Environmental samples make soiled bedding sentinels dispensable for hygienic monitoring of IVC-reared mouse colonies

Introduction

Analysis of environmental samples from individually ventilated cage (IVC) systems is a relatively new and promising approach to improve hygienic monitoring in laboratory animal facilities. Still, most hygienic monitoring programs are based on soiled bedding sentinels (SBS) tested as representatives for colony animals. Sick animals might be used in addition for direct testing but many infections are subclinical and infected animals are inconspicuous. ¹ After an adequate exposure time sentinels are commonly euthanized and tested for pathogens using different testing methods. This leads to high numbers of mice sacrificed for health monitoring. Detection of unwanted organisms relies on infection of the sentinels via soiled bedding, yet it is well investigated that not all agents are transmitted via soiled bedding. Viruses, such as lymphocytic choriomeningitis virus, Sendai virus, or mouse norovirus, bacteria, such as Pasteurella pneumotropica or CAR bacillus, and parasites, such as murine fur mites or pinworms often remain undetected by SBS.^2–7 Recently we demonstrated that polymerase chain reaction (PCR) analysis of exhaust air particle (EAP) samples is a reliable and animal-free alternative technology for the detection of murine norovirus (MNV), P. pneumotropica, and Helicobacter hepaticus, even at low prevalence.^4,7,8 Other studies investigating the detection of agents such as fur mites, pinworms, Sendai virus, mouse parvovirus (MPV), or mouse hepatitis virus (MHV) in exhaust air debris came to the same conclusion.^2,9,10 In this study we investigate in different barriers of a research facility if pooled EAP samples provide more meaningful information and can therefore replace SBS in routine hygienic monitoring.

Material and methods

Study design

Study A

Health monitoring via SBS was compared to EAP PCR in an experimental barrier over three consecutive monitoring periods each with a sentinel exposure period of 12 weeks. The barrier consisted of 16 rooms with a total of up to 30 air handling units connected to 5004 cages in 78 racks, represented by maximal 44 sentinels or 30 EAP samples assigned to four pools. Rooms were assigned to the four pools based on previous SBS monitoring results, individual investigator ownership, and whether colonies were sanitized or not. Gauze pieces were pinned onto the “dirty” side of the prefilter for three weeks. About half time and at the end of each monitoring period, gauze pieces were collected and pooled for EAP PCR. Exposure times of SBS and gauze pieces are shown in Figure 1. In order to be able to compare which of the monitoring methods provided the most meaningful outcome for screening the colonies, results of pooled EAP samples and the corresponding SBS results were integrated into Figure 2. OPEN IN VIEWER

Figure 1.

Exposure time of soiled bedding sentinels and gauze pieces during studies A and B. Fields highlighted in gray depict dirty-bedding sampling and installation period of gauze pieces.

OPEN IN VIEWER

Figure 2.

Results of conventional soiled bedding sentinel monitoring compared to exhaust air dust analyses over a period of three consecutive quarters in one experimental barrier. Only agents identified by either method are shown in column one. For the sake of clarity agents with negative test results were skipped from the list. Pool number: rooms of the experimental barrier were divided into four pools.

Study B

The study was then expanded to eight different breeding and experimental IVC barriers using the same experimental outline. The eight barriers consisted of 54 rooms with a total of 85 air handling units connected to 19,483 cages, represented by 152 sentinels or 85 EAP samples assigned to 13 pools. Large barriers with more than 10 air handling units were divided into two separate pools to analyze a maximum of 10 gauze pieces per pool. This time, dust samples were only taken during weeks 9–12 of the 12 week sentinel exposure period (see Figure 1). Results are shown in Figure 3. OPEN IN VIEWER

Figure 3.

Results of conventional soiled bedding sentinel monitoring compared to exhaust air dust analyses in eight experimental and breeding barriers.

Results

In study A, the results of conventional soiled bedding sentinel monitoring and of EAP PCR were compared over a period of three quarters in an experimental barrier. For the following pathogens one or both methods revealed positive results at least once: MNV, Helicobacter spp., H. hepaticus, H. typhlonius, Pasteurella pneumotropica, Pasteurellaceae (others than P. pneumotropica), K. oxytoca, Pneumocystis murina, S. aureus, Proteus mirabilis, pinworms (Aspiculuris tetraptera), Tritrichomonas, Entamoeba, and ectoparasites (Myocoptes musculinus). Of those, only MNV, Helicobacter spp., H. hepaticus, S. aureus, and Tritrichomonas have been detected by SBS. All others, except S. aureus, which was only detected by one SBS, have only been detected by EAP PCR. In total, positive test results for single agents were obtained 88 times by the combination of all methods, that is, in sentinel mice, in exhaust air dust samples, or with both (Figure 2). In 34.1% (n = 30) of positive findings, EAP PCR and sentinel monitoring results correlated. In 93.3% (n = 28) (of positive results obtained by both strategies) the positive EAP result of weeks 3–6 was confirmed by testing weeks 9–12. Only one positive finding from SBS monitoring (S. aureus/1.1% of positive findings) was not detected by EAP PCR. In contrast, 57 positive results (64.8% of all positive findings) generated by EAP PCR were not detected by SBS monitoring.

