Identification of environmental reservoirs of nontyphoidal salmonellosis: aptamer-assisted...

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1 Identification of Environmental Reservoirs of Nontyphoidal 2 Salmonellosis: Aptamer-Assisted Bioconcentration and Subsequent 3 Detection of Salmonella Typhimurium by Quantitative Polymerase 4 Chain Reaction 5 Anurag Jyoti, Poornima Vajpayee, Gulshan Singh, Chandra Bali Patel, Kailash Chand Gupta, and 6 Rishi Shanker* 7 Environmental Microbiology, CSIR, Indian Institute of Toxicology Research, Post Oce Box 80, Mahatma Gandhi Marg, 8 Lucknow-226001, Uttar Pradesh, India 9 b S Supporting Information 27 INTRODUCTION 28 Environmental reservoirs are locations outside the human 29 body within the niche favoring bacterial persistence and replica- 30 tion in the environment and pathogen transmission to suscep- 31 tible hosts. 1 In Asia and other parts of the developing world, natural 32 surface water is being used by a large population for drinking and 33 other domestic purposes. 2,3 Furthermore, the prevalence of 34 environmental reservoirs in riverine materials and contamination 35 of surface water due to the addition of untreated sewage from 36 nearby residential areas sets them at high risk for water-borne 37 diseases caused by bacterial pathogens. 1 Salmonella frequently 38 occurs in sewage-impacted fresh and marine water environments; it 39 causes gastroenteritis and typhoid in humans worldwide, result- 40 ing in a high economic burden due to a substantial increase in 41 medical treatment expenditure. 4,5 Salmonella enterica, which causes 42 salmonellosis in humans and animals worldwide, is classied into 43 more than 2400 Salmonella serotypes. 6 Salmonella enterica subsp. 44 enterica serovar Typhimurium (abbreviated as Salmonella Typhi- 45 murium), an important food and freshwater contaminant en- 46 countered frequently in most geographical regions, dominates the 47 global epidemiology of Salmonella. 7 The infectious dose of Salmonella 48 Typhimurium lies between 1 and 10 colony-forming units (cfu). 8 49 Out of the 1.3 billion incidents of human nontyphoidal salmo- 50 nellosis reported annually worldwide, approximately 3 million 51 cases end with the patients death from the disease. 9 However, 52 the mortality rate in developed countries (2%) is less than in 53 resource-constrained countries (1824%). Agricultural runo54 exhibiting poultry waste, bovine manure, and feces of other asymp- 55 tomatic animals is an important carrier of Salmonella Typhimur- 56 ium to riverine materials. In addition, agricultural products from 57 crops irrigated by contaminated water have also been associated 58 with a large number of outbreaks. 10 Hence, the presence of Salmonella 59 Typhimurium in environmental reservoirs, even in low numbers, may 60 cause a public health risk of nontyphoidal salmonellosis. Conventional 61 culture-based protocols for detection and quanti cation of Salmonella 62 Typhimurium in environmental samples require up to 5 days to 63 obtain a conrmed result and are executable only in samples where 64 the pathogen registers its presence in very high numbers, that is, 65 10 2 10 3 cfu/g or 10 2 10 3 cfu/mL). 11,12 Quantitative polymerase Received: June 3, 2011 Accepted: August 29, 2011 Revised: August 24, 2011 10 ABSTRACT: In this study, identication of environmental reservoirs of 11 Salmonella enterica subsp. enterica serovar Typhimurium (abbreviated as 12 Salmonella Typhimurium) in sediments, water, and aquatic ora collected 13 from the Ganges River (Ganges riverine material) was carried out by 14 adopting a two-step strategy. Step 1 comprised a selective serovar-specic 15 capture of Salmonella Typhimurium from potential reservoirs. Step 2 16 involved culture-free detection of selectively captured Salmonella Typhi- 17 murium by ttr gene-specic molecular beacon (MB) based quantitative 18 polumerase chain reaction (q-PCR). The ttr gene-specic MB designed in 19 this study could detect 1 colony-forming unit (cfu)/PCR captured by 20 serovar-specic DNA aptamer. Sediments, water, and aquatic ora collected 21 from the Ganges River were highly contaminated with Salmonella Typhi- 22 murium. The preanalytical step in the form of serovar-specic DNA 23 aptamer-based biocapture of bacterial cells was found to enhance the sensitivity of the uorescent probe in the presence of 24 nonspecic DNA . Information about the presence of environmental reservoirs of Salmonella Typhimurium in the Ganges River 25 region may pave the way for forecasting and management of nontyphoid salmonellosis in south Asia. Environmental Science & Technology | 3b2 | ver.9 | 7/9/011 | 11:14 | Msc: es-2011-018994 | TEID: dmadmin | BATID: 00000 | Pages: 6.08 ARTICLE pubs.acs.org/est rXXXX American Chemical Society A dx.doi.org/10.1021/es2018994 | Environ. Sci. Technol. XXXX, XXX, 000000

Transcript of Identification of environmental reservoirs of nontyphoidal salmonellosis: aptamer-assisted...

