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Applied and Environmental Microbiology, April 2009, p. 2573-2576, Vol. 75, No. 8
0099-2240/09/$08.00+0 doi:10.1128/AEM.02576-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.
Hierarchical Oligonucleotide Primer Extension as a Time- and Cost-Effective Approach for Quantitative Determination of Bifidobacterium spp. in Infant Feces
Pei-Ying Hong,1
Gaik Chin Yap,2
Bee Wah Lee,2
Kaw Yan Chua,2 and
Wen-Tso Liu1,3*
Division of Environmental Science and Engineering, National University of Singapore, Singapore 117576,1
Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117576,2
Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Urbana, Illinois 618013
Received 11 November 2008/
Accepted 2 February 2009

ABSTRACT
The
Bifidobacterium spp. present in 10 infant fecal samples
(4 from infants with eczema and 6 from healthy infants) were
quantified with both hierarchical oligonucleotide primer extension
(HOPE) and fluorescence in situ hybridization-flow cytometry.
The relative abundances of
Bifidobacterium longum and
B.
catenulatum with respect to the total bifidobacteria had a poor correlation
(

, <0.600;
P value, >0.208), presumably due to differences
in primer specificity and the level of hybridization stringency
of both methods. In contrast, the relative abundances of organisms
of the genus
Bifidobacterium against the total amplified 16S
rRNA genes and those of
B.
adolescentis,
B.
bifidum, and
B.
breve against the genus
Bifidobacterium exhibited a good statistical
correlation (

, >0.783;
P value, <0.066). This good comparability
supports HOPE as a method to achieve high-throughput quantitative
determination of bacterial targets in a time- and cost-effective
manner.