Eight experimental and breeding barriers, containing 85 air handling units and represented by 152 SBS were included in study B. Results of 13 pools of gauze pieces, consisting of 1–10 gauze samples were compared to results generated by the corresponding 13 groups of SBS (2–24 SBS per group) (Figure 3). Agents detected by either method, sentinel mice or EAP PCR, were MNV, Helicobacter spp., H. hepaticus, H. bilis, H. typhlonius, P. pneumotropica, Pasteurellaceae (others than P. pneumotropica), K. oxytoca, Pseudomonas aeruginosa, S. aureus, Tritrichomonas, and Entamoeba. Of those, only MNV, Helicobacter spp., H. hepaticus, Pasteurellaceae (others than P. pneumotropica), and Tritrichomonas have been detected by SBS. All others, except Pseudomonas aeruginosa and MNV, which were only detected by SBS in particular cases, have only been detected by EAP PCR. In total, 50 positive test results for single agents were obtained by the combination of all methods, that is, by sentinel monitoring, by exhaust air dust PCR, or with both (Figure 3). In 38% (n = 19), positive findings of EAP PCR matched with positive sentinel results. Two times (4% of positive findings) positive sentinel results could not be confirmed by EAP PCR; 29 positive findings (58%) were only detected via EAP PCR analysis.

Discussion

Knowing the accurate microbiological status of laboratory mice is crucial for their use in biomedical research. Undetected pathogens represent an uncontrolled variable that might interfere with animal experimentation. ¹¹ Soiled bedding sentinel based hygienic monitoring, still state-of-the art in the field, is flawed by serious drawbacks and many different pathogens might be overlooked. To bypass these drawbacks, EAP PCR was investigated for agents that are known to be badly or not detectable by SBS. The studies showed a clear superiority of EAP PCR compared to SBS even at very low prevalence.^2,4,7,9 To investigate if environmental samples might completely make sentinels disposable in our routine hygienic monitoring program, both monitoring strategies were performed in parallel in different breeding and experimental barriers in our facility. In case SBS monitoring would not provide any additional meaningful information in comparison to environmental monitoring by EAP PCR, SBS might be replaced in future. Our routine microbiological monitoring is based on several layers of testing and decision making. The first layer aims at screening for potential infections within the mouse colonies with sufficient sensitivity at the lowest possible amount of testing. This is a matter of economics. Ideally, a single cage of infected animals within an otherwise negative colony is detectable by that first layer. In parallel, sick animals from the colonies are tested individually by classic methods like serology, bacteriology, parasitology, and postmortem analysis. Once an infection is detected, a decision is taken if this might be accepted, for example, because the agent is not on an exclusion list, or if the result warrants further testing. Further testing is based on a series of pooled tests where positive pools are broken down to smaller pools as long as all infected animals can be identified. During study A, EAP samples unexpectedly detected Aspiculuris tetraptera and Myocoptes musculinus (Figure 2). SBS did not detect the infestations in the current monitoring period (Figure 2) nor during the last four years. The A. tetraptera positive mice were identified by testing the 16 individual back-up prefilter samples followed by 105 pools consisting of fecal pellets from each nine cages. Of these, nine pools (81 cages) in two rooms were found positive by A. tetraptera PCR. By using fecal flotation followed by microscopy of all mice within the 81 suspicious cages we could confirm the positive EAP result and trace the infection back to several cages. Since different strains in various racks were infected all colonies reared in these racks were treated with fenbendazole. The IVC rack systems were washed and autoclaved. Subsequent exhaust air dust sample pools were negative. Individual PCR of the six back-up prefilter samples did not confirm the initial positive M. musculinus result. Infested animals were identified by testing six further individual prefilter samples installed in the animal handling units two weeks later with one sample being positive. Ten pools consisting of fur swabs each representing a mouse line housed in this room were tested. Finally, a single mouse line was found to be M. musculinus positive. Cryopreservation is ongoing for the affected line. All other positive findings confirmed historical results. These agents have repeatedly tested positive in the respective barriers and were not excluded. Therefore, additional testing by an alternative method was not ordered.

