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Journal of Clinical Microbiology, March 2004, p. 1379-1380, Vol. 42, No. 3
0095-1137/04/$08.00+0 DOI: 10.1128/JCM.42.3.1379-1380.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Neutral Red Staining of Cells of a Sulfolipid-Deficient Mycobacterium tuberculosis pks2 Mutant Proves that Sulfolipids Are Not Responsible for This Cytochemical Reaction

LETTER
In 1948 Dubos and Middlebrook reported that the cells of the
virulent H37Rv
Mycobacterium tuberculosis strain were able to
reduce neutral red and become red in color (NR
+), whereas the
cells of the avirulent H37Ra
M. tuberculosis were not (NR
-)
(
3,
7). During the following decade, neutral red staining was
performed on
M. tuberculosis clinically isolated strains,
Mycobacterium bovis, and environmental mycobacteria (
1,
4-
6). Recently, we
have also performed this staining in
M. tuberculosis strains
(
11). The different studies showed a concordance of results;
that is, cells of the virulent
M. tuberculosis and
M. bovis strains stained red, while cells of the majority of environmental
mycobacteria remained unstained.
In 1959 Middlebrook and coworkers studied the cellular components responsible for neutral red staining and established a positive correlation between the sulfolipid content and the neutral-red-staining cells (8). Although the results of this single work were not conclusive, the idea that sulfolipids are responsible for the NR+ cells of the M. tuberculosis virulent strains has been widely quoted and accept- ed. However, no direct evidence has confirmed this conclusion.
Recently, a pks2 mutant of M. tuberculosis H37Rv has been generated that is unable to produce hepta- and octamethyl phthioceranic acids, the major acyl constituents of sulfolipids, and is thus unable to produce sulfolipids (10). The availability of this mutant made it possible to test directly whether sulfolipids are responsible for neutral red staining.
The M. tuberculosis strains used in this study were the two reference strains H37Rv (ATCC 27294) and H37Ra (ATCC 25177), the H37Rv pks2 mutant, and the H37Rv msl3 mutant (2). This last mutant is able to produce sulfolipids but is deficient in polyacyl and diacyl trehaloses and has been used as a control together with the H37Rv wild-type and H37Ra strains.
The neutral red staining was performed in a test tube as described previously (11). The strains were tested several times, and the results shown in Fig. 1 were obtained each time. As shown in Fig. 1, cells of the pks2 mutant were NR+, as were cells of the wild-type H37Rv strain and the msl3 mutant. H37Ra cells were NR-. Consequently, we can conclude that sulfolipids are not responsible for the ability of the cells of virulent M. tuberculosis strains to become red stained.
In the past a correlation was accepted between neutral red staining
and virulence in
M. tuberculosis, and as sulfolipids were thought
to be responsible for this reaction, they were considered a
virulence factor until recently. However, a new study has shown
that the
M. tuberculosis pks2 sulfolipid-deficient mutant showed
the same degree of virulence as the wild type (
9). The present
finding that sulfolipids are not involved in neutral red staining
is consistent with this result. The mycobacterial compound(s)
responsible for neutral red staining in
M. tuberculosis, with
a possible correlation to virulence, remains to be identified.

ACKNOWLEDGMENTS
This work was supported by grant QLK2-CT-1999-01093 from the
European Union, grant 2002SGR-00099 from the Generalitat de
Catalunya, and grants AI46582 and AI35272 from the U.S. National
Institutes of Health.

REFERENCES
1 - Desbordes, J., and E. Fournier. 1954. Action des substances colorantes sur les mycobactéries. I. Colorants basiques. Étude de la cinétique de la réaction. Ann. Inst. Pasteur (Paris) 86:657-660.[Medline]
2 - Dubey, V. S., Sirakova, T. D., and P. E. Kolattukudy. 2002. Disruption of msl3 abolishes the synthesis of mycolipanoic and mycolipenic acids required for polyacyltrehalose synthesis in Mycobacterium tuberculosis H37Rv and causes cell aggregation. Mol. Microbiol. 45:1451-1459.[CrossRef][Medline]
3 - Dubos, R. J., and G. Middlebrook. 1948. Cytochemical reaction of virulent tubercle bacilli. Am. Rev. Tuberc. 58:698-699.[Medline]
4 - Haudoroy, M. P., and M. Y. Postenak. 1949. Sur une réaction permettant de distinguer les mycobactéries virulentes des mycobactéries avirulentes. C. R. Hebd. Séances Acad. Sci. 228:781.
5 - Haudoroy, P., and M. Cevey. 1953. Importance des réactions cyto-chimiques pour la détermination de la virulence des mycobactéries et intérèt pour la classification. Ann. Inst. Pasteur (Paris) 84:1034-1035.[Medline]
6 - Hughes, D., M. Moss, M. Hood, and M. Henson. 1954. Virulence of Mycobacterium tuberculosis: evaluation of a test using neutral red indicator. Am. J. Clin. Pathol. 24:621-625.[Medline]
7 - Lillie, R. D. 1977. Quinone-imines dyes and azines, p. 376-392. In R. D. Lillie (ed.), H. J. Conn's biological stains, 9th ed. Williams and Wilkins, Baltimore, Md.
8 - Middlebrook, G., C. M. Coleman, and W. B. Schaefer. 1959. Sulfolipid from virulent tubercle bacilli. Proc. Natl. Acad. Sci. USA 45:1801-1804.[Free Full Text]
9 - Rousseau, C., O. C. Turner, E. Rush, Y. Bordat, T. D. Sirakova, P. E. Kolattukudy, I. M. Orme, B. Gicquel, and M. Jackson. 2003. Sulfolipid deficiency does not affect the virulence of Mycobacterium tuberculosis. Infect. Immun. 71:4684-4690.[Abstract/Free Full Text]
10 - Sirakova, T. D., A. K. Thirumala, V. S. Dubey, H. Sprecher, and P. E. Kolattukudy. 2001. The Mycobacterium tuberculosis pks2 gene encodes the synthase for the hepta- and octamethyl-branched fatty acids required for sulfolipid synthesis. J. Biol. Chem. 276:16833-16839.[Abstract/Free Full Text]
11 - Soto, C. Y., N. Andreu, I. Gibert, and M. Luquin. 2002. Simple and rapid differentiation of Mycobacterium tuberculosis H37Ra from M. tuberculosis clinical isolates through two cytochemical tests using neutral red and nile blue stains. J. Clin. Microbiol. 40:3021-3024.[Abstract/Free Full Text]
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Núria Andreu Isidre Gibert
Institut de Biotecnologia i de BiomedicinaUniversitat Autònoma de Barcelona08193 Bellaterra (Barcelona), Spain
Marina Luquin*
Departament de Genètica i de Microbiologia Universitat Autònoma de Barcelona 08193 Bellaterra (Barcelona), Spain
Pappachan E. Kolattukudy Tatiana Sirakova
Neurobiotechnology Center and Departments of Biochemistry and Molecular and Cellular Biochemistry The Ohio State University Columbus, OH 43210
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* Phone: 34 935812540,Fax: 34 935812387,E-mail: Marina.Luquin{at}uab.es |
Journal of Clinical Microbiology, March 2004, p. 1379-1380, Vol. 42, No. 3
0095-1137/04/$08.00+0 DOI: 10.1128/JCM.42.3.1379-1380.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.