Recovery of Pasteurization-Resistant Vibrio parahaemolyticus from Seafoods Using a Modified, Two-Step Enrichment

Persistent Vibrio-parahaemolyticus-associated vibriosis cases, attributed, in part, to the inefficient techniques for detecting viable-but-non-culturable (VBNC) Vibrio pathogens and the ingestion of undercooked seafood, is the leading cause of bacterial seafood-borne outbreaks, hospitalizations, and deaths in the United States. The effect of extreme heat processing on Vibrio biology and its potential food safety implication has been underexplored. In the present work, environmental samples from the wet market, lagoon, and estuarine environments were analyzed for V. parahaemolyticus recovery using a modified, temperature-dependent, two-step enrichment method followed by culture-based isolation, phenotype, and genotype characterizations. The work recovered novel strains (30% of 12 isolates) of V. parahaemolyticus from prolonged-heat-processing conditions (80 °C, 20 min), as confirmed by 16S rDNA bacterial identification. Select strains, VHT1 and VHT2, were determined to be hemolysis- and urease-positive pathogens. PCR analyses of chromosomal DNA implicated the tdh-independent, tlh-associated hemolysis in these strains. Both strains exhibited significant, diverse antibiotic profiles (p < 0.05). Turbidimetric and viable count assays revealed the pasteurization-resistant V. parahaemolyticus VHT1/VHT2 (62 °C, 8 h). These findings disclose the efficiency of Vibrio extremist recovery by the modified, two-step enrichment technique and improve knowledge of Vibrio biology essential to food safety reformation.

