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Development and Evaluation of a Loop-Mediated Isothermal Amplification Assay Combined with Enrichment Culture for Rapid Detection of Very Low Numbers of Vibrio parahaemolyticus in Seafood Samples
Huiling DiLei YeSucharit Basu NeogiHecheng MengHe YanShinji Yamasaki Lei Shi
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2015 年 38 巻 1 号 p. 82-87

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Abstract

The aim of this study was to develop and evaluate a rapid and effective method to detect Vibrio parahaemolyticus, a leading pathogen causing seafood-borne gastroenteritis. A newly designed loop-mediated isothermal amplification (LAMP) assay including a short enrichment period was optimized. This assay correctly detected all the target strains (n=61) but none of the non-target strains (n=34). Very low numbers of V. parahaemolyticus (2 colony forming unit (CFU) per gram of seafood) could be detected within 3 h and the minimum time of the whole assay was only 5 h. Comparative screening of various seafood samples (n=70) indicated that the LAMP assay is superior to polymerase chain reaction (PCR) and conventional culture methods because it is more rapid and less complex. This highly sensitive LAMP assay can be applicable as the method of choice in large-scale and rapid screening of seafood and environmental samples to detect V. parahaemolyticus strains.

Vibrio parahaemolyticus is one of the most important seafood-borne pathogen causing gastrointestinal disorders to humans. This halophilic Gram-negative bacterium was first identified as a causative agent of human gastroenteritis in Japan in 1950.1) However, V. parahaemolyticus can occur ubiquitously in the brackish coastal environment of most continents and infections associated with seafood contaminated by this pathogen have occurred throughout the world.24) Particularly, the worldwide spread of the V. parahaemolyticus O3 : K6 serotype after its emergence in Asia in 1995, it has become very important to identify this pathogenic species in a rapid and sensitive manner.5) At present, the outbreak of V. parahaemolyticus infections is a significant public health concern in many countries including China, Japan and U.S.A.6,7)

Seafood is very popular in many countries, and simple and specific identification of a pathogen from seafood samples is essential for taking preventive and curative measures. Conventional methods for the diagnosis of V. parahaemolyticus include cultivation of bacteria on selective media followed by biochemical tests. However, the traditional phenotypic identification is problematic, it is very time-consuming requiring 3–7 d and not highly specific because several Vibrio species display similar biochemical characteristics, which make it difficult for rapid identification of V. parahaemolyticus.8) To circumvent this problem, the identification of V. parahaemolyticus by rapid and specific molecular techniques targeting the genes encoding thermostable direct haemolysin (TDH) and TDH-related haemolysin (TRH) were developed.911) However, these genes are only found in pathogenic strains and most V. parahaemolyticus isolates from the environment sources do not produce TDH or TRH.3,12) Besides, there are reports of toxigenic factors other than TDH or TRH, e.g., type III secretion system 2, associated with clinical V. parahaemolyticus strains.13) Epidemiological and ecological surveillance on the overall population of a potentially pathogenic species is required as horizontal transfer of toxigenic genes can equip the non-toxigenic strains with epidemic potential.14) The tlh/ldh gene was present in all V. parahaemolyticus isolates from both clinical and environmental sources but was absent in other Vibrio species. The tlh/ldh gene appears to be specific to V. parahaemolyticus by polymerase chain reaction (PCR) assay. Therefore, it may be appropriate to target tlh/ldh gene for the detection of V. parahaemolyticus.11,1517) The loop-mediated isothermal amplification (LAMP) method described by Notomi et al. is more advantageous than the PCR assay because it is more rapid, easier to perform and does not necessarily require expensive thermal cycler machine.18) In the LAMP method it is possible to amplify DNA fragments within 90 min by using only water bath or heat block. Previous studies have reported the sensitivity of the LAMP method ranges from 102 to 105 colony forming unit (CFU)/g V. parahaemolyticus in spiked oysters.17,19) However, seafood with low levels of V. parahaemolyticus has potential risks to human infection because a small number of this pathogen, e.g., ca. 102 cells/g seafood, can increase substantially, e.g., >105 cells/g seafood, within 2 to 3 h at temperatures between 20°C and 35°C.20) Therefore, it is necessary to develop a more sensitive method for the detection of V. parahaemolyticus strains in seafood.

The objectives of this study were to develop a new LAMP assay targeting the tlh/ldh gene in combination with a short period of enrichment for rapid and sensitive detection of V. parahaemolyticus in seafood samples and to evaluate this assay with the PCR and conventional culture methods. This simple and sensitive assay would be helpful for epidemiologists, physicians and ecologists in early diagnosis of V. parahaemolyticus contaminations in seafood or other samples.

