Identification and Biotyping Of Brucella spp Authors; J.A.Stack and A.P.MacMillan FAO/WHO Collaborating Centre for Reference and Research on Brucellosis Central Veterinary Laboratory New Haw Addlestone Surrey Kt15 3NB United Kingdom Introduction Brucella is named after Sir David Bruce who, in 1886, first isolated the organism from the spleen of a soldier at post-mortem with what was then called Malta fever. The genus Brucella currently contains six nomen species : B. melitensis, B. abortus, B. canis, B. ovis, B. suis and B. neotomae, which vary in their ability to infect host animals. B. abortus primarily infects cattle but is transmitted to buffaloes, camels, deer, dogs, horses, sheep and man. B. melitensis causes a highly contagious disease in sheep and goats although cattle can be infected. It is the most important species in human infection. B. suis covers a wider host range than most other Brucella species.This species has 5 biovars, biovars 1 and 3 infect swine primarily, biovar 2 causes infection in European wild hares, biovar 4 is responsible for infection in reindeer and wild caribou and Biovar 5 was isolated from rodents in the USSR. All biovars can be transmitted to man with the possible exception of biovar 2. B. canis causes epididymo-orchitis in the male dog and abortion and metritis in the bitch. It has not been reported in other animal species except man. B. ovis is responsible for epididymitis in rams and occasionally abortion in ewes, but does not infect other animals or man. Goats are susceptible to the disease by experimental infection. B. neotomae is only known to infect the desert wood rat under natural conditions, and no other cases have been reported. Brucella spp. constitute a high risk to the worker and brucellosis is one of the most easily acquired laboratory infections therefore work should only be carried out under containment level 3 (biosafety 3 ) conditions. The degree of risk varies due to the virulence of the organism (B. melitensis and B. suis are most dangerous for man) and with the number of bacteria in the material being processed. Aborted and infected 1 placental material may contain up to 1013 bacteria per gram. Lymph nodes and milk present less risk , as does blood. Milk should be considered a source of human infection. The organism may be recovered from amniotic fluid, vaginal discharge, lymph nodes, mammary glands, uterus, testes, semen, milk, blood, fetal membranes, spleen and urine from infected animals. Brucella produce generalised infections with a bacteremic phase followed by localisation in the reproductive organs and reticuloendothelial system. Infection in the pregnant animal will cause fetal and placental infection which will often lead to abortion. Most Brucella strains are slow growing fastidious organisms on primary isolation and grow poorly on nutrient media unless supplemented with 5-10% serum or blood. Serum Dextrose Agar (SDA) is the recommended media to support all strains, but it is usually after at least 48 hours before colonies appear on primary isolation. At this stage they are just visible, being approx. 0.5- 1.0mm diameter. Where contaminating organisms are a possibility, selective media should be used e.g. SDA supplemented with antibiotics. If the concentration of organisms is likely to be low, e.g. in blood, milk or serum, enrichment media is recommended using the method of Casteneda. Preliminary Examination a. Make heat-fixed smears of representative colonies and stain by Hucker’s modification of Gram’s stain.. Examine microscopically under the oil immersion objective. Brucella organisms will appear as Gram-negative cocci, cocco-bacilli or short rods. If the organisms are vibrios, spirillae, large rods, occur in long chains or are Gram-positive, Brucella can be excluded. b. If required, make a further examination of the culture for bipolar staining, spores, capsules, flagella and acid-fast staining.. These should give negative results in the case of Brucella isolates. Experience is required in performing and interpreting these staining reactions. c. Mix a loopful of a