Journal of Applied Microbiology 2005, 98, 203–209 doi:10.1111/j.1365-2672.2004.02439.x Survival of viruses on fresh produce, using MS2 as a surrogate for norovirus D.J. Dawson1, A. Paish1, L.M. Staffell1, I.J. Seymour1 and H. Appleton2 1 Department of Microbiology, Campden and Chorleywood Food Research Association, Chipping Campden, Gloucestershire, UK, and Enteric, Respiratory and Neurological Virus Laboratory, Health Protection Agency, Colindale, London, UK 2 2004/0207: received 24 February 2004, revised and accepted 30 July 2004 ABSTRACT D . J . D A W S O N , A . P A I S H , L . M . S T A F F E L L , I . J . S E Y M O U R A N D H . A P P L E T O N . 2004. Aims: To study the survival and removal of viruses from fresh fruit and vegetables using the bacteriophage MS2 as a potential surrogate for noroviruses. Method and Results: Survival of MS2 in buffer and on fresh produce was studied at 4, 8 and 22C. At 4 and 8C a reduction of <1 log10 was observed after 50 days in buffer; however a reduction in excess of 1 log10 occurred within 9 days at 22C. Similar results were obtained with fresh produce with virus survival times exceeding the shelf life of the produce. In washing experiments, using a chlorine wash (100 ppm), in all but one case <1Æ5 log10 MS2 bacteriophage was removed from fruit and vegetables. The mean across all produce types was 0Æ89 log10. With potable water, reduction was lower (0Æ3 log mean across all produce types). Conclusions: MS2 survived for prolonged periods, both in buffer and on fresh produce, at temperatures relevant to chilled foods. It was not removed effectively by chlorine washing. Significance and Impact of the Study: Bacteriophage MS2 has been evaluated as a potential surrogate for noroviruses on fresh produce. Experimental results together with current knowledge of norovirus resistance and survival indicate that MS2 could be used as an effective surrogate in future evaluations. Keywords: bacteriophage MS2, chlorine washing, fruit and vegetables, norovirus, virus survival. INTRODUCTION Although many viruses can be implicated in gastroenteritis, it is noroviruses (formerly known as Norwalk-like viruses or small round structured viruses) that are most commonly identified in foodborne outbreaks. The Health Protection Agency (HPA) Communicable Disease Surveillance Centre has reported that noroviruses account for one-third of all gastroenteritis outbreaks in England and Wales, mainly by person-to-person transmission, but with 6% being foodborne (O’Brien et al. 2000). Long et al. (2002) reviewed outbreaks associated with salad vegetables and fruit in England and Wales between 1992 and 2000. Of 83 outbreaks, 13 (15Æ7%) were caused by noroviruses. Correspondence to: David. J. Dawson, Campden and Chorleywood Food Research Association, Chipping Campden, Gloucestershire GL55 6LD, UK (e-mail: [email protected]). ª 2004 The Society for Applied Microbiology Twenty-three outbreaks (28%) were caused by unknown agents, but in these the clinical and epidemiological features suggested that the majority were also caused by noroviruses. Twenty per cent of these outbreaks were associated with fruit and vegetables. In the USA, noroviruses are associated with ca 40% of foodborne outbreaks and 96% of all reported outbreaks of viral gastroenteritis (Gulati et al. 2001). Noroviruses are highly infectious and are associated with both sporadic gastroenteritis in the community and outbreaks in hospitals, residential homes, schools, hotels, restaurants and cruise ships. Norovirus outbreaks have been linked to fresh and frozen produce (Herwaldt et al. 1994; Ponka et al. 1999). Such produce can become contaminated with noroviruses either during handling and preparation, often by infected food handlers, or at source in the growing and harvesting area. 204 D . J . D A W S O N ET AL. Noroviruses belong to the Caliciviridae family (Green et al. 2000). There are many different strains with a few predominant strains circulating at any one time. Detection is routinely by molecular methods such as PCR or by EIA. However, because of the great genomic diversity and the frequent emergence of new strains, these methods do not necessarily detect all noroviruses. Noroviruses may also be detected by electron microscopy, but this method is relatively insensitive. When examined in the electron microscope the 30–35 nm virus particles appear to have an amorphous surface with a