Persistent, increasing vibriosis incidents associated with V. parahaemolyticus are generally linked to the consumption of undercooked seafood contaminated with the pathogen [16,17]  Isolation, culture, and storage conditions. Strains of V. parahaemolyticus used in this study were isolated in the lab using a two-step enrichment technique described previously [37] with minor modifications (Figure 1). Briefly, microorganisms in a 25 g sample were homogenized in 225 g of enrichment broth containing APW (pH 8.6, 5% wt/v) using a Stomacher ® 400 Circulator lab blender (Seward, Weber Scientific, Hamilton, NJ, USA), incubated at specific times, and bacterial dilutions were inoculated on thiosulfate-citratebile-salt-sucrose (TCBS, Difco, Detroit, MI, USA) agar plates or heat treated (i.e., 80 • C, 20 min followed by 4 • C, overnight) prior to the plating, followed by an incubation of 72 h at 35 • C before visible colonies were streaked on Brain Heart Infusion agar (BHI, Difco, Detroit, MI, USA) containing 3% NaCl for purification, with pure cultures being stored in a sterile solution containing BHI and glycerol (10% v/v) at −70 • C. Presumptive V. parahaemolyticus isolates were confirmed using 16S rDNA bacterial identification and species-gene-specific PCR (tlh). The bacterial cultures were prepared by inoculating thawed cultures (1/100) in sterile fresh culture solution containing BHI (pH 7.4) supplemented with 3% NaCl, followed by overnight incubation (~20 h) at 35 • C and a repeated subculture before experimental analyses, as described previously [18].
Heat challenged viability assay. Sub-cultured, fresh, select strains of V. parahaemolyticus were serially diluted to a final cell concentration of 10 2 -10 3 cfu/mL in LB broth. Dilution aliquots were incubated at 62 • C for 8 h in a water bath, followed by overnight incubation at 35 • C, and were then examined for growth by visible broth turbidity and viable plate count on agar containing BHI and 3% NaCl.
Hemolysis test. Hemolysis activity was examined using sheep erythrocytes [42] or human erythrocytes [16] as described previously with minor modifications. Select strains of V. parahaemolyticus sub-cultured twice in sterile BHI broth were spotted (5 µL) onto agar plates (pH 7.4) containing BHI, 1.5% human erythrocytes, and 1% NaCl. Inoculated plates were incubated at 35 • C for 24 h prior to hemolysis validation.
DNA extraction, PCR, and agarose gel electrophoresis conditions. Genomic DNA was prepared with a previously documented bead extraction method [43]. Briefly, pelleted fresh V. parahaemolyticus cultures (16 h) were resuspended in sterile DI water and spun down twice before being subjecting to bead collision with sterile micro-size beads (5 µm) in 0.1 mL sterile Tris buffer (10 mM, pH 7.4) to release the cytoplasmic components using a pulsing vortex mixer (SPW Industrial, Laguna Hills, CA, USA). Chromosomal DNA was phased out from cell debris using a high-speed microcentrifuge (VWR, Suwanee, GA, USA) and stored at −20 • C. The quality of DNA was analyzed using a UV spectrophotometer (Thermo Scientific, South San Francisco, CA, USA) and PCR using gene-specific primers. 35 °C before visible colonies were streaked on Brain Heart Infusion agar (BHI, Difco, De-troit, MI, USA) containing 3% NaCl for purification, with pure cultures being stored in a sterile solution containing BHI and glycerol (10% v/v) at −70 °C. Presumptive V. parahaemolyticus isolates were confirmed using 16S rDNA bacterial identification and speciesgene-specific PCR (tlh). The bacterial cultures were prepared by inoculating thawed cultures (1/100) in sterile fresh culture solution containing BHI (pH 7.4) supplemented with 3% NaCl, followed by overnight incubation (~20 h) at 35 °C and a repeated subculture before experimental analyses, as described previously [18]. Step 1, sampling to collect environmental shellfish.
Step 2, storage of samples before experimental analyses. Step 3, processes for the recovery of regular and heat-resistant V. parahaemolyticus.
Step 4, cultivation of presumptive V. parahaemolyticus (from processed samples) on selective agar plates containing TCBS.
Step 5, streak isolation, culture establishment, and bacterial identification of two forms of V. parahaemolyticus.
Urease assay. V. parahaemolyticus urease activity was evaluated according to the protocol of a commercial urease testing kit. Briefly, a test reaction containing 1 mL of fresh cell solution of V. parahaemolyticus isolates (<20 h) and one tablet of Urease Test Tablets Key Scientific (Hardy diagnostics, Santa Maria, CA, USA) was mixed with a vortex machine and incubated at 37 • C for a maximum of 24 h, or until a pink color indicating a positive test developed. Antibiotic disc diffusion test. A comparative antibiotic assay for distinguishing strains of V. parahaemolyticus was performed using the disc diffusion test with minor modifications [46]. Briefly, BHI agar plates supplemented with 3% NaCl were inoculated for bacterial lawns with 10 8 cfu/mL fresh V. parahaemolyticus cultures (~20 h) by using sterile glass rods. The antibiotic discs (BD; Sparks, MD, USA) chloramphenicol (CHL, 30 µg/disc), ciprofloxacin (CIP, 5 µg/disc), erythromycin (ERY, 15 µg/disc), gentamycin (GEN, 10 µg/disc), nalidixic acid (NAL, 30 µg/disc), neomycin (NEO, 30 µg/disc), streptomycin (STR, 10 µg/disc), and tetracycline (TET, 30 µg/disc) were distantly placed on the lawns. The inoculated plates were incubated for 24 h before antibiotic susceptibility diameters (mm) were determined and then scored per the Clinical and Laboratory Standards Institute (CLSI) M45 [47] and M100-S21(M2) (i.e., found in the antibiotic product user manual) guidelines for Vibrio species and enterococci/Escherichia coli, respectively.

Colony Phenotype/Prevalence of V. parahaemolyticus from Thermally Treated Samples
In the present study, VBNC strains of V. parahaemolyticus were generated from wetmarket and environmental shellfish seafoods. Using a conventional, one-step enrichment (i.e., APW enrichment) and a modified, two-step enrichment technique (i.e., APW enrichment + heat treatment), 12 of 50 isolates were confirmed as two biologically distinct groups, herein named regular and heat-resistant V. parahaemolyticus, respectively, and exclusively recovered from oyster samples at all incubation times tested (for the one-step enrichment technique) ( Table 3) and 8/48 incubation hours tested (for the two-step enrichment technique) ( Tables 4 and 5). Regular V. parahaemolyticus exhibited a 1.4-fold higher number of isolates than the heat-resistant V. parahaemolyticus. Table 3. Colony-forming profiles of presumptive V. parahaemolyticus on TCBS agar media following the one-step enrichment method. Samples were plated after specific incubation times on TCBS. Bacterial colonies were identified with 16S rDNA sequencing.