1 Identification of Environmental Reservoirs of Nontyphoidal2 Salmonellosis: Aptamer-Assisted Bioconcentration and Subsequent3 Detection of Salmonella Typhimurium by Quantitative Polymerase4 Chain Reaction5 Anurag Jyoti,† Poornima Vajpayee,† Gulshan Singh, Chandra Bali Patel, Kailash Chand Gupta, and6 Rishi Shanker*

7 Environmental Microbiology, CSIR, Indian Institute of Toxicology Research, Post Office Box 80, Mahatma Gandhi Marg,8 Lucknow-226001, Uttar Pradesh, India

9 bS Supporting Information

27 ’ INTRODUCTION

28 Environmental reservoirs are locations outside the human29 body within the niche favoring bacterial persistence and replica-30 tion in the environment and pathogen transmission to suscep-31 tible hosts.1 In Asia and other parts of the developing world, natural32 surface water is being used by a large population for drinking and33 other domestic purposes.2,3 Furthermore, the prevalence of34 environmental reservoirs in riverine materials and contamination35 of surface water due to the addition of untreated sewage from36 nearby residential areas sets them at high risk for water-borne37 diseases caused by bacterial pathogens.1 Salmonella frequently38 occurs in sewage-impacted fresh and marine water environments; it39 causes gastroenteritis and typhoid in humans worldwide, result-40 ing in a high economic burden due to a substantial increase in41 medical treatment expenditure.4,5 Salmonella enterica, which causes42 salmonellosis in humans and animals worldwide, is classified into43 more than 2400 Salmonella serotypes.6 Salmonella enterica subsp.44 enterica serovar Typhimurium (abbreviated as Salmonella Typhi-45 murium), an important food and freshwater contaminant en-46 countered frequently in most geographical regions, dominates the47 global epidemiology of Salmonella.7 The infectious dose of Salmonella48 Typhimurium lies between 1 and 10 colony-forming units (cfu).8

49Out of the 1.3 billion incidents of human nontyphoidal salmo-50nellosis reported annually worldwide, approximately 3 million51cases end with the patient’s death from the disease.9 However,52the mortality rate in developed countries (2%) is less than in53resource-constrained countries (18�24%). Agricultural runoff54exhibiting poultry waste, bovine manure, and feces of other asymp-55tomatic animals is an important carrier of Salmonella Typhimur-56ium to riverine materials. In addition, agricultural products from57crops irrigated by contaminated water have also been associated58with a large number of outbreaks.10Hence, the presence of Salmonella59Typhimurium in environmental reservoirs, even in lownumbers,may60cause a public health risk of nontyphoidal salmonellosis.Conventional61culture-based protocols for detection and quantification of Salmonella62Typhimurium in environmental samples require up to 5 days to63obtain a confirmed result and are executable only in samples where64the pathogen registers its presence in very high numbers, that is,65102�103 cfu/g or 102�103 cfu/mL).11,12 Quantitative polymerase

Received: June 3, 2011Accepted: August 29, 2011Revised: August 24, 2011

10 ABSTRACT: In this study, identification of environmental reservoirs of11 Salmonella enterica subsp. enterica serovar Typhimurium (abbreviated as12 Salmonella Typhimurium) in sediments, water, and aquatic flora collected13 from the Ganges River (Ganges riverine material) was carried out by14 adopting a two-step strategy. Step 1 comprised a selective serovar-specific15 capture of Salmonella Typhimurium from potential reservoirs. Step 216 involved culture-free detection of selectively captured Salmonella Typhi-17 murium by ttr gene-specific molecular beacon (MB) based quantitative18 polumerase chain reaction (q-PCR). The ttr gene-specific MB designed in19 this study could detect 1 colony-forming unit (cfu)/PCR captured by20 serovar-specific DNA aptamer. Sediments, water, and aquatic flora collected21 from the Ganges River were highly contaminated with Salmonella Typhi-22 murium. The preanalytical step in the form of serovar-specific DNA23 aptamer-based biocapture of bacterial cells was found to enhance the sensitivity of the fluorescent probe in the presence of24 nonspecific DNA . Information about the presence of environmental reservoirs of Salmonella Typhimurium in the Ganges River25 region may pave the way for forecasting and management of nontyphoid salmonellosis in south Asia.

Environmental Science & Technology | 3b2 | ver.9 | 7/9/011 | 11:14 | Msc: es-2011-018994 | TEID: dmadmin | BATID: 00000 | Pages: 6.08