ragged outline that gave rise to the earlier name of small round structured viruses (Caul and Appleton 1982). Because of the potential for fresh produce to be a vehicle for the transmission of noroviruses, it is important to understand the survival characteristics of these viruses on fresh produce and whether they are effectively removed by washing/sanitization procedures. A review by Seymour and Appleton (2001) found that definitive information on the survival and removal of viruses from fruit and vegetables was lacking. It is not possible to grow these viruses in cell culture, and hence their study is problematic. An alternative to using the virus itself is to use a model organism or surrogate which is likely to respond in a similar way to environmental conditions or sanitizing treatments. One option is to use a related virus such as feline calicivirus (FCV) (Slomka and Appleton 1998; Doultree et al. 1999; Taku et al. 2002) which may have similar properties. An alternative approach is to use a bacteriophage that does not require mammalian cell culture facilities for growth and viability determination. A study by Dore et al. (2000) showed that an F-specific RNA bacteriophage worked successfully as an indicator organism for noroviruses in a study on oyster contamination. However, although bacteriophages have long been used as indicators of water pollution, similar behaviour in ecological terms does not necessarily indicate similarities with respect to survival on or decontamination of fresh produce. MS2 phage belongs to group I of the RNA coliphages within the family Leviviridae (Calender 1988). The bacterial host for MS2 is Escherichia coli, and therefore this bacteriophage is found most frequently in sewage and animal faeces. Like noroviruses, MS2 is adapted to the intestinal tract, it is a positive sense single-stranded RNA virus with icosahedral symmetry and is in the same size range at 26 nm diameter. Bacteriophages have been used previously to study sensitivity to disinfectants with a view to modelling properties of human pathogens (Maillard et al. 1994; Shin and Sobsey 2003). This paper describes a study on the survival properties of MS2 in buffer and on fresh fruit and vegetable surfaces, and its removal from fresh produce by washing. MATERIALS AND METHODS Methods for culture and purification of MS2 were based upon those for bacteriophage k described by Sambrook et al. (1989). Preparation of bacterial host The host bacterial strain E. coli K-12 (ATCC 12435) was grown at 37C in 100 ml of NZYCM broth (10 g NZ amine, 5 g NaCl, 5 g bacto-yeast extract, 1 g casamino acids, 2 g MgSO4Æ7H2O in 1 l deionized water adjusted to pH 7) to an optical density at 595 nm which represented a cell density of 108 ml)1. The culture was centrifuged (4000 · g, 10 min) and resuspended in 0Æ01 mol l)1 MgSO4 to give a cell density of ca 109 ml)1 and stored at 4C. The suspensions were used for up to 8 weeks. Preparation of plate lysate stocks This technique was routinely used to boost stocks of MS2 bacteriophage. Thirty to fifty plates were prepared as follows: MS2 bacteriophage (ATCC 15597-B1) >108 PFU ml)1 was mixed 1 : 1 with 0Æ1 ml of host bacterial suspension for 20 min at 37C. Molten NZCYM agar (3 ml, 0Æ7% w/v) was added, immediately vortexed and poured into a 90 mm Petri dish containing set NZCYM agar (1Æ5% w/v). After overnight incubation at 37C, the plates were removed from the incubator and 5 ml SM buffer (5Æ8 g NaCl, 2 g MgSO4Æ7H2O, 50 ml 1 mol l)1 Tris–Cl (pH7Æ5), 5 ml 2% gelatine in 1 l deionized water) was added. The plates were stored at 4C for several hours with intermittent, gentle shaking. A pasteur pipette was then used to harvest as much SM buffer as possible which was then transferred to a polypropylene tube (13 · 100 mm). Fresh SM buffer (1 ml) was added to each plate which was then stored for 15 min in a tilted position. The remaining SM buffer was then removed and added to the previous harvest and the plate discarded. Chloroform (0Æ1 ml) was added to the SM buffer and following brief vortexing, the tube was centrifuged (4000 · g, 10 min, 4C). The supernatant was removed and a drop of chloroform added to it prior to purification. Purification of MS2 stocks NaCl was added to the clarified SM buffer harvest to a concentration of 1 mol l)1 and dissolved by shaking prior to being left for 1 h on ice. Bacterial debris was removed by centrifugation at 11 