UNIVERSITI PUTRA MALAYSIA PREVALENCE AND DETECTION OF VIBRIO CHOLERAE IN FRUIT JUICES AND FLAVORED DRINKS

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UNIVERSITI PUTRA MALAYSIA PREVALENCE AND DETECTION OF VIBRIO CHOLERAE IN FRUIT JUICES AND FLAVORED DRINKS UBONG ANYI FSTM 2011 21

PREVALENCE AND DETECTION OF VIBRIO CHOLERAE IN FRUIT JUICES AND FLAVORED DRINKS UBONG ANYI MASTER OF SCIENCE UNIVERSITI PUTRA MALAYSIA 2011

PREVALENCE AND DETECTION OF VIBRIO CHOLERAE IN FRUIT JUICES AND FLAVORED DRINKS By UBONG ANYI Thesis Submitted to the School of Graduate Studies, Universiti Putra Malaysia, in fulfillment of the Requirements for the Degree of Master November 2011

BLESSED BE YOUR NAME JESUS, MY LORD AND SAVIOUR A DEDICATION TO PAPA MAMA ABOK BOBO LABMATES HOUSEMATES ROOM MATES FAMILY FRIENDS ii

Abstract of thesis presented to the Senate of Universiti Putra Malaysia as fulfillment of the requirements for the degree of Master of Science. PREVALENCE AND DETECTION OF VIBRIO CHOLERAE IN FRUIT JUICES AND FLAVORED DRINKS Chair: Son Radu, PhD By UBONG ANYI November 2011 Faculty: Faculty of Food Science and Technology This research was conducted to study the prevalence of V. cholerae in fruit juices and flavored drinks in Serdang, Selangor, Malaysia. Most probable number (MPN) method and Polymerase Chain Reaction (PCR) assay were combined together in this research to determine the prevalence and number of Vibrio spp. and V. cholerae in fruit juices and flavored drinks. None of the isolates were belong to the O1 and O139 serogroups. Vibrio cholerae isolates obtained from the drink samples were assessed for their antibiotic resistance characteristic and Randomly Amplified Polymorphic DNA (RAPD) profile. A survival study of V. cholerae O1 in carrot juice were carried out to provide the data on its survival in cold temperature at different incubation time interval. The total prevalence of Vibrio spp. in drink samples from hawker stalls was 93.3%. Vibrio spp. was most predominant in iced milk rose syrup, iced milk corn syrup and iced carrot milk, each at 100% prevalence. In restaurants, the total prevalence of Vibrio spp. iii

was 93.3%, showing highest detection in iced milk rose syrup, iced apple juice and iced carrot milk. The prevalence of Vibrio spp. in iced milk rose syrup and iced carrot milk was 100%, while iced apple juice was 81.8%. The total prevalence of V. cholerae in drink samples from hawker stalls was 36.7 %. V. cholerae was most predominant in iced apple juice with 53.3% prevalence. In restaurants, the total prevalence of V. cholerae was 20%, showing highest detection in iced carrot milk, which is 27.8% prevalence percentage. The analysis of 120 drink samples showed that the concentration of Vibrio spp. ranged from <3 MPN/g to >2400 MPN/g while the concentration for V. cholerae ranged from <3 MPN/g to 2400 MPN/g. Thirty-eight V. cholerae isolates that were obtained by plating method were confirmed by PCR. During screening for O1 and O139, none of the isolates belong to this serogroups which are the main causative agent of cholera. Isolates obtained were subjected to Antibiotic Resistance Test. The tested isolates showed multi-resistance to as many as 11 antibiotics tested, with 97.3% resistant to erythromycin while majority were sensitive to ciprofloaxacin. RAPD-PCR profiles suggested that some of isolates that originated from different sources and locations were genotypically closely related. It has been reported that V. cholerae O1 has the ability to survive in cold temperature. Hence, the survival study of V. cholerae O1 in iced carrot juice was conducted. The survival study showed that V. cholerae O1 were unable to survive extreme temperature especially after a long incubation time. Vibrio cholerae O1 only showed growth at the beginning of incubation (0 hour), however, showed no growth after the 1 st hour to the 6 th hour of incubation. iv

