Fluorescence spectroscopy: a rapid tool for assessing tetracycline resistance in Bifidobacterium longum Mohammed Salim Ammor, Ana Belén Flórez, Abelardo Margolles, and Baltasar Mayo Abstract: The tetracycline uptake kinetics of 35 Bifidobacterium longum strains isolated from the human gastrointestinal tract were examined by fluorescence spectroscopy, and the suitability of the technique as a screening tool of tetracycline resistance or susceptibility was determined. The strains were first grouped into three classes based on their corresponding minimum inhibitory concentrations (MICs) of tetracycline, as established by the microdilution method: susceptible (MICs ≤1 µg mL–1), semi-resistant (MICs between 1 and ≤32 µg mL–1), and resistant strains (MICs ≥32 µg mL–1). The kinetics of tetracycline uptake for the strains in each resistance group were then analyzed over a 20 min period by fluorescence spectroscopy (absorbance wavelength 524 nm, excitation wavelength 400 nm) in a buffer system containing 100 µg mL–1 tetracycline. Principal component analysis and factorial discriminant analysis of the results showed excellent distinction among susceptible, semi-resistant, and resistant strains. The proposed method provides a powerful and convenient means of rapidly screening tetracycline resistance in B. longum. Key words: fluorescence spectroscopy, Bifidobacterium longum, antibiotic resistance, tetracycline uptake, multidimensionaldata analysis. Résumé : Les cinétiques d’absorption de la tétracycline chez 35 souches de Bifidobacterium longum isolées du tractus gastro-intestinal humain furent examinées par spectroscopie à fluorescence et la performance de cette technique comme outil de criblage de la résistance ou susceptibilité à la tétracycline fut déterminée. Les souches furent d’abord groupées en trois classes selon leurs concentrations inhibitrices minimales (CMI) à la tétracycline correspondantes telles que déter- minées par la méthode de microdilution: souches susceptibles (CMI ≤1 µg mL–1), semi-resistante (CMI entre 1 et
≤32 µg mL–1) et résistantes (CMI ≥32 µg mL–1). Les cinétiques d’absorption de la tétracycline pour les souches danschacun des groupes de résistance furent par la suite analysée sur une durée de 20 minutes par spectroscopie à fluores-cence (longueur d’onde d’absorbance de 524 nm, longueur d’onde d’excitation de 400 nm) dans un système tamponnécontenant 100 µg mL–1 de tétracycline. Une analyse des composantes principales et une analyse factorielle du discrimi-nant des résultats ont démontré une excellente distinction entre les souches susceptibles, semi-résistantes et résistantes. Laméthode proposée fournit un moyen performant et pratique pour cribler rapidement la résistance à la tétracycline chezB. longum. Mots clés : spectroscopie à fluorescence, Bifidobacterium longum, résistance aux antibiotiques, absorption de la tétracycline,analyse multidimensionnelle des données. Introduction
level as growth promoters in animal feeds (Wegener 2003). However, this intensive and extensive use has caused tetra-
Tetracyclines were discovered in the 1940s and shown to
cycline resistance to spread to a large number of commensal,
have activity against a wide range of microorganisms, including
opportunistic, and pathogenic bacteria (Chopra and Roberts
Gram-positive and -negative bacteria, chlamydiae, myco-
2001; Roberts 2005). This resistance is mostly acquired by
plasmas, rickettsiae, and even protozoan parasites (Chopra
the horizontal transmission of genes coding for energy-
and Roberts 2001). These antibiotics have been extensively
dependent efflux systems or for proteins that protect the bac-
used in the prophylaxis and treatment of human and animal
terial ribosomes from the blockage of protein synthesis (Chopra
infections. They have also been used at the subtherapeutic
Bifidobacterium longum is among the dominant bifido-
bacterial species of the human gastrointestinal tract (GIT)
Received 6 January 2006. Revision received 24 March 2006.
