Abstract:
Disclosed herein are methods for identifying at least one bacterial colonization factor of enterotoxigenic  E. coil  which comprise the following steps in the following order: 1) obtaining the colonization factor; 2) solubilizing the colonization factor by dissolving the colonization factor in 1,1,1,3,3,3-hexafluoro-2-propanol; 3) adding a solution of volatile acid to the solubilized colonization factor of step 2 to obtain a product; 4) subjecting the product of step 3 to mass spectrometry to determine the mass of the colonization factor; and 5) comparing the mass determined in step 4 with the mass of at least one known colonization factor.

Description:
CROSS REFERENCE TO RELATED APPLICATIONS 
     This application is a continuation-in-part of U.S. patent application Ser. No. 09/580,385, filed May 26, 2000, now abandoned, which is a continuation-in-part of U.S. patent application Ser. No. 09/070,802, filed May 1, 1998, abandoned, which takes priority from U.S. Provisional Patent Application Ser. No. 60/045,511, filed May 2, 1997, abandoned. 
    
    
     FIELD OF THE INVENTION 
     This invention relates to the use of mass spectrometry as a means for identifying specific colonization factors 9CF) in a sample of  E. coli.  The method is useful for tracking infections by differentially identifying the CF produced by specific organisms. 
     BACKGROUND OF THE INVENTION 
     Colonization factors (fimbriae, fibrillae or pili) are important virulence determinants of both intestinal and extra-intestinal  Escherichia coli.  For example, enterotoxigenic  E. coli  (ETEC), a major causative agent of diarrhea in children from and travelers to endemic regions, utilize CF for initial adherence necessary for colonization. However, the ability to detect and differentiate CF has been problematic, with incomplete CF data commonly being reported from field and survey studies. In addition, while efforts to clone and sequence  E. coli  CF have been underway for almost two decades, sequences of the same CF have been published with disagreement at several bases, indicating different amino acids at those positions. An independent means of verification of these sequences would be very valuable. This invention provides a technique of subunit mass determination that provides for the identification of  E. coli  CF as well as verification of sequence data. 
     The use of mass spectrometry for purposes of identifying colonization factors (CF) was first suggested by Cassels in an Abstract published in 1993. However, the methods suggested therein were not so effective as those under consideration in this disclosure, since the optimization achieved by following the steps taught herein provide increased efficiency and reliability. 
     SUMMARY OF THE INVENTION 
     Strains of ETEC and enteropathogenic  E. coli  (EPEC) were grown on agar or liquid broth, surface proteins removed, and CF detected by SDS-PAGE. Extracts containing sufficient amounts of CF were partially purified, with samples examined by electrospray mass spectrometry (MS) for mass determination of the CF subunit. In some cases N-terminal protein sequence (PSQ) of the subunit was obtained. In addition, purified CF from uropathogenic  E. coli  (P pili) were examined by MS. Results indicated that the use of MS gave a definitive identification of  E. coli  CF in almost all cases. Utilizing a simple process of growing ETEC strains, recovering CF, and purifying CF, 28 CF from 30 ETEC strains were identified. Overall eighteen different CF subunits were examined by MS. MS data for twelve CF subunits indicated agreement with published data (three validated one published sequence over another), and six of the CF are not yet sequenced. 
     The data clearly shows that mass spectrometry provides for identification of CF from ETEC strains grown in a simple standardized procedure. Moreover, MS data can be used to verify sequencing data of  E. coli  CF, as well as give the mass of unsequenced CF for future comparison. The resolving power of MS is such that the structural subunits of  E. coli  CF are differentiable, with protein sequencing providing valuable confirmatory information. 
     The preferred process for identifying bacterial colonizing factors in a culture comprises the steps of: 
     1) suspending bacteria in an isotonic solution, followed by heating for 15 to 30 minutes at a temperature sufficient to release the colonization factors into solution, 
     2) centrifuging the product obtained in step 1, then discarding the precipitate obtained after centrifugation while retaining the supernatant, 
     3) adding sufficient ammonium sulfate to the supernatant obtained in step 2 to obtain a concentration of 15% to 50% saturation of ammonium sulfate until a precipitate is seen, 
     4) centrifuging the product of step 3 containing the precipitate to pelletize the precipitate, 
     5) dissolving the pellet obtained in step 4 in water and dialyzing to remove ammonium sulfate and other small molecules and retaining the material remaining inside the dialysis membrane, 
     6) drying the product retained in the dialysis membrane in step 5 to obtain dried colonization factor, 
     7) solubilizing the dried colonization factor obtained in step 6 by first dissolving in 1,1,1,3,3,3-hexafluoro-2-propanol, then adding a volatile acid in aqueous solution to provide solubilized colonization factor, 
     8) subjecting solution containing solubilized colonization factor obtained in step 7 to mass spectrometry to determine mass, and comparing mass of proteins found therein with mass of known colonization factors. 
    
