The third group of human pathogens are bacteria of the genus Vibrio.
Perhaps the best-known Vibrio infection is cholera, which sickens many
people in underdeveloped countries through contaminated food and water.
In the United States, V. cholerae is not a problem, but two other
vibrios are of concern: V. vulnificus and V. parahaemolyticus.
These bacteria are naturally found in shellfish and seawater, particularly
when water temperatures are warm.
"Consumption of V. vulnificus-contaminated oysters is not
a problem for healthy individuals," says Richards, "but that's
not the case for sick, elderly, or immunocompromised people, especially
those with liver disease or diabetes. These groups should avoid eating
raw shellfish because of the widespread presence of V. vulnificus
in the marine environment."
Mortality rates for those who acquire a V. vulnificus infection
exceed 50 percent, with rapid disease onset and death often within 3-4
days. This bacterium is also a flesh-eating organism, which can produce
major disfigurement in those who survive infection.
The other Vibrio pathogen found in the United States is V.
parahaemolyticus, which causes a gastrointestinal illness that is
generally not life threatening. Illnesses from V. parahaemolyticus
have resulted in the closure of shellfish beds on the Atlantic, Pacific,
and Gulf coasts of the United States and have led to major economic
hardships for the shellfish industry.
Bacterial Virulence Factors
Deaths from V. vulnificus continue to occur among immunocompromised
oyster consumers. To better understand how these and related bacteria
invade the human host, Richards focused on identifying Vibrio
enzymes that may enhance bacterial invasiveness. Leading a research
group involving scientists from Delaware State University and the National
Institutes of Health, Richards recently discovered and characterized
an enzyme in V. vulnificus and identified it as phosphoglucose
isomerase with a novel lysyl aminopeptidase activity.
The presence of this enzyme activity signifies a potential mechanism
that may help the spread of Vibrio. He also detected the enzyme
in virtually all species of Vibrio tested to date, but not in
non-Vibrio pathogens. The enzyme is capable of metabolizing substances
found in human tissues and the bloodstream. Such metabolism produces
peptides that act on the blood vessels. These could account for the
low blood pressure and rapid spread of V. vulnificusa hallmark
of Vibrio infection in humans.
Richards also developed a quick and simple enzyme-based assay that
will allow vibrios to be readily detected in food, water, and clinical
samples. This assay is being evaluated collaboratively with the Haskin
Shellfish Research Laboratory, Rutgers University, in New Jersey to
detect vibrios in oysters and seawater.
Virus Methods Development
Recently, Richards, working with the Centers for Disease Control and
Prevention (CDC), developed a rapid method to detect a broad range of
noroviruses. He combined a technique known as real-time reverse transcription-polymerase
chain reaction (RT-PCR) with universal primers developed by CDC and
was able to detect most norovirus types circulating in the world today.
According to Richards, "This method should be particularly useful
to clinical, environmental, and food-testing laboratories, because,
for the first time, analysts will be able to rapidly test for a wide
spectrum of noroviruses in a single reaction tube."
Other recent research in this area involved detection of noroviruses
in stools of individuals who had no symptoms of illness. The results
suggest that healthcare workers and food handlers could unknowingly
spread noroviruses in the workplace, and highlight the importance of
good hygienic practices, particularly handwashing, to reduce the threat
of food contamination and enteric virus illness.
Kingsley and Richards have also developed a way to extract viral RNA
from shellfish. This method permits relatively rapid purification of
hepatitis A virus and norovirus genetic material from within shellfish
tissues. To detect the virus's genetic material, RT-PCR is then used
to amplify the viral RNA. This extraction method is being evaluated
by state, federal, and foreign laboratories to measure its performance,
determine its cost-effectiveness, and consider it for possible adoption
in virus-testing programs.
Some shellfish consumers prefer to eat shellfish raw or only lightly
cooked, so the shellfish industry is interested in methods that can
inactivate pathogens in their products without cooking. Kingsley is
studying a way to sanitize raw shellfish and other virus-contaminated
foods by using high-pressure processing (HPP), in which foods are subjected
to extremely high pressure. The advantage of this technology is that
no heat or chemicals are involved, permitting shellfish and other foods
to retain their raw, uncooked flavor and character.
"HPP is being used commercially, for example, to pasteurize fruit
juices in Japan and to treat sliced deli meats in Spain," Kingsley
In the United States, some in the oyster industry are already using
HPP to facilitate shucking, eliminate Vibrio contamination, and
extend product shelf life. These factors make HPP desirable to the processor
and consumer, but the initial costs of the HPP units have prevented
their widespread use.
Kingsley, working collaboratively with researchers from the U.S. Food
and Drug Administration, tested the ability of HPP to inactivate hepatitis
A virus from oysters. They found that 1-minute treatments of oysters
greatly reduced hepatitis A virus populations.
Since it is not currently possible to replicate norovirus in the laboratory,
Kingsley and Richards, in collaboration with researchers at the University
of Delaware, used feline calicivirus, a cat virus that is genetically
related to norovirus, to demonstrate that noroviruses may be sensitive
to HPP. Kingsley hopes to find a way to directly study norovirus response
to HPP in the future. Shellfish processors may be more willing to invest
the capital needed to perform HPP once it's been conclusively shown
to inactivate norovirus.
"Our research is of direct benefit to state and federal regulatory
agencies who can use the improved methods and to the industry and seafood
processors who can use new and innovative processing strategies to reduce
contamination in seafoods," Richards says. "We will continue
to evaluate these methods and seek partners to help validate them as
we pursue new ways to enhance seafood safety."By Jim
Core, Agricultural Research Service Information Staff.
This research is part of Food Safety (Animal and Plant Products),
an ARS National Program (#108) described on the World Wide Web at www.nps.ars.usda.gov.
Gary Richards and
David Kingsley are
with the USDA-ARS Microbial
Safety of Aquaculture Products Center of Excellence, Delaware State
University, James W.W. Baker Center, Dover, DE 19901; phone (302) 857-6419,
fax (302) 857-6451.
"Researchers Study Microbial Threats to Shellfish Safety"
was published in the March
2005 issue of Agricultural Research magazine.