Abstrak tesis yang dikemukakan kepada Senat Universiti Putra Malaysia sebagai memenuhi keperluan untuk ijazah Master Sains. PREVALEN DAN PENGESANAN VIBRIO CHOLERAE DI DALAM JUS BUAH- BUAHAN DAN MINUMAN BERPERISA Pengerusi: Son Radu, PhD Oleh UBONG ANYI November 2011 Fakulti: Fakulti Sains dan Teknologi Makanan Kajian ini dijalankan untuk mengkaji prevalen Vibrio cholerae di dalam jus buahbuahan dan minuman berperisa di Serdang, Selangor, Malaysia. Kaedah Jumlah Paling Mungkin (MPN) dan Reaksi Polimer Berantai (PCR) telah digabungkan dalam kajian ini untuk menentukan prevalen dan bilangan Vibrio spp. dan V. cholerae di dalam jus buahbuahan dan minuman berperisa. Tiada satu pun pencilan-pencilan tersebut tergolong dalam kumpulan sero O1 dan O139. Pencilan V. cholerae yang diperolehi daripada sampel-sample minuman diuji untuk cirri-ciri rintangan terhadap antibiotik dan profil amplifikasi polimorfik DNA rawak (RAPD). Satu kajian tentang kelangsungan hidup V. cholerae O1 di dalam jus lobak merah telah dijalankan untuk memberikan data tentang kelangsungan hidup V. cholerae O1 di dalam suhu yang sejuk pada masa pengeraman yang berbeza; dari masa sejam ke enam jam. v

Jumlah prevalen Vibrio spp. dalam sampel-sampel minuman dari penjaja gerai adalah 93.3%. Vibrio spp. paling predominan dalam sirap bandung ais, air jagung ais dan jus lobak merah susu ais dengan peratusan prevalen 100%. Di restoran, jumlah prevalen Vibrio spp. adalah 93.3%, dikesan paling tinggi dalam sirap bandung ais, jus epal ais dan jus lobak merah susu ais. Prevalen Vibrio spp. dalam sirap bandung ais dan jus lobak mearh ais adalah 100%, manakala jus epal ais adalah 81.8%. Jumlah prevalen V. cholerae dalam sampel-sample air dari penjaja gerai adalah 36.7%. V. cholerae paling predominan dalam jus epal ais ais dengan 53.3% prevalen. Di restoran, jumlah prevalen V. cholerae adalah 20%, dikesan paling tinggi dalam jus lobak merah susu ais, iaitu dengan prevalen 27.8%. Analisis 120 buah sampel menunjukkan konsentrasi Vibrio spp. adalah daripada <3 MPN/g ke >2400 MPN/g manakala konsentrasi V. cholerae adalah daripada <3 MPN/g ke 2400 MPN/g. Tiga puluh lapan pencilan-pencilan V. cholerae yang diperoleh melalui kaedah plat dikonformasikan dengan kaedah PCR. Semasa pemeriksaan O1 dan O139, tiada satu pun dari pencilan-pencilan tergolong dalam kumpulan sero O1 dan O139 iaitu ejen utama penyebab penyakit taun. Pencilan-pencilan yang diperolehi diuji dalam Ujian Kerintangan Antibiotik. Pencilan-pencilan menunjukkan kerintangan-berganda kepada 11 antibiotik dengan 97.3% rintangan terhadap erythromycin manakala majoriti pencilan sensitif terhadap ciprofloaxacin. Profil-profil RAPD-PCR mencadangkan sesetengah pencilan daripada sumber dan lokasi yang berlainan berkaitan secara genotip. vi

Kajian tentang keupayaan kelangsungan hidup V. cholerae O1 dalam suhu sejuk pernah dilaporkan. Oleh itu, kajian tentang kelangsungan hidup V. cholerae O1 dalam jus lobak merah ais telah dijalankan. Kajian terhadap kelangsungan hidup V. cholerae O1 menunjukkan V. cholerae tidak dapat hidup dalam suhu melampau terutamanya selepas masa inkubasi yang lama. Vibrio cholerae hanya menunjukkan pertumbuhan pada permulaan masa inkubasi (0 jam), tetapi tidak menunjukkan pertumbuhan selepas pengeraman dari 1 jam ke 6 jam. vii

