INTRODUCTION

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Over time, bacteria have evolved sophisticated regulatory circuits to modulate their gene expression in response to disparate environments (4). The sequential gene expression essential for host colonization and infection remains to be determined for most pathogens. Therefore, methods for direct quantitative transcript analysis during infection are needed (2). Hybridization techniques such as Northern analysis or chip technology for detecting specific mRNAs are limited to infections with very high bacterial numbers, e.g., Pseudomonas aeruginosa in cystic fibrosis (CF) patients (8). Amplifying the target mRNA is necessary for the quantification of specific transcripts during infections with low bacterial numbers. Reverse transcription (RT) followed by PCR is a powerful technique for the detection of low levels of mRNA. However, exact quantification by end-point measurement of product is cumbersome and requires an increased number of controls (including prior determination of the dynamic range, the exact PCR efficiencies, and the PCR plateau) in order to yield meaningful results. Quantification of transcripts can be achieved either by competitive RT-PCR followed by gel analysis or by real-time RT-PCR monitoring of product formation (6). Useful competitive RT-PCR is based on the coamplification of the target RNA and known amounts of a synthetic homologous competitor template, usually engineered to share the primer recognition site with the target sequence but to differ either in length or by a short heterologous sequence stretch, provided that the overall PCR efficiency is not affected by the modification (6, 9). The LightCycler (Roche Biochemicals) instrumentation allows detection of the PCR product during the entire course of amplification by hybridization of two internal probes labeled with two different fluorophores based on the fluorescence resonance energy transfer principle (5, 7). Thus, sequence-specific detection is ensured by the use of internal hybridization probes. The kinetics obtained during the exponential phase of PCR are used for quantification.

In addition, to monitor cell numbers in the specimens as well as the efficiency of the RNA extraction and the presence of PCR inhibitors, an ubiquitously expressed internal housekeeping gene is usually quantified at the same time, and the number of copies of the gene of interest is normalized against the number of copies of the housekeeping gene (6, 11). To determine temporal gene expression in bacteria, quantification of the 16S rRNA is often used as a reference (1, 3). Recently, we described the use of a constitutively expressed gene gyr, which codes for gyrase, as an internal control during bacterial infection (2); no alteration in gyr expression under different experimental conditions has been found in this laboratory so far.

Here we assess competitive RT-PCR and LightCycler RT-PCR for their value in studying bacterial gene expression in vivo. For the analysis we isolated Staphylococcus aureus RNA directly from clinical specimens from CF patients with chronic S. aureus lung infection and from an animal model of foreign-body infection. Both methods were evaluated for their usefulness in quantifying the transcription of the constitutively expressed gyr gene and a highly regulated -toxin gene, hla.

	MATERIALS AND METHODS

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Specimens. Sputum samples from CF patients were collected as described in an earlier paper (2). Further specimens were obtained from an animal model of foreign-body infection (10). Tissue cages were infected with 10⁵ CFU of S. aureus/ml, and fluid (exudate) was aspirated at 48 and 96 h after infection and stored immediately in liquid nitrogen.

RNA preparation. Frozen samples were thawed rapidly and 200-µl aliquots were used for RNA isolation. S. aureus cells were lysed directly in 1 ml of Trizol LS reagent (Gibco BRL, Karlsruhe, Germany) with 0.5 ml of zirconia/silica beads (0.1-mm diameter) in a high-speed homogenizer (Savant Instruments, Farmingdale, N.Y.) at 6,500 rpm for 20 s. RNA was isolated as described in the instructions of the manufacturer (Gibco BRL). In order to remove PCR inhibitors, the RNA was further purified with the viral nucleic acid kit (Roche Biochemicals, Mannheim, Germany) by following the manufacturer's instructions. Contaminating DNA was degraded by digesting RNA samples with DNase as previously described (2).

Construction of specific RNA standards. Sequence-modified RNA standards specific for gyr and hla were engineered as previously described (2).

Quantification of specific transcripts with competitive RT-PCR. Competitive RT-PCR for the quantification of gyr and hla was performed as previously described (2). Briefly, serial dilutions of RNA standards were spiked with equal amounts of total sample RNA and subjected to RT-PCR using the TITAN One-Tube RT-PCR system (Roche Biochemicals). Aliquots of the amplified products were separated on a 3% agarose gel and visualized after ethidium bromide staining. The agarose gels were digitalized and subjected to quantitative densitometry. The absolute amounts of target products were calculated by determination of the competition equivalence point of target and standard amplicons (11).

