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Journal of Clinical Microbiology, July 2002, p. 2346-2351, Vol. 40, No. 7
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.7.2346-2351.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Institute of Postgraduate Studies & Research,1 Institute of Biological Sciences, University of Malaya, Kuala Lumpur, Malaysia,2 World Health Organization, Geneva, Switzerland,3 Department of Medical Microbiology, University of Zurich, Zurich, Switzerland4
Received 25 October 2001/ Returned for modification 16 February 2002/ Accepted 29 March 2002
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On a global scale, the incidence of typhoid fever is decreasing, while that of nontyphoidal salmonellosis is increasing, although both remain major health problems. The World Health Organization has estimated that annually there are close to 17 million cases of typhoid fever, with nearly 600,000 deaths, and 1.3 billion cases of acute gastroenteritis or diarrhea due to nontyphoidal salmonellosis, with 3 million deaths (8, 23, 26).
To curb both typhoidal and nontyphoidal salmonellae, laboratory-based surveillance of human and animal infections is a necessary first step of any prevention strategy. Phenotypic methods play an important role in the identification to the genus level. Serotyping is used for primary typing of strains, while phage typing and antibiogram are used for subdivision of serotypes (33). However, serotyping of Salmonella is laborious due to the large number of recognized serotypes, i.e., over 2,400 (1, 27).
In addition, a number of molecular typing methods have also been used to try to improve the identification of salmonellae and also to differentiate strains below the level of serotypes. These DNA-related techniques include ribotyping (3), pulsed-field gel electrophoresis (PFGE) (18, 20, 32), IS200 fingerprinting (4), PCR-ribotyping (12), ribosomal DNA intergenic spacer amplification and heteroduplex analysis (9), amplified fragment length polymorphism (1, 21), automated 5' nuclease PCR assay (7), and random amplified polymorphic DNA analysis (30).
In recent times, various molecular techniques that detect base sequence changes in bacteria have been used as tools in epidemiological typing. One of the most widely used techniques for the identification of point mutations, due to its simplicity, sensitivity, and rapidity, is PCR-single-strand conformation polymorphism (PCR-SSCP) (6, 22). SSCP was first designed to detect mutations in oncogenes and allelic variations in the human genome (22). Since then, this technique has played a role in bacterial typing (35) and in Salmonella studies (11, 34). Briefly, amplified double-stranded DNA is denatured to single-stranded DNA and subjected to nondenaturing polyacrylamide gel electrophoresis. The mobility of the single-stranded DNA in the gel is dependent not only on its length but also on its secondary structure, as determined by nucleotide sequence (6).
Here, we investigate the possibility of using PCR-SSCP to differentiate Salmonella strains both at the serovar level (interserovar) and at the intraserovar level, using nucleotide variation in the groEL gene, which encodes a heat shock protein (GroEL) that is a member of the stress response protein (HSP60) family (36).
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TABLE 1. Salmonella serovars used in the SSCP study
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PCR-restriction fragment length polymorphism (PCR-RFLP) and PCR-SSCP analyses of Salmonella serovars. (i) Genomic DNA isolation. Genomic DNAs of the Salmonella isolates were prepared by a modification of the method of Saito and Miura (28). A single colony of Salmonella was grown overnight at 37°C in 5 ml of LB broth. The cells were harvested by centrifugation at 4,500 x g for 15 min at room temperature. The cell pellet was resuspended in 50 µl of solution I (0.15 M NaCl, 0.1 M EDTA [pH 8]) by repeated pipetting, and 10 mg of lysozyme (20 mg/ml) was added. The cell suspension was then incubated at 37°C with gentle shaking for 30 min in a shaking water bath. Forty microliters of solution II (1% sodium dodecyl sulfate, 0.1 M NaCl, 0.1 M Tris-HCl [pH 8]) was then added, followed by 10 min of incubation at 60°C. The solution was cooled to room temperature, and 100 µl of 5 M sodium perchlorate was added to help in the dissociation of proteins from nucleic acids. The suspension was mixed thoroughly but gently. Four hundred fifty microliters of TE (10 mM Tris, 10 mM EDTA [pH 7.4])-saturated phenol-chloroform-isoamyl alcohol (25:24:1) was mixed with the suspension and shaken gently for 20 min. The aqueous phase was recovered by centrifugation at 15,000 x g for 10 to 15 min at room temperature and transferred to a new tube. Two volumes of ice-cold 100% ethanol were added. The tube was vortexed and left at -20°C for at least 2 h.
