Development of a new sensitive and efficient multiplex polymerase chain reaction (PCR) for identification and differentiation of different mycobacterial species

Summary For early detection and species differentiation of mycobacteria, polymerase chain reaction (PCR) techniques are currently in wide use. However, individual techniques using amplification of different targets with appropriate primers still have some limitations, which have to be overcome. The...

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Veröffentlicht in:Tropical medicine & international health 2003-02, Vol.8 (2), p.150-157
Hauptverfasser: Bhattacharya, Basudev, Karak, Kalpana, Ghosal, Alok Gopal, Roy, Atanu, Das, Shyamal, Dandapat, Premanshu, Khetawat, Dimple, Mondal, Dibya Kanti, Bhattacharya, Sujit, Chakrabarti, Sekhar
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container_title Tropical medicine & international health
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creator Bhattacharya, Basudev
Karak, Kalpana
Ghosal, Alok Gopal
Roy, Atanu
Das, Shyamal
Dandapat, Premanshu
Khetawat, Dimple
Mondal, Dibya Kanti
Bhattacharya, Sujit
Chakrabarti, Sekhar
description Summary For early detection and species differentiation of mycobacteria, polymerase chain reaction (PCR) techniques are currently in wide use. However, individual techniques using amplification of different targets with appropriate primers still have some limitations, which have to be overcome. The ideal technique would use DNA sequences which should be present in all mycobacteria and absent in others and would be able to discriminate one species from the other, as non‐tuberculous mycobacteria (NTM) are on rise in terms of frequency of detection. We developed a multiplex PCR based on amplification of 165, 365 and 541 bp target fragments of unrelated genes, hsp 65 coding for 65 kDa antigen, dnaJ gene of mycobacteria and insertion element IS 6110 of Mycobacterium tuberculosis, respectively. This multiplex PCR was tested over 5 years from 1996 to 2001 with 411 clinical specimens from suspected cases of tuberculosis and mycobacterioses and compared with standard laboratory techniques. The multiplex PCR was positive for 379 cases compared with 280 cases by standard techniques (P 
doi_str_mv 10.1046/j.1365-3156.2003.01007.x
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However, individual techniques using amplification of different targets with appropriate primers still have some limitations, which have to be overcome. The ideal technique would use DNA sequences which should be present in all mycobacteria and absent in others and would be able to discriminate one species from the other, as non‐tuberculous mycobacteria (NTM) are on rise in terms of frequency of detection. We developed a multiplex PCR based on amplification of 165, 365 and 541 bp target fragments of unrelated genes, hsp 65 coding for 65 kDa antigen, dnaJ gene of mycobacteria and insertion element IS 6110 of Mycobacterium tuberculosis, respectively. This multiplex PCR was tested over 5 years from 1996 to 2001 with 411 clinical specimens from suspected cases of tuberculosis and mycobacterioses and compared with standard laboratory techniques. The multiplex PCR was positive for 379 cases compared with 280 cases by standard techniques (P &lt; 0.0001). It could distinguish between strains of the M. tuberculosis complex and NTM; the results are comparable with standard techniques. 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However, individual techniques using amplification of different targets with appropriate primers still have some limitations, which have to be overcome. The ideal technique would use DNA sequences which should be present in all mycobacteria and absent in others and would be able to discriminate one species from the other, as non‐tuberculous mycobacteria (NTM) are on rise in terms of frequency of detection. We developed a multiplex PCR based on amplification of 165, 365 and 541 bp target fragments of unrelated genes, hsp 65 coding for 65 kDa antigen, dnaJ gene of mycobacteria and insertion element IS 6110 of Mycobacterium tuberculosis, respectively. This multiplex PCR was tested over 5 years from 1996 to 2001 with 411 clinical specimens from suspected cases of tuberculosis and mycobacterioses and compared with standard laboratory techniques. The multiplex PCR was positive for 379 cases compared with 280 cases by standard techniques (P &lt; 0.0001). It could distinguish between strains of the M. tuberculosis complex and NTM; the results are comparable with standard techniques. Thus the multiplex PCR can be useful in early detection, species differentiation and epidemiology.