Serotyping is the long-standing gold standard method to determine E. coli H antigens; however, this method requires a panel of H-antigen specific antibodies and often culture-based induction of the H-antigen flagellar motility. In this study, a rapid and accurate method to isolate and identify the Escherichia coli (E. coli) H flagellar antigen was developed using membrane filtration and liquid chromatography-tandem mass spectrometry (LC-MS/MS). Flagella were isolated from pure culture, digested with trypsin, and then subjected to LC-MS/MS using one of two systems (Agilent-nano-LC-QSTAR XL or Proxeon-nano-LC-LTQ-Orbitrap XL). The resulting peptide sequence data were searched against a custom E. coli flagella/H antigen database. This approach was evaluated using flagella isolated from reference E. coli strains representing all 53 known H antigen types and 41 clinical E. coli strains. The resulting LC-MS/MS classifications of H antigen types (MS-H) were concordant with the known H serogroup for all 53 reference types, and of 41 clinical isolates tested, 38 (92.7%) were concordant with the known H serogroup. MS-H clearly also identified two clinical isolates (4.9%) that were untypeable by serotyping. Notably, successful detection and classification of flagellar antigens with MS-H did not generally require induction of motility, establishing this proteomic approach as more rapid and cost-effective than traditional methods, while providing equitable specificity for typing E. coli H antigens.
Citation: Cheng K, Drebot M, McCrea J, Peterson L, Lee D, McCorrister S, et al. (2013) MS-H: A Novel Proteomic Approach to Isolate and Type the E. coli H Antigen Using Membrane Filtration and Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS). PLoS ONE 8(2): e57339. https://doi.org/10.1371/journal.pone.0057339
Editor: Mickaël Desvaux, INRA Clermont-Ferrand Research Center, France
Received: October 2, 2012; Accepted: January 21, 2013; Published: February 21, 2013
Copyright: © 2013 Cheng et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: The project was supported by the yearly budget of Public Agency of Canada. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Traditional typing methods of E. coli bacteria involve biochemical tests and serotyping of O antigens (lipopolysaccharides) on the bacterial surface, K antigens from the capsule, and H antigens on the extracellular flagella . Serotyping of the H antigen involves the examination of 53 distinct types of flagella (H1 to H56; designations H13, H22, and H50 no longer exist ), and is commonly used to identify and classify clinical and food-borne isolates of E. coli, with notable classifications including the most commonly seen O157:H7 group and the “non-O157” group representing other toxigenic strains . However, conventional serotyping methodology based on antisera can be costly and laborious to perform due to varying quality of antibody preparations and the number of antibody agglutination reactions needed to assign a final classification , . When bacterial cells do not generate lipopolysaccharide on the surface, the cultured colonies become “rough strains”, and both O and H antigen identification by antibody-based agglutination may be problematic despite the retention of cellular motility and presence of the H antigen flagellar structure , .
Molecular typing methods using polymerase chain reaction (PCR)-based amplification and targeted genetic sequencing are gaining popularity as a means for serotype classification due to their potential for higher throughput –. Other recent technologies for bacterial classification and identification include the application of mass spectrometry (MS) for bacterial nucleic acid detection, mass pattern analysis , and the quantification of bacterial proteins . Matrix-associated laser-desorption/ionization time-of-flight (MALDI-TOF) MS usage for whole bacterial protein profiling to classify and type bacteria has also shown some promising results due to the ease of use and high throughput potential , .
Flagella are homopolymeric filaments comprising 40–60 kDa flagellin subunits, with E. coli flagellum filaments apporoximately15–20 µm long and 20 nm in diameter , . Flagella have roles in bacterial motility, adhesion to substrates, biofilm formation, and virulence processes . When studied in vitro, flagella are easily sheared off the bacterial surface by physical forces such as vortexing or thin-needle shearing, and can be purified by ultracentrifugation . They are also heat-liable and easily digested into peptides at 37°C .
In this study, a method to rapidly determine E. coli H antigen types was developed, which combines the isolation of flagella on a filter membrane followed by enzyme digestion and online LC-MS/MS of the flagellin peptides using one of two LC-MS/MS platforms: Agilent-nano-LC-QSTAR XL (QSTAR in brief) or Proxeon-nano-LC-LTQ-Orbitrap XL (Orbitrap in brief). Comparing the resulting peptide sequence data to a custom reference H antigen protein database allowed for classification of H antigen types. When compared to traditional serotyping, this proteomic approach for E. coli flagellar H typing through MS, described here as MS-H, was found to be equally specific, but also a more rapid and reproducible means of obtaining H antigen type information without the requirement of antisera and motility induction.