A pellet was obtained by centrifugation for 5 min at 15,000 x g. The pellet was washed with 1 ml of cold 70% ethanol. The ethanol was discarded, and the pellet was dried under vacuum for 5 min. The pellet was resuspended in 200 µl of 1x TE. The DNA solution was treated with 5 µl of RNase (20 µg/ml) at 37°C for 30 min. The DNA concentration was determined spectrophotometrically at wavelengths of 260 and 280 nm (Novaspec II; Pharmacia LKB).
(ii) Amplification of the groEL gene. Two oligonucleotide PCR primers which amplify the 1.6-kb groEL gene encoding a heat shock protein (HSP60) of S. enterica serovar Typhi were used (15). The sequences of the primers were as follows: primer H1, 5'-GAT CCA TAT GGC AGC TAA AGA CGT AAA ATT CGG-3'; and primer H2, 5'-CTA GGT CGA CTT ACA TCA TGC GGC CCA TGC CAC-3'.
PCRs were performed in a volume of 25 µl containing 50 mM Tris-HCl (pH 9.0); 50 mM KCl; 2.5 mM MgCl2; 400 µM (each) dCTP, dGTP, dATP. and dTTP (Promega, Madison, Wis.); 0.2 µM (each) primers; and 1 U of Taq DNA polymerase (Promega). The substrate was 100 ng of genomic DNA from the Salmonella serovar isolates. Amplification was performed in a 480 DNA thermal cycler (Perkin-Elmer, Norwalk, Conn.) programmed as follows: initial denaturation of the DNA templates at 95°C for 3 min, followed by 35 cycles comprising consecutive denaturation (1 min, 93°C), annealing (2 min, 55°C), and elongation (1.5 min, 72°C).
After PCR, 10 µl of the amplified product was subjected to electrophoresis at 100 V on a 1.5% agarose gel (type II medium electrophoresis grade; Sigma, St. Louis, Mo.) in a 0.5x TBE (45 mM Tris, 45 mM boric acid, 10 mM EDTA [pH 8.0]) buffer system. Following electrophoresis, the gel was stained in ethidium bromide (1 µg/ml) and photographed under UV light.
(iii) Restriction of the groEL gene. The PCR-amplified groEL gene was digested with 10 U of HaeIII (Promega) at 37°C for 2 h according to the manufacturer's instructions. Restriction DNA fragments were separated by electrophoresis at 70 V in horizontal gel containing 1.5% agarose (type II medium electroendosmosis grade; Sigma) in a 0.5x TBE buffer system for 1 to 2 h. Following electrophoresis the gel was stained in ethidium bromide (1 µg/ml) and photographed under UV light.
(iv) SSCP electrophoresis. Five microliters of digested DNA (groEL gene) was mixed with 5 µl of denaturation buffer (5 mM EDTA, 0.05% bromophenol blue, and 0.05% xylene cyanole in formamide) and incubated at 95°C for 7 min. The denatured DNA was then placed directly in ice for 10 min before being loaded onto a nondenaturing 10% polyacrylamide gel (CleanGel 36S; Pharmacia Biotech, Uppsala, Sweden). Samples (2 to 4 µl) were separated with DNA Disk buffer (Pharmacia Biotech, Uppsala, Sweden) on a 2117 Multiphor II Electrophoresis Unit (Pharmacia Biotech) at 4°C, using 100 V for 30 min followed by 400 V for 180 min. Two to four microliters of undenatured digested DNA (gene) was run as a control.
After electrophoresis, the 10% polyacrylamide gels were silver stained. Briefly, the silver staining procedure was as follows. The gels were first fixed in 10% acetic acid for approximately 30 min at room temperature and washed with deionized water three times for 2 min each time. Color impregnation lasted for 20 min at room temperature with silver nitrate solution (0.1% [wt/vol] AgNO3 and 0.036% [wt/vol] formaldehyde in distilled water). The gels were then washed for 5 to 10 s with deionized water, followed by color development for 3 to 10 min with a color development solution (2.5% [wt/vol] Na2CO3, 0.036% [wt/vol] formaldehyde, and 0.002% [wt/vol] sodium thiosulfate in distilled water). The color reaction was stopped with a stop solution (1.46% [wt/vol] EDTA in distilled water). The bands were fixed with a fixing solution (28.8% [vol/vol] 96% ethanol and 3.91% [vol/vol] 85% glycerol in distilled water). The stained gels were air dried for a approximately 2 h. SSCP profiles were interpreted visually.