</description><subject>Bacterial diseases</subject><subject>Bacterial Typing Techniques - methods</subject><subject>Bacterial Typing Techniques - standards</subject><subject>Biological and medical sciences</subject><subject>Body Fluids - microbiology</subject><subject>DNA Primers</subject><subject>DNA, Bacterial - analysis</subject><subject>Gene Amplification</subject><subject>Genes, Bacterial</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>India</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>multiplex polymerase chain reaction</subject><subject>mycobacteria</subject><subject>Mycobacterium - classification</subject><subject>Mycobacterium - isolation &amp; purification</subject><subject>Mycobacterium tuberculosis</subject><subject>Mycobacterium tuberculosis - classification</subject><subject>Mycobacterium tuberculosis - isolation &amp; purification</subject><subject>Polymerase Chain Reaction - methods</subject><subject>Polymerase Chain Reaction - standards</subject><subject>rapid detection</subject><subject>Sensitivity and Specificity</subject><subject>Suppuration - microbiology</subject><subject>Tropical medicine</subject><subject>Tuberculosis - diagnosis</subject><subject>Tuberculosis - microbiology</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><issn>1360-2276</issn><issn>1365-3156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1u1DAUhSNERUvhFZA3IFgk-NpO7CxYVMNPKxWBUFlbjnMtPHJ-sDPtzNv0UUlmRu2Srnx173fOsXSyjAAtgIrq47oAXpU5h7IqGKW8oECpLLbPsrOHw_P9THPGZHWavUxpTSkVoqxeZKfASgVCwFl2_xlvMQxjh_1EBkcM6fGOJOyTn_wtEtO3BJ3z1i9AtwmTHwNuyTiEXYfRJCT2j_E9iWjs5IeevP-5-vWBuCES384aP2vN_rBYtd45jMv6sJsTH1ak29mhmV0wehNIGnEOTa-yE2dCwtfH9zz7_fXLzeoyv_7x7Wp1cZ1bISuZVwaBmooZU3OwLaDFppHMoVAKkbMGa8trg9KBo8pRC03ZAFeNalpZM8XPs3cH3zEOfzeYJt35ZDEE0-OwSVpyylQN4r8gSGC8ZnwG1QG0cUgpotNj9J2JOw1ULzXqtV7a0ktbeqlR72vU21n65pixaTpsH4XH3mbg7REwyZrgoumtT4-cKEUNIGfu04G78wF3T_6Avvl-tUz8HxNmvK8</recordid><startdate>200302</startdate><enddate>200302</enddate><creator>Bhattacharya, Basudev</creator><creator>Karak, Kalpana</creator><creator>Ghosal, Alok Gopal</creator><creator>Roy, Atanu</creator><creator>Das, Shyamal</creator><creator>Dandapat, Premanshu</creator><creator>Khetawat, Dimple</creator><creator>Mondal, Dibya Kanti</creator><creator>Bhattacharya, Sujit</creator><creator>Chakrabarti, Sekhar</creator><general>Blackwell Science Ltd</general><general>Blackwell Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200302</creationdate><title>Development of a new sensitive and efficient multiplex polymerase chain reaction (PCR) for identification and differentiation of different mycobacterial species</title><author>Bhattacharya, Basudev ; 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However, individual techniques using amplification of different targets with appropriate primers still have some limitations, which have to be overcome. The ideal technique would use DNA sequences which should be present in all mycobacteria and absent in others and would be able to discriminate one species from the other, as non‐tuberculous mycobacteria (NTM) are on rise in terms of frequency of detection. We developed a multiplex PCR based on amplification of 165, 365 and 541 bp target fragments of unrelated genes, hsp 65 coding for 65 kDa antigen, dnaJ gene of mycobacteria and insertion element IS 6110 of Mycobacterium tuberculosis, respectively. This multiplex PCR was tested over 5 years from 1996 to 2001 with 411 clinical specimens from suspected cases of tuberculosis and mycobacterioses and compared with standard laboratory techniques. The multiplex PCR was positive for 379 cases compared with 280 cases by standard techniques (P &lt; 0.0001). It could distinguish between strains of the M. tuberculosis complex and NTM; the results are comparable with standard techniques. Thus the multiplex PCR can be useful in early detection, species differentiation and epidemiology.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>12581441</pmid><doi>10.1046/j.1365-3156.2003.01007.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wiley Free Content; IngentaConnect Free/Open Access Journals
subjects Bacterial diseases
Bacterial Typing Techniques - methods
Bacterial Typing Techniques - standards
Biological and medical sciences
Body Fluids - microbiology
DNA Primers
DNA, Bacterial - analysis
Gene Amplification
Genes, Bacterial
Human bacterial diseases
Humans
India
Infectious diseases
Medical sciences
multiplex polymerase chain reaction
mycobacteria
Mycobacterium - classification
Mycobacterium - isolation & purification
Mycobacterium tuberculosis
Mycobacterium tuberculosis - classification
Mycobacterium tuberculosis - isolation & purification
Polymerase Chain Reaction - methods
Polymerase Chain Reaction - standards
rapid detection
Sensitivity and Specificity
Suppuration - microbiology
Tropical medicine
Tuberculosis - diagnosis
Tuberculosis - microbiology
Tuberculosis and atypical mycobacterial infections
title Development of a new sensitive and efficient multiplex polymerase chain reaction (PCR) for identification and differentiation of different mycobacterial species
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