Development of a novel and rapid polymerase spiral reaction (PSR) assay to detect Salmonella in pork and pork products

Development of a novel and rapid polymerase spiral reaction (PSR) assay to detect Salmonella in pork and pork products

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Journal Pre-proof Development of a novel and rapid polymerase spiral reaction (PSR) assay to detect Salmonella in pork and pork products Kasanchi M. Momin, Arockiasamy Arun Prince Milton, Sandeep Ghatak, Shiny C. Thomas, Govindarajan Bhuvana Priya, Samir Das, Ingudam Shakuntala, Rajkumari Sanjukta, Kekungu-u Puro, Arnab Sen PII:

S0890-8508(19)30401-3

DOI:

https://doi.org/10.1016/j.mcp.2020.101510

Reference:

YMCPR 101510

To appear in:

Molecular and Cellular Probes

Received Date: 15 October 2019 Revised Date:

30 December 2019

Accepted Date: 13 January 2020

Please cite this article as: Momin KM, Prince Milton AA, Ghatak S, Thomas SC, Priya GB, Das S, Shakuntala I, Sanjukta R, Puro K-u, Sen A, Development of a novel and rapid polymerase spiral reaction (PSR) assay to detect Salmonella in pork and pork products, Molecular and Cellular Probes (2020), doi: https://doi.org/10.1016/j.mcp.2020.101510. This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. © 2020 Published by Elsevier Ltd.

Contribution of each author K.M. Momin, Project staff, DST PSR

A.A.P. Milton

S. Ghatak

S.C. Thomas

G.B. Priya, SRF, DBT AMR S. Das I. Shakuntala R.K. Sanjukta K. Puro A. Sen

Performed all the major experiments (Analytical sensitivity, LOD, Field applicability, Comparison assays) Conceptualized the work, designed the experiment plan, monitored all the experiments, analyzed results, drafted the manuscript Performed specificity experiment, provided critical inputs then and there required, drafted the manuscript Designed the PSR primers used in the study. Helped in incorporation of olignonucleotide sequences of exogenous (botanic) origin with PSR primers. Performed artificial spiking experiment in pork Analyzed the results and shared reference TB cultures. Helped in designing the experiment and gave critical inputs Helped in analyzing results and setting all the figures Helped in drafting the manuscript and gave critical inputs Helped in drafting the manuscript and proof reading of the manuscript

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Development of a novel and rapid polymerase spiral reaction (PSR) assay to detect Salmonella in pork and pork products Kasanchi M. Momin1,§, Arockiasamy Arun Prince Milton1,§,*, Sandeep Ghatak1,*, Shiny C. Thomas2, Govindarajan Bhuvana Priya1, Samir Das1, Ingudam Shakuntala1, Rajkumari Sanjukta1, Kekungu-u Puro1, Arnab Sen1 1

Division of Animal Health, Indian Council of Agricultural Research (ICAR) Research Complex for NEH Region, Umiam, Meghalaya 793103, India 2 School of Life Sciences, Assam Don Bosco University, Guwahati, Assam, India

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§: Both authors contributed equally to this work *Corresponding Authors: Dr. A.A.P Milton, Dr. S. Ghatak, Division of Animal Health,

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ICAR Research Complex for NEH Region, Umiam- 793 103, Meghalya.

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Email: [email protected]; [email protected]

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Mobile: +91 8650918630; +919436380401

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Development of a novel and rapid polymerase spiral reaction (PSR) assay to detect

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Salmonella in pork and pork products

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Abstract

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The polymerase spiral reaction (PSR), a novel isothermal method for targeted DNA

36

amplification, was effectively applied to detect Salmonella in artificially spiked pork. The

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specificity of the developed PSR was tested using 16 Salmonella and 15 non-Salmonella

38

strains. The PSR assay was 10-fold more sensitive than conventional end-point PCR, having

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a sensitivity comparable to real-time PCR. The limit of detection of the developed assay was

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4 X 103 per gram of pork without enrichment and 4 CFU per gram after a 6 h enrichment. The

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detection of 4 CFU per gram of pork was achieved within 8 h. The PSR assay was successful,

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and accurate in comparison to microbiological methods, in detecting Salmonella in 11 of 76

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commercial pork samples. Therefore the positive predictive value, negative predictive value

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and accuracy rate of the developed assay were 100%. Considering its rapidity, user-

45

friendliness, simplicity, cost-effectiveness and equipment-free nature, this PSR assay is a

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promising tool for the food industry for the detection of Salmonella and prevention of

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Salmonella outbreaks and recalls.