suspension of culture in distilled water with a loopful of 0.1 % w/v acriflavine on a clean glass slide and examine for agglutination. If no auto-agglutination occurs mix a loopful of culture suspension with a loopful of unabsorbed antiserum to smooth Brucella on another slide and agitate gently for 30 seconds. If no agglutination occurs, the culture is unlikely to be Brucella . If agglutination is observed, it is a strong indication that the culture is Brucella. Mix a loopful of culture suspension with a loopful of rough Brucella antiserum and examine after rotating gently for 30 seconds. The absence of agglutination should exclude rough Brucella. A negative control should be set up using Brucella negative serum. d. If the isolate gives a positive reaction with the appropriate Brucella antiserum, sub-culture into two tubes of Albimi brucella both using a heavy inoculum. Incubate one of these at 37ºC in air + 10% v/v CO2 and the other at 22ºC in a similar atmosphere (a candle jar of anaerobic jar filled with the appropriate gas mixture may be used if CO2 incubator is not available). After 24 - 48 hours 2 incubation examine both preparations for motile organisms by the hanging drop method. Positive motility excludes Brucella. e. When setting up the cultures for d, also sub-culture onto SDA, sheep blood agar and MacConkey agar plates. Incubate these at 37ºC in air + 10 % v/v CO2. Replicate SDA plates should also be incubated at 37ºC in an anaerobic jar in an atmosphere of CO2 + H2 or H2 alone, and aerobically at room temperature (18 - 2ºC). Inspect the plates daily. Brucella strains will not grow under strictly anaerobic conditions nor will they produce visible colonies in 24 - 48 hours when incubated aerobically at room temperature. 3 After 48 - 72 hours incubation at 37ºC in air + 10 % v/v CO2, smooth Brucella isolates will grow on SDA to produce circular, convex colonies, 1-3 mm in diameter, with a smooth glistening surface. The colonies are a transparent honey colour in transmitted light and have a bluish-white translucent appearance in reflected light. Rough Brucella isolates produce colonies of similar size and shape but of a more opaque off-white colour and often with a rather granular surface. On blood agar growth is slower than on SDA, with the production of nonhaemolytic greyish-white glistening colonies 0.5 - 1 mm in diameter after 48 72 hours incubation. Little or no growth is produced by most Brucella strains on MacConkey agar, even after five days incubation at 37ºC. The production of rapidly growing, haemolytic or lactose fermenting colonies on the appropriate medium excludes Brucella. f. Test cultures grown on blood-free medium for catalase by transferring about 0.5 ml of a heavy suspension of the bacteria into a test tube plugged with cotton wool and adding about 1 ml or 3 % w/v hydrogen peroxide by means of a Pasteur pipette inserted through the plug. Vigorous gas formation indicates a positive reaction. A negative reaction will exclude Brucella. The cytochrome C oxidase test may also be done at this stage by smearing a loopful of culture grown on blood-free medium across a piece of filter paper impregnated with one per cent w/v tetramethyl p-phenylenediamine solution. The development of a purple colour within ten seconds indicates a positive reaction. Most Brucella strains will give a positive result but B. neotomae and B. ovis give negative reactions. g. Inoculate the cultures into: ii Koser’s citrate medium, iii nutrient broth, iv O-nitrophenyl -D-galactoside broth v nitrate broth (0.1 % w/v KNO3 in nutrient broth), vi glucose-peptone water, vii gelatin stabs. 