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66 chain reaction (q-PCR) assays targeting the invA gene (present in a67 wide range of Salmonella serotypes, including all subspecies, and68 absent in other bacterial species and genera) offers several advantages69 compared to classical bacteriology in terms of speed, detection limit,70 potential for automation, and cost.7,12�14 However, it has been doc-71 umented that some Salmonella strains exhibit natural deletions within72 Salmonella pathogenicity island 1, where the inv, spa, and hil loci73 occur.15 Therefore, q-PCR assays targeting the invA gene could lead74 to false negative results for such strains.16 Besides, the sensitivity of75 q-PCR reported for detection of Salmonella from water declines 10-76 fold in the presence of nonspecific DNA.7 Further, these culture-77 free assays provide information about total Salmonella concen-78 tration and fail to detect serovar-specific contamination in environ-79 mental samples. Therefore, there is a need for selection of a target80 that is highly genetically stable in all Salmonella strains. Further-81 more, the inclusion of preanalytical sample cleanup steps, con-82 sisting of selective serovar-specific capture of target pathogen to83 improve the sensitivity of q-PCR-based assays for culture-free84 detection of Salmonella serovars from sewage-impacted surface85 water and other complex environmental matrices, is required.86 Aptamers can be selected for a wide range of targets, including87 bacterial pathogens, through systematic evolution of ligands by88 exponential enrichment (SELEX), which involves iterative cycles89 of absorption, recovery of bound DNA/RNA, and amplification90 from a combinatorial DNA/RNA library containing a central91 randomized sequence and flanking fixed sequences (primers) on92 both sides for amplification.17,18 Recently, it has been reported93 that aptamers can selectively capture and concentrate Salmonella94 Typhimurium from spiked chicken feces.19 However, aptamers95 have not been used yet for capture and selective concentration of96 any Salmonella serovar from samples retrieved from a natural97 environment contaminated by untreated sewage. The ttr locus,98 comprising five genes (ttrA, ttrB, and ttrC, which encode the tetra-99 thionate reductase structural proteins, and ttrS and ttrR, which

100encode the sensor and response regulator components of a two-101component regulatory system) responsible for tetrathionate res-102piration, is genetically stable in all Salmonella strains.16 Hence, in103this study, identification of environmental reservoirs of Salmo-104nellaTyphimurium inGanges riverine samples was carried out by105adopting a two-step strategy. Step1 comprised a selective ser-106ovar-specific capture of Salmonella Typhimurium from potential107environmental reservoirs. Step 2 involved culture-free detection108of selectively captured Salmonella Typhimurium by a ttr gene-109specific molecular beacon (MB) based q-PCR, designed in a110highly conserved region of the Salmonella-specific ttr locus.

111’MATERIALS AND METHODS

112Bacterial Strains. Salmonella enterica subsp. enterica serovar113Typhimurium ATCC 14028 (abbreviated as Salmonella Typhi-114murium) and Escherichia coliDH5αATCC 35218 were procured115from the American Type Culture Collection (ATCC). However,116Escherichia coliMTCC 723, Salmonella Paratyphi A MTCC 735,117Salmonella Typhi MTCC 733, and SalmonellaInfantis MTCC1181167 were procured from theMicrobial Type Culture Collection119at the Institute of Microbial Technology, Chandigarh, India.120Aptamer, Primers, and Molecular Beacon. A DNA aptamer121(Sal aptamer: biotin 50-TATGGCGGCGTCACCCGACGGG-122GACTTGACATTATGACAG-30) reported to capture Salmonella123Typhimurium from spiked chiken feces19 was biotinylated at the 50124end to bioconcentrate Salmonella Typhimurium from sewage-im-125pacted surface water. Primers (forward primer ttr6, 50-CTCAC-126CAGGAGATTACAACATGG-30 , position 4287�4309 bp; re-127verse primer ttr4, 50-AGCTCAGACCAAAAGTGACCATC-30,128position 4359�4381 bp; product length 95 bp) specific for the ttr129gene were adopted fromMalorny et al.16 These primers are located130in a highly conserved region of the Salmonella-specific ttr locus and131were designed on the basis of a multiple alignment of the ttrBCA132sequences.16 After multiple alignment of the ttrBCA sequences, a133molecular beacon (50-CCAGGCGACCGACTTTTAG CCACT-134GACGAGCCTGG-30) targeting the ttr gene corresponding to135adopted primers was designed in the ttr locus at the ttrA gene136(position 4323�4345 bp) for culture-free quantitative enumeration137of Salmonella Typhimurium to identify environmental reservoirs138present in Ganges riverine materials impacted by sewage discharge139(Supporting Information). The primers, probe, and DNA aptamer140were purchased from MetaBion GmbH, Germany.141Selectivity of DNA Aptamer for Salmonella Typhimurium.142To test the selectivity of the Sal aptamer for bioconcentration of143Salmonella Typhimurium, several representative serovars of Sal-144monellawere selected (Table 1 T1). Cultures of the reference strains145of these serovars grown in Luria�Bertani broth to 0.8 optical146density, corresponding to 109 cells/mL. Two samples of 10 mL147of sterile water (Milli-Q, Millipore, Billerica, MA) were spiked148with 106 cfu/mL of each reference strain to get 104 cfu/PCR in a14925 μL reaction. Cultures were centrifuged at 8000g for 4 min150(4 �C). Cells were washed three times with 1� phosphate-buf-151fered saline (PBS) and finally, resuspended in 5 mL of 1� PBST152(1� PBS contains 1.47 mM KH2PO4, 2.7 mM KCl, 137 mM153NaCl, and 4.3 mM Na2HPO4, pH 7.4; 1� PBS additionally154contains 0.5% Tween-20, v/v). Aptamer-conjugated Dynabeads155(300 μL) were mixed in resuspended cells and incubated for15630 min at room temperature. Dynabeads were concentrated and157supernatant was discarded. Dynabeads were washed 10 times158with 1� PBST. Finally, beads were resuspeneded in 250 μL of159PBS and stored at 4 �C for further processing. DNA template was

