Design and Validation of a Novel Multiplex Real-Time PCR Assay · Design and Validation of a Novel...

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® Design and Validation of a Novel Multiplex Real-Time PCR Assay for Vibrio Pathogen Detection ROBERT S. TEBBS, PIUS M. BRZOSKA, MANOHAR R. FURTADO, AND OLGA V. PETRAUSKENE* Life Technologies Corporation, Foster City, California 94404, USA

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Page 1: Design and Validation of a Novel Multiplex Real-Time PCR Assay · Design and Validation of a Novel Multiplex Real-Time PCR Assay for Vibrio Pathogen Detection ROBERT S. TEBBS, PIUS

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Design and Validation of a Novel Multiplex Real-Time PCR Assayfor Vibrio Pathogen Detection

ROBERT S. TEBBS, PIUS M. BRZOSKA, MANOHAR R. FURTADO, AND OLGA V. PETRAUSKENE*

Life Technologies Corporation, Foster City, California 94404, USA

Page 2: Design and Validation of a Novel Multiplex Real-Time PCR Assay · Design and Validation of a Novel Multiplex Real-Time PCR Assay for Vibrio Pathogen Detection ROBERT S. TEBBS, PIUS
Page 3: Design and Validation of a Novel Multiplex Real-Time PCR Assay · Design and Validation of a Novel Multiplex Real-Time PCR Assay for Vibrio Pathogen Detection ROBERT S. TEBBS, PIUS

Design and Validation of a Novel Multiplex Real-Time PCR Assayfor Vibrio Pathogen Detection

ROBERT S. TEBBS, PIUS M. BRZOSKA, MANOHAR R. FURTADO, AND OLGA V. PETRAUSKENE*

Life Technologies Corporation, Foster City, California 94404, USA

MS 10-511: Received 22 November 2010/Accepted 28 February 2011

ABSTRACT

Three species—Vibrio cholerae, Vibrio parahaemolyticus, and Vibrio vulnificus—account for the majority of vibrio infections

in humans. Rapid and accurate identification of Vibrio species has been problematic because phenotypic characteristics are variable

within species. Additionally, biochemical identification and confirmation require 2 or more days to complete. Rapid and sensitive

molecular techniques for the detection of vibrio pathogens would be useful for the surveillance and management of outbreaks. To

facilitate the identification of human-pathogenic species, we designed and validated a highly sensitive, specific, and robust multiplex

real-time PCR assay to identify V. cholerae, V. parahaemolyticus, and V. vulnificus using a four-dye configuration in a convenient

lyophilized format. Multiple Vibrio strains were sequenced to verify candidate target TaqMan sites. Several individual assays within

the multiplex contain multiple primers or probes to ensure detection of polymorphic variants. V. cholerae, V. parahaemolyticus, and

V. vulnificus were detected either individually or in mixtures at #30 genomic copies. V. cholerae was specifically detected in the

presence or absence of Vibrio mimicus. The Vibrio multiplex assay showed 100% specificity to all targets analyzed and no detection

of nearest neighbor strains. Each assay exhibited 100% ¡ 10% efficiency. Multiplex real-time PCR can simplify pathogen

detection and reduce costs per test since three species can be analyzed in a single reaction tube. Rapid and accurate detection of

pathogenic vibrios in shellfish or seawater samples will improve the microbiological safety of seafood for consumers.

The presence of pathogenic organisms in our food and

environment is a serious threat to human health. Vibrio

infections are becoming increasingly common in the United

States (4). Pathogenic vibrios cause three major syndromes of

clinical illness: gastroenteritis, wound infections, and septi-

cemia. Vibrios are gram-negative bacteria that are natural

inhabitants of the marine environment (24). The genus Vibrioincludes diverse aquatic bacteria belonging to 72 species.

