A Novel Luminescence-Based Serum Bactericidal Assay for Vibrio cholerae Reduces Assay Variation, Is Time- and Cost-Effective, and Directly Measures Continuous Titer Values

Taylor A. Wahlig Division of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, Utah;

Search for other papers by Taylor A. Wahlig in
Current site
Google Scholar
PubMed
Close
,
Ben J. Brintz Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah;

Search for other papers by Ben J. Brintz in
Current site
Google Scholar
PubMed
Close
,
Melanie Prettyman Division of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, Utah;

Search for other papers by Melanie Prettyman in
Current site
Google Scholar
PubMed
Close
,
Andrew S. Azman Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;

Search for other papers by Andrew S. Azman in
Current site
Google Scholar
PubMed
Close
, and
Daniel T. Leung Division of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, Utah;
Division of Microbiology and Immunology, University of Utah School of Medicine, Salt Lake City, Utah

Search for other papers by Daniel T. Leung in
Current site
Google Scholar
PubMed
Close
Restricted access

ABSTRACT.

Cholera remains a significant public health burden worldwide, and better methods for monitoring cholera incidence would enhance the effectiveness of public health interventions. The serum bactericidal assay (SBA) has been used extensively for Vibrio cholerae vaccine assessments and serosurveillance. Current SBA approaches for V. cholerae rely on colony enumeration or optical density (OD600nm) readings to measure viable bacteria following complement-mediated lysis. These methods provide titer values that are constrained to discrete dilution values and rely on bacterial outgrowth, which is time consuming and prone to variation. Detection of bacterial proteins following complement-mediated lysis presents a faster and potentially less variable alternative approach independent of bacterial outgrowth. Here, we present an SBA that measures luciferase luminescence driven by lysis-released adenylate kinase. This approach is faster and less variable than growth-dependent SBAs and directly measures continuous titer values. This novel SBA method can potentially be applied to other bacteria of interest.

    • Supplemental Materials (PDF 849 KB)

Author Notes

 Address correspondence to Daniel T. Leung, Division of Infectious Diseases University of Utah, 26 N Medical Dr., Wintrobe 513, Salt Lake City, UT 84132. E-mail: daniel.leung@utah.edu

Financial support: This research was supported by the National Institutes of Health under Ruth L. Kirschstein National Research Service Award 5T32HL105321 (to T.A.W.), by R01AI135115 (to D.T.L.), and by the University of Utah Study Design and Biostatistics Center, with funding in part from the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institute of Health through grant 8UL1TR000105 (to B.J.B.).

Authors’ addresses: Taylor A. Wahlig and Melanie Prettyman, Division of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, UT, E-mails: u6026936@utah.edu and melanie.prettyman@utah.edu. Ben J. Brintz, Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, E-mail: ben.brintz@hsc.utah.edu. Andrew S. Azman, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, E-mail: azman@jhu.edu. Daniel T. Leung, Division of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, UT, and Division of Microbiology and Immunology, University of Utah Health, Salt Lake City, UT, E-mail: daniel.leung@utah.edu.

  • 1.

    Boyd MA, Tennant SM, Saague VA, Simon R, Muhsen K, Ramachandran G, Cross AS, Galen JE, Pasetti MF, Levine MM, 2014. Serum bactericidal assays to evaluate typhoidal and nontyphoidal Salmonella vaccines. Clin Vaccine Immunol 21: 712–721.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Corbeil LB, Wunderlich AC, Ito JI, McCutchan AJ, 1978. Plaque assay for measuring serum bactericidal activity against gonococci. J Clin Microbiol 8: 618–620.

  • 3.

    Martin D, McCallum L, Glennie A, Ruijne N, Blatchford P, O’Hallahan J, Oster P, 2005. Validation of the serum bactericidal assay for measurement of functional antibodies against group B meningococci associated with vaccine trials. Vaccine 23: 2218–2221.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Muschel LH, Treffers HP, 1956. Quantitative studies on the bactericidal actions of serum and complement: I. a rapid photometric growth assay for bactericidal activity. J Immunol 76: 1–10.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Townsend K, Ladhani SN, Findlow H, Borrow R, 2014. Evaluation and validation of a serum bactericidal antibody assay for Haemophilus influenzae type b and the threshold of protection. Vaccine 32: 5650–5656.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Attridge SR, Qadri F, Albert MJ, Manning PA, 2000. Susceptibility of Vibrio cholerae O139 to antibody-dependent, complement-mediated bacteriolysis. Clin Diagn Lab Immunol 7: 444–450.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Jang MS, Sahastrabuddhe S, Yun C, Han SH, Yang JS, 2016. Serum bactericidal assay for the evaluation of typhoid vaccine using a semi-automated colony-counting method. Microb Pathog 97: 19–26.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Liu X, Wang S, Sendi L, Caulfield MJ, 2004. High-throughput imaging of bacterial colonies grown on filter plates with application to serum bactericidal assays. J Immunol Methods 292: 187–193.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Nahm MH, Yu J, Weerts HP, Wenzel H, Tamilselvi SC, Chandrasekaran L, Pasetti MF, Mani S, Kaminski RW, 2018. Development, Interlaboratory evaluations, and application of a simple, high-throughput Shigella serum bactericidal assay. mSphere 3: 1–14.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Weerts HP, Yu J, Kaminski RW, Nahm MHA, 2019. A high-throughput Shigella-specific bactericidal assay. J Vis Exp 144: 1–9.