Table 1. Selectivity of DNA Aptamer for SalmonellaTyphimuriuma

detection of Salmonella

Typhimurium: threshold

cycles (CT)b

Salmonella serovars Ac Bd

Salmonella Typhi MTCC 733c 29.77 ( 0.988 NDe

Salmonella Paratyphi

A MTCC 735c30.14 ( 1.245 ND

Salmonella Infantis MTCC 1167c 30.77 ( 1.132 ND

Salmonella Typhimurium

ATCC 14028d29.89 ( 1.027 29.69 ( 0.875

Salmonella Typhimurium

ATCC 13311d29.97 ( 0.978 29.30 ( 0.998

sterile Milli-Q waterf ND NDa 106 cells/mL or 104 cells/PCR. b Each assay was conducted with fiveindependent replicates on the same day, and values are mean CT (standard deviation (SD). cDNAwas prepared directly from spiked watersamples without bioconcentration of Salmonella Typhimurium cells bySal aptamer capture of Salmonella Typhimurium cells. d SalmonellaTyphimurium cells were bioconcentrated from spiked water samplesby serovar-specific DNA aptamer (Sal aptamer) prior to DNA extrac-tion. eND = CT not detected.

f Sterile Milli-Q (Millipore, Billerica, MA)served as negative control.

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160 prepared by boiling the Dynabeads suspended in 250 μL of PBS.161 Supernatant was collected through aspiration by pipet after162 concentration of Dynabeads in a concentrator. The cellular163 debris was removed by centrifugation at 16000g for 5 min at164 4 �C. DNA was precipitated from supernatant by use of sodium165 acetate (0.3 M, pH 5.2) and ice-cold ethanol.7 The precipitated166 DNA was pelleted by centrifugation at 12000g for 5 min. DNA167 pellet was washed three times with 70% ethanol and finally168 dissolved in 50 μL of TE buffer [10 mM tris(hydroxymethyl)169 aminomethane (Tris) and 1mMethylenediaminetetraacetic acid170 (EDTA), pH 8.0]. DNA was prepared directly from another set171 of 10-fold diluted culture without Sal aptamer bioconcentration.172 The quantity and quality of extracted DNA was measured at173 260/280 nm with a NanoDrop spectrophotometer (NanoDrop174 Technologies,Wilmington, DE). DNA (5μL) was used as template175 in a real-time q-PCR assay for detection and quantitative enumera-176 tion of Salmonella Typhimurium. Each assay was conducted with177 five independent replicates on the same day, and values are mean178 CT ( standard deviation (SD).179 Bioconcentration of Salmonella Typhimurium from Po-180 tential Environmental Reservoirs for Culture-Free Detec-181 tion. An Indian perennial river (Ganges River, Kanpur city,182 latitude 26.28 N; longitude 80.24 E; altitude 126 m; flowing183 through northern India) was selected to test the applicability of184 Sal aptamer for bioconcentration of Salmonella Typhimurium185 from potential environmental reservoirs and subsequent detec-186 tion through culture-free MB based q-PCR assay. The Ganges187 River receives untreated sewage generated by nearby residential188 setup of urban population in the boundaries of the Kanpur and189 Unnao cities.20 Replicate (n = 5) grab surface water samples (1 L)190 were collected in sterilized bottles from six sites (Figure S2,191 Supporting Information) in the Ganges River covering a 30 km192 stretch (site 1, Bithur upstream; site 2, Ganges barrage; site 3,193 Bhairoghat (cremation ghat); site 4, Shuklaganj; site 5, Nanar-194 aoghat; site 6, Jajmau). Surface sediments (0�5 cm, ∼250 g)195 were collected at each sampling location (n = 5) from river bed196 (∼1 m distance) close to the banks with a stainless steel scoop197 and placed in plastic bags. Aquatic plants/algae growing any at198 the selected sites were also collected and placed in polythene199 bags. The samples were collected on the same day, transported200 on ice, and analyzed immediately after arrival in the laboratory.201 Water/sediment and aquatic flora (n = 5 each) were also202 collected from a pristine site negative for Salmonella contamina-203 tion. Two sets (each comprising five replicates) of 500 mL aliquots204 of each water sample from each site were concentrated to 5 mL205 by repeated centrifugation at 18000g for 10 min (4 �C). Cells206 were pelleted from concentrated samples by centrifugation (8000g207 for 4 min at 4 �C) and finally resuspended in 1� PBS (5 mL)208 after three successive washings by same buffer. Similarly, two sets209 (each comprising five replicates) of 10 g sediment sample collected210 from each site were dissolved in 100 mL of phosphate-buffered211 saline. Bacteria were released by vigorous shaking (10 min at 220212 rev 3min