4 Incubate (i) and (ii) for 48 hours, (vii) for up to 14 days and the others for five days at 37ºC. After incubation, add two drops of 0.04 % w/v methyl red to i. A red colour indicates a positive methyl red reaction, a yellow colour indicates a negative reaction. After completing the methyl red test, add 0.6 ml of 5 % w/v ethanolic -naphthol solution and 0.2 ml of 40 % w/v KOH, mix well and examine after 15 minutes and one hour. A positive reaction is indicated by a red colour (Voges-Proskauer reaction). Examine (ii). for signs of turbidity, the absence of this indicates a negative result. Test (iii). for indole production by adding 0.5 ml of Kovacs reagent (5 % w/v p-dimethylaminobenzaldehyde in 25 % v/v HC1 in iso-amyl alcohol) and shaking for one minute. A positive result is indicated by the development of a red colour in the lower layer. Examine (iv). for the development of a yellow colour. If this is absent the result is recorded as negative. Test (v). for nitrate reduction by adding 1 ml of 0.8 % w/v sulphanilic acid in 5 mol/litre acetic acid followed by 1 ml of 0.5 % w/v -napthylamine in 5 mol/litre acetic acid. A positive reaction is indicated by a red colour which develops within five minutes. Negative reactions should be checked by adding a few mg of zinc powder and allowing the mixture to stand for ten minutes. The development of a red colour indicates a negative nitrate reduction of nitrate to ammonia or nitrogen. In (vi). the absence of acid or gas production in glucose-peptone water is taken as a negative result. The gelatin stabs from (vii). should be examined daily after chilling to 4ºC. The absence of liquefaction after 14 days incubation is taken as a negative reaction. All Brucella cultures will give negative results to the glucose fermentation, methyl red, Voges-Proskauer, indole, citrate utilisation and gelatin liquefaction tests. The only exception to this is B. neotomae which may ferment glucose. All Brucella cultures, except B. ovis, will give positive results to the nitrate reduction test. These tests will usually permit an organism to be identified or dismissed as a Brucella strain in the majority of cases. 5 Methods for the Identification of Brucella The genus and the six species of Brucella currently recognised are defined as follows: Brucella Meyer & Shaw (1920) Small, non-motile, non-sporing, Gram-negative cocci, coccobacilli or short rods, 0.5 0.7 µM by 0.5 - 1.5 µM, occurring singly, in pairs or short chains. Aerobic, no growth under strictly anaerobic conditions. Carboxyphilic. Metabolism is mainly oxidative, usually showing little fermentative action on carbohydrates in conventional media. Multiple amino acids, thiamin, biotin and nicotinamide are required. Growth of many strains is improved by calcium pantothenate and meso-erthritol. Haemin (X factor) and nicotinamide adenine dinucleotide (V factor) are not required. Catalase positive. Usually oxidase positive. Usually reduce nitrates. Produce H2S and hydrolse urea to a variable extent. Do not produce indole. Do not liquefy gelatin or lyse blood. Do not produce acetyl-methyl carbinol (Voges-Proskauer test). Do not utilise citrate. Give a negative methyl red reaction. Do not release O-nitrophenol from Onitrophenol--D-galacotoside. Do not change litmus milk or may render it alkaline. Optimum growth temperature 37C, range 20-40 C. Optimum pH for growth between pH 6.6 and 7.4. Contain cytochrome C. Guanine + cytosine content. of DNA is 55 - 58 moles per cent. Show greater than 90 per cent homology in DNA hybridisation tests. Possess characteristic internal antigens. Intracellular parasites producing characteristic infections in animals transmissible to man. The Biovars within species are differentiated on the basis of specific combinations of characteristics. These include phage lysis, CO2 requirement, H2S production, serological specificity, tolerance to dyes and in the case of B. suis strains, oxidative metabolic profiles with standard substrates. The current biotyping scheme is summarised in Table 1. Brucella abortus (Schmidt & Weis 1901) Meyer & Shaw 1920 Catalase and oxidase positive. Usually require supplementary CO2 for growth, especially on primary isolation. Usually produce H2S from sulphur-contianing amino acids or proteins. Usually hydrolyse urea but some strains may not. Usually grow in the presence of basic fuchsin, methyl violet, pyronin and safranin O but not thionin, at standard concentrations. Reduce nitrates to nitrites and may also reduce nitrites. Smooth strains may have A, M or A and M surface antigens