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APPLIED AND ENVIRONMENTAL MICROBIOLOGY, Jan. 2011, p. 163171 Vol. 77, No.

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0099-2240/11/$12.00 doi:10.1128/AEM.01673-10
Copyright 2011, American Society for Microbiology. All Rights Reserved.

Real-Time PCR Assay To Differentiate Listeriolysin S-Positive and


-Negative Strains of Listeria monocytogenes
Evelyn M. Clayton,1 Colin Hill,1,2* Paul D. Cotter,2,3* and R. Paul Ross2,3
Department of Microbiology, University College Cork, Cork, Ireland1; Alimentary Pharmabiotic Centre, Cork, Ireland2; and
Teagasc, Moorepark Food Research Centre, Fermoy, County Cork, Ireland3
Received 13 July 2010/Accepted 29 October 2010

Due to the severity of the food-borne infection listeriosis, strict legislation governs the detectable and
permissible limits at which Listeria monocytogenes is permitted in foods. These requirements, coupled with the
ubiquitous nature of L. monocytogenes strains and the potential for epidemic outbreaks, mean that the

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pathogen can devastate affected sectors of the food industry. Although almost all L. monocytogenes strains have
the potential to cause listeriosis, those implicated in the vast majority of epidemics belong to a subset of strains
belonging to evolutionary lineage I. It has been established that a significant proportion of these strains,
including those implicated in the majority of outbreaks, produce an additional hemolysin, designated listerio-
lysin S (LLS), which may be responsible for the enhanced virulence of these strains. In order to ultimately
establish this definitively, it is important to first be able to rapidly discriminate between LLS-positive and
-negative strains. Here, after essential genes within the LLS-encoding cluster, Listeria pathogenicity island 3,
were identified by deletion mutagenesis, a real-time PCR assay which targets one such gene, llsX, was developed
as a means of identifying LLS-positive L. monocytogenes. The specificity of the assay was validated against a
panel of 40 L. monocytogenes strains (20 of which were LLS positive) and 25 strains representative of other
Listeria species. Furthermore, 1 CFU of an LLS-positive strain per 25 g/ml of spiked foods was detected in less
than 30 h when the assay was coupled with culture enrichment. The detection limit of this assay was 10 genome
equivalents.

The Gram-positive intracellular pathogen Listeria monocy- food-borne infection-related deaths in Europe and the
togenes is the etiological agent of listeriosis, a predominantly United States, and in addition to the associated human costs,
food-borne infection with well-defined risk groups, which in- such outbreaks also have considerable financial implications
clude neonates, pregnant women, the elderly, and immuno- for the food industry (1). Unfortunately, L. monocytogenes is
compromised individuals. Initial manifestations of the infec- especially problematic due to its ubiquitous nature, intrinsic
tion are often nonspecific (e.g., influenza-like symptoms and physiological resistance to various environmental stresses, abil-
gastroenteritis), with more severe clinical consequences (e.g., ity to grow at a wide range of temperatures (0 to 45C), and
septicemia, meningitis, encephalitis, perinatal infections, and propensity to persist within food processing centers and retail
abortion) developing in susceptible populations (6, 18, 24, 36, and distribution outlets for long periods of time (14, 52). In
47, 56). Related outbreaks are most commonly associated with light of the high fatality rates associated with the infection (6),
a diverse range of ready-to-eat (RTE) meats, dairy products, strict legislation governs both the detection limits and permis-
vegetables, and fish (3, 12, 16, 46, 53, 54). Although the inci- sible levels of L. monocytogenes in RTE foods. The U.S. Food
dence of listeriosis appears to be decreasing in the United and Drug Administration (FDA) maintains a zero-tolerance
States and other industrialized countries, increases have been policy (absent in 25 g of food), while in Europe, legislation (no.
reported for some European countries (5, 11, 28, 30, 32, 34). 2073/2005) imposes a zero-tolerance policy in respect to cer-
Occurrences of sporadic and epidemic cases are fortunately tain foods destined for high-risk consumer groups and other-
rare compared to those of other food-borne diseases. How- wise limits these bacteria to below 100 CFU/g (12a). As a
ever, as a consequence of its pathogenicity, L. monocytogenes consequence, large quantities of foods are deemed unsuitable
carries the highest hospitalization rates among known food- for human consumption each year and destroyed. Unsurpris-
borne pathogens (91%), with additional long-term sequelae ingly, the associated economic burden is significant and is fur-
reported in many cases (26). In the United States, 20% of all ther compounded by product recalls, which incur annual costs
clinical infections result in death, and related fatalities are that are estimated to reach $1.2 to 2.4 billion in the United
estimated to reach 500 per annum (5). Indeed, after salmo- States (23).
nellosis, listeriosis is the second most frequent cause of However, given that not all L. monocytogenes strains have an
equal capacity to cause disease, the application of stringent
* Corresponding author. Mailing address for Colin Hill: Depart- zero-tolerance policies to all L. monocytogenes strains is ques-
ment of Microbiology, University College Cork, Cork, Ireland. tionable. Indeed, more than 90% of human listeriosis cases are
Phone: 353-21-4901373. Fax: 353-21-4903101. E-mail: c.hill@ucc.ie. caused by three specific L. monocytogenes serotypes, belonging
Mailing address for Paul D. Cotter: Teagasc, Moorepark Food
Research Centre, Fermoy, Cork, Ireland. Phone: 353-25-42694.
to lineage I (i.e., serotypes 1/2b and 4b) and lineage II (i.e.,
Fax: 353-25-42340. E-mail: paul.cotter@teagasc.ie. serotype 1/2a), with serotype 4b implicated in the majority of

Published ahead of print on 12 November 2010. listeriosis epidemics (17, 29, 38). Thus, if assays which could

163
164 CLAYTON ET AL. APPL. ENVIRON. MICROBIOL.