Heat Resistance in Heat-Resistant V. parahaemolyticus Vegetative Cells
We analyzed a subset of heat-resistant strains, VHT1 and VHT2 (Table 5) of V. parahaemolyticus, for their susceptibility to the USDA-recommended pasteurization temperature of 62-65 • C for seafood [15]. VHT2 exhibited greater heat tolerance than VHT1, as demonstrated in growth turbidity replications (35 • C) ( Figure 2 and Table 6) at post-heat treatment (8 h at 62 • C). It is worth noting that there was no noticeable growth turbidity for both VHT1 and VHT2 through the entire 8 h of incubation at 62 • C (data not shown). The viability of cells with turbidity was confirmed by plating ( Figure 3).
We analyzed a subset of heat-resistant strains, VHT1 and VHT2 (Table 5) of V. parahaemolyticus, for their susceptibility to the USDA-recommended pasteurization temperature of 62-65 °C for seafood [15]. VHT2 exhibited greater heat tolerance than VHT1, as demonstrated in growth turbidity replications (35 °C) ( Figure 2 and Table 6) at post-heat treatment (8 h at 62 °C). It is worth noting that there was no noticeable growth turbidity for both VHT1 and VHT2 through the entire 8 h of incubation at 62 °C (data not shown). The viability of cells with turbidity was confirmed by plating ( Figure 3).   3 V. parahaemolyticus cells in BHI broth were heated for 20 min before overnight incubation at 35 °C. Relative to the BHI-brothonly tube control, the viability of the cells were recorded as "+" or "−" turbidity, indicating cells survived or were killed in the test. Each strain was tested in triplicate replications.

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Urease activity Urea hydrolysis conditions were adapted from the chemical supplier Hardy Diagnostics (product cat. # K650) since the urea tablets used for urease examination were less laborious to perform than a urea agar-based examination method. Urease activities were detected in all strains with no specific association between intense urease production and each of two forms of V. parahaemolyticus (Table 6) detected in this study. PCR analysis of hemolysin genes (i.e., tdh, tlh) in select heat-resistant and regular strains of V. parahaemolyticus with the gene-specific primers listed in Table 1 revealed V. parahaemolyticus with tdh − /tlh − (i.e., regular V. parahaemolyticus VHT17 and VHT18) or tdh − /tlh + (i.e., heat-resistant V. parahaemolyticus VHT1, VHT2, VHT14, VHT15, and VHT16) genotypes ( Figure 5 and Table 7) based on expected amplicon sizes (Table 1). Additionally, the derivatives of VHT1 (VHT79) and VHT2 (VHT80 and VHT81) retained the tlh gene of their parental strains as demonstrated in Figure 6.  • Urease activity Urea hydrolysis conditions were adapted from the chemical supplier Hardy Diagnostics (product cat. # K650) since the urea tablets used for urease examination were less laborious to perform than a urea agar-based examination method. Urease activities were detected in all strains with no specific association between intense urease production and each of two forms of V. parahaemolyticus (Table 6) detected in this study.

Antibiotic Profile of the V. parahaemolyticus VHT1 and VHT2
Antibiotic testing was carried out with a subset of two heat-resistant strains of V. parahaemolyticus (i.e., VHT1 and VHT2) obtained in this study. Different antibiotic susceptibility profiles were detected between VHT1 and VHT2. The latter strain was susceptible to more of the antibiotics tested (i.e., susceptible to chloramphenicol, ciprofloxacin, gentamycin, nalidixic acid, and tetracycline) as opposed to the VHT1 strain (i.e., susceptible to chloramphenicol, gentamycin, nalidixic acid, and tetracycline) ( Table 8). A significantly PCR analysis of hemolysin genes (i.e., tdh, tlh) in select heat-resistant and regular strains of V. parahaemolyticus with the gene-specific primers listed in Table 1 revealed V. parahaemolyticus with tdh − /tlh − (i.e., regular V. parahaemolyticus VHT17 and VHT18) or tdh − /tlh + (i.e., heat-resistant V. parahaemolyticus VHT1, VHT2, VHT14, VHT15, and VHT16) genotypes ( Figure 5 and Table 7) based on expected amplicon sizes (Table 1). Additionally, the derivatives of VHT1 (VHT79) and VHT2 (VHT80 and VHT81) retained the tlh gene of their parental strains as demonstrated in Figure 6.  • Urease activity Urea hydrolysis conditions were adapted from the chemical supplier Hardy Diagnostics (product cat. # K650) since the urea tablets used for urease examination were less laborious to perform than a urea agar-based examination method. Urease activities were detected in all strains with no specific association between intense urease production and each of two forms of V. parahaemolyticus (Table 6) detected in this study.

