- Research article
- Open Access
Rapid screening of Salmonella entericaserovars Enteritidis, Hadar, Heidelberg and Typhimurium using a serologically-correlative allelotyping PCR targeting the O and H antigen alleles
BMC Microbiology volume 8, Article number: 178 (2008)
Classical Salmonella serotyping is an expensive and time consuming process that requires implementing a battery of O and H antisera to detect 2,541 different Salmonella enterica serovars. For these reasons, we developed a rapid multiplex polymerase chain reaction (PCR)-based typing scheme to screen for the prevalent S. enterica serovars Enteritidis, Hadar, Heidelberg, and Typhimurium.
By analyzing the nucleotide sequences of the genes for O-antigen biosynthesis including wba operon and the central variable regions of the H1 and H2 flagellin genes in Salmonella, designated PCR primers for four multiplex PCR reactions were used to detect and differentiate Salmonella serogroups A/D1, B, C1, C2, or E1; H1 antigen types i, g, m, r or z10; and H2 antigen complexes, I: 1,2; 1,5; 1,6; 1,7 or II: e,n,x; e,n,z15. Through the detection of these antigen gene allele combinations, we were able to distinguish among S. enterica serovars Enteritidis, Hadar, Heidelberg, and Typhimurium. The assays were useful in identifying Salmonella with O and H antigen gene alleles representing 43 distinct serovars. While the H2 multiplex could discriminate between unrelated H2 antigens, the PCR could not discern differences within the antigen complexes, 1,2; 1,5; 1,6; 1,7 or e,n,x; e,n,z15, requiring a final confirmatory PCR test in the final serovar reporting of S. enterica.
Multiplex PCR assays for detecting specific O and H antigen gene alleles can be a rapid and cost-effective alternative approach to classical serotyping for presumptive identification of S. enterica serovars Enteritidis, Hadar, Heidelberg, and Typhimurium.
There are approximately 15 cases of salmonellosis per 100,000 persons annually in the United States, more than double the 2010 Healthy People goal of 6.8 cases/100,000 individuals per year . In order to reduce human illnesses, epidemiological measures have been implemented to reduce the source(s) of infection. Because food animals and poultry are recognized as important reservoirs of Salmonella [2, 3], the United States Department of Agriculture (USDA) Food Safety Inspection Service (FSIS) implemented an "in plant" Hazard Analysis and Critical Control Point (HACCP) program to reduce the prevalence of foodborne pathogen contamination in meats, eggs, and milk. Although in-plant HACCP programs have been successful, further reductions in Salmonella contamination may require application of a risk reduction strategy to the farm environment. On-farm control programs have been effective in the past when they have been directed against vertically-transmitted S. enterica serovars (such as S. enterica serovar Enteritidis and S. enterica serovar Gallinarum) , but it is unclear whether this approach could be effective against all serovars. A more achievable goal may be to mitigate those S. enterica serovars that are most frequently associated with severe human illness. To further reduce Salmonella contamination in or on the final food product, producers may need to reduce its prevalence in animals brought into the meat processing plant. Producers may also need to accurately identify the source of Salmonella within a specific setting, in order to identify the points where an intervention  may be effective. Such an approach would require knowing whether these serovars are present on the farm. Also, determining the appropriate S. enterica serovar is a necessary first step in any epidemiological investigation of foodborne outbreaks; followed then by strain typing, using molecular based methods including pulsed-field gel electrophoresis (PFGE)  or amplified fragment length polymorphism that is needed to match patient strain to source . Serotyping can be a formidable task because of the numerous antisera required and the expertise necessary for interpreting the agglutination reactions, thereby limiting its efficacy as a large scale screening tool.
There are currently 2,541 S. enterica serovars recognized based on antigenic differences in the lipopolysaccharide (LPS) O-antigen; and phase 1 (H1) and phase 2 (H2) flagellar antigens . Salmonella can be further separated into monophasic and biphasic based on whether they express only one (H1) or both flagellar antigens (H1 and H2). The antigenic formula 4,5,12 (O): i (H1): 1,2 (H2) is the biphasic S. enterica serovar Typhimurium and 1,9,12 (O):g,m (H1):- (no H2) identifies the monophasic S. enterica serovar Enteritidis. Among the 2,541 S. enterica serovars identified to date, 10 S. enterica serovars: Typhimurium, Enteritidis, Newport, Heidelberg, Javiana, 4, , 12:i:-, Montevideo, Muenchen, Saintpaul, and Braenderup, currently account for 66% of all cases of laboratory-confirmed salmonellosis in the U.S. . Between 1998–2006, S. enterica serovars Enteritidis, Hadar, Heidelberg, and Typhimurium also accounted for 48% of all S. enterica serovars isolated from poultry, including chicken broilers, ground chicken and ground turkey, in the U.S. . Worldwide, two serovars, Enteritidis and Typhimurium are responsible for 79% of reported cases of salmonellosis .