Method development: Proof-of-principle using H7 isolates, establishing a curated database of reference flagellar peptides, and determining the specificity of the method
Detailed procedures describing flagella purification, enzymatic digestion, and sample preparation for LC-MS/MS are described in the Materials and Methods. In brief, flagella were detached from their bacterial walls by vortexing a liquid E. coli cell suspension after overnight culture on agar. High speed centrifugation was then used to separate the flagella (in the supernatant) from the cellular pellet , . Flagella were isolated on a membrane syringe filter which additionally provided an optimum substrate for rapid buffer exchange, minimal contamination, and efficient on-membrane trypsin digestion . The digest was flushed out of the syringe filter, vacuum dried, and applied onto QSTAR for MS-H.
A curated database of reference flagellin proteins was established to enable the final classification of H types from peptide sequences deduced by LC-MS/MS and a Mascot search engine. This database included all available E. coli flagellin protein sequences from NCBI, with each sequence denoted by its known H antigen serogroup (Figure S1). Using this custom database and the Mascot search engine, the identity and classification of H antigen serogroups from flagellin peptide data was determined by using a minimum of two serogroup-specific peptide sequences . MS-H types were assigned as the top scoring hit in the identified protein list possessing the highest confidence score. If more than one H type represented the top scoring hit, the result would be considered ambiguous.
To determine the method’s ability to rapidly isolate flagella and classify H antigen serogroups after LC-MS/MS, 11 E. coli reference isolates known to express the H7 antigen and one known non-motile E. coli reference isolate (E32511) were tested. Duplicate experiments were performed on E. coli strains cultured from frozen stocks without any induction of motility. For each of the H7 isolates, a minimum of 60% peptide sequence coverage was obtained based on the reference H7 protein sequences included in the curated database for all of the E. coli flagellin protein sequences, and in all instances H7 was the top-scoring hit, indicating 100% specificity. For the known non-motile strain E32511, there were no matches to flagellin peptides (Table 1).
Analytical sensitivity ,  was determined by diluting the flagellin digest (dilution factor ranged from 2 to 100) of one reference strain (87-1215). Since a major component of the syringe filter digests was the added trypsin, a parallel experiment was done to purify the intact flagella by ultracentrifugation of the flagella-containing supernatant , after which protein quantitation was carried out on the intact flagellin. This flagellin identification method was found to be very sensitive, as good sequence coverage and an accurate identification of H7 antigen was achieved with the QSTAR using a sub-microgram detection level of flagella. In general, a higher flagella concentration yielded higher protein sequence coverage (Table S1).
Advanced evaluation of specificity by testing the full panel of H antigen types
MS-H typing of all E. coli H antigens was completed using bacterial stocks of reference strains. All 53 types were successfully identified from overnight cultures of frozen stocks without motility induction (Table 2). For strains that lost flagellar motility, confirmed by subsequent electron microscopy (EM) observations and motility tests, alternate reference strains having the same H types were selected for analyses. This examination also confirmed that the curated database was suitable for specific identification of all H types. Detection of flagella by EM (Figure S2) and characterization of intact flagellin by SDS-PAGE (Figure S3) showed that the production of flagella and the expression of flagellin were quite heterogeneous.
A comparison of MS-H and serotyping was then performed on 41 clinical isolates randomly chosen over a three-month period from incoming E. coli samples for routine serotyping. 38 samples gave identical results for both MS-H and the traditional serotyping method (Table 3). However, strain 09-0417, which was H7 by serotyping and then became untypeable, and strain 09-1760, which was also untypeable, were confirmed to be H21 by MS-H and DNA sequencing (Table S2). Strain 09-1775 (serotype H25), an unstable strain that became rough during the serotyping process, exhibited low sequence coverage for MS-H (H4, coverage 8%, Table 3). This isolate was confirmed to be MS-H 25 later by the more sensitive Orbitrap system for side-by-side comparison of MS-H typing and serotyping. In summary, 92.7% (i.e. 38 of 41 isolates) of the MS-H results matched the corresponding serotyping result, with two untypeable strains (i.e. 2 of 41 isolates, 4.9%) by serotyping being clearly assigned to unique H types by MS-H. Notably, the traditional serotyping analysis may have been inconsistent due to the possibility of isolates changing their phenotypes from smooth to rough during the cell culture and motility induction processes.