000 · g for 10 min at 4C. Polyethylene glycol (PEG8000; Aldrich, Gillingham, UK) was added to pooled supernatants in a clean flask to a final concentration of 10% (w/v) and allowed to dissolve slowly. ª 2004 The Society for Applied Microbiology, Journal of Applied Microbiology, 98, 203–209, doi:10.1111/j.1365-2672.2004.02439.x MS2 AND FRESH PRODUCE The solutions were then cooled on ice for at least 1 h (or alternatively overnight at 4C) to allow precipitation of the bacteriophage particles. The precipitated bacteriophage particles were concentrated by centrifugation (11 000 · g, 10 min, 4C). The supernatant was discarded and the centrifugation bottle left in a tilted position to allow remaining fluid to drain away from the pellet. This fluid was then removed. The pellet was resuspended in SM buffer at a dilution rate of 10 ml per 500 ml of the supernatant being purified. The centrifuge bottle was additionally rinsed with 2 ml of SM buffer. The PEG and cell debris were separated from the bacteriophage by addition of an equal volume of chloroform followed by vortexing for 30 s. The aqueous and organic phases were separated by centrifugation at 3000 · g for 15 min. The aqueous phase (containing the bacteriophage particles) was recovered and centrifuged again (3000 · g, 15 min). This process was repeated until only the aqueous phase remained, which was recovered and stored at 4C. Plaque assay technique – MS2 bacteriophage From each MS2 bacteriophage sample to be assayed, a 10fold dilution series was created using SM buffer. From each dilution, 0Æ1 ml was dispensed into sterile polypropylene tubes (13 mm · 100 mm). To each tube, 0Æ1 ml of bacterial host (E.coli) was added. Each tube was then vortexed and placed in an incubator at 37 ± 1C for 20 min to allow the bacteriophage to adsorb the bacteria. Following this, 3 ml molten NZCYM (0Æ7% w/v) top agar was added to each tube and immediately vortexed. The resulting mixture was poured onto pre-prepared NZCYM (1Æ5% w/v) base plates and swirled without delay to ensure total coverage. Once set, the plates were placed into an incubator at 37 ± 1C for 16–24 h. Plaques were counted and the original density of PFU in the sample was calculated. 205 produce (100 g or 10 g for the survival work) was placed in a polypropylene bag and inoculated with 1 ml of bacteriophage with an inoculum titre of 108 PFU ml)1. The bag was then heat sealed and shaken 30 times before being stored overnight at 4C. Gentle shaking (more of a rolling action for soft fruit) ensured that the produce was not damaged. The produce was left in the virus containing diluent but in every case except for tomatoes all the liquid was absorbed into the produce overnight. This inoculation technique had been shown to give good uptake of virus in preliminary studies with recoveries after inoculation similar for the different produce types (data not shown). Recovery/enumeration of bacteriophage from fresh produce Samples (10 g) were removed to determine the levels of bacteriophage. The samples were processed with 100 ml SM buffer in a stomacher (Seward 400, Thetford, UK) at normal speed for 60 s. Bacteriophage levels in the buffer were then enumerated as described above. Decontamination of MS2 after washing with chlorinated/unchlorinated water Five replicate 100 g samples of produce (spiked as described above) were washed in a beaker containing 1 l of autoclaved tap water with or without an initial concentration of 100 ppm free chlorine, measured using a DPD based chlorine measurement kit (Palintest, Gateshead, UK) according to the manufacturer’s instructions. The wash water was agitated by manual stirring at moderate speed and the wash period was 5 min in all cases. The initial bacteriophage titre was estimated using 2 · 10 g samples removed from separate bags. This whole process was repeated with a separate batch of vegetables spiked on a different occasion (wash 2). Preparation of vegetables and fruit Fresh produce items (iceberg lettuce, baton carrot, cabbage, spring onion, curly leaf parsley, capsicum pepper, tomato, cucumber, raspberries and strawberries) were purchased from local supermarkets. Raspberries of suitable quality were only available for the survival work at 22C. Fruits and vegetables were either left whole, or trimmed and sliced by hand using aseptic techniques. All produce was stored at 4C prior to treatment. Vegetable inoculation technique The