Prenatal diagnosis of congenital toxoplasmosis by duplex real-time PCR using fluorescence resonance energy transfer hybridization probes

The diagnosis of congenital toxoplasmosis frequently relies on PCR tests of amniotic fluid (AF). A duplex real‐time quantitative PCR test based on fluorescence resonance energy transfer was developed to quantify the parasite load and to decrease the risk of contamination. An internal control based o...

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Veröffentlicht in:Prenatal diagnosis 2001-02, Vol.21 (2), p.85-88
Hauptverfasser: Costa, Jean-Marc, Ernault, Pauline, Gautier, Evelyne, Bretagne, Stéphane
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container_title Prenatal diagnosis
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creator Costa, Jean-Marc
Ernault, Pauline
Gautier, Evelyne
Bretagne, Stéphane
description The diagnosis of congenital toxoplasmosis frequently relies on PCR tests of amniotic fluid (AF). A duplex real‐time quantitative PCR test based on fluorescence resonance energy transfer was developed to quantify the parasite load and to decrease the risk of contamination. An internal control based on the detection of 10 pg mouse DNA added to the AF was included to check for PCR efficiency. The relationship between the parasite load and the occurrence of ultrasonographic abnormalities in 87 samples of AF was analyzed. Seven AF (8%) had a parasitic load >103; 14 (16%) had >102–≤103; 26 (30%) had >10–≤102; and 40 (46%) had ≤10 parasites/ml. Four of the six AF with cerebral ventriculomegaly had >103 parasites/ml. The other two had 130 and 24 parasites/ml, respectively. No parasitic loads of >103 parasites/ml and no ultrasonographic abnormalities were observed in the 11 AF with maternal toxoplasmosis in the third trimester. Therefore, there is a trend to associate high parasite count with ultrasonographic abnormality, but the main concern remains early maternal infection. The importance of quantification should be better evaluated with postnatal studies. The duplex LightCycler PCR test currently provides rapid and safe results. Copyright © 2001 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/1097-0223(200102)21:2<85::AID-PD18>3.0.CO;2-1
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Diagn</addtitle><description>The diagnosis of congenital toxoplasmosis frequently relies on PCR tests of amniotic fluid (AF). A duplex real‐time quantitative PCR test based on fluorescence resonance energy transfer was developed to quantify the parasite load and to decrease the risk of contamination. An internal control based on the detection of 10 pg mouse DNA added to the AF was included to check for PCR efficiency. The relationship between the parasite load and the occurrence of ultrasonographic abnormalities in 87 samples of AF was analyzed. Seven AF (8%) had a parasitic load &gt;103; 14 (16%) had &gt;102–≤103; 26 (30%) had &gt;10–≤102; and 40 (46%) had ≤10 parasites/ml. Four of the six AF with cerebral ventriculomegaly had &gt;103 parasites/ml. The other two had 130 and 24 parasites/ml, respectively. No parasitic loads of &gt;103 parasites/ml and no ultrasonographic abnormalities were observed in the 11 AF with maternal toxoplasmosis in the third trimester. 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Obstetrics</subject><subject>Human protozoal diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Mice</subject><subject>Nucleic Acid Hybridization</subject><subject>Parasitic diseases</subject><subject>PCR</subject><subject>Polymerase Chain Reaction - methods</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>prenatal diagnosis</subject><subject>Prenatal Diagnosis - methods</subject><subject>Protozoal diseases</subject><subject>Spectrometry, Fluorescence</subject><subject>Toxoplasma - genetics</subject><subject>Toxoplasma - immunology</subject><subject>Toxoplasmosis</subject><subject>Toxoplasmosis, Congenital - diagnosis</subject><subject>Ultrasonography, Prenatal</subject><issn>0197-3851</issn><issn>1097-0223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcGO0zAQhiMEYkvhFZAlJASHFI8dN0lBSKsUdlcq2woW7dFynEkxmzrFTkTLE_DYONuqXDhwsj3-9M1o_igSQCdAKXsDNE9jyhh_xSgFyl4zmLF3mZjNzq_m8WoO2Xs-oZNi-ZbF8CAanfiH0YhCuPNMwFn0xPvvQZexPH0cnQGwBASHUfR75dCqTjWkMmptW288aWuiW7tGa4Z61-7abaP85v6v3JOq3za4Iw5VE3dmg2RVfCa9N3ZN6qZvHXqNVmMAfGvVcEOLbr0nnVPW1-jIt33pTGV-qc60lmxdW6J_Gj2qVePx2fEcR18_frgpLuPF8uKqOF_EOoEkixOdlGnNdYU8zxG0EAmvqzLPIcNcTxNIRSVoRWvFU13WScVZpko1ZSiyUqXIx9HLgze0_dGj7-TGhIGbRllsey_TaT5lkOUB_HQAtWu9d1jLrTMb5fYSqByikcOq5bBqeYhGMpBMZkLKEI0copFcUlksQxWC7_mxcV9usPprO2YRgBdHQHmtmjpsSxt_4rIc8tBrHF0fqJ-mwf3_z_SPke7fQRgfhMZ3uDsJlbuT05SnQt5eX8h58WXBLm-FvOF_ABoQxF0</recordid><startdate>200102</startdate><enddate>200102</enddate><creator>Costa, Jean-Marc</creator><creator>Ernault, Pauline</creator><creator>Gautier, Evelyne</creator><creator>Bretagne, Stéphane</creator><general>John