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Keywords: Salmonella; Polymerase spiral reaction; Pork; Pathogen detection

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1. Introduction

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Salmonella is an important foodborne pathogen and the primary cause of bacterial

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foodborne illnesses worldwide [1]. It causes bacterial gastroenteritis and is responsible for

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approximately 30% of food poisoning cases in the USA (1.4 million human cases annually)

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[2]. Globally, non-typhoidal Salmonella account for approximately 153 million cases

54

(approx) of gastroenteritis and 57,000 deaths each year [3]. The most common sources of

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Salmonella infection are foods of animal origin. Contaminated food products such as eggs,

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poultry, pork and beef contribute to 75 % of human Salmonella cases [4]. While data on the

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prevalence of Salmonella spp. in foods of animal origin in India is patchy, several reports

58

indicate the public health importance of the organism [3, 5-7].

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In healthy humans, the infectious dose is typically ≥105 Salmonella cells, but in

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extremely susceptible individuals, as little as 15-20 cells can cause disease [8]. When present,

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foodborne pathogens are often at very low numbers relative to background microflora,

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making their detection and identification difficult [9]. Conventional detection methods for

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Salmonella spp. include pre-enrichment, selective enrichment and plating on selective media

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followed by biochemical and serological testing of presumptive isolates. While these methods

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are highly specific and are considered as the gold standard, they are time-consuming

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(requiring 7-10 days) and technically demanding (requiring well-trained manpower) [10]. In

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spite of the many advantages of nucleic acid based detection methods such as PCR, and real-

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time PCR, these methods impose many other constraints that prevent their routine use in

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resource-limited settings (e.g., costly equipment and laboratory set-up, post-PCR processing,

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technical training, etc.) [11]. Most of these detection methods are not appropriate for onsite

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detection or small scale food establishments. Therefore, rapid, cost-effective, simple,

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sensitive, specific and field portable assays are crucial for the detection of foodborne

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pathogens to control the distribution of contaminated foods [12].

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In recent years, many isothermal nucleic acid amplification-based assays, have been

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developed and deployed to detect foodborne pathogens. These methods can synthesize a large

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amount of DNA rapidly with high specificity. These assays obviate the necessity for a

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thermocycler, gel electrophoresis unit and trained personnel. Among them, loop-mediated

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isothermal amplification (LAMP) has been broadly applied and has been demonstrated to be

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a powerful tool for the detection of Salmonella in foods [11-19]. Invasin A gene (invA) is the

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most common target for nucleic acid based detection of Salmonella. The invA gene is

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chromosomally located and encodes for an inner membrane protein of Salmonella that is

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essential for the invasion of epithelial cells and is conserved in all the Salmonella serotypes

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[20]. Despite the many advantages of LAMP, the technique has some important limitations

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(the requirement for multiple primers, requiring rigorous optimization and the possibility of

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carryover or leftover contamination leading to false-positive results) that have limited its

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adoption [21].

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Polymerase Spiral Reaction (PSR) is a novel isothermal assay which rapidly amplifies

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target nucleic acid in the temperature range of 60–650C with high sensitivity and specificity.

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In contrast to LAMP, it requires only two primers [22]. The technique does not require any

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sophisticated instruments and has successfully been demonstrated as a potential point-of-care

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test for detecting many pathogens of medical and veterinary significance [23-28]. However, it

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has seldom been applied for the detection of foodborne pathogens and has yet to be adopted

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in the food industry. More recently, a PSR assay for detection of Salmonella in food was

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standardized [29]. However the main limitations of the study are that they have used two pair

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of primers, artificial spiking experiment was not performed to determine the limit of detection

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(LOD) and the effect of enrichment in improving the LOD was not studied.

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Therefore, the present study aimed to develop and evaluate a PSR assay targeting the

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invA gene to detect Salmonella in foods. The developed assay was validated by detecting

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Salmonella in artificially contaminated pork. The effect of a short culture enrichment on

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detection limit of Salmonella by PSR was also studied. The sensitivity and specificity of the

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developed PSR were also compared to PCR and real-time PCR methods. To avoid primer

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bias, PSR assay was compared with newly optimised PCR and real-time PCR assays

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targeting same conserved region of invA gene of Salmonella. We chose to use same primers

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(except the botanical portion of the PSR primers) in all three assays (PCR, real-time PCR and

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PSR) as our aim was to compare assays, not primers. However analytical sensitivity of PCR

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and real-time PCR assays based on well-cited primers were also compared with the current

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PSR assay. The portability of the developed assay was also demonstrated by screening field

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pork samples.

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2. Materials and Methods

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2.1 Bacterial strains

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Five Salmonella reference strains, 11 Salmonella strains isolated from food samples

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and 15 non-Salmonella strains (Table 1) were used in the present study. The strains were

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obtained from American Type Culture Collection (Manassas, Virginia, USA) and the

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National Salmonella Centre (Indian Veterinary Research Institute, Bareilly, Uttar Pradesh,

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India). Bacterial strains were stored as 20% glycerol stocks at -80°C. Strains were streaked

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on suitable media (HiMedia, India) and grown at 37 °C. Broth cultures were inoculated from

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single colonies into 10 mL of appropriate media (HiMedia, India) and grown overnight at 37

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°C.