Vibrios can produce multiple extracellular cytotoxins and

enzymes that are associated with extensive tissue damage and

that may play a major role in the development of sepsis (8, 19,23, 29). In the event of a natural disaster, the risk of vibrio

infection may be increased. During the 2 weeks following

Hurricane Katrina in August 2005, the Centers for Disease

Control and Prevention (CDC) reported 22 new cases of

vibrio infections in Louisiana and Mississippi. Vibriovulnificus accounted for most (82%) of these wound-

associated infections due to the exposure of skin and soft-

tissue injuries to the contaminated floodwaters (4). According

to the CDC, the recent cholera outbreak in Haiti due to poor

hygienic conditions following the January 2010 earthquake is

responsible for over 16,000 illnesses and nearly 1,000 deaths

(5). Due to the challenges involved in testing some clinical

samples associated with illnesses due to vibrio (e.g., a stool

culture requires the selective medium thiosulfate–citrate–bile

salts–sucrose), many cases of vibrio gastroenteritis may not

be identified (8). U.S. Food and Drug Administration and

U.S. Department of Agriculture regulations require that our

nation’s food supplies be tested for the presence of common

foodborne pathogens. Testing is required to detect Salmo-nella (specifically Salmonella serotype Enteritidis in shell

eggs (34)), Listeria monocytogenes (33), and E. coliO157:H7 (32); and positive results must be reported. Using

classical microbiological methods, it can take up to 1 week to

confirm the presence of a pathogenic organism (6, 8). The

morbidity and mortality associated with vibrio-mediated

waterborne diseases necessitates the development of sensitive

detection technologies that are able to elucidate the identity,

potential pathogenicity, susceptibility, and viability of

contaminating bacteria in a timely manner. Molecular tools

have proven to be useful in discovering and characterizing

emerging viruses and bacteria (2, 3, 9, 11, 13–15, 21, 31).However, despite the recent advances in detection of food

pathogens, there are still many challenges and opportunities

for improving the current technologies, including improving

the integration and automation of multiple operations,

increasing the throughput and robustness, and decreasing

the cost. Such platforms as oligonucleotide microarrays, for

instance, offer a fast, high-throughput alternative for the

parallel detection of microbes from virtually any sample.

However, further improvement in the prediction of the

hybridization behavior of the oligoprobes requires more input

from bioinformatics and the establishment of large reference* Author for correspondence. Tel: 650-766-9573; Fax: 650-638-6795;

E-mail: [email protected].

939

Journal of Food Protection, Vol. 74, No. 6, 2011, Pages 939–948doi:10.4315/0362-028X.JFP-10-511Copyright G, International Association for Food Protection

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TABLE 1. Test panel for Vibrio inclusion and exclusion strains

