoculated tuna and the caramel-coffee creamer mixture showed a weak but positive reaction. The same samples were negative (no SEB detected) when they were tested with an in-house ELISA. Additional iqPCR performed with tuna and the caramel-coffee creamer mixture spiked with pure SEB (750 ng ml1) showed positive reactions until the concentration was 48 pg ml1, indicating that PCRs were not inhibited by the food matrix. Negative controls (food inoculated with S. aureus 171) and blank controls (noninoculated foods) were negative at all times.
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FIG. 4. (a) iqPCR results showing SEB production in paella ( ), cooked ham (x), tuna ( ), and caramel-coffee creamer mixture ( ), expressed as Ct values as a function of sample dilution. Noninoculated food samples served as a control without SEB. (b) Standard curves for pure SEB spiked into TSB (), used for SEB quantification, and for PBS-1% bovine serum albumin without SEB ( ), used as a control.
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FIG. 5. (a) iqPCR results showing SEB production in milk at 22°C ( ), 37°C ( ), and 42°C ( ), expressed as Ct values as a function of sample dilution. A noninoculated milk sample (x) served as a control. (b) Standard curves obtained with SEB spiked into milk (), used for sample quantification, and for a milk control without spiked SEB ( ).
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FIG. 6. Influence of incubation time and temperature on growth of (symbols) and SEB production by (bars) S. aureus ATCC 14458 ( and gray bars) and S. aureus SK64f (x and open bars). The error bars indicate standard deviations (n = 2) for average measurements of S. aureus counts and SEB concentrations. SEB production was determined by ELISA or by iqPCR for samples where ELISA gave negative results.
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FIG. 7. Robustness and application of iqPCR in screening of presumably naturally contaminated foods for the presence of SEB. (a) Strawberry-vanilla ice cream; (b) chocolate soy milk; (c) ready-to-eat tuna salad; (d) peach fruit yoghurt; (e) ready-to-eat salmon salad; (f) cooked ham.
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The real-time iqPCR used in the present study was highly sensitive, detecting SEB at concentrations of less than 10 pg ml1. The iqPCR described utilizes the same couple of polyclonal antibodies as a sandwich ELISA that was used for internal comparison, which has a detection limit of approximately 1.5 ng ml1. The dynamic range of iqPCR was Ct values of approximately 23 to 30, providing a quantification range of approximately 10 pg ml1 to 30,000 pg ml1. Quantification could not commence at lower Ct values as the ROX signal of the real-time cycler was calibrated to start from Ct 7 to 15 (values near 13 in the current setup). A Ct value of more than 30 for the control sample containing no SEB was expected due to the minor cross-reactivity of the antibodies, allowing fixation of some DNA in the well and causing a consequent background signal.
The specificity of iqPCR proved to be satisfactory as none of the test strains producing SEA, SEC, SED, and SEE reacted positively in the iqPCR. Extensive work of Becker et al. (4) revealed that the most of the strains tested in the present study harbor genes encoding other SE too. These authors found that strain ATCC 13565 was also positive for SED production and for the presence of the sej gene; strain ATCC 19095 harbored the seg, she, and sei genes; and strain ATCC 23235 harbored the seg, sei, and sej genes. Assuming that there was expression of all these genes, no cross-reactivity in iqPCR was observed with any of enterotoxins (SEA to SHE).
The high specificity, high sensitivity, and wide quantification range enabled study of SEB production correlated with the growth status, extrinsic and intrinsic factors, such as type of food and storage temperature, and the S. aureus strain involved. Use of iqPCR for detection of SEB in early growth phases revealed the onset of SEB production after 4 h of incubation at 22, 37, and 42°C, which was in the first half of the exponential growth phase. Some other findings suggest that SEB production is related to the late exponential phase and the transition to the stationary phase (6, 15, 23), which can be the case for some other members of the SE family. A significant increase in SEB production was noticed when the S. aureus counts reached 5 log CFU ml1. At 37 and 42°C this level occurred after 4 h of incubation, while at 22°C the time required was more than 8 h. Incubation for 24 h at 10°C did not result in measurable SEB production, while at room temperature (22°C) 4 h was long enough to produce amounts reported in a recent outbreak (1, 2), corresponding to S. aureus counts of approximately 3 log CFU ml1. This is especially true when the background flora is absent or hampered in its competition with S. aureus, as shown in the present study with heat-treated foods. A temperature of 42°C favored SEB production compared to 22 and 37°C.
Since heat treatment of foods prior to inoculation with S. aureus eliminated the effect of the naturally present background flora, additional analyses of foods in their natural states were performed. iqPCR analysis of these foods showed that none of the foods tested inhibited PCR or impaired antigen-antibody recognition. In addition, iqPCR showed the presence of detectable amounts of SEB in one of the samples tested, as confirmed with VIDAS-SET2. Earlier consumption of the product from the same batch of chocolate soy milk caused complaints by consumers. High Ct values obtained with foods not spiked with SEB showed that no detectable amounts of SEB were present in them. This limited robustness test indicates that iqPCR performed well with different food matrices even with background flora present.
In this study iqPCR showed the potential for detection and quantification of small amounts of SEB in both pure cultures and food samples. To our knowledge, this is the most sensitive technique for detection of S. aureus enterotoxin B that has been reported so far. Further research will have to prove the relevance of the low detection limit with regard to the amounts of SEB found in food and other samples and their relationship to the exact intoxication dose and dynamics at which SEB is produced under the influence of different factors. Similar applications for other members of the SE family are foreseen, as is possible screening for enterotoxin production by other staphylococcal species, such as S. intermedius (5).
We express our gratitude to K. Cudjoe from the Norwegian National Veterinary Institute for providing S. aureus strains and R. Reiser from Toxin Technology, Inc., for his valuable advice and support.
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