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J Med Microbiol 56 (2007), 1474-1478; DOI: 10.1099/jmm.0.47307-0
© 2007 Society for General Microbiology
ISSN 1473-5644

Evaluation of vt2-subtyping methods for identifying vt2g in verotoxigenic Escherichia coli

Alejandra Krüger, Paula M. A. Lucchesi and Alberto E. Parma

Lab. Inmunoquímica y Biotecnología, Depto. Sanidad Animal y Medicina Preventiva, Fac. Cs. Veterinarias, Universidad Nacional del Centro Pcia. Buenos Aires. Pinto 399 (7000), Tandil, Argentina

Correspondence
Paula M. A. Lucchesi
paulaluc{at}vet.unicen.edu.ar

Received 23 March 2007
Accepted 20 July 2007


Verotoxin-producing Escherichia coli (VTEC) are important pathogens that can cause severe human disease, including haemorrhagic colitis and haemolytic–uraemic syndrome. A new variant of verotoxin, vt2g, has recently been described. It was possible to find this variant for the first time in Argentina among VTEC isolated from cattle. The present study evaluated the identification of this gene with three conventional methods used for subtyping the vt2 gene. The results show that it is possible to screen VTEC strains for the presence of vt2g without the implementation of new protocols.


Abbreviations: VT, verotoxin; VTEC, verotoxin-producing Escherichia coli.


    INTRODUCTION
 TOP
 INTRODUCTION
 METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
Verotoxin-producing Escherichia coli (VTEC) are important pathogens that can cause severe human disease, including haemorrhagic colitis and haemolytic–uraemic syndrome (Karmali et al., 1985). Ruminants are regarded as the principal reservoir of VTEC strains (Karmali, 1989).

Several factors contribute to the pathogenicity of VTEC, but the verotoxins (VTs) are considered to be the main virulence factors. These toxins are classified into two principal types, verotoxin 1 (VT1) and verotoxin 2 (VT2) (Nataro & Kaper, 1998). The VT1 group consists of VT1, VT1c and VT1d variants (Paton et al., 1995; Zhang et al., 2002; Bürk et al., 2003; Friedrich et al., 2003). The VT2 group is more heterogeneous and includes the prototype VT2 (VT2-EDL933) (this VT2 subtype is referred to as VT2-EDL933 in this paper, as it is the VT2 produced by the EDL933 reference strain), a considerable number of variants grouped into VT2c, VT2d, VT2e and VT2f, and the recently identified VT2g variant (Schmitt et al., 1991; Piérard et al., 1998; Schmidt et al., 2000; Leung et al., 2003). Leung et al. (2003) described this novel VT2 variant in a VTEC strain isolated from the faeces of healthy cattle. They found the vt2g gene in 0.7 % of bovine VTEC isolates. Strains carrying vt2g have also been identified in cattle wastewater in a study of aquatic environments (García-Aljaro et al., 2005). When vt2g is aligned with published DNA sequences of vt2-EDL933 and vt2 variants, it exhibits the highest similarity with vt2 genes associated with human disease, and moreover VT2g cytotoxicity for HeLa and Vero cells is comparable to that of VT2-EDL933 (ATCC 43889) (Leung et al., 2003). This potential pathogenicity and the possibility that vt2g may be a newly emerged variant that has not yet extensively spread among cattle (Leung et al., 2003) indicate the necessity of studying the prevalence of vt2g in isolates from bovine, environmental and human samples.

It is known that the nomenclature of vt2 gene variants is confusing due to the use of different subtyping methods and designations. The continuous change of protocols to identify new variants adds more complexity. Therefore, the purpose of this study was to analyse the ability of commonly used vt2-subtyping methods to detect and discriminate vt2g, in order to facilitate its identification.

Two approaches were used for the analysis: the first was PCR amplification and PCR-RFLP subtyping, and the second was a virtual sequence analysis.


    METHODS
 TOP
 INTRODUCTION
 METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
vt2g subtyping by PCR and PCR-RFLP. The 7v reference strain for vt2g was examined in comparison with control strains for other vt2 variants by three commonly used PCR-RFLP methods developed by other researchers (Tyler et al., 1991; Bastian et al., 1998; Piérard et al., 1998). These protocols are referred to as the Tyler, Bastian and Piérard methods, respectively.