�1) on a refrigerated rotary shaker (Innova 4230, New213 Brunswick,NJ) . Supernatant from each set of samples was collected214 separately and concentrated to 5 mL by repeated centrifugation at215 18000g for 10 min (4 �C). Cells were pelleted from concentrated216 samples by centrifugation (8000g for 4 min at 4 �C) and finally217 resuspended in 1� PBST (5mL) after three successive washings by218 the same buffer. Plant samples (roots/leaf/algalmat) collected from219 each site including the pristine site were processed for releasing the220 bacteria adhered to the plants as described by Ram et al.21 In brief,221 bacteria adhering to each plant sample (10 g) were released in

222100 mL of phosphate-buffered saline through repeated washing by223vigorous shaking (2 min at 220 rev 3min

�1) on a refrigerated rotary224shaker (Innova 4230, New Brunswick, NJ) and 45 s of centrifuga-225tion at 2000 rpm (653g). Two sets of each sample aliquot (100mL)226of phosphate-buffered saline containing bacteria released from227plants and 100 mL of each surface water sample collected from228each site in the Gomti River were concentrated to 5mL by repeated229centrifugation at 18000g for 10min (4 �C).Cells were pelleted from230concentrated samples by centrifugation (8000g for 4 min at 4 �C)231and finally resuspended in 1� PBST (5 mL) after three successive232washings in 1� PBS.233One set of environmental samples (plant/water/sediment)234was subjected to bioconcentration of Salmonella Typhimurium235by use of the Sal aptamer from water samples containing various236pathogenic and nonpathogenic bacteria. Briefly, 5 mL concen-237trated samples were exposed to 0.4 nM aptamer conjugated to238Dynabeads (suspended in 300 μL of 1� PBST). Samples were239incubated for 30 min at room temperature. Dynabeads were240concentrated on a magnetic particle concentrator (Dyna Mag 2,241Invitrogen), and DNA was prepared as described in Supporting242Information.243The other set of samples (plant/water/sediment), comprising244cells suspended in 5 mL of 1� PBS, was processed for isolation245of multigenomic DNA through boiling prep as described by246Jyoti et al.7 Briefly, DNA template was prepared by boiling247500 μL of concentrated water and removing the debris by248centrifugation at 16000g for 5 min at 4 �C. DNAwas precipitated249from supernatant by use of sodium acetate (0.3 M, pH 5.2) and250ice-cold ethanol.7 The precipitated DNA was pelleted by cen-251trifugation at 12000g for 5 min. The DNA pellet was washed252three times with 70% ethanol and finally dissolved in 250 μL of253TE buffer. DNA (5 μL) was used as template in 25 μL q-PCR254assays (Supporting Information). Quantitative enumeration of255Salmonella Typhimurium at each sampling location in potential256environmental reservoirs was carried out by use of a standard curve257prepared from 10-fold diluted genomic DNA of Salmonella Typhi-258murium ATCC 14028 (from 1� 106 down to 1� 100 GE/PCR).259Statistical Analysis. For comparison of PCR amplification260efficiencies and detection sensitivities among different experi-261ments, slopes of the standard curves were calculated by perform-262ing a correlation and regression analysis through iCycle iQ real-263time detection system software, version 3.0A. Amplification264efficiency (E) was estimated by using the slope of the standard265curve and the formula E = (10�1/slope)�1. A reaction with theore-266tical 100% efficiency will generate a slope of�3.322. The compar-267ison of pollution level of eight sites in the Ganges River, in terms268of Salmonella Typhimurium load, was performed by one-way269analysis of variance (ANOVA).22 Duncan’s multiple range test270was used to compare the means.23

271’RESULTS

272Sensitivity and Specificity of the ttr Gene-Targeting Mo-273lecular Beacon. q-PCR in the molecular beacon format de-274scribed here is highly sensitive and specific to Salmonella species.275The five reference strains and 15 isolates of Salmonella retrieved276from potable water collected from a major city of northern India277were positive for the ttr gene (Table S1, Supporting Informa-278tion). However, no amplification of the ttr gene was observed in279E. coli and Enterococcus reference and environmental isolates,280lacking the target gene with the assay developed in this study281(Table S1, Supporting Information). The detection probability

