A real-time reverse transcription-PCR method was developed to determine whether the recovery of culturability of viable but nonculturable (VBNC) Vibrio parahaemolyticus induced the expression of virulence genes coding for the thermostable direct hemolysin and for type III secretion system 2 (TTSS2). The culturability of clinical strain Vp5 of V. parahaemolyticus in artificial seawater at 4°C was monitored, and the VBNC state was obtained. One day after entry into the VBNC state, temperature upshifts to 20 and 37°C allowed the recovery of culturability. Standard curves for the relative quantification of expression of the housekeeping genes rpoS, pvsA, fur, and pvuA; the tdh2 gene; and the TTSS2 genes (VPA1354, VPA1346, and VPA1342) were established. The levels of expression of the pvsA and pvuA genes were stable and were used to normalize the levels of expression of the other genes. No transcriptional induction of the selected virulence genes under the temperature conditions used to recover the culturability of the VBNC bacteria was observed. The study results demonstrate that the recovery of culturability of VBNC cells of pathogenic V. parahaemolyticus is restricted to regrowth, without correlation with the induction of virulence gene expression. Disease induction would depend mainly on host-pathogen interactions that allow the expression of the virulence genes. This is the first time that the use of mRNA to detect viable cells was evaluated by computing the half-lives of multiple mRNA species under conditions inducing the VBNC state.Vibrio parahaemolyticus is a marine bacterium of which some strains generate food-borne outbreaks of disease characterized by acute gastroenteritis. The thermostable direct hemolysin (TDH) and TDH-related hemolysin were previously considered to be the main factors at the origin of these enterotoxic phenomena. Recently, the genome sequencing of a clinical strain of V. parahaemolyticus, RIMD 2210633, has revealed several other factors of virulence, including genes for two type III secretion systems (TTSS), TTSS1 and TTSS2, present on chromosomes 1 and 2, respectively (18). TTSS1 has been described as a cytotoxic system, and TTSS2 has been described as an enterotoxic system (25). Under environmental stresses, such as a temperature downshift, V. parahaemolyticus appears to be fairly inactive metabolically and enters into a dormant state, namely, the viable but nonculturable (VBNC) state. The VBNC cells are able to respond to some environmental stimuli, such as a temperature upshift, and to become metabolically active and culturable. The recovery of culturability by the VBNC cells of V. cholerae, V. vulnificus, and V. parahaemolyticus has been demonstrated to cause in vivo pathogenicity (1,6,23). Two scenarios may explain the virulence: a high number of cells (a high infectious dose) without significant regulation of the virulence genes and/or genetic up-regulation of virulence genes under such conditions.To determine if cells induce the expression of virulence genes after the recovery o...