MATERIALS AND METHODS

Bacterial Strains and DNA Templates Preparation

A total of 61 V. parahaemolyticus strains including one reference strain (ATC C 17802) and 21 strains representing nine important pathogenic Vibrio species were used in this study to evaluate the specificity of the LAMP assay. Besides, 13 strains of other important bacterial species were also included, e.g., Listeria spp., Escherichia coli, Cronobacter sakazakii, Lactobacillus spp., Salmonella Typhimurium, Staphylococcus aureus and Streptococcus thermophilus. Details of these strains are described in Table 1. The bacterial strains were maintained in brain heart infusion broth (BHI; Becton, Dickinson NJ, U.S.A.). All the V. parahaemolyticus strains were kindly donated by Hebei Province Center for Disease Control and Prevention, China. Other bacterial strains were obtained from the culture collection of the College of Light Industry and Food Sciences, South China University of Technology. All Vibrio strains were cultured using BHI agar or broth supplemented with 3% NaCl at 35°C overnight. Non-Vibrio strains were also grown on BHI agar. To prepare DNA template, a single freshly grown bacterial colony was suspended in 100 µL of TE buffer (10 mM Tris–HCl, pH 8.0; 1 mM ethylenediaminetetraacetic acid (EDTA); Sigma-Aldrich, China). Then the suspension was heated at 100°C for 10 min followed by quick cooling on ice for 5 min. The cell lysate was centrifuged at 12000×g for 2 min and the supernatant containing the extracted DNA was stored at −20°C until use.

Detection of V. parahaemolyticus Cells in Spiked Oysters

The spiked oysters were prepared as described previously with slight modifications.19) Oysters were obtained from local retail market and confirmed as V. parahaemolyticus-negative following methods as described previously.21) A portion of the oyster sample (25 g) was mixed with 225 mL of 3% NaCl alkaline peptone water (APW, pH 8.5; Becton, Dickinson) and homogenized in a BagMixer® (400 v/w; Interscience, Saint Nom, France) for 1 to 2 min. V. parahaemolyticus ATC C 17802 strain was grown in APW media at 35°C for 6–8 h until the mid-log phase and then the culture was serially diluted 10-fold in phosphate-buffered saline. Each dilution was spread on BHI agar supplemented with 3% NaCl to determine bacterial counts after overnight incubation at 35°C. One milliliter of each dilution was inoculated into 9 mL of the oyster homogenate. Thereafter, 1 mL of each of the mixture was put into a 1.5 mL-fresh tube and centrifuged at 12000×g for 5 min and the harvested cell pellets were suspended into 100 µL of TE. To obtain the DNA preparation, the cell suspension was boiled, and an aliquot (2 µL) of the preparation was used for both LAMP and PCR amplifications.

Optimization of Enrichment Culture Time

Inocula representing 50 CFU of V. parahaemolyticus were mixed with 25 g of each of the oyster samples obtained from local seafood retail market so that the ultimate dose of the inoculated V. parahaemolyticus become 2 CFU/g oyster. The inoculated oyster samples were aseptically placed in a disposable plastic bag containing 225 mL of APW (pH 8.5) supplemented with 3% NaCl and homogenized as previously described.21) After enrichment for 2-, 3-, 4-, 5-, 6-, 7- or 8-h at 35°C (180 rounds/min) 1 mL portion of the homogenized samples was put into a 1.5 mL-fresh tube and centrifuged at 3000×g for 5 min. Thereafter, the supernatant was collected and centrifuged again at 12000×g for 5 min to pellet the bacterial cells. The harvested cells were suspended into 100 µL of TE and boiled DNA template was prepared as mentioned earlier.21) An aliquot (2 µL) of the preparation was used for LAMP amplification. The LAMP assays were repeated three times, according to the time of yielding the amplification curve in a real-time turbidimeter (LA-320C; Eiken Chemical, Co., Ltd., Toyko, Japan), and the shortest cultivation time for detection of V. parahaemolyticus was determined.

Detection of V. parahaemolyticus in Seafood Samples

Seventy seafood samples were randomly acquired from local retail markets and analyzed within the products’ shelf life. These samples included 10 of each of the seven categories of seafood representing sleeve-fish, cuttlefish, jellyfish, tegillarca, oyster, weever and shrimp. Each of the seafood samples (25 g) was aseptically placed in a disposable plastic bag containing 225 mL of APW (pH 8.5) supplemented with 3% NaCl, and homogenized and cultured at 35°C until the optimized time period as described earlier. V. parahaemolyticus was detected and identified by the conventional culture as well as the LAMP methods. The conventional phenotypic culture based identification was performed according to a previously described method.8) Briefly, one loopful of the enriched culture was spread onto a thiosulfate citrate bile salt sucrose (TCBS) agar plate (Eiken Chemical, Co., Ltd.) using a disposable loop and incubated at 37°C for 24 h, and green either yellowish, round and large colonies on a plate were subjected to selective biochemical tests.

