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Korean J Lab Med 2010;30:133-7 �Original Article∙Clinical Microbiology � DOI 10.3343/kjlm.2010.30.2.133 Development and Evaluation of the Quick Anaero-system-A New Disposable Anaerobic Culture System 1 2 2 3 Nam-Woong Yang, M.D. , Jin-Man Kim, M.D. , Gwang-Ju Choi, M.D. , and Sook-Jin Jang, M.D. 1 2 3 Departments of Microbiology , Ophthalmology , and Laboratory Medicine , Chosun University Medical School, Gwangju, Korea Background : We developed a new disposable anaerobic culture system, namely, the Quick ana- ero-system, for easy culturing of obligate anaerobes. Methods : Our system consists of 3 components: 1) new disposable anaerobic gas pack, 2) dis- posable culture-envelope and sealer, and 3) reusable stainless plate rack with mesh containing 10 g of palladium catalyst pellets. To evaluate the efficiency of our system, we used 12 anaerobic bac- teria. We prepared 2 sets of ten-fold serial dilutions of the 12 anaerobes, and inoculated these sam- ples on Luria-Bertani (LB) broth and LB blood agar plate (LB-BAP) (BD Diagnostic Systems, USA). Each set was incubated in the Quick anaero-system (DAS Tech, Korea) and BBL GasPak jar with BD GasPak EZ Anaerobe Container System (BD Diagnostic Systems) at 35-37℃ for 48 hr. The minimal inoculum size showing visible growth of 12 anaerobes when incubated in both the systems was compared. Results : The minimal inoculum size showing visible growth for 2 out of the 12 anaerobes in the LB broth and 9 out of the 12 anaerobes on LB-BAP was lower for the Quick anaero-system than in ± the BD GasPak EZ Anaerobe Container System. The mean time ( SD) required to achieve abso- ± lute anaerobic conditions of the Quick anaero-system was 17 min and 56 sec ( 3 min and 25 sec). Conclusions : The Quick anaero-system is a simple and effective method of culturing obligate anaerobes, and its performance is superior to that of the BD GasPak EZ Anaerobe Container Sys- tem. (Korean J Lab Med 2010;30:133-7) Key Words : Anaerobic bacteria, Culture techniques, Culture media INTRODUCTION The cultivation of obligate anaerobes requires the rapid gen- eration of an atmosphere with oxygen levels below 0.5% [1]. Obligate anaerobes cannot survive in the presence of oxy- Several techniques can be used to rapidly generate anaer- gen because they are deficient in the enzymes superoxide obic atmosphere for the cultivation of anaerobes [2-4]. Ana- dismutase and catalase that destroy the lethal superoxide erobic chamber is a convenient tool for culturing anaerobic radicals formed in the presence of oxygen. Therefore, obli- organisms in large scale studies. However, it is not com- gate anaerobes are very susceptible to atmospheric oxygen. monly used in clinical microbiology laboratories because it Received : June 30, 2009 Manuscript No : KJLM09-087 is not cost effective. Revision received : January 29, 2010 It is relatively inexpensive to generate anaerobic condi- Accepted : February 10, 2010 tions by chemical means as compared to using the expen- Corresponding author : Sook Jin Jang, M.D. Department of Laboratory Medicine, Research Center for sive and bulky anaerobic chamber. Generally, several micro- Resistant Cells, Chosun University Medical School, 588 Seoseok-dong, Dong-gu, Gwangju 501-717, Korea biological laboratories utilize a chemical compound to gen- Tel : +82-62-220-3259 Fax : +82-62-232-2063 E-mail : sjbjang@chosun.ac.kr erate anaerobic conditions in an anaerobic jar. Many chem- *This work was financially supported by Chosun University, 2002. ical systems produce hydrogen and carbon dioxide from 133133133133 134 Nam-Woong Yang, Jin-Man Kim, Gwang-Ju Choi, et al. tablets of sodium borohydride, sodium bicarbonate-citric 3321), Porphyromonas gingivalis (ATCC 33277), Propioni- acid, etc. In Korea, the most commonly used chemical sys- bacterium acnes (KCTC 3314), Veillonella criceti (ATCC tems in clinical microbiological laboratories are disposable 17747). anaerobic systems containing sodium borohydride. A vari- ety of commercially available products contain sodium boro- 2. The Quick anaero-system hydride systems such as Anaerobic System (Difco Labora- tories, Detroit, MI, USA), Genbox anaer system (bioMerieux, The Quick anaero-system-a new disposable anaerobic Marcy-l’Etoile, France), GasGendicator system (Adams Sci- culture system-consists of 3 components (registered with entific Inc., West Warwick, RI, USA), BBL GasPak, BBL the Korean Intellectual Property Office; registration no. 10- GasPakPlus, and BD GasPak EZ Anaerobe Container Sys- 0791977, no. 20-0436738) (Fig. 1). tems (Becton Dickinson Microbiology Systems, Cockeysville, MD, USA) [5]. 