Copyright© 1994, American SocietyforMicrobiology
Detection of
Bovine Trichomoniasis with
a
Specific
DNA
Probe and
PCR
Amplification
System
MICHAEL S. Y.HO,1 PATRICIA A.
CONRAD,`*
PHILLIPJ. CONRAD,1 RANCE B.LEFEBVRE,'
ENRIQUE PEREZ,2ANDROBERT H.BONDURANT3
DepartmentofVeterinary Microbiology and
Immunology'
and DepartmentofReproduction,3 Schoolof VeterinaryMedicine, UniversityofCaliforia,
Davis, Califomia 95616, and Herd Health Section,DutchInteruniversityCooperation Program, School ofVeterinary Medicine, UniversidadNacional, Heredia, Costa
Rica2
Received 6July1993/Returnedfor modification1 September1993/Accepted 1 October 1993
Trichomoniasis is a widespread,
economically
important venereal disease of cattle which causesinfertility
and abortion.Effective control oftrichomoniasis has been impeded by theinsensitivityof traditionaldiagnostic procedures, which require the isolation and cultivation of the parasite,7Titrichomonasfoetus,
from infected cattle. Wedeveloped a0.85-kbT.foetusDNAprobe byidentifying
conserved sequences in DNAs from T.foetus that wereisolated from cattle inCalifornia, Idaho, Nevada, and CostaRica. The probe hybridizedspecifically
to DNAs of T.foetus isolates from different geographic areas but not to DNA preparations ofTrichomonas vaginalis,bovine cells, or avariety
of bacteria from cattle. The probedetected DNA from aminimumofi05 T.foetusorganisms. To improvesensitivity,
a partial sequence of theprobe was used toidentify
oligonucleotide primers (TF1 and TF2) which could beused to amplify a 162-bp product from T. foetus DNAs by PCR. A chemiluminescent internal T.foetus sequence probe was hybridized to Southern blots of the amplification product. This system detected as few as one T.foetusorganism in culture media or 10 parasites in samples containing bovinepreputialsmegma.Analysis
of 52 clinical samples showed that 47(90.4%)of the 52 samples werecorrectly
identified, with no false-positivereactions. Incomparison, the traditional cultivation method detected 44(84.6%) of the 52 samples from T. foetus-infected and uninfected bulls. These results indicate that the PCR-based amplification system could be a useful alternative method for the diagnosis of bovine trichomoniasis.Trichomoniasis has a worldwide distribution and is a major cause of infertility in naturally bred cattle in many countries (1, 11, 21). The causative agent, Titrichomonas foetus,is aflagellatedprotozoan
parasite
thatis transmitted frominfected, asymptomatic bullstoheifers orcows atthe time ofcoitus.Theparasitetheninvadesthevagina,uterus, and oviduct,causing embryonic death andinfertility which may last for 2 to 6months(4, 10, 14).InthewesternUnited States, theprevalence
of trichomoniasis among bulls is estimated to be at least 5 to 8% (14,22).
A recent U.S. DepartmentofAgricultureNationalAnimal Health Monitor-ing System survey of California beef herds showed that 15.8% ofrandomly sampledherdshad T.foetus
infections, with a 27% meanwithin-herd prevalence of infected bulls(5).
A major limitation to more accurately determining the prevalence and economic impactofbovine
trichomoniasis,
as well ascontrolling
thedisease,
is theinsensitivity
of currentdiagnostic procedures.
Atpresent, thediagnosis
of trichomoniasis is based primarily on the identification of flagellated T.foetus parasites, bymicroscopic examination, inpreputial scrapingsorwashingsfrom bullsor cervicovag-inal secretions from female cattle. Often, the number of trichomonads in these samplesfrom infected cattle is rela-tively low and the parasites generally must be grown in*
Corresponding
author.Mailingaddress:DepartmentofPathol-ogy, Microbiology and Immunology, School ofVeterinary Medi-cine,University of California, Davis,CA95616-8738.Phone:(916) 752-7210. Fax:(916)752-3349.Electronicmail address:paconrad@
ucdavis.edu.
culture before they reach detectable numbers (7, 22, 46). Diagnostic sensitivity can be improved 10 to 48% if the samples are placed in special medium and cultured in the laboratory for 2 to 5 days(15,27, 41,42). However, despite the additional time and expense,this methodofcultivation detectsonly81 to90% of naturally infectedbulls andonly58 to 78%ofinfectedfemale cattle(15,40, 42).
