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2302

Journal of Food Protection, Vol. 67, No. 10, 2004, Pages 2302–2305
Copyright Q, International Association for Food Protection

Research Note

Development of a PCR Test To Differentiate between


Staphylococcus aureus and Staphylococcus intermedius
FLORENCE BARON,1* MARIE-FRANÇOISE COCHET,1 JEAN-LOUIS PELLERIN,2 NOURI BEN ZAKOUR,1
ANNE LEBON,1 ANNE NAVARRO,2 ISABELLE PROUDY,3 YVES LE LOIR,1 AND MICHEL GAUTIER1

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1Laboratoire de Microbiologie, UMR 1055, Ecole Nationale Supérieure Agronomique, Institut National de la Recherche Agronomique, CS84215,

35042 Rennes, France; 2Unité de microbiologie, Département de pathologie générale, Ecole Nationale Vétérinaire, La Chantrerie, BP 40706, 44307
Nantes cedex 3, France; and 3Genesystems, 1 rue du Courtil, centre Cicea, Bâtiment 4, 35170 Bruz, France

MS 03-598: Received 31 December 2003/Accepted 10 April 2004

ABSTRACT
The presence of Staphylococcus intermedius in food remains unclear because routine laboratory analysis does not dis-
criminate between S. intermedius and Staphylococcus aureus, a major cause of food poisoning. Both species share many
phenotypic characteristics, including coagulase and thermonuclease production. In both species, some strains can produce
enterotoxin and therefore can be the cause of food poisoning outbreaks. Although the ID32 Staph System (bioMérieux, SA,
Marcy l’Etoile, France), based on a miniaturized phenotypic characterization, gives satisfactory results for discriminating
between these two species, some rapid molecular PCR-based methods have been developed to identify S. aureus specifically,
but they do not identify S. intermedius. Here, we developed a rapid, accurate, and discriminative multiplex PCR method that
targets species-specific sequences in the nuc gene, which encodes thermonuclease in the two species. The test includes an
internal positive control that targets a highly conserved region of 16S ribosomal RNA gene (rDNA). A total of 116 strains
were used to validate our test. The test gave no signal on the following Staphylococcus species: S. epidermidis, S. chromogenes,
S. hyicus, S. warneri, S. xylosus, S. lentus, and S. sciuri. It allowed a 100% successful discrimination between S. aureus (44
strains tested) and S. intermedius (57 strains) isolated from different origins.

Staphylococcus aureus is an opportunistic pathogen mains unclear because it can be confused with S. aureus in
that causes various infections ranging from abscesses to routine laboratory analysis (27).
septicemia. Some strains of S. aureus are able to produce In routine laboratory practice, the production of acid
staphylococcal enterotoxins and are therefore involved in from mannitol in anaerobic conditions, acetone, and hyal-
foodborne poisoning outbreaks (17). S. aureus is one of the uronidase, protein A, and b-galactosidase activity are rec-
three main microorganisms responsible for foodborne dis- ommended for distinguishing S. aureus and S. intermedius
ease in France (9) and in other countries. (22, 23). The use of the ID32 Staph system (bioMérieux,
Staphylococcus intermedius is closely related to S. au- SA, Marcy l’Etoile, France), a commercially available kit,
reus. Both species are coagulase and thermonuclease pos- gives satisfactory results but is based on a miniaturized phe-
itive. Some strains of S. intermedius are also able to pro- notypic characterization whose interpretation might be del-
duce staphylococcal enterotoxin (3). S. intermedius is rec- icate. Phenotypic characterization has limitations that are
ognized essentially as a common component of the skin, partly due to variable expression of characters and ambi-
oral, or nasal flora of healthy dogs and has also been found guity in the interpretation of the end point reaction.
in a wide range of other animal species (10). S. intermedius Recently, molecular methods such as rRNA gene re-
has rarely been found in humans, even among individuals striction site polymorphism analysis (1), 16S ribosomal
with frequent exposure to animals. It is, however, respon- RNA gene (rDNA) sequencing (19), 16S–23S rDNA inter-
sible for infections associated with dog bite wounds (21, genic spacer PCR (20), and DNA hybridization (8, 15) were
25). S. intermedius has been implicated in food poisoning used to identify staphylococcal species. These methods fo-
involving butter-blended products, resulting in 265 cases of cus on the development of a test for phylogenetic studies
infection in the western United States (13). Jasper et al. or for a specific recognition of S. aureus. Furthermore, they
(12) and Langlois et al. (16) studied the staphylococcal spe- are time-consuming. On the other hand, two methods based
cies isolated from cow milk and did not find S. intermedius. on a PCR test were developed: one method to identify S.
However, the true frequency of S. intermedius in food re- aureus on the basis of the amplification of a 270-bp frag-
ment in nuc, the gene encoding thermonuclease production
(5), and the other method to identify S. intermedius specif-
* Author for correspondence. Tel: 33 2 23 48 56 94; Fax: 33 2 23 48 55 ically on the basis of the amplification of a 901-bp fragment
78; E-mail: baron@agrorennes.educagri.fr. in the 16S ribosomal RNA gene (rDNA) (28). The two
J. Food Prot., Vol. 67, No. 10 DIFFERENTIATION BETWEEN S. AUREUS AND S. INTERMEDIUS 2303