Quantification of specific transcripts with LightCycler RT-PCR. LightCycler RT-PCR was carried out using the LightCycler RNA amplification kit for hybridization probes (Roche Biochemicals). Master mixes were prepared by following the manufacturer's instructions, using the primers for gyr and hla listed in Table 1. After RT for 20 min at 50°C, the following temperature profile was utilized for amplification: denaturation for 1 cycle at 95°C for 30 s and 45 cycles at 95°C for 1 s (temperature transition, 20°C/s), 55 to 50°C (step size, 1°C; step delay, 1 cycle) for 15 s (temperature transition, 20°C/s), and 72°C for 15 s (temperature transition, 2°C/s) with fluorescence acquisition at 55 to 50°C in single mode. Melting-curve analysis was done at 45 to 90°C (temperature transition, 0.2°C/s) with stepwise fluorescence acquisition. Sequence-specific standard curves were generated using 10-fold serial dilutions (10² to 10⁸ copies/µl) of the specific RNA standards. The number of copies of each sample transcript was then determined with the aid of the LightCycler software. The specificity of the PCR reaction was verified by ethidium bromide staining on 3% agarose gels.

	RESULTS AND DISCUSSION

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Use of in vitro-transcribed RNA standards. Synthetic, quantified RNA molecules are necessary to quantify specific sample transcripts. The standard RNAs used in this study were specifically designed to allow identical experimental conditions for both standard RNA and samples during RT-PCR with identical primer pairs. This was achieved by generating transcription-competent DNA fragments using the gene-specific primer for gyr or hla with a 5'-extension encompassing the T7 phage promoter sequence. The standard RNAs were then synthesized by in vitro transcription using T7 polymerase. In competitive RT-PCR, a sequence-modified standard RNA allowed us to distinguish between competitor and target products. Such standards were constructed by a deletion mutagenesis PCR technique using oligonucleotides composed of two distinctly spaced target sites, thus generating deletions in the final sequence (2). This modification of the RNA standard is not necessarily required for the LightCycler RT-PCR since the standard is run separately. The synthesis of an unmodified standard is less time-consuming and can be easily achieved within 1 day. In the work described here, the same modified standard RNAs were used for both competitive RT-PCR and LightCycler RT-PCR.

Range and sensitivity. For competitive RT-PCR, constant amounts of samples are spiked with serial dilutions of the RNA standard. The amount of expected transcript must be roughly estimated prior to the actual experiment (for instance in reference to bacterial counts or total RNA) to stay within the appropriate working range of the assay. The LightCycler RT-PCR allowed the quantification of transcripts differing by over five orders of magnitude within one run (Fig. 1B and D). This broad range permitted analysis without the need for testing several dilutions of the sample.

View larger version (27K): [in this window] [in a new window]   FIG. 1.   Detection of the synthetic homologous RNA standards for gyr (A and B) and for hla (C and D) using the LightCycler technique. (A and C) The amplification of 108 (8), 107 (7), 106 (6), 105 (5), 104 (4), 103 (3), and 102 (2) copies of the RNA standard and of the negative control (n). (B and D) The generated standard curves.

View larger version (30K): [in this window] [in a new window]   FIG. 2.   Detection of the specific RNA standards for gyr and hla using competitive RT-PCR. Serial dilutions (107 to 102 copies) of each RNA standard were amplified.

Direct analysis of bacterial transcripts during infection. For the direct analysis of transcripts during infection, S. aureus RNA was prepared from specimens without subculturing of the bacteria. Sputa from CF patients chronically infected with S. aureus were chosen to monitor bacterial gene expression and regulation during the infection process in the human host. Using competitive RT-PCR, we detected the specific expression of virulence genes in vivo (2). Transcription of the highly regulated hla gene ranged from 1.5 to 6 copies of hla/copy of gyr in the sputa. Analyzing the samples with LightCycler RT-PCR yielded the same relative results (0.3 to 5.5 copies of hla/copy of gyr).

Reproducibility. Competitive RT-PCR was successfully applied to the analysis of in vivo transcription with reproducible results (2). In order to analyze the reproducibility of the LightCycler RT-PCR method, we quantified sample RNA from exudates of the foreign-body infection independently on four different occasions. For example, determination of gyr in a given sample resulted in 1.4 × 10⁶, 2.1 × 10⁶, 2.4 × 10⁶, and 1.7 × 10⁶ copies (mean, 1.9 × 10⁶ ± 4.7 × 10⁵ copies). Reliable determination is ensured, with less than a twofold difference between the different RT-PCRs in the number of copies detected. However, we recommend repeating each run at least once based on our observation that even small variations in the RT-PCR set-up can result in profound discrepancies.

Practicability. Both methods are useful for direct quantification of bacterial transcripts during infection, but both need experienced personnel since commercial kits for expression analysis in bacteria are not yet available. The need to analyze serial dilutions in the competitive RT-PCR considerably limits the number of samples which can be processed on any given day. The whole procedure takes at least 8 h of hands-on time, including agarose gels and evaluation of the results. In contrast, 25 samples (plus 5 standard RNA dilutions and 2 controls) can be analyzed in the LightCycler in one run, and the results are available within 2 h.