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282 of the developed assay was 100% for 1 cfu/PCR (Table S2, Sup-283 porting Information). However, the presence of background284 DNA from E. coli DH5α and enterotoxigenic E. coli (Escherichia285 coli MTCC 723;106 cfu/PCR each) dropped the sensitivity of286 the assay 1000-fold (Table S4, Supporting Information).287 Conjugation of Aptamer to Dynabeads and Binding of Sal-288 monella Typhimurium to Aptamer-Conjugated Dynabeads.289 The observations indicate that approximately 96.75% of the Sal290 aptamer was conjugated to the streptavidin-coated Dynabeads291 (Table S3, Supporting Information).292 Selectivity of DNA Aptamer for Salmonella Typhimurium.293 The DNA aptamer is highly selective for the Salmonella Typhi-294 murium (Table 1) . No amplificationwas recordedwhen Salmonella295 cells of other serovars were bioconcentrated by the Sal aptamer.296 However, the MB designed in this study could detect all the297 Salmonella reference strains tested in this study. The selected298 DNA aptamer could concentrate only Salmonella Typhimurium299 and was found to be highly specific to the serovar.300 Bioconcentration of Salmonella Typhimurium fromWater301 Spikedwith Reference Strain in the Presence of Background302 Bacterial Flora. Aptamer-conjugated Dynabeads could biocon-303 centrate Salmonella Typhimurium from water samples spiked304 with 10-fold diluted culture of Salmonella Typhimurium ATCC305 14028 as Dynabeads plated on HiCrome improved salmonella306 agar showed characteristic pink colonies (Figure S1, Supporting307 Information). The lowest cell concentration captured by apta-308 mer-conjugated Dynabeads and detected by ttr gene-targeted309 MB-based q-PCR was 1 cfu/PCR from water samples spiked310 with Salmonella Typhimurium (Table S4, Supporting Informa-311 tion). Further, Sal aptamer was able to bioconcentrate Salmonella312 Typhimurium cells from the spiked water in the presence of a313 high background of pathogenic and nonpathogenic bacteria314 without any drop in detection limit due to presence of non-315 specific DNA (Table S4, Supporting Information). Our observa-316 tions indicate that the detection limit of the ttr gene-targeted317 Salmonella specific q-PCR drops 1000-fold in the presence of318 mixed background of E. coliDH5α (108 cfu/mL or 106 cfu/PCR)319 and enterotoxigenic E. coli (ETEC; 108 cfu/mL or 106 cfu/PCR).320 Bioconcentration of Salmonella Typhimurium from Po-321 tential Environmental Reservoirs and Subsequent Culture-322 FreeDetection.All thewater and sediment samples collected from323 the Ganges River were found to be contaminated by Salmonella

324(Table 2 T2). However, the level of the Salmonella contamination325varied significantly (Duncan's multiple range test, p < 0.05) among326the sampling locations (Table 2). Water and sediment samples327collected from site 3 exhibit a maximum level (water, 3.99 � 109

328cfu/100 mL; sediment, 8.51� 109 cfu/100 g) of Salmonella. How-329ever, a minimum level (water, 2.62 � 103 cfu/100 mL; sediment,3304.37 � 104 cfu/100 g) of Salmonella contamination in both water331and sediment of the Ganges River observed at site 1 (Table 2).332Furthermore, it has been observed that Salmonella Typhimur-333ium contamination in water samples collected from selected sites334ranged between 2.37� 102 and 2.08� 108 cfu/100mL. Sediments335from the selected sampling locations also exhibit Salmonella Typhi-336murium in the range of 3.37 � 104 to 3.08 � 109 cfu/100 g337(Table 2).338The level of the SalmonellaTyphimurium was highest at site 3.339The inclusion of a preanalytical step in the form of cell capture by340the serovar- (SalmonellaTyphimurium) specific aptamer allowed341enumeration of the Salmonella Typhimurium contamination. Sedi-342ments were more contaminated than water (Table 2). Aquatic343flora collected from the Ganges River were also contaminated by344Salmonella Typhimurium (Table 3 T3). Potamogeton crispus exhib-345ited maximum Salmonella and SalmonellaTyphimurium contam-346ination, followed by Potamogeton pectinatus and Spirogyra spp.347(Table 3).

348’DISCUSSION

349The detection of low levels of pathogenic bacteria in complex350sample matrices such as environmental samples containing numer-351ous polymerase chain reaction inhibitors is challenging due to the352drop in sensitivity of rapid molecular fluorescent probe-based353techniques..7,16,18 The sensitivity of the invA gene-targeted MB-354based q-PCR reported by Jyoti et al.7 dropped 10-fold in the355presence if 106 cfu/PCR E. coli DH5α ATCC 35218. In this356study, we observed that addition of enterotoxigenicE. coli (106 cfu/357PCR) along with E. coli DH5α ATCC 35218 (106 cfu/PCR)358decreased the sensitivity of the ttr gene-specificMB-based q-PCR359assay 1000-fold. Therefore, it could be extrapolated that the assay360may perform poorly in environmental samples wheremultigenomic361DNA is present. Also, the assay reported by Jyoti et al. 7 and other362fluorescent probe-based assays could quantify only levels of363the genus Salmonella.7,12�14 Further, these assays fail to provide