Theobjectiveof theprojectdescribed here was toobviate the need for cultivation and to increase the accuracy of diagnosis bydeveloping a highly sensitive diagnosticDNA probe that specifically detects T. foetus in samples from infected cattle.Inthis report, we describethe evaluation of a 0.85-kb T.
foetus
DNA probe which was developed by identifyingconserved sequences in DNAs fromdifferent T. foetusisolates and clonedintoaplasmidvector.Inaddition, amore sensitivemethod ofparasite
detection withspecific
primers selected from the probe sequence to amplify T. foetusDNAbyPCRis described.MATERIALSANDMETHODS
Parasite cultivation. T. foetus isolates from California (isolates
Dl,
RE2, and NA4) (6), Idaho (isolates RE20, RE23, andRE24), Nevada(isolates RE19), andCosta Rica (isolates CR1, CR2, CR3, CR4, CR5, and CR6) (31) were cultivated inDiamond's medium(12) supplementedwith5% heat-inactivated bovine serum at 37°C. Trichomonas vagi-nalis isolates TO15 and T048(kindly
provided by John Alderete, Health Science Center, UniversityofTexas, San Antonio)were grown in Diamond's mediumwith 8% heat-inactivated horse serum at 37°C. Testsamples were taken duringthelogarithmic phase ofgrowth, and the number of98
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parasites
was determined bydiluting aliquots
withphos-phate-buffered
saline(PBS; pH 7)
andcounting
ina hemo-cytometer(x
100magnification) by using
alight microscope.
Specimen
collection.Smegma samples
from 10infected and 2 uninfected bulls were collected by insertion of a sterile 24-in.(61-cm)
uterine infusionpipette through
thepreputial
orificetothefornix of theprepuce. The prepucewasscraped
whileapplying
vacuumwith adisposable syringe. Smegma
samples
weremixedwith PBS(pH 7)
to atotal volume of1.5 ml. Onemilliliterofthe dilutedsmegmasample
was inocu-lated into culturemedium,
andthemixturewasincubatedat37°C.
Parasitegrowth
was determinedby observing
the culturewith aninvertedmicroscope
every 24 h for7days.
Another200-,ul aliquot
of eachsample
was used for DNA isolation and slot blotanalyses.
Bulls were classified asinfected ifany
samples
were culturepositive,
because T.foetus
causespersistent
infections in bulls(4). Smegma
samples
collected fromhealthy
bulls thatweredeterminedto be uninfected on the basis of at least three consecutivenegative
culturesamples
were usedasdiluent insensitivity
testsandas
negative
controls.Preparationof DNA forSouthernand slot blot
analyses.
T.foetus
and T.vaginalis
DNAswereprepared
as describedpreviously (36),
withslight
modifications.Briefly,
1 x 108 cells in thelogarithmic phase
ofgrowth (1
x 106 to 2 x106/ml)
wereharvestedby centrifugation
at4,000
xg for 10 min. Cells were washed twice with PBS(4°C)
and wereresuspended
in5 ml of NETbuffer(100
mMNaCl,
10 mMEDTA,
10 mM Tris[pH 8]).
Sodiumdodecyl
sulfate(SDS)
wasaddedto afinal concentration of0.2%
(wt/vol),
and the solution was mixedgently
before the DNAwas extracted once each with anequal
volume ofphenol,
a mixture ofphenol-chloroform
(1:1;
vol/vol),
and then chloroform. Two volumes of ice-cold95%(vol/vol)
ethanol and0.1volumeof 3 Msodiumacetate wereaddedtoprecipitate
the DNA. The DNApellet
obtained aftercentrifugation (12,000
xgfor 20 minat4°C)
wasrinsed with70%(vol/vol)
ethanol,
airdried,
and dissolved in 200 pl ofTE(pH 8)
buffer. DNase-free RNase(GIBCO
BRL,
Gaithersburg, Md.)
was added to a final concentration of 50,ug/ml,
and the mixture was incu-bated at37°C
for 30 min. Proteinase K(GIBCO BRL)
was then added to a final concentration of 100p,g/ml,
and the mixture was incubated at37°C
for 45 min. DNA was extractedwithphenol, phenol-chloroform (1:1;
vol/vol),
and chloroform as describedabove,
andthe DNAwas precipi-tated with 2 volumes of95%(vol/vol)
ethanol and0.1volume of3Msodiumacetate.The DNApellet
wasrinsed with70%(vol/vol)
ethanol,
airdried,
and dissolved in 200pLI
ofTE buffer. An averageyield
of100 pg of DNAwasobtainedby
thisprocedure.
DNAwasprepared
from bovinethymocytes
(kindly provided
by Jeffery Stott, University
ofCalifornia,
Davis)
asdescribedpreviously (8).
Acinetobacter
calcoaceticus, Campylobacter fetus
var.veneralis, Corynebacterium
pyogenes, Enterobacter aero-genes, Escherichia coli,Haemophilus
somnus, Moraxellabovis, Staphylococcus
epidermidis, Staphylococcus
sapro-phyticus,
Streptococcus
lactis,
andStreptococcus
viridans(kindly provided by Veterinary
MedicineTeaching HospitalDiagnostic
Laboratory, University
ofCalifornia,
Davis)were cultivated
by
standard methods(9, 49).