1) Disposable anaerobic gas pack However, the existing disposable anaerobic gas systems To achieve absolute anaerobic conditions, we have de- using sodium borohydride have a disadvantage that they veloped a new disposable anaerobic gas pack (DAS Tech, require more time to achieve an absolute anaerobic condi- Gwangju, Korea). The gas pack is based on the following tion [5]. Therefore, sometimes, obligate anaerobes may not chemical principle: silica (SiO ) and sodium borohydride 2 grow in such conditions. Among the several systems used (NaBH) tablets react with tap water to generate a volatile 4 for the cultivation of anaerobes, the anaerobic systems hydride (SiH ). In contrast to other kits based on the boro- 4 based on borohydride, including Anaerobic System (Difco hydride system, we used SiO for rapid hydride generation. 2 Laboratories), GasGendicator (Adams Scientific Inc.), Gas- The generation of the hydride was verified by inductively Pak (BBL), GasPakPlus (BBL), and Genbox anaer (bioMe- coupled plasma-mass spectrometry (ICP-MS; Thermo Elec- rieux), showed a 10-20% failure rate, wherein the system tron Corporation, Waltham, MA, USA) by using the Spec- failure was confirmed when O2 concentration in the sys- troflame system (SPECTRO A.I. GmbH, Kleve, Germany). tem was approximately 0.16% after 1 hr [5]. The hydrogen from the volatile hydride reacts easily with To overcome these problems, we developed the Quick oxygen in the presence of a palladium catalyst and forms anaero-system for convenient and efficient anaerobic cul- water vapor. The disposable anaerobic gas pack consists ture. We evaluated the efficacy of the Quick anaero-sys- of 2 parts. One part generates hydrogen; this part contains tem using 12 anaerobes cultured in commonly used media 2 sodium borohydride tablets and silica. The second part by routine aerobic manipulation methods. generates carbon dioxide; this part contains 1 citric acid tablet and 1 sodium bicarbonate tablet. Both parts have an MATERIALS AND METHODS attached narrow-tipped plastic tube into which 10 mL of tap water is poured when it is used. 1. Bacterial strains 2) Closed anaerobic culture unit We used the following strains in our study: Bacteroides The unit is composed of a disposable culture envelope, a fragilis (ATCC 25285), Bacteroides vulgatus (KCTC 2639), reusable rack, and a sealer (DAS Tech). Bifidobacterium bifidum (KCTC 3281), Clostridium difficile (KCTC 5009), Clostridium septicum (ATCC 12464), Eubac- 3) Catalyst unit terium limosum (KCTC 3266), Fusobacterium nucleatum We used 10 g of 0.5% palladium-coated alumina pellets subsp. polymorphum (KCTC 2488), Mobiluncus mulieris as catalyst (Heesung Engelhard, Seoul, Korea); the pellets (ATCC 35239), Peptostreptococcus asaccharolyticus (KCTC were placed on a stainless mesh that was attached below 135 New Quick Anaero-system 1 2 3 1 7 3 8 4 1 4 5 6 A B C Fig. 1. Features of the Quick anaero-system: Stacked media (A), tube (B), and fully assembled Quick anaero-system with 2 media on which colony formation can be observed through disposable culture-envelope (C). The components of the Quick anaero-system and consumables are indicated by numbers as follows: (1) reusable stainless plate rack with mesh containing palladium catalyst pellet; (2) palladium catalyst pellet; (3) a new disposable anaerobic gas pack; (4) culture media plate; (5) reusable stainless tube rack; (6) tube; (7) sealer; and (8) disposable culture-envelope. the roof of the reusable rack. tion, an aliquot of diluted bacterial suspension from each dilution well was inoculated on the LB-BAP. Duplicate 3. Comparison of the efficiencies of Quick anaero- dilution sets were prepared. One set of bacterial dilution system and BD GasPak EZ Anaerobe Container was incubated in the Quick-anaero system and the other System in BBL GasPak jar set was incubated in the BBL GasPak jar with BD GasPak EZ Anaerobe Container System (Becton Dickinson Micro- We isolated 12 anaerobes for this study. The samples biology Systems). Both systems were incubated at 35-37℃ were retrieved from frozen stock culture by using a steril- for 48 hr. The minimal inoculum size that showed visible ized wire loop, streaked on a brain heart infusion (BHI) agar bacterial growth for all 12 anaerobes in both the systems plate (Becton Dickinson Microbiology Systems) or Luria- was recorded. The experiment was repeated 2 times. Final- Bertani blood agar plate (LB-BAP; Becton Dickinson Micro- ly, the mean values of the test results were calculated for biology Systems), and incubated