PMID- 24048535 OWN - NLM STAT- MEDLINE DCOM- 20140623 LR - 20211021 IS - 1098-660X (Electronic) IS - 0095-1137 (Print) IS - 0095-1137 (Linking) VI - 51 IP - 12 DP - 2013 Dec TI - Quantitative detection of Vibrio cholera toxin by real-time and dynamic cytotoxicity monitoring. PG - 3968-74 LID - 10.1128/JCM.01959-13 [doi] AB - We report here the quantitative detection of Vibrio cholerae toxin (CT) in isolates and stool specimens by dynamic monitoring of the full course of CT-mediated cytotoxicity in a real-time cell analysis (RTCA) system. Four cell lines, including Y-1 mouse adrenal tumor cells, Chinese hamster ovary (CHO) cells, small intestine epithelial (FHs74Int) cells, and mouse adrenal gland (PC12-Adh) cells, were evaluated for their suitability for CT-induced cytotoxicity testing. Among them, the Y-1 line was demonstrated to be the most sensitive for CT-mediated cytotoxicity, with limits of detection of 7.0 pg/ml for purified CT and 0.11 ng/ml for spiked CT in pooled negative stool specimens. No CT-mediated cytotoxicity was observed for nontoxigenic V. cholerae, non-V. cholerae species, or non-V. cholerae enterotoxins. The CT-RTCA assay was further validated with 100 stool specimens consecutively collected from patients with diarrhea and 200 V. cholerae isolates recovered from patients and the environment, in comparison to a reference using three detection methods. The CT-RTCA assay had sensitivities and specificities of 97.5% and 100.0%, respectively, for V. cholerae isolates and 90.0% and 97.2% for stool specimens. For stool specimens spiked with CT concentrations ranging from 3.5 pg/ml to 1.8 ng/ml, the inoculation-to-detection time was 1.12 +/- 0.38 h, and the values were inversely correlated with CT concentrations (rho = -1; P = 0.01). The results indicate that the CT-RTCA assay with the Y-1 cell line provides a rapid and sensitive tool for the quantitative detection of CT activities in clinical specimens. FAU - Jin, Dazhi AU - Jin D AD - Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. FAU - Luo, Yun AU - Luo Y FAU - Zheng, Min AU - Zheng M FAU - Li, Haijing AU - Li H FAU - Zhang, Jing AU - Zhang J FAU - Stampfl, Melinda AU - Stampfl M FAU - Xu, Xiao AU - Xu X FAU - Ding, Gangqiang AU - Ding G FAU - Zhang, Yanjun AU - Zhang Y FAU - Tang, Yi-Wei AU - Tang YW LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130918 PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 9012-63-9 (Cholera Toxin) SB - IM MH - Animals MH - Cell Line MH - Cell Survival/drug effects MH - Cholera/*diagnosis MH - Cholera Toxin/*analysis/*toxicity MH - Cricetinae MH - Cricetulus MH - Diarrhea/diagnosis MH - Humans MH - Mice MH - Sensitivity and Specificity MH - Vibrio cholerae/*metabolism PMC - PMC3838090 EDAT- 2013/09/21 06:00 MHDA- 2014/06/24 06:00 PMCR- 2014/06/01 CRDT- 2013/09/20 06:00 PHST- 2013/09/20 06:00 [entrez] PHST- 2013/09/21 06:00 [pubmed] PHST- 2014/06/24 06:00 [medline] PHST- 2014/06/01 00:00 [pmc-release] AID - JCM.01959-13 [pii] AID - 01959-13 [pii] AID - 10.1128/JCM.01959-13 [doi] PST - ppublish SO - J Clin Microbiol. 2013 Dec;51(12):3968-74. doi: 10.1128/JCM.01959-13. Epub 2013 Sep 18.