A side-by-side comparison of MS-H typing and serotyping
During the initial method development and advanced evaluation stages, MS-H identification of E. coli H types was compared to previous independent serotyping results (“gold standards”) with stock isolates. However, E. coli strains can be quite heterogeneous and dynamic in terms of flagella growth and flagellin production as shown above. For example, previously identified motile reference strains may not produce flagella from their frozen stocks, and some clinical strains may become rough during the subculture and motility induction processes. A side-by-side comparison was therefore required to further evaluate MS-H typing with serotyping. Four reference strains of known H type were randomly selected for side-by-side testing of motility, serotyping, and MS-H on the QSTAR consecutively for 16 days. After 24 hours of culturing, only one strain could be typed by traditional serotyping, but MS-H was able to identify three. On day 7, both serotyping and MS-H could identify three of the four strains, while strain E-375 (H55) turned rough and was no longer typeable by the traditional method. On day 16 of motility induction, E-375 remained rough, but could be identified as MS-H 55 using flagellin extracted from the motility-induced culture (Table S3). This indicates that MS-H can be successfully performed on rough strains after motility induction.
A side-by-side comparison between serotyping and MS-H for E. coli flagella identification was then expanded to 12 previously-typed H7 strains and other reference strains encompassing all 53 H types using the Orbitrap platform. The repeatability of MS-H identification was also tested by performing three tests on each strain. Serotyping was arranged to be done in parallel with MS-H on the first culture from a single colony (or the second day culture from a frozen stock) on plates without motility induction. 65 of 66 strains were correctly identified by MS-H from the primary culture of a single colony, while only 31 strains showed expected serotyping results without motility induction (Table 4). Three strains with unstable MS-H results (i.e. poor repeatability), including E375 tested above, were re-tested for MS-H and serotyping after motility induction over 7 days. Among them, E241 (H12), a reference strain that gave a solid identification result from MS-H two years earlier with the QSTAR (Table 2), turned non-motile and was unidentifiable by both methods here, and E210 and E375, were unidentifiable on day 1 by serotyping, and on day 2 (E210 and E375) and day 3 (E375) by MS-H. After motility induction, these three non-motile or “sluggish” strains were successfully identified by MS-H repeatedly, while serotyping was able to identify all but rough strain E375 (Table 4). Strain E204, another rough strain, was successfully identified as MS-H 36 even without motility induction. The serotyping-untypable strain 09-1760 (MS-H 21, confirmed by PCR-based sequencing; Table 3), was reconfirmed by MS-H as H21 on the Orbitrap platform, which matched the correct serotype titrated by the designated antiserum of H21. Table 4 also shows that MS-H can achieve good sequence coverage (50% or higher) with the Orbitrap platform using very stringent database search parameters  from a much smaller fraction of prepared sample (1/120 of the total digest) and that vacuum-drying of the sample is not a necessity.
Diagnostic sensitivity and specificity, run-to-run repeatability and instrument-to-instrument reproducibility were also tested on the Orbitrap platform using the earlier clinical strains and the residual flagellin digests from earlier method evaluation on the QSTAR. MS-H reaches 100% diagnostic specificity and 100% diagnostic sensitivity with the Orbtrap platform. In addition, the Orbitrap instrument gave consistent results when runs were performed in triplicate on the same sample for each strain. Repeated runs on residual digests, which were frozen at -80°C for two years prior to testing, showed excellent sample stability and reproducibility, and the current instrumentation gave much better sequence coverage for MS-H with less sample loading (Table 5).
Detection limit tests were designed to determine the smallest amount of culture needed for flagella extraction, and the highest dilution of digested flagellin needed for MS-H. Reference strain 87-1215 (O157:H7) was used for this experiment. Colonies from the subculture of a single colony were counted after serial dilutions and the colony count average was used to calculate cell numbers within the single colony. The culture collection size of 2.16×1014 cells from 500 colonies was very similar to a full 10 µl loop size routinely used for flagella extraction. However, since the absolute amount of flagellin could not be quantified due to trypsin contamination during digestion, the fraction of the total digest was then used as the amount of sample loaded on to the nano-LC column. The test shows that 1/100 loopful of cell culture collection (i.e. 2×1012 cells from 5 colonies) could still give accurate identification for MS-H, and the use of 500 colonies gave the best sequence coverage for MS-H using only 1/160 of the flagellin digest (Table S4).