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TABLE 2. PCR-RFLP and PCR-SSCP analysis of Salmonella serovars
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The sensitivity of PCR-SSCP tends to decrease with increasing fragment length. SSCP is reported to be capable of detecting 99% of point mutations in DNA molecules of 100 to 300 bp in length and 89% of mutations in molecules of 300 to 450 bp in length (6, 19, 22). Therefore, the 1.6-kb groEL amplicon was digested with HaeIII to generate shorter fragments before analysis by SSCP.
Undenatured, digested groEL DNA of the S. enterica serovar Typhimurium strains produced four HaeIII-restricted bands of between 150 and 850 bp. The five serovar Typhimurium strains exhibited PCR-RFLP profile 1 (Table 2 and Fig. 1). Denatured digested groEL DNA produced a similar PCR-SSCP profile (profile 1) for all of the serovar Typhimurium strains (Table 2 and Fig. 2). It should be noted that the double-stranded DNA which reannealed from complementary single-stranded DNA under the experimental conditions used migrated faster than the denatured single-stranded DNA. These double-stranded DNAs are not shown in Fig. 2 because they did not increase the discriminatory level of the SSCP profiles between the strains studied.
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FIG. 1. PCR-RFLP profiles of groEL DNAs after HaeIII digestion for the 41 strains from 10 serovars run on a 1.5% TBE gel. Lanes 1 and 18, molecular weight markers (New England Biolabs Marker II). The strains and RFLP profiles are as follows: lane 2, S. enterica serovar Typhimurium strain 1, profile 1; lanes 3 and 4, serovar Infantis strains 17 and 18, respectively, profile 1; lane 5, serovar Newport strain 25, profile 1; lane 6, serovar Virchow strain 34, profile 1; lanes 7, 8, and 9, serovar Enteritidis strains 6, 7, and 8, respectively, profile 2; lane 10, serovar Infantis strain 22, profile 2; lane 11, serovar Newport strain 24, profile 2; lane 12, serovar Hadar strain 29, profile 2; lane 13, serovar Paratyphi A strain 37, profile 2; lane 14, serovar Paratyphi B strain 38, profile 2; lanes 15 and 16, S. enterica serovar Typhi strains 39 and 40, respectively, profile 2; and lane 17, serovar Arizona strain 41, profile 3. Strain numbers are as in Table 2.
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FIG. 2. PCR-SSCP profiles of groEL DNAs after HaeIII digestion for the strains from 10 serovars run on a CleanGel (10% polyacrylamide gel). Lane 1, New England Biolabs Marker II (with sizes in base pairs). The strains and SSCP profiles are as follows: lane 2, S. enterica serovar Typhimurium strain 1, profile 1; lanes 3 and 4, serovar Infantis strains 17 and 18, respectively, profile 11; lane 5, serovar Newport strain 25, profile 12; lane 6, serovar Virchow strain 34, profile 13; lanes 7, 8, and 9, serovar Enteritidis strains 6, 7, and 8, respectively, profiles 2, 3, and 4; lane 10, serovar Infantis 22, profile 7; lane 11, serovar Newport strain 24, profile 5; lane 12, serovar Hadar strain 29, profile 6; lane 13, serovar Paratyphi A strain 37, profile 8; lane 14, serovar Paratyphi B strain 38, profile 9; lanes 15 and 16, serovar Typhi strains 39 and 40, respectively, profile 10; and lane 17, serovar Arizona strain 41, profile 14. Strain numbers are as in Table 2. S1, single-strand bands of the denatured 850-bp HaeIII groEL fragment; S2, denatured 630-bp HaeIII groEL fragment; S3, denatured 620-bp HaeIII groEL fragments; S4, denatured 350-bp HaeIII groEL fragment; S5, denatured 250-bp HaeIII groEL fragment; S6, denatured 238-bp HaeIII groEL fragment.
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Undenatured, digested groEL DNAs of the seven S. enterica serovar Infantis and five S. enterica serovar Newport strains produced two PCR-RFLP profiles. Profile 1 was represented by six serovar Infantis and two serovar Newport strains which had four HaeIII-restricted bands of between 150 and 850 bp, while profile 2 was represented by a single serovar Infantis strain and three serovar Newport strains which had five restricted bands ranging from 150 to 630 bp (Table 2 and Fig. 1). Denatured, digested groEL DNAs also produced two different PCR-SSCP profiles for each of these serovars. Six serovar Infantis strains exhibited PCR-SSCP profile 11 and a single strain had profile 7 (Table 2 and Fig. 2), while two serovar Newport strains were represented by PCR-SSCP profile 12 and the other three strains were represented by profile 5 (Table 2 and Fig. 2).