Residual nucleic acids pose a risk of false positive results in future monitoring periods even if the infected animals have been removed from the colony. Discriminating between previous and current infections might not be possible then. Therefore, after an elimination attempt, careful sanitization of the equipment is necessary to remove all living or dead infectious agents, including all contaminating residual nucleic acids. We recommend washing and autoclaving the contaminated rack and all tubing, washing and spraying the prefilter case with disinfectant and exchange of the exhaust prefilter and to perform baseline testing for the agent in question before adding any new cages with animals to the rack system. We installed and sampled always two EAP samples on each prefilter. Individual retesting of the back-ups allowed not only to trace down infections quickly, it also allowed us to save money, because testing for single agents is much less expensive than testing for a whole panel of agents.

Pooling of samples is cost effective and suitable to monitor different barriers by using reasonable sample numbers. Nevertheless, false-negative results due to the dilution of nucleic acids cannot be ruled out, especially for infections with low prevalence. In this study the focus was on the comparison of EAP-PCR and SBS monitoring. The clear result was, even at a high level of pooling, that EAP PCR detected nearly all infections found by the SBS monitoring plus more agents not detected by SBS. Further studies are necessary to define the maximum level of pooling that combines economic aspects and an acceptable low probability of false negative results.

During our studies positive SBS results could not be confirmed by exhaust air dust PCR in three instances. In study A, one sentinel was positive for S. aureus (Figure 2) and in study B two or four sentinels were found positive for MNV and Pseudomonas aeruginosa, respectively. None of these were detected by the EAP samples. There are several possible reasons for this. The negative EAP PCR result might be an effect of over pooling the PCR samples. Gauze pieces were installed for three weeks and did not cover the complete sentinels' exposure time of 12 weeks (Figure 1). In the experimental barriers used for the studies the import and export frequency and therefore the turnover of animals is high and mice are often housed in the IVC systems for short time only. It might be possible that infected mice were removed before gauze pieces were installed. To avoid this health monitoring gap, the duration for gauze pieces pinned onto the prefilter could be extended. The S. aureus finding might be a false positive due to a contamination of the bacterial culture plates or bacterial infection may be transient and the mouse may not have actually become colonized and therefore did not shed this organism sufficiently to be detected by PCR.

In our studies, 8–9 weeks old female SOPF SWISS mice were used as dirty-bedding sentinels. Optimal age of sentinels is discussed controversial. Besselsen et al. showed with two serologic assays that ICR mice inoculated at four and eight weeks of age seroconverted, but were generally unable to seroconvert when infected at 12 weeks of age. ¹² In contrast, a recent study demonstrated that transmission of agents such as MPV, MHV, MNV, Theiler's murine encephalomyelitis virus (TMEV), and pinworms did not differ in regard to the age of Swiss Webster sentinels. ¹³ Each sentinel cage consisting of three mice was assigned to a single room containing one to five IVC racks within different barriers. The number of colony cages (63 to a maximum of 315 cages per room) was higher in some rooms than recommended by the FELASA. ¹ Sentinels were exposed to dirty bedding from individual racks at least twice during the quarterly screening. Insufficient transfer of infectious agents is a general drawback of dirty-bedding sentinel monitoring. Regardless of the amount and frequency of dirty-bedding transfer, there are various reasons for a reduced transmission of agents via soiled bedding, like low viability of bacteria such as Pasteurellaceae on wood bedding. ¹⁴ EAP PCR is not handicapped by drawbacks such as sentinel age or survival of agents in the bedding since it does not rely on infection. It relies solely on transfer and accumulation of nucleic acids to the sampling media. FELASA recommendations leave it at the decision of a person of sufficient understanding to shape the hygienic monitoring program according to local conditions. Among other reasons, the number of sentinels is a matter of budget and optimal numbers of sentinels are often unaffordable. The aim of this study was to compare, based on local circumstances, the performance of EAP PCR and used-bedding sentinels.

As shown here sentinel-free monitoring based on EAP PCR analysis in IVC reared mouse colonies is feasible. We provided evidence that our sentinel mice are completely replaceable by environmental samples. In addition to routine environmental monitoring, examination of sick mice showing clinical signs of illness should be a fixed component of health monitoring programs. This change of paradigm in rodent microbiological monitoring highly contributes to the 3R principle. First of all it allows replacing laboratory mice, in our facility about 1000 sentinel mice per year. The new technology provides much better information regarding the microbiological status of rodent colonies. This information allows us to better react on new infections and reduce the number of sick animals, which is refinement. Better knowledge of the microbiological status allows better standardization and therefore contributes to the reduction of animals by providing more statistical power.