differentiate between high- and low-virulence potential strains MATERIALS AND METHODS
of L. monocytogenes were to be developed, one could envisage Bacterial strains, culture media, and growth conditions. Table 1 lists the panel
the introduction of different tolerance levels reflective of the of 40 L. monocytogenes strains used in this study, 20 of which were LLS positive
(8). A further 25 strains representing other Listeria species (9 strains of L.
virulence of the strain, in a manner analogous to that which
innocua, 6 of L. seeligeri, 5 of L. ivanovii, 1 of L. grayi, 3 of L. welshimeri, and 1
already exists for Escherichia coli strains with a high virulence of L. murrayi) are listed in Table 2. The streptolysin S producer Streptococcus
potential (e.g., E. coli O157:H7). However, the lack of a mo- pyogenes MGAS5005 and Staphylococcus aureus RF-122, which possesses genes
lecular explanation for the enhanced virulence of certain potentially encoding stapholysin S, were also included. All strains were obtained
from the Food Microbiology Microbial Collection (University College, Cork,
strains has hampered previous developments along these lines
Ireland) and were stored at 80C in 40% glycerol and cultured at 37C for 16 h
(9). Recently, premature stop codon (PMSC) mutations in the before use. Listeria spp. and S. aureus were cultured in brain heart infusion (BHI)
inlA gene, which encodes the key virulence factor internalin A broth/agar (Oxoid, Hampshire, United Kingdom), and Streptococcus pyogenes
(InlA), have been reported worldwide (13, 19, 27, 41, 45). InlA was cultured in tryptone soy broth (Oxoid) supplemented with 0.6% yeast extract
(Difco, Detroit, MI) (TSB-YE).
facilitates the uptake of L. monocytogenes by epithelial cells
Genomic DNA isolation and quantification. Unless otherwise stated, genomic
that express the human isoform of E-cadherin, and mutations DNA was extracted with phenol/chloroform/isoamyl alcohol (25:24:1) per the
of InlA appear to be responsible for attenuated mammalian methodology described by Hoffman and Winston (21) with some modifications.

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virulence (40, 55). Such PMSC mutations have been identified Single colonies were used to inoculate 10-ml volumes of BHI broth. Following
overnight incubation at 37C, cells (1.5 ml) were harvested by centrifugation at
among serotypes of lineages I and II, have seldom been found
10,000 g. Cells were resuspended in 200 l of lysis buffer (2% Triton X-100,
in epidemic clone strains of serotype 4b, and have thus pro- 1% SDS, 100 mM NaCl, 10 mM Tris-HCl [pH 8], 1 mM EDTA), 300 l of
vided a molecular marker for single-nucleotide polymorphism acid-washed beads, and 200 l of phenol-chloroform/isoamyl alcohol, and the
(SNP) genotyping assays (55). Alternative explanations exist in mixture was vortexed for 5 min. The aqueous phase was transferred to a sterile
tube, and the DNAs were precipitated with 600 l of cold 96% ethanol and 20
that it has also been established that a subset of strains of
l of 5 M ammonium acetate at 20C for several hours. Following precipita-
lineage I L. monocytogenes produce an additional virulence tion, DNAs were pelleted by centrifugation, washed in 70% ethanol, air dried
factor known as listeriolysin S (LLS), which is a cytolysin be- and, finally, resuspended in 50 l of PCR-grade water and stored at 20C. All
longing to the extended family of streptolysin S (SLS)-like reagents were obtained from Sigma, St. Louis, MO. A rapid DNA purification
method using Chelex-100 chelating ion exchange resin (Bio-Rad Laboratories,
peptides (8). SLS factors are associated predominantly with
Hercules, CA) was employed to facilitate colony PCR when appropriate. For
group A streptococci, for which they significantly enhance the this, approximately 20 colonies were suspended in a solution of Chelex-100 (5%
pathogenicity of carrier strains by contributing to cytotoxicity, [wt/vol] sterile distilled H2O [dH2O]), heated in a boiling-water bath for 12 min
inflammatory activation, and polymorphonuclear neutrophil and rapidly cooled on ice. Clear cell lysates containing PCR-ready nucleic acid
templates were collected after centrifugation at 15,000 g for 10 min and stored
(PMN) resistance, thereby playing a role in necrosis and sys-
at 4C.
temic spread (42). SLS-like factors are also present in some of Deletion mutagenesis by double-crossover homologous recombination. A de-
the most notorious Gram-positive pathogens, including Staph- letion mutagenesis strategy was employed to investigate the contribution of the
ylococcus aureus and Clostridium botulinum. Studies have dem- individual genes of the LIPI-3 cluster in L. monocytogenes F2365LLSChly by
following the methodology described by Cotter et al. (8). Deletion mutants were
onstrated that LLS plays a role in the survival of L. monocy-
generated using a splicing-by-overlap-extension (SOE) procedure (22). Briefly,
togenes in PMNs and also contributes to its virulence in the two PCR fragments from the DNA flanking each gene were generated with the
mouse model (8). It has been noted that the production of LLS oligonucleotide primer pairs soeA/soeB and soeC/soeD (Table 3). The products
is induced by oxidative stress, and it has been suggested that were mixed in a 1:1 ratio and combined by SOE PCR using the oligonucleotide
pair soeA and soeD. The resultant product was cloned into the temperature-
this pattern of induction could enhance the ability of LLS-
sensitive shuttle vector pKSV7, and the spliced product was introduced into the
positive L. monocytogenes to escape from the phagosome of L. monocytogenes genome in place of the intact gene through double-crossover
macrophages, a key event in L. monocytogenes pathogenicity homologous recombination as previously described (8). The impact of each
(8). The LLS cluster, designated Listeria pathogenicity island 3 deletion was assessed by spotting 10 l of whole-cell suspensions onto Columbia
blood agar (Oxoid) containing 5% defibrinated horse blood (TCS Biosciences,
(LIPI-3), has been identified only in lineage I strains and most
Buckingham, United Kingdom) and 1 mU/ml sphingomyelinase (Sigma).
notably in several strains which have been implicated in epi- PCR primer pairs and FRET hybridization probes for real-time PCR. Oligo-
demic outbreaks. Indeed, relatively few outbreak strains ana- nucleotide primers and a FRET probe pair targeting the llsX gene of L. mono-
lyzed to date lack LIPI-3 (8). Should it be definitively estab- cytogenes strain F2365 (National Center for Biotechnology Information [NCBI]
reference sequence number NC_002973.6; gene locus lmof2365_1115) were de-
lished that LLS is responsible for the enhanced virulence of a
signed by following published guidelines (7) and synthesized by Tib Molbiol
subset of lineage I strains, the ability to distinguish between (Berlin, Germany) (Table 4). The primer pair llsXF and llsXR amplify a 200-bp
LLS-positive and LLS-negative strains on the basis of the pres- fragment of llsX, and the hybridization probe pair llsXFL and llsXLC recognize
ence or absence of the associated genes would be highly de- internal sequences within the amplified product. The probes are separated by a
single nucleotide which allows a strong FRET signal to occur and are designed
sirable.
to anneal to the antisense strand due to a lower number of guanine bases. The
In this study, the essential nature of several genes within donor probe llsXFL was labeled with fluorescein at its 3 end, the acceptor probe
LIPI-3 with respect to LLS production was established through llsXLC was labeled with light cycler 670 (LC 670) at its 5 end, and subsequent
deletion mutagenesis. A real-time PCR (RT-PCR) assay em- fluorescence was measured with the Cy5 channel of the LightCycler 480 instru-
ment (Roche Diagnostics, Mannheim, Germany).
ploying fluorescence resonance energy transfer (FRET) hy-
L. monocytogenes llsX real-time PCR assay. Real-time PCR amplification was
bridization probe technology was employed to detect one such performed using LightCycler FastStart DNA HybProbe master mix (Roche).
gene, the llsX gene, as a means of identifying LLS-positive L. Each PCR incorporated 2 l of template DNAs, 10 LightCycler buffer (with
monocytogenes strains. When coupled with culture enrichment, the magnesium chloride adjusted to 3 mM), 0.3 M hybridization probes, and 0.5
M primers and adjusted to a final volume of 20 l with nuclease-free PCR-
this assay enabled the detection of as low as 1 CFU of an
grade water (Roche). The cycling parameters included an initial denaturation
LLS-positive L. monocytogenes strain per 25 ml/g of milk or step of 95C for 10 min followed by 45 cycles of denaturation at 95C, annealing
cooked ham in less than 30 h. at 60C, and elongation at 72C for 10 s each. Subsequent analysis was carried out
VOL. 77, 2011 LLS-POSITIVE AND -NEGATIVE L. MONOCYTOGENES STRAINS 165

