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Applied and Environmental Microbiology, January 2007, p. 186-192, Vol. 73, No. 1
0099-2240/07/$08.00+0 doi:10.1128/AEM.01248-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Quality & Safety Assurance Department, Nestlé Research Center, Lausanne, Switzerland
Received 31 May 2006/ Accepted 27 October 2006
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While consumption of raw or improperly cooked shellfish remains the major risk factor for food-borne outbreaks, many types of berries increasingly are being recognized as vehicles of viral gastroenteritis (9, 18, 22, 24, 30, 33, 39, 48) or hepatitis A (5, 25, 37, 40, 41) outbreaks. The increased awareness that berries can transmit viruses is due to epidemiological surveys that have played an important role in identifying sources of infection, to the availability of improved methods for diagnosis of viral infections, and perhaps also to an increased occurrence of contaminated berries, which in turn may be related to imports from developing countries. About 15 berry-related outbreaks were reported in Finland between 1998 and 2001, resulting in a ban on the use of unheated berries in all catering and other large-scale kitchens (39). Recently, six norovirus outbreaks that occurred in Europe were associated with the consumption of frozen berries imported from Poland and involved up to 1,100 people (9, 15, 30).
Vegetables, including different types of salads and green onions, have also been associated with viral hepatitis and gastroenteritis (3, 12, 20, 35, 42). Recently, a hepatitis A outbreak caused by the ingestion of contaminated green onions resulted in three deaths among a total of 601 cases (53).
Reported RV food-borne outbreaks due to the consumption of berries or vegetables are scarce, but the involvement of fecally contaminated foods is often suspected (6, 10, 17). In addition RV, as well as HAV, was detected in lettuce in Costa Rican markets (23).
Although viral food-borne disease is a significant problem, foods are rarely tested for viral contamination, and such testing is usually limited to shellfish. Frequently, the cause of an outbreak is suspected to be of viral origin, but due to the lack of sensitive and reliable methods, this assumption can be confirmed by experimental results only rarely (43). More-sensitive techniques are required to detect viruses in food samples, in which viral loads are typically much lower than those found in clinical samples, e.g., 0.2 to 224 infectious particles per 100 g shellfish meat (55) or 103 to 105 genomes per gram of clam (8). Therefore, the two greatest challenges for the detection of enteric RNA viruses in food are to overcome the effects of inhibitory materials coextracted with viral RNA and to concentrate the low levels of viruses into a volume that is small enough for reverse transcription-PCR (RT-PCR) analysis. Moreover, the detection of viruses in berries, especially raspberries and blackberries, can be hampered by the presence of inhibitors and a low pH. For these reasons, the presence of viruses has been demonstrated for only a few naturally contaminated vegetables or berry samples (5, 18, 23, 27, 33).
Many different methods have been described for enteric virus detection (4, 11, 13, 33, 34, 43-46, 49, 52), but none has been validated for detecting the three viruses studied herein in a wide range of berries and vegetables (Table 1) . Only few laboratories are using such methods, since they are currently too expensive and time-consuming for the routine screening of food (36). Therefore, the purpose of this work was to develop a rapid, specific, sensitive, and reliable analytical procedure to detect enteric viruses in different types of berries, vegetables, and herbs.
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TABLE 1. Methods for enteric virus detection in vegetables and berries
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The cytopathogenic HM-175 strain of HAV (courtesy of A. Bosch, enteric virus group, University of Barcelona, Spain) and the human rotavirus strain Wa (ATCC, VR-2018) were propagated and assayed in FRhK-4 and MA-104 cell monolayers, respectively. Semipurified stocks were thereafter produced in the same cells by low-speed centrifugations of infected cell lysates. Infectious virus enumerations were performed by determining the 50% tissue culture infectious dose (TCID50) with eight wells per dilution and 20 µl of inoculum per well.
Viral genome quantification.
HAV RNA was quantified with a LightCycler hepatitis A virus quantification kit (Roche Diagnostics, Mannheim, Germany) on a LightCycler instrument as described previously (47). Briefly, a total of 2.5 µl of extracted RNA was transferred into a capillary containing 7.5 µl of master mix supplemented with 5% of dimethyl sulfoxide (Merck, Darmstadt, Germany), which markedly improved the sensitivity of the method due to the blocking of PCR inhibitors. RT was performed at 55°C for 10 min, and amplification was performed for 1 cycle of 95°C for 30 s and 45 cycles of 95°C for 5 s, 55°C for 15 s, and 72°C for 12 s. The LightCycler hepatitis A virus quantification kit contains internal HAV RNA standards that allow the number of RNA copies per sample to be estimated.
