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Journal of Clinical Microbiology, February 1998, p. 443-448, Vol. 36, No. 2
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Improved Diagnostic PCR Assay for Actinobacillus
pleuropneumoniae Based on the Nucleotide Sequence of an Outer
Membrane Lipoprotein
Trine
Gram* and
Peter
Ahrens
Danish Veterinary Laboratory, DK-1790
Copenhagen V, Denmark
Received 24 June 1997/Accepted 12 November 1997
 |
ABSTRACT |
The gene (omlA) coding for an outer membrane protein of
Actinobacillus pleuropneumoniae serotypes 1 and 5 has been
described earlier and has formed the basis for development of a
specific PCR assay. The corresponding regions of all 12 A. pleuropneumoniae reference strains of biovar 1 were sequenced.
Alignment of the sequences revealed conserved terminal and variable
middle regions, which divided the reference strains into four distinct
groups. Primers were selected from the conserved 5' and 3' termini of the gene. A 950-bp amplicon was obtained from each of 102 tested field
isolates of A. pleuropneumoniae obtained from lungs. Their identity was verified by sequencing approximately 500 bp of the amplification product from 50 of the A. pleuropneumoniae
isolates, which all showed the expected DNA sequence characteristic of
the serotype. To test the specificity of the reaction, 23 other
bacterial species related to A. pleuropneumoniae or
isolated from pigs were assayed. They were all found negative in the
PCR, as were tonsil cultures from 50 pigs of an A. pleuropneumoniae-negative herd. The sensitivity assessed by
agarose gel analysis of the PCR product was 102 CFU/PCR
test tube. The specificity and sensitivity of this PCR compared to
those of culture suggest the use of this PCR for routine identification
of A. pleuropneumoniae.
 |
INTRODUCTION |
Infection with the contagious
respiratory pathogen Actinobacillus pleuropneumoniae is
the main cause of pleuropneumonia in pigs. Characteristic symptoms of
the disease range from acute fibrinous pneumonia and pleuritis with
high mortality to nearly asymptomatic colonization by the bacterium
(18). After recovery some infected animals will suffer from
chronic lung lesions, resulting in reduced weight gain. Pigs which
survive an infection can still be carriers of the pathogen, so a herd
once infected remains infected (7). Acute outbreak of the
disease causes considerable economic losses for the pig industry
(12).
A. pleuropneumoniae can be divided into two biovars
(20), and in general biovar 1 strains are considered more
virulent than those of biovar 2 (6, 14). Twelve different
serotypes have been described (19), the prevalence and
presence of which vary with geographic location. Serotypes 1 and 5 of
biovar 1 are prevalent in North America, whereas serotypes 2 and 9 of
biovar 1 have been isolated in many European countries (16).
The prevalence of the infection seems to be increasing because of
intensified modern swine production.
In vivo detection of the infection has until now mainly been performed
by serological tests, such as enzyme-linked immunosorbent assays and
complement fixation tests. However, antigenic variability among the
serotypes of A. pleuropneumoniae has hampered attempts to
produce species-specific diagnostic tests which include all serotypes.
Conventional cultivation of the bacteria from healthy carrier pigs has
been improved by development of A. pleuropneumoniae-selective media (15, 22). A PCR method
for detection of A. pleuropneumoniae has also been developed
(23) and evaluated and has been shown to be more sensitive
than cultivation (10). Evaluation of this PCR assay showed
that its specificity was not complete, as it also reacted with
Actinobacillus lignieresii. Effective detection methods
which are species specific rather than serotype specific are therefore
necessary in order to control the spread of the disease.
The aim of this study was to develop a species-specific PCR for
detection and identification of A. pleuropneumoniae for
diagnosis of subclinical infections. A specific set of primers was
designed from a previously described gene of an outer membrane protein from A. pleuropneumoniae serotype 1 and 5 isolates
(3, 9, 13).
To test if the gene was generally present in A. pleuropneumoniae isolates, the corresponding regions of the
omlA genes from all the A. pleuropneumoniae
serotype reference strains of biovar 1 were sequenced. Four different
but homologous omlA sequence regions divided the serotypes
and lung isolates into four groups. These results open the possibility
of developing a system of combined typing and detection of A. pleuropneumoniae.
 |
MATERIALS AND METHODS |
Bacterial strains.
A total of 102 Danish field isolates of
A. pleuropneumoniae were obtained from the lungs of pigs
with signs of pleuropneumonia. The predominant serotypes of A. pleuropneumoniae found in Denmark were represented in the
collection, which comprised serotypes 1 (n = 5), 2 (n = 27), 5 (n = 26), 6 (n = 28), 7 (n = 3), 8 (n = 5), 10 (n = 5), and 12 (n = 3) (Table 1).