(Ventura et al. 2004), where it is thought to have several
Accepted 27 March 2006. Published on the NRC Research
health-promoting effects, including the prevention of diar-
Press Web site at http://cjm.nrc.ca on 29 July 2006.
rhea in antibiotic-treated patients, the reduction of choles-
M.S. Ammor,1 A.B. Flórez, A. Margolles, and B. Mayo.
terol levels, the alleviation of lactose intolerance symptoms,
Instituto de Productos Lácteos de Asturias (CSIC), Carretera
and the stimulation of the immune system (Ouwehand et al.
de Infiesto s/n, 33300 Villaviciosa, Asturias, Spain.
2002). Given these possible properties, this species is fre-
1Corresponding author (e-mail: ammor@ipla.csic.es).
quently used as a probiotic in dairy products or is included
Can. J. Microbiol. 52: (2006)
in dietary supplements (Tuohy et al. 2003). The selection of
Table 1. Mean inhibitory concentration (MIC) of
suitable strains for this purpose is difficult, however, since
tetracycline, as determined by microdilution using
the key characteristics necessary for survival and competi-
tion in the human GIT are poorly understood (O’Sullivan
2001). Nevertheless, agreement exists that the strains used in
food systems should be free of potentially transferable deter-minants of antibiotic resistance (European Commission 2001). Susceptible strains (MIC ≤1)
A few B. longum strains have already been characterized as
(Delgado et al. 2005; Moubareck et al. 2005), and at least
two tetracycline-resistant determinants in bifidobacterial
species — tet(W) and tet(M) — have been characterized
(Lacroix and Walker 1995; Scott et al. 2000). Thus, to avoid
the spread of resistance via probiotics, systematic checking
for antibiotic resistance (in particular to tetracycline) is es-
The antibiotic resistance or susceptibility profiles of bifido-
bacteria have been assessed by many methods, e.g., disk dif-
fusion (Matteuzzi et al. 1983; Charteris et al. 1998), agar
dilution (Lim et al. 1993), microdilution (Delgado et al.
2005), and the E-test (Charteris et al. 2001). However, more
robust methods would facilitate large-scale screening in the
Tetracycline fluoresces after excitation with light of at
least 400 nm. Therefore, fluorescence spectroscopy can be
used to monitor its uptake in bacterial cells, i.e., the influx
of the antibiotic from the external environment to the cell
interior. The aim of the present work was to use fluores-
cence spectroscopy to follow tetracycline uptake in strains ofB. longum with different mean inhibitory concentrations
Semi-resistant strains (1 < MIC < 32)
(MICs) for this antibiotic. The results show the suitability of
this technique as a screening tool of tetracycline resistance
Materials and methods Strains and growth conditions
The bacteria used in this study were 35 B. longum isolates
whose tetracycline MICs are known to be different (Delgado
Resistant strains (MIC ≥32)
et al. 2005) (Table 1). The B. longum type strain LMG
13197T was included as a control in all analyses.
Frozen bacteria were subcultured twice in De Man –
Rogosa – Sharpe (MRS) agar (Biokar Diagnostics, Beauvais,
France) containing 0.25% cysteine (Sigma Chemical, St.
Louis, Missouri, USA) (MRS+C) prior to performing the
assays. Isolated colonies were finally added to 10 mL of
*Test strains; all others were used to construct the model.
MRS+C broth and cultured at 37 °C for 48 h in an anaerobicchamber (MAC500; Down Whitley Scientific, West York-shire, UK) containing an atmosphere of 85% N2, 10% H2,and 5% CO2.
Darmstadt, Germany) were added (approximate final bacterialconcentration 1 × 106 cfu mL–1). One hundred microlitres
MICs of tetracycline
of this suspension was inoculated into each well of the
The MICs of tetracycline for the different strains were
Sensititre plates and incubated at 37 °C in anaerobic condi-
determined with the Sensititre Anaero3 commercial system
tions for 48 h. The growth of the strains was recorded by
(Trek Diagnostic Systems, East Grinstead, UK), following
the manufacturer’s recommendations. Briefly, colonies ofeach strain grown on solid media were used to make a 0.5
Fluorescence spectroscopy
McFarland suspension in Brucella Standard broth (TrekDiagnostic Systems, Cleveland, Ohio, USA), and 100 µL of
Sample preparation
this suspension was then transferred to 10 mL of the same
The strains were propagated in MRS+C agar for 24–48 h.
