Dejing Liu‡
a,
Bo Hu‡ab,
Dingfa Peng‡a,
Shan Lua,
Shunxiang Gaoc,
Zhengang Lia,
Lianghua Wang*a and
Binghua Jiao*a
aDepartment of Biochemistry and Molecular Biology, College of Basic Medical Sciences, Second Military Medical University, Shanghai, 200433, People's Republic of China
bDepartment of Marine Biomedicine and Polar Medicine, Naval Special Medical Center, Shanghai, People's Republic of China
cEye & ENT Hospital, State Key Laboratory of Medical Neurobiology, Institutes of Brain Science and Collaborative Innovation Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, 200032, China
First published on 22nd April 2020
Vibrio vulnificus is a ubiquitous marine bacterium that may cause rapid and deadly infection, threatening lives of people living around natural bodies of water, especially in coastal regions. However, traditional culture-based methods are time-consuming and unable to detect Viable But Non-Culturable (VBNC) V. vulnificus cells. In this work, we isolated a batch of detection aptamers specifically binding to V. vulnificus in all culture status. With traditional whole bacteria-SELEX (Systematic Evolution of Ligands by EXponential enrichment), flow cytometer analysis and imaging, we identify 18 candidates and validated two of them (V8 and V13) as applicable aptamers. Their truncated sequences also showed comparable performance. The dissociation constant (KD) value of V8 is shown to be as low as 11.22 ± 1.32 nM. Optimal aptamers V8 and V13 are also validated to be effective to detect different Vibrio vulnificus strains under different binding environments using flow cytometry. As for detection parameters, the LOD of the V8 from cytometry is 29.96 CFU mL−1, and the linear range is 102–5 × 105 CFU mL−1. This is the first case demonstrating that aptamers can detect the existence of VBNC bacteria as well as live bacteria.
Current methods for the identification and isolation of V. vulnificus from environmental or clinical samples typically rely on selective medium culture, which require further experiments such as PCR to identify the presumptive isolates.5–7 Although such methods are quite accurate for the identification and validation of candidate microorganisms like V. vulnificus, however, there are still two major shortcomings for using this method in V. vulnificus clinical detection:
Firstly, the culture-based methods usually take 3 or 4 days to get the final results, which are quite time-consuming. And considering that patients infected by V. vulnificus can only survive three days after infection, it's IMPOSSIBLE to use culture-based diagnosis method for such acute urge infection of V. vulnificus.
Secondly, under some extreme conditions (like low temperature in winter), V. vulnificus has been reported to be able to transformed into a specific state called Viable But Non-Culturable (VBNC) state, making it possible to escape traditional culture based detection. Although with adequate cells (108/mL or more),8 the VBNC V. vulnificus can be detected through PCR, however, in nature environment, such concentration of VBNC cells can't be reached, and a small number of cells (about 100 cells or less) is enough to cause serious diseases.9
Rapid and quick direct detection of pathogens like V. vulnificus can be used as a supplement for traditional standard methods to not only provide significant infectious information on patients quickly and effectively, like but also overcome the two shortcomings of traditional methods we mentioned above, making it possible for infected patients to get correct treatment in time.
Multiple subtypes of molecules have been applied for pathogen diagnosis as detectors. Among them, single-stranded nucleic acid can fold into unique and stable structures and makes it an ideal choice. Some single-stranded DNA (ssDNA) or RNA chains can specifically bind to various targets, such as metal ions, small molecules, drugs, proteins, and even whole cells,10–13 and they are named as aptamers. Aptamers are very suitable to be developed into diagnostic and therapeutic tools. They can be easily modified with dyes or chemical tools and can be easily immobilized on many kinds of substrates, make it more suitable for quantitative measurements.14–16 Compare with antibody, aptamer is smaller, more stable and can tolerate a wide range of temperatures. Additionally, aptamer can be produced in vitro without torturing animals and can be rapidly synthesized with high purity and little batch-to-batch variation.