TABLE 1. Staphylococcal species and strains tested by PCR Primer design. Sequence alignment for comparative analysis
was obtained with the use of Multalin 5.4.1 (7). The GenBank
Bacterial species
(no. of isolates) Source (no. of isolates)
accession numbers of the nuc sequences are N315, 15926905;
Mu50, 21204379; and MW2, 15924314 for S. aureus and 47146
S. aureus (44) Reference strains ATCC 27735, ATCC (6) for S. intermedius. The GenBank accession numbers of the
20231, ATCC 12600 16S ribosomal DNA sequences (complete or partial) are N315,
Cow milk (28) SArRNA01; Mu50, SAVrRNA01; MW2, MWrRNA01; FU16A2,
Chicken skin (8) 1199935; Kitami, 1199936; OA1, 1199938; and ATCC 12600T,
Turkey skin (4) 1199939 for S. aureus and ATCC 29663T, 1199951; CE5,
Dog (1) 6635425; CE79, 6635426; and CE80, 6635427 for S. intermedius.
S. intermedius (57) Reference strains ATCC 49052, ATCC Primers were designed with Primer3 software (24). Each primer
29663, CIP 81.60, CIP 81.77 was tested with all the others in order to confirm that each primer
Dog (pyoderma, ear, eyes, urine, abscess, of the set did not contain an intercomplementarity region with