bacteriophage inoculation method followed one developed for bacteria by Zhang and Farber (1996). The Survival of MS2 in buffer at different temperatures From the MS2 stock, a 10-fold dilution series using SM buffer was made to obtain a concentration of ca 106 PFU ml)1. These dilutions of 106 PFU ml)1 were dispensed separately in 1 ml amounts into three sets of 20 · 2 ml polypropylene microcentrifuge tubes. One set was maintained at 4C, one at 8C and the final set at 22C. In order to assess the viability of MS2 phage, one vial from each set was removed at predetermined intervals and enumerated using four replicate determinations. The initial sampling was conducted at frequent intervals, but as a trend emerged the frequency was reduced. ª 2004 The Society for Applied Microbiology, Journal of Applied Microbiology, 98, 203–209, doi:10.1111/j.1365-2672.2004.02439.x 206 D . J . D A W S O N ET AL. Survival of MS2 on fresh produce Produce was inoculated as described above and stored at 4, 8 and 22C. Ten gram samples were used, with the exception of parsley where only 1 or 2 g per bag was used, because of the large volume. At intervals 2 · 10 g amounts were used for determination of the bateriophage counts. RESULTS Log 10 reduction (PFU) 3·0 2·5 2·0 1·5 1·0 0·5 Survival in buffer Bacteriophage stored at 4 and 8C showed similar survival characteristics with <1 log10 decline in the first 50 days. However, at 22C there was almost a 5 log10 reduction within the same period and more than 1 log10 decline in the first 9 days. No bacteriophage was detected after day 50 from an initial titre of nearly 107 (Fig. 3). Strawberry Parsley Cabbbage Carrot Spring onion Lettuce Pepper Fig. 2 Reduction of MS2 on fresh produce in the presence of 100 ppm free chlorine on two separate occasions each based upon five replicate washings 8 7 Log10 PFU ml–1 Figures 1 and 2 show reduction with washing on separate occasions using unchlorinated or chlorinated water. The means and standard deviations of reductions in five replicates after washing are shown. Reduction at laboratory scale with water (Fig. 1) was in the range 0Æ08–0Æ79 log10. Apart from two sets of washes of tomatoes and one set of strawberries, reductions were all below 0Æ4 log10. The mean reduction across all produce types and both washes was 0Æ3 log10. Reduction at laboratory scale with chlorine (Fig. 2) was higher than that with water. Mean reduction across all produce types and both washes was 0Æ89 log10. The range of reductions with 100 ppm free chlorine was 0Æ30–2Æ14 log10. Tomato Cucumber 0·0 Decontamination experiments 6 5 4 3 2 1 0 0 20 40 60 80 100 120 140 160 180 200 Time (days) Fig. 3 Survival of MS2 in buffer at three temperatures: 4C (¤) 8C (j) and 2C (m) Log 10 reduction (PFU) 3·0 2·5 Survival on fruits and vegetables 2·0 1·5 1·0 Strawberry Parsley Cabbbage Carrot Spring onion Lettuce Pepper Tomato 0·0 Cucumber 0·5 Fig. 1 Reduction of MS2 on fresh produce using potable water on two separate occasions each based upon five replicate washings Figures 4–6 show survival of MS2 on fresh produce at 4, 8 and 22C. At 4C, all produce types showed a reduction of <1 log10 over the first 7 days. By day 87 the reduction remained <2 log10 in cabbage and carrots (which were in sufficiently good condition to allow continued sampling). The response is similar to that in buffer at 80 days. At 8C a slight drop in viral titre was observed by day 7 (apart from carrots). Approximately 1 log10 decline in tomato, cabbage, carrots and lettuce was observed by day 39. Parsley showed ca 1Æ5 log10 reduction in this period. At 22C, all produce types tested showed a decline in bacteriophage count after 7 days. On lettuce the reduction ª 2004 The Society for Applied Microbiology, Journal of Applied Microbiology, 98, 203–209, doi:10.1111/j.1365-2672.2004.02439.x MS2 AND FRESH PRODUCE was 1 log10 while on tomato and parsley it was minimal. Further decline in titre was observed on some produce types but other produce became spoiled. Data for cabbage and carrots were available up to day 43 and show a similar rate of decline to that of the bacteriophage titre in buffer. 