reactive in tests with monospecific antisera, depending upon biovar. Oxidise L-alanine, D-alanine, Lasparagine, L-glutamic acid, D-galactose, D-glucose, D-ribose, and meso-erythritol. Do not oxidise D-xylose, L-arginine, DL-citrulline, DL-ornithine. or L-lysine. Cultures in the smooth or smooth-intermediate phase are lysed by brucella-phages of the Tbilisi (Tb), Weybridge (Wb), Firenze (Fz), M51-S708, Berkeley (Bk), MC/75 and D groups at routine test dilution (RTD) and 104 RTD. Non-smooth cultures are lysed by brucella-phage R at RTD. 6 Seven biovars are currently recognised. Type Strain 544 86/8/59 Tulya 292 B3196 870 C68 (Reference strain for biovar 1) (Reference strain for biovar 2) (Reference strain for biovar 3) (Reference strain for biovar 4) (Reference strain for biovar 5) (Reference strain for biovar 6) (Reference strain for biovar 9) 7 Brucella melitenis (Hughes 1893) Meyer & Shaw 1920 Catalase and oxidase positive. Do not require supplementary CO2 for growth. Do not produce H2S, or no more than a trace, when grown on recommended media. Usually hydrolyse urea but some strains may not. Usually grow in the presence of basic, fuchsin, thionin, methyl violet, pyronin and thionin blue at the standard concentrations. Reduce nitrates to nitrites and may also reduce nitrites. Smooth cultures may have the A, M or both A and M surface antigens reactive in tests with monospecific sera. Oxidise D-glucose, meso-erythritol, L-alanine, D-alanine, Lasparagine and L-glutamic acid. Do not oxidise L-arabinose, or L-lysine. Cultures in the smooth phase are usually susceptible to lysis by Bk phage at RTD and 104 RTD, but are not lysed by brucella-phages of the Tb, Wb, Fz, M51-S708, MC/75, D or R groups at RTD or 104 RTD. Non-smooth cultures are resistant to lysis by all of these phages. Type Strain 16M (Reference strain for biovar 1) 63/9 (Reference strain for biovar 2) Ether (Reference strain for biovar 3) Brucella suis Huddleson 1929 Catalase and oxidase positive. Supplementary CO2 is not required for growth. Produce large amounts of H2S (biovar 1) or none at all (other biovars). Usually hydrolyse urea rapidly. Usually grow in the presence of thionin but most strains are inhibited by basic fuchsin, methyl violet, pyronin, safranin O and malachite green at standard concentrations. Smooth cultures have the A surface antigen predominant except for those of biovar 4 which react equally with antisera monospecific for the A and M Suface antigens. Usually oxidise D-ribose, D-glucose, meso-erythritol, Dxylose, L-arginine, DL-citrulline, DL-ornithine and L-lysine. Oxidation of Lasparagine, L-glutamic acid, L-arabinose and D-galactose varies with the biovar. Do not oxidise L-alanine or D-alanine. Smooth or smooth-intermediate cultures are lysed by brucella-phages of the Wb, M51-S708, Bk, MC/75 and D groups at RTD and 104 RTD. Phages of the Fz group produce partial lysis at RTD, those of the Tb group do not produce lysis at RTD but are lytic at 104 RTD. Non-smooth cultures are not lysed by any of these phages or by phage R at RTD or 104 RTD. Five biovars are currently recognised. Type Strain 1330 Thomsen 686 40 513 (Reference strain for biovar 1 (Reference strain for biovar 2) (Reference strain for biovar 3) (Reference strain for biovar 4) (Reference strain for biovar 5 8 Brucella neotomae Stoenner & Lackman 1957 Catalase positive, oxidase negative. Do not require supplementary CO2 for growth. Usually produce H2S in large amounts and hydrolyse urea rapidly. Do not grow in the presence of basic fuchsin even at 1/150 000, nor in the presence of safranin O at 1/10000 or thionin blue at 1/150 000, but will grow in the presence of thionin at 1/150 000. Reduce nitrates to nitrites. In smooth cultures the A surface antigen is predominant. Oxidise L-asparagine, L-glutamic acid, L-arabinose, D-galactose, Dglucose, meso-erythritol and D-xylose. Do not oxidise L-alanine, D-alanine, Larginine, DL-citrulline, DL-ornithine or L-lysine. Oxidation of D-ribose may be variable. In peptone media, ferment D-glucose, D-galactose, L-arabinsoe and Dxylose. Smooth or smooth-intermediate