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Typhimurium ATCC 51812 was used as a reference strain in the analytical sensitivity and

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meat spiking studies.

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Table 1. Bacterial strains used in the study

Cells were harvested and used to prepare DNA as described below. Salmonella

Bacterial Species

Salmonella Strains Salmonella Typhimurium Salmonella Enteritidis Salmonella Paratyphi Salmonella Pullonum Salmonella Uccle Salmonella food isolates (n=11) non-Salmonella Strains Shigella boydii Shigella sonnei Escherichia coli Enterococcus faecalis Pseudomonas aeruginosa

Strain/ Source*

ATCC 51812 NSC 2478 NSC 77 NSC E79 NSC 60a

ATCC 25931 ATCC 9207 ATCC 25922 ATCC 51299 ATCC 10145

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Listeria monocytogenes ATCC 13119 Klebsiella pneumonia ATCC 700608 Klebsiellaoxytoca ATCC 43863 Campylobacter jejuni ATCC 33291 Staphylococcus aureus ATCC 33591 Staphylococcus xylosus ATCC 29971 Staphylococcus epidermidis ATCC 12228 Clostridium perfringens ATCC 13124 Mycobacterium smegmatis ATCC 607 Mycobacterium bovis AN5 *ATCC-American Type Culture Collection (USA); NSC-National Salmonella Centre (India)

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2.2 Extraction of genomic DNA

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Genomic DNA of both Salmonella and non-Salmonella strains was isolated using

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QIAmp DNA Mini Kit (Qiagen, Germany) as per manufacturer’s instructions. The

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concentration of the extracted DNA were measured using UV-Visible spectrophotometry

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(Nanodrop,Thermo Scientific, USA). The DNA preparations were stored at -20 °C.

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2.3 Designing of PSR primers

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The PSR primers were designed to target the conserved region of the invA gene (Gen

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Bank Accession number CP043222) of Salmonella using the Primer3 program (NCBI). The

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principles of PSR primer design were described previously [22]. The Primer3 suggested

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primers

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(https://blast.ncbi.nlm.nih.gov/Blast.cgi). The selected primers were synthesized by Imperial

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Life Scienes (Haryana, India). The in-house PCR and real-time PCR targeting the invA gene

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were used to compare the sensitivity and specificity of developed PSR assay (data not

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shown). The primer sequences designed and used for PSR, PCR and realtime PCR are given

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in Table 2.

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Table 2. Primer sequences used in the study

Assay

were

checked

for

specificity

in

silico

with

the

BLAST-N

Primer

Sequences

INV2PF

5’-acgattcgtacatagaagtatagTGGATTTGTCCTCCGCCCTG-3’

program

Product size Variable

Source This study

PSR PCR & realtime PCR

INV2PR

5’-gatatgaagatacatgcttagcaCCGTATCGCCATTTACGCGG-3’

INV2F

5’-TGGATTTGTCCTCCGCCCTG-3’

INV2R

5’-CCGTATCGCCATTTACGCGG-3’

This study This study 129 bp This study

139 140

2.4 Optimization of the PSR and visual detection of amplified products

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The PSR assay was optimized for assay temperature (60-70 °C) and time (15-90 min)

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as well as dNTP (0.5-1.6 mM) (Thermoscientific, USA), MgSO4 (2.0-8.0 mM) (New England

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BioLabs, USA), betaine (0.5-1.4mM) (Sigma-Aldrich, USA), BST 2.0 Warm start

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polymerase (4-12 U) (New England BioLabs, USA) and primer (5µM-15µM)concentrations.

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PCR and real-time PCR assays were optimized to compare the PSR assay. The species-

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specific primer sets for Salmonella enterica were designed from the same conserved region

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of invA gene chosen for PSR (Table 2). The PCR reaction mixture (total volume, 25 µl)

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contained 12.5 µl of 2x Dream Taq Master Mix (Dream Taq DNA polymerase, 2X Dream

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Taq Green buffer, 0.4mM dNTPs, 4mM MgCl2), 1µl of 10pmol each of forward and reverse

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primer, 1 µl of the template DNA and 8.5µl nuclease-free water. Amplification was

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performed in Mastercycler nexus GX2 (Eppendorf, Germany). The cycling conditions

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consisted of 10 min initial denaturation at 94 °C, followed by 35 cycles each of 1min

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denaturation at 94 °C, 1.5 min annealing at 62 °C and 1min elongation at 72 °C and a final

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extension step of 5 min at 72 °C. Real-time PCR was carried out in a 20µl reaction volume

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consisting of 10µl Power SYBR Green PCR Master Mix (Applied Biosystems), 0.1µl each of

