Previous Article | Next Article 
Journal of Clinical Microbiology, August 2002, p. 3053-3056, Vol. 40, No. 8
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.8.3053-3056.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Enterotoxigenic Profiles of Food-Poisoning and Food-Borne Bacillus cereus Strains
Marie-Hélène Guinebretière,* Véronique Broussolle, and Christophe Nguyen-The
Institut National de la Recherche Agronomique, UMR A408 Sécurité et Qualité des Produits d'Origine Végétale, INRA, Domaine Saint-Paul, Site Agroparc, F-84914 Avignon Cedex 9, France
Received 6 December 2001/
Returned for modification 25 February 2002/
Accepted 3 May 2002

ABSTRACT
The enterotoxigenic profiles of 51
B. cereus food-related strains
were compared to those of 37
B. cereus food-poisoning strains.
cytK and association of
hbl-nhe-cytK enterotoxin genes were
more frequent among diarrheal strains (73 and 63%) than among
food-borne strains (37 and 33%). Unlike diarrheal strains, food-borne
strains showed frequent
nhe and
hbl gene polymorphisms and were
often low toxin producers.

TEXT
Bacillus cereus can cause food-borne diarrhea by producing heat-labile
enterotoxins during growth of vegetative cells in the small
intestine (
6). Four different enterotoxins have been characterized:
two protein complexes, hemolysin BL (HBL) and nonhemolytic enterotoxin
(NHE), and two enterotoxic proteins, enterotoxin T (bc-D-ENT)
(
1) and cytotoxin K (
11). HBL complex is composed of three proteins,
B, L
1, and L
2 (
4,
5) transcribed from the genes
hblC (encoding
L
2),
hblD (encoding L
1), and
hblA (encoding B), organized in
one operon together with a fourth gene,
hblB (encoding the B'
protein) (
9,
13). NHE complex is also composed of three different
proteins, NheA, NheB, and NheC encoded by the three genes
nheA, nheB, and
nheC, and it is also organized in one operon (
7).
B. cereus is widespread in foods, whereas diarrheal poisoning caused by B. cereus is fairly infrequent. The ability to cause diarrhea thus presumably varies among strains. Only few data are available concerning the genetic and toxigenic potential of B. cereus strains from vegetable products, although vegetables are frequently contaminated by B. cereus. The objective of the present work was to analyze the distribution of enterotoxin genes and enterotoxin production in food strains of various origins (isolated from cooked chilled foods and vegetables) and to compare enterotoxigenic profiles to those in diarrheal food-poisoning strains.
Eighty-eight bacterial strains (51 food-related strains and 37 food-poisoning strains, listed below in Tables 2 and 3) were tested for enterotoxin production, using the B. cereus Enterotoxin Reverse Passive Latex Agglutination test kit (Oxoid, Basingstoke, England) and the Bacillus Diarrheal Enterotoxin visual immunoassay (Tecra Diagnostics, Roseville, Australia), according to the manufacturers' instructions. Amounts of produced enterotoxin were evaluated with index values derived from the Oxoid and Tecra reading scale (Table 2). All strains were also tested for the presence of the genes hbl (C, D, A, and B), nhe (A, B, and C), bceT (encoding the bc-D-ENT enterotoxin), and cytK (encoding cytotoxin K). DNA was extracted as previously described (2). The primers used for the detection of the various genes are presented in Table 1. Amplified products from strains ATCC 14579T, 1230/88, and 391/98 were sequenced to check the specificity of the designed primers. Except for amplifications with hblB primers, the PCR mixture (50 µl) consisted of 100 ng of DNA template, 200 µM deoxynucleoside triphosphate mix (Eurogentec S. A., Seraing, Belgium), 2.5 mM MgCl2, a 500 nM concentration of each primer, 0.75 U of AmpliTaq polymerase (Perkin-Elmer, Courtaboeuf, France), and AmpliTaq buffer (Eurogentec). Thermal cycling was carried out in a PCR 9700 thermocycler (Perkin-Elmer) with the following run: a starting cycle of 2 min at 94°C, followed by 35 