Cells were harvested in thelogarithmic growth phase,
andgenomic
DNAwasprepared
asdescribedpreviously (13).
Restriction enzyme digestion and doning. The genomic DNAs of T.
foetus
isolates from various geographic loca-tionsweredigested
witheitherHindIII, EcoRI, HaeIII, or Sau3Arestriction endonucleaseaccording
to themanufac-turer's instructions (GIBCO BRL). Digested DNA frag-ments wereseparatedon a1.4% (wt/vol) agarosegel(FMC Bioproducts, Rockland, Maine) inTBE(45mMTris-borate, 1 mM EDTA) at 40 V for 17 h. Gels were stained with ethidium bromide(0.5 ,g/ml) and photographed under UV illumination. Aprominentband of 0.85 kbpresentin HindIII digests of the genomic DNAs of all T. foetus isolateswas excised fromagarosegelsandpurified by usingaGeneclean kit (Bio 101, Inc., La Jolla, Calif.). The purified sequence wasligated into the HindIII site of the plasmidvectorpUC19 by established methods (37). The ligated recombinant plas-midswereintroduced intocompetentE. coli JM83cells,and individual transformants were selected after growth ofthe cells onLuriabroth (LB)agar plates containing ampicillin and
5-bromo-4-chloro-3-indolyl-13-D-galactopyranoside
(37). Southern blot hybridization. Restriction fragments sepa-ratedon 1.4% agarosegelsweredenatured and transferred ontonylon membranes (Hybond-N; Amersham Corp., Ar-lington Heights, Ill.) by Southern blotting as described previously(43).DNAwascross-linkedto anylon membrane byusingaStratalinker UV crosslinker(Stratagene,LaJolla, Calif.). Small-scale preparations of plasmid DNAwere ob-tainedby the alkaline miniprep method (37). The recombi-nant plasmid pUC19 was digested with HindIII, and the 0.85-kb fragmentwas recovered by usingan NA45 DEAE membrane following the manufacturer's recommendation (Scheicher&Schuell, Keene, N.H.).The0.85-kb fragment was labeled with[a-32P]dCTP
(3,000Ci/mmol)
by using a RandomPrimers DNALabeling System (GIBCO BRL) and was hybridized to nylon membranes (Amersham Corp.) containing restrictionendonuclease-digested
T. foetus DNAs (37). Southern hybridization was carried out over-nightin a Sx Denhardt's solution containingSx SSC(20x SSC is 0.3 M sodium citrate[pH
7.0] and 3 M sodium chloride), 50% formamide, salmon testis DNA (100 ,ug/ml), 0.5%(wt/vol)
nonfat dry milk, and 0.1% (wt/vol) SDS at 42°C. Membraneswerewashedtwice in4x SSC-0.1%SDS for 15min at room temperatureandwerethen washedtwice inlx SSC with0.1% SDS for 30min at50°C. The autorad-iographswere exposedtoX-Omatfilm(Kodak, Rochester, N.Y.)with intensifying screens(DuPont Lighting Plus) for 24 to 72 h at -70°C.Slotblot
analyses.
Thespecificity
of theprobewas tested by hybridizationtoslot blots of DNAsfrom variousbacteria (5 ,ug),bovinethymocytes (5p,g),
T. vaginalis(5
pg),
andT. foetus (1pg).
DNAs werepermanently boundedontoBA-S 85 nitrocellulose membranes by heatingat80°C for30 min under vacuum according to the manufacturer's specifica-tions (Scheicher & Schuell) and were hybridized with the[a-32P]dCTP-labeled
probeasdescribed above.Probe sensitivity was evaluated by hybridization of the
[a-32P]dCTP-labeled
probe to DNAprepared from known numbers of invitro-cultivated T.foetus mixed withsmegma samples from healthy, uninfected bulls. Spiked smegma samples(200 ,ul) containing various numbersof T.foetus(103
to107)weremixedwith 2x NETbuffer(200 ,ul),proteinase K(200p,g/ml),
and0.2%(wt/vol) SDS; incubatedat65°C for 15 min; and then extracted once with phenol, phenol-chloroform (1:1; vol/vol), andchloroform. DNAs were pre-cipitatedwith95%(vol/vol)ethanol and dissolved in 10p1
of TEbuffer.Clinicalspecimens, negativesmegma controls(no parasite DNA),andnegativebuffercontrols(no DNA)were processed bythe sameprocedure (36).Selection and synthesisofprimers.Plasmid DNA contain-ingtheprobewaspurifiedon a CsCl gradientas described previously (37) and was sequenced bythe double-stranded
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DNA
dideoxynucleotide
chain-termination sequencing method(38)
withaSequenasekit(Version
2.0; UnitedStatesBiochemicals, Cleveland, Ohio). Aliquots
of 3 to 5 ,g ofplasmid
DNAwereused for each reaction. The autoradio-graphs were developed at -70°Cfor 2 to 4 days. Oligonu-cleotideprimers
TF1(5'-CATTATCCCAAATGGTATAAC-3')
and TF2(5'-GTCATTAAGTACATAAATTC-3')
andaninternal
probe
sequence(5'-CATCATITAATGCCTIl7TG
ATGGATCAGGCAACCATTI'ATA-3')
were synthesizedby
using
aCyclone
Plus DNASynthesizer
(MilliGen/Milli-pore,Bedford, Mass.). Oligonucleotide
productswere puri-fied withOligo-Pak synthetic oligonucleotide
purification columns as recommended by the manufacturer(MilliGen/
Millipore).
