title: Multiplex PCR assay for detection and identification of Clostridium botulinum types A, B, E, and F in food and fecal material.
abstract: Botulism is diagnosed by detecting botulinum neurotoxin and Clostridium botulinum cells in the patient and in suspected food samples. In this study, a multiplex PCR assay for the detection of Clostridium botulinum types A, B, E, and F in food and fecal material was developed. The method employs four new primer pairs with equal melting temperatures, each being specific to botulinum neurotoxin gene type A, B, E, or F, and enables a simultaneous detection of the four serotypes. A total of 43 C. botulinum strains and 18 strains of other bacterial species were tested. DNA amplification fragments of 782 bp for C. botulinum type A alone, 205 bp for type B alone, 389 bp for type E alone, and 543 bp for type F alone were obtained. Other bacterial species, including C. sporogenes and the nontoxigenic nonproteolytic C. botulinum-like organisms, did not yield a PCR product. Sensitivity of the PCR for types A, E, and F was 10(2) cells and for type B was 10 cells per reaction mixture. With a two-step enrichment, the detection limit in food and fecal samples varied from 10(-2) spore/g for types A, B, and F to 10(-1) spore/g of sample material for type E. Of 72 natural food samples investigated, two were shown to contain C. botulinum type A, two contained type B, and one contained type E. The assay is sensitive and specific and provides a marked improvement in the PCR diagnostics of C. botulinum.
authors.affiliation: Department of Food and Environmental Hygiene, Faculty of Veterinary Medicine, University of Helsinki, Finland. mklindst@mappi.helsinki.fi
authors.forename: M
authors.initials: M
authors.lastname: Lindström
authors.forename: R
authors.initials: R
authors.lastname: Keto
authors.forename: A
authors.initials: A
authors.lastname: Markkula
authors.forename: M
authors.initials: M
authors.lastname: Nevas
authors.forename: S
authors.initials: S
authors.lastname: Hielm
authors.forename: H
authors.initials: H
authors.lastname: Korkeala
mesh_terms: D000818:Animals; D001905:Botulinum Toxins / Q000235:genetics* / Q000302:isolation & purification; D002417:Cattle; D003015:Clostridium Infections / Q000175:diagnosis / Q000382:microbiology / Q000662:veterinary; D003014:Clostridium botulinum / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification* / Q000378:metabolism; D003670:Deer; D005243:Feces / Q000382:microbiology*; D005506:Food Contamination; D005516:Food Microbiology; D006801:Humans; D008461:Meat Products / Q000382:microbiology; D016133:Polymerase Chain Reaction / Q000379:methods*; D012487:Salmonidae / Q000382:microbiology; D017747:Seafood / Q000382:microbiology; D012680:Sensitivity and Specificity; D013552:Swine; D013553:Swine Diseases / Q000382:microbiology
chemical_list: D001905:Botulinum Toxins