TABLE 1. Listeria monocytogenes isolates screened by the llsX gene real-time PCR assay
Listeriolysin llsX PCR
Strain no. Equivalent name(s) Source Lineage Serotype
S status result

33104a F2365, JI-119, TS43 California outbreak, 1985 I 4b


33386a NI-225, H7550 Clinical (U.S. outbreak, 1998-1999) I 4b
33411b TS50, L.4760, FSL N3-022 Food (Halifax, Canada, outbreak, 1981) I 4b
33410b F4565, FSL N3-008 Clinical (Los Angeles, California, I 4b
outbreak, 1985)
33233a H7858 Food (U.S. outbreak, 1998-1999) I 4b
33423a G6003 Food I 1/2b
33186a 20674-01 Animal I 1/2b
33176a 20240-954 Animal I 1/2b
33126a 7034 Animal I 1/2b
33116 ATCC 19117 Animal I 4d
33083a F1109 Food I 4b
33068a 8058 Animal I 1/2b
33015a 12375 Unknown I 4b

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33008a RM2387 Food I 4b
33120 ATCC 19118 Animal I 4e
33420b NI-227, H7738 Food (U.S. outbreak, 1998-1999) I 4b
33032a OB001186 Food I 1/2b
DPC-4608, SLCC1694 Unknown I 1/2b
CD1078c Chicken I 1/2b
SLCC4157 Cow milk I 4d
33413a Ts45 Food (United Kingdom outbreak, I 4b
1988)
CD749c Ground beef I Non-4
CD1198c Ground turkey II Non-4
CD1121c Ground beef I 4b
CD1061c Pork sausage II Non-4
CD1059c Pork sausage II 1/2
33226a LMB0456 Unknown II 3c
33225a LMB0455 Unknown II 3a
33115a 93-500 Arabian oryx III 4c
33090a 7675 Animal I 1/2b
33077a 98-18140 Bovine tissue III 4b
33028a OB001102 Food I 1/2b
33013a ScottA Clinical (Massachusetts outbreak, 1983) I 4b
33007a RM2218 Food I 4b
CD1028c Pork sausage II Non-4
NCTC7973 Clinical II 1/2a
CD243c Silage II 1/2a
CD241c Silage II 3
CD1742c Pork sausage II Non-4
F5817 Clinical (Massachusetts outbreak, 1983) I Non-4
a
Strain acquired from Todd Ward (Agricultural Research Service, U.S. Department of Agriculture).
b
Strain acquired from Martin Wiedmann (International Life Sciences Institute).
c
Strain acquired from Catherine Donnelly (Department of Nutrition and Food Sciences, University of Vermont).

using the absolute quantification/second-derivative-maximum method of the analysis from 1.5-ml volumes of secondary enrichment broth as follows. Cell
LightCycler software. Genomic DNA from L. monocytogenes strain F2365 served pellets were collected after centrifugation, washed three times in 300 l of
as a positive control for llsX, and a negative control, in which the template was washing buffer (75 mM NaCl, 25 mM EDTA, 20 mM Tris [pH 7.5]), and
replaced with nuclease-free PCR-grade water, was included in each run. resuspended in 200 l of a 5% Chelex-100 solution containing 0.4 mg/ml pro-
Culture enrichment of food samples. Retail samples of pasteurized milk and teinase K (Roche). Suspensions were incubated for 30 min at 56C and then
cooked ham were investigated in this study. A two-step enrichment process using boiled, and the clear cell lysates containing the PCR-ready nucleic acid template
Fraser broth was used to improve the sensitivity of Listeria detection by following were collected after centrifugation as described above. In parallel, the secondary
the methodology described by OGrady et al., with some modification (43). Two enrichment broth was streaked onto Listeria selective agar (LSA; Oxoid).
samples of each food (25 g/ml) were prepared in three independent experiments
as follows: one sample served as a control, and the second was spiked with
approximately 1 CFU of an overnight culture of L. monocytogenes strain F2365,
i.e., 100 l of a 108 dilution of an overnight culture of L. monocytogenes strain RESULTS
F2365 which had been freshly subcultured over 5 h. Plate count assays on BHI
agar determined an average CFU content of 10 per ml. Samples were homoge-
Deletion of genes within the LIPI-3 gene cluster. Previous in
nized for 2 min in sterile plastic Stomacher filter bags (Seward, Norfolk, United silico investigations have suggested that the presence of Rho-
Kingdom) containing 225 ml of half Fraser broth (Oxoid). The samples were independent terminators flanking the lls gene cluster (llsA,
incubated for 22 h at 30C in 500-ml sterile conical flasks with shaking at 200 rpm llsG, llsH, llsX, llsB, llsY, llsD, and llsP) mark the boundaries of
(water bath model SW22; Julabo, Seelbach, Germany). A secondary enrichment
was then performed whereby 100 l of each preenrichment sample was trans-
LIPI-3 (8). It was also suggested that LIPI-3 was acquired
ferred into 10 ml of full-strength Fraser broth and incubated at 37C for 4 h with during the evolution of lineage I isolates and noted that a
shaking as before. Crude DNA templates were prepared for real-time PCR number of these isolates have apparently undergone reductive
166 CLAYTON ET AL. APPL. ENVIRON. MICROBIOL.