Aptamers are isolated by Systematic Evolution of Ligands by EXponential enrichment (SELEX) procedures.17 There are two common strategies to isolate bacteria aptamers, using specific cell surface molecules as targets, or the whole cells as targets. For the first strategy, however, choosing and purifying species-specific membrane molecules can be relatively difficult, and purified molecules may not be able to reserve their native structures when their microenvironments are changed, so their aptamers may not be able to bind to cells. Under such circumstance, the whole-bacteria SELEX approach can be applied and perfectly solves the problem. Whole-bacteria SELEX approach can efficiently screen aptamers with high affinity without tedious molecule purification process, and counter SELEX can ensure the high specificity of the aptamers. In recent years, whole-bacteria SELEX approach has been applied to isolating various bacteria aptamers such as Mycobacteria tuberculosis,18 Staphylococcus aureus,19 Candida albicans,20 Vibrio. Alginolyticus,21 Vibrio. Parahaemolyticus,22 etc.
In this study, we employed whole-bacteria SELEX approaches to screen potential ssDNA sequences that can specifically bind to V. vulnificus. Based on FACs (Flow Cytometry) and confocal microscopy results, we identified 2 aptamers with good performance, V8 and V13. They can bind to V. vulnificus with high binding affinity and can specifically pick V. vulnificus out of other bacteria. Such optimal aptamers can detect different V. vulnificus strains, tolerate different binding environments, and detect V. vulnificus in VBNC status as well as cells in other culture phases. As for the general performance of such aptamer-based detection method, the LOD is 29.96 CFU mL−1 and its linear range is 102–5 × 105 CFU mL−1. The total test time of this fast screen method is less than 1 hour. Based on our screening methods and analysis results we described above, there are three major innovations that can be summarized in this research field.
Firstly, we developed ssDNA aptamers for V. vulnificus with the best binding affinity up to now. The KD value for Aptamer V8 is 1.22 ± 1.32 nM, while the previous studie got an aptamer with KD = 26.8 ± 5.3 nM;23
Secondly, for the first time, we provided an optional method to detect environmental at V. vulnificus VBNC status, fulfilling the gaps in this research field.
Thirdly, previous studies generally applied bacteria in one fixed growth period/stage, and they didn't test whether these aptamers can bind to target bacteria in different phases. Therefore, the screened-out aptamers may not be able to identify bacteria if such bacteria entered a different stage, inducing possible false negative results. As we have mentioned above, V. vulnificus have various stages. Therefore, it's quite necessary for researcher to screen and validate the candidate aptamers using bacterium from different various stages. However, previous studies on V. vulnificus do not contain related screening and analysis. Our study filled the gap and identified the effective aptamers that can be applied to V. vulnificus at different phases.
All in all, taking advantages of whole-bacteria SELEX approaches and flow cytometry, in this study, we not only screened out two effective aptamers (V8 and V13) for further clinical and environmental detection on V. vulnificus with higher detection speed and accuracy, but also validated their ability to bind to V. vulnificus in different stages, especially in VBNC status.
Fig. 2 Percentage of fluorescent cells and the mean fluorescent intensity of candidate aptamers bound to V. vulnificus. |
After comparing the gated cell proportions and the mean fluorescence intensity values of the gated cells, we choose V8 and V13 for further study.
Fig. 6 Secondary structure of 4 aptamers. Similar parts are highlighted in the figure. dG means initial free energy. |
Fig. 7 The comparison of binding performance of V8 and V13 on V. vulnificus cells in different culture phases. Bar plot and flow cytometry results are showed simultaneously. |
Fig. 8 The relationship between V8-flow cytometer detection method and plate counting method in detecting V. vulnificus samples. |
For methodological innovations, we have made three major innovations during the selection, validation and application of the optimal aptamers against V. vulnificus.
