Pathogenic and Virulence Factor Detection on Viable but Non-culturable Methicillin-Resistant Staphylococcus aureus

Hua Jiang1, Kan Wang2, Muxia Yan1

  • 1Department of Haematology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.

Insights

A new method, PMA-CPA, can detect toxins from methicillin-resistant Staphylococcus aureus (MRSA) in viable but non-culturable (VBNC) states. This advancement improves food safety by identifying pathogens missed by standard detection methods.

Area of Science:

  • Food Safety and Microbiology
  • Molecular Diagnostics
  • Public Health

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) is an emerging foodborne pathogen, posing significant public health risks.
  • Conventional methods for MRSA detection often fail to identify viable but non-culturable (VBNC) cells, limiting accurate food safety assessments.
  • Existing diagnostic standards struggle to detect MRSA in its VBNC state, necessitating advanced detection techniques.

Purpose of the Study:

  • To develop a sensitive Cross-Priming Amplification (CPA) method for detecting key MRSA virulence genes (sea, seb, pvl).
  • To establish a rapid and accurate method for detecting MRSA in the VBNC state using Propidium Monoazide (PMA) combined with CPA (PMA-CPA).
  • To validate the efficacy of the PMA-CPA assay in real-world food samples.

Main Methods:

  • Development of CPA assays targeting staphylococcal enterotoxin A (sea), staphylococcal enterotoxin B (seb), and Panton-Valentine leukocidin (pvl) genes.
  • Establishment of a Propidium Monoazide-Cross-Priming Amplification (PMA-CPA) assay for detecting viable MRSA cells, including those in the VBNC state.
  • Comparative analysis of PMA-CPA against conventional PCR and VBNC confirmation methods using analytical sensitivity tests and real samples.

Main Results:

  • CPA assays demonstrated high analytical sensitivity with limits of detection (LOD) of 75 ng/μl for sea, 107.5 ng/μl for seb, and 85 ng/μl for pvl.
  • The PMA-CPA method exhibited superior rapidity, sensitivity, specificity, and accuracy compared to standard PCR assays for VBNC cell detection.
  • PMA-CPA showed 100% accordance with conventional VBNC confirmation methods, successfully detecting MRSA toxins in the VBNC state in real samples.

Conclusions:

  • Three CPA assays were successfully developed for detecting critical MRSA virulence genes.
  • The PMA-CPA assay is a highly effective tool for detecting MRSA virulence gene expression in the VBNC state.
  • This study presents the first demonstration of detecting MRSA toxins in VBNC cells, offering a significant advancement for food safety diagnostics.

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