cycles of 1 min at 94°C, 1 min at the annealing temperature (Table 1), and 2 min at 72°C, and a final extension of 5 min at 72°C. For the hblB amplification reaction (50 µl), 500 µM deoxynucleoside triphosphate mix, 5 mM MgCl2, and a 300 nM concentration of each primer were used instead of the concentrations stated above. Parameters determined with the PCR 9700 thermocycler were 2 min at 94°C followed by 10 cycles of 10 s at 94°C, 30 s at 58°C, and 2 min at 68°C; 20 cycles of 10 s at 94°C, 30 s at 58°C, 2 min (plus 20 s per cycle) at 68°C; and a final extension at 68°C for 7 min. Strains that were negative in PCR experiments were submitted to Southern blotting to check for the absence of hbl, nhe, and cytK. Positive controls were included for each tested probe. Five micrograms of genomic DNA was digested to completion with EcoRI and electrophoresed overnight on a 1% agarose gel at 15 V. Southern blotting was carried out according to standard protocols (14). Probes were generated by PCR amplifications of hblC, hblD, hblA, nheA, nheB, nheC, and cytK gene fragments, and 32P-labeling was performed with Ready-to-Go DNA labeling beads (Amersham Pharmacia Biotech, Orsay, France) according to the manufacturer's recommendations. Membranes were hybridized at 60°C for 2 h in Rapid hybridization buffer (Amersham Pharmacia Biotech), washed according to supplied protocols, and exposed to phosphorimager screens (Storm; Molecular Dynamics, Bondoufle, France) before revelation. The Kolmogorov-Smirnov two-sample test was used to determine whether the frequency and association of genes and the production of enterotoxins were significantly different between food-poisoning strains and food-borne strain groups. The test was performed using SYSTAT (version 9.0; SPSS Inc., Chicago, Ill.).
Detection of enterotoxin genes.
For the 88
B. cereus strains,
hbl and
nhe gene detection by
both PCR and Southern blotting methods correlated well with
the results of the Oxoid and Tecra tests, respectively (Tables
2 and
3). Among the 37 food-poisoning strains, none needed confirmation
by Southern analysis for
hbl genes (C, D, and A), which were
easily detected by PCR, and only eight strains (22%) negative
in PCR for one or two of the
nhe genes were found to be positive
by Southern blotting (Table
2). This contrasted with results
obtained for the 47 and 49 food-borne strains that were positive
for the HBL and NHE enterotoxins, respectively: 17 strains (36%)
and 31 strains (63%) negative in PCR for one or two of the respective
hbl and
nhe genes were found to be positive by Southern blotting
(Table
3). This indicates a high polymorphism in the
hbl and
nhe sequences among food-associated strains, which differed
markedly from food-poisoning strains in that respect. Southern
analysis showed that genetic heterogeneity among
B. cereus strains,
and particularly among environmental strains, is more truly
associated with sequence polymorphism than with the lack of
one of the genes composing the
hbl or
nhe operon.
Distribution of enterotoxin genes.
Almost all the strains from the food-poisoning and food-borne ecosystems carried nhe genes, as observed in previous works (8, 12). The bceT gene was widely distributed (57 and 71% among food-poisoning and food-borne strains, respectively). The hbl (C, D, and A) genes were also highly frequent in the two groups of strains (73 to 92%). The cytK gene was frequently detected among diarrheal strains, 73% of which carried it. It was present at a significantly (P = 0.007) lower frequency among food-borne strains; only 37% of the food strains were concerned. Stenfors and Granum (15) found three strains (13%) carrying this gene among 23 strains from dairy products. Profiles associating the nhe, hbl, and cytK genes were significantly (P = 0.049) more frequent among food-poisoning strains (63% of the strains concerned) than among food-borne strains (33% of the strains).
Enterotoxin levels produced among strain samples.