under anaerobic condi- both systems and compared. tions at 37℃ for 48 hr. Next, the cells were resuspended in the fresh BHI broth or LB broth and incubated under 4. Determination of the lag time required by the Quick the same conditions. The density of the organisms in the anaero-system to reach an oxygen-free state suspension was adjusted to that of 3 McFarland standards (about 109 colony forming units [CFU]/mL) by adding ster- The lag time required by the Quick anaero-system with ile normal saline. Subsequently, bacterial suspension was 10 g of palladium catalyst pellets and disposable anaerobic serially diluted in 10-fold steps up to the 9th dilution (about gas pack to reach an oxygen-free state was determined by 100 CFU/mL) with LB broth in 96-well microplates. In addi- repeatedly measuring the oxygen concentration 99 times 136 Nam-Woong Yang, Jin-Man Kim, Gwang-Ju Choi, et al. using the PICK-O2 sensor (International Technologies Dr. pared to when incubated in the BD GasPak EZ Anaerobe Gambert GmbH, Wismar, Germany). Container System. In contrast, 9 out of 12 anaerobes cul- tured on LB-BAP showed better growth when incubated in RESULTS the Quick anaero-system than in the BD GasPak EZ Anaer- obe Container System. Although all 12 anaerobes grew in 1. Comparison of the efficiencies of the Quick anaero- both LB broth and on LB-BAP, most bacteria showed bet- system and BD GasPak EZ Anaerobe Container ter growth in the LB broth than on LB-BAP. System in BBL GasPak jar 2. Determination of the lag time required by the Quick The results of comparison of the minimal inoculum size anaero-system to reach an oxygen-free state (CFU/mL) showing visible growth of all 12 anaerobes when ± incubated in the Quick anaero-system and BD GasPak EZ The mean lag time ( SD) required for reaching an oxy- ± Anaerobe Container System are shown in Table 1. The min- gen-free state was 17 min 56 sec ( 3 min 25 sec). The min- imal inoculum size that showed visible bacterial growth in imumand maximum lag time required for reaching the oxy- 0 5 the LB broth was in the range of 10 -10 for the Quick an- gen-free state were 14 min 7 sec and 33 min 48 sec, respec- 0 6 aero-system and 10 -10 for the BD GasPak EZ Anaerobe tively. Container System. The dilutions inoculated on LB-BAP 2 6 0 9 were 10 -10 for the Quick anaero-system and 10 -10 for 3. Deduction of the chemical formula and determining the BD GasPak EZ Anaerobe Container System. The com- the efficiency of palladium catalyst in the Quick parison of the minimal inoculum size showing visible growth anaero-system on the LB broth revealed 2 out of 12 anaerobes grew bet- ter when incubated in the Quick anaero-system as com- The chemical reaction for the generation of the volatile - + hydride was deduced as follows: BH +15H +3SiO →H BO + Table 1. The results of comparison of the minimal inoculum size 4 2 3 4 3SiH ↑+2HO. We postulated that the volatile SiH gas showing visible growth of 12 anaerobes when incubated in the 4 2 4 Quick anaero-system and BD GasPak EZ Anaerobe Container generated in this reaction reacts with oxygen in the air to System yield water as follows: SiH +O →Si+2H O. 4 2 2 Minimal inoculum size (CFU/mL) showing visible bacterial growth Bacterial species LB broth LB blood agar plate DISCUSSION QAS BD GasPak QAS BD GasPak It is difficult for a clinical microbiologist to set up an an- 1 1 2 7 Bacteroides fragilis 10 10 10 10 5 6 4 9 aerobic culture because it needs complicated culture media Bacteroides vulgatus 10 10 10 10 4 6 4 7 Bifidobacterium bifidum 10 10 10 10 and rapid methods to reduce the lag time for achieving 0 0 3 5 Clostridium difficile 10 10 10 10 0 0 6 7 oxygen-free state. Clostridium septicum 10 10 10 10 0 0 3 5 Eubacterium limosum 10 10 10 10 We developed the Quick anaero-system and evaluated 0 0 2 4 Fusobacterium nucleatum 10 10 10 10 subsp. polymorphum its efficiency based on the growth of 12 strains of obligate 0 0 2 0 Mobiluncus mulieris 10 10 10 10 anaerobes on commonly used LB broth or LB-BAP after 0 0 4 4 Peptostreptococcus 10 10 10 10 asaccharolyticus aerobic manipulation. 0 0 4 4 Porphyromonas gingivalis 10 10 10 10 The lag time to achieve an oxygen-free environment in 0 0 4 5 Propionibacterium acnes 10 10 10 10 0 0 4 5 the anaerobic jar may have an important effect on the via- Veillonella criceti 10 10 10 10 Abbreviations: LB, Luria-Bertani; QAS, Quick anaero-system; BD Gas- bility of highly sensitive anaerobes. The mean time to reach Pak, BD GasPak EZ Anaerobe Container System. an O2 concentration of 0.5% was 72-370 min for several
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