Antibiotic Profile of the V. parahaemolyticus VHT1 and VHT2
Antibiotic testing was carried out with a subset of two heat-resistant strains of V. parahaemolyticus (i.e., VHT1 and VHT2) obtained in this study. Different antibiotic susceptibility profiles were detected between VHT1 and VHT2. The latter strain was susceptible to more of the antibiotics tested (i.e., susceptible to chloramphenicol, ciprofloxacin, gentamycin, nalidixic acid, and tetracycline) as opposed to the VHT1 strain (i.e., susceptible to chloramphenicol, gentamycin, nalidixic acid, and tetracycline) ( Table 8). A significantly

Antibiotic Profile of the V. parahaemolyticus VHT1 and VHT2
Antibiotic testing was carried out with a subset of two heat-resistant strains of V. parahaemolyticus (i.e., VHT1 and VHT2) obtained in this study. Different antibiotic susceptibility profiles were detected between VHT1 and VHT2. The latter strain was susceptible to more of the antibiotics tested (i.e., susceptible to chloramphenicol, ciprofloxacin, gentamycin, nalidixic acid, and tetracycline) as opposed to the VHT1 strain (i.e., susceptible to chloramphenicol, gentamycin, nalidixic acid, and tetracycline) ( Table 8). A significantly (P < 0.05) high level of susceptibility was detected in VHT2 to ciprofloxacin and nalidixic acid as compared with the other strain tested (Figure 7). Both strains were highly resistant to penicillin (Figure 7) and scored an equal MAR index value of 0.22 (Table 8).

Discussion
The ability of Vibrio species to form a viable-but-non-culturable (VBNC) state and become resistant to stresses, such as high salt content, pH, high temperatures [42,48], and antibiotics [49,50] has recently started to shed light on the persistent cases of vibriosis [35,[51][52][53][54]. Previous studies separately reported by Mizunoe et al. [5], Okuda et al. [21], and Xu et al. [55] have suggested the presence of genotype and phenotype variabilities of V. parahaemolyticus, which could result in detection inconsistency/limit of one or many other detection techniques reported to date.