TABLE 2. Other Listeria species screened by the llsX real-time PCR assay
llsX PCR
Species Strain Equivalent name(s) Source
result

L. innocua FH2333a Lettuce


FH1890a Uncooked sausage
FH2070a Uncooked hamburgers
FH2117a Ham
FH2332a Uncooked hamburgers
FH2327a Salad/peppers
FH2381a Frozen sausage rolls
CD692b Dairy plant environment
SLCC5326 Unknown

L. ivanovii CD588b NB U4-1 Dairy plant environment


CD291b LA29 Brie cheese
CD165b Unknown
CD293b LA31 Brie cheese

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CD264b Silage Silage

L. grayi CD671b ATCC 25400 Corn stalks

L. seeligeri CD944b Dairy plant environment


CD931b Dairy plant environment
CD930b Dairy plant environment
CD943b Dairy plant environment
CD166b ATCC 35967 Soil
FH2062a Breakfast (cooked)

L. welshimeri CD114b ATCC 35897 Plant


FH1874a Omelette
FH1968a Caesar salad

L. murrayi F12 ATCC 25403, CLIP12517, NCTC10814 Corn stalks and leaves
a
Strain acquired from the Public Health Microbiology Laboratory, St. Finbarrs Hospital (Douglas, Cork, Ireland).
b
Strain acquired from Catherine Donnelly (Department of Nutrition and Food Sciences, University of Vermont).

genome evolution, resulting in the loss of LIPI-3. Indeed, listeriolysin O (LLO)-encoding hly gene in this strain, as the
genes flanking the presumptive island (e.g., the lmof2365_1111 hemolytic activity of LLO had the potential to mask that of
and lmof2365_1120 genes) are found in tandem in some LIPI- LLS (8). In addition to the previously generated llsB version
3-negative strains (8). In silico analysis of the cluster has re- of this strain (8), we also created a number of additional
vealed similarities with the clusters responsible for production derivatives of F2365LLSChly in which the llsG, llsH, llsX, llsY,
of SLS, a potent bacteriocin-like streptococcal cytolytic pep- llsD, llsP, and lmof2365_1120 genes were independently de-
tide which undergoes posttranslational heterocycle formation, leted. Blood agar-based assays with this selection of mutants
and of the bacteriocin microcin B17 (33, 57). For example, the established that the six lls genes located immediately down-
putative ATP binding cassette (ABC) transport machinery stream of the structural gene llsA (i.e., llsG-llsD) are essential
coded by the llsGH genes is represented by three open reading for LLS activity, whereas the deletion of the llsP gene had no
frames (ORFs) (sagGHI) in the SLS-associated gene cluster effect on the hemolytic phenotype. Similarly, deletion of the
(e.g., Streptococcus pyogenes MGAS8232, NCBI sequence ref- downstream lmof2365_1120 gene, predicted to encode an
erence number NC_003485.1). The llsB and llsD genes resem- AraC-like regulatory protein, had no effect on LLS activity.
ble sagB and sagD, respectively (8), llsP is thought to be the Specificity of the L. monocytogenes llsX-specific real-time
equivalent of sagE (18% identity and 36% similarity), and llsY PCR assay. While a number of genes were established to be
shares a 19.5% identity and 37.6% similarity with sagC. In essential for LLS production, it was the llsX gene that was
contrast, the llsX gene does not share any homology to any chosen as a strain-specific diagnostic marker for LIPI-3, since
known gene. no gene equivalent exists among other sag-like gene clusters or
A series of deletion mutants were generated to establish indeed in the NCBI database (8). The putative LlsX protein is
which of these genes are required for LLS production (Fig. 1). a potential membrane spanning signal peptide of unknown
These deletions were generated in the L. monocytogenes function. Basic local alignment search tool (BLAST) analysis
F2365LLSChly background (8). In this strain, the lls genes are was used to confirm that the PCR primers and FRET hybrid-
constitutively expressed through replacement of the inducible ization probes which were designed to target a 200-bp region of
PLLS promoter with the constitutive highly expressed Listeria the gene did not correspond to any other microbial DNA
promoter (PHELP; LLSC), thereby facilitating an assessment of sequence in the nucleotide databases (2). Initial optimizations
hemolytic activity on blood agar (8). This assessment of LLS- of the real-time PCR assay were performed with purified DNA
associated hemolytic activity is facilitated by the absence of the from the reference strain L. monocytogenes F2365 (in which
VOL. 77, 2011 LLS-POSITIVE AND -NEGATIVE L. MONOCYTOGENES STRAINS 167

TABLE 3. SOE primers used for deletion mutagenesis studies


LIPI-3 gene Primer designation and sequence

llsG ............................................................................................soeA, (EcoRI)GACTGCAGAATGTGATAGGATG


soeB, ATGCACATGCACCTCATAAC
soeC, GTTATGAGGTGCATGTGCATGCAGTGAACAGGAGGTACTGA
soeD, (BamHI)CTGGATCCAAAATATTCTAATC

llsH ............................................................................................soeA, (XbaI)AATCTAGACAACGAAAGTTTTG


soeB, CTTGTCCATAAATAACTCAT
soeC, CATGAGTTATTTATGGACAAGTTTATTATACTCAAGGTATAG
soeD, (SmaI)TTCCCCGGGTCGATCATTTTGCTGTT

llsX.............................................................................................soeA, (EcoRI)TAAGAATTCCCGGATATTGATGC
soeB, AGATTACAAACAATCCTTTC
soeC, GAAAGGATTGTTTGTAATCTTCGACTATGAGAAAAAAGGC
soeD, (SmaI)GTACCCGGGCTTTGCTCAAGCAC

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llsY.............................................................................................soeA, (EcoRI)TTGAATTCTCTAGATGTAGAT
soeB, GTCTGCGTTCCTATTCTAATATC
soeC, CGATATTAGAATAGGAACGCAGACCTAAAGGAGCTGATGAGTAGTG
soeD, (SmaI)TCACCCGGGCTAAAAATAATCCTGTCC

llsD ............................................................................................soeA, (XbaI)CATCTAGATTGATGTTTGTTC


soeB, AATAGGGTAAGAACTAGAGCC
soeC, GGCTCTAGTTCTTACCCTATTATGAAGAAATTGGAGGTGTGGT
soeD, (SmaI)CTTCCCGGGCAGGAAACCATACAATAC

llsP .............................................................................................soeA, (XbaI)GTTCTAGATAATTTGGATGATA


soeB, GCATACCTGGAAATAATGTG
soeC, CACATTATTTCCAGGTATGCGAGAACCACCGTAATTGGTAA
soeD, (SmaI)TAACCCGGGTGAGCAGCAATTTCCTC

lmof2365_1120 .........................................................................soeA, (XbaI)TTTCTAGAGTTCGTACTAGTA


