FEMS Microbiology Letters 183 (2000) 43^47 www.fems-microbiology.org Rapid identi¢cation and quanti¢cation of Collinsella aerofaciens using PCR Akiko Kageyama *, Mitsuo Sakamoto, Yoshimi Benno Japan Collection of Microorganisms, The Institute of Physical and Chemical Research (RIKEN), Wako-shi, Saitama 351-0198, Japan Received 27 August 1999 ; received in revised form 10 November 1999; accepted 29 November 1999 Abstract The number and incidence of Collinsella aerofaciens in the human intestine are the highest among Gram-positive non-spore-forming bacilli. Identification of this species is very difficult and requires considerable time. A PCR-based identification system using C. aerofaciensspecific primers is described. Using this PCR method, we identified 181 C. aerofaciens-like species isolated from human feces. These 181 strains were identified using the traditional method in past studies. Results of both methods matched. The direct detection method was performed using human feces samples from seven adults. Nested PCR was applied directly to the samples and all seven samples were positive. Quantification studies were performed using LightCycler1. The assay uses a double-stranded DNA dye to continuously monitor product formation and in a short time is able to quantify samples to 5 log units in concentration. ß 2000 Federation of European Microbiological Societies. Published by Elsevier Science B.V. All rights reserved. Keywords : Collinsella aerofaciens; Polymerase chain reaction ; 16S rDNA; Identi¢cation; Quanti¢cation 1. Introduction The genus Eubacterium, an anaerobic Gram-positive non-spore-forming bacillus, is one of the predominant microorganisms in the human intestinal micro£ora. However, its fastidious growth requirements coupled with an intrinsically slow growth rate restrict rapid identi¢cation in fecal £ora analysis [1,2]. Growth and physiological characteristics of the eubacteria are not remarkable, and therefore are not very helpful in identi¢cation. Some isolates belonging to the genus Eubacterium are frequently identi¢ed at the genus level. Identi¢cation of these species is very di¤cult and requires considerable time. Therefore, it is necessary to establish an easy and rapid method for identi¢cation of Eubacterium species. Recently molecular techniques based on sequence composition of nucleic acids can be used to provide molecular characterization [3^5]. The highly conserved regions of the * Corresponding author. Tel. : +81 (48) 462-1111, ext. 5132 ; Fax: +81 (48) 462-4619; E-mail: [email protected] rRNA molecule can serve as primer binding sites for in vitro ampli¢cation by PCR [6,7]. The more variable sequence regions are more appropriate for genus-, speciesand sometimes even strain-speci¢c probes [8^10]. E. aerofaciens, which is the predominant microorganism in the human intestine [11^13], had been a member of the genus Eubacterium, but since its phylogenetic position was far from other Eubacterium spp. and its character was unique, this species was recently transferred to Collinsella aerofaciens [14]. The genus Collinsella has one species, C. aerofaciens, but many strains belonging to this species were found and their phylogenetic and phenotypic characters were investigated; 181 strains were identi¢ed using the traditional method [14]. Since the identi¢cation of C. aerofaciens [15] is very di¤cult, we consider that an accurate method for identi¢cation of this microorganism is necessary. For rapid identi¢cation of C. aerofaciens, a PCRbased [16] identi¢cation system is useful. In the present study, we attempted to establish a PCRbased identi¢cation system using primers designed from the 16S rRNA sequence of C. aerofaciens and related species and 181 strains of C. aerofaciens-like species isolated from human feces. The PCR results matched those from the studies using the traditional method [14]. Furthermore, nested PCR using human fecal samples and quanti¢cation of human fecal samples were also studied. 0378-1097 / 00 / $20.00 ß 2000 Federation of European Microbiological Societies. Published by Elsevier Science B.V. All rights reserved. PII: S 0 3 7 8 - 1 0 9 7 ( 9 9 ) 0 0 6 2 7 - 8 FEMSLE 9201 18-1-00 44 A. Kageyama et al. / FEMS Microbiology Letters 183 (2000) 43^47 2. Materials and methods 2.1. Bacterial strains studied and cultivation A total of 178 strains of C. aerofaciens isolated from human feces and three strains of C. aerofaciens (JCM 10188T , JCM 7790 and JCM 7791), Eggerthella lenta JCM 9979T , Coriobacterium glomerans JCM 10262T, Atopobium minutum JCM 1118T , E. barkeri JCM 1389T , E. limosum JCM 6421T , E. multiforme JCM 6484T , E. nitritogenes JCM 6485T , E. tenue JCM 6486T , E. desmolans JCM 6566T , E. cylindroides JCM 7786, Lactobacillus plantarum JCM 1149T , Bi¢dobacterium bi¢dum JCM 1255T , Propionibacterium propionicus JCM 5830T and Pseudoramibacter alactolyticum JCM 6480T were used in the present study. The purity of all isolated strains was checked by subculturing for 2 days at 37³C on Eggerth Gagnon agar (Eiken, Tokyo, Japan) in an anaerobic jar with 100% CO2 . 