Discussion
The ability of Vibrio species to form a viable-but-non-culturable (VBNC) state and become resistant to stresses, such as high salt content, pH, high temperatures [42,48], and antibiotics [49,50] has recently started to shed light on the persistent cases of vibriosis [35,[51][52][53][54]. Previous studies separately reported by Mizunoe et al. [5], Okuda et al. [21], and Xu et al. [55] have suggested the presence of genotype and phenotype variabilities of V. parahaemolyticus, which could result in detection inconsistency/limit of one or many other detection techniques reported to date.
Conventionally, Vibrio spp. or spore-forming bacteria enrichment techniques use nutrient cultivation followed by selective enrichment [23,31,56] or heat treatment followed by cold incubation [22]. In this study, however, we combine SPW enrichment, heat-treatment, and cold incubation for resuscitating V. parahaemolyticus. This novel, combined enrichment and heat-selection technique (i.e., modified, two-step enrichment technique) resuscitated a group of environmental, heat-resistant V. parahaemolyticus strains (41.7%), in addition to regular V. parahaemolyticus strains (58.3%). This suggests the presence of a distinctive genotype and phenotype of V. parahaemolyticus that could remain unculturable by many conventional detection/cultivation techniques. Odeyemi noted that V. parahaemolyticus is more prevalent in oysters than other kinds of seafood investigated by various groups between 2003 and 2015, as demonstrated in a meta-analysis study [3]. This phenomenon was consistent with the prevalence findings (in this study), whereby V. parahaemolyticus could only be retrieved from oysters when analyzed along with other seafood samples. Hence, the observations suggest that oyster may be a V. parahaemolyticus's preferred symbiont, including the heat-resistant strains reported for the first time in this study, compared with other kinds of shellfish seafood which are deemed frequent targets of contamination by V. parahaemolyticus. It is worth noting that this technique has not been documented in prior reports, and that the use of an extended SPW enrichment time (i.e., 72 h) in this study is novel (Table 3).
Delmore and Crisley [32] and Andrews et al. [33] noted that V. parahaemolyticus is susceptible to temperatures between 49 and 55 • C. Cebrián et al. [57] and Terano et al. [22] noted numerous non-Vibrio species of Gram-negative bacteria that are capable of withstanding pasteurization temperature (i.e., 65 • C). The heat-resistant strains of V. parahaemolyticus investigated in this study were able to survive extended pasteurization conditions (i.e., 62 • C, 8 h) as opposed to other vegetative cells of spore-forming bacteria [58] or non-spore forming bacteria [57]. This could suggest the differential expression of heat-shock proteins, such as DnaI [42], DnaK [48], GroEL, and GroeS [42,48] chaperones, whose role is implicated in bacterial maintenance of heat-deactivated proteins to revert their structure(s) and function(s) [59]. Both V. parahaemolyticus VHT1 and VHT2 strains exhibited different heat-tolerance phenotypes (VHT79, VHT80, VHT81) at post-pasteurization temperature (62 • C), as demonstrated by turbidimetric data (35 • C) ( Figure 2) and followed by viable plate count (>8 log cfu/mL cells) data ( Figure 3); nevertheless, these strains are susceptible to the resuscitation temperature (80 • C) used to recover them ( Table 6). It is worth noting that the heat-resistant colonies of VHT80 and VHT81 derived from VHT2 (i.e., pasteurized VHT2) were different phenotypically and that our findings suggest, for the first time, that V. parahaemolyticus could tolerate pasteurization temperatures (62-65 • C). The latter strain (VHT81) appeared to have sticky colonies. This could be attributed to the heat-dependent alteration of Gram-negative bacteria's outer membrane, which leads to non-lethal LPS damage [60] or homeoviscous adaptation [61]. In contrast to Delmore and Crisley [32], both strains survived a much higher incubation temperature than elevated temperatures between 49 and 55 • C.
KP was prepared using sheep erythrocytes as described by Ming et al. [62], as it is more economical than human erythrocytes. However, agar containing BHI was used for the reason that Wagatsuma agar [16] is costly, and that the V. parahaemolyticus strains did not grow well on agar plates containing Luria Bertani. In our study, human erythrocytes were able to demonstrate detectable hemolysis activity, disagreeing with Ming et al. [62]. The findings suggest that the V. parahaemolyticus heat-resistant strains VHT1 and VHT2 could possess one or more major hemolysin-producing gene(s) of the virulence strains, such as thermostable direct hemolysin (tdh) and/or tdh-related hemolysin (trh) [38], and that their derivative strains VHT79 (from VHT1), VHT80 (from VHT2), and VHT81 (VHT2) retained their hemolysis phenotypes post pasteurization ( Figure 4 and Table 7). It is worth mentioning that all KP + strains tested, including VHT1 and VHT2, did not exhibit hemolysis activity when cultured on agar media supplemented with sheep erythrocytes instead of human erythrocytes ( Figure 4 and Table 7).
Park et al. [65] also noted that the urease and trh gene cluster does not positively correlate with the Kanagawa phenomenon (KP). However, the present study revealed that select strains, the heat-resistant, urease + V. parahaemolyticus VHT1 and VHT2, were KP + (Table 7). Letchumanan et al. [38] and Chung et al. [71] noted other V. parahaemolyticus hemolysins, such as the thermolabile hemolysin (tlh) and thermostable direct hemolysin (tdh), respectively, that could contribute to KP + . Hemolysin gene-specific PCR analyses revealed that the V. parahaemolyticus strains VHT1 and VHT2 were tdh − but tlh + (Table 7). It is worth noting that this is the first report of the discovery of urease + , KP + environmental V. parahaemolyticus [65].
The different antibiotics used in this study were adapted in part from previous documented work [18,46] and the availability of the antibiotics in the lab. Elexson et al. [72] and Letchumanan et al. [18] noted penicillin/ampicillin-resistant strains of V. parahaemolyticus from environmental and cultured seafood, respectively. When the antibiotic susceptibility test was compared between the heat-resistant V. parahaemolyticus VHT1 and VHT2, both demonstrated high levels of resistance to penicillin.
The availability of heat-resistant V. parahaemolyticus in seafoods suggest the potential cause of vibriosis food outbreak by a heat-resistant group of V. parahaemolyticus due to their ability to evade the conventional protocol of cooking and testing [15] and become a food safety threat and vibriosis cause. Our findings suggest, for the first time, that V. parahaemolyticus could survive food processing and cooking criteria [15], which could be an overlooked root cause of the persistent vibriosis in the US, and that they could be activated/recovered using the modified, two-step enrichment of combined nourishment (APW, 48 h), heating selection (80 • C, 20 min), and cooling steps. As previously noted, the prevalence of the V. parahaemolyticus variant [5,21,55], such as heat-resistant strains of environmental V. parahaemolyticus, could be attributed to specific gene transfers within the bacterial complex/mixture community, that could consist of Vibrio species and heatresistant symbionts [73], and induced by global warming [74]. The results revealing positive KP activity and tlh amplicons suggest the presence of environmental V. parahaemolyticus pathogens [19,20], and that these strains (i.e., VHT1 and VHT2 derived strains, VHT79, VHT80, and VHT81) (Tables 5 and 7) possess heat-stable hemolysin gene(s), such as tlh, and that it encodes a heat-stress protecting product, possibly suggesting a positive correlation between V. parahaemolyticus heat resistance (i.e., 62 • C, 8 h) and persistent vibriosis cases, as noted by Ueda et al. [75], whose work determined a positive correlation between thermolabile protein expression and thermotolerance in a member of Gram-negative bacteria. The PCR results confirm that this pathogen could use tdh-independent hemolysin(s), such as trh [38,71], tlh [2,38], VP3048 putative hemolysin [48], and/or others [71] for exhibiting KP activity (Table 7), and that urease-positive V. parahaemolyticus strains do not simultaneously possess a tdh-encoding gene, as noted by Wang et al. [63]. Additionally, the data suggest that tdh and tlh hemolysins are not essential in environmental V. parahaemolyticus metabolism, as these genes were absent in a subset (tlh gene) or all (tdh gene) of our culture isolates (Table 6). Further work (i.e., transcriptomic analyses) exploring the transcriptomic response of this group of V. parahaemolyticus strains to extreme temperature (i.e., 62 • C) is worthwhile for fostering a seafood processing/cooking and safety regimen. The results demonstrating positive urease activity suggest that both urease-positive heat-resistant and regular V. parahaemolyticus (Table 6) could possess a trh gene. Several groups reported that bacteria could produce urease when exposed to nitrogen limitation [76], acidic pH [77], or urea availability [78,79]. Berutti et al. [79] noted the increasing level of nitrogen content in environmental water since 2008, which suggests the adoption of urease in environmental V. parahaemolyticus. Thus, this indicates that environmental V. parahaemolyticus could readily produce urease in response to the urea availability supplemented in the urease assay. The results demonstrating high levels of resistance to penicillin could be attributed to the outer membrane of the Gram-negative bacteria, which interferes with antibiotic drugs' entry and antimicrobial efficacy [46,80], as well as to the overuse of antibiotics in aquaculture that leads to bacterial resistance [81,82]. VHT2 was relatively more susceptible to ciprofloxacin and nalidixic acid (Figure 7) than VHT1, suggesting an antibiotic-resistance diversity of heat-resistant, environmental V. parahaemolyticus. Collectively, the results suggest that the V. parahaemolyticus strains of VHT1 and VHT2 (heat-resistant strains) possess tlh, trh (presumptive), urease, and KP activities.