Furthermore, a set of reference strains of A. pleuropneumoniae representing all serotypes of biovar 1 and two
strains of biovar 2 were used (Table 1). The specificity of the PCR was
tested on a collection of 48 strains representing 23 bacterial species
other than A. pleuropneumoniae (Table 1). Strains of
A. pleuropneumoniae and Haemophilus spp. were
cultivated on PPLO agar (17). The rest of the tested strains were cultivated on Columbia agar base (Oxoid) supplemented with 5%
bovine blood.
Tonsil samples.
Tonsils from 101 pigs from nine conventional
herds were obtained at slaughter. Samples from 50 tonsils from a
specific-pathogen-free (SPF) herd served as negative controls. The SPF
herd had been closed for the last 15 years, during which period no
clinical, serological, or microbiological evidence of A. pleuropneumoniae infection had appeared.
Cultivation of samples.
Samples were cultured as previously
described (15). In brief, tissue scrapings from seared cut
surfaces of tonsils were suspended in phosphate-buffered saline and
spread on four different agar media: two selective chocolate agar
plates with added antibiotics and fungicide (300 µg of bacitracin/ml,
1 µg of lincomycin/ml, 1 µg of crystal violet/ml, 50 µg of
nystatin/ml), one selective blood agar plate with added antibiotics and
fungicide (100 µg of bacitracin/ml, 1 µg of lincomycin/ml, 1 µg
of crystal violet/ml, 50 µg of nystatin/ml) and 0.07% NAD, one
nonselective blood agar plate with a nurse strain, and one nonselective
chocolate agar plate. The plates were incubated at 37°C for 48 h. A. pleuropneumoniae-like colonies were subcultivated
from all media and biochemically confirmed as A. pleuropneumoniae (15). The second selective chocolate agar plate was used for PCR.
Sequencing the omlA gene.
In total seven
primers, designated LPF, LPF1, LPR, LPR1, LPR2, LPR3, and LPR4 (Table
2), were used for sequencing the
omlA gene. For the production of amplification products from
the A. pleuropneumoniae reference serotypes, PCR with
primers LPF1 and LPR1 was performed under low-stringency conditions
(denaturation at 94°C for 1 min, annealing at 40°C for 1 min,
primer extension at 72°C for 2 min, 35 cycles). PCR with the rest of
the primers was performed with annealing temperatures around 60°C,
when used for production of amplification products for sequencing. The
nucleotide sequences of the amplification products were determined by
cycle sequencing (21) with an Amplitaq FS dye terminator kit
and a 373A automatic sequencer (Applied Biosystems Division,
Perkin-Elmer, Foster City, Calif.). Analysis of the sequence
similarities was performed with the HIBIO DNASIS program for Windows,
Higgins and Sharp algorithm (11) (CLUSTAL 4).
Preparation of samples for PCR.
Samples of pure cultures
were prepared by suspending approximately 10 µl of bacterial culture
in 200 µl of sterile water. Mixed bacterial cultures from selective
chocolate agar plates were harvested for PCR by washing them in 2 ml of
distilled sterile water. All samples were stored frozen at
80°C.
Bacterial cells of both pure and mixed cultures were lysed as described
by Starnbach et al. (25). One microliter of the supernatant
was used in the PCR as described below.
PCR amplification.
The LPF and LPR primers (Table 2) were
used for amplification in the A. pleuropneumoniae-specific PCR. Before use the primers were
purified by high-performance liquid chromatography (HPLC). The expected
PCR amplification product was about 950 bp, and the sequences were
analyzed for gene specificity by the FASTA program from the Genetics
Computer Group package (8). The PCR was performed with an
automated DNA thermal cycler. The PCR assay was performed with 0.5 U of
Taq polymerase (Perkin-Elmer) in a total volume of 50 µl
in a buffer containing 10 mM Tris-HCl (pH 8.3), 1.5 mM MgCl2, 50 mM KCl, 0.005% Tween 20, 0.005% Nonidet P-40
detergent, 100 µM each deoxynucleoside triphosphate, and 0.2 µM
each HPLC-purified primer. The PCR test tubes were subjected to an
initial denaturation at 94°C for 3 min followed by 30 cycles of
denaturation at 94°C for 30 s, annealing of primers at 63°C
for 20 s, and primer extension by DNA polymerase at 72°C for 2 min. To ensure complete strand extension, the reaction mixture was
incubated for 10 min at 72°C after the last cycle. Twelve-microliter
samples of the final reaction mixture were analyzed by electrophoresis
in a 1.5% agarose gel in 1× Tris-borate-EDTA (TBE) buffer. The PCR
products were stained with ethidium bromide (10 µg/ml) and visualized
under UV light.