Preparation of DNAsamples forPCR. (i) Spiked smegma and culture samples. To test the
sensitivity
of the PCR detection system,various numbers ofinvitro-cultivated T.foetus (1, 5,
and 10parasites)
were mixed with 100-plI smegmasamples
from uninfected bulls. DNAwas isolatedby
therapid
DNAextractionprotocol by using
anIsoQuick Nucleic Acid Extraction kit(MicroProbe
Corp., GardenGrove,
Calif.).
Nucleic acidpellets
weredissolvedin RNase-freewaterforPCR.Negative
smegmacontrols(noT.foetus)were includedineach
experiment.
Toinvestigate
theeffect ofsmegmasamples
on thesensitivity
ofthe system, culti-vated T.foetus
cellsweremixed with100pIoffreshculturemedium,
and DNAwas isolatedasdescribed above.(ii)Freshclinical smegmasamples. Smegma samplesfrom infected and uninfected bulls were collected as described above. About 500 pIofeachsmegma
sample
wasinoculated into Diamond's medium and observeddaily
in a separatelaboratory
(that
ofR.H.B.)
forparasite growth.
Another500 ,u of thesample
wascentrifuged
at4,000
x gfor 5 minat room temperature. The supernatant wasremoved, leaving
100pl ofsample
forDNAextractionby using
theIsoQuick
NucleicAcid Extraction kit(MicroProbe Corp.). Briefly,
the cellpellet
wasresuspended
andmixed with 100 ploflysis
solution-700 ,u of extraction matrix-400 ,u of extraction buffer. Eachsample
was vortexed for 10s andwascentri-fuged
at12,000
x g for 5 min. The aqueousphase
was removed and mixed withequal
volume of ice-coldisopro-panol
and0.1 volume of sodiumacetate toprecipitate
DNA at-20°C
for 2 h orovernight
for convenience. The DNApellet
obtainedby centrifugation
(12,000
xgfor 10 minat4°C)
was rinsed with 70%(vol/vol)
ethanol,
airdried,
and dissolved inRNase-freewaterfor PCR(MicroProbe Corp.).
(iii)
Bacteria samples. Borreliaburgdorferi
DNAsamples
(isolates
from Texas andDenmark)
were obtained from R.B.L. Escherichia coli(isolates
DH5a andT9100889),
Pasteurella multocida(isolate
P1059),
andSalmonella typh-imurium(isolates
845 and1033)
DNAsamples
were agift
kindly provided by Dwight
Hirsh(University
ofCalifornia,
Davis).
Amplification
byPCR andproductdetection. DNA ampli-fication wascarried outina totalvolume of 50 ,uby
using
either the DNAsample
obtained from clinical orspiked
smegmasamples,
250to300 ng ofbacterialDNA,
or100 ng ofbovine cell DNA. The reaction mixture contained 10 mM Tris-HCl(pH 9.0),
50 mMpotassium chloride,
0.1% TritonX-100,
1.25 mMmagnesium chloride,
200,uM
(each)
deox-ynucleoside triphosphates,
0.384p,M
primer TF1,
and 0.365p,M
primer
TF2. Afterprecycle
denaturation at94°C
for 4 mintoreducenonspecific amplification (29),
1.25 U ofTaq DNApolymerase (Promega Corp., Madison, Wis.)
was added and the mixturewasoverlaidwith 50RI
ofmineraloil.Amplification
wasperformed
in a DNA ThermalCycler
(Perkin-Elmer CetusCorp., Norwalk, Conn.) for 41 cycles, asfollows: denaturation at94°C for 1 min, annealing at 45°C for 1min,and extensionat72°C for 2 min. The last cycle was givenaprolonged extension period of 7 min. Positive (100 ng of the 0.85-kb probe) and negative reagent controls were included with each batch oftestsamples. To avoid carryover of contaminating nucleic acids which may result in false-positivereactions(25, 32), the pre-PCRsample preparation, mixingofPCR reagents withthe samples,and thefinalPCR thermalcyclereactionswereperformed in separate labora-tories(24, 30).