Salmonella serotyping is based on the identification of the variable O and H antigens. Because the antigenic composition of the O, H1 and H2 antigens are a reflection of their unique DNA sequence alleles [11, 12], PCR and similar nucleotide-based methods have made it possible to accelerate the identification of serotypes based upon the identification of unique genes or gene arrangements [13–18] and use as a diagnostic tool . We report here on the development and validation of a serologically-correlative PCR-based assay that could solve a number of the logistical challenges faced by diagnostic and food microbiology labs.
Results and discussion
Multiplex PCR differentiation of Salmonella entericaserovars Enteritidis, Hadar, Heidelberg, and Typhimurium
We developed multiplex PCRs targeted to the O, H1, and H2 alleles associated with four S. enterica serovars Enteritidis, Hadar, Heidelberg, and Typhimurium. Specific PCR primers to identify specific Salmonella serogroups, H1 and H2 alleles were designed based on the divergence of the glycosyl synthase genes, the unique linkage between two genes for a specific O-antigen of Salmonella, or allele-specific sequences within the hypervariable region of H1 and H2 antigen genes. In the primer design, a unique amplicon size was selected in order to facilitate development of a multiplex PCR (Table 1, Fig. 1 &2). The ability of the multiplex PCR to correctly identify serogroups (Fig. 1) was evaluated for 239 Salmonella isolates representing forty-three different serotypes which belonged to one of the six major serogroups, A, B, C1, C2, D1 and E1. With the exception of serogroups A and D1, which produce the same size amplicons (Kappa = 0.98), the multiplex PCR accurately distinguished salmonellae belonging to serogroups B, C1, C2, and E1 (Kappa = 1.00) (Table 2). The inability to distinguish serogroups A and D1 is due to the high degree of nucleotide sequence homology between the prt (paratose synthase) genes . The fliC multiplex PCRs successfully detected the H1, i, r, or z10, alleles (Fig. 2A) and no amplicons were produced for serovars with other H1, flagellins (Kappa = 1.00) (Table 2). However, the fliC g,m primer set produced the same size amplicon only for salmonellae that possessed both the g and m, or g alone, or either epitope, g or m, in combination with other serotype-specific epitopes, or non-motile salmonellae that possess the fliC g,m allele  and therefore it did not have the specificity of the other H1 primer sets (Kappa = 0.58 vs. 1.00) (Table 2). To complement our PCR-based H allelotyping, a fljB multiplex PCR was designed to detect the H2 antigen alleles by targeting conserved regions within fljB alleles encoding the antigen complexes I: 1,2; 1,5; 1,6; 1,7 or II: e,n,x; e,n,z15 and producing unique size amplicons (Table 1, Fig. 2B). The expected size amplicons were produced for only those S. enterica serovars belonging to H2 antigen complexes I: 1,2; 1,5; 1,6: 1,7 and. II: e,n,x; e,n,z15 (Fig. 2B). The H2 multiplex PCR however could not distinguish H2 1,2 allele (Kappa = 0.75) or e,n,x (Kappa = 0.54) among the different H2 alleles within each antigen complex; for example indistinguishable amplicons were produced for Salmonella isolates bearing 1,2 vs 1,5; 1,6; or 1,7 (Table 2).
Comparison of multiplex PCR allelotyping of O, H1, and H2 genes with conventional serotyping in differentiating S. entericaserovars Enteritidis, Hadar, Heidelberg and Typhimurium
Validation of the allelotyping method is important for its integration with conventional Salmonella culture and typing methods used in diagnostic and food microbiology [22–25]. We therefore assessed the allelotyping multiplex PCR against the standard conventional Salmonella serotyping method in identifying Salmonella O, H1 and H2 antigens for 43 different serovars of salmonellae isolated mainly from chicken carcasses and poultry environments (Tables 2 and 3).