This study of LC-MS/MS-based method development and evaluation of E. coli H typing (MS-H) was based on international analytical method validation guidelines as they pertain to the characteristics of current E. coli serotyping for clinical diagnosis , . The flagella purification assay was modified from traditional flagella purification procedures , but omitted tedious ultracentrifugation and gradient separation of the large volume of cell culture. Further, the process was specific for flagella due to their unique polymerized structure, size, and length –. The methodology not only made sample preparation faster and easier, but also minimized the presence of MS intolerable residues .
A 10 µl loopful of culture grown on TSA agar was sufficient to extract flagella on a 13 mm diameter filter for MS-H. Since flagella extraction and tryptic digestion were limited to a tiny, fixed space (roughly 80 µl) of syringe filter, more flagellin products relatively reduced the ratio of trypsin used in the digest, giving a much stronger flagellin to trypsin MS signal. Consequently, it is recommended to use an almost-full 10 µl loopful of fresh bacterial culture in order to achieve less noise-interference from trypsin auto-digestion. The QSTAR system gave valid results after loading half (i.e. 10 µl of 20 µl) of the re-dissolved flagellin preparation following vacuum drying of the digest. With the Orbitrap platform, accurate results were obtained with only 1/120 (i.e. 5 µl of 600 µl) of the digest without the need for vacuum drying. Additionally, the quantity of digested flagella was far beyond the need  for protein identification using this system, with more than 50% protein sequence coverage routinely obtained from a small fraction of the flagella digest on Orbitrap platform. This may be attributed to the purity of the flagella through such unique extraction and digestion methods, which also enabled the differentiation of H types with close sequence similarity. Sample analyses of LC-MS/MS with the two instrumentation platforms (QSTAR, Orbitrap) used in this study have proven that MS-H is reproducible and robust.
While embarking on database searches at the onset of this project, it was discovered that public databases such as NCBInr or Swiss-prot do not always display the necessary information needed for H antigen type investigation, and in some cases, there is no H type specified for the flagellin protein. Thus, a custom flagellin database was generated with the H type listed in the flagellin protein description. This curated database proved useful in obtaining correct MS-H types, and is available in the supporting information (Protein Database S1).
Table 6 summarizes the features of both MS-H and traditional serotyping. From this study, it can be concluded that the two methods possess similar diagnostic sensitivity and specificity , . However, the peptide sequence-based MS-H method does appear to show some marked improvements over antisera-based serotyping. Serotyping must withstand many stringent conditions relative to MS-H, such as motility induction which can be time-consuming, and the quality of serological reagents. For instance, antisera characteristics play an important role in serotyping, and ultimately affect the overall capacity of the assay. The MS-H method does not routinely require motility induction of E. coli, and uses far fewer reagents besides not using antisera, both of which make MS-H more straightforward to perform and less time-consuming to finish. In addition, based on the observations through EM and SDS-PAGE that flagella production by E. coli may vary and the quantity of extracted flagella may differ between strains. Although this heterogeneity of flagella production and dynamics of motility were considered major factors affecting serotyping, the MS-H method proved to be more tolerant to these changes, albeit with a lower detection limit and higher sensitivity. MS-H can also be used for “sluggish” or inactive growing cultures, rough strains, and small volumes of culture as long as enough amounts of flagella can be extracted from the bacteria.
In light of the many advantages in using the MS-H approach, factors influencing this method and the result should also be mentioned. These include differences between protein sequences of E. coli flagellin , genetic polymorphisms amongst the same type of H antigens –, ionization differences amongst different peptides, and some unique technical features during LC-MS/MS (e.g. a millisecond level scanning speed for ion selection and down-stream fragmentation of ions on Orbitrap for peptides eluted by the nano-LC at the front end of the mass spectrometer). With these factors considered, the run-to-run peptide numbers detected and the related sequence coverage for protein identification may vary slightly, but H type identification would ultimately remain unaffected.
In conclusion, advantages of the MS-H method described in this study are primarily high specificity, sensitivity, accuracy, and reproducibility. The approach is rapid, simple, and reliable. MS-H can be used independently to type E. coli flagella without motility induction. In addition, by avoiding the traditional methods of motility induction and multi-step agglutination reactions, results are generated much faster with greater simplicity than antibody-based agglutination and/or primer-based PCR. Lastly, the MS-H method should be particularly useful during E. coli outbreak situations to provide presumptive H type classifications.