Strain Identification Designation Source

Detection by final

multiplex assay

V. cholerae PE571 036 z

V. cholerae PE572 055 z

V. cholerae PE573 072 z

V. cholerae PE574 075 z

V. cholerae PE575 z

V. cholerae PE576 0101 z

V. cholerae PE577 0105 z

V. cholerae PE587 CA385 z

V. cholerae PE589 01 z

V. cholerae PE590 0100 z

V. cholerae PE592 03 z

V. cholerae PE593 046 z

V. cholerae PE603 G26 z

V. cholerae PE606 G36 z

V. cholerae PE607 G38 z

V. cholerae PE627 G37 z

V. cholerae PE628 G42 z

V. cholerae PE630 G35 z

V. cholerae PE631 G33 z

V. cholerae PE682 J7 z

V. cholerae PE683 LAM-624 z

V. cholerae 01 PE637 079 z

V. cholerae 01 biotype Ogawa classicala PE1194 NCTC 8021 ATCC (14035) z

V. cholerae 01 biotype Ogawa El Torr PE1198 E7946 ATCC (55056) z

V. cholerae 01 biotype Inaba classical PE1195 569B ATCC (25870) z

V. cholerae 01 biotype Hikojima PE1196 ATCC (27070) z

V. cholerae 0139 PE570 M010 z

V. cholerae 0139 PE638 V39 z

V. cholerae 0139 PE639 639 z

V. cholerae 0139 PE640 139ARG z

V. cholerae 0139 PE641 AI1837 z

V. cholerae 0139 PE650 33/10 z

V. cholerae 0139 PE651 288/36 z

V. cholerae non-01, 0139 PE555 Y1 z

V. cholerae non-01, 0139 PE556 Y2 z

V. cholerae non-01, 0139 PE557 Y52 z

V. cholerae non-01, 0139 PE558 Y55 z

V. cholerae non-01, 0139 PE559 Y56 z

V. cholerae non-01, 0139 PE560 Y70 z

V. cholerae non-01, 0139 PE561 Y98 z

V. cholerae non-01, 0139 PE562 Y118 z

V. cholerae non-01, 0139 PE563 Y206 z

V. cholerae non-01, 0139 PE264 Y263 z

V. cholerae non-01, 0139 PE565 Y268 z

V. cholerae non-01, 0139 PE566 Y269 z

V. cholerae non-01, 0139 PE567 Y273 z

V. cholerae non-01, 0139 PE568 148 z

V. cholerae non-01, 0139 PE569 Y334 z

V. cholerae non-01, 0139 PE591 Y276 z

V. cholerae non-01, 0139 PE595 V71 z

V. cholerae non-01, 0139 AMC 20-A-10 ATCC (9459) z

V. cholerae non-01, 0139 biotype NAG PE1197 26 ATCC (35971) z

V. parahaemolyticus PE582 G29 z

V. parahaemolyticus PE583 G28 z

V. parahaemolyticus PE588 G30 z

V. parahaemolyticus PE613 G25 z

V. parahaemolyticus PE615 G133 z

V. parahaemolyticus PE616 G87 z

V. parahaemolyticus PE617 G135 z

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TABLE 1. Continued

Strain Identification Designation Source

Detection by final

multiplex assay

V. parahaemolyticus PE619 G27 z

V. parahaemolyticus PE620 G24 z

V. parahaemolyticus PE632 G73 z

V. parahaemolyticus PE633 G84 z

V. parahaemolyticus PE634 G86 z

V. parahaemolyticus PE635 G92 z

V. parahaemolyticus PE643 G96 z

V. parahaemolyticus PE648 G70 z

V. parahaemolyticus PE680 E-10 z

V. parahaemolyticus PE681 1318 z

V. parahaemolyticusa EB 101 ATCC (17802) z

V. parahaemolyticus PE1187 ATCC (BAA-238) z

V. vulnificus PE579 G67 z

V. vulnificus PE580 52785 z

V. vulnificus PE581 V345-83 z

V. vulnificus PE584 UMPC/40a z

V. vulnificus PE585 CVD773d z

V. vulnificus PE586 UNCC913 z

V. vulnificus PE622 NJMSA z

V. vulnificus PE644 GI z

V. vulnificus PE645 6365 z

V. vulnificus PE646 G14 z

V. vulnificus PE647 CVD773g z

V. vulnificus PE649 6365 z

V. vulnificusa PE1185 324 ATCC (27562) z

V. vulnificus PE1186 CDC 9505-95 ATCC (BAA-86) z

V. alginolyticus PE578 CVD6692 2

V. alginolyticus PE609 CVD6650 2

V. alginolyticus PE610 CVD6734 2

V. alginolyticus PE611 CVD6723 2

V. alginolyticus PE612 G45 2

V. alginolyticus Oyster (SJSU) 2

V. damsela (aka Photobacterium damselae) PE553 G44 2

V. damsela (aka P. damselae) PE554 CVD6847 2

V. damsela (aka P. damselae) PE602 CVD6740 2

V. damsela (aka P. damselae) PE608 CVD6740 2

V. damsela (aka P. damselae) PE642 CVD7332 2

V. damsela (aka P. damselae)a PE1182 ATCC (33539) 2

V. diazotrophicusa PE1184 ATCC (33466) 2

V. fischeri NCMB 1281 ATCC (7744) 2

V. fluvialis PE596 G19 2

V. fluvialis PE597 G20 2

V. fluvialis PE598 G21 2

V. fluvialis PE599 G22 2

V. fluvialis PE600 G43 2

V. fluvialis PE605 CS460 2

V. fluvialis PE623 G74 2

V. fluvialis PE624 G18 2

V. fluvialis PE625 G41 2

V. harveyi (V. carchariae) PE626 CVD6691 2

V. mimicus PE618 G46 2

V. mimicus PE621 G48 2

V. mimicus PE629 G34 2

V. mimicusa PE1181 ATCC (33653) 2

V. pelagius (aka Listonella pelagia)a PE1193 99 ATCC (25916) 2

V. proteolyticusa PE1183 ATCC (15338) 2

Staphylococcus warneri 2

a Denotes type strains.