2.2. Primer design Comparing the 16S rRNA sequences of E. aerofaciens JCM 10188T , JCM 7790 and JCM 7791 and Eg. lenta JCM 9979T , we designed one set of primers, AERO-F (5P-CTTTCAGCAGGGAAGAGTCAA-3P) with positions 436^466 and AERO-R (5P-AGCCATGCACCACCTGTATGG-3P) with positions 1060^1039. 2.3. Preparation of bacterial DNA template Bacterial DNA was prepared by suspending the cultured colony in distilled water, heating at 100³C for 5 min and then cooling. Bacterial DNA from human fecal samples was prepared by the method described by Zhu et al. [17]. Brie£y, bacterial cells were suspended in extraction mixture (450 Wl) consisting of 250 Wl of extraction bu¡er (100 WM Tris-HCl, 40 WM EDTA, pH 9.0), 50 Wl of 10% SDS, and 150 Wl of benzyl chloride. Following incubation at 50³C for 30 min with shaking, DNA was obtained by isopropanol precipitation. DNA (100 Wl) was extracted from 0.1 g of fecal sample. This extracted DNA was used for the following examinations. For conventional PCR and nested ¢rst PCR we used 10 Wl of extracted DNA in 100 Wl of reaction mixture. 2.4. PCR conditions PCR was performed at an annealing temperature of 63³C and 25 cycles using a DNA thermal cycler (PerkinElmer Cetus, Foster City, CA, USA). The PCR reaction was conducted using a positive control of C. aerofaciens and negative control of E. lenta. After PCR, an 8-Wl aliquot of ampli¢ed sample from each PCR tube was electrophoresed through 1 or 2% agarose gel (Sigma, St. Louis, MO, USA) in TAE bu¡er for 30 min at 100 V. Ampli¢- cation products were visualized and photographed under a UV light transilluminator after 30 min of ethidium bromide staining. The molecular masses of the amplicons were determined by comparison with commercial DNA molecular mass markers. When nested PCR was applied, we added the following step before the above experiment : PCR was performed at an annealing temperature of 55³C and 35 cycles using prokaryotic 16S rDNA universal primers 27F (5P-AGAGTTTGATCCTGGCTCAG-3P) and 1492R (5P-GGTTACCTTGTTACGACTT-3P). The second PCR was done using 10 Wl of the ¢rst PCR product. 2.5. Primer species speci¢city Primer speci¢city was de¢ned as the ability of a primer to anneal speci¢cally to only the C. aerofaciens 16S rRNA. The speci¢city of the primers was tested against the following organisms: three C. aerofaciens strains (JCM 10188T , JCM 7790 and JCM 7791), three C. aerofacienslike species (A1-75, RCA57-66 and RCA57-64) isolated from human feces, seven other Eubacterium species (E. barkeri JCM 1389T , E. limosum JCM 6421T , E. multiforme JCM 6484T , E. nitritogenes JCM 6485T , E. tenue JCM 6486T , E. desmorans JCM 6566T , and E. cylindroides JCM 7786), and seven other genera (Eg. lenta JCM 9979T , P. alactolyticus JCM 6480T , C. glomerans JCM 10262T , L. plantarum JCM 1149T , B. bi¢dum JCM 1255T , Propionibacterium propionicus JCM 5830T and Atopobium minutum JCM 1118T ). 2.6. Ampli¢cation of isolated strains Many strains were ¢rst isolated from human feces by cultures on EG agar plates under anaerobic conditions and many colonies were obtained. Cell morphology and sugar fermentation were examined to check if these strains were C. aerofaciens in past studies. Finally a total of 178 C. aerofaciens-like strains isolated from human feces were tested using this PCR method. 2.7. Real-time quantitative PCR PCR was performed in a £uorescence temperature cycler (LightCycler1, Roche, Mannheim, Germany). Ampli¢cation was performed in a 20 Wl ¢nal volume containing 4 mM MgCl2 , 2 Wl Mastermix (LightCyclerDNA Master SYBR Green I (Roche, Mannheim, Germany) containing Taq DNA polymerase, reaction bu¡er, dNTP mix, and SYBR Green I dye), 2 Wl DNA template (10 ng Wl31 ), 0.5 WM primer and 176 ng of TaqStart antibody (ClonTech, Palo Alto, CA, USA). The ampli¢cation program included 45 cycles of three steps each, comprised of heating at 20³C/s to 96³C with 0 s hold, cooling at 20³C/s to 66³C with 3 s hold, heating at 20³C/s to 72³C with 24 s hold, and heating it 20³C/s to 87³C. Fluorescent FEMSLE 9201 18-1-00 A. Kageyama et al. / FEMS Microbiology Letters 183 (2000) 43^47 product was detected at the last step of each cycle. After ampli¢cation, a melting curve was obtained by heating at 20³C/s to 96³C, cooling at 20³C/s to 70³C, and slowly heating at 0.2³C/s to 96³C with £uorescence collection at 0.2³C intervals. Melting curves were used to determine the speci¢city of the PCR [18]. 