    
     DESCRIPTION OF THE INVENTION 
     Diarrhea has always been a major cause of illness and death, especially among the very young and very old, in tropical and subtropical climates, particularly in developing countries. In addition, travelers to these countries are at risk. It is the purpose of this invention to provide important information useful for identifying particular strains of infectious organisms. Toward this end, several organisms have been studied. The identification of colonization factor (CF) and subsequent exposure of CF to spectrometry has proven very useful. 
     Mass spectrometry has been used to characterize all manner of organic molecules. Recent advances in mass spectrometry have allowed its use on large molecules, especially proteins. Because the masses of individual amino acids vary(except leucine and isoleucine), masses of polypeptides often are unique. Electro-spray mass spectrometry has been shown to be useful and extremely accurate (about 1 mass unit/10,000 MW) to a total mass of 30-40 kD. Data clearly shows that use of electrospray mass spectrometry and protein sequencing as applied to the identification of ETEC CF. 
     The bacteria were grown on regular agar and on agar supplemented with bile salts. The preferred process of the invention is practiced using the following steps: 
     1) Bacteria are suspended in an isotonic solution, then heated for about 20 minutes at about 65° C. 
     2) The product of step 1 is centrifuged and the precipitated material is discarded. 
     3) Supernatant obtained in step 2 is run on a SDS-PAGE gel. 
     4) If a prominent band in the 14-20 kD range is seen, the supernatant is processed in the following manner: 
     5) To the supernatant of step 2, ammonium sulfate is added to 20% saturation. 
     6) The product of step 5 is centrifuged to pelletize the precipitate. 
     7) The product of step 6 is put into solution and the resulting material is dialyzed to remove the ammonium sulfate, sodium chloride and other smaller molecules such as salts and peptides. (This product may be applied to an SDS-PAGE gel to evaluate purity). The dialyzed residue containing CF is dried, then solubilized. 
     8) The product of step 7 is subjected to mass spectrometry. 
     The method presents several advantages over prior art methods. It is not necessary to fully purify the colonization factor before analysis. Some of the samples were less than 35% pure. Many samples were less than 50% pure. Furthermore, using the methods of the invention, it is possible to identify the presence of more than one factor in a sample. As many as three colonization factors have been found in a single sample. Using means of the invention, it is possible to trace infections. 
     Materials and Methods 
     Thirty ETEC strains were grown and prepared for analysis. 
     Bacteria were suspended in 9% NaCl solution, then heated for about 20 minutes at about 65° C. (A range of 15-30 minutes at 50° to 70° C. would be appropriate.) This resulting material was then centrifuged and the supernatant was run on SDS-PAGE gels. It was expected a prominent protein band would be seen at approximately the 15 kD range on the gel if colonization factor was expressed by the bacteria. Furthermore, the approximate purity of the CF can be determined from the SDS-PAGE gel. Yield was estimated and expressed in mg. The purity was estimated and expressed as percentage of CF relative to the total protein. 
     The heating at 50° to 70° C. in solution is required to cause release of the CFs. While the time and temperature may vary, best results were obtained by heating for about 20 minutes at a temperature of about 65° C. 
     The organisms were grown on two substrates—one containing bile and the other without bile salts. Samples which demonstrated a reasonable yield and purity of CF were further processed by addition of ammonium sulfate to the 20% level of saturation. This material was subjected to centrifugation to obtain a pellet. Ammonium sulfate (AS) was then added to the supernatant in sufficient amounts to obtain 40% saturation. This material was then centrifuged to obtain a second pellet. As a general principal, use of ammonium sulfate in concentration of 15% to 50% are usable. However, it was found that the concentration of 20% to 40% was generally advantageous, with some CF&#39;s being more easily pelletized at about 20% AS concentration, while others were more easily pelletized at about 40% AS concentration. 
     Each of the pellets were then suspended. The supernatants containing 40% saturation of ammonium sulfate (AS) and each suspension containing the pellets were dialyzed to remove AS and NaCl. All three samples (suspended pellets from 20% and 40% AS saturation, and the supernatant from the 40% AS saturation) were run on SDS-PAGE gels and the yield determined. In all but one instance, the highest purity and yield were seen using the precipitate from the pellet obtained by centrifugation of the sample containing 20% saturation of AS. 
     The solubilization of the colonization factors was essential for obtaining optimum results. Samples were dissolved in 1,1,1,3,3,3-hexafluoro-2-propanol (sold by Sigma under product #H8508) to a concentration of about 10-20 μM. Once the factors were fully solubilized, an equal volume of 5% acetic acid in water was added to bring the protein concentration to 5-10 μM. The samples were infused into the electrospray source at a rate of 0.6 μL per minute. The mass spectrometer was typically scanned from m/z 1400 to m/z 2500 continuously every 40 seconds and mass spectra from runs summed. Electrospray mass spectra were run on a JEOL SX102 (Japan) mass spectrometer equipped with an Analytica (Bradford, Conn.) electrospray source with heated capillary (125C.). The spectrum acquired (m/z) was deconvoluted with the JEOL software and the “mass” spectrum obtained which revealed the presence of the proteins. Volatile acids other than acetic acid may be used. It is important that the acid used should not form a salt. 
     The strains evaluated using the methods of the invention encompassed three groups of strains. One group of strains appeared to possess colonization factors in combinations not normally found as screened by monoclonal antibody means. These included strains known as 044210, 041421, PDAS40-1, H545A, H1024A and H503A. A second group was obtained from Egypt. These strains have been identified as strains C95-1059, C9503808a, C95-9303E, C95-106039D, C95-12335A and C95-16080A. These strains were obtained from collaborators in the Navy who were conducting field surveys of children with diarrhea in rural villages near Alexandria, Egypt. These strains appeared to contain a previously undescribed colonization factor, or were positive for more than one anti-colonization factor monoclonal antibody. A third group identified as DS168-1 and DS 26-1 were obtained from U.S. soldiers in Saudi Arabia during Desert Shield/Desert Storm who suffered from diarrhea. The streamlined growth, purification and sample preparation procedures disclosed herein were found to be relatively simple and proved quite successful in characterizing the CF of these groups. The following strains were studied: 
     