For determination of PCR detection limits, serial 10-fold dilutions of
A. pleuropneumoniae (104 to
10
1 CFU/PCR test tube) in distilled sterile water were
mixed with Escherichia coli in a concentration of
108 CFU/ml.
Nucleotide sequence accession numbers.
The omlA
genes of A. pleuropneumoniae reference serotypes 1 to
12 (including 5a and 5b) correspond to the following GenBank accession
numbers: serotype 1, U86675; serotype 2, U86676; serotype 3, U86677;
serotype 4, U86678; serotype 5a, U86679; serotype 5b, U86680; serotype
6, U86681; serotype 7, U86682; serotype 8, U86683; serotype 9, U86684;
serotype 10, U86685; serotype 11, U86686; and serotype 12, U86687.
 |
RESULTS |
Sequencing the omlA gene.
Construction of the
first set of primers (LPF1 and LPR1) for sequencing was based on the
alignments of the published omlA genes of serotypes 1 and 5 (3, 9). The primers were designed from the 5' and 3' termini
of the genes. To locate identical regions of the omlA genes,
the corresponding sequences of all reference strains of the
A. pleuropneumoniae biovar 1 serotypes were sequenced. Alignment of the PCR amplification products from primers LPF1 and LPR1
formed the basis for construction of the A. pleuropneumoniae-specific primers designated LPF and LPR.
Additionally, three reverse primers were designed for sequencing the
omlA gene. The LPR2 primer (Table 2) was used for production
of PCR products from A. pleuropneumoniae reference
serotypes 2 and 5. For sequencing the omlA gene of reference serotype 1, it was necessary to construct two reverse LPR3 and LPR4
primers (Table 2), with one placed in the variable middle region of the
gene. All seven primers were used in different combinations for
amplification of PCR products for sequencing. The schematic positions
of the primers are shown in Fig. 1. An
alignment of the nucleotide sequences of all the reference serotypes
revealed common 5' and 3' termini of the genes. Differences in the
middle regions of the sequences divided the A. pleuropneumoniae reference strains into four groups. The group
similarities of the omlA genes of the A. pleuropneumoniae reference serotypes are shown in Fig. 2. Serotypes 1, 9, 11, and 12 had overall
sequence identities between 99 and 100%. Serotype 2 constituted a
separate group, showing an overall sequence identity of 75% with this
cluster. Serotypes 3, 4, 6, 7, and 8 all belonged to the same group of omlA-related strains, having overall sequence identities
between 97 and 100%. The last of the four clusters included serotypes 10, 5a, and 5b, with sequence identities of nearly 100%. An alignment of one representative of each group-specific sequence is shown in Fig.
3. The common 5' termini
of the omlA sequences consisted of approximately 200 bp
(Fig. 1 and 3). The variable middle region of approximately 700 bp
showed large differences among the sequences of the four groups (Fig. 1
and 3). The last 100 bp of the 3' termini of the genes characteristic
of the serotypes showed a high degree of homology (Fig. 1 and 3).

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FIG. 1.
Schematic representation of the omlA gene and
the positions of the primers. The sequenced regions are represented by
the box.
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FIG. 2.
Similarities among sequences of the omlA
genes from the reference serotypes of A. pleuropneumoniae biovar 1. Analysis of the sequence similarities
was performed with the HIBIO DNASIS program for Windows, Higgins and
Sharp algorithm (11) (CLUSTAL 4). The program is based on a
dendrogram produced by applying the UPGMA method (24) to a
matrix of similarity scores for all the aligned sequences. SEROTP,
serotype; SEQ, sequence.
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FIG. 3.
Alignment of one representative of each group-specific
sequence of the omlA genes of the reference serotypes of
A. pleuropneumoniae biovar 1. Serotype (SEROTYP) 1 represents the homologous omlA genes of A. pleuropneumoniae serotypes 1, 9, 11, and 12. Serotype 2 represents
a separate group of its own. Serotype 3 represents serotypes 3, 4, 6, 7, and 8. Serotypes 5a, 5b, and 10 are represented by the sequence of
serotype 5a. The dots represent sequence identity with the sequence of
serotype 1; the dashes represent deletions. The positions of the
sequences were calculated from the published omlA gene
region (9) of an A. pleuropneumoniae strain
of serotype 1. The schematic positions of the sequenced regions are
shown in Fig. 1. Nucleotide 1 corresponds to nucleotide 158, and
nucleotide 1120 corresponds to nucleotide 1255 of the published
omlA gene sequence (9).