After amplification, 5 ,ul of each sampleor a BioMarker Low
(BioVentures,
Inc., Murfreeboro, Tenn.) DNA size standard was mixed with 1pl
of 6x loading dye and the mixturewas electrophoresedon a 3%Nusieve 3:1 agarose gel (FMC Bioproducts). Thegelwas stained ina0.5-p,g/ml
ethidium bromide solution for 30 min and was observed for the presence ofamplification products under UV illumina-tion. Amplification productswere denatured in thegel and weretransferredtonylon membranes (Amersham Corp.)by Southern blotting as described previously (37). DNA was cross-linked to a nylon membrane by using a Stratalinker UV crosslinker (Stratagene, LaJolla, Calif.).Prehybridiza-tion, preparation
ofthe labeled internalprobe, and hybrid-ization were performed as recommended by the manufac-turerofthe Enhanced Chemiluminescence 3'-Oligolabeling andDetectionSystems(Amersham).Labeledinternalprobe wasaddedto afinalconcentrationof 10ng/mlof hybridiza-tion solution, and the mixture was incubated overnight at50°C
with gentle agitation. After hybridization, the mem-branes were washed twice for 5 min each time at room temperature in Sx SSC-0.1% (wt/vol) SDS and were then washed twice for 15 min eachtimeat60°Cin0.1xSSC-0.1%(wt/vol)
SDS. Membrane blocking, antibody incubations, andsignal generation
and detection were performed as describedby
themanufacturer. Membraneswereexposedto Kodak X-Omat film for 3to10 min.RESULTS
Restriction enzyme digestion and Southern hybridization. Restriction
endonuclease-digested
DNAs from different T.foetus
isolateswereanalyzed,
and bands thatwerepromi-nentand conserved among all of theisolateswereidentified
as candidate T.
foetus probes.
Restriction fragment lengthpolymorphisms
were discerniblewhen DNAs of T. foetus isolates from California(Dl,
RE2, andNA4),
Idaho(RE20,
RE23,
andRE24),
Nevada(RE19),
and Costa Rica (CR1,CR2,
andCR3)
weredigested
withHindIII,
EcoRI, HaeIII,orSau3A and the
fragments
wereseparatedon1.4%agarosegels (data
notshown).
Aprominent
band of 0.85 kb fromHindIII-digested genomic
DNAswhichwaspresentinall T.foetus
isolateswaspurified
and cloned intoplasmidvectorpUC
19.Figure
1illustrates thetypical
Southernblot hybrid-izationpatterns
observed whenEcoRI-digested (lane 1)
andHindIII-digested
(lane 2)
T.foetus
DNAwashybridizedwith the radiolabeled0.85-kb T.foetus
sequence. Theautoradio-graph
showed that the probehybridized
to a0.85-kbfrag-mentin
HindIII-digested
DNA(lane 2)
aswellas tomultiple
fragments
athigher
molecularmassesin bothdigests.
Thesehybridization
patternsindicated that this may bearepetitive
sequence
in the T.foetus
genome.Specificity
test of theprobe by
slotblothybridization.
To evaluate thespecificity
of theprobe,
the radiolabeled0.85-kb DNAprobe
washybridized
toslotblots of DNAsprepared
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1 2 3 4 5 6 7 8 9 10 11 12 13 14
A
B
I I
I I
FIG. 3. Sensitivity test ofT. foetus probe by hybridization to slot-blotted DNAs of spikedand clinicalsmegmasamples. Al and Bi, 103 T. foetus; A2andB2,104T.foetus;A3 andB3,
10'
T.foetus; A4 andB4, 106 T. foetus; A5 andB5, 107T. foetus; A6, negativesmegmacontrol;A7,1agof T.foetusDNA; A8,0.85-kbprobe; A9 to A14 and B9to B12, smegma samples from T. foetus-infected bulls;B13 andB14,smegmasamplesfromhealthy,uninfectedbulls; B6 andB8, negativebuffer control(noDNA); B7, bovine thymo-cytes.