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conjunctivitis, skin) (52) primers of different pairs. All primers were synthesized by Eu-
Cat (ear) (1) rogentec (Seraing, Belgium).
S. chromogenes (4) Cow milk (3)
PCR amplification. PCR were performed in a 25-ml reaction
Dog (1)
volume. Each reaction mixture contained approximately 50 ng of
S. epidermidis (3) Cow milk (1)
DNA template, 0.05 to 0.2 mM of each primer, 1.5 units of Taq
Cheese (1)
DNA polymerase (MBI Fermentas, Cergy Pontoise, France), and
Human (1)
200 mM deoxyribonucleoside triphosphate (MBI Fermentas) in a
S. hyicus (3) Cow milk (3)
PCR buffer (2.5 ml of a 103 PCR buffer, MBI Fermentas). For
S. lentus (2) Chicken (2)
each run, the whole PCR mix without DNA template was used as
S. xylosus (1) Chicken (1)
a negative control. The amplification reactions were carried out in
S. warneri (1) Chicken (1)
a Bio-Rad iCycler (version 1.280, Bio-Rad, Marnes la Coquette,
S. sciuri (1) Chicken (1)
France) as follows: 4 min at 958C and 30 cycles of 30 s at 958C,
30 s at 558C, and 30 s at 728C. The program finished with an
additional 7-min extension step at 728C.
methods rely on the detection of a specific PCR fragment
After amplification, 10 ml of reaction mixture was analyzed
on agarose gel (positive result). The absence of this specific
by electrophoresis on a 1.2% agarose gel in Tris-Borate-EDTA
fragment is considered by the authors as the absence of the buffer (89 mM Tris, 89 mM boric acid, 2 mM EDTA) at 80 V
targeted microorganisms. These two tests gave satisfactory for 45 min and stained by ethidium bromide. Presence or absence
results for the identification of S. aureus or S. intermedius, and size of the PCR products were checked. The PCR experiments
respectively, but Wakita et al. (28) mentioned some speci- were conducted at least twice for each of the 116 strains.
ficity problems with their method for S. intermedius strains
Sequencing. Amplified products were sequenced with the
isolated from chicken. None of these methods distinguishes
ABI Prism BigDye Terminator Cycle Sequencing Ready Reaction
between S. aureus and S. intermedius in a one-step proce-
Kit (PE-Applied Biosystems, Courtaboeuf, France), as recom-
dure. mended by the manufacturers, and analyzed with an ABI Prism
Thus, a method that achieves rapid differentiation be- 310 (PE-Applied Biosystems) and BioEdit software (Ibis Thera-
tween the two species is needed. In this study, we evaluated peutics, Carlsbad, Calif.) (11).
a multiplex PCR method designed to amplify species-spe-
cific sequences in the nuc gene to distinguish S. aureus RESULTS AND DISCUSSION
from S. intermedius. The PCR amplification of a 16S ri- Complete genome sequences of three S. aureus strains
bosomal RNA fragment conserved in several staphylococ- are now available (http://wit.integratedgenomics.com/
cal species was used as a positive control of the desired GOLD/) (2, 14), and four others are in the process of being
course of the PCR. determined. This wealth of data allows alignments of a giv-
MATERIALS AND METHODS en gene originating from several strains in order to check
sequence conservation or divergence. Unlike S. aureus,
Strain and culture conditions. The strains used in this study only 40 sequences are currently available for S. interme-
are described in Table 1. All strains were identified by the ID32
dius,. We chose the nuc gene sequence to distinguish S.
Staph system according to the manufacturer’s instructions. For
each species, the selected strains corresponded to a wide variety
aureus from S. intermedius because thermonuclease pro-
of ID32 profiles. duction is present in strains of both species. Moreover, sev-
The bacteria were isolated on Baird Parker agar (Merck, Fon- eral authors think this gene is a good candidate for S. au-
tenay sous Bois, France) and on Columbia agar with 5% (vol/vol) reus identification: the sequence is highly conserved and
sheep blood at 378C (AES Laboratories, Combourg, France) be- has species-specific sequences (1, 5, 18). The nuc gene of
fore phenotype identification. All strains were kept frozen in glyc- S. aureus (SAnuc) has already been used to design primers
erol stock (25%) at 2208C. for a simple PCR test aiming at the identification of S.
DNA isolation procedures. Staphyloccocal cells were prop- aureus strains (3). This PCR test was exclusively S. aure-
agated for 16 h at 378C and shaken at 150 rpm on tryptic soy us–specific and did not match any of the other staphylo-
agar (AES Laboratories). The DNA was extracted from staphy- coccal species tested as controls. Our goal here was to take
lococcal cells according to the method previously described by advantage of the available SAnuc and S. intermedius nuc
Ben Zakour et al. (4). gene (SInuc) sequences to design a set of primers that could
2304 BARON ET AL. J. Food Prot., Vol. 67, No. 10

TABLE 2. Primers used in PCR


Size of
Melting amplified
temperature fragment
Name Sequence 59 to 39 (8C) (bp)

NUCSEQ1 ACAGGCGTTTTAATCCTTGC 59.23


NUCSEQ2 TCCTTTTGGGCTTGTTCAAT 59.55 455
SInuc1 CAATGGAGATGGCCCTTTTA 59.89
SInuc2 AGCGTACACGTTCATCTTG 54.76 125
SAnuc1 TGCTATGATTGTGGTAGCCATC 59.99
SAnuc2 TCTCTAGCAAGTCCCTTTTCCA 60.36 420
16S1 GGACGGGTGAGTAACACGTGG 64.90