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data sets to understand array-specific results (3, 7, 25).Sample preparation and bioinformatics analysis must be

addressed to specifically detect potentially low concentra-

tions of dangerous bacteria in the presence of high

concentrations of contaminants in order to improve the

specificity of this technology (27). Real-time PCR analysis

provides a simple, rapid, and reliable tool for identification

and quantification (11) of major pathogens in clinical and

environmental samples. Sequencing the DNA target region to

be used for pathogen detection for multiple strains is essential

for designing genomic tools for the identification and

detection of pathogens. The purpose of our study was to

develop a highly specific real-time PCR multiplex assay,

using public Vibrio species sequence information as well as

new sequencing data generated from additional strain

collections. A real-time PCR multiplex assay would shorten

time to result for detection, speciation, and quantification of

multiple Vibrio species in a single reaction.

MATERIALS AND METHODS

Bacteria strains and culture. Bacteria strains were collected

from commercial sources, private collections, and collaborators

over the course of many years. The collection is part of a

permanent stock at Applied Biosystems (Foster City, CA). Strains

and source information are shown in Table 1.

To prepare DNA from stock cultures, all Vibrio strains were

initially cultured at 37uC overnight (16 to 18 h) in nutrient broth

containing 3% NaCl. Strains that showed poor growth at 37uC were

further incubated at 30uC until dense growth was observed (e.g.,

Vibrio pelagius, American Type Culture Collection [ATCC] 25916).

Bacterial DNA was recovered from 1.5 ml of enriched culture by

centrifugation at 12,000 | g for 5 min in an Eppendorf centrifuge;

then, the supernatant was discarded and the pellet was resuspended

in 450 ml of lysis buffer (20 mM Tris, 2 mM EDTA, 100 mM NaCl,

2 mg/ml polyA RNA, 5% Triton X-100) containing 5 mg of lysozyme

(Sigma, St. Louis, MO). The sample was incubated at ambient

temperature for 10 min, followed by addition of 25 ml of 10% SDS

and 50 ml of 40 mg/ml proteinase K (Roche Applied Science,

Indianapolis, IN). The samples were incubated at 56uC for 20 min;

extracted twice with phenol–chloroform–isoamyl alcohol (25:24:1)

and once with chloroform; ethanol precipitated; and resuspended in

100 ml of TE buffer (10 mM Tris-HCl [pH 8.0], 1 mM EDTA). DNA

concentration was measured using the Nanodrop Spectrophotometer

(Thermo Fisher Scientific, Waltham, MA).

Assay design. We used a standard assay design process to

generate primer and probe combinations for real-time PCR pathogen

detection assays. The first step of this process was the generation of a

target consensus sequence based on multiple sequence alignments of

all available target sequences using the ClustalW algorithm (18).Sequences were used from the National Center for Biotechnology

Information (NCBI) GenBank and Ensembl. Second, a set of well-

described selection criteria (10, 17, 18) was applied, such as optimal

melting temperature, nucleotide distribution (e.g., avoid high

guanine-cytosine [GC] content and poly-N stretches), absence of

cross-hybridization, and amplicon size (i.e., 60 to 150 bp). This set

of rules was applied to design the candidate primer and probe

sequences that target a signature nucleic acid sequence in a microbe

of interest. A set of optimal assays was evaluated; criteria considered

were hybridization patterns of the two primers and a TaqMan probe

to the intended target sequence (10). Third, we selected multiple

assays with the highest specificity. The specificity was determined

based on comparisons of nucleic acid sequences of assay primers

and probes with genomic sequences from other (closely related)

bacterial species. These genomic sequences were from NCBI

GenBank and Ensembl databases, as well as from sequences that we

specifically generated for the design of the Vibrio pathogen detection

assays. Based on this sequence comparison, specific primers and

probes were identified. The amplicon sizes are 69, 106, and 84

nucleotides for Vibrio cholerae, V. vulnificus, and Vibrio para-haemolyticus, respectively. Primer melting temperatures were

approximately 62uC, and minor groove binder probes were

approximately 70uC. The GC content of the primer was between

44 and 73% GC. No primer interactions were observed. The primers

contained the highest number of mismatches in other (nonvibrio)

bacteria, with mismatches preferentially located at the 39 region of

the primers. This minimized the possibility that an assay would be

selected that generated a false-positive signal (10). Extensive

validation studies showed that the assays consistently demonstrated

close to 100% efficiency (10).

