A Multiplex Assay for Detection of Staphylococcal and Streptococcal Exotoxins

<div><p>Staphylococcal and streptococcal exotoxins, also known as superantigens, mediate a range of diseases including toxic shock syndrome, and they exacerbate skin, pulmonary and systemic infections caused by these organisms. When present in food sources they can cause enteric effects commonly known as food poisoning. A rapid, sensitive assay for the toxins would enable testing of clinical samples and improve surveillance of food sources. Here we developed a bead-based, two-color flow cytometry assay using single protein domains of the beta chain of T cell receptors engineered for high-affinity for staphylococcal (SEA, SEB and TSST-1) and streptococcal (SpeA and SpeC) toxins. Site-directed biotinylated forms of these high-affinity agents were used together with commercial, polyclonal, anti-toxin reagents to enable specific and sensitive detection with SD₅₀ values of 400 pg/ml (SEA), 3 pg/ml (SEB), 25 pg/ml (TSST-1), 6 ng/ml (SpeA), and 100 pg/ml (SpeC). These sensitivities were in the range of 4- to 80-fold higher than achieved with standard ELISAs using the same reagents. A multiplex format of the assay showed reduced sensitivity due to higher noise associated with the use of multiple polyclonal agents, but the sensitivities were still well within the range necessary for detection in food sources or for rapid detection of toxins in culture supernatants. For example, the assay specifically detected toxins in supernatants derived from cultures of <i>Staphylococcus aureus</i>. Thus, these reagents can be used for simultaneous detection of the toxins in food sources or culture supernatants of potential pathogenic strains of <i>Staphylococcus aureus</i> and <i>Streptococcus pyogenes</i>.</p></div

Summary of sources of <i>Staphylococcus aureus</i> strains analyzed.

<p>^<b>a</b>Sources of the isolates were described by NARSA or ATCC (American Type Culture Collection).</p><p>^<b>b</b>Information about presence or absence of SAg genes was obtained by performing BLAST analysis on genome sequences available in GenBank (NIH genetic sequence database).</p><p>^<b>c</b>Information about presence or absence of SAg genes was obtained as annotations from NARSA website.</p><p>^<b>d</b>Information about presence or absence of SAg genes was established by other investigators (references indicated).</p><p>Where available, information about presence or absence of SAg genes, and/or proteins, is shown. These were also compared with the SAg expression profiles of each strain, as determined by multiplex assay in the present work. “+” represents fluorescence signal above the background in multiplex assay (also shown in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0135986#pone.0135986.g006" target="_blank">Fig 6</a>), indicating the presence of toxin indicated.</p

Multiplex assay in the presence of one toxin.

<p>Solutions containing 50 ng/ml SEA, 10 ng/ml SEB, 10 ng/ml TSST-1, 50 ng/ml SpeA or 10 ng/ml SpeC were tested in multiplex assays. Fluorescence emitted by each Vβ-immobilized bead due to toxin binding, was plotted on bar graphs shown. In all cases, the toxins were detected by the beads immobilized with the high-affinity Vβ engineered for that toxin. The error-bars represent standard deviations from two independent experiments. Similar data (but with higher background) were obtained in other experiments where unoccupied sites on biotin-Vβ immobilized-beads were not blocked with excess biotin (<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0135986#pone.0135986.s004" target="_blank">S4 Fig</a>).</p

Schematic diagram and representative flow cytometry data of the multiplex assay.

<p>Biotinylated, high-affinity Vβ proteins (Vβ-SEA, Vβ-SEB, Vβ-TSST-1, Vβ-SpeA and Vβ-SpeC) were immobilized on streptavidin-coated fluorescent beads (P12, P10, P6, P2 and P8 respectively, each having unique fluorescence in the FL-1 channel, λ_emission = 525 nm). For detecting the presence of one or more toxins (SEA and/or SEB in this example), a mixture of Vβ immobilized-beads was added to an unknown sample. Toxins captured by the Vβ-immobilized beads were detected by rabbit polyclonal anti-toxin antibodies followed by goat-anti rabbit IgG labeled with Alexa fluor 647 (λ_emission = 688 nm in FL-4 channel). Scatter plots in the absence or presence of toxin(s) are shown in the lower panel. An increase in fluorescence emitted by the beads in the FL-4 channel (Y-axis) indicates the presence of toxin(s) in the unknown sample. Since each class of beads emits distinct fluorescence in FL-1 channel (X-axis), identity of the toxin present is established by identifying the specific, Vβ-immobilized bead(s) undergoing an increase in fluorescence in the FL-4 channel (Y-axis). In the presence of SEA, only the P12 beads (immobilized with Vβ-SEA) exhibited an increase in fluorescence along Y-axis. In the presence of SEB, P10 beads (immobilized with Vβ-SEB) as well as P2 beads (immobilized with Vβ-SpeA) exhibited increases in fluorescence along Y-axis, due to low affinity of Vβ-SpeA toward SEB. Accordingly, in the presence of SEA and SEB, Vβ-immobilized P12, P10 and P2 beads exhibited increases in fluorescence along Y-axis.</p

Multiplex assay in the presence of a mixture of toxins.

<p>Solutions containing a mixture of two or more toxins were tested in multiplex assays, at the indicated concentrations. Fluorescence emitted by each Vβ-immobilized bead due to toxin binding, was plotted on bar graphs shown. The error-bars represent standard deviations from two independent experiments. Similar data (but with higher background) were obtained in other experiments where unoccupied sites on biotin-Vβ immobilized-beads were not blocked with excess biotin (<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0135986#pone.0135986.s005" target="_blank">S5 Fig</a>).</p

Multiplex assay with supernatants from cultures of various strains of <i>Staphylococcus aureus</i>.

<p>Supernatants (diluted 1:4) from cultures of 18 strains of <i>Staphylococcus aureus</i> obtained from the NARSA repository, were tested in a multiplex assay to determine their toxin expression profile. Fluorescence emitted by each Vβ-immobilized bead due to toxin binding, was plotted on bar graphs shown. Toxin(s) secreted by each strain was determined as an increase in fluorescence signal, compared to the background. The error-bars represent standard deviations from two independent experiments. Similar data (but with higher background) were obtained in other experiments where unoccupied sites on biotin-Vβ immobilized-beads were not blocked with excess biotin (<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0135986#pone.0135986.s006" target="_blank">S6 Fig</a>).</p