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0099-2240/11/$12.00 doi:10.1128/AEM.01673-10
Copyright 2011, American Society for Microbiology. All Rights Reserved.
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
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.
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
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. 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
llsX.............................................................................................soeA, (EcoRI)TAAGAATTCCCGGATATTGATGC
soeB, AGATTACAAACAATCCTTTC
soeC, GAAAGGATTGTTTGTAATCTTCGACTATGAGAAAAAAGGC
soeD, (SmaI)GTACCCGGGCTTTGCTCAAGCAC
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
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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