Sequencing. Vibrio DNA was amplified using sequencing

primers that bind to conserved regions located upstream and

downstream of the real-time PCR assay. Amplification was performed

as suggested by the manufacturer (True Allele PCR Premix, Applied

Biosystems). Samples that showed amplification were treated with

ExoSAP-IT (Affymetrix, Santa Clara, CA), and 1 ml of the treated

sample was used for DNA sequencing following the manufacturer’s

recommendation (BigDye XTerminator v1.1, Applied Biosystems).

Sequencing reactions were loaded onto DyeEx 2.0 spin (Qiagen,

Valencia, CA) columns as suggested by the manufacturer to remove

unincorporated dye terminators prior to loading onto the 3100 Genetic

Analyzer (Applied Biosystems). The sequence files were analyzed

using ClustalW multiple sequence alignment.

MicroSEQ ID. Bacteria identity was confirmed using the Fast

MicroSEQ 500 PCR kit (Applied Biosystems). Samples that showed

amplification were treated with ExoSAP-IT (Affymetrix), and 7 ml

of the treated sample was used for DNA sequencing using the

MicroSEQ 500 kit (Applied Biosystems). Sequencing reactions

were purified from unincorporated dye terminators using DyeEx 2.0

spin columns (Qiagen) and then run on a 3130xl Genetic Analyzer

(Applied Biosystems). Data was analyzed using the MicroSEQ

microbial identification software version 2.0 (Applied Biosystems)

(28) to confirm the strain identity.

Lyophilization of the multiplex Vibrio detection assay.

Each lyophilized reaction set included internal positive control DNA

template, primers, and TaqMan probes, the same as the wet format

multiplex. Each tube contained a single assay bead composed of all

reaction components required for real-time PCR, including buffering

agents, deoxynucleoside triphosphates, enzymes, and all three Vibrioassays. Components such as glycerol and Tween were incompatible

with lyophilization and were eliminated from the assay composition.

V. cholerae detection in seafood. Live oysters and clams were

purchased from a local Asian market. The samples were shucked

fresh and homogenized in a Waring blender (setting 5, 90 s).

Samples (25 g) were added to a stomacher bag (Whirl-Pak, PN

B01348WA, Nasco, Fort Atkinson, WI) and spiked with 20 ml of a

diluted overnight culture of V. cholerae (ATCC 14035), V.parahaemolyticus (ATCC BAA-238), and V. vulnificus (ATCC

BAA-86). The spike levels, determined by plate count for 25-g

samples of V. cholerae, V. vulnificus, and V. parahaemolyticus, were

,4, ,2.7, and ,29 CFU, respectively. The samples equilibrated for

15 to 30 min at ambient temperature, followed by the addition of

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225 ml of alkaline peptone water containing 2% sodium chloride.

The samples were incubated at 37uC for 7 h (static); after aliquoting

10 ml of samples, the remaining culture samples were returned to

incubation at 37uC for a total of 24 h. DNA from culture samples

was prepared for real-time PCR using the PrepSEQ Rapid Spin

Sample Preparation Kit (26) (a modification was made: 50 ml of

nuclease-free water was added to the 50 ml of lysate). The PrepSEQ

Nucleic Acid Extraction Kit (Applied Biosystems) was used for

comparison. Five microliters of the PrepSEQ Rapid Spin sample

and 10 ml of the PrepSEQ Nucleic Acid Extraction sample were

analyzed by real-time PCR on the 7500 Fast Instrument. The two

sets of sample preparation results were compared for each Vibriopathogen.

