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943 Journal of Food Protection, Vol. 47, No. 12, Pages 943-949 (December 1984) Copyright®, International Association of Milk, Food, and Environmental Sanitarians Campylobacter jejuni and Campylobacter coli Production of a Cytotonic Toxin Immunologically Similar to Cholera Toxin BARBARA A. McCARDELL1*, JOSEPH M. MADDEN1 and EILEEN C. LEE2'3 Division of Microbiology, Food and Drug Administration, Washington, D.C. 20204, and Department of Biology, The Catholic University of America,Downloaded from http://meridian.allenpress.com/jfp/article-pdf/47/12/943/1655814/0362-028x-47_12_943.pdf by guest on 25 September 2021 Washington, D.C. 20064 (Received for publication September 6, 1983) ABSTRACT monella typhimurium is related to CT (31), although its role in pathogenesis has not been determined. Production An enzyme-linked immunosorbent assay (ELISA) based on by some strains of Aeromonas species of a toxin which binding to cholera toxin (CT) antibody was used to screen cell- free supernatant fluids from 11 strains of Campylobacter jejuni can be partially neutralized by CT antiserum in rat loops and one strain of Campylobacter coli. Positive results for seven suggests some relationship to CT (21). of the eight clinical isolates as well as for one animal and one Although Campylobacter jejuni and Campylobacter food isolate suggested that these strains produced an extracellu coli have long been known as animal pathogens, only in lar factor immunologically similar to CT. An affinity column recent years have their importance and prevalence in (packed with Sepharose 4B conjugated to purified anti-CT IgG human disease been recognized (13,22). With the advent via cyanogen bromide) was used to separate the extracellular of improved methods (77), C. jejuni is now isolated from factor from cell-free supernatant fluids. Both unconcentrated human diarrheal stools more frequently in the United supernatant fluids and affinity-purified material caused rounding States than are Salmonella spp. and Shigella spp. (2,3). in a Y-l mouse adrenal cell assay, suggesting that the factor However, little is known about possible toxins or other was a cytotonic toxin. Rounding of Y-l cells caused by cell- free supernatant fluids, affinity-purified toxin or CT was neut factors responsible for the pathophysiology of Cam ralized by preincubation with CT or Campylobacter cytotonic pylobacter infections. This report describes the isolation toxin (CCT) antiserum. CCT and CT showed a reaction of par and partial characterization of a Campylobacter cytotonic tial identity by gel immunodiffusion, using IgG from CT anti toxin (CCT) produced by C. jejuni and C. coli, which serum. Sodium dodecyl sulfate polyacrylamide gel elec may be an enterotoxin. trophoresis (SDS PAGE) of purified CCT produced one band at 70,000 daltons. Cell-free concentrates were positive in the MATERIALS AND METHODS rabbit skin permeability test and caused fluid accumulation in rabbit ileal loops. However, cell-free supernatant fluids and Bacterial strains concentrates heated at 90°C for 15 min and tested by the suckl Table 1 lists the bacterial strains used in this study. All strains were ing mouse assay produced no fluid accumulation in the intes biotyped by the method of Hebert et al. (79). tines of mice. Culture conditions All C. jejuni and C. coli strains were stored at -80°C in casamino acid yeast extract (CYE) broth (23) containing 5 to 10% dimethylsul- Certain enteric bacteria, such as Vibrio cholerae and foxide. Thawed cultures were used to inoculate brucella broth (BB; a number of Escherichia coli strains, produce enteroto- Difco). Overnight BB cultures were used to inoculate BB, CYE broth, or CYE broth containing 0.3, 0.5, 1.0, 2.0 or 50 u,g lincomycin (LN)/ xins that stimulate secretion of fluid into the intestine and ml (1 ml BB culture per 100 ml CYE in a 500-ml flask). Final cell cause a watery diarrhea (9,15). These toxins, e.g., chol concentrations (in the absence of antibiotics) were between 5x 108 and era toxin (CT) and heat-labile E. coli toxin (LT), are im 8xl09 CFU/ml. Polymyxin (PO), at a concentration of 100 or 2,000 munologically related (5,20). Immunological cross-reac IU/ml, was added to some of the lincomycin-treated cultures for the tivity with CT has also been shown with toxins produced last 30 min of incubation. All Campylobacter spp. cultures were incu bated for 18 to 24 h with shaking (100 rpm) at 37°C in an atmosphere by other microorganisms. A toxin produced by Sal- of 85% nitrogen, 10% carbon dioxide and 5% oxygen. V. cholerae 569B was incubated under the same conditions, except that no special atmosphere was provided. 