Norovirus GI RNA was quantified using a specific assay for the Valetta strain as described elsewhere (32) on an ABI Prism 7700 sequence detection system (PE Applied Biosystems, Foster City, Calif.). The NV RT reaction was performed at 41°C for 60 min using a Sensiscript RT kit (QIAGEN GmbH, Hilden, Germany) consisting of 1x RT buffer, 500 µM nucleotides, 1 µM of 9.4 Rev primer, 1 µl of Sensiscript reverse transcriptase, 10 U of RNase inhibitor (Promega, Madison, Wis.), and 10 µl of NV RNA in a final volume of 25 µl. NV real-time PCR was performed using a TaqMan Universal PCR master mix (Applied Biosystems) consisting of 1x TaqMan buffer, 0.2 µM of the TaqMan probe 9.4, and 0.3 µM of 9.4 Rev and For primers in a final volume of 50 µl containing 10 µl of cDNA. Amplification was performed for 1 cycle of 50°C for 2 min, 1 cycle of 95°C for 10 min, and 48 cycles of 95°C for 15 s and 58°C for 1 min. An NV standard curve was generated by amplifying 10-fold dilutions of the stool extract by real-time RT-PCR. The cycle threshold value obtained from the assay of each dilution was used to plot a standard curve by assigning a value of 1 RT-PCR unit (PCRU) to the highest dilution showing a positive cycle threshold value and values of 10, 100, and 1,000 PCRU sequentially to the lower dilutions.
Rotavirus real-time RT-PCR was based on a previous publication (38) with some modifications and adapted to the LightCycler instrument (Roche Diagnostics). Briefly, real-time RT-PCR was performed using a QuantiTectProbe RT-PCR kit (QIAGEN) consisting of 10 µl QuantiTect probe, 0.2 µl QuantiTect RT mix, 1 µM of NVP3-F and NVP3-R primers, 0.2 µM of the TaqMan probe, and 8 U of RNase inhibitor. Five microliters of RNA was denatured by heating for 5 min at 95°C and transferred into a capillary containing 15 µl of master mix. RT was performed at 60°C for 30 min; amplification was performed for 1 cycle of 95°C for 15 min and 45 cycles of 95°C for 0 s and 60°C for 1 min. An RV standard curve was generated by performing real-time RT-PCR on 10-fold dilutions of Wa-extracted RNA. The crossing points obtained from the assay of each dilution were used to plot a standard curve by assigning the corresponding TCID50 values.
Experimental protocol.
Locally purchased berries (strawberries, raspberries, blueberries, blackberries, and black currants), vegetables/herbs (lettuce, green onions, mint, parsley, and basil), and a sugared berry mix (consisting of raspberries, blueberries, and 10% sugar) were used in this study. Dilutions of viruses in phosphate-buffered saline (PBS) were seeded by distributing 30 µl over 10 spots on the surfaces of fresh or frozen berries and vegetables (15 g). Inoculated samples were air dried in a laminar flow hood for 60 min and then stored at 4°C overnight (4, 13). Viruses were released from the food surface by gentle shaking with 60 ml of elution buffer (50 mM glycine, 100 mM Tris, 1% [wt/vol] beef extract [pH 9.5]) for 15 min at room temperature (Fig. 1). The elution buffer was then transferred into a Falcon tube containing a nylon cell strainer of 40-µm pore size (BD Falcon, Basel, Switzerland) to remove particulate debris. Berries or vegetables and the cell strainer were rinsed with 6 ml and 2 ml of elution buffer, respectively. The recovered elution buffer was then adjusted to pH 7.0 ± 0.2 with 9.5 M HCl and centrifuged at 3,500 x g for 15 min. Further improvement of the detection of viruses in berries (except blueberries) was achieved by adding 300 µl of pectinase (Pectinex; Sigma, Buchs, Switzerland) in the elution buffer prior to the centrifugation and gently shaking for 30 min at room temperature. The extract was centrifuged at 3,500 x g for 15 min, and the supernatant was then transferred to a Centricon Plus-70 centrifugal filter device (100K NMWL; Millipore, Molsheim, France) and centrifuged at 3,500 x g to concentrate the virus particles in a volume of ca. 400 µl. The centrifugal filter device was subsequently rinsed with 200 µl of elution buffer, pH 7.0 ± 0.2, as preliminary tests had shown improvement in the virus recovery (Fig. 1).
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FIG. 1. Flow chart of the method.
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The RNA extraction from concentrated samples (ca. 600 µl) was performed using a Nuclisens magnetic kit (bioMérieux, Geneva, Switzerland) according to the manufacturer's instructions, and a NucliSens miniMAG instrument (bioMérieux) was used to collect and wash the magnetic silica particles.