3. Results and discussion To complete comprehensive studies on the e¡ect of dietary changes, aging, and health on the composition of intestinal micro£ora, rapid, sensitive, and speci¢c methods for the detection of intestinal microbes are needed. A PCR method with a genus- and species-speci¢c primer set was studied. A database search revealed that C. aerofaciens was close to Eg. lenta [19,20] and C. glomerans [21]; there- 45 fore, the 16S rRNA sequence of three C. aerofaciens strains (JCM 10188T , JCM 7790 and JCM 7791) and the published sequence of Eg. lenta were compared, and a set of C. aerofaciens-speci¢c primers, AERO-F and AERO-R, was designed. A database search revealed that these sequences did not match those of other species. The PCR amplicon was about 590 bp and the optimum PCR conditions were 63³C for annealing temperature and 25 cycles. To check the speci¢city of these primers, we performed PCR with the following organisms : three strains (JCM 10188T , JCM 7790 and JCM 7791) of C. aerofaciens, three strains (A1-75, RCA57-66 and RCA57-64) of C. aerofaciens-like microorganisms, other Eubacterium species (E. barkeri JCM 1389T , E. limosum JCM 6421T , E. multiforme JCM 6484T , E. nitritogenes JCM 6485T , E. tenue JCM 6486T , E. desmolans JCM 6566T , E. cylindroides JCM 7786) and other related genera (Eg. lenta JCM 9979T , Fig. 1. Fluorescent ampli¢cation pro¢les for C. aerofaciens PCR product in the presence of SYBR Green I. A: Serially diluted samples of C. aerofaciens cells containing an estimated 109 , 108 , 107 , 106 , 105 , or 0 starting templates were prepared and ampli¢ed for 45 cycles as described in Section 2 (solid lines). Uncounted samples 1^7 were also prepared and ampli¢ed for 45 cycles (dashed lines). B: Melting curves of PCR products. Serially diluted samples of C. aerofaciens cells containing as estimated 109 , 108 , 107 , 106 , 105 , or 0 starting templates are shown as solid lines and those of uncounted samples 1^7 as dashed lines. The rate of £uorescence change with changing temperature (3dF/dT) was plotted as a function of temperature. FEMSLE 9201 18-1-00 46 A. Kageyama et al. / FEMS Microbiology Letters 183 (2000) 43^47 Fig. 2. SYBR Green I standard curve with unknown samples. The crossing point is calculated using the LightCycler software. A line is ¢t to the log-linear portion of each ampli¢cation curve. This ¢gure depicts the crossing point plotted as a function of the starting copy number. Pseudoanaerobacterium alactolyticum JCM 6480T , Coriobacterium glomerans JCM 10262T , A. minutum JCM 1118T , Lactobacillus plantarum JCM 1149T , Bi¢dobacterium bi¢dum JCM 1255T , Propionibacterium propionicus JCM 5830T ). Three strains of C. aerofaciens and three C. aerofaciens-like strains were all positive and the others were all negative. These results showed that this PCR method was very useful in identi¢cation of C. aerofaciens-like organisms. The 16S rRNA sequences of C. aerofaciens strains A1-75, RCA57-66 and RCA57-64 were also determined and con¢rmed to be the same as those of the designed primers. Furthermore, we con¢rmed that three strains of C. aerofaciens, JCM 10188T , JCM 7790 and JCM 7791, and C. aerofaciens-like organism A1-75 were one species by DNA-DNA hybridization [14]. From 1976 to 1987, many anaerobic strains were isolated from human feces of Japanese and Canadians, patients with colon cancer, patients with gastric cancer, patients with ulcerative colitis, and patients with Crohn's disease. These isolates were identi¢ed as C. aerofaciens using cell morphology and sugar fermentation patterns. A total of 178 strains of C. aerofaciens-like microorganisms were isolated. This traditional method is very timeconsuming and requires skill, and wrong results are occasionally obtained. In this study, the same 178 C. aerofaciens-like strains were identi¢ed using a PCR-based identi¢cation system. The PCR results matched those from the studies using the more laborious and time-consuming traditional method. This examination used isolated strains ; no fermentation test was found to be very useful or rapid, but isolation was also troublesome. Therefore, investigating a speci¢c PCR method using direct samples was important. The direct sample PCR presents various problems. Feces contain many compounds, such as bilirubin and bile salts, which can inhibit PCR analysis [22,23], and these inhibitors