Abstract
Staphylococcus spp., including S. aureus, S. intermedius, S. hyicus, S. epidermidis, S. saprophyticus, S. haemolyticus, S. xylosus, and S. carnosus, are major bacterial species associated with food poisoning, and human and veterinary clinics. Traditional methods for the identification of these staphylococci are time-consuming, laborious, or inaccurate. Therefore, rapid and accurate diagnostic methods are needed. In this study, we designed the DNA probes and polymerase chain reaction (PCR) primers for the detection of the aforementioned Staphylococcus species. These primers were proved to be specific for the detection of their corresponding target strains. Furthermore, by using a consensus primer pair, we were able to co-amplify the intergenic region of groES-groEL for these staphylococci. Followed by a chromogenic macroarray system with the specific probes on the plastic chips, these staphylococci in milk products or clinical samples could be simultaneously detected. When the system was used for the inspection of milk or urine samples containing N×100 target cells per milliliter of the sample, all these staphylococcal species could be identified after an 8-h pre-enrichment step. This system also allowed the adequate diagnosis of bacteremia, since N×100 target cells per milliliter of the blood samples could be detected after a 12-h pre-enrichment. Compared to the multiplex PCR method, this approach has the additional advantage that it allowed the discrimination of more bacterial strains—even some bacterial strains that may generate PCR products with the same molecular sizes.
Introduction
Diagnosis of these staphylococcal species isolated from food poisoning cases and clinical samples is important. Accurate determination of the sources and specific infection control measures often require accurate species level identification. Phenotypic identification methods have been developed for the identification of staphylococci, such as the methods using API ID 32 Staph (bioMérieux, Marcy l'Etoile, France) or the Vitek system (bioMérieux). However, Zadoks and Watts (2009) reported that these phenotypic methods have lower typeability and accuracy.
Various molecular markers, including 16S rDNA (Couzinet et al., 2005), ITS (Couto et al., 2001), hsp60 (Kwok and Chow, 2003), tuf (Martineau et al., 2001), sodA (Poyart et al., 2001; Giammarinaro et al., 2005), femA (Hamels et al., 2001), and rpoB genes (Drancourt and Raoult, 2002), have been used for the identification of staphylococci. Biochips are a powerful tool for the parallel detection of multiple targets in microbial diagnosis in a relatively short time. Couzinet et al. (2005) evaluated the ability of a Staphylococcus DNA chip (BioMérieux) based on 16S rDNA. Notably, S. saprophyticus could not be correctly identified due to the limited differences between 16S rDNA sequences. Giammarinaro et al. (2005) developed an oligonucleotide array targeting the sodA gene for the staphylococcal identification. However, in their study, other bacterial species that contain sodA gene (e.g., Enterococcus, Streptococcus, Pasteurella, and Mycobacterium spp.) were not tested. Moreover, identification of target bacteria by using specific pattern with multiple probes may be problematic if multiple bacterial strains were presented in the sample.
In our previous work, we developed a chromogenic macroarray system for the simultaneous detection of SEs A, B, C, D, E, and G (Lin et al., 2009). We also constructed a 16S rDNA-based array for the rapid diagnosis of food pathogens, mostly at the genus level (Chiang et al., 2006). Kärenlampi et al. (2004) indicated that a heat shock protein family gene, groEL, could be more suitable than 16S rDNA in species discrimination. Therefore, we focused on heat shock protein family gene, groESL, including groES, groEL, and the intergenic region of groES-groEL (IGR), to develop PCR primers and probes for the simultaneous identification of S. aureus, S. intermedius, S. hyicus, S. epidermidis, S. saprophyticus, S. haemolyticus, S. xylosus, and S. carnosus.
Methods
Bacterial strains and cell cultivation
Bacterial strains used in this study are listed in Table 1. Bacterial cells were cultivated as previously described (Chiang et al., 2006).
ATCC, American Type Culture Collection (Manassas, VA); BCRC, Bioresource Collection and Research Center (Hsin-Chu, Taiwan).
DNA preparation
Bacterial genomic DNAs were prepared using the GeneMark Tissue & Cell Genomic DNA Purification Kit (Hopegen Biotechnology, Taichung, Taiwan). Cells collected (15,700×g for 5 min) from 1 mL of culture broth were washed twice with 1 mL of double deionized water and pelleted (15,700×g for 5 min). The pellet was suspended in 250 μL of lysostaphin buffer, followed by addition of 1 μL of lysostaphin (50 mg/mL; AMBI Products LLC, Lawrence, NY) and 10 (L of lysozyme (10 mg/mL; Sigma, St. Louis, MO). The mixture was incubated at 37°C for 120 min. After incubation, total DNA was extracted according to the manufacturer's manual.
