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Chocolate 2 agar

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Chocolate II agar is a type of microbiological growth medium used in laboratory settings. It is designed to support the cultivation and isolation of various microorganisms, particularly those that require a nutritionally rich environment for growth. The core function of Chocolate II agar is to provide a suitable substrate for the cultivation and identification of fastidious organisms in clinical and diagnostic settings.

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11 protocols using chocolate 2 agar

1

Respiratory Pathogen Detection in CF Patients

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A total of 402 respiratory samples were tested by PCR and culture in this study. Respiratory samples were collected from CF patients attending the Tampa General Hospital (TGH; Florida, USA) and the Children's Healthcare of Atlanta (CHOA; Georgia, USA). At TGH samples were cultured on Burkholderia cepacia selective agar (Hardy Diagnostics, Santa Maria, CA), TSA with 5% Sheep Blood (aerobic and anaerobic conditions), MacConkey II Agar and Chocolate II Agar (BD Diagnostic Systems, Sparks, MD). The media used at CHOA was purchased from Remel (Lenexa, KS) and included Chocolate Agar (CHOC), TSA with 5% Sheep Blood (BAP), MacConkey Agar, Colistin Nalidixic Acid Agar, Mannitol Salt Agar and Burkholderia cepacia selective Agar. The CHOC and BAP were incubated in CO2, while the remaining media were incubated in an ambient air incubator. All plates were incubated at 35 °C. Cultured organisms were identified by the VITEK® MS system (BioMérieux, France). Semi-quantitative culture results were reported accordingly to the number of colonies of each species identified, such as “rare”, “light”, “moderate”, “many” or “heavy”. Respiratory residual specimens were stored at − 80 °C until they were tested by the new CF BDM Test.
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2

Rapid Identification of Bacterial Isolates

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Clinical isolates, Δtpk, and BAA-1138 were analyzed using Rapid ID 32 API (bioMérieux, Marcy-l'Étoile, France) and VITEK MS (Sysmex bioMérieux) according to the manufacturer’s instructions. The three clinical isolates and Δtpk were cultured on sheep blood agar (Nissui, Tokyo, Japan) for 3 days and on chocolate II agar (BD) in 5% CO2 overnight. BAA-1138 cultured on sheep blood agar and on chocolate II agar in 5% CO2 overnight was also analyzed.
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3

Culturing Bacterial Strains for Research

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Clinical S. aureus isolates were grown on chocolate II agar (BD, USA). L. monocytogenes 10403s, S. aureus Newman, S. aureus JE2 and E. faecalis OG1RF were grown in brain heart infusion (BHI) broth and incubated at 37 °C with shaking. Escherichia coli strains used for cloning and S. Typhimurium SL1344 were grown in Lysogeny broth (LB) at 37 °C with shaking. F. novicida was grown in TSBC (30 g tryptic soy broth, 1 g cysteine per liter) at 37 °C with shaking. Hemin-dependent and thymidine-dependent SCVs were grown in BHI broth supplemented with hemin or thymidine at the indicated concentration.
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4

Intracellular Growth Assay of Bacterial Variants

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Intracellular growth of NVF1- and KU-1-passaged variants were assessed as reported previously [15 (link)]. J774.1 cells (RCB0434; RIKEN Bioresource Center, Ibaraki, Japan) were propagated in RPMI1640 medium (Wako Pure Chemicals; Osaka, Japan) containing 10% (v/v) heat inactivated fetal bovine serum (FBS) at 37 °C in 5% CO2. The cells were grown on 24 well plates (1–2 × 105 cells per well) and were infected with the bacteria at a multiplicity of infection (moi) of 100. This point was designated as time 0. After incubation for 1 h, the cells were washed and fresh 1 mL of 5% FBS-RPMI1640 with gentamicin (10 μg/mL) was added into the wells. The CFU of intracellular bacteria in the J774.1 cells were measured at 2- and 24-h post inoculation (hpi) of bacteria. The cells were washed twice with PBS and were treated with 100 μL of 1% (w/v) saponin in distilled water for 5 min to lyse the cells [28 (link)]. To measure viable bacteria, the lysed cells were serially diluted with saline and 20 μL aliquots of each dilution were spotted onto Chocolate II agar (BD). Bacterial enumeration was performed with triplicated samples at least twice independent experiment.
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5

Cultivation and Storage of F. tularensis

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The SCHU P0 strain of F. tularensis subsp. tularensis (SCHU P0) was kindly provided by Dr. H. Fujita (Ohara Research Laboratory, Ohara General Hospital, Fukushima, Japan). Its precise passage history is unknown. On arrival, bacteria were cultured on chocolate II agar (Becton Dickinson, Sparks, MD, USA) at 37°C for 3 days, resuspended in saline containing 10% glycerol, and stored at −80°C until use. All work with live bacterial cultures was performed in a biosafety level 3 facility, in accordance with the regulations stipulated by the National Institute of Infectious Diseases (NIID), Japan.
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6

Isolation and Passage of Francisella tularensis

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Figure 1A illustrates the scheme for SCHU P0, P5, and P9 isolation. SCHU P0 was cultured to confluence for 3 days on chocolate II agar (Becton Dickinson and Co., Cockeysville, MD) from its glycerol stock and resuspended in saline. Three C57BL/6J mice were inoculated intraperitoneally with 5×106 CFU ml−1 of SCHU suspension and mice were sacrificed 4 days after infection. Three spleens obtained from the infected mice were homogenized. One hundred microlitter of 10% spleen homogenate was plated on chocolate II agar, and cultured for 3 days. After cultivation, the bacteria grown confluently on the plate were suspended with 1 ml of chemically defined medium (CDM). Subsequent passages were performed similarly. When mice demonstrated severe clinical signs or >20% weight loss, they were humanely sacrificed by isoflurane inhalation. If the mice did not show apparent clinical signs, they were sacrificed 4 days after infection. The inoculation dose and CFU in spleen at 4 days post-inoculation in each passage are shown in figure 1A. Spleen homogenates prepared at the 5th and 9th passages were cultured on chocolate II agar. Single colonies were then isolated and designated as SCHU P5 and P9, respectively. Bacterial stocks were prepared by cultivating respective strains in CDM at 37°C for 24 h and stored in CDM containing 10% glycerol at −80°C until use.
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7