RESULTS

Specific assays design. We designed a one-step real-

time PCR test that can simultaneously and specifically detect

V. cholerae, V. parahaemolyticus, and V. vulnificus; these are

the vibrios that are most commonly encountered in human

infection and that are regulated by food protection agencies. To

test for assay specificity, a panel was established that contained

a diverse group of Vibrio isolates, including multiple Vibriospecies of different serotypes, and also a subset of non-Vibriostrains (Table 1). The panel was characterized by stereotyping

and by the MicroSEQ gene sequencing system for bacterial

identification (28). It also contained all ATCC type strains for

V. cholerae, V. parahaemolyticus, and V. vulnificus.Initially, we evaluated the use of the rpoB gene as a target

for our multiplex assay. The rpoB gene has been successfully

used in several studies as a target for specific bacterial

identification PCR assays (1, 16, 20, 22, 29). However, we

chose rnpB because this gene provided good discrimination

between different species based on public sequence informa-

tion and our internal sequencing efforts (Table 2).

Based on the newly created rnpB gene sequence data set

and public rnpB sequence information, we determined that V.vulnificus had enough differentiating polymorphisms to

reliably discriminate this Vibrio species cluster from others

(Fig. 1). Two real-time PCR assays for V. vulnificus were

designed (containing probe A and probe B) and tested using the

established strain panel (Fig. 2A through C). Both assays

showed partial detection of V. vulnificus, as demonstrated for

the assay with probe A (Fig. 2A). However, combination of

two probes (with the same LIZ fluorescent label) into one

primer-probe set resulted in a TaqMan assay that would

specifically detect all V. vulnificus strains (Fig. 2B) and that

would not detect any other closely related organisms, including

other Vibrio species.

Analysis of the collected rnpB sequence data showed that

there were not enough discriminative sequence differences for

V. cholerae and V. parahaemolyticus (in particular, V. mimicusversus V. cholerae) to design specific detection assays (Fig. 1).

Hence, additional gene targets were identified to design

specific detection assays for V. cholerae and V. parahaemo-lyticus. Candidate genes were 60-kDa heat shock protein

(HSP60) (12) for V. cholerae and the structural gene for a

subunit of DNA polymerase III holoenzyme (dnaE gene) (30)for V. parahaemolyticus. Real-time PCR assays were designed

based on these gene targets. All the V. cholerae strains and all

V. parahaemolyticus strains (inclusion panel, Table 1) were

tested using these newly designed TaqMan assays. To evaluate

the new assays, extracted DNAs from all the V. cholerae strains

from the inclusion panel taken in equal concentrations were

tested. While all strains showed amplification, a difference in

fluorescence (lower signal) was observed with some of the

strains as indicated on the amplification plot (Fig. 3A). The

‘‘outlier strains’’ were resequenced in the target region of the

hsp60 gene. TaqMan VIC-labeled probes to detect polymor-

phisms were designed. The two additional TaqMan probes

were incorporated into the V. cholerae assay with the same

fluorescent VIC-label as the first probe. The complete assay

again was screened against the test panel. All V. choleraestrains were detected, and no other closely related organisms,

including V. mimicus, were detected. All V. cholerae strains

were detected with strong fluorescence signals (Fig. 3B).

Similarly, all V. parahaemolyticus strains (inclusion

panel) and additional non–V. parahaemolyticus strains

(exclusion panel) were screened using newly designed

TaqMan assays that were based on the dnaE gene target.

TABLE 2. Strains (sequences) that were used to design resequencing primers for the RNaseP gene with perfect matches to the strains

Accession no. Strain Identification

AB047584.1 Vibrio_parahaemolyticus 12981

AB047586.1 Vibrio_alginolyticus 12982

AB047587.1 Vibrio_natriegens 12983

AB047588.1 Vibrio_harveyi 12984

AB047589.1 Vibrio_harveyi 12985

AB047590.1 Vibrio_campbellii 12986

AB047591.1 Listonella_pelagia 12987

AE003852.1 Vibrio_cholerae_O1_biovar_eltor_str._N16961 12980

AE016795.1 Vibrio_vulnificus_CMCP6 12988

AE016799.1 Vibrio_vulnificus_CMCP6 12989

BA000031.2 Vibrio_parahaemolyticus_RIMD_2210633 12990

BA000037.2 Vibrio_vulnificus_YJ016 12991

NC_002505.1 Vibrio_cholerae_O1_biovar_eltor_str._N16961 12992

NC_004459.1 Vibrio_vulnificus_CMCP6 12993

NC_004603.1 Vibrio_parahaemolyticus_RIMD_2210633 12994

NC_005139.1 Vibrio_vulnificus_YJ016 12995

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Similarly, a few strains demonstrated a lower fluorescence