       
         
               
             
               
               
               
               
               
             
               
             
               
               
               
               
               
             
               
             
               
               
               
               
               
             
           
               
                   
               
               
                 STUDY STRAINS 
               
             
          
           
               
                   
                   
                   
                   
                 Antibody 
               
               
                   
                 Strain 
                 Toxin 
                 Origin 
                 profile 
               
               
                   
                   
               
             
          
           
               
                 Egyptian and Saudi 
               
             
          
           
               
                   
                 C95-1059 
                 ST 
                 Egypt 
                 CS19 
               
               
                   
                 C95-3808A 
                 LTST 
                 Egypt 
                 CS19 
               
               
                   
                 C95-9303E 
                 LT 
                 Egypt 
                 CS17 
               
               
                   
                 C95-16039D 
                 LTST 
                 Egypt 
                 CS1 
               
               
                   
                 C95-12335A 
                 ST 
                 Egypt 
                 CS1, CS3 
               
               
                   
                 C95-16080A 
                 ST 
                 Egypt 
                 CS1, CS3 
               
               
                   
                 DS168-1 
                 LT 
                 Saudi Arabia 
                 CS17-like 
               
               
                   
                 DS26-1 
                 LT 
                 Saudi Arabia 
                 CS17-like 
               
             
          
           
               
                 Unusual CF Stains 
               
             
          
           
               
                   
                 044210 
                 LT 
                 Mexico 
                 CFA/III, CS17 
               
               
                   
                 041421 
                 ST 
                 Mexico 
                 CFA/IV, CS7 
               
               
                   
                 028935 
                 LTST 
                 Mexico 
                 CFA/II, CFA/IV 
               
               
                   