The allelotyping PCR scheme for identifying S. enterica serovars Enteritidis, Hadar, Heidelberg and Typhimurium is envisioned to work as follows. An initial multiplex PCR is performed to determine which O antigen allele that an isolate possesses and a serogroup designation is given or unknown, based on PCR results. If the isolate possesses O alleles for serogroups B, C2, or A/D1, then a 2nd allelotyping PCR is done to determine the presence of H2 alleles: i; g,m; r; or z10. Based on the results of this 2nd allelotyping PCR, an H1 allele type can be given an isolate as either being i; g,m; r; z10 or unknown, if no amplicons with the expected size for the H1 allelotyping PCR are produced. If both O and H1 allelotyping PCR detects O and H1 alleles associated with S. enterica serovars Enteritidis, Hadar, Heidelberg, and Typhimurium, then a 3rd final H2 allelotyping PCR is performed to further differentiate the isolate to serovar level. Therefore, identifying one allele for each O, H1, and H2 allelotyping PCR, as listed in Table 3; it is possible to discern the serovar for isolates typed using this PCR-based scheme. For example, identification of serogroup B, H1 i, and H2 I antigen complex by multiplex PCR presumptively identifies the isolate as S. enterica serovar Typhimurium (Sensitivity = 1.00; Specificity = 1.00) (Table 3). The expansion of O-antigen PCR to detect serogroups C1 and E1, affords a laboratory the opportunity to detect other S. enterica serovars, as the antigenic formula for O, H1 and H2 antigens defines the serovar. Therefore, we were able to identify additional S. enterica serovars with our multiplex PCRs including Haifa [B; z10; 1,2], Infantis [C1; r; 1,5], and Mbandaka [C1; z10, e,n,z15]. We can also identify monophasic S. enterica serovars (ex. Montevideo: [C1; g,m,s; -]) by including a generic Salmonella fljB (H2) PCR test . Isolates negative for O, H1, and H2 alleles by our multiplex PCR screen would need to be characterized by traditional serotyping, RFLP PCR , or PCR screens that identify the other H1 and H2 alleles [15, 16, 22]. The limitations with our multiplex PCR are that it cannot distinguish among serogroup/serovar variants that arise due to phage conversion and the resulting chemical/antigenic alteration of the somatic O antigen  (ex. Hadar vs. Istanbul), or subtle point mutations in H2 antigen gene, fljB responsible for loss of flagellar expression observed in some S. enterica serovar Typhimurium strains . Our multiplex PCRs were designed to be used as a rapid screen for S. enterica serovars: Enteritidis, Hadar, Heidelberg, and Typhimurium, targeting key genes/alleles that differentiate these serovars from the rest. As a diagnostic test, our allelotyping PCR was also designed to minimize the cost of this test to a few individual PCR tests, with a minimum number of primers needed for this typing scheme. Unfortunately, our H2 multiplex PCR cannot discern differences within the H2 antigen complexes (Table 2) to make a definitive serovar designation for S. enterica serovars with the same O and H1 antigens as our target serovars (S. enterica serovars: Typhimurium [H2: 1,2] vs. Lagos [H2: 1,5]; Heidelberg [H2: 1,2] vs. Bradford [H2: 1,5], Winneba [H2: 1,6] or Remo [H2: 1,7]; or Hadar [H2: e,n,x] vs. Glostrup [H2: e,n,z15]). Also, the allelotyping primers for H1 g,m allele identifies those H1 alleles bearing g or m in any possible combination (Table 2), therefore H1 multiplex would not be able to discern serogroup D1, S. enterica serovars Enteritidis [H1: g,m] from Blegdam [g,m,q]. While the possibility of encountering these alternate serovars may be remote based on epidemiological data [8, 9], it is still a possibility, and where a reporting laboratory may require confirmatory testing there are additional PCR based tests that can discern these allelic differences to make a final, definitive serovar designation possible [15, 16]. Alternatively, the H2 amplicons can be sequenced to definitively identify the H2 allele. Although several multiplex PCRs have been developed to assist laboratories in identification of S. enterica serovars [15–17, 22], our results are the first to focus on, validate and describe a PCR-based scheme for assisting diagnostic labs in differentiating S. enterica serovars: Enteritidis, Hadar, Heidelberg, and Typhimurium.