Undenatured, digested groEL DNAs of the five S. enterica serovar Hadar, two S. enterica serovar Typhi, 1 S. enterica serovar Paratyphi A, and 1 S. enterica serovar Paratyphi B strains produced five HaeIII-restricted bands of between 150 and 630 bp; thus, all the nine strains from these four serovars exhibited PCR-RFLP profile 2 (Table 2 and Fig. 1). Denatured, digested groEL DNAs produced the same PCR-SSCP profile (profile 6) for the five serovar Hadar strains, profile 10 for both of the S. enterica serovar Typhi strains, and profiles 8 and 9, respectively, for serovar Paratyphi A and serovar Paratyphi B (Table 2 and Fig. 2).
Undenatured, digested groEL DNA of the single S. enterica serovar Arizona strain produced four HaeIII-restricted bands of 100 to 620 bp. This strain had PCR-RFLP profile 3, which was not observed in any of the other Salmonella serovars (Table 2 and Fig. 1). The denatured, digested groEL gene of this serovar Arizona strain also produced PCR-SSCP profile 14, which was not exhibited by any of the other Salmonella serovars studied (Table 2 and Fig. 2).
It was noted that some of the denatured fragments, designated S1 to S6 in Fig. 2, showed more than two single strands of DNA. This reflects the fact that single-stranded DNA may have multiple conformers. These multiple conformers could be divided into one or two stronger and one or two weaker SSCP bands. Multiple conformers of single-stranded DNA have been observed by other researchers as well (10).
The reproducibility of PCR-RFLP and PCR-SSCP profiles was also confirmed in a separate experiment (data not shown).
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Due to this, two PCR-based techniques (PCR-SSCP and PCR-RFLP) were evaluated to try to detect polymorphisms within the groEL gene to discriminate between strains of different Salmonella serovars. SSCP is different from typing methods that involve RFLP analysis, which tests for heterogeneity or polymorphisms at restriction endonuclease cut sites, for it analyzes heterogeneity or polymorphisms at the base pair level of a DNA sequence. PCR-SSCP analysis is one of the simplest and most sensitive methods based on PCR technology for detection of mutations (22).
The groEL gene encodes a heat shock protein (GroEL) which is a member of the stress response protein (HSP60) family (36). Heat shock proteins are produced to protect prokaryotic cells from various stressful conditions, both intracellular and extracellular (36). Heat shock proteins function to stabilize essential and virulence-related proteins in bacterial pathogenesis during exposure to environmental stress (25). Stress proteins affect virulence regulation in many pathogens, e.g., Vibrio cholerae and Listeria monocytogenes (5).
Previous work in our lab documented that heat shock proteins are induced and expressed in S. enterica serovar Typhi following thermal stress (31). This led us to investigate whether there were any polymorphisms or heterogeneity within the 1.6-kb groEL gene between serovar Typhi strains. PCR-SSCP analysis of 44 serovar Typhi isolates from various geographical regions, using the groEL gene, proved to be insignificant, as no polymorphisms were detected in this gene between all of the serovar Typhi strains studied (data not shown).
Due to the base pair conservation of the groEL gene in S. enterica serovar Typhi, the techniques of PCR-RFLP and PCR-SSCP were then applied to analyze different Salmonella serovars. Interesting results were generated when PCR-RFLP and PCR-SSCP analyses were carried out on the 1.6-kb groEL gene from strains of 10 different Salmonella serovars. In general, the 41 strains exhibited three HaeIII RFLP profiles on a 1.5% TBE gel. Strains belonging to S. enterica serovar Typhimurium and serovar Virchow were grouped in PCR-RFLP profile 1. Serovar Hadar, serovar Paratyphi A, serovar Paratyphi B, serovar Typhi exhibited PCR-RFLP profile 2, while strains of serovar Newport and serovar Infantis had a mixture of RFLP profiles 1 and 2. The serovar Arizona strain had a completely different RFLP profile (profile 3). This is not surprising, as this group of strains is reported to be a distant relative of S. enterica subspecies in terms of biochemical and genetic classification (13). The data generated by PCR-RFLP analysis indicate that there are differences in the HaeIII restriction sites within the groEL genes of strains belonging to different serovars and strains within a given serovar. However, no clear discrimination between the serovars and serogroups could be made by this technique.