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forward and reverse primer, 7.8µl of nuclease-free water and 1µl sample DNA. The reaction

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was carried out in 7500 Fast Real-Time PCR System (Applied Biosystems) in following

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conditions: initial denaturation at 95 °C for 10 minutes, followed by 40 cycles each of 15 sec

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denaturation at 94 °C, 1 min annealing at 60 °C and 1min elongation at 72 °C and a final

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extension step of 5 min at 72 °C. The real-time PCR conditions consisted of an initial step of

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95°C for 10 minutes followed by an amplification program for 40 cycles of 15 seconds at

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95°C, 1 minute at 60°C, 1 minute at 72°C with fluorescence acquisition at the end of each

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extension. The amplification program was immediately followed by a melt program

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consisting of 15 seconds at 95°C, 30 seconds at 60°C, and 30 seconds at 95°C with

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fluorescence acquisition at each temperature transition. The PCR amplicon was detected by

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electrophoresis on 1.5% agarose gel stained with ethidium bromide (0.5 µg/ml) and

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photographed using gel imaging system (AlphaImager, UK). The amplified PSR products

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were detected visually (under white light) by the addition of 1 µl of SYBR Green I dye

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(10,000 X, Sigma-Aldrich, USA) diluted 1:10 in 1X phosphate buffered saline (PBS) which

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produced fluorescent green colour in positive whereas the colour remained unchanged

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(orange colour) in the negative reactions. The PSR products were also subjected to agarose

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gel electrophoresis similar to PCR products and photographed for confirmation.

173 174

2.5 Analytical sensitivity and specificity

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To determine the analytical sensitivity, serial tenfold dilutions (10-1 to 10-8) of the

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extracted genomic DNA of Salmonella Typhimurium ATCC 51812 were prepared and used

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to perform PSR, PCR and real-time PCR as per the standardized protocols. In real-time PCR,

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a Ct value of 32 was set as a cut-off point. Analytical sensitivity of the PSR assay was also

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compared with the previously published invA based PCR [30] and real-time PCR assays [31].

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The specificity of the developed PSR assay was determined by checking for its cross-

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reactivity with genomic DNA of 16 Salmonella and 15 non-Salmonella species/strains of 10

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different genera.

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2.6 Artificial contamination study and limit of detection (LOD) of the PSR assay

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The limit of detection (LOD) of the PSR assay was estimated using artificially

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contaminated pork as a model meat. A single S. Typhimurium (ATCC 51812) colony was

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picked from an XLD agar (HiMedia, India) plate and was cultured in 10 ml of tryptone soy

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broth (HiMedia, India) at 37 °C overnight (16 hr). After the overnight incubation, the

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Salmonella cells were harvested by centrifugation at 10,000 x g for 10 min. The bacterial

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pellet was washed once with 2 ml of PBS and re-suspended in final volume of 2 ml PBS.

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Serial 10 fold dilutions (10-1 to 10-8) of this bacterial suspension were made in 1X sterile

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PBS. The bacterial concentration in overnight culture was deteremined by spreading 100 µl

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of serially diluted suspensions onto XLD agar plates in duplicate followed by overnight (18

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h) incubation at 37 °C. The pork cut was purchased from the local market in Umiam,

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Meghalaya. The pork was confirmed to be free from Salmonella by real-time PCR and a

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microbiological culture method (ISO 6579:2002; [32]). Pork homogenate was prepared by

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stomaching 25 g of meat in 225 ml of 0.1% buffered peptone water (HiMedia, India) and 9

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ml of the homogenates were distributed in 15 ml culture tubes. One ml of each dilution of the

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prepared bacterial suspension was inoculated into 9 ml of the pork homogenate dispensed in

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15 ml culture tubes. A negative control was created by mixing 9 ml of the meat homogenate

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with 1 ml sterile 1X PBS. Genomic DNA was extracted using the DNeasy blood and tissue

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kit (Qiagen, Germany) following the manufacturer’s protocol. Conventional PCR, real-time

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PCR and PSR assays were performed using extracted DNA samples.

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2.7 Evaluation of the effect of enrichment on LOD of the PSR assay

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To evaluate the effect of enrichment, samples from each dilution of inoculated pork

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were collected after 6h of incubation at 37 °C. DNA was extracted from enriched samples.

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Briefly, 2 ml of the sample was collected from each dilution of spiked pork homogenate at 0

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h (without enrichment) and after 6 h of enrichment and centrifuged at 10,000 g for 5 min. The

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resulting cell pellet was then re-suspended in 180 µl of lysis buffer and was processed for

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genomic DNA extraction as per manufacturer’s protocol (Qiagen, Germany). Extracted DNA

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was used as the template in PCR, real-time PCR and PSR assays and the LOD were

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compared between the assays. All experiments using artificially contaminated pork were

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done in triplicate.

