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Journal of Clinical Microbiology, November 2003, p. 5167-5172, Vol. 41, No. 11
0095-1137/03/$08.00+0 DOI: 10.1128/JCM.41.11.5167-5172.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Department of Veterinary Microbiology,1 Department of Pharmacology and Pathobiology, Laboratory of Veterinary Pathology, The Royal Veterinary and Agricultural University, DK-1870 Frederiksberg C, Copenhagen, Denmark2
Received 18 April 2003/ Returned for modification 27 July 2003/ Accepted 11 August 2003
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The nature of Gallibacterium infections is poorly understood. It has been suggested that the bacteria constitute a part of the normal flora of the upper respiratory tract as well as the lower genital tract of chickens (5, 27, 28). A recent investigation with clinically healthy chickens from different Danish layer production systems showed that hemolytic Gallibacterium was highly prevalent in birds from production systems with moderate or low levels of biosecurity (8). Mirle et al. (24) examined 496 hens with reproductive tract lesions and isolated Gallibacterium in pure culture from 23% of the diseased organs, whereas the second most prevalent agent, Escherichia coli, was isolated from 21% of the cases. In addition, others have isolated Gallibacterium in pure cultures of samples from animals with various pathological lesions or conditions, including salpingitis, oophoritis, peritonitis, pericarditis, hepatitis, enteritis, upper respiratory tract lesions, and septicemia (1, 6, 18-20, 27, 28, 31-34). Evidently, the bacteria are capable of causing serious, systemic infections affecting multiple organ systems, but the mechanisms of pathogenesis remain obscure.
The Gallibacterium-induced lesions that have been reported are not pathognomonic, and detection and identification are dependent on classical isolation and identification procedures, including phenotypic characterization (12). As is the case for most other genera of the family Pasteurellaceae Pohl 1981, the genus Gallibacterium is phenotypically a heterogeneous group (12, 30). Phenotypic characterization therefore involves laborious and time-consuming methods, which may also give ambiguous results due to variable outcomes. This in turn leads to difficulty in interpretation of the genus and species designations from some earlier studies, in which only a relatively few phenotypic characters have been investigated (7). Additionally, Gallibacterium may be underestimated as a cause of salpingitis and/or peritonitis due to the aforementioned limitations of the diagnostic methods available.
Establishment of an alternative, more accurate, and reliable detection method is warranted. Consequently, the aim of the present study was to develop a genotypic identification method allowing specific detection and evaluation of the spatial distribution of Gallibacterium in the host.
Rapid and specific identification of individual bacterial cells can be achieved by the fluorescent in situ hybridization technique (FISH) (15), which is based on fluorescent material-labeled oligonucleotides complementary to bacterial 16S rRNA. This poses advantages compared with traditional culture-based methods, as it is not restricted to live or intact cells, making it suitable for the detection of viable nonculturable cells and other fastidious organisms difficult to culture outside their natural habitat. FISH has been applied to the sensitive detection of microorganisms in situ and has been used to reveal bacterium-host interactions at the cellular level (4). The method has proved to be a valuable tool in elucidating the pathogenesis and spatial distribution of a range of different bacteria, including Pasteurella multocida in chicken and porcine tissues (22), Haemophilus somnus in bovine lung tissue (35), and Brachyspira hyodysenteriae and Brachyspira pilosicoli in porcine intestinal tissue (10).
In this study, we describe a detection method based on a cyanine dye 3.18 (Cy3)-labeled oligonucleotide probe specific for Gallibacterium. The specificity of the probe was confirmed by the recovery of negative hybridization signals with 25 other poultry-associated bacterial species, including members of the families Pasteurellaceae, Enterobacteriaceae, and Flavobacteriaceae. Furthermore, the probe was shown to be specific and to be able to resolve the spatial distribution of Gallibacterium spp. in spleen and liver tissues from experimentally infected chickens.
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TABLE 1. Bacterial taxa included in GAN850 probe specificity testing with whole cells
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Oligonucleotide probes. The 16S rRNA sequences from 14 taxa of the family Pasteurellaceae Pohl 1981 from GenBank were aligned by use of the Pileup program (Wisconsin Sequence Analysis Package; Genetics Computer Group, Madison, Wis.) (Table 2). A Gallibacterium-specific oligonucleotide probe, GAN850 (5'-TTGCTTCGAGAGCCATAC-3'), and its complementary probe, non-GAN850 (5'-GTATGGCTCTCGAAGCAA-3'), were selected for use in further experiments. The uniqueness of the probe sequence was confirmed by a search with the BLASTn program (2). A probe regarded to be specific for all members of the eubacterial domain except the orders Planctomycetales and Verrucomicrobia (14), EUB338, 5'-GCTGCCTCCCGTAGGAGT-3' (3), was included as a positive control. The genus- and eubacterium-specific probes were synthesized; monolabeled at the 5' end with Cy3 and cyanine dye 5.18 (Cy5), respectively; and purified by high-pressure liquid chromatography (TagC, Copenhagen, Denmark).