PCR primers and probes design
PCR primers were designed from staphylococcal groESL gene sequences using the Primer Premier 5.0 software (PREMIER Biosoft, Palo Alto, CA). Sequences of groESL gene were aligned with other bacterial heat shock protein gene sequences available in GenBank using basic local alignment search tool (
After alignment, unique sequences were selected and primers for each Staphylococcus spp. were designed. The consensus primers, universal-F/R, were degenerate primers used to co-amplify all the groESL genes for these eight Staphylococcus spp. (Table 2).
The selected primers were modified as oligonucleotide probes in the array. Modifications include addition of thymine bases and adjustment of antiparallel sequences. Thymine bases were added to either 5’-end or 3’-end of the probes to obtain a 40-mer probe except of the probe for S. xylosus (50 mer). As for hybridization positive control, degenerate probe was used for simultaneous detection of these eight Staphylococcus spp. based on the alignment result.
Specificity of PCR primers
Specificity of each primer set was tested with DNA isolated from baterial strains listed in Table 1. Each PCR primer set was used in a single PCR reaction containing 200 μM concentration of each deoxynucleotide triphosphate, 1×PCR buffer (PROtech Technology Enterprise Co., Ltd., Taipei, Taiwan), 0.4 μM of each primers, 0.4 U Prozyme (PROtech Technology), ∼150–200 ng of bacterial DNA and double deionized water to a final volume of 25 μL. PCR conditions in a thermal cycler (Gene Amp PCR system 2720; Applied Biosystems, Carlsbad, CA) were as follows: an initial denaturation at 94°C for 5 min followed by 35 cycles of amplification at 94°C for 30 s, annealing at 50°C for 30 s; extension at 72°C for 30 s, and a final extension at 72°C for 5 min. The amplified products were analyzed by electrophoresis.
Detection limit of specific PCR primers
Commercial whole milk samples purchased from the markets were used to determine the detectable level of target organism contaminated in milk samples. As for clinical samples, urine and blood samples obtained from our laboratory personnel were used. Blood samples were collected with BD Vacutainer K2 EDTA (Becton, Dickinson and Company, Sparks, MD). Urine samples were autoclaved prior to further tests.
Twenty-five milliliters of the abovementioned samples was well mixed with 225 mL of 0.1% peptone water. One hundred microliters of the 10-fold serial dilutions (10−4 to 10−8) of the overnight culture of one of the target strains (N×109 CFU/mL) as listed in Table 1 was mixed with 1 mL of the above described mixture, followed by addition of 8.9 mL of TSB broth. Afterwards, 1 mL of the abovementioned mixture with or without an 8-h pre-enrichment at 37°C was used for DNA extraction according to the methods described above.
PCR followed by macroarray for detection of staphylococci
5’-ends of the consensus primers, universal-F/R, were labeled with biotin and then were subjected to PCR amplification. These biotin-labeled PCR products were used in macroarray tests.
For macroarray construction, 25 μL of each oligonucleotide probe (∼20–40 μM) was mixed with 25 μL of 2×probe solution (DR. Chip Biotech, Hsin-Chu, Taiwan). It was then spotted onto the plastic chip (Dr. Chip Biotech) by using the MicroArrayer Ezspot SR-A300 (Shuai Ran Precision, Taoyuan Hsien, Taiwan). Positive control using the biotin-labeled primers only and the negative controls using water only were also included. The spotted DNA was then cross linked onto the plastic chip by ultraviolet (UV) irradiation at 254 nm/0.6–1.2 joules.
For hybridization, 25 μL each of the biotin-labeled PCR products was denatured at 95°C for 10 min and immediately ice-bathed for 5 min. Afterwards, 200 μL of DR. Hyb™ Buffer (DR. Chip Biotech) and the denatured PCR products were loaded into a chip chamber well. Hybridization was performed for 30 min at 45°C with gentle vibration in the DR. Mini Oven (DR. Chip Biotech).
Wash steps and chromogenic reaction were performed as previously described (Lin et al., 2009). Afterwards, the hybridization signals were scanned by DR. AiM™ Reader (DR. Chip Biotech). Seeded milk or clinical samples with known levels of target bacterial strain were used for evaluation of the detection sensitivity and specificity of the macroarray. DNA was extracted from the samples followed by PCR and array hybridization.
Results
Specificity and detection limit of the PCR primers
To evaluate the specificity, the primers S.aur-F/R, S.int-F/R, S.hyi-F/R, S.epi-F/R, S.sap-F/R, S.hae-F/R, S.xyl-F/R, and S.car-F/R, respectively, were tested with bacterial strains listed in Table 1. All primers used in this study generated amplicons with expected sizes. No false positive result was observed. Thus, it was apparent that all primers provided a specific means to detect corresponding target strains of staphylococci.