Materials and Methods
Bacterial strains and isolates
All the bacterial strains and isolates were from the ISO-certified national enteric reference center of National Microbiology Laboratory, Public Health Agency of Canada. The clinical isolates were originally from Alberta Provincial Laboratory for Public Health.
Flagella purification and on-filter digestion
E. coli bacteria were grown at 37°C overnight on TSA plates with 5% sheep blood. A full loopful culture on a 10 micro-liter loop was diluted in 1 ml of water containing 2 mg of lysozyme and gently suspended using a pipette tip. The suspension was incubated at room temperature for 10 min. Then the sample was vortexed at a maximum speed on a vortex mixer (Vortex-Genie 2, VWR) for 20 sec each time with 1 min break after vortexing for a total of 3 cycles of vortexing. After centrifugation for 20 min at 16,000xg on a bench-top centrifuge (eppendorf 5417C), the supernatant was gently collected using a 1 ml syringe and passed through a 13 mm diameter filter with a 0.20 µm pore size (Acrodisc, PALL). The filter was washed with 3 ml of water and then flushed with air using a 1 ml syringe. 100 µl of trypsin (Promega mass spec grade, 100 µg per ml in 100 mM ammonium bicarbonate) was applied to the filter for digestion at 37°C for 2 hrs. The filter was flushed with 600 µl of water followed by air to collect the digest. For QSTAR MS detection, digests were dried down in a vacuum dryer and were reconstituted in 20 µl buffer A solution (0.1% formic acid used in nano-LC). For Orbitrap MS detection, 5 µl digests were directly mixed with 5 µl of 2x buffer A (0.2% formic acid) before loading.
Intact flagella were prepared by ultracentrifugation of the above supernatant at 50,000xg for 1 hr at 4°C  after lysozyme treatment and vortexing step shown above. The flagella pellet was then washed with 1 ml of cold PBS, spun down at 50,000xg for 1 hr at 4°C, and finally dissolved in 100 µl of 100 mM ammonium bicarbonate for protein quantification with a BCA kit (ThermoFisher). Trypsin was added to the purified flagella at a 1∶10 enzyme to protein ratio (in micrograms) for overnight digestion at 37°C and the digest was diluted with 2x buffer A for MS-H.
For side-by-side comparison of serotyping and MS-H, E. coli bacteria were grown from a single colony of culture from frozen stocks into two plates. One plate will be used for serotyping, and the other will be used for MS-H. For detection limit test of MS-H, cells from the single colony will be diluted in series with LB broth in triplicate, and the dilutions will be sub-cultured on TSA plates overnight at 37°C. The colonies will counted next day to convert to the cell numbers contained in the single colony used a day earlier. Certain numbers of colonies (5 to 500) will be picked for in-filter flagella extraction and tryptic digestion.
For the QSTAR LC-MS/MS system, the 600 µl tryptic digest was vacuum-dried and 20 µl of buffer A was added to the digest. After 15 min equilibration with buffer A, 10 µl of the sample was loaded on to a 0.3×5 mm C18 pre-column (Agilent) for pre-binding and the pre-column was washed with buffer A for 5 min. The pre-column was then automatically switched to connect to a nano-LC-column. Nano-LC (Agilent) separation was run at 300 nl/min on a 0.075×15 mm C18 nano-column (Agilent) with a 55 min acetonitrile gradient from 5 to 35 percent, followed by a 10 min flush with 95% acetonitrile before equilibration with buffer A. MS data was collected from a triple-quadrupole-time-of-flight mass spectrometer (QSTAR-XL, ABSciex) with an information-dependent acquisition (IDA) method. A one-second parent ion scan followed by three 3-second product ion scans (i.e. a scanning cycle) were used to collect the tandem mass spectra of the 3 strongest ions from each scanning cycle . For the Orbitrap system, 5 µl of the 600 µl flagellin digest was mixed with 5 µl 0.2% formic acid and then loaded on to a 0.1×2 mm C18 pre-column (ThermoFisher) for binding after a 15 min equilibration time with buffer A. The pre-column was washed for 5 min with buffer A and switched to connect to a nano-LC column (ThermoFisher). Nano-LC (Proxeon EASY-nano-LC, ThermoFisher) separation was run at 300 nl/min on a 0.075×10 mm C18 nano-column with a 55 min acetonitrile gradient from 5 to 35 percent, followed by a 10 min flush with 95% acetonitrile before equilibration with buffer A. MS data was collected from an LTQ-Orbitrap XL system (ThermoFisher) with an IDA. One profile ion scan followed by 5 product ion scans (i.e. a scanning cycle) were used to collect the tandem mass spectra of the 5 strong ions from each scanning cycle .