First, in this study, we emphasized on developing aptamers that can bind to different stages of V. vulnificus. In previous studies, lots of aptamers against bacteria were selected by SELEX and many of them were developed into splendid detection method.24,27–30 However, most of them failed to pay attention to bacteria at different stages and relied on single phase of bacteria for aptamer selection and validation. Then, some scholar started to noticed the phase differences. Ying Zou et al. developed aptamers that can bind to different stages of E. coli O157:H7.31 Soo HwanSuh et al. developed aptamers specifically targeted bacterial cells at different growth phases.32 Thus, we innovatively used V. vulnificus at different stages for positive SELEX, and used different stages of bacteria to validate the aptamers. We especially validated aptamers' binding ability to VBNC state. We identified aptamers with high affinity against different phases of bacteria, improving the accuracy and efficacy for aptamer selection.
Moreover, we chose V. parahaemolyticus as counter selection targets to confer the optimal aptamers potential clinical significance. Previously, the aptamer selection for V. vulnificus has been reported by Yan, et al.33 Their work was more focused on fish diseases and they used V. anguillarum for counter-SELEX, for further better distinguishing different water pollution pathogens for fish. While in this study, we chose V. parahaemolyticus with more clinical significance for the counter selection, making the optimal aptamers effective enough to be applied in the differential diagnosis between V. vulnificus. and V. parahaemolyticus. For the first time, we identified effective aptamers for V. vulnificus with potential clinical significance.
Third, we developed an effective, fast and labour-saving method to detect V. vulnificus in VBNC status. In this work we used flow cytometer as a part of detection system. Compare to other existing proved VBNC detection methods, such as PCR,34 qPCR,35 PMA-LAMP (propidium monoazide- loop-mediated isothermal amplification)36,37 PMA-based qPCR,38 CRENAME + rtPCR39 (rapid concentration and recovery of microbial particles, extraction of nucleic acids and molecular enrichment), the LOD of flow cytometer is slightly higher or equivalent. There is a trade-off between “easy to operate “and” extreme sensitivity”. LOD of CRENAME + rtPCR can reach to 1.2 CFU/100 mL, but this approach takes 6 h to get the results. V8-flow cytometer detection is fast, with <1 h total test time and easier sample preparation.
For biological and clinical significance of new aptamers, as we have already analysed, the optimal aptamers we screened can be further applied and modified for clinical use. Therefore, according to related publications, we compared the performance of our optimal aptamers with previous proved detection methods. In 2018, Yan, et al.33 presented an effective detection method and identified effective aptamers which we have already mentioned above. Comparing to this study, we have two advantages:
Firstly, comparing to their optimal aptamer Vapt2 with binding affinity at 26.8 ± 5.3 nM, our optimal aptamer (V8) has a better and more stable performance with binding affinity as 11.22 ± 1.30 nM. Secondly, different from previous studies using microscope to detect, which is labour-consuming and less quantitative in practical microbe detection, we applied flow cytometry to detect the performance of aptamers, which is quite fast, convenient for sample preparation and more suitable for further clinical applications.
As for future perspectives, we may still focus on the optimal aptamers we screened out in this study like aptamer V8 and V13. There are two major directions that we may contribute to in the future:
Firstly, we will try to reveal the detailed biological mechanism for the aptamer to bind the target bacteria. In this study, we have already applied related experiments to make the preliminary trials in this field. Using optimal aptamer V8 and cultured V. vulnificus strains, we incubated V8 with protein-free cells. And after incubation fluorescent did not change much, indicating that the target molecule of aptamer V8 is not protein but another cell wall component. Since the expression of some outer membrane protein may alter in different culture phases, it is reasonable that our SELEX strategy yielded aptamers that can bind to component that expresses on most V. vulnificus cells. Further studies are needed to identify the exact target molecule of V8.
Secondly, we will try to develop a reliable and fast detection kit using the aptamers for the detection of V. vulnificus at different stages. Although based on our experiments, V8-cytometry method have already been validated to be effective and accurate enough for the identification of V. vulnificus at different stages, more modification should be made and a more efficient and sensitive biosensor or clinical diagnosis kit should be established. More experiments should be applied to make sure the stability and accuracy of our kit in clinics or for environment monitoring. Therefore, we may focus on the development of novel V. vulnificus detection methods, by applying technologies like aptamer-conjugated nanoparticles, quantum dots or colorimetric approaches to increase the sensitivity, handleability and throughput of the detections.