The Real-Time Turbidimeter LAMP Assay and PCR for Detection of V. parahaemolyticus

A set of the outer primers (F3: 5′-GCG CAA GGT TAC AAC ATC AC-3′ and B3: 5′-ATG CGT GAC ATC CCA GAA C-3′) and the inner primers (FIP: 5′-GCG TTC ACG AAA CCG TGC TCT TTT TTT ATT CGT CAC GCC TTG TTC G-3′ and BIP: 5′-TTG GAC ATC AAC CGC TCA TCG TTT TTG ACG CTG CAC ACT CAG AG-3′) were designed from the nucleotide sequence of tlh/ldh by PrimerExplorer V4 software (Eiken Chemical; http://primerexplorer.jp/elamp4.0.0/index.html). The LAMP reactions were carried out using a Loopamp DNA amplification kit (Eiken Chemical Co., Ltd.). The 25 µL volume reaction mixture contained 40 pmol each of FIP and BIP, 5 pmol each of F3 and B3 primers, 2 µL of template, 1 µL (8 U) of Bst DNA polymerase and 12.5 µL of reaction mix prepared in the kit. The LAMP assay was accomplished by incubating the reaction mixture at 63°C for 60 min in a Loopamp real-time turbidimeter LA-320C (Eiken Chemical, Co., Ltd.).

All the strains belonging to target as well as non-target species (Table 1) were verified by both the LAMP assay and a PCR method using the LAMP outer primers (F3 and B3). Occurrence of V. parahaemolyticus in food samples was also detected by both the LAMP assay and PCR method. Preparation of the reaction mixture and thermal conditions for the PCR was followed according to a previously described method.22) The PCR products (amplicon size 210 bp) were subjected to 2.0% agarose gel electrophoresis in TAE (40 mmol/L Tris–acetate, 1 mmol/L EDTA) buffer followed by staining in ethidium bromide solution (2 µg/mL) and destaining in distilled water for 5–10 min each. Afterwards images were captured by Gel-Doc 2000 (Bio-Rad, CA, U.S.A.).

Table 1. Bacterial Strains Used in This Study
Species (n)StrainsSourcea)Molecular detection
PCRLAMP
Vibrio parahaemolyticus (61)17802TATCC61/6161/61
Vp1 to Vp60HPCDCP
Vibrio vulnificus (10)27562TATCC0/100/10
01745TACCC
10383, 10384, 21615CICC
1H00066, 1D00023, 1B00281,MCCC
1H00047, 1A02606
Vibrio harveyi (2)14126TATCC0/20/2
1.1601CGMCC
Vibrio alginolyticus (2)17749TATCC0/20/2
1.1607CGMCC
Vibrio fluvialis (2)1.1612, 1.1609CGMCC0/20/2
Vibrio cholerae (1)14035TATCC0/10/1
Vibrio mimicus (1)21613CICC0/10/1
Vibrio natriegens (1)1.1619CGMCC0/10/1
Vibrio splendidus (1)1D00149MCCC0/10/1
Vibrio cincinnatiensis (1)1H00030MCCC0/10/1
Listeria monocytogenes (1)19115TATCC0/10/1
Listeria innocua (1)11288TNCTC0/10/1
Listeria ivanovii (1)11846TNCTC0/10/1
Listeria seeligeri (1)11856TNCTC0/10/1
Listeria welshimeri (1)11857TNCTC0/10/1
Escherichia coli (1)10418TNCTC0/10/1
Cronobacter sakazakii (1)29544TATCC0/10/1
Lactobacillus casei (1)393TATCC0/10/1
Lactobacillus delbrueckii (1)12315TATCC0/10/1
Salmonella Typhimurium (1)13311TATCC0/10/1
Staphylococcus aureus (1)29213TATCC0/10/1
Streptococcus thermophilus (1)19258TATCC0/10/1

a) ATCC, American Type Culture Collection; ACCC, Agricultural Culture Collection of China; CGMCC, China General Microbiological Culture Collection Center; CICC, China Center of Industrial Culture Collection; MCCC, Marine Culture Collection of China; NCTC, National Collection of Type Cultures, U.K.

