Detection of E. coli O157:H7 by qPCR using ORF Z3276
One of the key factors of this assay is the sensitivity and specificity of the Z3276 probe used in the qPCR. It can detect as low as a few copies of the genome of DNA of E. coli O157:H7 as shown in Figure 1A. Of the 120 non-O157 strains examined, including the six major non-O157 STEC strains, O104:H4 strains, Salmonella, and Shigella strains, no cross-reactivity was found, as shown in Table 1.
Combination of the PMA treatment with qPCR
Incubating E. coli O157:H7 cells with PMA (50 mM) for 5 min in the dark and exposing to light for 2 min were selected for PMA treatment conditions. Additionally, we modified PMA treatment procedure. Compared with various transparent microtubes used in the cross-linking step, a 96-well plate was found to be more efficient to reach the optimal cross-linking effect and more convenient than handling a large number of sample tubes during the light exposure process.
Amplification of DNA from PMA-treated live and dead cells in qPCR
The effects of PMA-mediated inhibition of amplification of DNA from dead cells on this qPCR assay were shown in Figure 1 by using DNA derived from two serial 10-fold live or dead cell dilutions. The results show that the curves generated from the live cells treated with PMA (red curve) and without PMA (blue curve) seem linear and nearly identical to one another. Slight CT value differences were shown between the live cells treated with PMA and without PMA (Figure 1A), suggesting that PMA treatment had little effect on amplification of DNA of the live cells in the qPCR. But a 15-CT value difference (32,000 fold) was shown between the dead cells treated with PMA and without PMA, demonstrating that PMA treatment efficiently suppressed DNA amplification from the dead cells (Figure 1B).
Detection of live cells from live and dead cell mixtures in qPCR
Two sets of live cell dilutions (8 x 100 - 8 x 106 CFU) were treated with PMA or without PMA to detect live cells from live/dead cell mixtures. The qPCR results (Figure 2A) demonstrated a parallel inverse progressive trend of CT values as related to the numbers of treated live cells (purple bars) to the untreated samples (blue bars). The treated live cells yielded a somewhat higher CT values than those of untreated live cells. A similar inverse progressive trend in CT values was observed with the real number of live cells in the live/dead cell mixtures treated with PMA (green bars) as well in Figure 2B. In addition, this downward trend of CT values was observed with the number of live cells in the mixtures despite the presence of 106 dead cells. These results showed that the CT values of the live/dead cell mixtures represented the DNA from the live cells alone, whereas the DNA amplification from the dead cells was efficiently suppressed by PMA treatment. But, the CT values of live/dead cell mixtures treated with PMA were fluctuated and failed to reflected the live cell numbers in the mixtures in Figure 2B (yellow bars).

Figure 1. Live and dead cells treated with PMA or without PMA in qPCR assay. (A) A serial of 10-fold-diluted live E. coli O157:H7 cell dilutions (8 x 100 - 8 x 106 CFU) were treated with PMA or without PMA. The CT values represent the average CT values of the triplicates in the qPCR assay. (B) Comparison of DNA amplification of live cells and dead cells treated with PMA and without PMA in the q comparison qPCR assay. ΔRn refers to fluorescence intensity change. Click here to view larger image.

Figure 2. Differentiation of live cells from live/dead cell mixtures by PMA-qPCR. Four sets of 10-fold dilutions of cell cultures (8 x 100 - 8 x 106 CFU) were made as indicated. (A) First set of cell dilution was treated with PMA while the second cell dilution was or untreated before DNA extraction. (B) 8 x 106 dead cells were mixed with the third and fourth sets of cell dilutions to make two sets of live/dead cell mixtures as indicated. One set of the cell mixtures was treated with PMA and the other set was treated without PMA before DNA extraction. Each bar represents the average CT values of a triplicate experiment ± SD.
| Organism | Serotype | No. of strains tested |
| E. coli | 2006 spinach O157:H7 outbreak isolates | 186 |
| 2006 Taco Bell O157:H7 isolates | 58 |
| 2006 Taco John O157:H7 isolates | 11 |
| DMB strain collections from other O157:H7 outbreaks | 112 |
| O104:H4 | 3 |
| O26 | 18 |
| O103 | 13 |
| O111 | 24 |
| O121 | 2 |
| O45 | 5 |
| O145 | 9 |
| O113 | 2 |
| O91 | 1 |
| O55 | 9 |
| Other | 19 |
| Salmonella | Typhi | 1 |
| Newport | 2 |
| Shigella dysenteriae | 6 | 2 |
| Shigella sonnei | Unknown | 2 |
| Shigella flexneri | 4 | 1 |
| Shigella boydii | 1 | 1 |
| Total | 481 |
Table 1. Strains used for validation in real-time PCR assay for identification of E. coli O157:H7.