FIG. 1. Southern blot of EcoRI or HindIII-digested T. foetus DNAhybridizedwitharadiolabeled0.85-kb T.foetus probe.Lanes:
1, T.foetusDl DNAdigestedwithEcoRI; 2, T.foetusDl DNA digested with HindIII. Molecular sizes are indicated on left (in kilobases).
from T. foetus (isolates Dl, RE19, CR1, CR2, CR3, CR4, CR5, CR6), T. vaginalis (isolates T015 and T048), bacteria (Acinetobacter calcoaceticus, Campylobacter fetus var.
veneralis, Corynebacteriumpyogenes, Enterobacter
aero-genes, Escherichia coli, Haemophilus somnus, Moraxella bovis, Staphylococcus epidermidis, Staphylococcus
sapro-phyticus, Streptococcus lactis, Streptococcus viridans), bo-vinethymocytes, negative buffer controls (no DNA), anda
positive control (0.85-kb probe). Figure 2 shows that the probehybridizedtoDNAs of T.foetus isolates from various geographicareas(AltoA8)butnot toDNAsof T.vaginalis (A9 andA10),bovinethymocytes (All),ordifferent bacteria (BltoBll).
1 2 3 4 5 6 7 8 9 10 11 12 13
A
B
FIG. 2. Specificity test of T. foetus probe hybridized to slot-blottedDNAs oftrichomonads, bacteria, and bovinecells.Al, T. foetus Dl; A2, T.foetus REl9;A3, T.foetus CR1; A4, T.foetus CR2; AS,T.foetus CR3;A6,T.foetus CR4; A7,T.foetusCR5; A8, T.foetus CR6; A9, T. vagmafis T048; AlO,T.vaginalisTOlS;All,
bovinethymocytes; Bl,Acinetobacter calcoaceticus; B2, Campy-lobacter fetusvar.veneralis; B3,Corynebacteriumpyogenes; B4,
Enterobacter aerogenes; B5, Escherichia coli; B6, Haemophilus
somnus;B7,Moraxellabovis; B8, Staphylococcus epidermidis; B9, Staphylococcus saprophyticus; B10, Streptococcus lactis; Bll, Streptococcus viridans; A12, A13,andB12,negativebuffercontrols (no DNA); B13, positivecontrol(0.85-kbprobe).
Sensitivity
test of the probe by slot blot hybridization. Repeated experiments were conductedto determine probe sensitivity by hybridization of the radiolabeled 0.85-kb probe tosmegmasamples spiked with various numbers of T. foetus parasites. Figure 3 shows that theprobe
reliably detected DNAfrom 107 (A5 and B5) and10'
(A4 and B4) T.foetus organisms. The minimumnumberofparasitesdetectableby this methodwas105
(A3andB3) organisms. The DNA probewasfurther usedtoanalyzeclinicalsmegmaspecimensfrom 10 infected (Fig. 3, A9 to A14 and B9 to B12) and 2 uninfected(Fig.3, B13 and B14) bulls. The probeshowedno
reactivity with the clinical specimens under these experi-mental conditions.
PCR amplification of T. foetus DNA. To improve the sensitivity of the detectionsystem, theprobesequencewas
usedtoidentifytwooligonucleotide primers(TF1andTF2) anda162-bptargetsequenceforaPCR-basedamplification system. By using theseprimers, PCR products of
approxi-mately 162 bpwere amplified from the DNAs ofall nineT.
foetus isolates from California, Nevada, Idaho, and Costa Rica (Fig. 4A, lanes 2 to 10). No PCR products were
produced with DNAs from the different bacteria tested(Fig. 4B, lanes 2 to 8). Bovine cell DNA had an amplification
product of approximately 400 bp (Fig. 4B, lane 9). Multiple amplification productswereobtained with T. vaginalis DNA
(Fig. 4B, lane 10), and thesewere easily distinguished from thePCRproducts produced with T. foetus DNA (162 bp)or
the 0.85-kb probe controls (Fig. 4A and B, lanes 11). In repeatedexperiments, amplification productswerenot
pro-duced withanyofthenegativereagentcontrols(Fig. 4Aand B, lanes 12to14). Only the amplification products produced with T.foetus DNAs (Fig. 4C, lanes 2to10) and the 0.85-kb probe controls(Fig. 4C and D, lanes 11) showed hybridiza-tionsignals with the chemiluminescent internal probe.