Characterization of N. gonorrhoeae Strain FA1090

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The FA1090 (ATCC 700825) strain of N. gonorrhoeae was obtained from the American Type Culture Collection (ATCC) (Manassas, VA). GC agar base, Chocolate II agar, dried bovine hemoglobin, brucella broth and IsoVitaleX were obtained from Becton, Dickinson, and Company (Cockeysville, MD). Heart infusion agar was obtained from Hardy Diagnostics (Santa Maria, CA). Yeast extract and dextrose were obtained from Fisher Bioreagents (Fair Lawn, NJ). Auranofin, hematin, pyridoxal, and nicotinamide adenine dinucleotide (NAD) were obtained from Chem-Impex International (Wood Dale, IL). Protease peptone and VCNT supplement were purchased from Oxoid (Lenexa, KS). Phosphate-buffered saline (PBS) was obtained from Corning (Manassas, VA). Ceftriaxone, azithromycin and saponin were obtained from TCI America (Portland, OR) Tween 80 was obtained from Acros Organics (Fair Lawn, NJ). Estradiol pellets (5-mg, 21-day controlled-release) were purchased from Innovative Research of America (Sarasota, FL). Dacron swabs were purchased from the Medical Packaging Corporation (Camarillo, CA).
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8

Characterization of Neisseria gonorrhoeae Strains

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Two reference strains ATCC 43069 and ATCC 49226 were purchased from the American Type Culture Collection (ATCC, VA USA). Five NG clinical isolates, 16–01–02, 16–01–15, BAL-Control-1, BAL-625, and BAL-660, were provided by Dr. Jonathan Zenilman from Johns Hopkins University. These isolates were collected in Baltimore, MD as part of routine surveillance projects in 2005 (BAL-625, BAL-660, and BAL-Control-1) and in 2016 (16–01–02, 16–01–15). Each strain was first plated on a Chocolate II Agar plate (Becton Dickinson) at 37 °C and 5% CO2 overnight. Isolated colonies from each plate were suspended in GW broth and then mixed with 20% glycerol (v/v; Sigma-Aldrich, St. Louis, MO), aliquoted, frozen, and stored at −80 °C until use. At time of use, each aliquot was thawed and platted on Chocolate II Agar (BBL, Becton Dickinson). The concentration of all N. gonorrhoeae suspensions was matched to 1 × 107 CFU/mL using 0.5 McFarland standard on the Nanodrop spectrometer (Thermo Fisher Scientific, MA, USA) and verified via plating and colony enumeration.
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9

Reviving and Culturing Bacterial Isolates

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Colonies of this isolate were revived from a glycerol stock (stored at −80°C) by streaking them onto chocolate II agar (Becton, Dickinson Co. Sparks, MD, USA) in 5% CO2 at 37°C for 48 h (14 (link)). Multiple isolated colonies from a single plate were used to inoculate 6 ml of brain heart infusion broth (Hardy Diagnositics, Santa Maria, CA, USA) supplemented with 0.1% Trizma base (Sigma-Aldrich, St. Louis, MO, USA) and 0.01% thiamine monophosphate (Sigma-Aldrich; this medium is referred to as BHI-TT [15 (link)]) in a 50-ml conical tube. The inoculated BHI-TT was vortexed, and a target optical density at 600 nm (OD600) of 0.2 was verified. The total volume of the suspension was then brought to 45 ml with fresh BHI-TT (resulting in a new OD600 of 0.02) and incubated at 37°C with shaking at ∼190 rpm for 6 to 8 hours until an OD600 of 0.3 (mid-log-phase growth) was reached (VCN measured as ∼1 × 109 CFU/ml) where the cultures reach a maximum OD600 of 0.6 in 24 hours.
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10

Bacterial Strains and Cell Line Protocol

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Neisseria gonorrhoeae clinical isolates (Table S1) used in this study were obtained from the CDC. S. aureus, MRSA, E. faecalis, E. faecium, and L. monocytogenes strains were obtained from the American Type Culture Collection (ATCC). E. coli BW25113 and JW25113 were obtained from the Coli Genetic Stock Center (CGSC), Yale University, USA. Media and reagents were purchased from commercial vendors: Brucella broth, chocolate II agar, cation-adjusted Mueller Hinton broth, tryptic soy broth (TSB), and tryptic soy agar (TSA) (Becton, Dickinson and Company, Cockeysville, MD, USA); yeast extract and dextrose (Fisher Bioreagents, Fairlawn, NJ, USA), proteose-peptone, nicotinamide adenine dinucleotide (NAD), agarose and tetracycline (Sigma-Aldrich, St. Louis, MO, USA); hematin, Tween 80, pyridoxal, linezolid and gentamicin sulfate (Chem-Impex International, Wood Dale, IL, USA); Dulbecco’s Modified Eagle Medium (DMEM), fetal bovine serum (FBS) and phosphate-buffered saline (PBS) (Corning, Manassas, VA, USA); and azithromycin (TCI America, Portland, OR, USA). Human colorectal adenocarcinoma epithelial cells (Caco-2) (ATCC HTB-37) was obtained from the American Type Culture Collection (ATCC) (Manassas, VA, USA). Compounds were synthesized from commercial sources in our laboratory.
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