The conventional Salmonella serological serotyping scheme is a time-consuming, labor-intensive and expensive procedure. With this PCR based allelotyping scheme, specific S. enterica serovars can be differentiated rapidly. The method is cost-effective and needs little technical training. This multiplex PCR allows large service laboratories to rapidly identify S. enterica serovars of public health importance including Enteritidis, Hadar, Heidelberg, and Typhimurium and focus conventional efforts towards identification of unusual serovars.
The S. enterica isolates used in this study were from multiple animal species, including human, poultry, livestock and wildlife [27–30], and serotyped by the National Veterinary Service Laboratory (NVSL; Ames, IA) using classical methods (Table 2). The isolates were used to test the specificity of PCRs specific for O, H1 and H2 alleles described in Table 1. Additional Salmonella isolates of unknown serovars were obtained from two poultry farms in northeast Georgia [25, 31] as well as salmonellae isolated from routine submissions to the Poultry Diagnostic and Research Center (PDRC) in Athens, GA.
Isolation and serotyping of Salmonella
We sampled the commercial chicken broiler house environment and chicken carcasses for Salmonella as previously described . The processing, enrichment, isolation and final diagnostic confirmation of Salmonella from samples is described in detail elsewhere . Serotyping was done using standard serological typing procedures for Salmonella O, H1 and H2 antigens .
PCR primer design
From comparative analysis of the wba operon for Salmonella serogroups A/D1, B, C1, C2, and E1 [20, 33–37] we identified serogroup-specific gene(s) (National Center for Biotechnology Information (NCBI) Accession #: M29682, X56793, X61917, M84642, X60665) for PCR primer design. Similarly, we identified from an alignment within the central variable region [11, 38, 39] of fliC (H1) and fljB (H2) alleles (NCBI accession #: D13689, M84974, AF15949, AF332601, U06199, U06206, U06225, U06197, M84973, Z15086, D78639, Z15071, Z15072, Z15069, U06205, U06204, AF420426, AF420425, AF045151, U17175, U17171, U17172, AF425736, AF425737), using the DNA analysis software AlignPlus® version 3.0 (Scientific and Educational Software), candidate sequences to differentiate Salmonella with the H1 flagellin antigens i, g,m, r, z10, and the H2 flagellin antigen complexes 1,2, 1,5, 1,6, 1,7 and e,n,x, e,n,z15 alleles. We analyzed these gene sequences, using the GeneRunner® (Hastings software; Hastings, NY) DNA analysis software, and identified suitable primer sets that were compatible in a single multiplex PCR reaction and designed to produce an amplicon with size unique for the sequence(s) targeted by a specific primer set (Table 1).
Multiplex allelotyping PCR for Salmonella O, H1, and H2 antigen genes and differentiating S. entericaserovars Enteritidis, Hadar, Heidelberg, and Typhimurium
The O-antigen multiplex PCR was designed to detect serogroup A/D1, B, C1, C2, or E1 specific genes or alleles (Table 1). The O-antigen multiplex PCR was performed using the Amplitron II Thermolyne thermocycler (Barnstead; Dubuque, IA), using HotStart PCR tubes (Molecular Bio-Products, Inc., San Diego, CA). Each reaction had a final concentration of 1.5 mM MgCl2, 50 mM Tris, pH 8.3, 0.25 mg/ml bovine serum albumin, 0.5 μM primer, 0.2 mM deoxynucleotides (Boehringer Mannheim; Indianapolis, IN), 0.5 units of Taq DNA polymerase (Boehringer Mannheim), and 1 μl of whole cell template. The PCR was performed with pre-amplification heating as described by D'Aquilla et al. . The program parameters for PCR include an initial five minutes incubation at 85°C, to mix the two PCR reaction mixes, followed by 30 cycles of denaturation (94°C for 1 min), annealing (55°C for 1 min), and extension (72°C for 1 min). Amplicons were separated on 1.5% agarose gel with Tris-acetate-EDTA buffer  and ethidium bromide (0.2 μg/ml) at 100 V. The 100-bp ladder (GIBCO/BRL, Gaithersburg, MD) was used as a molecular weight (MW) standard for determining the MW of the PCR products. Various S. enterica serovars belonging to serogroups A/D1, B, C1, C2, E1 were used in the PCR to test the specificity of the primer sets.