                 PDAS40-1 
                 LT 
                 Brazil 
                 CS7, CFA/IV 
               
               
                   
                 H545A 
                 LT 
                 India 
                 CFA/III, CS17 
               
               
                   
                 H1024A 
                 ST 
                 India 
                 CFA/IV, PCF O166 
               
               
                   
                 H503A 
                 ST 
                 India 
                 CFA/IV, PCF O166 
               
               
                   
                 E2528C1 
                 LT 
                 Cruise ship 
                 CFA/III, PCFO166 
               
               
                   
                   
               
               
                   
                   1 By monoclonal antibody, except DS168-1 and DS26-1 (polyclonal)  
               
             
          
         
       
     
     The following data relates to the growth and expression of ETEC colonization factors as indicated below. 
     
       
         
               
             
               
               
               
               
               
               
               
             
               
             
               
               
               
               
               
               
               
             
               
             
               
               
               
               
               
               
               
             
               
             
               
               
               
               
               
               
               
             
           
               
                   
               
               
                 GROWTH AND EXPRESSION OF ETEC COLONIZATION FACTORS 
               
             
          
           
               
                   
                   
                 Yield (mg)/ 
                 Preferred 
                 Ammon 
                 Yield (mg)/ 
                   
               
               
                 Strain 
                 Media 
                 % Purity 
                 Media 
                 Sulfate 
                 % purity 
                 CF 
               
               
                   
               
             
          
           
               
                 1A. Egyptian and Saudi Strains 
               
             
          
           
               
                 C95-1059 
                 CFA bile 
                 2.2/50% 
                 CFA bile 
                 20% 
                 1.2/83% 
                 CS19 
               
               
                 C95-3808A 
                 CFA bile 
                 6.6/50% 
                 CFA bile 
                 20% 
                 1.4/75% 
                 CS19 
               
               
                 C95-9303E 
                 CFA bile 
                 0.5/10% 
                 CFA bile 
                 20% 
                 0.14/33% 
                 CS17 
               
               
                 C95-16039D 
                 CFA bile 
                 3.8/30% 
                 CFA bile 
                 20% 
                 0.6/55% 
                 O166 
               
               
                 C95-12335A 
                 CFA 
                 4.2/35% 
                   
                 40% 
                 5.2/90% 
               
               
                   
                 CFA bile 
                 7.0/35% 
                   
                 20% 
                 3.1/80% 
                 CS1, CS3, 
               
               
                   
                   
                   
                   
                   
                   
                 CS3a 
               
               
                 C95-16080A 
                 CFA 
                 1 nx 
               
               
                   
                 CFA bile 
                 1 nx 
               
               
                 DS 168-1 
                 CFA bile 
                 5.0/33% 
                 CFA bile 
                 20% 
                 1.5/75% 
                 CS19 
               
               
                 DS 26-1 
                 CFA bile 
                 5.4/40% 
                 CFA bile 
                 20% 
                 0.7/60% 
                 CS19 
               
               
                 DS 37-4 
                 CFA bile 
                 1 nx 
               
               
                   
                 CFA 
                 1 nx 
               
             
          
           
               
                 B. Unusual Combination CF Strains 
               
             
          
           
               
                 044210 
                 CFA bile 
                 9.15/70% 
                 CFA bile 
                 20% 
                 2.1/90% 
                 CS17 
               
               
                 041421 
                 CFA bile 
                 5.9/25% 
                 CFA bile 
                 20% 
                 0.57/50% 
                 CS5 
               
               
                 028935 
                 CFA bile 
                 1.9/5% 
                   
                 40% 
                 0.14/10% 
                 PCF 0166 
               
               
                 PDAS40-1 
                 CFA bile 
                 4.6/45% 
                 CFA bile 
                 20% 
                 0.86/60% 
                 PCF 0166 
               
               
                   
                   
                   
                   
                 40% 
                 1.4/75% 
               
               
                 H545A 
                 CFA bile 
                 3.4/65% 
                 CFA bile 
                 20% 
                 0.88/78% 
                 CS17 
               
               
                 H1024A 
                 CFA bile 
                 3.9/33% 
                 CFA bile 
                 20% 
                 0.58/80% 
                 PCF 0166 
               