Conclusions
A viable-but-nonculturable physiological state is a well-embraced contributing factor to bacterial resistance to, and evasive abilities from, hurdle technology that result in persistent foodborne bacterial infections, including V. parahaemolyticus-associated vibriosis. The present study reveals the first recovery of heat-resistant variants of environmental V. parahaemolyticus using the modified, two-step enrichment technique of SPW enrichment (step 1), heat enrichment, and refrigeration (step 2). These novel strains possessed tdh − , Trh + (presumptive), urease + , Kanagawa phenomenon, and spore-like characteristics as opposed to the urease − /urease + , non-spore-like environmental strains determined in previous studies [32,33]. In addition, we disclose, for the first time, tlh − V. parahaemolyticus [38], urease + /KP + environmental V. parahaemolyticus [65], and KP analysis inconsistency with sheep blood. Knowledge of different enrichment conditions that are capable of improving V. parahaemolyticus recovery, namely, the regular and heat-resistant forms, and understanding the biology of VBNC bacteria, may help detect total V. parahaemolyticus in seafoods and improve the accuracy of test results by manipulating the currently employed FDArecommended conditions [24,30] for V. parahaemolyticus detection, both biologically and physically. These findings imply that the detection conditions that are recommended by the FDA may fail with the resuscitation of heat-dependent V. parahaemolyticus and that the modified, two-step enrichment technique that was examined should be adopted by Vibrio testing labs. In addition, this technique should be further investigated for the potential recovery of other species of VBNC Vibrio pathogens of public concern and additional samples from multiple locations are warranted due to these initial/novel results.