medium, to which haemin and vitamin K1 (Merck, VWR,
One colony was placed in 10 mL of MRS+C broth and incu-
Fig. 1. Spectra of tetracycline uptake kinetics recorded following excitation at 400 nm in dilute suspensions of Bifidobacterium longum L46 (solid line) (MIC < 1 µg mL–1), L42 (heavy grey line) (MIC = 16 µg mL–1), and H67 (broken line) (MIC = 256 µg mL–1).
bated overnight (16–18 h). Ten millilitres of fresh MRS+C
was added and incubation allowed to proceed for 10 min
was inoculated (2%) with this overnight culture on the fol-
(t5min–t15min); 20 mmol L–1 of glucose was finally added to
lowing morning. The optical density (OD) of each culture
energize the cells, and fluorescence was monitored for a fur-
was determined at 600 nm using a Kontron spectro-
ther 5 min (t15min–t20min).
photometer (Tegimenta AG, Rotkreuz, Switzerland). Whenan OD600 of 0.5 ± 0.1 was reached, 8 mL of the culture was
Mathematical analysis of data
centrifuged at 7000 r/min (1 r = 2π rad; 6800g) for 2 min.
The spectral data were analyzed using XLStat pro 7.5
Cells were washed twice with 2 mL of 50 mmol L–1 potas-
software (Addinsoft, Paris, France). Pearson principal com-
sium phosphate buffer containing 2 mmol L–1 MgSO4 and
ponent analysis (normed PCA) was performed to transform
2 mmol L–1 glucose (pH 7), and the pellet was resuspended
the large number of potentially correlated factors into a
in 0.5 mL of the same buffer. The volume of this suspension
smaller number of uncorrelated factors (i.e., principal com-
necessary to obtain a final OD600 of 0.5 was added to 2 mL
ponents) and thus reduce the size of the data set. This
of the buffer solution prior to the measurement of fluores-
multivariate treatment allows score plots of the samples to
cence. Three independent cultures were assayed for each
be drawn representing the spectral patterns (Bertrand and
Scotter 1992; Jollife 1986). Neighboring points on these scoreplots represent similar spectra. Fluorescence spectroscopy
The linearly independent principal components resulting
The fluorescence spectra of the bacterial samples were
from PCA were subjected to factorial discriminant analysis
obtained using a Cary Eclipse fluorescence spectropho-
(FDA) by examining the spectral fluorescence data. The aim
tometer (Varian, Sydney, Australia) equipped with a thermostat-
of this technique is to predict the likely belonging of an
controlled, right-angled, single cuvette holder. Samples (2 mL)
observation (spectrum data) to a previously defined qualita-
were placed in a Teflon® cuvette and the kinetics of tetracy-
tive group (Safar et al. 1994). Since the raw spectral data
cline uptake measured over 20 min (λExc = 400 nm, λEmi =
could not be used because of the strong correlations among
524 nm, slit width = 5 nm) at 37 °C. After a time period of
variables (the measurement times), the uncorrelated princi-
5 min of preincubation (t5min), 100 µg mL–1 of tetracycline
pal component resulting from PCA was employed. Fig. 2. Discriminant analysis similarity map determined with discriminant factors 1 and 2 for the spectral data of the different tetracy- cline resistance groups: ٗ, resistant strains (MIC ≥32 µg mL–1); ᭝, semi-resistant strains (1 µg mL–1 ≤ MIC < 32 µg mL–1); ᭺, susceptible strains (MIC < 1 µg mL–1). Results and discussion
fluorescence equilibrium soon after the addition of the anti-biotic, preceded by a peak of antibiotic uptake. Resistant
MICs of tetracycline
strains were also characterized by a small increase in uptake
Table 1 shows the MICs of tetracycline for the different
after the cells received glucose. In contrast, susceptible
strains. The results obtained agree well with those reported
strains reached the equilibrium more slowly after the addi-
by Delgado et al. (2005). Differences with respect to the
tion of tetracycline and were characterized by a greater in-
results of the latter authors were always less than two Log
crease in uptake after the addition of glucose.