soeB, CGTTCCCCCTCCTTTTTAGAGCA
soeC, TGCTCTAAAAAGGAGGGGGAACGAACAATATTGTTTGACTATG
soeD, (SmaI)AATCCCGGGTCTAAATCTTCTACCCC

LIPI-3 was first identified [8]) to ensure specific amplification enhanced sensitivity of real-time PCR compared to that of
of llsX. Accordingly, amplification of a single product 200 bp in conventional PCR. No amplification was generated from LLS-
length was verified by agarose gel electrophoresis (not shown). negative L. monocytogenes or a selection of other Listeria spe-
No amplification was detected from Streptococcus pyogenes cies.
MGAS5005 and S. aureus RF-122, which contain related gene Sensitivity of the assay. The quantification and detection
clusters (streptolysin S and the potentially encoding stapholy- limits of the real-time PCR assay were determined using pu-
sin S). A rapid screening method, in which Chelex-100 chelat- rified genomic DNA isolated from L. monocytogenes F2365.
ing ion exchange resin was used to extract the PCR-ready Amplification reactions included a range of duplicated dilu-
template directly from cell colonies, was then employed to tions of DNA equivalent to 100,000 target molecules down to
evaluate the specificity of the real-time PCR assay. The capac- 1 target molecule (estimated by a relative genome size of 2.94
ity of the PCR to detect L. monocytogenes strains that harbor fg [50]). DNA concentrations were verified by Nanodrop anal-
the llsX gene was demonstrated against a panel of 65 Listeria ysis (Thermo Scientific). Logarithms of DNA concentrations
strains. All LLS-positive L. monocytogenes strains generated were plotted against their relative crossing points, which were
good amplification curves. Strains CD1078 and DPC4608/ determined by the second derivative maximum method. PCR
SLCC1694, which were previously reported to be LLS negative efficiency (E) was calculated from the slope of the standard
(8), are also LLS positive by RT-PCR which is likely due to the curve by the formula E 101/slope, the optimal value of which
is 2.0 (when the slope of the regression curve is 3.32), rep-
resenting 100% doubling with each cycle. The E value, calcu-
TABLE 4. Oligonucleotide primers and hybridization probes used lated over five logs representing 100,000 to 10 target cell equiv-
in the llsX real-time PCR assay
alents, was 1.805 (or 90.25% doubling with each PCR cycle),
Primer Sequence Position and the slope was 3.9, indicating that the assay is suitable to
llsXF TTATTGCATCAATTGTTCTAGGG 3557
detect the llsX gene when 10 cells or more are present and
llsXR CCCCTATAAACATCATGCTAGTG 213235 therefore can be employed for quantification purposes (Fig. 2).
llsXFL ACTCTTTTAATGTGCCATCATTCA 109136 Adaptation of the real-time PCR assay for use in food. The
TGTG practical usefulness of the real-time PCR assay was deter-
llsXLC ATGTAACCTAAACCAATAGCCACA 79107 mined by assessing its ability, when combined with culture
AAGCA
enrichment (by following the methods described by OGrady
168 CLAYTON ET AL. APPL. ENVIRON. MICROBIOL.

FIG. 1. Arrangement of the proposed listeriolysin S gene cluster mapped from L. monocytogenes strain F2365 (NCBI reference sequence
number NC_002973.6 [lmof2365_1111-lmof2365_1120]) using the Clone Manager program (version 7; Science and Educational software, NC).
Hemolysis of Columbia blood agar (5% defibrinated horse blood) of F2365chly in which the lls genes are under the control of the constitutive

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highly expressed Listeria promoter (PHELP). Locations (I to VIII) of the oligonucleotide primer pair binding sites (soeA/soeD) used to delete each
of the lls genes (llsG-lmof2365_1120) by splicing by overlap extension PCR. The resulting hemolytic phenotype of each deletion is indicated
underneath. , deletion mutant previously created (8).

et al., with slight modifications [44]), to detect LLS-positive L. CFU per 25 g/ml). When coupled with real-time PCR and
monocytogenes in retail samples of RTE foods (pasteurized Chelex-100 PCR-template purification, it was possible to re-
milk and cooked ham). This approach taken by OGrady and duce the time taken for culture enrichment from the recom-
colleagues compares well with the current ISO standard mended 72 h to 26 h. The nonspiked control samples were
method 11290-1 and has been proposed by these researchers as consistently negative.
a potential alternative for the rapid detection of L. monocyto-
genes in food (44). The culture enrichment component of the DISCUSSION
rapid method is based on the ISO standard and includes 24 h
of incubation in half-Fraser broth and 4 h of incubation in To address the extensive labor and time required for the
Fraser broth followed by DNA extraction and real-time PCR detection and identification of L. monocytogenes by conven-
detection. The method can be performed in 2 working days tional means, a number of rapid and highly sophisticated real-
compared to 7 days for the ISO standard method. We used time PCR-based technologies have been developed (4, 44, 48,
Chelex-100 resin as a rapid means of extracting real-time PCR- 50, 51). More specifically, such technologies are attractive due
ready template DNAs and adapted the method to detect the to the fact that culture-based methods, which typically involve
llsX gene of LIPI-3. Following culture enrichment, the assay selective enrichment, culturing on selective media, and a bat-
enabled the detection of low levels of L. monocytogenes (1 tery of biochemical tests and serology, can take from 5 to 10

FIG. 2. Real-time PCR amplifications of serial dilutions of L. monocytogenes F2365 DNA equivalent to 100,000 to 10 target molecules. Solid
squares, 100,000 cell equivalents; solid circles, 10,000 cell equivalents; triangles, 1,000 cell equivalents; inverted triangles, 100 cell equivalents; ,
10 cell equivalents; and left-facing triangles, H2O. Duplicate logarithms of DNA concentrations were plotted against their relative crossing points
(inset). PCR efficiency (E) was calculated from the slope of the standard curve by the formula E 101/slope and was 1.805; the slope was 3.9.
VOL. 77, 2011 LLS-POSITIVE AND -NEGATIVE L. MONOCYTOGENES STRAINS 169

days from the initial presumptive identification of Listeria to these genes have roles which contribute to the regulation of
the identification of isolated strains to the species level. LLS production in wild-type strains.
Through the targeting of a variety of different species-specific The llsX gene was chosen as a strain-specific diagnostic
L. monocytogenes markers, such as hlyA (48), prfA (51), or marker for LIPI-3 as a consequence of its essential nature and
RNA sequences (4, 44), real-time PCR technologies operate at the fact that no gene equivalent exists among other sag-like
a greatly reduced cost and dramatically lower the turnaround gene clusters (8). The specificity of the llsX real-time PCR
time required to detect the pathogen. These assays utilize one assay was validated against a panel of 40 L. monocytogenes
of the many fluorescent detection chemistries available, includ- strains (20 of which were LLS positive). Further investigations
ing the fluorescent dye SYBR green and strain-specific hybrid- focused on assessing the detection limits of the assay. In this
ization probe technologies based on the FRET principle of respect, the capacity of the assay to accurately detect down to
hybridization/hydrolysis assays. Indeed, the latter technology is 10 cell equivalents of targeted cells per PCR was demonstrated
currently adopted in commercially available diagnostic kits for and compares well to that of published real-time PCR assays
L. monocytogenes detection in food samples (e.g., LightCycler for L. monocytogenes (43). The practical usefulness of the
Foodproof Listeria monocytogenes detection kit; Roche/Biotecon real-time PCR assay was determined by assessing its ability to
Diagnostics). While almost all L. monocytogenes strains have the detect LLS-positive L. monocytogenes in retail samples of RTE