               
                 H503A 
                 CFA bile 
                 1.6/20% 
                 CFA bile 
                 20% 
                 0.35/28% 
                 PCF 0166 
               
               
                 E2528C1 
                 CFA 
                 3.1/50% 
                 CFA 
                 20% 
                 1.2/90% 
                 CFA/III 
               
               
                   
                 CFA bile 
                 1.9/18% 
                   
                 20% 
                 0.4/33% 
               
             
          
           
               
                 C. Well Characterized Strains 
               
             
          
           
               
                 E20738A 
                 CFA bile 
                 26.1/35% 
                 CFA bile 
                 20% 
                 3.7/90% 
                 CS17 
               
               
                 E8775 
                 CFA bile 
                 8.8/15% 
                   
                 20% 
                 2.8/70% 
                 CS4 
               
               
                   
                 CFA 
                 9.6/15% 
                   
                 20% 
                 1.4/70% 
               
               
                 C91f 
                 CFA bile 
                 14.7/25% 
                 CFA bile 
                 20% 
                 3.2/80% 
                 CS2 
               
               
                   
                 CFA 
                 30.4/25% 
                   
                 20% 
                 1.8/80% 
                 CS2 
               
               
                 350 C1A 
                 CFA bile 
                 42/70% 
                 CFA bile 
                 20% 
                 17/90% 
                 PCFO159 
               
               
                 D02-2 
                 CFA bile 
                 15.4/25% 
                 CFA bile 
                 20% 
                 6.1/65% 
                 CS7 
               
               
                   
               
             
          
         
       
     
     The expected mass of the colonization factors have been studied and published. The expected and experimentally determined masses were compared and the following data was obtained: 
     
       
         
               
               
               
               
             
           
               
                   
                   
               
               
                   
                 Colonization 
                 Mass 
                 Experimental 
               
               
                   
                 Factor 
                 Expected 
                 Mass 
               
               
                   
                   
               
             
             
               
                   
                 CFA/I 
                 15,074.1 
                 15,076.6 
               
               
                   
                   
                 15,046.1 
               
               
                   
                   
                 15,057.2 
               
               
                   
                 CS1 
                 15,246.2 
                 15,241.4 
               
               
                   
                 CS2 
                 15,418.7 
                 15,420.6 
               
               
                   
                 CS3 
                 15,111.5 
                 15,112.1 
               
               
                   
                   
                 15,079.7 
               
               
                   
                 CS3a 
                 unknown 
                 15,241.4 
               
               
                   
                 CS4 
                 14,958.8 
                 14,960.8 
               
               
                   
                 CS5 
                 18,617   
                 18,620.6 
               
               
                   
                 CS6a 
                 15,057.9 
                 15,055.1 
               
               
                   
                   
                 15,070.8 
               
               
                   
                 CS6b 
                 15,877.4 
                 15,876.8 
               
               
                   
                   
                 15,132.7 
               
               
                   
                 CS7 
                 unknown 
                 18,725.6 
               
               
                   
                 CS17 
                 15,374.8 
                 15,376.8 
               
               
                   
                 CS19 
                 14,963.5 
                 14,964.9 
               
               
                   
                 CFA/III 
                 21,607.6 
                 21,623.1 
               
               
                   
                 PCF O159 
                 unknown 
                 17,921.4 
               
               
                   
                 PCF O166a 
                 14,987.8 
                 15,028.9 
               
               
                   
                 PCF O166b 
                 15,541.4 
                 15,539.1 
               
               
                   
                 AF/R1 
                 16,526.5 
                 16,526.5 
               
               
                   
                   
                 14,401.4 
               
               
                   
                 Pap 
                 16.554.3 
                 16.555.3 
               
               
                   
                   
               
             
          
         
       
     
     Relying on the spectrographic data, the following conclusions would have been drawn: 
     
       
         
               
               
               
               
             
               
             
               
               
               
               
             
               
             
               
               
               
               
             
               
             
               
               
               
               
             
           
               
                   
               
               
                   
                 Antibody 
                 Mass Spec 
                 PSQ 
               
               
                 Strain 
                 Data 
                 Conclusion 
                 Conclusion 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 ETEC: EGYPTIAN AND SAUDI STRAINS 
               
             
          
           
               
                 Egyptian 
                   
                   
                   