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2.8. Application of the developed PSR assay to field samples

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To evaluate applicability of the developed PSR assay to naturally contaminated samples,

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it was deployed to screen raw pork and processed pork samples (n=76) for the presence of

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Salmonella from the retail market of Meghalaya. Samples were obtained from the local wet

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markets of Meghalaya. The accuracy of the developed PSR assay was compared with the

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cultural methods, conventional PCR and real-time PCR. Salmonella isolation and

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identification was done according to ISO 6579:2002 methods [32]. Additional confirmation

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of all isolates was done by PCR targeting the invA gene.

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2.9 Statistical analysis

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The performances of the newly developed diagnostic PSR, PCR and real-time PCR

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assays were evaluated by determining the sensitivity, specificity, Positive Predictive Value

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(PPV), Negative Predictive Value (NPV) and Accuracy. Calculations were based on the final

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detection for each Salmonella isolate tested. True positive and true negative samples were

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based on the results of Salmonella isolation and identification employing the ISO 6579:2002

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method. PPV, NPV and accuracy were calculated by the following formulae

228 229 230 231 232 233 234 235 236 237 238 239

PPV=

(Number of TP) (Number of TP + Number of FP)

x 100

NPV=

(Number of TN) (Number of TN + Number of FN)

x 100

Accuracy=

(Number of TP + TN) (Number of TP + FP + TN + FN)

x 100

Where - TP: true positive, FP: false positive, TN: true negative, FN: false negative

240

3. Results

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3.1 Optimization of the PSR assay

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PSR was successfully optimized for all the reagents, temperature and time (Figures

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1A-G). The optimized PSR mixture contained 2.5 µl of 10X Isothermal amplification buffer

244

(New England BioLabs, USA), 8.0 mM MgSO4, 1.4 mM dNTP’s, 0.8 M betaine,8.0 U Bst

245

2.0 WarmStart DNA polymerase, 10 µM forward primer, 10 µM reverse primer,1.0 µl of

246

template genomic DNA and nuclease-free water to make up the volume to 25 µl. The reaction

247

was incubated at 64 °C for 60 min. PSR amplicons were detected by the addition of SYBR

248

Green I dye and UV illumination. Positive samples yielded green fluorescence, whereas

249

negative reactions remained the original orange colour. The PSR amplicons were also

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subjected to agarose gel electrophoresis which revealed a ladder pattern when stain with

251

ethidium bromide (Figures 1A-G).

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3.2 Specificity or exclusivity of the PSR assay

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The developed PSR assay for Salmonella targeting the invA gene demonstrated a high

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degree of specificity, amplifying the genomic DNA of all 16 Salmonella strains tested and

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yielding negative results with genomic DNA the other 15 bacterial species tested. The results

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of specificity are presented in figure (Figure 2).

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3.3 Analytical sensitivity of the PSR, PCR and real-time PCR assays

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The analytical sensitivity of the developed PSR assay was determined and compared

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with the results of newly developed and published PCR and real-time PCR assays. The

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genomic DNA extracted from the pure culture of S. Typhimurium (ATCC 51812) had a

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concentration of 100 ng/µl. The DNA concentration of ten-fold serial dilutions ranged from

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10 ng/µl (100X10-1 ng/µl) to 1fg/µl (100X10-8 ng/µl). Since 1 µl of template DNA solution

263

was used in each amplification reaction, the total DNA per assay ranged from 10 ng to 1 fg.

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The analytical sensitivity of newly developed PSR, real-time PCR and PCR assays were

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found to be 100 fg, 100 fg and 1 pg, respectively indicating PSR to be 10 times more

266

sensitive than PCR and comparable to real-time PCR (Fig 3). The analytical sensitivity of

267

current PSR, previously published real-time PCR and PCR assays were found to be 100 fg, 1

268

pg and 10 pg, respectively indicating PSR to be 100 times more sensitive than previously

269

published PCR and 10 times sensitive than real-time PCR (Fig 4).

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3.4 Artificial contamination study and limit of detection (LOD) of PSR,PCR and real-time

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PCR assays

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The bacterial concentration in the initial culture of S. Typhimurium ATCC 51812 was

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4 x 107 CFU/ml. The homogenized pork (9 ml) was inoculated with 1 ml of 10-fold serially

274

diluted S. Typhimurium (ATCC 51812) culture prepared in 1X PBS. Therefore, inoculated

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pork was carrying S. Typhimurium ranging from 4 x 106 CFU to 0.04 CFU of Salmonella in

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the absence of culture enrichment, the detection limit of PCR, real-time PCR and PSR was

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found to be 4 x 104 CFU/g, 4 x 103 CFU/g and 4 x 103 CFU/g of meat, respectively (Fig 5).