  • 11.

    Yang JS, Kim HJ, Yun C, Kang S, Im J, Kim H, Han SH, 2007. A semi-automated vibriocidal assay for improved measurement of cholera vaccine-induced immune responses. J Microbiol Methods 71: 141–146.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Ayalew S, Confer AW, Shrestha B, Payton ME, 2012. A rapid microtiter plate serum bactericidal assay method for determining serum complement-mediated killing of Mannheimia haemolytica. J Microbiol Methods 89: 99–101.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Sharma SK, Fatma T, Thukral SS, 1999. A simple and rapid serum bactericidal assay and its evaluation in clinical isolates of Klebsiella pneumoniae. J Microbiol Methods 39: 45–48.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Rouphael NG, Satola S, Farley MM, Rudolph K, Schmidt DS, Gomez-de-leo P, Robbins JB, Schneerson R, Carlone GM, Romero-Steiner S, 2011 . Evaluation of serum bactericidal antibody assays for Haemophilus influenzae serotype a. Clin Vaccine Immunol 18: 243–247.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Mountzouros KT, Howell AP, 2000. Detection of complement-mediated antibody-dependent bactericidal activity in a fluorescence-based serum bactericidal assay for group B Neisseria meningitidis. J Clin Microbiol 38: 2878–2884.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Romero-Steiner S, Spear W, Brown N, Holder P, Hennessy T, de Leon PG, Carlone GM, 2004. Measurement of serum bactericidal activity specific for Haemophilus influenzae type b by using a chromogenic and fluorescent metabolic indicator. Clin Diagn Lab Immunol 11: 89–93.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Rodriguez T, Lastre M, Cedre B, del Campo J, Bracho G, Zayas C, Taboada C, Diaz M, Sierra G, Perez O, 2002. Standardization of Neisseria meningitidis serogroup B colorimetric serum bactericidal assay. Clin Diagn Lab Immunol 9: 109–114.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Necchi F, Saul A, Rondini S, 2017. Development of a high-throughput method to evaluate serum bactericidal activity using bacterial ATP measurement as survival readout. PLoS One 12: e0172163.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Necchi F, Saul A, Rondini S, 2018. Setup of luminescence-based serum bactericidal assay against Salmonella Paratyphi A. J Immunol Methods 461: 117–121.

  • 20.

    Rossi O, Molesti E, Saul A, Giannelli C, Micoli F, Necchi F, 2020. Intra-laboratory evaluation of luminescence based high-throughput serum bactericidal assay (L-SBA) to determine bactericidal activity of human sera against Shigella .High Throughput 9: 1–12.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Clow F, O’Hanlon CJ, Christodoulides M, Radcliff FJ, 2019. Feasibility of using a luminescence-based method to determine serum bactericidal activity against Neisseria gonorrhoeae. Vaccines (Basel) 7: 191.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Jacobs AC, Didone L, Jobson J, Sofia MK, Krysan D, Dunman M, 2013. Adenylate kinase release as a high-throughput-screening-compatible reporter of bacterial lysis for identification of antibacterial agents. Antimicrob Agents Chemother 57: 26–36.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Dzeja P, Terzic A, 2009. Adenylate kinase and AMP signaling networks: metabolic monitoring, signal communication and body energy sensing. Int J Mol Sci 10: 1729–1772.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Ali M, Nelson AR, Lopez AL, Sack DA, 2015. Updated global burden of cholera in endemic countries. PLoS Negl Trop Dis 9: e0003832.

  • 25.

    Attridge SR, Johansson C, Trach DD, Qadri F, 2002. Sensitive microplate assay for detection of bactericidal antibodies to Vibrio cholerae O139. Clin Diagn Lab Immunol 9: 383–387.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Azman AS et al., 2019. Estimating cholera incidence with cross-sectional serology. Sci Transl Med 11: 1–11.

  • 27.

    Richie E et al., 2000. Efficacy trial of single-dose live oral cholera vaccine CVD 103-HgR in North Jakarta, Indonesia, a cholera-endemic area. Vaccine 18: 2399–2410.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Tacket CO et al., 1999. Randomized, double-blind, placebo-controlled, multicentered trial of the efficacy of a single dose of live oral cholera vaccine CVD 103-HgR in preventing cholera following challenge with Vibrio cholerae O1 El Tor Inaba three months after vaccination. Infect Immun 67: 6341–6345.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Boutonnier A, Dassy B, Dumenil R, Guenole A, Ratsitorahina M, Migliani R, Fournier J, 2003. A simple and convenient microtiter plate assay for the detection of bactericidal antibodies to Vibrio cholerae O1 and Vibrio cholerae O139. J Microbiol Methods 55: 745–753.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Kauffman RC et al., 2016. Single-cell analysis of the plasmablast response to Vibrio cholerae demonstrates expansion of cross-reactive memory B cells. mBio 7: 1–11.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 1147 555 37
Full Text Views 207 12 0
PDF Downloads 159 14 0
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save