E. coli flagellin custom database creation and database search
A FASTA-formatted database for E. coli H types was created using the sequences and serotype information found in the NCBI protein database. Redundant sequences were collapsed into a single entry. The H type was listed in the sequence description. If no H type was specified in the NCBI database, the sequence was compared by BLASTp analysis against the sequences for which the H type was known, and the H type for the top blast result was used. In some cases the H-type was manually assigned (based on literature search) to sequences with missing H-type in NCBI, or assigned to sequences with incorrect H-type listed in the NCBI entry. Incorrect H-types were also discovered by finding outliers in a phylogenetic analysis of all E. coli flagellin sequences in the database. The final flagellin database had 196 protein sequence entries, and each entry contains a flagellin protein sequence of a specific H type (Fig. S1). The more common types, such as H7 and H11, have more entries (slightly different in amino acid composition due to some mutations) based on more studies on these types. Each entry has many theoretical tryptic peptides for protein identification and variable unique peptides to differentiate H types. This database was used to search the raw data in parallel with NCBInr using Mascot (Matrix Science) search engine. The search parameters of 0.3 Dalton mass error tolerance for parent ions and 0.8 Dalton mass error tolerance for product ions were chosen for QSTAR data . For Orbitrap data, 30 ppm mass error tolerance for parent ions and 0.5 Dalton mass error tolerance for product ions were chosen . In all cases, two missed cleavages of trypsin digestion were used. Oxidation on methionine and deamidation on glutamine and asparagines were chosen as possible modifications. The top Mascot scoring hit was used to decide the H type. If more than one H type was present in the top scoring hits, the result would be considered ambiguous. The protein database and all peptide data are available in the supporting information (Protein Database S1 and Representative Peptide Data S1, respectively).
E. coli culture was gently mixed with fixative containing buffered 2% glutaraldehyde and 1% paraformaldehyde. The sample was then adsorbed to a glow discharged carbon-coated formvar film on a 400-mesh copper grid for 1 min, and negatively contrasted with 2% methylamine tungstate (Nano-W; Nanoprobes, Yaphank, NY, USA). Specimens were imaged in a FEI Tecnai 20 transmission electron microscope operating at 200 kV. Digital images of the specimens were acquired by an AMT Advantage XR 12 CCD camera (AMT, Danvers, MA, USA)
E. coli H Serotyping
The E. coli H antigen was serotyped based on the methods of several publications , - summarized for our standard operation procedure. Basically, for motility induction, the bacteria were plated on MacConkey agar to check for purity and a single colony was selected. This colony was subcultured to a 0.25% Craigie tube and incubated overnight at 35°C ± 2°C. Motile E. coli bacteria should travel through the Craigie tube and up through the media using their flagella, while developing their H antigen. E. coli was then selected from the top of the media and transferred to a 0.3% Craigie tube to further develop motility after incubation overnight at 35°C ± 2°C. To prepare the H antigen, Ewing’s broth was added to the top of the 0.3% Craigie tube and gently drawn up and down so that the most motile bacteria originally at the surface of the Craigie tube became suspended fully into the Ewing’s broth. The suspension was incubated at 35°C ± 2°C for approximately 4 hours and treated with formalin to kill the live bacteria and preserve the H antigen. The H antigen was diluted and screened first in antisera pools prepared with 5 to 8 individual monovalent antisera. For any pool with a positive reaction, individual monovalent antisera were tested. Absorbed antisera were used for final confirmation of the H serotype for any occasional strains that cross-reacted with more than one monovalent antisera. All antisera had been previously titred with reference E. coli strains. A positive H serotype was obtained when the H antigen had an agglutination equivalent to or better than the reference titre for that antiserum. Serotyping synchronized with MS-H for comparison was done without motility induction, and was proceeded directly from a single colony subculture from frozen stocks with targeted antisera based on known H types through earlier serotyping and primary MS-H.