in real-time PCR tests (Fig. 4A). The ‘‘outlier strains’’ were

resequenced in the target area of the hsp60 gene, and an

additional TaqMan probe in the conservative regions was

designed to cover the polymorphisms observed. The

additional specific TaqMan FAM-labeled probe was

incorporated into the V. parahaemolyticus detection assay

with the same fluorescent label as the first probe. The assay

was again screened against the test panel. All V.parahaemolyticus strains were detected, and no other

FIGURE 1. RNaseP gene target: partial sequence alignment for Vibrio RNaseP gene for representative sequenced Vibrio strains.

FIGURE 2. RNaseP gene target. Real-time PCR profiles for all 14 V. vulnificus strains (Table 1) tested with (A) the single-probe assayand (B) the dual-probe assay; (C) final V. vulnificus assay configuration.

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closely related organisms, including other Vibrio species,

were detected. All V. parahaemolyticus strains were

detected with strong fluorescence signals (Fig. 4B).

Bioinformatics evaluation of the mapping of the final

Vibrio assays against GenBank sequences resulted in high

predicted detection value for all strains.

Multiplex design and optimization. Optimization of

multiplex real-time PCR is required to avoid various cross-

interactions and to achieve accurate detection of multiple

target nucleic acids in one reaction. Our final Vibrio multiplex

contained eight primers (a forward and reverse primer for the

internal positive control, and for each of three Vibrio targets,

vulnificus, parahaemolyticus, and cholerae); it also combined

two LIZ-labeled probes specific for V. vulnificus, two FAM-

labeled probes for V. parahaemolyticus, three VIC-labeled

probes for V. cholerae, and one NED-labeled probe for the

internal positive control. Combining large number of primers

FIGURE 3. hsp60 gene target. Real-time PCR profiles for all 51 Vibrio cholerae strains (Table 1) tested with (A) the single-probe assayand (B) the three-probe assay; (C) final V. cholerae assay configuration.

FIGURE 4. dnaE gene target. Real-time PCR profiles for all 19 V. parahaemolyticus strains (Table 1) tested with (A) the single-probeassay and (B) the dual-probe assay; (C) final V. parahaemolyticus assay configuration.

J. Food Prot., Vol. 74, No. 6 MULTIPLEX REAL-TIME PCR ASSAY FOR VIBRIO PATHOGEN DETECTION 945

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and probes into one test required an increase in enzyme

concentration and Mg2z concentration (data not shown).

Comparison of singleplex and multiplex assayperformance. The performance of singleplex and multiplex

assays was compared using the same mix of four DNA

targets as a substrate to ensure that the multiplex assay

presents the same sensitivity as the singleplex assays. The

results of the comparison are presented in Figure 5A

through C. Four DNA targets were assayed with either the

multiplex real-time PCR assay or singleplex assays (Fig. 5).

The multiplex assay demonstrated detection sensitivity

similar to each singleplex assay—as low as 1 copy per

1 ml of the reaction. We also tested exclusion and inclusion

panels using the multiplex Vibrio detection assay (Table 1).

Only three species of Vibrio, cholerae, parahaemolyticus,and vulnificus, were detected with specific dye-signal, and

other Vibrio species were not detected (Fig. 5). Efficiency

for each specific target assay within the multiplex has been

determined to be close to 100%, similar to the performance

of the singleplex assays.

Performance of the lyophilized multiplex Vibriodetection assay. Primer and probe sequences used in the

lyophilized multiplex Vibrio detection assay test were the

same as those developed for the wet multiplex Vibriodetection assays. The multiplex lyophilized assay was

compared to the performance of singleplex Vibrio assays

(Fig. 6). DNA from three Vibrio species was purified from

V. cholerae (440 CFU), V. parahaemolyticus (560 CFU),

and V. vulnificus (730 CFU), mixed together, and tested. All

three species were clearly detected in one reaction by the

multiplex. High sensitivity would account for the reduced

sample enrichment time required, enabling the generation of

an accurate test result within a single production shift.