Among strains carrying hbl genes, the percentage of those producing high levels of enterotoxin HBL (with an index of
128) was significantly (P = 0.002) higher for food-poisoning strains (74%) than for food-borne strains (32%). Similarly, among strains carrying nhe genes, the frequency of high enterotoxin NHE producers (production at an index of
4) was 78% for food-poisoning strains and only 20% for food-related strains. Furthermore, 11 strains (22%) among the 49 food-borne strains carrying nhe genes did not produce or only weakly produced enterotoxin NHE (index < 3). This emphasizes a difference in gene expression between food-borne and food-poisoning strains. Psychrotrophic strains isolated from pasteurized milk by in't Veld et al. (10) were also low producers of enterotoxin BL, with only 26 strains out of 86 (30%) exhibiting an index of
128 in the Oxoid test. Beattie and Williams (3) also observed wide variations in the amount of enterotoxin produced from dairy-associated strains.
Some significant differences were found in the genetic and toxigenic potential of food-poisoning strains and food-borne strains, supporting the hypothesis that many food-borne strains are less prone to cause diarrhea.
StrainhblChblDhblAhblBkit testnheAnheBnheCtest indexcytK,bceTSZ++++4+s++s3-+ SB'++++>128+s++4-+ SD+++-16+s++3.5-+ SM++++64+s++s2.5-+ C41+s++-2+s++1.5-+ I6+s+s+s-2+s++s4-+ I11+++-128+++3.5-+ I20+s++-16++s+3-+ I21+s+s+-16+s++3-+ C43+++-128+++s5+- I22+++-128+++4+- 32++++>128+s++4++ BC'++++64++s+3++ A3++++16+s++3.5++ C3++++128+++3.5++ C15++++128+++3.5++ C38+++->128+++4++ C57+++-32+++3.5++ I2+++-64+++3.5++ I7+s++-64+++3.5++ I10+++-128+++3.5++ I12+++->128+s++3.5++ I13+s++-128+++5++ I16+++->128++s+3.5++ I17+++-128+++2.5++ I23++++32+s++2.5++

ACKNOWLEDGMENTS
This work was supported by specific funds from the Département
Transformation des Produits Végétaux (INRA, France)
and by a research project, AQS R0013 (Ministère de l'Agriculture
et de la Pêche, Ministère de la Recherche, France).
We thank P. E. Granum (The Norwegian School of Veterinary Science, Oslo, Norway), M. A. Andersson and M. S. Salkinoja-Salonen (University of Helsinki, Helsinki, Finland), J. Mc Lauchlin (PHLS, London, England), C. Denis (ADRIA Normandie, Villers Bocage, France), and M. L. De Buyser (AFSSA, Maisons-Alfort, France) for providing strains. We also thank D. Lereclus (Institut Pasteur, Paris, France) for providing the sequence of the cytK gene obtained from Bacillus thuringiensis. We are very grateful to S. Courtillier for help in the realization of immunoassays.

FOOTNOTES
* Corresponding author. Mailing address: INRA, UMR A408 INRA-Université d'Avignon, Domaine St-Paul, Site Agroparc, 84914 Avignon Cedex 9, France. Phone: (33) 4 32 72 25 24. Fax: (33) 4 32 72 24 92. E-mail:
guinebre{at}avignon.inra.fr.


REFERENCES
1 - Agata, N., M. Ohta, Y. Arakawa, and M. Mori. 1995. The bceT gene of Bacillus cereus encodes an enterotoxic protein. Microbiology 141:983-988.[Abstract/Free Full Text]
2 - Aranda, E., M. M. Rodriguez, M. A. Asensio, and J. J. Cordoba. 1997. Detection of Clostridium botulinum types A, B, E, and F in foods by PCR and DNA probe. Lett. Appl. Microbiol. 25:186-190.[CrossRef][Medline]
3 - Beattie, S. H., and A. G. Williams. 1999. Detection of toxigenic strains of Bacillus cereus and other Bacillus spp. with an improved cytotoxicity assay. Lett. Appl. Microbiol. 28:221-225.[CrossRef][Medline]
4 - Beecher, D. J., and A. C. Wong. 1994. Improved purification and characterization of hemolysin BL, a hemolytic dermonecrotic vascular permeability factor from Bacillus cereus. Infect. Immun. 62:980-986.[Abstract/Free Full Text]
5 - Beecher, D. J., and A. C. Wong. 1997. Tripartite hemolysin BL from Bacillus cereus. Hemolytic analysis of component interactions and a model for its characteristic paradoxical zone phenomenon. J. Biol. Chem. 272:233-239.[Abstract/Free Full Text]
6 - Granum, P. E. 1994. Bacillus cereus and its toxins. J. Appl. Bacteriol. Suppl. 23:61S-66S.