RESULTS AND DISCUSSION

Specificity and Sensitivity of LAMP Detection

In the recent decade, increase in seafood-borne infections caused by V. parahaemolyticus, is a major concern and a simple and effective method for rapid detection of this bacterium is required.5,23) In this study, the LAMP assay using a real-time turbidimeter could successfully detect V. parahaemolyticus ATC C 17802, as well as all other target V. parahaemolyticus strains (n=60), while it showed negative results for 33 other non-target bacterial strains (Table 1, data not shown). Therefore, the sensitivity and specificity of this assay was 100%. This indicates that the genetic regions selected for the primers of the LAMP assay are highly conserved among the V. parahaemolyticus strains and the newly developed LAMP assay of this study was highly specific. Similarly, no false positive or negative results were observed by PCR using F3/B3 primers (Table 1). A high efficiency of the PCR-based detection of V. parahaemolyticus strains targeting the tlh/ldh gene has been reported by other studies.11,24) Other possible target genes for the specific detection of V. parahaemolyticus by LAMP assay include the gyrB, encoding the B subunit of DNA gyrase, and virulence regulatory toxR genes, both of which have been successfully used in PCR assays.25,26)

The detection limit of V. parahaemolyticus ATC C 17802 cells in the spiked oyster samples by the LAMP assay is revealed in Fig. 1. In case of spiked oyster samples without enrichment, the real time turbidimeter could easily detect amplification signals generated from higher concentration of target cells (4.0×107 CFU/mL homogenates) at ca. 30 min. The detection of positive signals by the turbidimeter was delayed with decreasing number of cells and the LAMP assay detected as low as 4.0×104 CFU/mL concentration of V. paraheamolyticus in the homogenate samples after ca. 40 min. However, in case of pure culture of V. parahaemolyticus, the sensitivity of the LAMP assay was 10-fold higher (i.e., 4.0×103 CFU/mL) than that for the spiked oyster sample (data not shown). This indicates that food component, such as blood, calcium ion and other substances, might interfere with the LAMP reaction. Thus, the application of a more sensitive detection method is required to detect the low concentration (<103 CFU/g) of V. parahaemolyticus populations. The LAMP assay developed in this study can be considered as very efficient as the highly efficient PCR or LAMP assays have a detection limit of 103 to 104 cells/mL of sample, i.e., ca. 1 to 10 cells/µL or 1 to 10 cells per reaction tube.17,26)

Fig. 1. Sensitivity of LAMP Assay to Detect V. parahaemolyticus ATCC 17802 in Spiked Oyster Samples without Enrichment

Sample 1, water used as a negative control; and samples 2–7, ten-fold serial dilutions of V. parahaemolyticus (4.0×107 to 4.0×102 CFU/mL). Higher concentration of target cells (4.0×107 CFU/mL) produced positive signal at ca. 30 min. However, this assay detected up to 4.0×104 CFU/mL concentration of V. parahaemolyticus which produced positive signal at ca. 40 min.

Optimization of Enrichment Culture Time

The present study attempted to detect a very few number of V. parahaemolyticus (ca. 2 CFU/g seafood sample) by employing the LAMP assay after a brief enrichment period. As illustrated in Fig. 2, although no amplification curve was yielded in the real-time turbidimeter after 2-h enrichment, the positive LAMP results were detected when the DNA samples were prepared from 3-, 4-, 5-, 6-, 7- and 8-h enrichments. The signal curves representing the enrichment samples of 7- and 8-h almost superimposed each other indicating reaching of a stationary phase of the inoculated V. parahaemolyticus populations. Comparative analysis of the signal curves of LAMP assay representing seafood sample containing ca. 104 CFU/mL inoculum of V. parahaemolyticus without enrichment (Fig. 1) and a 3-h enrichment of seafood sample inoculated with ca. 2 CFU/g V. parahaemoluticus (Fig. 2) having detection time of ca. 40 and ca. 48 min, respectively, indicates that the number of V. parahaemolytics population was <104 CFU/mL after 3 h enrichment. Therefore, the LAMP assay developed in this study is highly efficient to detect even a very low number of V. parahaemolyticus cells after 3 h enrichment in APW (3% NaCl). It is important to detect the presence of few cells of V. parahaemolyticus in seafood samples because this bacterium can rapidly grow at room temperature (25°C, more or less) reaching to the pathogenic dose.20) A recent study with enrichment-based LAMP assay required 17–19 h for the final determination.8) On the other hand, the LAMP assay developed in the present study including the enrichment, DNA extraction and LAMP amplification steps can be completed within 5 h, which advocates the usefulness of this assay as a superior method of choice for the large-scale screening of seafood and other environmental samples.

