INTRODUCTION
Members of the family
Vibrionaceae are naturally occurring marine bacteria containing some pathogenic species that negatively impact aquatic systems and human health (
1).
Vibrio parahaemolyticus and
Vibrio vulnificus are important human pathogens responsible for morbidity and mortality, most often associated with the consumption of molluscan shellfish. Most illnesses from
V. vulnificus and
V. parahaemolyticus occur during warmer months, which follow seasonal peaks in their densities in seawater and shellfish.
Vibrio densities in oysters are influenced by environmental factors, principally temperature and, to a lesser extent, salinity (
2–5).
Shellfish safety is regulated in the United States according to the requirements set forth by the Interstate Shellfish Sanitation Conference (ISSC) under the objective to “Adopt sound, uniform methods into a National Shellfish Sanitation Program (NSSP) that is accepted by participating shellfish control authorities” (
6). Under the NSSP guidelines, total levels of
V. parahaemolyticus and
V. vulnificus can be identified from positive most-probable-number–PCR (MPN-PCR) tubes based on the presence of the species-specific thermolabile hemolysin gene (
tlh) and
V. vulnificus hemolysin gene A (
vvhA), respectively (
7–9). The detection of pathogenic strains of
V. parahaemolyticus relies on the molecular detection of the thermostable direct hemolysin (
tdh) and
tdh-related hemolysin (
trh) genes, which encode two major virulence factors (
7). For
V. vulnificus, the virulence-correlated gene (
vcgC) serves as a reliable biomarker to screen for potentially virulent strains (
8,
9). MPN followed by PCR testing requires several days and makes the identification and enumeration of total and pathogenic vibrios not only slow but also labor-intensive and costly. From 1998 to 2019, a number of significant
V. vulnificus and
V. parahaemolyticus outbreaks, oyster recalls, and closures of shellfish harvesting areas have occurred in the United States, resulting in an increased interest in the development of more-rapid, simpler, and less costly methods to monitor these pathogens (
10–14).
Our research group developed a simple, rapid, and inexpensive enzyme-based fluorogenic procedure, known as the colony overlay procedure for peptidases (COPP) assay, to identify and quantify total
Vibrionaceae (TV) in seawater and shellfish in less than 24 h (
15,
16). Currently, this is the only agar plate, culture-based method using nonselective and nondifferential media for specific detection of TV abundances. While the COPP procedure detects and enumerates TV, the predictive value of using TV as an indicator of pathogenic
Vibrio species has not been determined, but it would be analogous to MPN monitoring for total or fecal coliforms as indicators for the possible presence of enteric pathogens, e.g.,
Escherichia coli or
Salmonella, under NSSP guidelines (
17). Unfortunately, quantification of pathogenic
V. vulnificus and
V. parahaemolyticus using conventional MPN-PCR analyses is labor-intensive and costly and requires several days (
18). A 24-h direct-plating (DP) method is available, using selective and differential CHROMagar Vibrio (CHROMagar, Paris, France) to differentiate potentially pathogenic
Vibrio species (
19,
20).
The objectives of this study were as follows: (i) to simultaneously evaluate the distribution of TV and pathogenic V. parahaemolyticus and V. vulnificus in oysters and seawater collected from the Delaware and Chesapeake Bays using the COPP assay, the CHROMagar Vibrio direct-plating method, and MPN-PCR; (ii) to model the use of the COPP assay or direct-plating method as potential substitutes for MPN-PCR assays; (iii) to compare and contrast abundances, detection frequencies, and dynamics of TV and pathogenic vibrios in the Delaware and Chesapeake Bays; (iv) to evaluate seasonal and geographical differences in TV and pathogenic vibrios in the bays; and (v) to evaluate the influence of physicochemical parameters of seawater on TV and pathogenic Vibrio levels in the bays.
DISCUSSION
This is the most comprehensive study comparing abundances and frequencies of detection of total vibrios and total and pathogenic V. parahaemolyticus and V. vulnificus in oysters and water in the Chesapeake Bay and Delaware Bay. Multiple detection methods were compared from May to October, when the highest abundances of Vibrio typically occur in the United States. Five Maryland and three Delaware oyster-harvesting sites that provided high and low salinity ranges were selected in order to maximize the range of collection conditions encountered during the study.
In this study, DP on CHROMagar Vibrio was much less sensitive in identifying
vcgC-positive isolates than MPN-PCR. A similar trend was also observed for the
tdh- and
trh-positive isolates of
V. parahaemolyticus. This might be due to the testing of 10 to 20% of the isolates using real-time PCR instead of all colonies recovered from a sample. One limitation in using CHROMagar Vibrio is that the agar contains 6% NaCl, which may be inhibitory to many vibrios, including
V. parahaemolyticus and
V. vulnificus, especially if the vibrios are already stressed. MPN-PCR is more sensitive than direct plating of samples on CHROMagar Vibrio for detecting/enumerating these pathogens (
22,
23), due in large part to the initial enrichment step which resuscitates weakened vibrios under more normal salt levels (
18).