cultures are lysed by brucella-phages of the Wb, M51-S708, Fz, Bk, MC/75 and Dgroups at RTD. Phages of the Tb group produce partial lysis with few very small plaques at RTD, and complete lysis at 104 RTD. Rough or mucoid cultures are not lysed by these phages or brucella-phage R, at RTD or 104 RTD. No biovars are recognised. Type strain 5K33. Brucella ovis Buddle 1956 Catalase positive, oxidase negative. Require supplementary CO2 for growth. Does not produce H 2S or hydrolyse urea. Inhibited by methyl violet but usually grows in the presence of basic fuchsin and thionin at standard concentrations. Does not produce nitrite from nitrate. A true smooth phase does not occur. Although the colonial morphology may resemble the smooth form cultures are always in the rough phase on primary isolation. Rough (R) - specific surface antigens cross-reacting with other non-smooth brucellae are predominant. Oxidise L-alanine, D-alanine, Lasparagine, D-asparagine, L-glutamic acid, DL-serine and adonitol. Do not oxidise Larabinose, D-galactose, D-glucose, D-ribose, meso-erythritol, D-xylose, L-arginine, DL-citrulline, DL-ornithine or L-lysine. The cultures are not lysed by brucella-phages of the Tb, Wb, M51-S708, Fz, Bk, MC/75, D or R groups at RTD or 104 RTD but are lysed by phage R/O at RTD and 104 RTD.. No biovars are recognised. Type strain 63/290. Brucella canis Carmichael & Bruner 1968 Catalase positive, oxidase positive. Does not require supplementary CO2 for growth. Do not produce H2S. Hydrolyse urea very rapidly. Reduce nitrates to nitrites. Growth is inhibited by basic fuchsin but not by thionin at the standard concentrations. A smooth phase is not known, cultures are always in the rough or mucoid phase on primary isolation. Form a mucoid sediment in liquid media. Rough-(R)-specific surface antigens cross-reacting with other brucellae are predominant. Oxidise Dribose, D-glucose, L-arginine, DL-citrulline, DL-ornithine, L-lysine. Oxidation of meso-erythritol is variable. Do not oxidise L-alanine, D-alanine, L-asparagine, L-glutamic acid, L-arabinose, D-galactose. They are not lysed by brucella-phages of the Tb, M51-S708, Wb, Fz, Bk, MC/75, D, R, or R/O groups at RTD or 104 RTD. 9 No biovars are recognised. Type strain, RM6/66. Other species A number of Brucella isolates have been described whose properties do not closely agree with the descriptions for recognised species. The status of most of these strains has not been finally decided and it is possible that some or all of them will be found eventually to correspond to atypical cultures of existing species or biovars. Recently, isolations of previously unidentified species of Brucella have been reported from seals, cetateans and an otter from Scotland and the coast around northern England and from a bottle-nosed dolphin from California. The characterisation of these strains cannot be assigned to nomen species of the genus Brucella .These findings have raised questions concerning exposure, prevalence of infection, distribution and possible pathogenicity and zoonotic potential. A serological survey was carried out to investigate the range of marine mammal species which may have been exposed to the organism . 10 Table 1: CHARACTERS USED IN THE DIFFERENTIATION OF BRUCELLA SPECIES AND BIOVARS Species Biotype CO2 req’t H 2S prod’n Growth on media containing thionin* fuchsin* Agglutination with monospecific antisera A M R Lysis by phage† at RTD Tb Wb Bk Fz 1 2 3** 4 5 6** 9 (+)‡ (+) (+) (+) - + + + + (-)‡ + + + + + + + +*** + + + + + + + - + + - L L L L L L L L L L L L L L L L L L L L L L L L L L L L 1 - + + -**** + - - L L PL 2 - - + - + - - L L PL 3 - - + - + - - L L PL 4 - - + (-) + + - L L PL 5 - - + - - + - N L N L N L N L N L L L PL 1 - - + + - + - NL L 2 - - + + + - - NL L 3 - - + + + + - N L N L N L NL L N L N L N L B.ovis + - + (+) - - + N L NL N L N L B. canis - - + - - - + N L NL N L N L L L L B.abortus B. suis B. melitensis B. neotomae - + - - + - - N L or PL L = Confluent lysis * † ‡ ** PL = Partial lysis NL = No lysis Concentration = 1/50 000 w/v Phage R will lyse non-smooth Brucella abortus at RTD Phage R/O will also lyse B. ovis at RTD (+) = Most strains positive (-) = Most strains negative For more certain differentiation of B. abortus Type 3 and Type 6, thionin at 1/25 000 (w/v) is used in addition. Type 3 = + , Type 6 = - . 