dilutions, which is normal for MICs obtained by the micro-
Previous studies have shown that the movement of tetra-
dilution method (Delgado et al. 2005; Flórez and Mayo
cycline across the plasma membrane is an energy-dependent
process driven by the ∆ pH component of proton motive
A tetracycline resistance gene (tet(W)) was detected in all
force (Nikaido and Thanassi 1993). The influx of the antibiotic
the semi-resistant and resistant isolates (Flórez and Mayo
is fast enough for fluorescence equilibrium to be reached in
2005). In fact, it has been reported in several B. longum
just a few seconds. In contrast, when ribosome-binding
strains (Moubareck et al. 2005; Scott et al. 2000) and seems
proteins are present (which form stable complexes with ribo-
to be the most common tetracycline resistance gene in other
somes; Spahn et al. (2001)), fluorescence equilibrium is
intestinal bacterial genera (Scott et al. 2000; Roberts 2005).
reached much later because the binding of the tetracycline tothe 30S subunit is inhibited (Nonaka et al. 2005). Based on
Fluorescence spectroscopy
the present observations and given that all resistant strainsharbor the tet(W) gene (encoding a ribosomal protection
Tetracycline uptake kinetics
protein), the fluorescence equilibrium may be affected by
Figure 1 shows the spectra recorded for three representa-
the efficiency of the binding of the antibiotic to the
tive isolates of the different susceptibility groups. In general,
ribosome. Since ribosomal binding sites are protected in
no correlation was found among fluorescence intensity and
resistant strains, tetracycline cannot bind to them, and the
tetracycline resistance. However, the resistant strains reached
equilibrium between the internalized tetracycline and the out-
Table 2. Classification, membership probability, supplementary observation scores, and squared distances to group centroids. Note: S, susceptible; SR, semi-resistant; R, resistant. *The numbers 1, 2, and 3 refer to distinct replicate observations for every test strain. Fig. 3. Discriminant analysis similarity map of principal (constructed model) and supplementary (test strains) data determined with dis- criminant factors 1 and 2 for the spectral data of the different tetracycline resistance groups: ٗ, resistant strains, principal observations (MIC ≥32 µg mL–1); ᭝, semi-resistant strains, principal observations (1 µg mL–1 ≤ MIC < 32 µg mL–1); ᭡, semi-resistant strains, sup- plementary observations; ᭺, susceptible strains, principal observations (MIC <1 µg mL–1) ᭹, susceptible strains, supplementary observations.
side pool is quickly reached. In contrast, in the susceptible
showing differences in tetracycline resistance should certainly
strains, tetracycline binds to the ribosome and fluorescence
equilibrium is reached later (Fig. 1: see t5min–t15min).
Tetracycline uptake was also found to be positively correlated
Conclusions
in the presence of 2 mmol L–1 of MgSO4 was approximately
The results show that fluorescence spectroscopy is a rapid
5-fold greater than in the presence of 0.4 mmol L–1 MgSO4.
and accurate method for screening B. longum strains for
This agrees with previous observations suggesting that the
resistance to tetracycline. Models similar to that constructed
complexion of tetracycline with divalent metal ions, such as
for B. longum could easily be developed for other bacterial
Mg2+ or Ca2+, greatly increases fluorescence (Schneider et
species. The method is amenable to semi-complete or com-
plete automation; this should be useful in large-scale tetracy-cline resistance surveys, complementing or perhaps replacing
Model building
the more expensive and time-consuming phenotypic assays
To ensure robustness, the model was constructed using the
results for 30 strains and validated with five test strains. Thespectral kinetics data obtained for the 30 B. longum strainswere pooled in one matrix and the data examined by PCA. Acknowledgements
The linear independent factors resulting from the PCA were
This work was supported by a project within the sixth
then used as new variables to perform FDA based on the
Framework Program of the EU (ACE-ART, ref. 506214).
defined group constituting the dependent variable.
M.S. Ammor was the recipient of a postdoctoral fellowship
In a first step, the dependent variable was composed of 30
from the Secretaría de Estado de Universidades e Investi-
groups representing the number of considered strains. The
gación, Spanish Ministry of Education and Science (ref.
aim was to ensure that the results of the three replicate
assays for each strain were attributed to the group formed bythe corresponding strain, thus confirming the reproducibilityof the method. The confusion matrix resulting from the FDA
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