VTEC strains or their DNA used as controls for vt2g (E. coli 7v), vt2-EDL933 (E. coli EDL933), vt2 vha (E. coli E32511), vt2 vhb (E. coli 1398-152; clinical isolate) and vt2d-Ount (E. coli EH250) were kindly supplied by Dr A. W. Friedrich (Institut für Hygiene, Universitätsklinikum Münster, Germany), Dr P. H. M. Leung (Queen Mary Hospital, The University of Hong Kong, People's Republic of China), Dr J. Blanco (Laboratorio de Referencia de E. coli, Spain) and Dr E. López (Hospital de Niños ‘Ricardo Gutiérrez’, Argentina).

Bacteria were grown overnight at 37 °C in Luria–Bertani (LB) broth with shaking. An aliquot of the culture was diluted 1/10 in water to determine OD600. At an OD600 of 0.5, a 500 µl aliquot of the stationary-phase culture was centrifuged (2 min at 12 000 g) and the pellet suspended in 500 µl double-distilled water. The suspension was then boiled for 10 min and centrifuged (2 min at 12 000 g). Five microlitres of a 1/10 dilution of the supernatant were used as the template for PCR amplification.

PCR products were obtained with the Lin primer set for the Bastian method, VT2-c/VT2-d for the Tyler protocol, and VT2-e/VT2-f and VT2-cm/VT2-f for the Piérard protocol. PCR protocols and cycling conditions corresponded to those published before (Tyler et al., 1991; Bastian et al., 1998; Piérard et al., 1998).

For each PCR-RFLP method, 10 µl of each PCR product was incubated for 4 h at 37 °C in a water bath with 10 units of the appropriate enzyme in a final volume of 25 µl (HaeIII, RsaI, NciI and HincII) or 30 units in a final volume of 30 µl in the case of PvuII. PCR products and restriction fragments were separated by gel electrophoresis in 2 % agarose gels with ethidium bromide in Tris/borate/EDTA buffer.

In addition, 134 VTEC isolates from cattle in Argentina were tested with the primer set specific for the vt2g gene variant, 209F/781R (Leung et al., 2003). The serotypes and vt genotypes of these bacterial strains are listed in Table 1Go and most of them have been described previously (Parma et al., 2000; Padola et al., 2004).


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Table 1. Serotypes and vt genotypes of VTEC strains isolated from cattle in Argentina and tested in this study

 
Strains that gave a positive result, and were therefore considered vt2g positive, were analysed by the Bastian, Piérard and Tyler protocols.

All the vt2g-positive strains were also tested with the generic primer set for vt2 genes (stx2F/stx2R) designed by Paton & Paton (1998). PCR cycling conditions corresponded to those published by these authors.

Virtual sequence analysis. Virtual analysis of two published sequences of the vt2g gene (GenBank accession nos AY286000 and AJ966782) was done to check PCR-RFLP results and assign fragment sizes. Sequences representing other vt2 variants were also included in this analysis to make a comparison with vt2g (Table 2Go).


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Table 2. Virtual PCR-RFLP analysis performed with iPCR and REBsites electronic tools

Predicted sizes of PCR products and restriction fragments for vt2g in comparison with other representative vt2 variants are indicated in bp.

 
Each vt2 sequence was amplified with the iPCR software (http://www.ch.embnet.org/software/iPCR_form.html) to obtain virtual PCR products for the three protocols studied. When a virtual PCR product was not obtained, the corresponding vt2 sequence and each primer were aligned to detect mismatches by using BLAST 2 Sequences (http://www.ncbi.nlm.nih.gov/blast/bl2seq/wblast2.cgi). To simulate restriction enzyme digestion, calculated PCR products were digested using REBsites, a virtual digestion tool (http://tools.neb.com/REBsites).


    RESULTS AND DISCUSSION
 TOP
 INTRODUCTION
 METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
The results of vt2g subtyping by PCR and RFLP-PCR are shown in Fig. 1Go. Examples of other vt variants are also shown. The computer-predicted RFLP patterns for vt2g in comparison with other vt2 sequences are summarized in Table 2Go.