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potential to cause infection, it has been acknowledged for some foods (e.g., pasteurized milk and cooked ham) and enabled the
time that lineage I L. monocytogenes strains are more frequently detection of 1 CFU per 25 g/ml of food samples, which com-
associated with spontaneous and epidemic outbreaks of listeriosis plies with international recommendations of the Association of
(25, 58). Here, a real-time PCR assay was designed to target LLS; Official Analytical Chemists (AOAC) (15). To achieve this, it
this assay can be used in conjunction with diagnostic kits for L. was necessary to employ selective culture enrichment whereby
monocytogenes to differentiate between LLS-positive and LLS- a rapid method which combines an enrichment step with real-
negative forms of the pathogen. First, a series of deletion mutants time PCR, previously described by OGrady et al. (43), was
were generated to investigate which of the lls genes are required employed and adapted to target the llsX gene as a marker for
for LLS production. The llsG and llsH genes are predicted to code the LIPI-3 cluster. This method has been described as a po-
for an ABC transport system (LlsG is predicted to contain an tential alternative to the ISO 11290-1 standard method and can
ATP-binding domain, while LlsH has six membrane-spanning be performed in 2 working days compared to 7 days for the
domains) potentially responsible for LLS export. Indeed, sim- ISO standard. Accordingly, the time taken for the enrichment
ilar arrangements have been noted among bacteriocin trans- procedure was significantly reduced, from 72 h to 26 h, when
porters, and the proteins are predicted to dimerize at the coupled with real-time PCR. Furthermore, our method incor-
cytoplasmic membrane to form an active translocation com- porated a rapid PCR template purification step which utilized
plex (20). Disruption of these genes resulted in the elimi- Chelex-100 resin, thus avoiding the need for expensive and
nation of LLS activity from F2365LLSChly. It has been tedious DNA isolation/purification procedures. Specifically
previously established that the elimination of llsB, a homolog designed for extraction of the PCR-ready template, the ion
of sagB, results in a loss of LLS activity in this strain (8). exchange resin attenuates potential PCR inhibition by scav-
Similarly, the elimination of the llsY or llsD genes, which as a enging polyvalent metal ions which catalyze the degradation
consequence of being homologs of the sag genes sagC and of nucleic acids. Additionally, the resin has also been re-
sagD, respectively, and predicted to encode biosynthetic en- ported to improve cell lysis of Gram-positive bacteria
zymes (8), also resulted in a loss of LLS activity. Interestingly, (35, 49).
no loss of LLS activity was observed following the deletion of The development of a better understanding of LLS produc-
the llsP gene, which is annotated as a CAAX amino-terminal tion and its contribution to virulence could potentially lead to
putative metalloprotease gene. It is becoming increasingly ap- a reassessment of the levels of L. monocytogenes that are tol-
parent that several bacteriocin clusters contain a gene en- erated in food, with limits being dependent on the virulence
coding an endopeptidase of this class. These endopeptidases potential of the strain isolated. Should that be the case, having
are proposed to contribute to bacteriocin immunity, i.e., the ability to distinguish between LLS-positive and LLS-nega-
self-protection, or bacteriocin maturation and transporta- tive isolates will allow more effective and targeted control
tion. Indeed, a novel immunity function has been demon- measures to be introduced by the food industry and the devel-
strated for the sagE and pncO genes of streptococci, the skkI opment of more effective therapeutic strategies by clinicians.
gene of Lactobacillus sakei, and the plnI and plnLR genes of
Lactobacillus plantarum (10, 31, 37). It may be that LLS ACKNOWLEDGMENTS
evolved from a bacteriocin-like peptide to a peptide that lacks This study was funded by the Enterprise Ireland Commercialization
antibacterial activity (data not shown), thereby explaining why fund.
the llsP gene is not essential. The nonessential role of LlsP is Work for this study was performed at the University College Cork,
consistent with the observation that an LLS chimeric peptide Cork, Ireland.
We thank Todd Ward (Agricultural Research Service, U.S. Depart-
which retains an N-terminal leader (in the relevant case, a ment of Agriculture), Martin Wiedmann (International Life Sciences
SagA leader is retained) retains in vitro hemolytic activity (39). Institute), and Catherine Donnelly (Department of Nutrition and
A lmof2365_1120 strain also retained LLS activity. While Food Sciences, University of Vermont) for providing a number of
these investigations indicate that neither the llsP nor the Listeria strains.
lmof2365_1120 gene is essential for LLS production, these REFERENCES
results are generated using a strain in which LLS is constitu- 1. Allerberger, F., and M. Wagner. 2010. Listeriosis: a resurgent foodborne
tively expressed; thus, we cannot exclude the possibility that infection. Clin. Microbiol. Infect. 16:1623.
170 CLAYTON ET AL. APPL. ENVIRON. MICROBIOL.

