Citrate test
The citrate test, also known as the citrate utilization test, is a standard biochemical assay in microbiology used to determine the ability of bacterial isolates, particularly Gram-negative enteric bacteria, to use sodium citrate as their sole source of carbon and energy.[1][2] Originally developed by S. A. Koser in the 1920s as a liquid medium to differentiate coliforms and refined by J. S. Simmons in 1926 with agar and bromothymol blue indicator, it forms part of the IMViC battery of tests (indole, methyl red, Voges-Proskauer, and citrate) for identifying and differentiating Enterobacteriaceae and other pathogens based on citrate metabolism.[1] The test detects citrate utilization through a pH increase in Simmons citrate agar, indicated by a color change in bromothymol blue from green to blue, aiding in distinguishing citrate-positive genera like ''Klebsiella'', ''Enterobacter'', and ''Citrobacter'' from citrate-negative ones like ''Escherichia'' and ''Salmonella'' in clinical, environmental, and diagnostic microbiology.[1][2]Introduction
Definition and Purpose
The citrate test is a biochemical assay that evaluates an organism's ability to utilize sodium citrate as its sole carbon source and inorganic ammonium salts as its sole nitrogen source under aerobic conditions.[3] This test is essential for assessing metabolic capabilities in microbial identification.[4] Its primary purpose is to aid in the differentiation of bacteria, particularly within the Enterobacteriaceae family, by revealing patterns of citrate metabolism that distinguish genera such as Escherichia, Salmonella, and Klebsiella.[3] As a key component of the IMViC test series—comprising Indole, Methyl Red, Voges-Proskauer, and Citrate—it contributes to a comprehensive biochemical profile for classifying Gram-negative enteric bacteria.[4] The test specifically detects the activity of citrate permease, an enzyme that transports citrate across the cell membrane, and citrase enzymes that cleave citrate into oxaloacetate and acetate, processes that enable the production of alkaline byproducts via ammonium ion assimilation and subsequent ammonia release.[3]Historical Development
The citrate utilization test traces its origins to 1923, when Stewart A. Koser developed a liquid medium to evaluate the ability of bacteria in the colon-aerogenes group to metabolize salts of organic acids, with a focus on sodium citrate as the sole carbon source. Koser's formulation included magnesium sulfate, dipotassium phosphate, monopotassium phosphate, ammonium dihydrogen phosphate, and sodium citrate, enabling the differentiation of coliforms from non-fecal origins—such as those utilizing citrate—from fecal coliforms like Escherichia coli, which generally could not. This innovation addressed a key need in early 20th-century microbiology for distinguishing environmental versus pathogenic strains in water and soil samples. In 1926, James S. Simmons refined Koser's liquid medium into a solid agar slant by adding 1.5% agar and bromothymol blue as a pH indicator, which turns from green to blue under alkaline conditions produced by citrate breakdown and ammonium release. This modification enhanced the test's usability by allowing streak inoculation on slants for clearer visualization of growth and color changes, making it more suitable for routine laboratory differentiation of typhoid, colon, and aerogenes group organisms, as well as certain fungi. Simmons' version, known as Simmons citrate agar, quickly gained adoption for its convenience in identifying citrate-positive versus citrate-negative bacteria.[5] A notable advancement came in 1949 with W.B. Christensen's introduction of citrate agar, a variant that permitted citrate detection without mandating it as the exclusive carbon source; instead, it incorporated supplementary nutrients such as yeast extract and glucose (dextrose) to support initial growth while still indicating citrate use via pH shifts. This formulation, often prepared as slants with phenol red (or bromothymol blue in some variants) as the pH indicator, broadened the test's sensitivity for enteric pathogens and coliforms, including genera like Salmonella, Citrobacter, and Enterobacter, by reducing false negatives in organisms with slower citrate adaptation. Christensen's agar proved particularly valuable for simultaneous assessment of hydrogen sulfide production in some variants.[6] By the late 1920s, the citrate test had evolved into a cornerstone of microbiological identification protocols, integrated into the IMViC series (Indole, Methyl Red, Voges-Proskauer, Citrate) to systematically characterize enteric bacteria in clinical, environmental, and food safety contexts. This battery, formalized in the ensuing decades, leveraged the test's reliability for distinguishing E. coli (typically citrate-negative) from Enterobacter aerogenes (citrate-positive), aiding public health efforts like water sanitation monitoring. Its standardization persisted through the mid-20th century, influencing global lab practices despite later molecular advancements.[1]Biochemical Principle