Totest thesensitivity of the PCR detection system, 1:10 serial dilutionsofcultivated T.foetus parasiteswere added tosmegmasamples from uninfected bulls. All sampleswere
tested intriplicate in repeated experiments. PCR amplifica-tionproductswereobserved inanethidiumbromide-stained
gel from all three samples containing 10 T. foetus, one of three samples containing 5 T. foetus, and one of three samples containing 1 T.foetus (Fig. 5A, lanes2 to 10). No amplification product was produced from smegma sample controls(Fig. 5A,lanes 11to13).To determine the effect of smegmaonthesensitivity of the PCR detectionsystem,1:10 serial dilutions ofT.foetus parasites wereadded toculture
12
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1 2 3 4 5 6 7 8 9 1011121314 1 2 3 4 5 6 7 8 9 1011121314
A
1000-
700-
500- 400-
300- 200-
100-
50-FIG. 4. Specificityof T.foetusdetectionby PCR amplification of T.foetus,T. vaginalis, bacteria, and bovine cell DNAs. Amplifica-tionproductswereelectrophoresedon a3%Nusieve 3:1agarosegel
stained with ethidium bromide (A and B) and hybridized to a
chemiluminescentinternalprobe (CandD). (A)Lanes: 2to10,T. foetus Dl, NA4, RE19, RE20, RE23, RE24, CR1, CR2, and CR3, respectively; 11,0.85-kbprobe control; 12to14, negativereagent
controls. Molecularsizesareindicatedonthe left(inbasepairs). (B) Lanes: 2 and 3, Borrelia burgdorferi isolates from Texas and Denmark, respectively; 4 and 5, Eschenichia coli DH5a and T9100889, respectively; 6, Pasteurella multocida P1059; 7 and8, Salmonellatyphimurium845 and1033,respectively;9,bovinecells; 10,T.vaginalis; 11,0.85-kbprobe control;12to14, negativereagent
controls. Molecular sizesareindicatedontheleft(inbasepairs).
medium. The resultshowed that in the absence ofsmegma,
amplification products could be produced fromoneT.foetus
organism (Fig. 5B, lanes 8 to 10). Thus, substances in the
smegma maybe responsible for the inhibitionofTaqDNA polymerase orthethick, mucus-like smegma mayinterfere with DNA isolation and thereby reduces the sensitivity of thetest.
1 2 3 4 56 7 8 91011121314 1 2 3 4 5 6 7 8 91011121314
C
D
FIG. 5. Sensitivity of T. foetus detection by PCR of spiked
smegmaand culturedsamples. Amplification productswere electro-phoresedon a3% Nusieve 3:1agarosegel stained with ethidium bromide(AandB)andhybridizedtoachemiluminescent internal probe (CandD).(A)Lanes: 2to4,10 T.foetusaddedtosmegma
samples;5to7,5T.foetusaddedtosmegmasamples;8 to10,1T. foetusaddedtosmegmasamples;11 to13,smegmasample-negative controls; 14,0.85-kbprobecontrol. Molecular sizesareindicatedon
the left(in basepairs). (B)Lanes: 2 to 4, 10 T.foetusinculture medium;5to7,5 T.foetusinculturemedium;8to10,1 T.foetusin culture medium; 11 to 13, culture medium-negative controls; 14, negativereagentcontrols. Molecular sizesareindicatedonthe left
(inbasepairs).
B
700-
500- 400-
300-
200-1 2 3 4 5 6 7 8 91011121314
100-FIG. 6. Detection of T. foetus in clinicalsmegma samples by
PCR amplification. Amplification productswereelectrophoresedon a3% Nusieve 3:1agarosegelstainedwithethidium bromide (A) and hybridizedtoachemiluminescentinternal probe (B). (A)Lanes:2,
3, 5, 6, 8, and 10, smegma samples from infectedbulls showing amplificationof T.foetusDNAby PCR;4 and7,smegmasamples from uninfectedbulls; 9,smegmasample from infected bull withno
detectable PCR amplification product; 11, bovinecell DNA; 12, 0.85-kbprobe control;13and14, negativereagentcontrols. Molec-ular sizesareindicatedonthe left(in base pairs).
Detection of T.foetus in clinical smegma samples byPCR
amplification. Smegmasamples from 10 infected bulls and 2 healthy uninfected bulls were collected weekly and
evalu-atedby PCR andby in vitro cultivation for the presenceof
parasites. The PCR detectionsystemidentified 39 of the 44 samples from infected bullsaspositive, whereasnoparasite
DNA was amplified from the other 5 samples from the
infected bullsor anyof the 8samples from uninfected bulls (Fig. 6). Nofalse-positive sampleswerereported by the PCR
detection system. In vitro cultivation andmicroscopic
ex-amination of aliquots from the same samples revealed T. foetus parasitesin36 of the44samplesfrom infected bulls. Parasites were not detected in eight of the samples from infected bulls orin theeight samples from uninfectedbulls. Thesamples from infected bulls thatwerenegative by PCR were different from those thatwereparasite negative after
cultivation andmicroscopic examination.