The conserved region for groESL gene was used to design the consensus primers, universal-F/R. The degenerate bases were used in the consensus primers as a pool to amplify all these eight Staphylococcus spp. in any possible combination. S. aureus, S. intermedius, S. hyicus, S. epidermidis, S. saprophyticus, S. haemolyticus, S. xylosus, and S. carnosus generated positive results. The non-target strain of S. warneri also generated positive results (Fig. 1). The expected size of 225 bp with primers universal-F/R was based on the sequence from S. aureus (GenBank accession no. BA000017.4). Since the length of the intergenic regions, groESL, from different species of staphylococci varies, the molecular sizes of amplicons from these eight Staphylococcus spp. differ slightly. Other non-target bacterial strains including non-target staphylococci such as S. simulans and S. cohnii produced negative results.

Detection of the target staphylococcal strains in milk samples using consensus primers universal-F/R. Experimental conditions were as described in Methods.
The detection limit of the PCR primers for milk samples was evaluated by inoculating with known levels of target bacterial strains (Table 3). The expected PCR product could be obtained from N×103CFU/mL of the milk samples without enrichment. The detection limit of the consensus primers was also evaluated. Results showed that the expected PCR product could be obtained from N×103CFU/mL of staphylococci in spiked milk or urine samples, or N×105CFU/mL of staphylococci in blood samples.
Specificity and detection limit for macroarray
Macroarray was constructed by spotting the oligonucleotide probes listed in Table 2 for specific detection of these eight Staphylococcal species. Allocation of the probes and interpretation of patterns of macroarray were demonstrated in Figure 2. Negative controls without PCR products or probe (buffer only) gave negative results (100%). Meanwhile, chromogenic positive controls and hybridization positive controls were included in the chips. The hybridization patterns were in compliance with designed patterns either from pure culture or artificially spiked milk sample (Figs. 2 and 3). No non-specific hybridization signal was observed. Thus, it is apparent that our macroarray provides a very specific means to detect these staphylococci.

Detection of the staphylococci using the macroarray. Conditions for the macroarray hybridization were as described in Methods.

Simultaneous detection of multiple target staphylocci in milk samples using the microarray.
The detection limit of the array was also evaluated using artificially contaminated samples spiked with different levels of bacterial cells (Table 4). For milk and urine samples, the detection limit was N×102 CFU/mL without the enrichment. To improve the detection limits, an 8-h enrichment step was performed prior to the PCR followed by macroarray. Under such conditions, the detection limit was N×100 CFU/mL. With the use of macroarray, the detection limit could be improved by one logarithmic scale, at least, in comparison with PCR methods. As for blood samples, the detection limit of the array varied from N×103 CFU/mL to N×105 CFU/mL. Even with an 8-h enrichment, the detection limit could barely reach N×102 CFU/mL. Hence we further extended the time of enrichment to 12 h; it was found that the detection limit could reach N×100 CFU/mL, which will suffice in the diagnosis of bacteremia.
8-h enrichment.
12-h enrichment.
Discussion
In our previous work, we developed a 16S rDNA-based array for the rapid diagnosis of Staphylococcus spp. and non-staphylococcal species, including Bacillus spp., E. coli, Salmonella spp., and Vibrio spp. (Chiang et al., 2006). However, detection of the target bacteria at the species level is required to fulfill the diagnostic need. Thus, we aimed to establish an array for simultaneous detection of major staphylococcal species.
Our previous studies showed that heat shock protein gene may be used in the molecular diagnosis of microorganisms, e.g., hsp70, hsp40, and hsp10 in Streptococcus agalactiae, Strept. Uberis, and Strept. bovis (Chiang et al., 2008); htrA in S. aureus (Chiang et al., 2007); and tuf in Bifidobacterium species (Sheu et al., 2010) and in B. longum, Lactobacillus acidophilus, L. casei group, and L. delbrueckii (Sheu et al., 2009). Therefore, we focused on heat shock protein family gene, groESL. Alignment of groESL sequences from major Staphylococcus spp. showed it is possible to design specific DNA probes and primers at the species level. Unique sequences were selected as primers for each Staphylococcus spp. (Table 2). PCR was performed to confirm the specificity of these sequences for the use as probes to detect S. aureus, S. intermedius, S. hyicus, S. epidermidis, S. saprophyticus, S. haemolyticus, S. xylosus, and S. carnosus. No interference was observed; this indicates these primers could be individually used as a specific means to detect corresponding target strains of these staphylococci. However, sizes of these PCR products are close (e.g., the difference in the PCR products between S. intermedius and S. xylosus is only 1 bp). It would be difficult to integrate these primers into a single multiplex PCR system. Macroarray could be used for simultaneous detection of multiple targets; more importantly, it allowed us to discriminate the bacterial strains which may generate the PCR products with the same or close molecular sizes. Thus, a macroarray was constructed by spotting these unique sequences. The conserved region for groESL gene was used to design consensus primers to co-amplify the unique sequences. Each target strain of staphylococci generated a specific hybridization pattern. From the homogenization of milk sample, the pre-enrichment step, to the signal observation, results could be obtained within 24 h. Compared to the identification of a target bacterial strain with multiple probes, the use of single probe to each target allowed us to discriminate these eight staphylococci easily, even in the presence of multiple targets (Fig. 3).