The H1-1 multiplex PCR was used to identify isolates with antigens i or g, m; while the H1-2 multiplex PCR was designed to detect isolates with antigens r or z10. Finally, the H2 multiplex PCR was created to differentiate isolates with either H2 antigen complexes 1,2; 1,5; 1,6; 1,7; or e,n,x; e,n,z15. In order to identify the H1 and H2 alleles, capillary PCR reaction was performed to amplify the alleles of fliC and fljB by three multiplex PCRs with the Rapidycler™ hot-air thermocycler (Idaho Technologies; Idaho Falls, ID)  in 10-μl capacity capillary tubes. We sought to reduce the expense of reagents and reaction time by utilizing a capillary thermocycler that accommodates very low reaction volumes. The 10-μl PCR mix for the fliC i and g,m multiplex consisted of 2.0 mM MgCl2, 50 mM Tris (pH 8.3), 0.25 mg/ml bovine serum albumin, 0.5 μM of each primer, 0.2 mM deoxynucleotides, 5% DMSO, 1.0 units of Taq DNA polymerase, and 1 μl whole cell template. For fliC r and z10 multiplex, 3.0 mM MgCl2 and 1.0 μM of each primer were used for each reaction. For the amplification of the H2 alleles, the fljB multiplex consisted of 3.75 mM MgCl2, 62.5 mM Tris, pH 8.3, 0.31 mg/ml bovine serum albumin, 0.5 μM of each primer, 0.2 mM deoxynucleotides, 5% DMSO, 1.0 units of Taq DNA polymerase, and 1 μl whole cell template in a 10 μl volume. The program parameters for the hot-air thermocycler were an initial heating step of 94°C for 1 min; 94°C for 1 sec, 55°C for 1 sec, and 72°C for 20 sec with a slope of 2.0 for 40 cycles; and a final extension at 72°C for 4 min. Amplicons were detected as described above. The specificity of the PCR detection was tested against various Salmonella serovars possessing the relevant fliC and fljB alleles (Table 2). Escherichia coli LE392 served as a negative control. Whole cell template for all multiplex PCRs was prepared according to the procedures of Hilton et al. .
Kappa statistics were calculated to evaluate the agreement between the classical serotyping systems and multiplex PCR for each of the antigen groups examined. Sensitivity and specificity of the allelotyping PCR scheme relative to conventional serotyping was calculated for S. enterica serovars Enteritidis, Hadar, Heidelberg, and Typhimurium.
Center for Disease Control and Prevention
Food Safety Inspection Service
Hazard Analysis and Critical Control Point
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USDA NRICGP grant 99-35212-8680, USDA Formula Funds, and the State of Georgia's Veterinary Medicine Agricultural Research Grant supported this work. We thank Dr. Douglas Waltman for his helpful comments and advice.
JJM designed, directed, and supervised most aspects of this project. YH designed, and optimized the multiplex PCRs described in this study, as well as wrote the first draft of this manuscript. MDL and CH were involved in translation of these molecular tests to the diagnostic lab. CH was instrumental in our access to poultry farms and companies to obtain samples/isolates for testing. TL assessed the multiplex PCR in identifying S. enterica serovars for isolates submitted to the PDRC diagnostic lab. MDL and DW were involved in instruction, supervision, and interpretation of classical serotyping. MM and SA assisted in conventional serotyping of isolates. LW did statistical analyses of PCR vs. classical serotyping. RB evaluated and interpreted the statistical tests. MM, TL, and SA roles in this study were beyond those normally associated with their jobs and the University of Georgia or FDA. All authors have read and approved the final manuscript.
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Hong, Y., Liu, T., Lee, M.D. et al. Rapid screening of Salmonella entericaserovars Enteritidis, Hadar, Heidelberg and Typhimurium using a serologically-correlative allelotyping PCR targeting the O and H antigen alleles. BMC Microbiol 8, 178 (2008). https://doi.org/10.1186/1471-2180-8-178
- Multiplex Polymerase Chain Reaction
- Polymerase Chain Reaction Test
- Multiplex PCRs
- Chicken Carcass
- Polymerase Chain Reaction Prime Design