PCR-SSCP analysis of the 41 strains from 10 different serovars (of which serovars Typhimurium, Newport, Infantis, Hadar, and Virchow were the most common serovars in Switzerland at the time of the study) produced 14 PCR-SSCP profiles, with the differences clearly being seen in the denatured 350-, 250-, and 238-bp HaeIII-restricted fragments. The interesting observation here was that each Salmonella serovar and serogroup had its own unique SSCP profile(s) (Table 2), indicating the possibility of this technique in being used for Salmonella interserovar differentiation. The other interesting aspect was that strains within some serovars (intraserovar) could be differentiated as well (e.g., three SSCP profiles were produced for the 11 serovar Enteritidis strains, and two SSCP profiles each were generated for the 7 serovar Infantis and 5 serovar Newport strains). The epidemiological data in Table 1 show that the strains from these three serovars in most cases were isolated from different sources and therefore are considered to be sporadic cases. The strains were deposited to the Swiss Reference Laboratory, University of Berne. Thus, based on the results of this study, there is a possibility of using PCR-SSCP as a subtyping tool to differentiate sporadic strains within these serovars. It should be noted that it would have been ideal to study outbreak-related strains that are more clonal by nature to assess the discriminatory power of PCR-SSCP as a typing tool. Further assessment of this method has to be carried out using more strains from various serovars and also strains from different epidemiological settings. Like all efficient typing methods, the strong point of SSCP is its reproducibility. PCR-SSCP was done in a separate experiment using the same 41 strains from the 10 serovars, which produced 14 identical SSCP profiles as shown in Table 2 and Fig. 2.
Our goal was not to replace the classical typing methods for Salmonella serovars, such as serotyping and phage typing, but rather to complement these methods with a rapid, simple, and sensitive molecular technique such as PCR-SSCP. There is no doubt that established typing methods such as PFGE and ribotyping could be used in the differentiation of Salmonella serovars, although it may come as a surprise that PFGE has primarily been used only for intraserovar molecular characterization of salmonellae (18, 20, 32). Ribotyping, on the other hand, has been carried out to characterize Salmonella serotypes Reading, Senftenberg, and Typhimurium (3). PCR-SSCP has an advantage compared to both of these methods because of its rapidity and simplicity. The total time needed for PCR-SSCP from the extraction of genomic DNA to the visualization of the gel is less than 24 h. The slight drawback of PCR-SSCP is that it detects the occurrence of base pair mutations in segments of DNA but does not give any information on the type of base changes, which has to be confirmed by sequencing. Recently, multiple-fluorescence-based PCR-SSCP has provided the capacity for simultaneous labeling of several fragments as well as the potential for an automated data collection system (11).
Another observation from the SSCP analysis of the groEL gene involving different serovars is as follows: unlike the conserved nature of the groEL gene among S. enterica serovar Typhi strains (data not shown), it was noted that base pair mutations do occur in this gene for strains belonging to serovars Enteritidis, Infantis, and Newport, where more than one groEL SSCP profile was noted within each serovar (intraserovar discrimination). It was also evident that polymorphisms in the groEL gene sequence varied from serovar to serovar (interserovar discrimination) based on the SSCP results. Sequence data obtained from GenBank have complemented these SSCP results to a certain extent. For instance, it is interesting that the groEL gene of S. enterica serovar Typhi strain Ty21, isolated around 1912, had only one base pair difference from the groEL gene of S. enterica serovar Typhi strain CT18, isolated in Vietnam in 1994 (Sanger Center Blast Server results [http://www.Sanger.ac.uk/cgi-bin/nph-Blast_server.html]). The recently sequenced genomes of S. enterica serovar Typhimurium LT2 (17) and S. enterica serovar Typhi CT18 (24) have revealed 98% DNA homology between the groEL genes (groEL is known as mopA in S. enterica serovar Typhimurium) of both these serovars (Entrez-Pubmed Blast Search [http://www3.ncbi.nlm-nih.gov/Entrez/index.html]). The groEL sequences of the other Salmonella serovars are not known. Why does this conservation occur in some serovars and is more relaxed in others? One reason could be that the mutations detected do not necessarily result in amino acid substitution and do not disrupt the essential heat shock protein product. Another possible reason is that the host specificity of strains belonging to particular serovars (as they encounter different levels of intracellular and extracellular environmental stress such as varying temperature, nutrient availability, pH, levels of O2, inorganic ion concentrations, presence of toxic chemicals, levels of antibiotics or vaccines, and host immune and genetic factors) plays a role in determining the base pair sequence of the groEL gene and the outcome of the stress protein produced, which facilitates survival under adverse conditions. This will be an interesting subject to assess in the future.
We thank Kenneth E. Sanderson for his useful comments and help in generating the manuscript.
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