The consensus primers were aimed to co-amplify these eight Staphylococcus spp. only. There was amplicon produced from another CNS, such as S. warneri. However, there was no interference from S. warneri in the amplification with species-specific primers designed in this study, e.g., S.aur-F/R, S.int-F/R. Furthermore, no interference was observed from S. warneri in our macroarray system. One advantage of the macroarray is the capacity of expanding targets. Thus, it is possible to detect more Staphylococcus spp., e.g., S. warneri, if suitable probe is found. Also, it is possible to combine this macroarray with our previous work (Lin et al., 2009) to develop a macroarray of detecting SEs and Staphylococcus spp. Simultaneously, since these eight Staphylococcus spp. are enterotoxin producers (Bautista et al., 1988; Becker et al., 2001; Oliveira et al., 2010; Valle et al., 1990; Zell et al., 2008).
Recently, complete genome sequence of S. pseudintermedius HKU10-03, one of the S. intermedius group (SIG), has been revealed (Tse et al., 2011). Alignment result indicates that S.int-F/R also amplifies S. pseudintermedius HKU10-03. High similarity in the groESL genes between S. pseudintermedius and S. intermedius makes it difficult to differentiate these two strains. This may require further investigation into SIG.
Brown and Anthony (2000) demonstrated that the intensity of hybridization signal could be enhanced by adding thymine bases to the 3’-end of the probes. In this study, we modified the designed probes either on the 3’-end or 5’-end to obtain the 40-mer probes except of the probe for S. xylosus (50-mer). It was found that some 5’-end labeled probes also generated a stronger hybridization signal as compared with the results obtained from the 3’-labeled probe. By comparing the hybridization signal, the modified probes with stronger signal were chosen. Thus, 5’-end labeled probes were used for hybridization positive control and the detection of S. hyicus, S. epidermidis, S. haemolyticus, and S. carnosus. As for S. aureus, S. intermedius, S. saprophyticus, and S. xylosus, 3’-end labeling was performed. The addition of thymine bases also enabled the adjustment of the probe length to 40-mer; thus, similar melting temperatures of each probe could be achieved. For S. xylosus, a 50-mer probe was used since 40-mer probe did not produce acceptable signal.
The signal detection system in our macroarray combines the use of streptavidin conjugated-alkaline phosphatase and NBT/BCIP as substrate. This simple chromogenic reaction allows the hybridization signals to be read by untrained personnel via the naked eye or to be processed by the computerized system with a compatible reader (DR. AiM™ Reader), which uses a charge-coupled device. The signal detection system in the Staphylococcus DNA chip developed by BioMérieux uses florescent dye, requires a confocal laser scanner and corresponding analysis software, and is costly. Our system provides a more cost-effective signal detection than the florescent system.
The plastic chips used in this study provide convenience in storage compared to the nitrocellulose paper, a commonly used matrix in the macroarray system (Chiang et al., 2006). Furthermore, the signals in the plastic chips showed good roundness, superb uniformity, and lower background signals than those in the nylon membrane. In addition, the plastic chip used in this study is economically feasible compared to the nitrocellulose paper. With standardized reagents, the whole system can be easily commercialized into a diagnostic kit. The use of the reader also provides flexibility for being modularized into an automated system.
Conclusion
In conclusion, we have successfully developed a macroarray system for simultaneous detection of eight major Staphylococcal species contaminated in milk products or in the clinical samples; the results could be obtained within 24 h, including the enrichment step. In addition, the PCR primers developed in this study could be individually used for the detection of each target staphylococci. Such PCR and macroarray methods could be used for the rapid identification of these staphylococci contaminated in milk products or in the clinical samples. This system may be used for human and animal epidemic disease study, and for quality control in food and dairy industries.
Footnotes
Acknowledgments
This project was supported by the National Science Council, Taipei, Taiwan (grant 97-2313-B-241-005-MY3 1-3).
Disclosure Statement
No competing financial interests exist.