2. Altschul, S. F., T. L. Madden, A. A. Schaffer, J. Zhang, Z. Zhang, W. Miller, of Listeria monocytogenes LO28 harbors a nonsense mutation resulting in
and D. J. Lipman. 1997. Gapped BLAST and PSI-BLAST: a new generation release of internalin. Infect. Immun. 66:34203422.
of protein database search programs. Nucleic Acids Res. 25:33893402. 28. Kasper, S., S. Huhulescu, B. Auer, I. Heller, F. Karner, R. Wurzner, M.
3. Anonymous. 2008. Outbreak of Listeria monocytogenes infections associated Wagner, and F. Allerberger. 2009. Epidemiology of listeriosis in Austria.
with pasteurized milk from a local dairyMassachusetts, 2007. Morb. Mor- Wien. Klin. Wochenschr. 121:113119.
tal. Wkly. Rep. 57:10971100. 29. Kathariou, S. 2002. Listeria monocytogenes virulence and pathogenicity, a
4. Aparecida de Oliveira, M., E. G. Abeid Ribeiro, A. M. Morato Bergamini, food safety perspective. J. Food Prot. 65:18111829.
and E. C. Pereira De Martinis. 2010. Quantification of Listeria monocyto- 30. Khatamzas, E., H. Hughes, K. A. Grant, J. McLauchlin, and I. C. Bowler.
genes in minimally processed leafy vegetables using a combined method 2010. The increasing prevalence of listeriosis: what are we missing? QJM
based on enrichment and 16S rRNA real-time PCR. Food Microbiol. 27: 103:519522.
1923. 31. Kjos, M., L. Snipen, Z. Salehian, I. F. Nes, and D. B. Diep. 2010. The ABI
5. Bennion, J. R., F. Sorvillo, M. E. Wise, S. Krishna, and L. Mascola. 2008. proteins and their involvement in bacteriocin self-immunity. J. Bacteriol.
Decreasing listeriosis mortality in the United States, 19902005. Clin. Infect. 192:20682076.
Dis. 47:867874. 32. Koch, J., and K. Stark. 2006. Significant increase of listeriosis in Germany:
6. Berche, P. 2005. Pathophysiology and epidemiology of listeriosis. Bull. Acad. epidemiological patterns 20012005. Euro Surveill. 11:8588.
Natl. Med. 189:507516; discussion, 516521. 33. Li, Y. M., J. C. Milne, L. L. Madison, R. Kolter, and C. T. Walsh. 1996. From
7. Caplin, B. E., R. P. Rasmussen, P. S. Bernard, and C. T. Wittwer. 1999. The peptide precursors to oxazole and thiazole-containing peptide antibiotics:
most direct way to monitor PCR amplification for quantification and muta- microcin B17 synthase. Science 274:11881193.
tion detection. Biochemica 1:58. 34. Little, C. L., S. M. Pires, I. A. Gillespie, K. Grant, and G. L. Nichols. 2010.
8. Cotter, P. D., L. A. Draper, E. M. Lawton, K. M. Daly, D. S. Groeger, P. G. Attribution of human Listeria monocytogenes infections in England and