RNA extracts were either immediately analyzed by real-time RT-PCR or stored at 80°C until use. Suspensions of nucleic acids were analyzed twice by the specific real-time RT-PCR method, which also allowed us to estimate the number of recovered viruses or RNA copies. Positive controls, with the same viral concentration as the suspension that was used to inoculate berries and vegetables, were analyzed in parallel by real-time RT-PCR to determine the recovery of the elution and concentration procedure.
Eluting conditions for berry analyses.
Fifteen-gram portions of fresh strawberries and frozen raspberries were inoculated with ca. 120 TCID50 of HAV, 540 PCRU of NV, and 26 TCID50 of RV. Each experimental condition was analyzed in duplicate and processed the same day as described above. The following elution buffers were tested: (i) 50 mM glycine, 1% (wt/vol) beef extract (pH 9.5); (ii) 50 mM glycine, 100 mM Tris, 1% (wt/vol) beef extract (pH 9.5); and (iii) 50 mM glycine, 100 mM Tris (pH 9.5).
Comparison of virus concentration methods.
Sixty-gram portions of fresh strawberries and raspberries were inoculated with ca. 480 TCID50 of HAV, 2160 PCRU of NV, and 104 TCID50 of RV and analyzed as a single sample in order to avoid variability. The elution buffer volumes were adjusted according the ratios mentioned above. After the pectinase treatment, the supernatant was split in four equivalent samples to compare in duplicate the efficiencies of virus concentration by polyethylene glycol (PEG) precipitation (PEG 6000; Fluka, Buchs, Switzerland) and by ultrafiltration (Centricon Plus-70).
For PEG precipitation, 68 ml of the elution buffer rinses was supplemented with 10% PEG and 0.3 M NaCl and shaken for 2 h at 4°C. Viruses were further concentrated by centrifugation at 10,000 x g for 30 min at 4°C. The pellet was immediately resuspended with 2.4 ml of AVL buffer containing carrier RNA (QIAamp viral RNA mini kit) and processed further according to the manufacturer's instructions.
Virus detection limit and efficiency of the procedure.
The detection limit of our procedure was experimentally determined by inoculating 15-g portions of berries and vegetables/herbs with serial dilutions of the three viral strains. Each experimental condition was analyzed in triplicate. The inoculated samples were processed as described above. At the end of the procedure, two values, corresponding to the level of virus present in the processed food sample on the one hand and the level of virus present in the positive controls on the other, were obtained for HAV, NV, and RV. The efficiencies of the whole procedure from different food matrices were estimated by comparing the number of viruses, or RNA copies, recovered from the food sample and the number of viruses from each positive control.
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TABLE 2. Comparison of elution efficiencies with different buffers for fresh strawberries and frozen raspberries
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FIG. 2. Comparison of PEG precipitation and ultrafiltration for virus concentration. Enteric virus recovery from fresh strawberries and raspberries is shown. Each experimental condition was analyzed in duplicate. Recoveries of HAV, NV, and RV from berries are depicted in white, gray, and black, respectively.
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TABLE 3. Comparison of methods of extracting viral RNA from inoculated frozen raspberries
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TABLE 4. Detection of HAV, NV, and RV in spiked berry samples by real-time RT-PCR
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The average recoveries from the fresh vegetables were ca. 42% (from 83.1 to 9.8%), 25% (from 46.3 to 9.5%), and 6.7% (from 21.2 to 1.6%) for HAV, NV, and RV, respectively (Table 5). Of the vegetables tested, lettuce and mint were best suited for virus recovery.
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TABLE 5. Detection of HAV, NV, and RV seeded in fresh vegetables by real-time RT-PCR
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Detection limits were 1.2 TCID50, 54 PCRU, and 0.02 TCID50 for HAV, NV, and RV, respectively, per 15 g of berries or vegetables (Tables 4 and 5). By use of the standard curve generated with the LightCycler hepatitis A virus quantification kit, the assayed HAV stock containing 1.2 x 106 TCID50 was estimated to have 1.9 x 108 RNA copies, which corresponds to an average detection limit of 190 RNA copies in 15 g of berry and vegetable samples. As few as 19 RNA copies were detectable in lettuce and basil samples (Table 5).
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All methods proposed so far, including the one described in this study, consist of an elution step to release the viruses from the food surface, because it is assumed that naturally contaminated samples carry virus particles only on the surface. Artificially contaminated samples, mimicking the most likely natural mode of contamination, were used to validate this method; however, a new mechanism of HAV contamination of green onions has recently been proposed. Chancellor et al. (7) found HAV particles trapped inside growing green onions taken up intracellularly through the roots, even though survival of the virus was not evaluated. This mechanism warrants further examination, and if confirmed for other viruses and for different fresh products it will definitely change future approaches for the detection of viruses in vegetables.