Mechanism of Citrate Utilization
The citrate test assesses the ability of bacteria to utilize sodium citrate as the sole carbon source under aerobic conditions, requiring specific transport and enzymatic mechanisms for metabolism. Citrate must first be transported across the bacterial cell membrane via citrate permease, a membrane protein that facilitates the uptake of citrate ions into the cytoplasm.[7] Once inside, the enzyme citrate lyase (also known as citrase) cleaves citrate into oxaloacetate and acetate, initiating the breakdown process. This cleavage is essential for bacteria such as certain Enterobacteriaceae to access carbon for growth when no other sources are available.[8] In the subsequent aerobic metabolism, oxaloacetate is converted to malate by malate dehydrogenase, and then to pyruvate via malic enzyme, releasing carbon dioxide in the process; pyruvate enters the tricarboxylic acid (TCA) cycle to generate energy.[7] The acetate produced is oxidized to acetyl-CoA, which also feeds into the TCA cycle, supporting further energy production through oxidative phosphorylation under aerobic conditions. Simultaneously, bacteria utilize the medium's ammonium dihydrogen phosphate as the sole nitrogen source for biosynthesis; during growth, deamination of ammonium ions leads to the release of ammonia (NH3), which accumulates and raises the pH of the environment. This pH increase, typically above 7.6, causes the bromothymol blue indicator to shift from green (neutral pH around 6.9) to deep blue, signaling citrate utilization.[7] The process strictly requires aerobic conditions for the oxidative steps in the TCA cycle and efficient energy yield, explaining why strict anaerobes typically test negative as they lack the necessary oxygen-dependent enzymes or cannot grow on the aerobic slant medium.[7] Facultative anaerobes like Escherichia coli may fail if they lack the citrate permease under aerobic conditions with citrate as the sole carbon source, though some can utilize it anaerobically in the presence of alternative carbons.Composition of Simmons Citrate Medium
The Simmons Citrate Medium is a solid agar-based formulation designed to test bacterial ability to utilize citrate as the sole carbon source, with all other nutrients limited to ensure selective growth and clear detection of metabolic activity. Its composition includes precisely measured ingredients that support minimal nutrition while enabling visualization of pH changes through an indicator dye.[1] The standard recipe per liter of deionized water consists of the following components:| Ingredient | Quantity (g/L) | Role |
|---|---|---|
| Sodium citrate (source of citrate) | 2 | Serves as the sole carbon source, forcing organisms to metabolize it if capable, with no alternative carbons present to avoid false positives.[1] |
| Ammonium dihydrogen phosphate | 1 | Provides the sole nitrogen source in the form of ammonium ions, essential for protein synthesis in citrate-utilizing bacteria.[1] |
| Dipotassium phosphate | 1 | Acts as a buffer to maintain initial neutral pH and supply potassium and phosphorus for cellular processes.[1] |
| Magnesium sulfate | 0.2 | Supplies magnesium ions, a cofactor for enzymatic reactions involved in citrate metabolism and general bacterial growth.[1] |
| Sodium chloride | 5 | Maintains osmotic balance to mimic physiological conditions and support bacterial viability without providing nutrients.[1] |
| Agar | 15 | Solidifies the medium into a slant format for surface inoculation and incubation, facilitating observable growth and color changes.[1] |
| Bromothymol blue | 0.08 | Functions as a pH indicator, remaining green at neutral pH (around 7) and turning blue above pH 7.6 upon alkaline byproduct formation from citrate utilization.[1] |