DISCUSSION
Accurate diagnosis is essential for the prevention and control of bovinetrichomoniasis,particularlyinthe absence ofanapprovedtreatmentmethod(4)or acompletely effica-cious vaccine(6, 19, 23, 39). Currently,adependable immu-nologicaltestfor bovinetrichomoniasis isnotavailable (50). Cultivation and microscopic examination are the standard
methods used for the diagnosis of T. foetus infection in cattle. Thetechniqueisspecific;however,it is time-consum-ing and lackssensitivity (15, 41, 42). Developmentofhighly sensitive and specific DNA probes was undertaken as a means ofimproving the diagnosis of T.foetus. The 0.85-kb A
1000-
700-:9=
300-
200-
1w-
50-B
1000-
700-48=
300- 200- 100-
50-C
D
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sequence was selected as the best candidate probe on the basis of its specificity for the parasite and no cross-reactivity with bovine cell DNA or DNAs from pathogenic and non-pathogenic bacteria which inhabit the bovine reproductive tract (9, 49).
Although the 0.85-kb probe was highly specific for T. foetus, the sensitivity of the system was limited to the
detection of 105 T. foetus organisms. To overcome this problem, we used PCR technology, similar to that which has been used for the improved diagnosis of other pathogenic protozoa (3, 18, 33, 35). The application of this technology allowed for the reliable detection of a single T. foetus organism in culture medium or 10 T. foetus organisms in spiked smegma samples. The PCR system amplified the DNAs of T.foetus isolates from different geographic areas. In addition, the system amplified T. vaginalis DNA to produce a unique amplification product pattern which was easilydistinguishedfrom that produced with T. foetus DNA. Riley et al. (35) reported that notable genomic differences exist among T. vaginalis isolates, and not all PCR primer pairs in their study amplified products with the same inten-sity. Therefore, the TF1 and TF2 primers should be further evaluated to determine their usefulness in the detection of different T. vaginalisisolates.
In the initial development of the PCR-based detection system for T.foetus,weattempted to use an easy method of sample preparation by heating samples at 97°C for 15 min during the precycle denaturation step (20). Unfortunately, noPCRamplification productswereobtainedbythis method with known infected bull samples or culture-derived para-sites (data not shown). This may be because trichomonads, such as T.foetus and T. vaginalis, contain relatively large amounts ofendogenous nucleases which digest their DNAs completely in a short period oftime after cell lysis occurs (26, 28, 47, 48). Therefore, afast, easy, and reliable method for samplepreparationwas needed to isolate intact genomic DNAfromtrichomonads. Previously described methods for theisolationoftrichomonad DNA are effective (34, 36, 48), but time-consuming. With the rapid procedure (IsoQuick Nucleic Acid Extraction kit) used in our study, large num-bers ofsamples can behandledsimultaneously. DNA isola-tion is reliable and easy to perform by using guandinium thiocyanate in the lysis solution to inhibit nuclease activity and anorganic extractionmatrix to remove protein and cell debriswithoutusing phenol orchloroform.
This is the first report of aPCR-basedamplification system for the detectionof T.foetus infectionsin cattle. Speer and colleagues (44, 45) previously reportedthedevelopment of a T. foetus-specific DNA probe. However, a recent compari-son of different diagnostic methods showed that this DNA probelacks thesensitivityneeded for theeffective diagnosis of bovinetrichomoniasis (2).
In a comparison ofthe PCR-based system with in vitro cultivation, neither system showed 100% sensitivity in de-tecting T. foetus in clinical samples from infected bulls. Although a single T. foetus trophozoite was detected with the PCR-basedamplification system,testsensitivitymay be lower because of inhibition of Taq DNA polymerase by inhibitors (16, 17, 20) in the bovine smegma that are not removed in theprocess of DNAisolation. Thesensitivityof the cultivation method may be restricted by a lack of sufficient numbers of viable parasites in some smegma samples that are able to adapt to culture and grow to detectable numbers. Overall, the PCR-based T. foetus de-tection system appearsto be highly specific and at least as sensitive as thecultivation method,with theadvantage that
this molecular method can accommodate a large number of samples, is easy to perform, and can be performed relatively quickly. The total time required for sample collection, DNA isolation, and visualization of an amplification product on an ethidium bromide-stained gel was 1 working day. Confirma-tion of T. foetus-specific amplification products by hybrid-ization with the chemiluminescent
internal
probe could be completed onthe next day. Therefore, bystandardizing the method of smegma collection and processing, the PCR detection system described here may provide apowerful,
efficient, and reliable alternative method for detecting T. foetus infections in cattle.ACKNOWLEDGMENTS
This work was supported by grants from America Veterinary Medical Association Foundation, California Cattlemen's Associa-tion, LivestockDisease Research Laboratory at the University of California at Davis, and U.S. Department of Agriculture Formula Funds.
We are grateful for the excellent technical support of William Innes, Marcello Schonmann, Wendy Baltzer, Cassandra Kachulis, John Thomford, Robin Houston, and David Ferrick. We also thank Ana Ortuno, John Alderete, Jeffery Stott, and Dwight Hirsh for various parasite and DNA samples. M.S.Y.H. thanks T. Y. Lai for superb support and help in manuscript preparation.
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