INTRODUCTION
The "microflora hygiene" hypothesis states that a lack of exposure
to pathogens or certain commensal bacteria in early life may
predispose some individuals to allergic disorders (
14). However,
inconsistent findings on the abundance of health-associated
microbes have prevented precise conclusions as to their role
in modulating host health. For example, by performing fluorescence
in situ hybridization (FISH) on infant feces,
Bifidobacterium spp. were found in high abundance in healthy infants (
11). In
contrast, certain species, like
Bifidobacterium pseudocatenulatum,
may be more commonly detected in infants with eczema (
3). Therefore,
to facilitate our understanding of microbial composition and
its correlation to human health, it is essential to use a rapid
and high-throughput molecular method to determine the abundances
of bacterial targets in a large sample size (
16). Although FISH-flow
cytometry (FISH-FC) is routinely used to quantify the abundances
of bacterial targets in feces (
9,
11,
17), it does not suffice
as a high-throughput method due to the limited range of spectrally
distinct fluorophores that are available in the UV spectrum
(
10,
13). There is a need to develop a high-throughput technique
which can complement the existing molecular methods to rapidly
evaluate the relative abundance of bacterial targets.
A molecular method termed hierarchical oligonucleotide primer extension (HOPE) was developed to rapidly determine the relative abundances of bacterial 16S rRNA genes among total PCR-amplified 16S rRNA genes (19). HOPE uses primers of different lengths that were designed to target bacteria at different phylogenetic levels. The primers anneal to complementary regions of the targeted bacteria and extend with a fluorophore-labeled nucleotide when the bacterial target is present. The extended primers can be differentiated on a genetic analyzer based on primer length and fluorophore color. The relative abundance of the bacterial target against a higher-level primer can then be quantified by calculating the ratio of the peak area of the extended primer with that of a higher-level primer. A subsequent study demonstrated that HOPE can be used for rapid and specific determination of Bacteroides spp. present in feces and wastewaters at different taxonomical levels (5). It also has the versatility to be expanded to include other bacterial groups. This can potentially facilitate the identification and quantification of bacterial populations that modulate the health of an individual at different temporal intervals.
This study aimed to demonstrate HOPE as a time- and cost-effective method to quantify the abundances of Bifidobacterium spp. in 10 infant fecal samples (4 from infants with eczema and 6 from healthy infants) that were collected at 1, 3, and 12 months of age. The abundances of the Bifidobacterium spp. as determined, respectively, by HOPE and FISH-FC were also compared to validate the use of HOPE as a quantitative method.
To obtain the total PCR-amplified 16S rRNA genes, genomic DNA of the fecal microbiota was extracted based on a previously described protocol (12) prior to 20 cycles of PCR amplification (modified 11F forward primer 5'-GTT YGA TYC TGG CTC AG-3' and 1492R reverse primer 5'-GGY TAC CTT GTT ACG ACT T-3') (6, 7). The amplicons were purified, and the concentrations were diluted to 10 ng/µl. For HOPE, a total of 12 primers specifically targeting six Bifidobacterium spp. at different taxonomic levels were designed based on a previously described protocol (5). The specificity of the designed primers was verified in silico against entries in RDP II (2), and the sensitivity of the primers was determined as described previously (19). FISH-FC was performed on the same set of fecal samples based on the protocol described by Lay et al. (9). Table 1 lists the HOPE primers and FISH probes used in this study. A nonparametric Spearson ranked correlation analysis (Minitab) was performed on the abundances of Bifidobacterium spp. as quantified by FISH-FC and HOPE, respectively.
The extended HOPE primers were detected in the genetic analyzer
when target DNA templates made up more than 0.10% of the total
genomic DNA. The lower detection sensitivity of the
Bifidobacterium-targeting
primers than those obtained in previous studies (
5,
19) may
be due to the high GC content of DNA templates. As
Bifidobacterium spp. are predominant in infant feces (
4,
16), the effect of
the low primer sensitivities on subsequent findings could be
negligible.
Our findings agree with previous studies and suggested that the genus Bifidobacterium was predominant in the infants' fecal microbiota (Fig. 1). Furthermore, it was observed that the abundances varied across individuals and with time (Fig. 1). In most individuals, the relative abundances of the genus Bifidobacterium against the total amplified 16S rRNA genes were also highest in the fecal samples that were collected at 1 and 3 months after birth (Fig. 1). On average, B. adolescentis was only detected by both HOPE and FISH-FC in the fecal microbiota that was collected 12 months after birth (Fig. 2). In contrast, the B. catenulatum group and B. bifidum were consistently detected at all sampling times and at relatively high abundances of up to 28.5% and 16.6% of the total bifidobacteria, respectively (Fig. 2). Furthermore, B. breve was detected in the fecal microbiota of infants with eczema at 1 and 3 months after birth and at relative abundances that ranged from 2.8 to 7.9% of the total bifidobacteria (Fig. 2). In contrast, a reverse trend was observed throughout the period in healthy infants (Fig. 2). However, the role of B. breve in atopic eczema cannot be conclusively determined from this study as other variables such as the mode of delivery and the dietary regimen were not investigated (15).
To determine the comparability of HOPE and FISH-FC, the relative
abundances of
Bifidobacterium spp. quantified by both methods
were statistically analyzed by nonparametric Spearson correlation
analysis. The relative abundances of
B.
longum and the
B.
catenulatum group against the genus
Bifidobacterium did not show a significant
correlation (
P values = 0.208 and 0.623, respectively) (Table
2), and the discrepancy may be due to the different specificities
of the HOPE primers and FISH-FC probes. Table
1 showed that
FISH-FC probe Blon1004 was designed to target
B.
longum at a
fourfold higher coverage than the HOPE primer (Bil181) and would
understandably result in a significant difference between the
abundances detected. Although the HOPE primer and the FISH-FC
probe that target the
B.
catenulatum group have similar specificities,
the discrepancy in the abundances detected may be due to the
difference between the hybridization stringencies of the two
methods. In this study, fluorescently labeled probes for FISH-FC
were hybridized to their complementary 16S rRNA genes at 35°C
(
9). The low hybridization temperature may have resulted in
cross-hybridization with nontargets and therefore comparably
higher abundances of the
B.
catenulatum group than those quantified
by HOPE (Fig.
1).
View this table:
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TABLE 2. Nonparametric correlation analysis of the relative abundances of Bifidobacterium spp. determined by HOPE and FISH-FC
|
Despite the poor correlation of the relative abundances of
B.
longum and the
B.
catenulatum group, a fairly good correlation,
ranging from 0.783 to 0.920, was obtained for the relative abundances
of the bifidobacteria with respect to the total bacteria and
also for the relative abundances of individual species like
B.
adolescentis,
B.
bifidum, and
B.
breve against the genus
Bifidobacterium (average
P value = 0.04) (Table
2).
FISH-FC and quantitative PCR are two molecular methods used to examine the Bifidobacterium spp. present in the fecal microbiota. Compared to FISH-FC, the entire HOPE procedure for the identification and quantification of Bifidobacterium spp. after primary DNA extraction and PCR amplification took less than 120 min (5, 19), which was significantly shorter than that required for FISH-FC. Furthermore, we demonstrate the use of inexpensive unlabeled oligonucleotide primers to achieve up to nine-plexing per reaction. Compared to quantitative PCR, which uses fluorescently labeled PCR assays like the TaqMan, HOPE would allow a relatively more cost-effective examination of up to 864 targets in a 96-well plate format.
Furthermore, HOPE is highly adaptable and allows the total number of detectable bacterial targets to be easily increased simply by adding HOPE reactions or by adding a primer(s) to individual reactions. For example, although the HOPE primer targeting B. longum is highly specific, it did not achieve satisfactory coverage of the entire B. longum group. Primers that target B. dentium and B. infantis were also not included in this study. These species may constitute the large unidentified fraction of Bifidobacterium spp. that was not accounted for. Besides profiling for these known Bifidobacterium spp., the yet-to-be-cultured Bifidobacterium spp. can also be identified by the construction of 16S rRNA gene libraries and designed with new HOPE primers that target the unrepresented Bifidobacterium spp. The current list of primer assays can be easily expanded to include these new primers so as to provide more comprehensive coverage of the bifidobacterial population that is present in infant feces.
In summary, this study has demonstrated the potential of HOPE as a time- and cost-effective detection method that can examine the relative abundances of bacterial targets at various taxonomic levels. It can be used to capture possible changes in the abundances of Bifidobacterium spp. and/or other bacterial targets present in infant feces. The abundances can then be correlated with clinical disorders such as allergic diseases, and the findings will eventually assist in the elucidation of the roles played by microorganisms in the mediation of immune responses.

ACKNOWLEDGMENTS
The
Bifidobacterium reference strains used in this study were
generous gifts from Gerald Tannock, University of Otago.

FOOTNOTES
* Corresponding author. Mailing address: Department of Civil & Environmental Engineering, University of Illinois at Urbana-Champaign, 3207 Newmark Civil Engineering Laboratory, 205 North Mathews Ave., Urbana, IL 61801-2352. Phone: (217) 333-8442. Fax: (217) 333-6968. E-mail:
wtliu{at}illinois.edu 
Published ahead of print on 13 February 2009. 

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Applied and Environmental Microbiology, April 2009, p. 2573-2576, Vol. 75, No. 8
0099-2240/09/$08.00+0 doi:10.1128/AEM.02576-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.