11 *** **** Some strains of this biovar are inhibited by basic fuchsin Some isolates may be resistant to basic fuchsin, pyronin and safranin O Brucella Typing Procedure Once an isolate has been identified as a Brucella culture, it may then be subjected to further tests in order to identify its species and biovar. In some cases it may be necessary to determine if the isolate has the characteristics of one of the live vaccine strains of B. abortus or B. melitensis. In all case, when typing organisms suspected to be Brucella, it is essential to include in the test at least the Brucella reference strains B. abortus 544, B .melitensis 16M and B. suis 1330 as a check on media and methods. If the strains undergoing characterisation are non-smooth and/or are thought to belong to one of the other Brucella species, then at least one strain typical of these should be included in the test. It is recommended that the procedure is carried out at a specialist reference centre to further identify the species and biovar level. Tests Include : Dissociation Brucella cultures growing in vitro may undergo changes in colonial morphology which are accompanied by alterations in antigenic structure, phage susceptibility and virulence. This process is termed dissociation and is particularly likely to occur when smooth strains are grown in static liquid culture. The variants produced may range from grossly aberrant mucoid or rough forms to others which are transitional between the extreme stages; intermediate or smooth-intermediate forms. A variety of methods are available for detecting dissociation: a) b) c) d) Direct observation using obliquely transmitted light Staining of colonies with crystal violet Agglutination in acriflavine Agglutination by antiserum to rough Brucella B. ovis and B. canis are naturally rough on primary isolation. Growth requiring CO2 Some biovars of B. abortus and B. ovis require CO2 for growth Production of hydrogen sulphide Lead acetate strips are used to identify the production of H2S during growth. For example, B. suis biovar 1 produces large amounts but B. melitensis is negative. 12 Urease Test In general, B. canis, B. neotomae and B. suis will give a strong urease reaction which turns Christensen’s medium and magenta colour in less than 15 minutes. B. ovis does not hydrolyse urea, neither do some strains of B. abortus, including B. abortus 544 the type strain for biovar 1 . Growth on dye plates Growth is measured on SDA plates containing basic fuchsin and thionin. All biovars of B. melitensis grow in the presence of fuchsin and thionin althuogh recently, atypical B.melitensis biovar 1 strains which are resistant to these dyes have been reported. All biovars of B. abortus, except biovar 2 grow in the presence of fuchsin. Agglutination reactions Monospecific autisera to smooth and rough forms of Brucella are used. Phage sensitivity Currently used for culture identification are Tb, Wb, Fz, Bk and R phages. These are propagated at CVL and titrated against appropriate host Brucella strains. Lysis of strains by phage forms a distinct and integral part of the routine identification procedure. Oxidative metabolism In addition, the tetrazolium reduction assay can be performed to support the above classical biotyping methods if required. Identification of vaccine strains Using the above classical techniques, Strain 19 cannot be distinguished from other CO2 independent strains of B. abortus biovar 1. Additional tests can be performed using thionin blue and meso-erythritol dyes in conjunction with growth in the presence of penicillin to aid differentiation. Also, B. melitensis strain Rev 1 cannot be differentiated from virulent isolates of B. melitensis biovar 1 using routine techniques. Supported tests include using penicillin and streptomycin to discriminate between the vaccine strain and field isolates. 13