Introduction of MUG Test
MUG stands for 4-Methylumbelliferyl-β-D Glucuronide and it acts as a substrate for the organisms those having the enzyme β-glucuronidase. This enzyme is present in 97% of strains of E. coli. Organisms other than E. coli of the Enterobacteriaceae family Salmonella, Shigella, and Yersinia also possess the enzyme β-glucuronidase. This test uses for rapid identification of E. coli, the most common gram-negative rod seen in clinical specimens. Since verotoxin-producing E. coli strains are among the few E. coli strains that do not produce MUG, this test can also be used to detect the absence of the enzyme in a fecal isolate of E. coli to alert the microbiologist to the possible presence of a verotoxin-producing strain. Therefore, the MUG test is useful in the laboratory to identify and differentiate such organisms.
Principle of MUG Test
Escherichia coli and only a few other members of the family Enterobacteriaceae (Salmonella, Yersinia, and Shigella) produce the enzyme b-glucuronidase. This enzyme hydrolyzes the MUG, releasing 4-methylumbelliferone, which fluoresces blue under long-wave UV light.
Requirements for MUG Test
- MUG disk
- Test organisms-Fresh colonies on blood agar plate of possible E. coli organisms that are indole-positive, oxidase-negative, gram-negative rods, whether they are lactose positive or negative.
- Long-wave UV light (366 nm; e.g., Wood’s lamp)
- Inoculating loops
- Incubator
- Empty petri dish ( test tube if necessary)
- Control strains
Positive Control (PC): E. coli ATCC 25922
Negative Control (NC): Klebsiella pneumoniae ATCC 13883 or ATCC 27736
Procedure of MUG Test
- Place the disk in a sterile empty petri dish and wet with 1 drop of water. ( Excess water in the test may cause falsely negatives.)
- 2. Using inoculating loop roll colony from a blood agar plate onto the disk.
- Incubate at 35°C for a minimum of 2 hours (test can be read up to 24 hours, but 2 hours is usually sufficient.)
- Observe the disk using long-wave UV light in a darkened room.
- When interpreting weak reactions with the disk test, after incubation, place the disk in 2 ml of sterile saline. Observe as for tube test after 10 minutes.
Result and Interpretation of MUG Test
MUG test positive: Presence of blue fluorescence
MUG test negative: Absence of blue fluorescence
Escherichia coli ATCC 25922: positive
Klebsiella pneumoniae ATCC 13883 or ATCC 27736:negative
Keynotes on MUG Test
- Escherichia coli is definitively identified if a gram-negative rod is indole positive, oxidase negative, and MUG positive.
- Escherichia coli O157:H7 is indole positive and MUG test negative.
- The test is also to use other than E. coli for presumptive identification of various members of the family Enterobacteriaceae like Salmonella, Shigella, and Yesenia.
- To characterize verotoxin-producing Escherichia coli. (Vero toxin-producing strains of E. coli do not produce MUG, and a negative test result may indicate the presence of a clinically important strain.)
- It is also helpful in the detection of Escherichia coli from water and food samples.
Limitations of the test
- All strains of E. coli organisms are not MUG positive and therefore a negative test does not mean that the organism is not E. coli.
- Culture media that contain dyes like EMB, MAC can not use for the disk test, although the dyes do not interfere with the tube test.
- Shigella species that are indole positive, approximately 8% are also MUG positive. Rare isolates of Salmonella and Yersinia are also MUG positive. However, they are rarely indole positive. Thus, to avoid a misidentification, lactose-negative organisms from abdominal sources or from blood should not be tested using this method.
- Some fluorescing organisms, such as Pseudomonas aeruginosa, may resemble a positive MUG result. Therefore, the test should not be performed on oxidase-positive bacteria.
- Some bacteria fluoresce orange, which is not considered a positive reaction.
- Rare MUG test positive E. coli O157 strains have also been reported.
Further Readings
- Cowan and Steel’s,manual for the identification of medical bacteria
- Lynne S. Garcia , Clinical Microbiology Procedures Handbook
- Tille, P. M., & Forbes, B. A. (2014). Bailey & Scott’s diagnostic microbiology (Thirteenth edition.). St. Louis, Missouri: Elsevier.
- https://catalog.hardydiagnostics.com/cp_prod/Content/hugo/MUGDisks.html