               
               
                 village: 
               
               
                 C95-1059 
                 CS19 
                 CS19 
                 CS17 or 
               
               
                   
                   
                   
                 CS19 
               
               
                 C95-3808A 
                 CS19 
                 CS19 
               
               
                 C95-9303E 
                 CS17 
                 CS17 
               
               
                 C95-16039D3 
                 CS1 
                 PCFO166 
                 PCFO166 
               
               
                 C95-12335A 
                 CS1, CS3 
                 CS1, CS3, 
                 CS3, CS3a 
               
               
                   
                   
                 CS3a 
               
               
                 C95-16080A 
                 CS1, CS3 
                 l.n.x. 
               
               
                 US Soldiers in 
                   
                   
                   
               
               
                 Saudi Arabia 
               
               
                 DS 168-1 
                 CS17-like 
                 CS19 
               
               
                 DS 26-1 
                 CS17-like 
                 CS19 
               
               
                 DS37-4 
                 CS17 
                 l.n.x. 
               
             
          
           
               
                 ETEC: UNUSUAL CF STRAINS 
               
             
          
           
               
                 044210 
                 CFA/III, CS17 
                 CS17 
                 CS17 or 
               
               
                   
                   
                   
                 CS19 
               
               
                 041421 
                 CFA/IV, CS7 
                 CS5 
                 CS5 
               
               
                 028935 
                 CFA/II, CFA/IV 
                 PCF O166 and CS5 
               
               
                 PDAS40-1 
                 CS7, CFA/IV 
                 PCF O166 and CS7 
               
               
                 H545A 
                 CFA/III, CS17 
                 CS17 
                 CS17, CS19 
               
               
                 H1024A 
                 CFA/IV, PCF0166 
                 PCF O166 
               
               
                 H503A 
                 CFA/IV, PCF0166 
                 PCF O166 
               
               
                 E2528C1 
                 CFA/III, PCF0166 
                 CFA/III 
               
             
          
           
               
                 ETEC: WELL CHARACTERIZED STRAINS 
               
             
          
           
               
                 ETEC Strains: 
                   
                   
                   
               
               
                 H10407NM 
                 CFA/I 
                 CFA/I 
                 CFA/I 
               
               
                 E20738A 
                 CS17 
                 CS17 
               
               
                 E8775 
                 CS4, CS6 
                 CS4 
                 CS4, CS6 
               
               
                 C91f 
                 CS2 
                 CS2 
                 CS2 
               
               
                 350C1A 
                 PCFO159 
                 PCF O159 
               
               
                 D02-2 
                 CS7 
                 CS7 
                 CS7 
               
               
                 M346 
                 CS6 
                 CS6 
                 CS6 
               
               
                 Z26-5 
                 CFA/III 
                 CFA/III 
               
               
                 E17018A 
                 CS5, CS6 
                 CS5 
               
               
                 60R75 
                 CS1 
                 CS1 
                 CS1 
               
               
                 LP97-009 
                 CS3 
                 CS3 
               
               
                 LP97-020 
                 CS17 
                 CS17 
               
               
                 LP97-021 
                 CS17 
                 CS17 
               
               
                 Non-ETEC 
               
               
                 Strains: 
               
               
                 RDEC-1 
                 AF/R1 
                 AF/R1 
                 AF/R1 
               
               
                 HB101/ 
                 Pap 
                 Pap 
               
               
                 pPAP15 
               
               
                   
               
               
                 l.n.x. - little to no expression of colonization factor  
               
             
          
         
       
     
     From the above, it is shown that using the methods of the invention 28 of 30 ETEC strains investigated in this study produced enough CF for further purification and analysis. The method of the invention provides better production (based on yield and purity) of CF on CF agar with 0.15% bile salts was seen in 26 of 28 strains. Growth of strains E2528C1 (CFA/II-I) and 60R75 (CS1), on CF agar alone resulted in better production of CF. 
     Masses of the CF from 28 strains were determined, compared to known masses of CF, with most identified by their masses alone in a manner that was more rapid and cost effective than previously used methods. 
     The N-terminal protein sequence was obtained for twelve CF. However, while protein sequence data was useful, it was not definitive in identification of CF. 
     The methods of the invention may be used in conjunction with other methods to identify ETEC strains.