ACKNOWLEDGEMENTS It would not have been possible to write this master thesis without the help and support of My Lord, Jesus and the kind people around me. Undertaking this research program was like an exciting journey during which we long to reach for the destination, even though along the trail there were countless hurdles to stumble upon. It is my great pleasure and honor to express my acknowledgements to those who have been supporting me every now and then. Above all, I give Jesus Christ, my Lord and Savior, all honor, glory and praise for His unconditional love, wisdom and strength He provides throughout the amazing journey. Everything is possible because of Him. I would like to thank my wonderful family, Mama (Catherine Balong), Papa (Anyi Wam Luhat) and my dear brothers (Telajan Anyi and Bobo Juman Anyi) for their never-ending love and prayers at all times. They have given me their unequivocal support throughout, as always, for which my mere expression of thanks likewise does not suffice. Where would I be without them? This thesis would not have been possible without the help, support and patience of my principal supervisor, Professor Dr. Son Radu, not to mention his advice and unsurpassed knowledge both on an academic and a personal level, for which I am extremely grateful. The good advice, support and friendship of my second supervisor, viii

Dr. Farinazleen Mohd. Ghazali, has been invaluable. Her constructive comments and advise made her the backbone of this research and so to this thesis. I would like to record my gratitude to my colleagues (Dr. Chai Lay Ching, Dr. John Tang, Jeyaletchumi Ponniah, Natasha Lee Hai Yen, Noorlis Ahmad, Tuan Zainazor Tuan Chilek, Tunung Robin, Afriani Sandra, Chai Li Fen, Elexson Nilian, Jeshveen Singh, Mohd. Zarrul Nizam Bin Zaaba, Noor Hidayah bt. Mohd. Shahroni, Petrus Edmund, Pui Chai Fung, Wong Woan Chwen, Chang Wei San and Lye Ying Ling). I will always remember your kindness, friendship and support. The great times that we had together while in the lab or everywhere else outside was absolutely superb. Thank you for the wonderful memories, guys! Last, but by no means the least, I thank my extended family members especially my cousin, Macdlena Balong and also my dearest friends for their prayers, support and encouragement all the way through. For any errors or inadequacies that may remain in this work, of course the responsibilities is entirely my own. ix

I certify that a Thesis Examination Committee has met on 10 November 2011 to conduct the final examination of Ubong Anyi on her thesis entitled Prevalence and Detection of Vibrio cholerae in Fruit Juices and Flavored Drinks in accordance with the Universities and University Colleges Act 1971 and the Constitution of the Universiti Putra Malaysia [P.U.(A) 106] 15 March 1998. The committee recommends that the student be awarded the Degree of Master of Science. Members of the Thesis Examination Committee were as follows: Boo Huey Chern, PhD Associate Professor Faculty of Food Science and Technology Universiti Putra Malaysia (Chairmain) Alfi Khatib, PhD Senior Lecturer Faculty of Food Science and Technology Universiti Putra Malaysia (Internal Examniner) Wan Zuhanis Saad, PhD Faculty of Biotechnology and Biomolecular Sciences Universiti Putra Malaysia (Internal Examiner) I. Karunasagar, PhD Professor Animal Fisheries Sciences University India (External Examnier) SEOW HENG FONG, PhD Professor and Deputy Dean School of Graduate Studies Universiti Putra Malaysia Date: 25 January 2012 x

This thesis was submitted to the Senate of Universiti Putra Malaysia and has been accepted as fulfillment of the requirement for the degree of Master of Science. The members of the Supervisory Committee were as follows: Son Radu, PhD Professor Faculty of Food Science and Technology Universiti Putra Malaysia (Chairmain) Fareenazleen bt. Mohd. Ghazali, PhD Senior Lecturer Faculty of Food Science and Technology Universiti Putra Malaysia (Member) BUJANG BIN KIM HUAT, PhD Professor and Dean School of Graduate Studies Universiti Putra Malaysia Date: 25 January 2012 xi