Several strategies for virus concentration, e.g., immunoconcentration, PEG precipitation, ultrafiltration, and ultracentrifugation, have been described. Immunological methods have been applied to virus detection in food samples (4, 27, 49, 50); however, NV immunoconcentration is unlikely to be adapted broadly for norovirus detection due to the difficulties in obtaining antibodies and its variability at the capsid level. As this study aimed at developing a method for virus detection for a broader range of berries and vegetables, the elution buffer and the method of concentration were optimized using the most difficult matrix (13), i.e., berry samples. The adaptation of this procedure to the vegetable samples was straightforward; only the pectinase treatment was not included. The concentration step is particularly critical when the viral load in samples is expected to be low and samples are further analyzed by RT-PCR, which requires a suitably concentrated small volume. In this context, two current viral concentration approaches were evaluated. Compared with PEG precipitation, the use of the ultrafiltration columns is less labor-intensive and time-consuming and, on average, doubles the virus recovery. However, other authors found better results with PEG precipitation than with ultrafiltration; this difference depends mainly on the RNA kit used thereafter or the type of food matrix (43).
Processing of berries and vegetables by use of the described method successfully removed PCR inhibitors in the RNA extract. This is a substantial improvement over results achieved with other published methods, which depend on dilution to circumvent the effect of PCR inhibitors to the detriment of the detection limit (13, 33, 34, 44).
Real-time RT-PCR methods were chosen for this study for a more accurate estimation of the viral recovery, but some caution is necessary when interpreting results. Quantitative RT-PCR methods presume that the target and the environmental sample are amplified with similar efficiencies. However, differences in the viral target sequences from the unknown samples may significantly reduce the efficiency of the RT-PCR and affect the final quantification. It is worth mentioning that the NV real-time method used in this study was designed specifically for the detection of the Valetta strain; therefore, for NV screening, the molecular detection method must be adapted.
This study reports detection limits of HAV and RV in the range of 1 or 0.02 infectious particles per 15 g of berries or vegetables, respectively, whereas the detection limit of noroviruses was ca. 50 PCR units. Virus recovery with berry samples was consistently low compared to that with vegetables, which confirms the findings of Dubois et al. (13). This has been attributed to virus inactivation on the berry surface by a pH drop (28). HAV, NV, and RV detection efficiencies from blueberry surfaces were higher than those from other berries, probably because it is easier to release viruses from smooth surfaces and also because blueberries have a relatively thick and waxy skin, which limits the exudation of antiviral substances (28). Additionally, the influence of individual food matrices and viral strains on the overall efficiency is also likely to be significant. The differences in the viral strains may be correlated with different stabilities under drying conditions and different levels of attachment to the food surface and the viral resistance at low pH (1, 31, 51). Recently, Vega et al. (51) demonstrated that viruses exhibited different attachment patterns depending on their isoelectric point, suggesting that the use of a particular pH buffer to release viruses from food surfaces could selectively recover a particular type or group of viruses.
The detection limits obtained with our procedure are similar to or even better than the lowest HAV and NV detection limits reported previously (Table 1) with the exception of the work of Guevremont et al. (21), who reported as little as 1 PCRU NV in green onions, whereas we found 50 PCRU NV. Nevertheless, this method was not validated for other food matrices, and comparable performances were obtained for HAV. Recently, similar detection limits were reported by Shan et al. (49), who detected 0.5 PFU HAV in green onions and strawberries. However, in this work HAV was inoculated in the rinse instead of on the food surface; hence, the efficacy of the PBS buffer used to release the viruses from the food surface was not proven. The detection limits obtained using our procedure would suit the needs of epidemiological investigations, since HAV, NV and RV infectious doses in food samples range from 10 to 100 viral particles. HAV has recently been quantified for naturally contaminated shellfish samples showing titers ranging from 1 x 103 to 1 x 105 HAV genomes per gram of clam (8). Considering that our HAV detection limit was 12 RNA copies per gram of berry or vegetable sample, viral contamination levels even 10 to 50 times lower could be detected by use of our methodology with berries and vegetables.
To our knowledge, this is the first reported methodology to detect norovirus, rotavirus, and hepatitis A virus in a broad range of berries and vegetables. This method has proven to be a reliable tool for concentrating and detecting enteric viruses in berries and vegetables within 6 h, a period of time that includes the real-time RT-PCR amplification step. The concentration and extraction method can eventually be applied for the detection of other food-borne viruses by adapting the molecular detection method. It would also be very useful during the epidemiological investigation of food-borne outbreaks and for a routine surveillance of enteric viruses from fresh and frozen berries and vegetables.
Published ahead of print on 3 November 2006. ![]()
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