Article Title [Persian]
زمینه مطالعه: طغیانهای غذازاد متعددی مرتبط با مصرف سبزیجات گزارش شدهاند که گونههای ویبریو، عامل ایجاد آنها بودهاند. به دلیل اینکه روشهای رایج تشخیصی، زمانبر هستند، تشخیص سریع این میکروارگانیسمها، اهمیت بالایی دارد.
هدف: مطالعه حاضر، روشی سریع و قابل اعتماد را برای شناسایی ویبریو کلرا، ویبریو پاراهمولیتیکوس، ویبریو وولنیفکوس و ویبریو آلجینولیتیکوس ارائه میدهد و نتایج این روش را با نتایج روشهای رایج کشت، مقایسه میکند.
روش کار: تستهای رایج باکتریولوژیک انجام شدند تا گونههای ویبریو را در سبزیجات و آبی که آنها را احاطه میکند مورد بررسی قرار دهند. نمونههای همچنین تحت مالتیپلکس پی سی آر قرار گرفتند که در این روش از پنج ژن استفاده شد که شامل VC-Rmm برای ویبریو کلرا، VP-MmR برای ویبریو پاراهمولیتیکوس، VV-Rmm برای ویبریو وولنیفکوس، V.al2-Mmr برای ویبریو آلجینولیتیکوس و VM-F برای هر چهار ایزوله بودند.
نتایج: حضور ویبریو آلجینولیتیکوس و ویبریو وولنیفکوس توسط محلهای اختصاصی تقویتکنندگی (412bp برای ویبریو وولنیفیکوس و 144bp برای ویبریو آلجینولیتیکوس) تأیید شدند. ویبریو کلرا و ویبریو پاراهمولیتیکوس توسط مالتیپلکس پی سی آر شناسایی نشدند که این یافته با نتایج روشهای کشت متداول، مطابقت داشت.
نتیجه گیری نهایی: نتایج به دست آمده، نشان داد که مالتیپلکس پی سی آر طراحی شده در این مطالعه، روشی قابل اعتماد، سریع و مقرون به صرفه برای شناسایی هم زمان گونههای ویبریو است.
Due to the increasing tendency toward healthy lifestyles in recent decades, there has been a growing demand for fresh products (Amao, 2018; Elgueta et al., 2019). Vegetables are known to play an essential role in a healthy diet. Vegetables are usually eaten raw and undergo no process, such as cooking or peeling. As a result, they are likely to act as the vehicles of human pathogens (Chen et al., 2019; Balali et al., 2020). In some countries, vegetables are irrigated using wastewater leading to the possibility of being contaminated with enteric pathogenic microorganisms (Steele and Odumeru, 2004; Uyttendaele et al., 2015; Gudda et al., 2020). In recent years, there have been reports of foodborne outbreaks associated with the consumption of vegetables (de Oliveira Elias et al., 2018). Vibrio spp. are among the pathogens which have been noted in raw vegetables (Igbinosa and Odjadjare, 2019).
The most commonly used method for the analysis of Vibrio spp. is a two-step protocol consisting of selective enrichment with Alkaline Peptone Water (APW) medium and then culturing on thiosulfate citrate bile salts (TCBS) agar. The main drawbacks of this conventional method are being labor-intensive and time-consuming (Tunung et al., 2011; Anupama et al., 2019). The sensitivity of the conventional method is low and the detection of the bacteria, when sample concentration is not adequate, is sometimes difficult. Therefore, methods based on polymerase chain reaction (PCR) are suggested to be an effective alternative for the identification of these organisms (di Pinto et al., 2005; Tao et al., 2020).
Several PCR-based methods have been used for identifying Vibrio spp. in recent years, one of which is the multiplex PCR method (Tsai et al., 2019). Multiplex PCR method has been previously reported as a useful and cost-effective tool for the detection of Vibrio species (Awasthi et al., 2019; Han et al., 2019). The objective of this study was to establish a multiplex PCR method to identify V. cholerae, V. parahaemolyticus, V. vulnificus, and V. alginolyticus. Furthermore, we compared the results of the latter technique with the conventional plate culturing method.
The samples used in this study consisted of five groups of green vegetables, namely group A: spinach and onion, group B: cress and radish, group C: tarragon and basil, group D: mint and dill, group E: parsley and coriander, and their surrounding water. The vegetables were collected from the southern parts of Tehran and Varamin, Iran, and were transferred to the laboratory.
In order to detect bacteria in the surrounding water of vegetables, two methods of membrane filtration and the most probable number (MPN) were applied.
A volume of 1 L of the sample water was filtered onto 0.45 μm filter paper. The filter paper was then put in APW enrichment broth and was incubated at 35°C for 6-8 h. Following incubation, 250 mL of the sample was filtered onto a 0.45 μm cellulose acetate membrane filter which was later placed on MacConkey agar and CHROMagar vibrio plates and was incubated at 37°C for 24 h.
A three- tube MPN procedure was used. The sample was decimally diluted from 1/10 to 1/1000 utilizing sterilized saline and 1 mL of each dilution for 9 mL of culture broth medium in plastic tubes as triplicates for each dilution. Afterwards, the nine tubes were incubated at 35°C for 24 h. An MPN estimate was performed using standard MPN tables.
The samples were divided into portions of 10 g and were placed in separate stomacher bags. A volume of 90 mL of APW enrichment broth was added to each sample, mixed for 1 min in a stomacher, and the samples were incubated at 35°C for 5-8 h. Following decimal serial dilution in sterilized peptone water, 1 mL of diluted samples was pour plated in TCBS agar and incubated at 35°C for 18-24 h. Because TCBS is not a highly selective media for V. vulnifus, CHROMagar vibrio plates were used as well with the same procedure as TCBS plates. Mannitol salt agar and cetrimide agar were applied to detect Staphylococcus spp. and Pseudomonas spp., respectively.