had to be removed by washing the cells many times. We attempted to identify C. aerofaciens in seven adult human fecal samples. The DNA from human fecal samples was obtained by the method described by Zhu et al. [17]. Firstly, normal PCR with primers AERO-F and AEROR was studied. The result showed that the method was successful for six samples, but one sample was not ampli¢ed. The amplicons were very weak, and this PCR should be improved. Secondly, nested PCR was investigated. Nested PCR consisted of two steps; the ¢rst PCR was undertaken with universal primers, and a second PCR was undertaken with speci¢c primers AERO-F and AERO-R using the ¢rst PCR amplicon. This method was very e¡ective and all seven samples were strongly ampli¢ed. From these results, nested PCR appears to be useful for identi¢cation of C. aerofaciens strains in human fecal samples. However, nested PCR does not permit quanti¢cation. Finally, we tried to quantify C. aerofaciens in human fecal samples. Real-time PCR, a method based on the incorporation of the £uorescent SYBR Green I dye into ampli¢ed product during rapid cycle PCR, and detection of £uorescent dye release during melting of the product immediately after ampli¢cation, in a LightCycler1, is useful for this purpose. Quanti¢cation of C. aerofaciens in human fecal samples was performed with an externalstandard-based PCR. Measuring the ampli¢cation of targeted 16S rDNA from samples containing serially diluted C. aerofaciens DNA was used to test the dynamic range of this assay. Cycle-by-cycle collection of £uorescence generated a series of sigmoidal ampli¢cation pro¢les (Fig. 1A). The £uorescent signal had three phases: an insu¤cient dsDNA production phase, a log-linear phase, and a plateau phase. With fewer starting cells, more cycles were required for detection. However, increasing the cycles causes the speci¢city for C. aerofaciens to decrease, and samples that contain few cells are not suitable for this method. The data showed that the detection limit for this method is more than 5 log cells in starting samples (Fig. 1A). Following PCR, the products were melted, and the release of £uorescent dye was measured to generate melting curves from which Tm was calculated, another feature of this assay. The melting point for the targeted Table 1 Detection of C. aerofaciens in human fecal samples by three di¡erent PCR methods Sample Normal PCRa Nested PCRa LightCyclerb 1 2 3 4 5 6 7 + + + + + 3 + + + + + + + + 3.4U108 1.7U109 7.5U109 2.9U109 1.7U109 2.5U106 1.4U109 a b +, positive; 3, negative. Cell number in 1 g of human feces. FEMSLE 9201 18-1-00 A. Kageyama et al. / FEMS Microbiology Letters 183 (2000) 43^47 C. aerofaciens gene was 91.1³C while a nonspeci¢c melting at around 78³C was assumed to be a primer dimmer. To determine if nonspeci¢c product contributed to the total £uorescent signal, data were collected at 87³C (Fig. 1B). C. aerofaciens in seven samples of human feces was identi¢ed and quanti¢ed by the LightCycler1 PCR assay. The standard curve is the plot of crossing point versus the log of cell number. Fig. 2 shows a standard curve of C. aerofaciens PCR product from 105 ^109 cells ml31 . The cells were counted using microscopy. Each uncounted human fecal sample was calculated using this standard curve. The results showed that all seven samples contained C. aerofaciens, and the cell numbers were 2.5U106 ^7.5U109 g31 (Table 1, Fig. 2). Melting curves showed that amplicons were actually C. aerofaciens (Fig. 1B). In this study, we used extracted DNA from isolated culture as the external standard. But for the future, it is necessary to examine the PCR quanti¢cation method using the standard curve determined by similar background DNA to extracted DNA from fecal samples. The PCR results for the seven samples in this study are listed in Table 1. Samples 1^5 and 7 contained large numbers of C. aerofaciens, and all three methods were positive. Because sample 6 did not contain such large numbers of microorganisms, the normal PCR method was not useful for identi¢cation. C. aerofaciens is the predominant microorganism in the human intestine, and using the LightCycler1 PCR assay, we can identify and quantify almost all C. aerofaciens in human fecal samples. In conclusion, PCR procedures for identi¢cation of C. aerofaciens predominant in human feces were developed. The PCR method with simple fecal sample preparation may be useful for monitoring intestinal bacteria in humans. Acknowledgements This work was supported by a grant from the Yakult Foundation for Bioscience Research. 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