Materials and Reagents

Middlebrook 7H9 broth base powder (Sigma-Aldrich, catalog number: M0178 )
Middlebrook 7H11 agar base powder (Sigma-Aldrich, catalog number: M0428 )
Middlebrook OADC growth supplement (Sigma-Aldrich, catalog number: M0678 )
BD TB quick stain kit (BD Biosciences, catalog number: 212522 )
General chemicals (Sigma-Aldrich)
ADNaCl (see Recipes)
7H9 liquid medium (see Recipes)
7H11 agar plates (see Recipes)

Equipment

T75 tissue culture flasks (Sigma-Aldrich, catalog number: Z707546 )
Standard glass microscope slides
Light microscope
Bunsen burner or fixed flame source
Standard sterile petri dishes

Procedure

Culture
1. Preparing 7H9 liquid medium
2. Day 1: Resuspend 1 frozen vial of 1 ml (450 million) MTB or BCG (stored in 15% glycerol and 85% 7H9 liquid medium) in 20 ml 7H9 liquid medium in a T75 flask.
3. Culture horizontally in an incubator humidified at 37 °C without CO₂ for 5 - 14 days.
4. Measure the OD₆₀₀ every 5 days, till OD₆₀₀ reaches 2.0.
5. Viable MTB/BCG colonies can be counted by plating bacterial suspensions at different dilutions on Middlebrook 7H11 agar plates supplemented with OADC, and then counting colonies after two weeks.
6. Harvest the bacteria through spin-down at room temperature, 3,000 x g for 7 min.
Detection: Ziehl-Neelsen acid-fast staining detection procedure
1. Pipet 10 μl MTB/BCG culture on a glass microscope slide and heat on top of a Bunsen flame until it is completely dry to fix the bacteria.
2. Flood the slide with carbol fuchsin stain (BD kit reagent A).
3. Heat the slide gently until it steams (5 min).
4. Pour off the carbol fuchsin.
5. Wash slide thoroughly with tap water (5 min).
6. Decolorize with acid-alcohol (5 min).
7. Wash slide thoroughly with tap water (5 min).
8. Flood slide with methylene blue (BD kit reagent B) counterstain (1 min).
9. Wash with tap water.
10. Blot excess water and dry in hand over Bunsen flame.
11. The slide is now ready to observe under a standard light microscope.

Recipes

ADNaCl
15 g BSA
6 g Dextrose
2.55 g NaCl
Dissolve in 300 ml ddH₂O
Note: BSA will take some time to go into solution. Filter to sterilize the supplement and store covered in foil at 4 °C. Do not store for more than one month.
7H9 liquid medium
Dissolve 4.7 g of 7H9 powder in 900 ml dH₂O
Add 2 ml glycerol and mix well
Autoclave and let cool completely
Store medium at room temperature in the dark
Note: Do not use medium that has been stored for longer than a month.
Right before use, add 2.5 ml 20% Tween 80 (filter sterilized) and 10% ADNaCl supplement. At this point the media can be filter sterilized or used directly. Media to which the supplement and Tween have been added should be stored at 4 °C and used within a few weeks.
7H11 agar plates
Dissolve 21 g of 7H11 powder in 900 ml dH₂O
Add 5 ml glycerol and swirl to obtain a smooth suspension
Note: Boil if necessary to completely dissolve the powder.
Autoclave at 121 °C for 15 min
Add 100 ml Middlebrook OADC Enrichment and 2.5 ml 20% Tween 80 (filter sterilized) to the medium when cooled to 50-55 °C
Mix well and pour to make agar plates

Acknowledgments

This work was funded by 5050 project by Hangzhou Hi-Tech District, Funding for Oversea Returnee by Hangzhou City, ZJ1000 project by Zhejiang Province. This protocol was developed in the Cohen Lab, Department of Genetics, Stanford University, CA, USA [Chen et al. (unpublished)].

References

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Frieden, T. R., Sterling, T. R., Munsiff, S. S., Watt, C. J. and Dye, C. (2003). Tuberculosis. Lancet 362(9387): 887-899.