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To test if A. pleuropneumoniae lung isolates generally
had omlA sequence compositions characteristic of their
serotypes, about 500 bp of 50 A. pleuropneumoniae lung
isolates of serotypes 1 (n = 4), 2 (n = 9), 5 (n = 10), 6 (n = 10), 7 (n = 3), 8 (n = 4), 10 (n = 5), and 12 (n = 5) were sequenced
with the LPR primer. Alignment of these 500-bp regions with those of
the representatives of the group-specific sequences revealed that they
each possessed the DNA sequence characteristic of their serotype.
PCR with pure cultures of bacterial strains.
The PCR assay
amplified a product of approximately 950 bp with all 102 tested Danish
isolates of A. pleuropneumoniae and with the
A. pleuropneumoniae reference strains. All other
Haemophilus, Actinobacillus, and
Pasteurella species and other respiratory tract strains were
negative in the test (Table 1).
To evaluate the detection limit of the PCR assay, dilution series of
A. pleuropneumoniae suspensions representing
104 to 10
1 CFU/PCR test tube with the
addition of E. coli at 108 CFU/ml were
tested. Following agarose gel electrophoresis and ethidium bromide
staining of the products from these PCRs, the detection limit of the
assay was found to be approximately 102 CFU/PCR test tube.
Tonsil samples.
After PCR testing, 57 of the 101 mixed tonsil
cultures were positive, producing an A. pleuropneumoniae-specific product of the expected size (Fig.
4). In comparison, only 23 of the 101 tonsils were found to be A. pleuropneumoniae positive
by conventional culture. These 23 tonsils were all found to be PCR
positive as well. No PCR amplification products were observed when we
tested 50 mixed bacterial cultures from tonsils originating from an SPF herd, which served as a negative control.

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FIG. 4.
PCR products from 10 of the 101 tested tonsils. A
suspension from the cut surfaces of the tonsils was cultivated on
A. pleuropneumoniae-selective chocolate agar and
incubated at 37°C. Bacterial growths from the plates were harvested
after 48 h, the bacterial suspension was lysed and centrifuged,
and 1 µl of the supernatant was used for PCR. Lane M, molecular
weight markers (DNA molecular weight marker VI; Boehringer Mannheim);
lanes 1 to 10, tonsil cultures; lane 11, A. pleuropneumoniae (s 4074).
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DISCUSSION |
The main objective of this study was to develop a species-specific
PCR for detection of A. pleuropneumoniae. Although PCR assays possess many advantages, such as specificity, sensitivity, and
rapidity, the presence or absence of an amplification product of an
expected size does not necessarily reflect the presence or absence of a
pathogenic agent. Designing primers from a coding region instead of a
functionally unknown sequence will probably minimize the risk of
persistent point mutations, which could hinder amplification. We chose
the coding region of an outer membrane protein previously described for
A. pleuropneumoniae isolates of serotypes 1 and 5 (3, 9, 13). In the earlier publications the presence of
homologous genes in most A. pleuropneumoniae reference serotype strains had been suggested. To investigate the presence of
genes homologous to omlA in A. pleuropneumoniae reference strains, the DNA regions of the
omlA genes from all the A. pleuropneumoniae reference serotypes of biovar 1 were sequenced. Differences in the
nucleotide sequences of the approximately 700 bp from the middle
regions of the omlA genes allowed a division of the
A. pleuropneumoniae serotypes into four groups (Fig. 2
and 3). A homology search showed that serotypes 1, 9, 11, and 12 were
nearly identical at the DNA level. This is generally in agreement with previous results, where an omlA gene of serotype 1 was used
as a probe in a Southern blot analysis (9). In this
investigation DNA from serotypes 1, 2, 8, 9, 11, and 12 hybridized even
under high-stringency washing conditions. The same study revealed that sera from pigs immunized with a recombinant omlA protein
from serotype 1 reacted more strongly in Western blotting with
serotypes 1, 9, and 11 than with serotypes 2, 8, and 12. We found that
serotype 2 constituted a separate group at the DNA level, which
resembled the cluster of serotypes 1, 9, 11, and 12. Sequence homology
of serotype 8 placed it in another group, consisting of serotypes 3, 4, 6, 7, and 8. The DNA sequences of the omlA genes from
serotypes 5a, 5b, and 10 were nearly identical. This is in complete
agreement with previously published results, where hybridization
experiments showed the presence of genes highly homologous to the
omlA5a gene of serotypes 5b and 10 (3,
13). The presence of specific omlA genes in different
groups of the A. pleuropneumoniae serotypes resembles
the serotype-specific distribution of the Apx genes (1).