The following bacteria were also used to identify the specificity of the isolated aptamers: Staphylococcus aureus ATCC25923, Listeria monocytogenes ATCC19115, Candida albicans ATCC10231, and Pseudomonas aeruginosa ATCC27853. All these bacteria were cultured overnight under aerobic condition in brain heart infusion media (Land Bridge, Beijing) with 1% NaCl at 37 °C and 150 rpm shaking. All these bacterial strains were obtained from ATCC.
V. vulnificus under VBNC status was obtained by refrigerating cultured cells in artificial seawater (ASW) under 4 °C for 7 or more days. The viability was tested on culture plates and growth should not be detected. The VBNC cells were subject to PI stain and showed negative results in flow cytometer.
Membrane protein was removed as previously described with a little modification.40 15 min of trypsin treatment (0.25%, 37 °C) and 10 min proteinase K treatment (1 mg mL−1, 65 °C) were conducted. The reaction was stopped by adding Phenylmethanesulfonyl fluoride (PMSF, Beyotime, China) into the suspension.
5′-AGTATACGTATTACCTGCAGC-N25-GCAAGATCTCCGAGATATCG-3′ (66-mer).
The ssDNA library contained a maximum of 1015 different sequences, which represents high sequence diversity.
Forward primer was 5′-AGTATACGTATTACCTGCAGC-3′.
Reverse primer was 5′-CGATATCTCGGAGATCTTGC-3′.
A poly A-labelled reverse primer (5′-AAAAAAAAAAAAAAAAAAAA-Spacer 18-CGATATCTCGGAGATCTTGC-3′) was used together with unmodified forward primer in PCR to get the asymmetry double strand DNA and to enable further purification of ssDNA by DNA PAGE. Unmodified forward primer and reverse primer were also used for PCR amplification after the final round of the selection for cloning sequencing. GoTaqHot® Start Colorless Master Mix used in PCR was purchased from Promega Corporation. A fluorescent labelled random ssDNA pool was also used as negative binding control.
From 8th selection round, the counter-SELEX was incorporated with the positive-SELEX to eliminate false-positive binding of sequences. In the counter-SELEX process, 2 × 109 V. parahaemolyticus cells were initially incubated with 200 pmol of the denatured ssDNA library at 4 °C. After centrifugation, the unbound oligonucleotides in supernatant were collected and subsequently incubated with V. vulnificus at 4 °C. Then unbound ssDNA was removed by centrifugation, adhesive cells were resuspended, and ssDNA was amplified by PCR.
PCR products were further separated into ssDNA chains by 12% urea denaturing PAGE, and ssDNA chains were recovered from the gel band. The eluted ssDNA in binding buffer was collected and purified by Gel extraction kit (QIAEN, Germany). Finally, the purified ssDNA was quantified using a Qubit® 2.0 Fluorometer and used for the next selection round.
Candidate aptamer sequences were labelled with the fluorophore (5′-FAM). A randomized ssDNA pool with fluorescent label was used as a control for nonspecific binding in each experiment. A threshold based on fluorescence intensity was set so that the fluorescence intensity of the gated cells would be greater than those incubated with randomized ssDNA pool. Gated cells were counted and gated fluorescence intensity was quantified. Candidate sequences were dissolved in binding buffer (pH 7.4, 50 mM Tris–HCl, 100 mM NaCl, 1 mM MgCl2, 5 mM KCl), preheated, and then incubated with bacterial cells. After incubating with 300 nM aptamer/random ssDNA pool for 30 min, the cells were washed once and resuspended in 300 μL binding buffer for immediate flow cytometric analysis.
Binding curves were created to estimate dissociation constants (KD) values by incubating different concentrations of aptamers (0–300 nM) with a fixed number of cells (108 CFU mL−1).The KD were calculated with the equation y = Bmaxx/(KD + x), using SigmaPlot 12.5 software.