Genomic DNA was extracted using CinnaGen genomic DNA extraction kit following the procedure provided by the company. The used oligonucleotide primer sets, melting temperatures (Tm), and the size of amplicons used in this study are listed in Table 1. Multiplex PCR was optimized in a 25 μL reaction mixture consisting of 3 μL of DNA template, 3 μL of 10 μM forward primer, 3 μL of 10 μM reverse primer, 12.5 μL of PCR Master Mix, and 3.5 μL of nuclease-free water. A three-step PCR amplification process was carried out in a DNA thermal cycler. Multiplex PCR conditions were optimized using the following temperature-cycling parameters: initial denaturation at 94°C for 180 min followed by 30 cycles of amplification with denaturation at 94°C for 30 sec, primer annealing at 60°C for 30 sec, and primer extension at 72°C for 1 min. Following the amplification cycles, samples were subjected to 72°C for 420 min for the final extension of incompletely synthesized DNA. Next, the PCR products were analyzed using agarose gel electrophoresis 2% (w/v). Agarose gel was stained by erythrogel. Electrophoresis was performed using 1x TBE buffer. All products were visualized and documented with a gel documentation and analysis system.
Low-quality water is being used for agricultural purposes in some countries (Farhadkhani et al., 2020). People who use food products irrigated by this water are exposed to potential foodborne hazards, one of which is Vibrio spp. as the most common bacteria in surface waters (Adeleye et al., 2010)
Vibrio spp. can be transmitted to humans via ingesting raw, undercooked, or ready-to-eat products (Daniels and Shafaie, 2000; Beshiru et al., 2020). Vibrio spp. have been recognized as a common cause of foodborne outbreaks in a wide range of Asian countries (Tunung et al., 2011; Letchumanan, Chan, and Lee, 2014). Due to the fact that sewage water is being used for irrigating vegetables in Iran, people in this country are potentially exposed to cholera infections. In recent years, many outbreaks have been reported from Iran, especially during 2009-2014 (Asl et al., no date; Marashi et al., 2012).
In spite of the efforts by health officials to control cholera in Iran, the incidence is still high (Mousavi et al., 2008). An effective way to prevent a cholera outbreak is to rapidly diagnose the infection. Conventional techniques used for this purpose are usually time-consuming and labor-intensive (Singh et al., 2002). In recent years, PCR techniques have been used extensively in various studies to detect pathogenic bacteria, including vibrio spp. because they are more rapid and sensitive than conventional plate culturing methods (Bonnin-Jusserand et al., 2019). We aimed to confirm the isolates detected by culturing methods using multiplex PCR. In the present study, five specific genes were used, namely VC-Rmm of V. cholerae, VP-MmR of V. parahaemolyticus, VV-Rmm of V.vulnificus, V.al2-MmR ofV.alginolyticus, and VM-F for all the four isolates.
Hossain et al. (2013) developed a groEL gene-based multiplex PCR to detect V. cholera, V. parahaemolyticus, and V. vulnificus simultaneously. The latter authors revealed that the multiplex PCR technique is highly cost-effective and useful for the detection of Vibrio spp. Alishahi et al. (2013) similarly concluded that multiplex PCR is a rapid, easy to use, reliable, and cost-effective tool to detect V. cholera.
Bej et al. (1999) developed a multiplex PCR assay for detecting total and virulent strains of V. parahaemolyticus utilizing tl, tdh, and trh genes. Their study indicated that multiplex PCR can be a highly successful method for detecting V. parahaemolyticus strains in shellfish. In addition, these authors observed that multiplex PCR was more reliable and more rapid, compared to the conventional methods. The advantage of the present study over the mentioned investigation is that we detected four species of Vibrio instead of one. Moreover, we showed that multiplex PCR can be considerably more reliable for detecting Vibrio spp., in comparison with the conventional methods because V. vulnificus was detected in more samples using multiplex PCR.
In another study, real-time PCR was used to detect the tdh gene of V. parahaemolyticus in oyster enrichments. It was concluded that real-time PCR was more reliable, less time-consuming, and less labor-intensive, in comparison to the streak plate/probe method. The superiority of the current study over the latter study is that qualitative multiplex PCR is less costly and easier to use than quantitative real-time PCR (Blackstone et al., 2003).
Masini et al. (2007) studied the occurrence and pathogenicity of Vibrio spp. in Conero Riviera. They used TCBS by the membrane filter method and three target genes, namely ctx, trh, and tdh were detected by PCR. In the present study, water samples were subject to the membrane filter method and were cultured on TCBS medium. Afterwards, five target genes, including VC-Rmm, VP-MmR, VV-Rmm, V.al2-MmR, and VM-F were detected using PCR. Masini et al. reported that one isolate of V. algynoliticus and one isolate of V. harveyi possessed the trh gene. The other isolate of V. harveyi and one isolate of V. parahaemolyticus had the ctx gene. In our study, V. vulnificus, and V. alginolyticus were detected to possess VV-Rmm and V.al2-MmR genes, respectively. In addition, they both had the VM-F gene. The results of the study performed by Masini et al. indicated the presence of potentially pathogenic Vibrio spp. in water, which is in agreement with the present study.
Neogi et al. (2010) targeted toxR for detecting V. cholerae and V. parahaemolyticus. Moreover, these authors targeted vvhA for the detection of V. vulnificus. In the current investigation, five target genes were used to detect four species indicating the good potential of our method.
In conclusion, the multiplex PCR assay developed in the present study is rapid, simple, and convenient. This technique provides the possibility of successful detection and differentiation of Vibrio spp. Therefore, it could be considered as an efficient method for detecting Vibrio spp.
The authors declared no conflict of interest.