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16S2 TCCCGTAGGAGTCTGGACCGT 65.37 252

be used for species-specific identification of S. aureus and quence of seven S. aureus and four S. intermedius was
S. intermedius on a single PCR experiment. Because only aligned and a common sequence was chosen. A primer pair
one SInuc sequence was available in GenBank, we ampli- was then designed (16S1, 16S2) that annealed to the 16S
fied an internal fragment of SInuc by PCR with the use of ribosomal RNA gene of both species. The multiplex PCR
chromosomal DNA from five S. intermedius strains (two requires that primers share the same melting temperature
reference strains and three strains isolated from dog) as a (Tm), with no possibility of cross-hybridization. After-
template. Primers used for this PCR were designed from wards, analysis of PCR products by gel electrophoresis re-
the published SInuc sequence (6). NUCSEQ1 and NUC- quires clearly different sizes of amplified fragments. The
SEQ2 (Table 2) were successfully used to amplify a 455- name, sequences of the primers, melting temperature, and
bp fragment in SInuc (corresponding to 89% of the nuc fragment sizes are given in Table 2.
gene) for the five strains. The PCR fragments generated Our triplex PCR test allowed a 100% successful dis-
were used as a template for sequencing reactions on both crimination between S. aureus (44 strains tested) and S.
strands with NUCSEQ1 and NUCSEQ2 as sequence-prim- intermedius (57 strains) from different origins and with dif-
er. The five new partial SInuc sequences obtained were ferent ID32 profiles. The PCR products appeared as a single
aligned with the three SAnuc sequences available in DNA band with a size of 420 and 125 bp for S. aureus and
GenBank to choose two internal regions in SInuc and SAn- S. intermedius, respectively. For the two species, we also
uc, respectively, because of their sequence divergence. In observed a 252-bp band corresponding to the 16S positive
published S. aureus complete genome sequences (N315 and control. All three fragments are easily separated on 1.5%
Mu50 (15) and MW2 (2)), two genes are annotated and agarose gel electrophoresis (Fig. 1). No amplification (ex-
named ‘‘nuc.’’ One corresponds to the well-characterized cept for 16S positive control) occurred for the other staph-
‘‘foggie’’ type of thermonuclease production (24); the other ylococcal species tested. Among these species, only S. hyi-
corresponds to thermonuclease production, too. We chose cus is thermonuclease positive, but all species have been
the latter to design SAnuc-specific primers because its se- reported in the literature as potential enterotoxin producers
quence corresponds to the SInuc sequence available. (26).
The aligned SInuc and SAnuc sequences presented The triplex PCR test described here allows a rapid,
66% homology, but we exploited the divergence zone to accurate, reproducible, and nonsubjective discrimination
design two primer pairs (Table 2): one specific to S. inter- between S. aureus and S. intermedius. Our PCR test is
medius (SInuc1, SInuc2) and one specific to S. aureus based on species-specific sequences of the thermonuclease
(SAnuc1, SAnuc2). gene and includes an internal positive control that targets a
To get a positive control on the desired course of the highly conserved region of 16S rDNA as a check on the
PCR, the highly conserved 16S ribosomal RNA gene se- desired course of the PCR. This test could be used readily

FIGURE 1. Agarose gel electrophoresis of


the PCR products.
J. Food Prot., Vol. 67, No. 10 DIFFERENTIATION BETWEEN S. AUREUS AND S. INTERMEDIUS 2305

in routine laboratory procedures for epidemiological studies of pulsed-field gel electrophoresis to the epidemiological character-
ization of Staphylococcus intermedius implicated in a food-related
and to evaluate the true frequency of S. intermedius versus
outbreak. Epidemiol. Infect. 113:75–81.
S. aureus in food. 14. Kuroda, M., T. Ohta, I. Uchiyama, T. Baba, H. Yuzawa, I. Kobay-
ashi, L. Cui, A. Oguchi, K. Aoki, Y. Nagai, J. Lian, T. Ito, M. Kan-
ACKNOWLEDGMENTS amori, H. Matsumaru, A. Maruyama, H. Murakami, A. Hosoyama,
Our thanks to Jane Hall for her correction of our English and to Y. Mizutani-Ui, N. K. Takahashi, T. Sawano, R. Inoue, C. Kaito, K.
Olivier Chesneau for helpful discussion at the beginning of this work. Sekimizu, H. Hirakawa, S. Kuhara, S. Goto, J. Yabuzaki, M. N.
Kanehisa, A. Yamashita, K. Oshima, K. Furuya, C. Yoshino, T. Shi-
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