7 - Granum, P. E., K. O'Sullivan, and T. Lund. 1999. The sequence of the non-haemolytic enterotoxin operon from Bacillus cereus. FEMS Microbiol. Lett. 177:225-229.[Medline]
8 - Hansen, B. M., and N. B. Hendriksen. 2001. Detection of enterotoxic Bacillus cereus and Bacillus thuringiensis strains by PCR analysis. Appl. Environ. Microbiol. 67:185-189.[Abstract/Free Full Text]
9 - Heinrichs, J. H., D. J. Beecher, J. D. MacMillan, and B. A. Zilinskas. 1993. Molecular cloning and characterization of the hblA gene encoding the B component of hemolysin BL from Bacillus cereus. J. Bacteriol. 175:6760-6766.[Abstract/Free Full Text]
10 - in't Veld, P. H., W. S. Ritmeester, E. H. M. DelfgouvanAsch, J. B. Dufrenne, K. Wernars, E. Smit, and F. M. vanLeusden. 2001. Detection of genes encoding for enterotoxins and determination of the production of enterotoxins by HBL blood plates and immunoassays of psychrotrophic strains of Bacillus cereus isolated from pasteurised milk. Int. J. Food Microbiol. 64:63-70.[CrossRef][Medline]
11 - Lund, T., M. L. DeBuyser, and P. E. Granum. 2000. A new cytotoxin from Bacillus cereus that may cause necrotic enteritis. Mol. Microbiol. 38:254-261.[CrossRef][Medline]
12 - Rivera, A. M. G., P. E. Granum, and F. G. Priest. 2000. Common occurrence of enterotoxin genes and enterotoxicity in Bacillus thuringiensis. FEMS Microbiol. Lett. 190:151-155.[CrossRef][Medline]
13 - Ryan, P. A., J. D. Macmillan, and B. A. Zilinskas. 1997. Molecular cloning and characterization of the genes encoding the L1 and L2 components of hemolysin BL from Bacillus cereus. J. Bacteriol. 179:2551-2556.[Abstract/Free Full Text]
14 - Sambrook, J., E. F. Fritsch, and T. Maniatis. 1989. Molecular cloning: a laboratory manual, 2nd ed. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.
15 - Stenfors, L. P., and P. E. Granum. 2001. Psychrotolerant species from the Bacillus cereus group are not necessarily Bacillus weihenstephanensis. FEMS Microbiol. Lett. 197:223-228.[CrossRef][Medline]
Journal of Clinical Microbiology, August 2002, p. 3053-3056, Vol. 40, No. 8
0095-1137/02/$04.00+0 DOI: 10.1128/JCM.40.8.3053-3056.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
This article has been cited by other articles:
-
Cardazzo, B., Negrisolo, E., Carraro, L., Alberghini, L., Patarnello, T., Giaccone, V.
(2008). Multiple-Locus Sequence Typing and Analysis of Toxin Genes in Bacillus cereus Food-Borne Isolates. Appl. Environ. Microbiol.
74: 850-860
[Abstract]
[Full Text]
-
Zigha, A., Rosenfeld, E., Schmitt, P., Duport, C.
(2007). The Redox Regulator Fnr Is Required for Fermentative Growth and Enterotoxin Synthesis in Bacillus cereus F4430/73. J. Bacteriol.
189: 2813-2824
[Abstract]
[Full Text]
-
Thorsen, L., Hansen, B. M., Nielsen, K. F., Hendriksen, N. B., Phipps, R. K., Budde, B. B.