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After enrichment for 6 h, the detection limit of PCR, real-time PCR and PSR was found to be

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4 x 102 CFU/g, 40 CFU/g and 4 CFU/g of meat, respectively (Fig 6). The negative control did

280

not show any amplification, further confirming the specificity of developed PSR assay.

281

3.5 Real-world applicability of developed PSR assay

282

To evaluate real-world applicability of the developed PSR assay, it was deployed to

283

screen Salmonella from the raw, processed and cooked pork samples (n=76) collected from

284

retail markets of Meghalaya. The samples were screened with conventional PCR, real-time

285

PCR, PSR and conventional cultural methods. Out of 76 samples, following ISO 6579:2002

286

cultural method, Salmonella could be isolated from 11 pork samples. Without enrichment (at

287

0 hours), none of the samples gave positive results with conventional PCR, real-time PCR

288

and PSR assays. With a brief enrichment of 6 hours, PCR, real-time PCR and PSR could

289

detect Salmonella from 8, 11 and 11 samples, respectively.

290

3.6 Estimation of sensitivity, specificity, PPV, NPV and accuracy

291 292 293 294 295

The sensitivity, specificity, PPV, NPV and accuracy of the PSR, PCR and real-time PCR are furnished in the table 3.

296

Table 3. PPV, NPV, and accuracy (expressed as percentage, %) of PSR, PCR and real-

297

time PCR assays compared to ISO 6579:2002 Assays

298

Sensitivity Specificity PPV NPV Accuracy (95% LCL- (95% LCL- (95% LCL-95% (95% LCL- (95% LCL95% UCL) 95% UCL) UCL) 95% UCL) 95% UCL) PSR 100 100 100 100 100 (67.8-100.0) (93.0-100.0) (67.8-100.0) (93.0-100.0) (95.2-100.0) PCR 72 100 100 95.6 96.0 (39.3-92.7) (93-100.0) (59.7-100.0) (86.8-98.8) (88.9-99.1) Real-time 100 100 100 100 100 PCR (67.8-100.0) (93.0-100.0) (67.8-100.0) (93.0-100.0) (95.2-100.0) LCL, lower confidence limit; UCL, upper confidence limit

299

The PPV and NPV of the newly developed PSR assay for detection of Salmonella was 100%.

300

The accuracy of the newly developed PSR assay was also calculated to be 100%.

301

4. Discussion

302

Foodborne non-typhoidal salmonellosis remains an important economic and public health

303

burden for both developing and developed countries [3]. Most of the existing diagnostic

304

methods to detect Salmonella in foods suffer from many shortcomings, for example, they are

305

time consuming and expensive, exhibit low sensitivity, require trained manpower, yield a

306

high rate of false positivities (due to dead bacteria) etc. Considering the speed at which the

307

food moves from farm to fork and how rapidly an outbreak of human salmonellosis can

308

occur, rapid diagnostic methods are the clear priority and an urgent need from the food safety

309

and public health perspective. The rapidity in detecting the causative agent is crucial not only

310

for preventing hospitalization or clinical complication, but also for spotting the source of the

311

outbreak. This helps in efficient removal of the contaminated food products from the food

312

distribution chain. Ideally, pathogen detection would occur prior to distribution and

313

consumption of contaminated foods, reducing the occurrence of a food borne outbreaks.

314

Moreover, time consuming techniques such as conventional cultural methods (ISO 6579:

315

2002) [32] are not suitable for foods with a short shelf life like meat or ready to eat foods

316

[33]. In developing countries, the food regulatory agencies usually do not have sophisticated

317

laboratories, therefore simple techniques without the need for costly equipment and trained

318

manpower is a vital requirement.

319

Considering all this, we have developed a simple, rapid and promising polymerase spiral

320

reaction (PSR) assay to detect Salmonella in foods of animal origin. Moreover, we

321

demonstrated the potential of the PSR assay in rapid and accurate detection (<8 hours) of

322

Salmonella from raw pork and pork products. LAMP assays are frequently touted as simple

323

and rapid nucleic acid-based method for the detection of pathogens [8]. Furthermore, several

324

LAMP-based assays have been developed for detecting Salmonella from different foods of

325

animal origin [12, 14, 15, 34, 35]. The novelty of the present PSR assay in comparison with

326

LAMP assays is the requirement of only a single pair of primers that simplifies assay

327

development and eliminates the demand of rigorous optimization. Compared to LAMP, the

328

need for only two primers in PSR minimizes the likelihood of non-specific amplification and

329

contamination [27]. Thus, PSR is a unique blend of an isothermal amplification technique

330

and conventional PCR (single pair of primer).