8 Log10 PFU g–1 7 6 DISCUSSION 5 4 3 0 20 40 60 80 100 Time (days) Fig. 4 Survival of MS2 on various produce types at 4C. Tomato (¤), cabbage (j), carrot (m), lettuce (·), parsley ( ), pepper (d) and strawberry (+) 8 Log10 PFU g–1 7 6 5 4 3 0 20 40 60 80 100 Time (days) Fig. 5 Survival of MS2 on various produce types at 8C. Tomato (¤), cabbage (j), carrot (m), lettuce (·), parsley ( ), pepper (d) and strawberry (+) 8 Log10 PFU g–1 7 6 5 4 3 207 0 20 40 60 Time (days) 80 100 Fig. 6 Survival of MS2 on various produce types at 2C. Tomato (¤), cabbage (j), carrot (m), lettuce (·), parsley ( ), pepper (d), strawberry (+) and raspberry ()) This study represents an attempt to determine the retention and survival properties of a potential analogue for noroviruses on fresh produce. Noroviruses are known to be highly resistant to inactivation in the environment (Sellwood et al. 1999; Appleton 2000). MS2 was shown in the buffer survival work to be stable for prolonged periods, particularly at refrigeration temperatures. The data obtained for MS2 survival on fresh produce show similar patterns to the studies in buffer, but are more variable, probably because of the problems in recovering virus from the various fruits and vegetables. In addition, the deterioration in the plant material, particularly at 22C, meant that these trials did not last so long, but generally virus survival exceeded the shelf life of the product. Bidawid et al. (2001) suggested that on plant surfaces, compounds such as phenolics, ethanol and acetaldehyde could also accelerate loss of infectivity. Survival studies of noroviruses on fresh produce are lacking because of the difficulties in working with the virus, but data have been produced for other viruses. Seymour and Appleton (2001) reviewed earlier published information relating to survival of viruses on fruits and vegetables. They concluded that most studies report viability in excess of product shelf life. Kurdziel et al. (2001) studied survival of poliovirus type 1 on lettuce, green onions, white cabbage, strawberries and raspberries. Most studies were performed for a period of ca 2 weeks at refrigeration temperatures. Using linear regression analysis, the decline in viral titre was quantified and the time for 1 log10 (90%) reduction calculated. No decline was determined for green onions or fresh raspberries, while 90% reduction had occurred at 11Æ6 days on lettuce, 14Æ2 days on white cabbage and 8Æ4 days on frozen strawberries. The results from the present study appear to be similar. The degree of reduction of MS2 in the experimental decontamination work described here from raw vegetables is either similar to or less than that achieved for bacteria (1– 2 log10) as described by Beauchat (1998). Within the five washing replicates the coefficient of variation was in general relatively small (<10%), illustrating that virus attached at the same time to the same produce batch did not give rise to variable results. It was noted, however, that in some repeat experiments with different vegetable batches there could be marked variation: this probably reflects that vegetables cannot be completely standardized, and the surface condi- ª 2004 The Society for Applied Microbiology, Journal of Applied Microbiology, 98, 203–209, doi:10.1111/j.1365-2672.2004.02439.x 208 D . J . D A W S O N ET AL. tions may have been different in the different batches, resulting in stronger or weaker viral attachment. This factor must be taken into account when considering decontamination on an industrial scale. Decontamination of naturally attached viruses is if anything likely to be more difficult and more variable than was shown by our data. In the natural environment, viruses may be complexed with soil particles or protein material, which may also affect their adsorption and attachment. Reduction of MS2 appears to be more efficient using chlorinated water than washing with water alone. However, considerable numbers of virus particles remain after what might be considered a standard washing regime. Reduction in virus counts in the washing experiments is partly the result of physical removal and partly because of the presence of free chlorine, as evidenced by the greater reduction when free chlorine was used. Re-contamination of produce with viable virus from the wash water is a possibility in the absence of free chlorine. Planktonic MS2 bacteriophage was shown by Stagg et al. (1977) to be inactivated (99% kill) by 0Æ6 ppm chlorine in 7 s. Clearly disinfection is less effective than this on surfaces as is well established in the case of bacteria (Sommer et al. 1999). In our work, some MS2 inactivation was achieved with a 100 ppm chlorine wash for 5 min