'Food and Drug Administration. Preparation of cell-free supernatant fluids and concentrates 2The Catholic University of America. Cell-free supernatant fluids were prepared by centrifugation at 10,000 ^Present address: Naval Medical Research Institute, Bethesda, MD x g for 30 min. An Amicon ultrafilter (Amicon Corp., Lexington, 20814. MA) with an XM50 membrane, which concentrates molecules larger JOURNAL OF FOOD PROTECTION, VOL. 47, DECEMBER 1984 944 McCARDELL, MADDEN AND LEE TABLE 1. Results of in vitro assays for the production of toxin by 12 strains of Campylobacter jejuni and one strain of Vibrio cholerae. Strain Source Donor Biotype ELISA" Y-lb CHOb C. jejuni CHI Clinical J. M. Lovett, 4 + 1:2 1:2 FDA, Cincinnati, OH CH2 Clinical Lovett, FDA, Cincinnati, OH 3 + 1:2 1:2 CH4 Clinical Lovett, FDA, Cincinnati, OH 3 + 1:16 1:8 CH5 Clinical Lovett, FDA, Cincinnati, OH 1 + 1:16 1:8 83 Food (raw milk) Lovett, FDA, Cincinnati, OH 3 - - - 88 Food (chicken) Lovett, FDA, Cincinnati, OH 1 + 1:2 1:2 55 Clinical G. Controni, 8 + 1:4 1:4 Children's Hospital Center, Washington, DC Downloaded from http://meridian.allenpress.com/jfp/article-pdf/47/12/943/1655814/0362-028x-47_12_943.pdf by guest on 25 September 2021 82 Clinical B. Caldwell, 1 + 1:2 1:2 Naval Medical Research Institute, Bethesda, MD E3075 Clinical K. Wachsmuth, 4 Centers for Disease Control, Atlanta, GA 40(ATCC Clinical American Type Culture 1 + 1:4 1:2 29428) Collection, Rockville, MD 41 Animal (calf) N. J. Stern, USDA, 2 + 1:8 1:4 Beltsville, MD 65 Animal (calf) This study 3 - - - V. cholerae 569B Clinical W. Spira, Johns Hopkins 1:2048 1024 University, Baltimore, MD a+, positive; average O.D. 5=0.1 in four experiments; -, negative, average O.D. <0.1 in four experiments; ±, average O.D. 3=0.1, but negative (<0.1) in two experiments. Cell-free supernatant fluids of overnight cultures grown in CYE broth were tested by the ELISA method. bCell-free supernatant fluids were screened in the Y-l and CHO cell assays. than 50,000 daltons. was used to concentrate cell-free supernatant was added to each well of a microtiter plate (Immunolon II, round bot fluids. Ammonium sulfate precipitates were prepared by the addition tom; Dynatech Labs, Inc., Alexandria, VA). After overnight incubation of 7 g ammonium sulfate/10 ml of concentrate (16). After overnight at 4°C, the plates were washed three times with 0.1 M phosphate-buf incubation at 4°C, the precipitates were centrifuged, resuspended in dis fered saline (PBS), pH 7.4, containing 0.1% bovine serum albumin tilled water and dialyzcd against phosphate-buffered saline (PBS), pH (Fraction V, Sigma) and 0.05% Tween 20 (PBS-Tween). The plates 7.4. were washed once with distilled water and stored at 4°C in a sealed plastic bag with dry silica gel until needed. Preparation of antisera Test solutions containing either CT (Sigma; 0.5 to 500 ng CT/ml), Antisera were obtained by subcutaneous injection of increasing doses uninoculated growth medium or cell-free supernatant fluids were added (4 to 50 jig) of affinity-purified CCT or purchased CT (Sigma Chemical in 50-ji.l amounts to precoated 96-well microtiter plates and incubated Co., St. Louis, MO) with Freund's incomplete adjuvant (Sigma) into at 35°C for 1 h. All solutions were tested in duplicate. After three New Zealand white rabbits over a period of several weeks. Burro anti- washes with PBS-Tween, 50 jil of whole burro anti-CT serum diluted CT (supplied by Dr. William Habig, FDA, Rockville, MD) contained to 1:2560 was added to each well. 6,950 antitoxin units/ml as determined by the rabbit incutaneous assay After incubation for 1 h at 35°C, the plate was again washed three method (7). times with PBS-Tween, and 50 jil of Protein A peroxidase conjugate (Zymed Laboratories, Burlingame, CA) was added to each well. After Preparation of anti-CT antigen-binding fragment (F(ab)2) another 1-h incubation period at 35°C and three washes with PBS- The IgG fraction was removed from whole high-titered burro anti Tween, 100 jil of 2,2'-azino-di-(3-ethylbenzthiazoline sulfonic acid) serum to CT (7) on an affinity column packed with Protein A-Sepharose (ABTS) solution (Zymed) was added to each well. The piate containing CL-4B (Pharmacia, Inc., Uppsala, Sweden), The fragment crystallizable ABTS solution was incubated at 35°C until an optical density of 0.1 portion of the purified IgG was removed by treatment with 2 x recrys- at 410 nm was obtained (usually within 30 min) on a Dynatech Instru tallized pepsin (25) (Sigma; 3 mg pepsin per 100 mg IgG), followed ment Micro ELISA Minireadcr for wells containing 0.5 ng CT/ml. Test by double passage through an affinity column containing Protein A- solutions were considered positive if a reading of s=0.1 was obtained Sepharose CL-4B. The pepsin and the F(ab)2 fragments, which did not at 410 nm.