(2006). Characterization of Emetic Bacillus weihenstephanensis, a New Cereulide-Producing Bacterium.. Appl. Environ. Microbiol.
72: 5118-5121
[Abstract]
[Full Text]
-
Dietrich, R., Moravek, M., Burk, C., Granum, P. E., Martlbauer, E.
(2005). Production and Characterization of Antibodies against Each of the Three Subunits of the Bacillus cereus Nonhemolytic Enterotoxin Complex. Appl. Environ. Microbiol.
71: 8214-8220
[Abstract]
[Full Text]
-
Gray, K. M., Banada, P. P., O'Neal, E., Bhunia, A. K.
(2005). Rapid Ped-2E9 Cell-Based Cytotoxicity Analysis and Genotyping of Bacillus Species. J. Clin. Microbiol.
43: 5865-5872
[Abstract]
[Full Text]
-
Valjevac, S., Hilaire, V., Lisanti, O., Ramisse, F., Hernandez, E., Cavallo, J.-D., Pourcel, C., Vergnaud, G.
(2005). Comparison of Minisatellite Polymorphisms in the Bacillus cereus Complex: a Simple Assay for Large-Scale Screening and Identification of Strains Most Closely Related to Bacillus anthracis. Appl. Environ. Microbiol.
71: 6613-6623
[Abstract]
[Full Text]
-
Lequin, M. H., Vermeulen, J. R., van Elburg, R. M., Barkhof, F., Kornelisse, R. F., Swarte, R., Govaert, P. P.
(2005). Bacillus cereus Meningoencephalitis in Preterm Infants: Neuroimaging Characteristics. Am. J. Neuroradiol.
26: 2137-2143
[Abstract]
[Full Text]
-
Ehling-Schulz, M., Vukov, N., Schulz, A., Shaheen, R., Andersson, M., Martlbauer, E., Scherer, S.
(2005). Identification and Partial Characterization of the Nonribosomal Peptide Synthetase Gene Responsible for Cereulide Production in Emetic Bacillus cereus. Appl. Environ. Microbiol.
71: 105-113
[Abstract]
[Full Text]
-
Ehling-Schulz, M., Svensson, B., Guinebretiere, M.-H., Lindback, T., Andersson, M., Schulz, A., Fricker, M., Christiansson, A., Granum, P. E., Martlbauer, E., Nguyen-The, C., Salkinoja-Salonen, M., Scherer, S.
(2005). Emetic toxin formation of Bacillus cereus is restricted to a single evolutionary lineage of closely related strains. Microbiology
151: 183-197
[Abstract]
[Full Text]
-
Brillard, J., Lereclus, D.
(2004). Comparison of cytotoxin cytK promoters from Bacillus cereus strain ATCC 14579 and from a B. cereus food-poisoning strain. Microbiology
150: 2699-2705
[Abstract]
[Full Text]
-
Tjalsma, H., Antelmann, H., Jongbloed, J. D.H., Braun, P. G., Darmon, E., Dorenbos, R., Dubois, J.-Y. F., Westers, H., Zanen, G., Quax, W. J., Kuipers, O. P., Bron, S., Hecker, M., van Dijl, J. M.
(2004). Proteomics of Protein Secretion by Bacillus subtilis: Separating the "Secrets" of the Secretome. Microbiol. Mol. Biol. Rev.
68: 207-233
[Abstract]
[Full Text]
-
Slamti, L., Perchat, S., Gominet, M., Vilas-Boas, G., Fouet, A., Mock, M., Sanchis, V., Chaufaux, J., Gohar, M., Lereclus, D.
(2004). Distinct Mutations in PlcR Explain Why Some Strains of the Bacillus cereus Group Are Nonhemolytic. J. Bacteriol.
186: 3531-3538
[Abstract]
[Full Text]
-
Duc, L. H., Hong, H. A., Barbosa, T. M., Henriques, A. O., Cutting, S. M.
(2004). Characterization of Bacillus Probiotics Available for Human Use. Appl. Environ. Microbiol.
70: 2161-2171
[Abstract]
[Full Text]