but not to the degree that would be expected in suspension. Susceptibility of FCV, another member of the Caliciviridae, to two hypochlorite based disinfectants is described by Doultree et al. (1999). According to these authors, 100 ppm concentrations of available chlorine gave 1Æ75 log10 reduction in 1 min. It is not clear whether this was the final concentration of free chlorine that the virus was exposed to because proteins present in the tissue culture medium would have significantly reduced the free chlorine level. Gulati et al. (2001) examined the effect of disinfectants on FCV seeded onto strawberry, lettuce and stainless steel. To obtain an effect on stainless steel surfaces above that achieved with water, 200 ppm free chlorine was required with 10 min contact time: this gave an additional 0Æ3 log10 reduction above water alone. On strawberries and lettuce an additional effect of chlorine (1 log10 and 1Æ5 log10 respectively) could only be seen using 800 ppm with 10 min contact time. However, the reduced efficacy compared with results for stainless steel can probably be explained by the high ratio of produce to water in the wash, i.e. 100 g produce per 100 ml of water. The amount of organic material present would have reduced the free chlorine level to a greater degree than in the work we describe, where the ratio is 100 g of produce per litre. MS2 and FCV show similar susceptibility to each other with other disinfectants. Maillard et al. (1994) showed that a 4 log reduction of MS2 titre could be achieved in 20 min with 0Æ5% glutaraldehyde while 70% ethanol removed over 3 log in the same time period. In the case of FCV, in 1 min a 5 log inactivation was achieved with 0Æ5% glutaraldehyde and a 1Æ25 log reduction with 75% ethanol (Doultree et al. 1999). It is not known, however, whether MS2 and FCV in the environment behave in a similar way or whether they adequately predict survival of noroviruses. Although FCV is related to noroviruses, it is a respiratory virus and is not adapted to the gastrointestinal tract (unlike MS2), therefore it may well be more fragile than norovirus. However, survival of MS2 both in buffer and on fresh produce was similar to that in other parallel experiments with human enteric viruses (poliovirus and rotavirus – data not shown). Like noroviruses, both poliovirus and rotavirus survive for prolonged periods in the environment (Sellwood et al. 1999), as does MS2 in the current study. Maillard (1998) reviewed the viral sites targeted by chlorine compounds. The specific critical effect of the chlorine is probably dependent upon the particular virus concerned. Non-enveloped viruses such as MS2 bacteriophage are less readily inactivated by disinfectants than enveloped viruses (Madigan et al. 2000). In non-enveloped viruses structural alteration of the capsid is one possibility, including oxidation of SH groups within protein sequences. Another possibility is direct alteration of the viral genome. Shin and Sobsey (2003) used quantitative reverse transcription (RT)-PCR alongside infectivity to assess reduction of Norwalk virus, MS2 and poliovirus in water by ozone disinfection. All three viruses showed similar reduction to each other by RT-PCR assays and, in the case of MS2 and poliovirus, the reductions were similar to those seen using infectivity assays. There is concern in relying on PCR assays for measuring survival because PCR does not necessarily detect viable infectious virus. However, these authors concluded from their experiments that RT-PCR is a reliable surrogate assay for both culturable and nonculturable viruses disinfected with ozone. In the absence of a method for culturing noroviruses, it will be impossible to determine whether surrogate techniques such as RT-PCR or model viruses such as MS2 adequately predict survival of noroviruses under all conditions. The present study only gives useful information relevant to noroviruses if they have similar properties to MS2. Currently it is only feasible to make direct observations about MS2 and other culturable viruses. It is possible that under certain conditions, a model virus predicting the response of noroviruses will be a better option than RTPCR. The mechanisms by which a virus degrades and loses infectivity are uncertain. The infection process of the bacteriophage uses enzymes, which may lose stability over time. 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