Table 2. Contamination of Ganges River by Salmonella spp. and Salmonella Typhimuriuma

quantitative enumeration of Salmonella spp. and Salmonella Typhimurium in Ganges Riverb

water sediment

sitesc Salmonella spp. per 100 mLd Salmonella Typhimurium per 100 mLe Salmonella spp. per 100 gd Salmonella Typhimurium per 100 ge

site 1 (2.62 � 103) ( (8.8 � 101) f (2.37 � 102) ( (1.1 � 101) f (4.37 � 104) ( (2.05 � 102) f (3.37 � 104( ( (1.50 � 102) f

site 2 (3.46 � 104) ( (1.09 � 102) e (1.96 � 103) ( (8.8 � 101) e (5.62 � 105) ( (1.40 � 104) e (1.96 � 104) ( (1.02 � 102) e

site 3 (3.99 � 109) ( (1.60 � 107) a (2.08 � 108) ( (9.7 � 106) a (8.51 � 109) ( (1.57 � 106) a (3.08 � 109) ( (9.7 � 106) a

site 4 (4.68 � 105) ( (1.02 � 104) d (2.26 � 103) ( (8.0 � 101) d (7.68 � 106) ( (2.69 � 105) d (3.26 � 104) ( (1.00 � 102) d

site 5 (4.51 � 108) ( (1.57 � 107) b (6.64 � 106) ( (6.52 � 104) b (4.67 � 109) ( (6.64 � 106) b (7.64 � 107) ( (6.98 � 104) b

site 6 (2.67 � 108) ( (6.64 � 106) c (3.35 � 106) ( (8.67 � 104) c (3.99 � 109) ( (1.60 � 107) c (5.35 � 106) ( (8.67 � 104) ca Salmonella Typhimurium is a nontyphoidal salmonellosis-causing serovar. bValues are mean (n = 5)( SD. Sterile Milli-Q water (Millipore, Billerica,MA) was used as negative control. Column-wise one-way ANOVA, performed separately, was significant at 5% level for each column. Lowercase romanletters show significant difference between means in a column according to Duncan’s multiple range test. c Site 1, Bithoor upstream; site 2, Gangesbarrage; site 3, Bhairoghat; site 4, Shuklaganj; site 5, Nanaraoghat; site 6, Jajmau. dDNAwas prepared directly from water and sediment samples withoutSal aptamer bioconcentration for Salmonella Typhimurium cells. e Salmonella Typhimurium cells were bioconcentrated from water and sedimentsamples by serovar-specific DNA aptamer (Sal aptamer) prior to DNA extraction.

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364 serovar-specific information on Salmonella contamination in the365 environmental samples. Therefore, sensitive and robust preana-366 lytical sample processing tools that facilitate separation and con-367 centration of the target organism for subsequent detection and368 quantification by methods such as florescence probe-based q-PCR369 are needed. In this study, the application of a DNA aptamer to370 bioconcentrate the selected serovar of Salmonella Typhimurium371 from environmental samples to identify potential environmental372 reservoirs of Salmonella Typhimurium prior to culture-free detec-373 tion of Salmonella Typhimurium through MB-based q-PCR was374 explored for the first time. The assay reported in this study was375 able to bioconcentrate Salmonella Typhimurium from potential376 environmental reservoirs exhibiting low concentrations of Sal-377 monella Typhimurium, which was subsequently detected by the378 Salmonella-specific highly conserved region of the ttr gene-379 targeted MB-based q-PCR (lowest detection limit was 1 cfu/380 PCR). It has been observed that preanalytical bioconcentration381 of Salmonella Typhimurium increased the sensitivity of the MB-382 based q-PCR assay by selective capture of the target cells from383 samples spiked with reference strain (lowest detection limit was 1384 cfu/PCR in the presence of high background microflora). We385 have tested our assay by analyzing environmental samples col-386 lected from a sewage-impacted perennial river, the Ganges387 River flowing through northern India, that provides water for388 drinking and other domestic requirements to a large population

389in South Asia and exhibits high endemicity for Salmonella con-390tamination.20,24

391In this study, we have observed high levels of Salmonella and392Salmonella Typhimurium contamination in potential environ-393mental reservoirs (the green alga Spirogyra, the aquatic macro-394phytes P. crispus and P. pectinatus, and river bed sediments) in395riverine materials from the Ganges River. Earlier, it was observed396that Cladophora in Lake Michigan serves as an environmental397reservoir for Salmonella and potentially other pathogens, such as398shiga toxin-producing E. coli, Shigella, and Campylobacter.25 How-399ever, that study accounts for Salmonella contamination and lacks400serovar-specific information. Recently, the presence of Entero-401coccus and enterotoxigenic E. coli has also been reported in sub-402merged macrophytes and sediments collected from stream and403river banks.26,27

404Furthermore, it has been reported that elevated concentra-405tions of fecal indicator bacteria in aquatic sediments and vegeta-406tion have prompted concern that environmental reservoirs of407fecal indicator bacteria disrupt the correlation between indicator408organisms, pathogens, and human health risks.27 Environmental409reservoirs of a pathogenic bacterium could disseminate pathogen410across large geographical boundaries and act as vectors of411infection.1,26 Therefore, environmental reservoirs of Salmonella412Typhimurium in riverine materials from the Ganges River can413initiate epidemic and may be critical to the disease’s endemicity.414It has been suggested earlier that, in a country where cholera is415endemic, ingestion of water from ponds or rivers during plankton416blooms provide the requisite infectious dose for clinical cholera.28

