J 2022

Identification of and discrimination between the Mycobacterium abscessus complex and Mycobacterium avium complex directly from sputum using quadruplex real-time PCR Subscribed

DZIEDZINSKA, Radka, Jana OKUNKOVA, Petr KRALIK, Jana SVOBODOVA, Miriam MALÁ et. al.

Basic information

Original name

Identification of and discrimination between the Mycobacterium abscessus complex and Mycobacterium avium complex directly from sputum using quadruplex real-time PCR Subscribed

Authors

DZIEDZINSKA, Radka (203 Czech Republic, guarantor), Jana OKUNKOVA (203 Czech Republic), Petr KRALIK (203 Czech Republic), Jana SVOBODOVA (203 Czech Republic), Miriam MALÁ (203 Czech Republic, belonging to the institution) and Iva SLANA

Edition

Journal Of Medical Microbiology, LONDON, MICROBIOLOGY SOC, 2022, 0022-2615

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

10606 Microbiology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 3.000

RIV identification code

RIV/00216224:14110/22:00127503

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1099/jmm.0.001611

UT WoS

001129579900003

Keywords in English

cystic fibrosis; mycobacteria; quadruplex quantitative PCR; sputum

Tags

14110318, rivok

Tags

International impact, Reviewed
Změněno: 19/2/2024 09:07, Mgr. Tereza Miškechová

Abstract

V originále

Introduction. Cystic fibrosis (CF) is a serious disease with multisystemic clinical signs that is easily and frequently complicated by bacterial infection. Recently, the prevalence of nontuberculous mycobacteria as secondary contaminants of CF has increased, with the Mycobacterium avium complex (MAC) and Mycobacterium abscessus complex (MABSC) being the most frequently identified. The MABSC includes subspecies of significant clinical importance, mainly due to their resistance to antibiotics. Gap statement. Sensitive method for early detection and differentiation of MABSC members and MAC complex for use in routine clinical laboratories is lacking. A method based on direct DNA isolation from sputum, using standard equipment in clinical laboratories and allowing uncovering of possible sample inhibition (false negative results) would be required. The availability of such a method would allow accurate and accelerated time detection of MABSC members and their timely and targeted treatment. Aim. To develop a real time multiplex assay for rapid and sensitive identification and discrimination of MABSC members and MAC complex. Methodology. The method of DNA isolation directly from the sputum of patients followed by quadruplex real-time quantitative PCR (qPCR) detection was developed and optimised. The sensitivity and limit of detection (LOD) of the qPCR was determined using human sputum samples artificially spiked with a known amount of M. abscessus subsp. massiliense (MAM). Results. The method can distinguish between MAC and MABSC members and, at the same time, to differentiate between M. abscessus subsp. abscessus/subsp. bolletii (MAAb/MAB) and MAM. The system was verified using 61 culture isolates and sputum samples from CF and non-CF patients showing 29.5 % MAAb/MAB, 14.7 % MAM and 26.2 % MAC. The LOD was determined to be 1 490 MAM cells in the sputum sample with the efficiency of DNA isolation being 95.4 %. Verification of the qPCR results with sequencing showed 100 % homology. Conclusions. The developed quadruplex qPCR assay, which is preceded by DNA extraction directly from patients’ sputum without the need for culturing, significantly improves and speeds up the entire process of diagnosing CF patients and is therefore particularly suitable for use in routine laboratories.

Links

MUNI/A/1404/2021, interní kód MU
Name: Imunita u dětí po Covid-19 (Acronym: ImunCovid)
Investor: Masaryk University
Displayed: 9/11/2024 19:49