Sequencing of fliC for H21
Oligonucleotides used for PCR based sequencing of fliC for H21 are listed in Table S2. DNA amplification was performed using Platinum High Fidelity Taq (Invitrogen) kit as per manufacturer’s instructions. The reaction mix included deoxynucleotide triphosphates at a final concentration of 200 mM and the oligos JHF2 and JHR2 at a concentration of 200 nM for H21 DNA amplification, together with the reaction buffer supplied from the kit. PCR conditions were: initial denaturation at 94 °C for 5 min, 30 cycles of denaturation at 94 °C for 30 sec, annealing at 55 °C for 30 sec and extension at 68 °C for 2 min, with a final extension at 68 °C for 5 min. PCR products were purified using Montage PCR spin columns (Millipore) and sequenced on an ABI 3730 (Applied Biosystems) using PCR primers (JHF2 and JFR2) and sequence specific primers (H21F3 and H21R3). Sequence data were analyzed using DNAStar Lasergene 7 (DNASTAR). The resulting consensus sequences were subjected to BLAST search to determine similarity to published sequences.
Database of reference flagellin protein sequences and their known H antigen serogroups. The X-axis represents the number of unique protein sequences obtained. The Y-axis represents all 53 known H type serogroups. The final flagellin database contained 196 sequences.
Electron microscopy images of E. coli flagella. a. Reference E. coli strain E179 (H11) that lost flagella growth after long-time storage. b. Reference E. coli strain E 170 (H2) flagella. c. Clinical E. coli non-motile isolate (09-1339) with no flagella. d. Clinical E. coli motile isolate 09-1353 (H25) flagella.
SDS-PAGE of intact flagellin. Coomassie blue staining of a 4-12% gradient SDS-PAGE gel showing the variable amounts of flagellin and purity of flagellin produced from a 10 µl loopful cell culture and extracted by ultracentrifugation from four E. coli strains representing different H types. 10 µl of the 100 µl extracted protein were loaded onto the SDS-PAGE gel. Strains used were: H7, 87-1215; H17: E185; H37: E205; H56: E376. A BCA kit was used to determine the total amount of flagellin extracted from each strain, which is labeled on the X-axis under each H type.
Analytical sensitivity test for MS-H of purified flagellin tryptic digests on QSTAR platform. Reference strain 87-1215 (O157:H7) was cultured overnight at 37°C and intact flagella were purified by ultracentrifugation as shown in Materials and Methods. The flagella were dissolved in 100 µl of 100 mM ammonium bicarbonate for protein quantitation with a BCA kit. Trypsin was added at a 1∶10 enzyme to protein ratio for overnight digestion at 37°C. The digest was diluted with 2x buffer A and designated amounts of the protein digest were loaded onto the LC-MS/MS system for MS-H.
Real-time comparison of H serotyping and MS-H of flagella extracted from four selected E. coli strains. Flagella were extracted from E. coli for LC-MS/MS in parallel with motility induction and serotyping independently on day 2, 7 and 16. MS-H was performed on the QSTAR system. Motility induced culture was used on day 16, but non-induced culture was used on day 2 and day 7.
Analytical sensitivity check for E. coli strain 87-1215 (O157:H7) by MS-H with Orbitrap platform. Cells from different numbers of colonies were used for flagella extraction. Note that more flagellar products relatively reduced the ratio of trypsin used for digestion, resulting in a relatively stronger flagellin peptide MS signal and a better chance for ion selection and fragmentation to obtain flagellin sequences.
The database comprises 196 flagellar protein sequences representing all 53 known serogroups. The sequence data are presented in FASTA format with unique gi numbers. The database is updated annually with any new entries.
Peptide data are represented as the Mascot search results from all 53 serotypes, obtained under the Orbitrap platform in Table 4 with related E. coli reference strains. “U” denotes a unique peptide specific for each of the proteins 1.1, 1.2, and beyond. The number 1.1 (shown as 1 in the peptide list and phylogenetic tree) represents the protein which obtained the highest score and confidence value after a Mascot search. This protein, known as the first hit, was used to designate the MS-H type of the unknown flagellin. Related peptides 1.2 (2), 1.3 (3), etc. represented the second, third, etc. hits for MS-H typing analysis.
Performed electron microscopy: DB TB. Aided database creation: SM GVD. Conceived and designed the experiments: KC G. Wang. Performed the experiments: JM LP DL RN AG DJ. Analyzed the data: KC G. Wang. Wrote the paper: AS LC HT G. Westmacott MG MD KC G. Wang.
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