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TABLE 2. Alignment of probe GAN850 sequence and 16S rRNA sequences from related bacterial taxa in the family Pasteurellaceae
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Preparation of histological sections for hybridization. Liver and spleen tissue originated from chickens experimentally infected with G. anatis strain 12656-12 as described previously (9). Briefly, 15-week-old chickens were inoculated with G. anatis by the intravenous or intraperitoneal route. Chickens inoculated with saline were included as controls. Both heterophil-depleted chickens (which were treated with 5-fluorouracil to promote Gallibacterium invasion in the chickens) and chickens with normal immune status (which were treated with saline) were infected with 107 CFU. The chickens were killed; and tissue specimens were collected at 3, 12, and 24 h postinoculation. The tissue was immediately transferred to 10% phosphate-buffered formalin for fixation for 24 h, followed by dehydration and embedment in paraffin prior to preparation of 3- to 4-µm-thick cross sections. The sections were mounted on adhesive slides (Super Frost/Plus; Menzel-Gläser, Braunschweig, Germany).
In situ hybridization of tissue sections. Tissue sections were deparaffinized with xylene, dehydrated twice with 99% ethanol for 3 min each time, and air dried. The hybridization and washing steps were performed essentially as described above for the bacterial samples except for the addition of 100 µl of hybridization buffer and 200 ng of probe per tissue section. Histochemical staining of the splenic tissue was performed with hematoxylin-eosin (HE) stain for histopathological interpretation. A coverslip was mounted on hybridized slides by application of a few drops of nonfluorescent paraffin oil on the tissue sections.
Microscopy and image analysis. The slides were examined with a 15 or 26 filter (Carl Zeiss, Oberkochen, Germany) for visualization of Cy3 and Cy5, respectively, with an Axioplan II epifluorescence microscope (Zeiss) equipped for epifluorescence with a 100-W mercury lamp. A fluorescein isothiocyanate-Cy3 double filter (Chroma Technology Corp., Brattleboro, Vt.) was used when background staining of tissue as well as fluorescence from probe GAN850 was desired in order to ascertain the spatial distributions of the bacterial cells. Tissue sections stained with HE stain were examined by light microscopy. Images were acquired with a Zeiss AxioCam digital camera.
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The specificity of probe GAN850 was tested with pure cultures of related organisms which could pose a differential diagnostic problem. A strong fluorescent signal was detected from the Gallibacterium spp. (Fig. 1A), whereas no or minimal detectable signals were obtained from all 24 non-Gallibacterium strains included (Table 1). The reverse and complementary probe, non-GAN850, did not show any signal upon hybridization to any of the strains included (data not shown). Hybridization of the eubacterial probe, EUB338, with all the strains included showed a signal intensity corresponding to the level observed with GAN850 hybridized with members of the genus Gallibacterium (Fig. 1B).
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FIG. 1. FISH and histopathology demonstrating the ability of probe GAN850 to hybridize with G. anatis in pure culture and in infected formalin-fixed tissues. The scale bars indicate the magnifications of the images. (A) Pure culture of G. anatis strain 12656-12 showing a bright signal with GAN850; (B) pure culture of Coenonia anatina demonstrating a clear signal with EUB338; (C) splenic tissue from a chicken infected intravenously with Gallibacterium showing basophilic aggregates of bacteria in the ellipsoids (thin black arrow) surrounding the penicillium capillaries (thick black arrow) (HE stain); (D) splenic tissue from a chicken infected intravenously with Gallibacterium and hybridized with GAN850 yielding a bright signal (arrow) in patterns corresponding to the basophilic aggregates observed in panel C; (E) liver tissue from a chicken infected intraperitoneally with Gallibacterium and hybridized with GAN850 showing single cells of G. anatis positioned on the serosal side of the liver (arrow); (F) as for panel E, but hybridized with non-GAN850 and showing no hybridization signal.