417Therefore, identification of environmental reservoirs of Salmo-418nella Typhimurium is important for defining the potential role of419these reservoirs in the transmission pathways of nontyphoidal420salmonellosis leading to human illness and is critical to further421reduce disease burden, including management of the disease in422the endemic areas. Further, quick detection and quantification of423Salmonella Typhimurium in potential environmental reservoirs424may limit the morbidity and mortality of nontyphoidal salmo-425nellosis in high-endemicity zones like India in south Asia.426Salmonella Typhimurium is the most frequently reported427serotype of clinical importance and prediminates over other428serotypes in environmental studies due to its high survival rate429outside the host.5,29 Hence, high concentration of Salmonella430Typhimurium in river water and potential environmental reser-431voirs widespread in the riverine system of the Ganges River is432possibly attributed to addition of untreated sewage, hospital wastes433of medical college and several other clinical setups, poultry wastes,434rain stormwaters containing fecal pollutants from nearby unauthor-435ized human settlements, agricultural runoff, and the ability of436sSalmonella Typhimurium to survive in the environment outside437the host.20 Increased detection limits in the presence of high438background flora by bioconcentration of Salmonella Typhimur-439ium enhanced the applicability of the developed MB-based q-PCR440assay in complex matrices containing PCR inhibitors. The present441study for the first time provides quantitative information about442SalmonellaTyphimurium in the high-endemicity zone of Salmonella443in south Asia by use of sensitive culture-free protocols involving444preanalytical bioconcentration of Salmonella Typhimurium. India,445Indonesia, Bangladesh, and Pakistan have been identified as high-446risk sites for infections caused by Salmonella species.24,30,31

447In conclusion, it could be inferred from the present study that448the inclusion of a preanalytical step, in the form of pathogen-449specific DNA aptamer-based bioconcentration of the bacterial450cell, enhanced the sensitivity of fluorescent probe-based q-PCR

Table 3. Total Salmonella and Salmonella TyphimuriumContamination in Potential Environmental Reservoirs of theGanges River at Kanpur

quantitative enumeration of Salmonella (cfu/100 g)a

aquatic flora Salmonella spp.b Salmonella Typhimuriumc

Potamogeton pectinatusd

sample 1e 55 360( 190 c 1384( 50 c

sample 2f 68 990( 207 b 3725( 130 b

sample 3g 487 999( 19201 a 8958( 376 a

Potamogeton crispusd

sample1e 85 365( 341 c 3172 ( 142 c

sample 2g 785 289( 23 558 a 10 856 ( 379 a

sample 3h 98 259( 365 b 5436( 190 b

Spirogyra spp.d

sample 1e 67 251( 326 d 4529( 262 d

sample 2f 82 821( 4126 c 7523( 300 c

sample 3i 282 652( 11 306 a 46 689( 2120 a

sample 4j 125 689( 6081 b 25 826( 1033 baValues are mean (n = 5) ( SD. Sterile Milli-Q water (Millipore,Billerica, MA) was used as negative control in all experiments. Column-wise one-way ANOVA, performed separately for each aquatic macro-phyte and for Spirogyra spp., was significant at 5% level. LowercaseRoman letters in each column for each aquatic macrophyte and forSpirogyra spp. show significant difference between means according toDuncan’s multiple range test. bDNA was prepared directly from waterand sediment samples without Sal aptamer bioconcentration for Salmo-nella Typhimurium cells. c Salmonella Typhimurium cells were biocon-centrated from water and sediment samples by serovar-specific DNAaptamer (Sal aptamer) prior to DNA extraction. dCollected from apristine area that exhibited no Salmonella contamination. e Site 1, Bithurupstream. f Site 2, Ganges barrage. g Site 3, Bhairoghat (cremation ghat).h Site 4, Shuklaganj. i Site 5, Nanaraoghat. j Site 6, Jajmau.

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451 assays. Furthermore, information about the contamination of452 surface water by Salmonella Typhimurium in Ganges riverine453 materials may pave the way for forecasting and management of454 nontyphoidal salmonellosis in south Asia.

455 ’ASSOCIATED CONTENT

456 bS Supporting Information. Additional text, four tables,457 and two figures showing design of ttr gene-specific MB, standard458 curve generation, conjugation of Salmonella Typhimurium-spe-459 cific DNA aptamer to Dynabeads, binding of Salmonella Typhi-460 murium cells to Sal aptamer-conjugatedDynabeads, enumeration of461 Salmonella Typhimurium in water samples spiked with reference462 strain in the presence or absence of high background of non-463 specific DNA, and a map depicting sampling sites. This material464 is available free of charge via the Internet at http://pubs.acs.org/.

465 ’AUTHOR INFORMATION

466 Corresponding Author467 *Phone: 91+ 0522 �2613786/2614118/2627586, ext 237; fax:468 91+ 0522-2611547; e-mail: [email protected] or469 [email protected].

470 Author Contributions471

†A.J. and P.V. contributed equally to this work.

472 ’ACKNOWLEDGMENT

473 This work was supported by CSIR Network Project NWP-17.474 Financial assistance to A.J. (SRF), G.S. (SRF), C.B.P. (SRF), and475 P.V. (scientist: WOS-A) from CSIR and DST, Government of476 India, New Delhi, respectively, is acknowledged. The paper bears477 IITR number 2949.

478 ’REFERENCES

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