Serotypes 2, 3, 4, 6, and 8 have been shown to have identical Apx toxin
patterns, with the exception of serotype 3, which lacks the transport
genes ApxBD of ApxI (1). The omlA genes of these serotypes are also similar, except for that of serotype 2. The common
Apx gene pattern of serotypes 1, 5, 9, and 11 (1) closely agrees with the presence of the same omlA gene in serotypes
1, 9, 11, and 12. However, further investigations of the presence of
different genes in the A. pleuropneumoniae serotypes
are necessary to reveal the genetic background of the differences among
the serotypes. The described DNA variations of the omlA
genes among A. pleuropneumoniae serotypes indicate the
possibility of developing a combined DNA typing and detection system
for A. pleuropneumoniae based on omlA gene
homologies. Examination of such a system is in progress.
After optimization of the PCR assay, the LPF and LPR primers did not
react with any of the A. pleuropneumoniae-related
species or with any of the other tested species (Table 1) nor did the PCR produce any amplification products when we examined 50 mixed bacterial cultures from tonsils originating from an SPF herd, indicating a specificity for the PCR of 100%. The detection assay evaluated in the present study did not react with A. lignieresii. This species is related to A. pleuropneumoniae at the DNA level (2, 5) and, in a
previously published A. pleuropneumoniae PCR test, gave
rise to an amplification product (10, 23).
To mimic the presence of bacterial cultures other than A. pleuropneumoniae, evaluation of the detection limit of the PCR was performed with dilution series of A. pleuropneumoniae
mixed with suspensions of E. coli at a concentration of
108 CFU/ml. The lower detection limit of the PCR assay of
102 CFU/PCR test tube is comparable to the detection limits
of various published PCR tests (4, 26), and it was more
sensitive than a previously published A. pleuropneumoniae PCR (10, 22).
The 102 Danish isolates of A. pleuropneumoniae all
produced a product of approximately 950 bp when tested in the PCR
assay. Homology comparisons of partial DNA sequences with sequences
representative of the four omlA gene groups revealed that
the isolates all possessed the expected DNA sequences characteristic of
their serotypes. These results imply that the gene generally is present
in A. pleuropneumoniae in a serotype
group-characteristic form, indicating that the variations of the
omlA gene are serotype group specific.
The ability of the PCR assay to detect A. pleuropneumoniae was compared to that of conventional culture by
testing 101 mixed bacterial cultures from tonsils. A product of the
expected size was produced from 57 of the tonsil cultures. In
comparison, only 23 tonsil cultures were found to be A. pleuropneumoniae positive, suggesting that the sensitivity of the
PCR test is superior to that of subcultivation. This difference was
probably due to difficulties in the visual identification of
A. pleuropneumoniae among the microbial flora of the
tonsils during subcultivation. All culture-positive tonsils were found
to be A. pleuropneumoniae positive in the PCR assay.
The absence of nonspecific products in this PCR assay, the relatively
low detection level, and the complete specificity make it a promising
diagnostic tool for detection of A. pleuropneumoniae from mixed cultures. If the PCR assay is used for routine detection of
A. pleuropneumoniae from mixed bacterial cultures, more
extensive testing of herds with known A. pleuropneumoniae infection status should be performed. However,
when performed accurately the PCR assay is at present the most
promising tool for routine DNA-based identification of A. pleuropneumoniae.
 |
ACKNOWLEDGMENTS |
We thank Lene Gertman for expert technical assistance. We also
thank Magne Bisgaard, The Royal Veterinary and Agricultural University,
Department of Veterinary Microbiology, Copenhagen, Denmark, for the
kind donation of strains.
This study was supported by a grant from the Danish Ministry of Food,
Agriculture and Fisheries.
 |
ADDENDUM IN PROOF |
After the submission of this work, we became aware of a work by a
Japanese group using the omlA gene for molecular typing of
A. pleuropneumoniae (M. Osaki, Y. Sato, H. Tomura, H. Ito, and T. Sekizaki, J. Vet. Med. Sci. 59:213-215, 1997).
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Danish
Veterinary Laboratory, Bülowsvej 27, DK-1790 Copenhagen V,
Denmark. Phone: 45 35300100. Fax: 45 35300120. E-mail:
tg{at}svs.dk.
 |
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Journal of Clinical Microbiology, February 1998, p. 443-448, Vol. 36, No. 2
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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