Fig. 2. Optimization of Enrichment Culture Period of LAMP Assay

V. parahaemolyticus ATCC 17802 was inoculated into oysters free of this pathogenic species at a very low concentration (2 CFU/g), and the oysters were homogenized and subjected to the enrichment culture. Thereafter, the culture was withdrawn periodically, and the LAMP assay to detect V. parahaemolyticus was performed. Sample 1, water used as a negative control; and samples 2–8 represent periodic enrichment cultures, i.e., 8-, 7-, 6-, 5-, 4-, 3- and 2-h enrichment culture of V. parahaemolyticus ATCC 17802, respectively.

Evaluation of the LAMP Assay in Detection of V. parahaemolyticus in Seafood Samples

A total of 70 seafood samples were evaluated by the newly developed LAMP assay combined with enrichment to detect the presence of V. parahaemolyticus, and the results were compared with those of a conventional culture as well as PCR methods. As shown in Table 2, V. parahaemolyticus was isolated from 11 of 70 seafood samples (15.7%) tested by the conventional method, and all of them were also positive by the LAMP assay. However, the PCR method appeared to be less effective as it detected V. parahaemolyticus in 10 out of these 11 positive samples and failed to detect the presence of V. parahemolyticus in one sample (cuttlefish), which was positive by the LAMP and culture methods. Seafood samples in which V. parahaemolyticus was detected were cuttlefish (40%), sleevefish (30%), jellyfish (20%), weever (10%) and shrimp (10%). For isolation and identification of V. parahaemolyticus from naturally contaminated seafood by conventional culture method, it requires more than two days in comparison to only 5 h by the LAMP assay developed in this study. Besides, in case of detection by conventional culture the growth of V. parahaemolyticus strains on selective media can be occasionally inhibited due to overgrowth of other naturally occurring vibrios in seafood samples, such as V. alginolyticus.8)

Table 2. Detection of V. parahaemolyticus in Retail Seafood Samples
SamplesConventional methodPCRLAMP
+++
Cuttlefish (n=10)4a)63a)746
Sleevefish (n=10)3a)73a)737
Jellyfish (n=10)2a)82a)828
Weever (n=10)1a)91a)919
Shrimp (n=10)1a)91a)919
Tegillarca (n=10)010010010
Oyster (n=10)010010010

a) LAMP positive.

Utilization of the enrichment-PCR method27,28) also requires more time than the newly developed assay of this study, as additional gel-run and detection procedures are required after PCR step which is avoided by the use of real-time turbidimeter in the LAMP assay. A recent study has reported successful utilization of real-time PCR method after a 6 h enrichment period in detecting less than 5 V. parahaemolyticus cells/g of seafood,29) however, this method is more expensive and complex, and requires more time than the LAMP assay of the present study. In addition to rapid detection, the LAMP assay has other advantages, such as quantitative measurement, a lower contamination rate, higher sensitivity and specificity, and easy standardization.19) The high sensitivity and rapidity of our LAMP assay make it an effective tool for risk assessment of V. parahaemolyticus in seafood, which is an increasingly important issue worldwide.

In conclusions, in this study, a LAMP assay has been developed and optimized using a short enrichment step to detect V. parahaemolyticus strains in seafood samples. The newly designed primers targeting the tlh/tdh gene were species-specific and highly sensitive. As few as 2 CFU/g V. parahaemoluticus can be detected by the LAMP assay and this technique can be highly efficient in precise detection of this pathogenic species. Comparative evaluation with various seafood samples revealed that this newly developed LAMP assay combined with a short enrichment period is superior to the conventional culture as well as PCR methods. Therefore, the LAMP assay of the present study can be very useful in large-scale screening of seafood and environmental samples in a sensitive and rapid manner. This method would greatly aid the identification of V. parahaemolyticus strains from other Vibrio or pathogenic species involved in disease outbreaks during catastrophe when time is critical.

Acknowledgment

This work was supported by the Major State Basic Research Development Program of China (973 Program) (No. 2010CB35704; No. 2012CB723705), Guangzhou technological planning projects (11C12080718), Xiamen Science and Technology Major Project (3502Z20110001), Guangdong Province Nature Science Foundation, China (10451064101005159), and the Food Safety Key Lab of Liaoning Province Open Project Funding (LNSAKF2011002).

Conflict of Interest

The authors declare no conflict of interest.

REFERENCES
 
© 2015 The Pharmaceutical Society of Japan
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