In our DP tests, we picked mauve colonies (presumptive
V. parahaemolyticus) and green colonies (presumptive
V. vulnificus) from plates for species confirmation by real-time PCR. The high percentage of false-negative results (ranging from 49% to 81%) for pathogenic strains of
V. parahaemolyticus and
V. vulnificus (
Table 2) limits the utility of DP to serve as a viable method for monitoring pathogenic vibrios in oysters and seawater. False-negative results were somewhat less for total
V. parahaemolyticus and
V. vulnificus in oysters (13 and 15%, respectively). Sensitivity and specificity rates higher than 95% are usually considered acceptable measures of a validated method (
24). None of the sensitivity results for the DP method in oysters or seawater met this threshold (
Table 2).
The COPP assay for total
Vibrionaceae detection was developed not to discriminate between pathogenic and nonpathogenic vibrios but rather as a rapid screening technique to assess the general levels of
Vibrionaceae present in oysters, seawater, and environmental samples, including well water (
15,
16,
25). The
Vibrionaceae family of bacteria contains, among others, members of the genera
Vibrio,
Photobacterium, and
Listonella. Because of genetic similarities between
Shewanella spp. and
Vibrionaceae,
Shewanella was also recommended for inclusion in the
Vibrionaceae family (
26). To date, all of these genera have been shown to test positive by the rapid, simple, and inexpensive COPP assay. In contrast, the standard MPN-PCR for vibrios is designed to detect total
V. parahaemolyticus (
tlh+) and total
V. vulnificus (
vvhA+). Consequently, this study evaluated whether total
Vibrionaceae as determined by the COPP assay demonstrated predictive potential for total or pathogenic
V. parahaemolyticus and
V. vulnificus in either seawater or oysters.
Direct correlation of total
Vibrionaceae (COPP) abundance with total or pathogenic
V. parahaemolyticus and
V. vulnificus in either seawater or oysters was variable with both MPN-PCR and DP (
Table 1). Given the multitude of differences in media, enrichment selectivity, and endpoint sensitivity previously discussed, this is not surprising. However, when combined with the simple-to-measure environmental parameters of temperature and salinity, predictive models demonstrate potentially useful concordance (
Table 3). Notably, these models do not predict absolute abundance but rather predict the probability of exceeding a predetermined threshold. For initial model development, we used the data to define thresholds (top quartile), which may or may not have relevance to human health. Currently, there are no criteria for
Vibrio in water or for pathogenic strains. While criteria have been proposed for
V. parahaemolyticus in oysters, most oyster samples encountered in this study exceeded the recommended pathogenic limit of 100 MPN/g (
27), and a few reached the total
V. parahaemolyticus threshold of 10,000 MPN/g (
17). While there is ongoing debate as to dose response or the relationship between total
V. parahaemolyticus and illness, thresholds for virulence genes (
trh and
tdh) may offer a more direct means of assessing risk. The COPP assay in combination with temperature and salinity was extremely reliable in predicting elevated levels of these genes and offers promise for future development of a rapid “indicator” of oysters more likely to cause illness.
The second goal of this study was to compare Vibrio levels in Maryland and Delaware. In order to reduce the number of variables in the analysis and visualize major environmental differences among the systems, we used principal-component analysis. The exercise highlighted major differences between the systems along a salinity-turbidity gradient, with Delaware samples coming from significantly more turbid and saline environments. Inclusion of this principal component (PC1) in subsequent statistical models resulted in excessive variance inflation, and thus it was removed. Therefore, we are left only to speculate through correlation on whether differences in Vibrio concentration between the states are due to this gradient or to factors not measured.
Although sites and study years had no overall effect on the prevalence of TV, they had effects on the prevalence of
V. parahaemolyticus and
V. vulnificus. The Chester River had the lowest level of
V. parahaemolyticus compared to all other sites (
P < 0.05). This might be due to the low salinity (9.2 to 13.9 ppt) at this site, as the optimum growth of
V. parahaemolyticus occurs within the salinity range of 10 to 23 ppt (
3,
5,
28). Samples recovered from Maryland had higher
V. vulnificus levels, and those from Delaware had higher
V. parahaemolyticus levels. The salinity of the Delaware sites on average was over 10 ppt higher than that at the Maryland sites, which may explain the differences. It has been also reported that
V. vulnificus is more susceptible to high salinity than
V. parahaemolyticus (
29–31). In 2017, differences in abundance were about one-half log for both
V. parahaemolyticus and
V. vulnificus between the two geographical regions. Several studies (
4,
29–32) also reported that the prevalence of these bacteria may vary from site to site and that physicochemical parameters may be responsible for this variation. However, we did not find any clear explanation based on the physicochemical parameters of the water. This suggests that there are yet-unidentified factors that contribute to the frequency and distribution of these bacteria in oysters and water.
