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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
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
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
940 TEBBS ET AL. J. Food Prot., Vol. 74, No. 6
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.
J. Food Prot., Vol. 74, No. 6 MULTIPLEX REAL-TIME PCR ASSAY FOR VIBRIO PATHOGEN DETECTION 941
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
942 TEBBS ET AL. J. Food Prot., Vol. 74, No. 6
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
J. Food Prot., Vol. 74, No. 6 MULTIPLEX REAL-TIME PCR ASSAY FOR VIBRIO PATHOGEN DETECTION 943
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.
944 TEBBS ET AL. J. Food Prot., Vol. 74, No. 6
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
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
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
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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