Figure 1
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Fig. 1. Examples of PCR products and restriction fragments obtained with vt2g and other vt2 variants. (a–c) PCR products obtained with (a) primers VT2c/VT2d, Tyler method; (b) primers VT2e/VT2f, Piérard method; (c) primers Lin5'/Lin3', Bastian method. Lanes: 1, E. coli EDL933 (vt2-EDL933); 2, E. coli 7v (vt2g); 3, E. coli O145 : H– (vt2vha); 4, E. coli O91 : H21 (vt2vhb). (d–h) PCR products obtained with the Tyler protocol restricted by the restriction enzymes HaeIII (d), RsaI (e) and NciI (f), and with the Piérard protocol restricted by the restriction enzymes HaeIII (g) and PvuII (h). Lanes: 1, E. coli EDL933 (unrestricted PCR fragment); 2, E. coli EDL933 (vt2-EDL933); 3, E. coli 7v (vt2g); 4, E. coli O145 : H– (vt2vha); 5, E. coli O91 : H21 (vt2vhb). MW, 100 bp DNA ladder (Promega). Molecular mass (kb) is indicated at the right of each gel.

 
The vt2g gene of strain 7v was amplified with all the protocols investigated (Fig. 1a–cGo, lane 2). No amplification was obtained with the VT2-cm/VT2-f primer set in the Piérard protocol; this was expected, as this set is specific for vt2d.

Although PCR was performed with standardized bacterial suspensions, it is important to emphasize that amplification with primers VT2-c/VT2-d in the Tyler protocol resulted in a less abundant product with vt2g than with the other variants (Fig. 1aGo). This situation can be explained by a 2 bp difference in the 3' reverse-priming region.

PCR-RFLP results with the vt2g-positive strain showed similarities between vt2g and vt2-EDL933 sequences (Fig. 1d–hGo, Table 2Go). Nevertheless, differences exist at some restriction sites:

(1) The vt2g PCR products remained unrestricted after incubation with RsaI (Tyler method) and with PvuII (Piérard method) (Fig. 1e, hGo, lane 3). The absence of these restriction sites in this vt2g sequence was confirmed with the virtual analysis (Table 2Go).

(2) In addition, when performing the Bastian method, vt2g lacked one of the restriction sites for HincII, in agreement with the virtual analysis. Therefore, a fragment of 819 bp was obtained instead of 556 and 263 bp fragments (Table 2Go).

These differences allow the identification of the vt2g variant with any of the analysed subtyping methods. The vt2g-positive VTEC strains (4/134) isolated from cattle in our country displayed the same patterns of bands as the control strain 7v in all these protocols. This variant was detected among isolates from cattle in feedlots belonging to serotypes O2 : H25, O15 : H21 and O175 : H8 (two isolates).

In addition, for all vt2g-positive VTEC strains, the ability of the generic primers stx2F/stx2R (Paton & Paton, 1998) to detect the vt2g gene was evaluated and corroborated. This is noteworthy because Leung et al. (2003) could not detect this variant with some vt2-specific primers and probes, and it is important to use initially a generic primer set to capture all possible variants before using the subtyping protocols (Ziebell et al., 2002).

The present work confirms the importance of reporting the sizes of atypical restriction fragments in vt2 typing, in order to be able to correlate with variants identified in other studies. Also, it is interesting that a consistently lower intensity of a PCR product, under optimal conditions, can alert to the presence of a new vt2 variant.

A different region of the vt2 gene is amplified in each of the analysed subtyping methods and this situation can generate contradictory results in the identification of vt2 gene variants (Ziebell et al., 2002). Nevertheless, all three protocols were able to identify the vt2g gene and differentiate it from the other vt2 variants.

These results show that it is possible to screen VTEC strains for the presence of vt2g without implementing new protocols that add further complexity to the analysis of vt2 variants. This variant has not been reported before in Argentina, and we found it in 3 % of VTEC strains isolated from cattle. Studies that determine the prevalence of the vt2g gene in strains isolated from bovine, human and environmental samples are important to improve the knowledge of the epidemiology and pathogenicity of VTEC strains that harbour this gene.