Performance of the lyophilized multiplex Vibriodetection assay with seafood samples. Oyster and clam

samples (25 g) were each spiked with V. cholerae (ca. 4 CFU),

V. parahaemolyticus (ca. 29 CFU), and V. vulnificus (ca.

2.7 CFU). All samples were enriched for 7 or 24 h (see

‘‘Materials and Methods’’). Two different DNA extraction

procedures were used for each sample, the PrepSEQ Rapid

Spin (column-based) sample preparation kit and the PrepSEQ

Nucleic Acid Extraction (magnetic particles–based) kit (26).Vibrio pathogens were consistently detected in all samples for

both 7- and 24-h enrichment times (Fig. 7). An enrichment

time of 7 h allows a total time to result of within 9 h, which is

considerably less than the time required by traditional culture

methods.

DISCUSSION

The need to detect a set of Vibrio species in a variety of

samples represents a significant challenge for both research

and food protection agencies. It was reported that three

species—V. cholerae, V. parahaemolyticus, and V. vulnifi-cus—account for the majority of vibrio infections in humans

(2). In this study we addressed simultaneous real-time PCR

detection and speciation of these species in a convenient

lyophilized format. Real-time PCR detection is a closed-tube

system because it does not require postamplification sample

handling; thus, it avoids accumulation and contamination of

amplicons, which can be a major source of false positives.

Our new three-species detection assay was tested against a

collection of Vibrio species for sensitivity and specificity.

The majority of the Vibrio species gave the expected result

for each assay (i.e., those species that the assay was designed

to detect were detected, and species that the assay was not

designed to detect were not detected). The inclusion of

multiple primers and probes allowed for 100% detection of

the entire species group. The three-target assay can detect 30

to 100 genomic target DNA copies per reaction. Efficiency

for each specific target assay within the multiplex was close

to 100%. The specificity and sensitivity of the lyophilized

multiplex Vibrio detection assay were the same as in the wet

assay. Bioinformatics evaluation of the final Vibrio multiplex

assay against GenBank sequences resulted in high predicted

FIGURE 5. Multiplex Vibrio detection assay performance: com-parison to each target singleplex assay. Multiple primers andprobes were combined for optimal detection of all strains of eachVibrio species. Cycle threshold values were similar in thesingleplex and multiplex assays across 6 log dilutions for eachspecies within the multiplex (A, B, and C).

946 TEBBS ET AL. J. Food Prot., Vol. 74, No. 6

creo
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FIGURE 6. Multiplex Vibrio detection assay performance: multiple dyes allow for detection and speciation of three Vibrio species. Thethree Vibrio species are distinguished by dye label. Each species can be quantified independently.

FIGURE 7. Detection of Vibrio cholerae (,4 CFU/25 g of sample, A and B), Vibrio vulnificus (,2.7 CFU/25 g of sample, C and D), andVibrio parahaemolyticus (,29 CFU/25 g of sample, E and F), in oyster and clam samples after 7 and 24 h of enrichment.

J. Food Prot., Vol. 74, No. 6 MULTIPLEX REAL-TIME PCR ASSAY FOR VIBRIO PATHOGEN DETECTION 947

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detection value for all strains. The multiplex was predicted to

detect all species strains with the corresponding specific dye

signal. The V. cholerae assay was predicted to detect all 34

strains in GenBank, the V. parahaemolyticus assay, all 56

strains, and the V. vulnificus assay, both strains.

High sensitivity of the lyophilized multiplex assay

would account for the reduced sample enrichment time

required (down to 7 h), enabling the rapid generation of

accurate test results within a single work shift.

Our newly designed Vibrio test can be conveniently used

to monitor the presence of pathogenic organisms in our food

and environment. It is designed in a convenient lyophilized

format with internal control, and, simultaneously, in one fast

real-time PCR reaction, it detects three pathogenic species—

V. cholerae, V. parahaemolyticus, and V. vulnificus—that

account for the majority of vibrio infections in humans.

ACKNOWLEDGMENT

We thank Priya Balachandran for her excellent technical contribution.

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