331

The present PSR assay to detect Salmonella proved to be superior to conventional PCR as

332

it does not require a thermocycler, reducing the need for post PCR processing and has higher

333

sensitivity. Bst polymerase used in PSR and LAMP is shown to be more resistant to the

334

inhibitors of Taq DNA polymerase used in conventional PCR [36]. In the present study, the

335

analytical sensitivity of PSR and conventional PCR were 100 femtograms and 1 picogram,

336

respectively. The limits of detection in artificially contaminated pork without culture

337

enrichment were 4 x 104 CFU/g and 4 x 103 CFU/g in PCR and PSR, respectively. This

338

indicates that the present PSR assay was 10 fold more sensitive than the PCR (without

339

enrichment). After enrichment for 6 h, the detection limits of PCR and PSR were found to be

340

4 x 103 CFU/g, and 40 CFU/g of meat, respectively. So after a brief enrichment of 6 hours,

341

the PSR performed 100 times better than the conventional PCR assay.

342

The developed PSR assay also has the advantage over real-time PCR in that PSR does not

343

required costly and bulky equipment for post-PCR analysis. Moreover, the present PSR

344

assay was found to have comparable analytical sensitivity with that of real-time PCR (100

345

femtograms of genomic DNA). Furthermore, in artificially contaminated pork without

346

enrichment, both the PSR and real-time PCR had the same detection limits (4 x 103 CFU/g of

347

meat) and, with a brief enrichment of 6 h, the PSR assay (40 CFU/g of meat) was 10 times

348

more sensitive than the real-time PCR assay (400 CFU/g of meat).

349

The analytical sensitivity of 100 femtograms in the present assay is in concordance with

350

the earlier EMA (ethidium monoazide) LAMP and standard LAMP assays developed by Lu

351

et al. [34] and Wang et al. [14], respectively for detection of Salmonella in raw chicken and

352

pork. The limit of detection of the present PSR assay was found to be better than the earlier

353

RT-LAMP assay developed by Techathuvanan et al [12] for the detection of Salmonella from

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pork products. They have reported a detection limit of 102CFU/ 25 g after enrichment and 106

355

CFU/25 g without enrichment. The detection efficiency of our assay is also better than an

356

earlier RT-LAMP assay developed for pork processing environment samples, wherein a limit

357

of detection of 10 CFU/ml was reported [37]. The current assay was also found to be more

358

efficient and rapid than an earlier assay which reported a detection limit of 35 CFU of

359

Salmonella per 250 ml of minced pork and raw milk with the assay time of 24 h that

360

includedtime for sample enrichment [15]. Our assay is also more sensitive than a real-time

361

LAMP assay developed for detection of Salmonella which has detected 7 CFU/ml in the

362

artificially spiked chicken samples after enrichment of 6 h [35] that is only slightly less

363

sensitive than our detection limit of 4 CFU/g after a 6 h enrichment.

364

In recent years, few PSR assays have been developed to detect important pathogens.

365

Among them, most of the assays have revealed a 10 fold higher sensitivity than conventional

366

PCR assay [23-26], which is in line with our result. However, PSR assays to detect bovine

367

herpes virus [26], Brucella [27] and Mycoplasma synoviae [28] have shown 100 times greater

368

sensitivity than conventional PCR. Similar to our PSR assay, previously reported assays have

369

shown comparable sensitivity to real-time PCR [25, 27, 29].

370

In the evaluation of the developed PSR assay for its field applicability, naturally

371

contaminated or field pork samples were tested with conventional PCR, real-time PCR, PSR

372

and conventional cultural methods. The conventional cultural method revealed 11

373

Salmonella-positive samples from 76 samples tested. None of the other assays could detect

374

Salmonella when employed in unenriched samples. However, after enrichment for 6 h, PCR,

375

real-time PCR and PSR could detect Salmonella from 8, 11 and 11 samples, respectively.

376

Although the limit of detection of the PSR assay before enrichment in the artificial

377

contamination study was 4 x 103 CFU/g of pork, this negative result might be due to lower

378

levels of contamination (<4 x 103 CFU/g)in the field samples. As the initial count of

379

Salmonella in raw foods samples are usually low [38], it is suggested that the present PSR

380

assay be employed after a 6 h enrichment. This also ensures the detection of viable

381

Salmonella from the samples. Finally, the complete operation time of the developed PSR

382

assay including DNA extraction and the enrichment step can be completed in approximately

383

8 hour.

384

The main advantage of this study is that a novel, simple and rapid assay was developed to

385

detect Salmonella in pork and pork products in resource-limited settings. Our study evaluated

386

the effect of enrichment and compared the developed assay with conventional PCR and real-

387

time PCR assays. The field applicability was also evaluated by screening naturally

388

contaminated or field samples and comparison was done with the gold standard cultural

389

method(ISO 6579:2002) [32]. While the developed PSR assay gives accurate results in both

390

pork and pork products, additional studies will be necessary to extend its application to other

391

foods.