    ACKNOWLEDGEMENTS
 
The authors thank M. R. Ortiz for her technical assistance. This work was supported by grants from the Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Comisión de Investigaciones Científicas-Gobierno Pcia. Buenos Aires (CIC), Fondo para la Investigación Científica y Tecnológica (FONCYT) and Secretaría de Ciencia y Tecnología-Universidad Nacional del Centro de la Provincia de Buenos Aires (SECYT-UNICEN). A. K. is a holder of a fellowship from CONICET. P. M. A. L. is a member of the Research Career of CONICET. A. E. P. is a member of the Research Career of CIC.


    REFERENCES
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 INTRODUCTION
 METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
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Bürk, C., Dietrich, R., Açar, G., Moravek, M., Bülte, M. & Märtlbauer, E. (2003). Identification and characterization of a new variant of Shiga toxin 1 in Escherichia coli ONT : H19 of bovine origin. J Clin Microbiol 41, 2106–2112.[Abstract/Free Full Text]

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Karmali, M. A. (1989). Infection by verocytotoxin-producing Escherichia coli. Clin Microbiol Rev 2, 15–38.[Abstract/Free Full Text]

Karmali, M. A., Petric, M., Lim, C., Fleming, P. C., Arbus, G. S. & Lior, H. (1985). The association between idiopathic hemolytic uremic syndrome and infection by Verotoxin-producing Escherichia coli. J Infect Dis 151, 775–782.[Medline]

Leung, P. H. M., Peiris, J. S. M., Ng, W. W. S., Robins-Browne, R. M., Bettelheim, K. A. & Yam, W. C. (2003). A newly discovered verotoxin variant, VT2g, produced by bovine verocytotoxigenic Escherichia coli. Appl Environ Microbiol 69, 7549–7553.[Abstract/Free Full Text]

Nataro, J. P. & Kaper, J. B. (1998). Diarrheagenic Escherichia coli. Clin Microbiol Rev 11, 142–201.[Abstract/Free Full Text]

Padola, N. L., Sanz, M. E., Blanco, J. E., Blanco, M., Blanco, J., Etcheverría, A. I., Arroyo, G. H., Usera, M. A. & Parma, A. E. (2004). Serotypes and virulence genes of bovine Shigatoxigenic Escherichia coli (STEC) isolated from a feedlot in Argentina. Vet Microbiol 100, 3–9.[CrossRef][Medline]

Parma, A. E., Sanz, M. E., Blanco, J. E., Blanco, J., Viñas, M. R., Blanco, M., Padola, N. L. & Etcheverría, A. I. (2000). Virulence genotypes and serotypes of verotoxigenic Escherichia coli isolated from cattle and foods in Argentina. Importance in public health. Eur J Epidemiol 16, 757–762.[CrossRef][Medline]

Paton, A. W. & Paton, J. C. (1998). Detection and characterization of Shiga toxigenic Escherichia coli by using multiplex PCR assays for stx1, stx2, eaeA, Enterohemorrhagic E. coli hlyA, rfbO111, and rfbO157. J Clin Microbiol 36, 598–602.[Abstract/Free Full Text]

Paton, A. W., Beutin, L. & Paton, J. C. (1995). Heterogeneity of the amino-acid sequences of Escherichia coli Shiga-like toxin type-I operons. Gene 153, 71–74.[CrossRef][Medline]

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Schmidt, H., Scheef, J., Morabito, S., Caprioli, A., Wieler, L. H. & Karch, H. (2000). A new Shiga toxin variant (Stx2f) from Escherichia coli isolated from pigeons. Appl Environ Microbiol 66, 1205–1208.[Abstract/Free Full Text]

Schmitt, C. K., McKee, M. L. & O'Brien, A. D. (1991). Two copies of Shiga-like toxin II-related genes common in enterohemorrhagic Escherichia coli strains are responsible for the antigenic heterogeneity of the O157 : H– strain E32511. Infect Immun 59, 1065–1073.[Abstract/Free Full Text]

Tyler, S. D., Johnson, W. M., Lior, H., Wang, G. & Rozee, K. R. (1991). Identification of Vero toxin type 2 variant B subunit genes in Escherichia coli by the polymerase chain reaction and restriction fragment length polymorphism analysis. J Clin Microbiol 29, 1339–1343.[Abstract/Free Full Text]

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