Downloaded from http://aem.asm.org/ on January 21, 2017 by guest


Casey, R. P. Ross, and C. Hill. 2008. Listeriolysin S, a novel peptide hae- Wales to ready-to-eat food sources placed on the market: adaptation of the
molysin associated with a subset of lineage I Listeria monocytogenes. PLoS Hald Salmonella source attribution model. Foodborne Pathog. Dis. 7:749
Pathog. 4:e1000144. 756.
9. Crossman, L., A. Cerdeno-Tarraga, and N. R. Thomson. 2004. Chalk and 35. Liu, D. 2008. Preparation of Listeria monocytogenes specimens for molecular
cheese. Nat. Rev. Microbiol. 2:528529. detection and identification. Int. J. Food Microbiol. 122:229242.
10. Datta, V., S. M. Myskowski, L. A. Kwinn, D. N. Chiem, N. Varki, R. G. 36. Low, J. C., and W. Donachie. 1997. A review of Listeria monocytogenes and
Kansal, M. Kotb, and V. Nizet. 2005. Mutational analysis of the group A listeriosis. Vet. J. 153:929.
streptococcal operon encoding streptolysin S and its virulence role in inva- 37. Lux, T., M. Nuhn, R. Hakenbeck, and P. Reichmann. 2007. Diversity of
sive infection. Mol. Microbiol. 56:681695. bacteriocins and activity spectrum in Streptococcus pneumoniae. J. Bacteriol.
11. Denny, J., and J. McLauchlin. 2008. Human Listeria monocytogenes infec- 189:77417751.
tions in Europe: an opportunity for improved European surveillance. Euro 38. McLauchlin, J. 1990. Distribution of serovars of Listeria monocytogenes
Surveill. 13:8082. isolated from different categories of patients with listeriosis. Eur. J. Clin.
12. Donnelly, C. W. 2001. Listeria monocytogenes: a continuing challenge. Nutr. Microbiol. Infect. Dis. 9:210213.
Rev. 59:183194. 39. Mitchell, D. A., S. W. Lee, M. A. Pence, A. L. Markley, J. D. Limm, V. Nizet,
12a.European Commission. 2005. Commission regulation (EC) no. 2073/2005 of and J. E. Dixon. 2009. Structural and functional dissection of the heterocyclic
15 November 2005 on microbiological criteria for foodstuffs. Off. J. Eur. peptide cytotoxin streptolysin S. J. Biol. Chem. 284:1300413012.
Union L338:126. 40. Nightingale, K. K., R. A. Ivy, A. J. Ho, E. D. Fortes, B. L. Njaa, R. M. Peters,
and M. Wiedmann. 2008. inlA premature stop codons are common among
13. Felicio, M. T., T. Hogg, P. Gibbs, P. Teixeira, and M. Wiedmann. 2007.
Listeria monocytogenes isolates from foods and yield virulence-attenuated
Recurrent and sporadic Listeria monocytogenes contamination in alheiras
strains that confer protection against fully virulent strains. Appl. Environ.
represents considerable diversity, including virulence-attenuated isolates.
Microbiol. 74:65706583.
Appl. Environ. Microbiol. 73:38873895.
41. Nightingale, K. K., K. Windham, K. E. Martin, M. Yeung, and M. Wied-
14. Freitag, N. E., G. C. Port, and M. D. Miner. 2009. Listeria monocytogenes:
mann. 2005. Select Listeria monocytogenes subtypes commonly found in
from saprophyte to intracellular pathogen. Nat. Rev. Microbiol. 7:623628.
foods carry distinct nonsense mutations in inlA, leading to expression of
15. Gasanov, U., D. Hughes, and P. M. Hansbro. 2005. Methods for the isolation
truncated and secreted internalin A, and are associated with a reduced
and identification of Listeria spp. and Listeria monocytogenes: a review.
invasion phenotype for human intestinal epithelial cells. Appl. Environ.
FEMS Microbiol. Rev. 29:851875.
Microbiol. 71:87648772.
16. Gormley, F. J., C. L. Little, K. A. Grant, E. de Pinna, and J. McLauchlin. 42. Nizet, V., B. Beall, D. J. Bast, V. Datta, L. Kilburn, D. E. Low, and J. C. De
2010. The microbiological safety of ready-to-eat specialty meats from mar- Azavedo. 2000. Genetic locus for streptolysin S production by group A
kets and specialty food shops: a UK wide study with a focus on Salmonella Streptococcus. Infect. Immun. 68:42454254.
and Listeria monocytogenes. Food Microbiol. 27:243249.
43. OGrady, J., S. Sedano-Balbas, M. Maher, T. Smith, and T. Barry. 2008.
17. Gray, M. J., R. N. Zadoks, E. D. Fortes, B. Dogan, S. Cai, Y. Chen, V. N. Rapid real-time PCR detection of Listeria monocytogenes in enriched food
Scott, D. E. Gombas, K. J. Boor, and M. Wiedmann. 2004. Listeria monocy- samples based on the ssrA gene, a novel diagnostic target. Food Microbiol.
togenes isolates from foods and humans form distinct but overlapping pop- 25:7584.
ulations. Appl. Environ. Microbiol. 70:58335841. 44. OGrady, J., M. Ruttledge, S. Sedano-Balbas, T. J. Smith, T. Barry, and M.
18. Hamon, M., H. Bierne, and P. Cossart. 2006. Listeria monocytogenes: a Maher. 2009. Rapid detection of Listeria monocytogenes in food using culture
multifaceted model. Nat. Rev. Microbiol. 4:423434. enrichment combined with real-time PCR. Food Microbiol. 26:47.
19. Handa-Miya, S., B. Kimura, H. Takahashi, M. Sato, T. Ishikawa, K. Iga- 45. Olier, M., F. Pierre, J. P. Lemaitre, C. Divies, A. Rousset, and J. Guzzo.
rashi, and T. Fujii. 2007. Nonsense-mutated inlA and prfA not widely dis- 2002. Assessment of the pathogenic potential of two Listeria monocytogenes
tributed in Listeria monocytogenes isolates from ready-to-eat seafood prod- human faecal carriage isolates. Microbiology 148:18551862.
ucts in Japan. Int. J. Food Microbiol. 117:312318. 46. Petruzzelli, A., G. Blasi, L. Masini, L. Calza, A. Duranti, S. Santarelli, S.
20. Havarstein, L. S., D. B. Diep, and I. F. Nes. 1995. A family of bacteriocin Fisichella, G. Pezzotti, L. Aquilanti, A. Osimani, and F. Tonucci. 2010.
ABC transporters carry out proteolytic processing of their substrates con- Occurrence of Listeria monocytogenes in salami manufactured in the Marche
comitant with export. Mol. Microbiol. 16:229240. region (Central Italy). J. Vet. Med. Sci. 72:499502.
21. Hoffman, C. S., and F. Winston. 1987. A ten-minute DNA preparation from 47. Roberts, A. J., and M. Wiedmann. 2003. Pathogen, host and environmental
yeast efficiently releases autonomous plasmids for transformation of Esche- factors contributing to the pathogenesis of listeriosis. Cell. Mol. Life Sci.
richia coli. Gene 57:267272. 60:904918.
22. Horton, R. M., Z. L. Cai, S. N. Ho, and L. R. Pease. 1990. Gene splicing by 48. Rodriguez-Lazaro, D., M. Hernandez, M. Scortti, T. Esteve, J. A. Vazquez-
overlap extension: tailor-made genes using the polymerase chain reaction. Boland, and M. Pla. 2004. Quantitative detection of Listeria monocytogenes
Biotechniques 8:528535. and Listeria innocua by real-time PCR: assessment of hly, iap, and lin02483
23. Ivanek, R., Y. T. Grohn, L. W. Tauer, and M. Wiedmann. 2004. The cost and targets and AmpliFluor technology. Appl. Environ. Microbiol. 70:13661377.
benefit of Listeria monocytogenes food safety measures. Crit. Rev. Food Sci. 49. Rodriguez-Lazaro, D., A. Jofre, T. Aymerich, M. Garriga, and M. Pla. 2005.
Nutr. 44:513523. Rapid quantitative detection of Listeria monocytogenes in salmon products:
24. Jackson, K. A., M. Iwamoto, and D. Swerdlow. 2010. Pregnancy-associated evaluation of pre-real-time PCR strategies. J. Food Prot. 68:14671471.
listeriosis. Epidemiol. Infect. 138:15031509. 50. Rodriguez-Lazaro, D., A. Jofre, T. Aymerich, M. Hugas, and M. Pla. 2004.
25. Jeffers, G. T., J. L. Bruce, P. L. McDonough, J. Scarlett, K. J. Boor, and M. Rapid quantitative detection of Listeria monocytogenes in meat products by
Wiedmann. 2001. Comparative genetic characterization of Listeria monocy- real-time PCR. Appl. Environ. Microbiol. 70:62996301.
togenes isolates from human and animal listeriosis cases. Microbiology 147: 51. Rossmanith, P., M. Krassnig, M. Wagner, and I. Hein. 2006. Detection of
10951104. Listeria monocytogenes in food using a combined enrichment/real-time PCR
26. Jemmi, T., and R. Stephan. 2006. Listeria monocytogenes: food-borne patho- method targeting the prfA gene. Res. Microbiol. 157:763771.
gen and hygiene indicator. Rev. Sci. Tech. 25:571580. 52. Swaminathan, B., and P. Gerner-Smidt. 2007. The epidemiology of human
27. Jonquieres, R., H. Bierne, J. Mengaud, and P. Cossart. 1998. The inlA gene listeriosis. Microbes Infect. 9:12361243.
VOL. 77, 2011 LLS-POSITIVE AND -NEGATIVE L. MONOCYTOGENES STRAINS 171

53. Tham, W., H. Ericsson, S. Loncarevic, H. Unnerstad, and M. L. Danielsson- detection of virulence-attenuating mutations in the Listeria monocytogenes
Tham. 2000. Lessons from an outbreak of listeriosis related to vacuum- virulence-associated gene inlA. Appl. Environ. Microbiol. 74:73657375.
packed gravad and cold-smoked fish. Int. J. Food Microbiol. 62:173175. 56. Vazquez-Boland, J. A., M. Kuhn, P. Berche, T. Chakraborty, G. Dominguez-
54. Uyttendaele, M., P. Busschaert, A. Valero, A. H. Geeraerd, A. Vermeulen, L. Bernal, W. Goebel, B. Gonzalez-Zorn, J. Wehland, and J. Kreft. 2001. Lis-
Jacxsens, K. K. Goh, A. De Loy, J. F. Van Impe, and F. Devlieghere. 2009. teria pathogenesis and molecular virulence determinants. Clin. Microbiol.
Prevalence and challenge tests of Listeria monocytogenes in Belgian pro- Rev. 14:584640.
duced and retailed mayonnaise-based deli-salads, cooked meat products and 57. Wessels, M. R. 2005. Streptolysin S. J. Infect. Dis. 192:1315.
smoked fish between 2005 and 2007. Int. J. Food Microbiol. 133:94104. 58. Yde, M., N. Botteldoorn, S. Bertrand, J. Collard, and K. Dierick. 2010.
55. Van Stelten, A., and K. K. Nightingale. 2008. Development and implemen- Microbiological and molecular investigation of an increase of human liste-
tation of a multiplex single-nucleotide polymorphism genotyping assay for riosis in Belgium, 20062007. Euro Surveill. 15:19482.

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