DECLARATION I declare that the thesis is my original work except for quotations and citations which have been duly acknowledged. I also declare that it has not been previously, and is not concurrently, submitted for any other degree at Universiti Putra Malaysia or at any other institutions. UBONG ANYI Date: 10 November 2011 xii

TABLE OF CONTENTS DEDICATION ABSTRACT ABSTRAK ACKNOWLEDGEMENT APPROVAL DECLARATION LIST OF TABLES LIST OF FIGURES LIST OF ABBREVIATIONS CHAPTER 1 INTRODUCTION 1 1.1 Introduction 1 1.2 Objectives 4 Page ii iii v viii x xii xvi xvii xviii 2 LITERATURE REVIEW 5 2.1 Vibrio spp. 5 2.2 Adaptive Response of Vibrios 6 2.3 Vibrio cholerae 7 2.3.1 Ecology of V. cholerae 9 2.3.2 Vibrio cholerae O1 and O139 10 2.3.3 Vibrio cholerae non-o1 and non-o139 12 2.4 V. cholerae in Food 13 2.5 Cholera 14 2.5.1 Cholera Toxin 17 2.6 Isolation, Enumeration and Preservation of V. cholerae 21 2.6.1 Enrichment Media 22 2.6.2 Isolation Media 23 2.6.3 Enumeration 25 2.6.4 Preservation 26 2.7 Most Probable Number (MPN) Method 27 2.8 Polymerase Chain Reaction 28 2.9 Coupled MPN-PCR 31 2.10 Random Amplification of Polymorphic DNA-PCR (RAPD-PCR) 32 2.11 Antibiotics 33 2.12 Antibiotic Resistance 36 xiii

3 PRE VALENCE AND DETECTION OF VIBRIO SPP. AND VIBRIO CHOLERAE IN FRUIT JUICES AND FLAVORED DRINKS 39 3.1 Introduction 39 3.2 Materials and Methods 40 3.2.1 Sample Collection 40 3.2.2 Sample Processing 41 3.2.3 Most Probable Number (MPN) Test 42 3.2.4 Extraction of Genomic DNA 42 3.2.5 Amplification of Genomic DNA 43 3.2.6 Isolation of Pure Cultures 44 3.2.7 Confirmation of Isolates 44 3.2.7.1 Confirmation of Isolates by PCR 44 3.2.7.2 Gram Staining 45 3.2.8 Screening of V. cholerae O1 and O139 Using PCR 45 3.2.9 Statistical Analysis 46 3.3 Results 47 3.4 Discussion 53 3.5 Conclusion 57 4 AN TIBIOTICS SUSCEPTIBILITY AND RESISTANCE PATTERNS IN VIBRIO CHOLERAE ISOLATES 58 4.1 Introduction 58 4.2 Materials and Methods 59 4.2.1 Multiple Antibiotic Resistant (MAR) Index 61 4.3 Results 62 4.4 Discussion 66 4.5 Conclusion 70 5 RANDOMLY AMPLIFIED POLYMORPHIC DNA- POLYMERASE CHAIN REACTION (RAPD-PCR) 71 5.1 Introduction 71 5.2 Materials and Methods 72 5.2.1 Genomic DNA Extraction 72 5.2.2 Primer Screening 72 5.2.3 RAPD-PCR 73 5.2.4 RAPD Assay Analysis 74 5.3 Results 74 5.4 Discussion 83 5.5 Conclusion 85 xiv

6 SURVIVAL STUDY OF VIBRIO CHOLERAE O1 86 6.1 Introduction 86 6.2 Materials and Methods 87 6.2.1 Preparation of Starting Inoculum 87 6.2.2 Thiosulfate-Citrate-Bile-Sucrose (TCBS) Agar Spread Plate and Colony Count 88 6.2.3 Preparation of Ice 88 6.2.4 Preparation of Carrot Juice 88 6.2.5 Survival Study of Vibrio cholerae O1 in Fruit Juice 89 6.3 Results 89 6.4 Discussion 90 6.5 Conclusion 93 7 GENERAL DISCUSSION AND CONCLUSION 94 REFERENCES/BIBLIOGRAPHY 98 APPENDICES 106 BIODATA OF STUDENT 120 LIST OF PUBLICATIONS 121 xv