392

In conclusion, we successfully developed and evaluated novel PSR assay for detection

393

of Salmonella from foods, which complies with the “ASSURED (affordable, sensitive,

394

specific, user-friendly, robust and rapid, equipment-free, and deliverable)” concept proposed

395

by WHO for the development of diagnostic. Since our assay has multiple advantages over

396

many Salmonella diagnostic assays currently employed; we foresee that it has the potential to

397

become the assay of choice for routine detection of Salmonella in small or resource-limited

398

food testing laboratories.

399 400

Competing Interests

401

The authors declare that there are no competing interests

402

Acknowledgements

403

The authors are thankful to the Department of Science and Technology (DST),

404

Ministry of Science and Technology, New Delhi, Government of India, for sanctioning the

405

project (research grant no. SP/YO/570/2018(G)). The authors are also grateful to the

406

Director, ICAR Research Complex for NEH Region, Umiam, Meghalaya, India for providing

407

necessary facilities to conduct this research work. We sincerely acknowledge the contribution

408

of Dr George C Paoli, Research Microbiologist, USDA ARS in improving the manuscript.

409 410

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Figure legends

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Fig. 1. (A-G). Optimization of reagents (A. Primer; B. dNTP; C. MgSo4; D. Betaine; E. Bst Polymerase; F. Temperature; G. Time) concentration for PSR assay. First row- Visual detection with SYBR Green I showing green fluorescence in amplified products and orange in tubes with no amplification. Second row- Electrophoretic pattern of PSR amplified products. (Lane M- 100 bp plus ladder; NTC- Non-template control) Fig. 2 Specificity of PSR assay. First row- Agarose gel electrophoresis of PSR products (Lane 1-15) showing no amplification in non- Salmonella DNA and amplification in Salmonella DNA (Lane 16-20). Second row- Visual detection of PSR products (corresponding tube numbers 1-15) showing no amplification in non- Salmonella DNA and showing amplification in Salmonella DNA (corresponding tube numbers 16-20) using SYBR Green dye. (Lane M- 100 bp plus ladder; NTC- Non-template control) Fig. 3. Analytical sensitivity A) Agarose gel electrophoresis of new conventional PCR showing analytical sensitivity, B) Agarose gel electrophoresis (2%) and visual detection of PSR products showing analytical sensitivity, (Lane M- 100bp plus ladder, NTC- Nontemplate control) C) Amplification curve showing analytical sensitivity of new real-time PCR Fig. 4. Analytical sensitivity A) Agarose gel electrophoresis of conventional PCR (previously published [30]) showing analytical sensitivity (Lane M- 100bp plus ladder, NTC- Nontemplate control), B) Amplification curve showing analytical sensitivity of real-time PCR (previously published [31]). Fig. 5. Limit of detection in artificially contaminated pork (at 0 hour). A) Agarose gel electrophoresis of conventional PCR showing limit of detection, B) Agarose gel electrophoresis (2%) of PSR products showing limit of detection (Lane 1-9: 4X106 CFU/g, 4X105 CFU/g, 4X104 CFU/g, 4X103 CFU/g, 4X102 CFU/g, 40CFU/g, 4CFU/g, 0.4CFU/g, 0.04 CFU/g, NTC – No template control) and in second row- Visual detection of PSR products by addition of SYBR Green I showing limit of detection (Tube 1-9: 4X106 CFU/g, 4X105 CFU/g, 4X104 CFU/g, 4X103 CFU/g, 4X102 CFU/g, 40CFU/g, 4CFU/g, 0.4CFU/g, 0.04 CFU/g, Tube 10- NTC); C) Amplification curve of different dilutions of contaminated meat showing amplification till 4X103CFU/g. Fig. 6. Limit of detection in artificially contaminated pork after 6 h enrichment. A) Agarose gel electrophoresis of conventional PCR showing detection limit, B) Agarose gel electrophoresis (2%) of PSR products showing detection limit- Lane M- 100bp plus ladder, Lane 1-9: 4X106 CFU/g, 4X105 CFU/g, 4X104 CFU/g, 4X103 CFU/g, 4X102 CFU/g, 40CFU/g, 4CFU/g, 0.4CFU/g, 0.04 CFU/g, NTC – No template control and in second rowVisual detection of PSR product by addition of SYBR Green I showing detection limit- Tube 1-9: 4X106 CFU/g, 4X105 CFU/g, 4X104 CFU/g, 4X103 CFU/g, 4X102 CFU/g, 40CFU/g, 4CFU/g, 0.4CFU/g, 0.04 CFU/g, Tube 10-NTC C) Amplification curve of different dilutions of contaminated meat showing amplification till 40 CFU/ml.

Highlights Developed a PSR assay for detecting Salmonella in pork and pork products The analytical sensitivity of the PSR assay (100 fg) was 10 fold more than the conventional PCR and was comparable to real-time PCR The detection of limit of 4 CFU per gram of pork was achieved within 8 h Positive predictive value, negative predictive value and accuracy rate of the developed assay was 100%