Compared to seawater, oyster samples contained more TV,
V. parahaemolyticus, and
V. vulnificus at all sites in Delaware and Maryland. This is commonly observed due to the ability of oysters to bioaccumulate large numbers of microorganisms as they filter the water. Our results are consistent with the finding of previous studies that reported higher levels of
V. parahaemolyticus and
V. vulnificus in oysters than in seawater (
4,
29,
30).
In this study,
tdh- and
trh-positive samples were more prevalent in Delaware than in Maryland. In addition, more than 90% of Delaware samples were positive for both
tdh and
trh, compared to 19% in Maryland. There was a significant (
P < 0.05) difference between the prevalences of
tdh-positive
V. parahaemolyticus in 2016 and 2017. In contrast, there was no significant difference (
P > 0.05) in the prevalence of
vcgC-positive samples in Delaware or Maryland. These results indicate that
V. parahaemolyticus isolates recovered from the Delaware Bay may be significantly (
P < 0.05) more virulent than those from the Chesapeake Bay, based on the detection of commonly recognized pathogenicity genes. Previous studies reported that levels of pathogenic vibrios may vary from region to region and year to year, which is consistent with results of our study (
4,
29,
33). The majority of the pathogenic
V. parahaemolyticus and
V. vulnificus samples were recovered from June through August. On the other hand, a previous study in the Chesapeake Bay reported that most of the pathogenic
V. parahaemolyticus isolates were observed in both warmer and colder months (
32) suggesting that environmental factors may affect the temporal changes in the prevalence of these strains of
V. parahaemolyticus. However, we did not observe any correlation between the prevalence of the pathogenic strains in oysters and environmental parameters, except for a weak correlation between seawater turbidity and
vcgC+ V. vulnificus levels. Correlations were moderate for pathogenic
V. parahaemolyticus and salinity and turbidity and were negative for dissolved oxygen (
Table 6). Additional research is needed to confirm whether these strains are consistently more abundant in Delaware and, if so, why. The high incidence of pathogenic
V. parahaemolyticus in oyster and water samples is a huge concern from food safety and public health standpoints, and the results are inconsistent with previous studies that reported that 2 to 40% of oyster and water samples were positive for these pathogens. The prevalence of these strains may vary by sample type as well as the sensitivity of the detection methodology (
4,
34).
Previous studies have indicated that there was a positive correlation between vibrios in oysters and seawater temperature (
4,
29,
30,
32). In our current study, we did not observe any strong positive correlation between vibrios in the samples and temperature, which is likely due to our collection of samples only during the warmer months (May to October). Salinity is one of the variables most often correlated with levels of vibrios in water. Recently, Froelich et al. (
30) reported that salinity did correlate with the levels of
V. parahaemolyticus and
V. vulnificus in oysters and water in a North Carolina estuary. In our study, TV and
V. parahaemolyticus correlated with salinity, but
V. vulnificus, which is less salt tolerant than
V. parahaemolyticus, did not correlate with salinity. Another study conducted in the Chesapeake Bay reported no correlation between salinity and
V. parahaemolyticus levels in oysters or water (
4). Johnson et al. (
29) conducted a multiyear study in three different regions of the United States and observed that the correlation between salinity and the
Vibrio level in oysters and water depended on the range of the salinity in water and the sample size in the studies.
Like in previous studies (
4,
31), TV and
V. parahaemolyticus showed negative and positive relationships with dissolved oxygen (
32) and turbidity, respectively. Chlorophyll
a and pH values did not correlate with TV and
V. parahaemolyticus or
V. vulnificus in Delaware or Maryland, which is also consistent with previous studies conducted in Maryland (
4,
32).
In summary, two methods were compared with standard MPN-PCR assays as potentially simpler, less costly, and more rapid alternatives to the MPN-PCR for V. parahaemolyticus and V. vulnificus detection. The DP method showed high false-negative rates, which precluded its further evaluation. In contrast, logistic regression models of the COPP assay, factoring in seawater temperature and salinity, showed strong potential as an indicator for tdh+ and trh+ V. parahaemolyticus with very high concordances. Good concordances were also obtained for total and pathogenic strains of V. vulnificus in oysters. Interestingly, concordances for all total and pathogenic vibrios were consistently higher in seawater than in oysters, again factoring into account seawater temperature and salinity. These findings suggest that the COPP assay has good potential to serve as a predictive index of total and pathogenic Vibrio levels in oysters and seawater. Further studies to evaluate this possibility are warranted. This study also compared the abundances and detection frequencies of vibrios in oysters and seawater in the Delaware and Chesapeake Bays. Although abundances were low for pathogenic V. parahaemolyticus in both regions, the detection frequency was high and significantly greater in the Delaware Bay than in the Chesapeake Bay. Pathogenic V. vulnificus strains were not significantly different in abundance or prevalence between the two regions and were also generally low. Additional studies are needed to assess the influence of seawater salinity, turbidity, temperature, and other environmental factors on the development of a prediction model for pathogenic vibrios in oysters.