To evaluate whether different concentrations of V. vulnificus can affect the fluorescent signals when bind with V8 and V13, different concentrations of V. vulnificus (1.25 × 107, 2.50 × 107, 5.00 × 107, 1.00 × 108, 2.00 × 108, 4.00 × 108 CFU mL−1) were incubated with 300 nM V8 and V13 for 30 min at 25 °C. When tested on flow cytometer, set test time as 60 s.
To measure whether V8 and V13 can bind to V. vulnificus in all culture status, 300 nM aptamers were incubated with V. vulnificus in early exponential phase, late exponential phase, stationary phase and VBNC status (108 CFU mL−1) at 25 °C. for 30 min, respectively.
To analyse whether V8 and V13 can bind to V. vulnificus isolated from different resources, 300 nM V8 and V13 were incubated with V. vulnificus MCCC 1A08743 and MCCC 1H00047 (108 CFU mL−1) at 25 °C for 30 min, respectively.
To analyse aptamer stability, bacterial cells (108 CFU mL−1) were incubated with 300 nM V8 and V13 in human serum and oyster infusion. To minimize the influence, the sediments in liquids were removed from serum and infusion by centrifugation at 12000 rpm for 10 min. For serum incubation, serum was diluted to 30% with binding buffer. After incubation, the samples were directly detected by flow cytometer.
To find out target molecular of V8, 10 min-proteinase K-treated V. vulnificus and 15 min-trypsin-treated V. vulnificus were incubated with 300 nM V8 at 25 °C for 30 min. Intact V. vulnificus was used as control. All the cells are at 108 CFU mL−1.
The LOB and LOD is measured according to CLSI-17A.41 To test the LOB of V8-flow cytometer detection method, 40 blank samples (300 nM V8 solution) were tested. Kolmogorov-Smirnov test shows that P = 0.022 < 0.05, indicates the data does not conform to the normal distribution. According to ISO suggestion, the calculation formula should be LOB = the measured value of the [NB(p/100) + 0.5] bit, α = 5%, p = 95, that is, the measured value ranked 38th. 5 different low concentrations of samples were tested to measure LOD. 300 nM aptamers were incubated with V. vulnificus at the concentrations of 25 CFU mL−1, 50 CFU mL−1, 100 CFU mL−1, 150 CFU mL−1, 300 CFU mL−1, and the volume of each sample is 12 mL. The sample is divided into 12 equal parts and the cell number in 1 mL was measured for 12 times, then the standard deviations (SD) of these tests were calculated. The formula is LoDtent = LoB + cβ SDS, where SDS is the estimated deviation of the population standard deviation (SDS2 = (n1SDs12 + n2SDs22 + n3SDs32 + ……+ nnSDsn2)/(n1 + n2 + n3 ……. + nn), nn = Nn − 1), cβ = 1.645/(1–1/(4 × f)), f is the degree of the freedom, f = NS − K. K is the number of groups. f = 55, cβ = 1.6525.
The linear range is determined by reference to the CLSI-EP6A document.26 106 CFU mL−1 of Vibrio vulnificus suspension was incubated with 300 nM V8 and serially diluted into 9 concentrations. Suspension of each concentration was divided into 6 parts, 3 parts were subjected to flow cytometry detection, and 3 parts were subjected to plate colony counting method. Samples of different concentrations of bacterial suspension should be randomly tested and recorded. The mean number of bacteria in each concentration of the bacterial suspension was fitted to the curve, and the corresponding range of the linear segment was selected as the linear range.
All in all, we developed V. vulnificus detection aptamers and identified two effective aptamers (V8 and V13) with both clinical and environmental detection significance, promoting the development of related technologies and researches in the field of bacterial aptamers. It is the first time for aptamer to be demonstrated its ability to detect VBNC bacteria.
Footnotes |
† Electronic supplementary information (ESI) available. See DOI: 10.1039/c9ra10733a |
‡ Co-first authors. |
This journal is © The Royal Society of Chemistry 2020 |