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Histological findings and tissue hybridization with fluorescent probes. HE staining of splenic tissue from chickens inoculated intravenously showed basophilic microcolonies and bacterial aggregates, primarily in the ellipsoids surrounding the penicilliform capillaries (Fig. 1C). Necrotic splenic cells and eosinophilic material were also identified in the ellipsoids. Spleen tissues from noninfected controls had no detectable lesions (data not shown).
A strong hybridization signal was obtained with probe GAN850 in tissue sections from infected chickens. The signal distribution corresponded to the microcolonies and basophilic aggregates of bacteria seen in the ellipsoids in the HE-stained spleen sections (Fig. 1D). Single bacteria could be visualized by HE staining and GAN850 hybridization (Fig. 1E) in the liver tissue sections from the chickens inoculated intraperitoneally, in which bacteria were apparent in the exudates covering the serosal surfaces of the livers. Tissue hybridization with the eubacterial probe, EUB338, always revealed a pattern similar to that obtained with GAN850 with infected chicken tissue (data not shown), whereas hybridization with the complementary probe, non-GAN850, was negative for infected as well as noninfected control tissues (Fig. 1F).
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FISH-based methods have been demonstrated to be applicable to the identification of bacteria in their natural environment (10, 25, 26). Moreover, a recent study by Tegtmeier et al. (35) demonstrated that bacterial cultivation is the least sensitive method for the detection of bacteria in tissue in comparison to in situ hybridization, immunohistochemistry, and PCR, underlining the importance and necessity of alternatives to traditional detection methods. Gallibacterium spp. have the typical characteristics of an opportunistic pathogen, relying on predisposing factors, such as coinfections of viral, bacterial, or parasitic origin, stress, or hormonal imbalances, to elicit disease (18, 31). Identification of Gallibacterium spp. in mixed bacterial populations by a non-culture-dependent identification method would be advantageous and avoid selection of certain bacterial species which could distort interpretation of the actual species composition in the sample investigated (11). This is further underlined by the fact that certain isolates of hemolytic Gallibacterium grow only under microaerophilic conditions. We did not test the method with naturally infected chickens, in which profound histological changes and the presence of a mixed bacterial population may lower the performance of the present technique. Previous studies have indicated that application of an in situ PCR detection method can improve the detection sensitivity compared to those of culture and FISH-based methods (16, 29). Although PCR-based methods are superior for detection, they are still less useful for evaluating the spatial distribution of bacterial cells within infected tissue, which plays an important role in elucidating the pathogenesis. Furthermore, the very bright signal observed from the experimentally infected tissue indicates that no major problems are likely to be expected with regard to the signal intensity from G. anatis in naturally infected tissue.
Minor variations in signal intensities were observed between repeated hybridizations with the same strain under identical hybridization conditions; however, the magnitudes of the variations were negligible, and a clear distinction between positive and negative signals was always possible.
Lack of specificity is commonly encountered in the development of a genus- or species-specific probe (25). Alignments of sequences with published 16S rRNA sequences did not identify any homologous matches. These results were further supported by specificity testing with probes GAN850 and EUB338 in parallel, confirming the accessibility and abundance of 16S rRNA in all the non-Gallibacterium species tested. These did not give signals upon hybridization with GAN850, but clearly detectable signals were seen with EUB338. GAN850 was also specific when hybridizations were carried out with chicken tissue. We did not observe unspecific binding, cross hybridization, or autofluorescence at a magnitude that disturbed the signal from Gallibacterium. It has been shown that these often hamper visualization of the hybridization signals in tissue (23). The oligonucleotides labeled with Cy3 and Cy5 used in the present study gave a clear bright signal, which enabled the use of narrow-band-pass filters, enhancing the signal-to-noise ratio considerably compared to those obtained with classical fluorophores, such as fluorescein and rhodamine derivatives, confirming the observations of Wessendorf and Brelje (36). However, some counterstaining can be useful for visualization of the spatial distribution of bacteria within tissue (10, 22), which in the present study was achieved by the use of a double filter set. The double filter set allowed the passage of signals from the labeling dye as well as specified wavelengths of autofluorescence from the host tissue.
In conclusion, we have designed an oligonucleotide probe targeting 16S rRNA which enables the specific detection of Gallibacterium species in situ. This genotypic diagnostic method for Gallibacterium detection represents the first alternative to the present phenotype-based method to be described. A particular advantage is its ability to identify Gallibacterium spp. in infected tissues, which can be of major importance at elucidating the pathogenesis and the bacterium-host cell interactions of this poorly understood microorganism.
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