Wiley &amp; Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><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>7X8</scope></search><sort><creationdate>200102</creationdate><title>Prenatal diagnosis of congenital toxoplasmosis by duplex real-time PCR using fluorescence resonance energy transfer hybridization probes</title><author>Costa, Jean-Marc ; Ernault, Pauline ; Gautier, Evelyne ; Bretagne, Stéphane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4148-4c4b7f3cde399e1c5543fdb9918e9c64175d50d0fa37cbf4d328aba62e58ba7e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Amniocentesis</topic><topic>Animals</topic><topic>Antibodies, Protozoan - analysis</topic><topic>Biological and medical sciences</topic><topic>congenital toxoplasmosis</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>DNA, Protozoan - analysis</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Human protozoal diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Mice</topic><topic>Nucleic Acid Hybridization</topic><topic>Parasitic diseases</topic><topic>PCR</topic><topic>Polymerase Chain Reaction - methods</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>prenatal diagnosis</topic><topic>Prenatal Diagnosis - methods</topic><topic>Protozoal diseases</topic><topic>Spectrometry, Fluorescence</topic><topic>Toxoplasma - genetics</topic><topic>Toxoplasma - immunology</topic><topic>Toxoplasmosis</topic><topic>Toxoplasmosis, Congenital - diagnosis</topic><topic>Ultrasonography, Prenatal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costa, Jean-Marc</creatorcontrib><creatorcontrib>Ernault, Pauline</creatorcontrib><creatorcontrib>Gautier, Evelyne</creatorcontrib><creatorcontrib>Bretagne, Stéphane</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Prenatal diagnosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costa, Jean-Marc</au><au>Ernault, Pauline</au><au>Gautier, Evelyne</au><au>Bretagne, Stéphane</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal diagnosis of congenital toxoplasmosis by duplex real-time PCR using fluorescence resonance energy transfer hybridization probes</atitle><jtitle>Prenatal diagnosis</jtitle><addtitle>Prenat. Diagn</addtitle><date>2001-02</date><risdate>2001</risdate><volume>21</volume><issue>2</issue><spage>85</spage><epage>88</epage><pages>85-88</pages><issn>0197-3851</issn><eissn>1097-0223</eissn><coden>PRDIDM</coden><abstract>The diagnosis of congenital toxoplasmosis frequently relies on PCR tests of amniotic fluid (AF). A duplex real‐time quantitative PCR test based on fluorescence resonance energy transfer was developed to quantify the parasite load and to decrease the risk of contamination. An internal control based on the detection of 10 pg mouse DNA added to the AF was included to check for PCR efficiency. The relationship between the parasite load and the occurrence of ultrasonographic abnormalities in 87 samples of AF was analyzed. Seven AF (8%) had a parasitic load &gt;103; 14 (16%) had &gt;102–≤103; 26 (30%) had &gt;10–≤102; and 40 (46%) had ≤10 parasites/ml. Four of the six AF with cerebral ventriculomegaly had &gt;103 parasites/ml. The other two had 130 and 24 parasites/ml, respectively. No parasitic loads of &gt;103 parasites/ml and no ultrasonographic abnormalities were observed in the 11 AF with maternal toxoplasmosis in the third trimester. Therefore, there is a trend to associate high parasite count with ultrasonographic abnormality, but the main concern remains early maternal infection. The importance of quantification should be better evaluated with postnatal studies. The duplex LightCycler PCR test currently provides rapid and safe results. Copyright © 2001 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>11241531</pmid><doi>10.1002/1097-0223(200102)21:2&lt;85::AID-PD18&gt;3.0.CO;2-1</doi><tpages>4</tpages></addata></record>
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subjects Amniocentesis
Animals
Antibodies, Protozoan - analysis
Biological and medical sciences
congenital toxoplasmosis
Diseases of mother, fetus and pregnancy
DNA, Protozoan - analysis
Female
Gynecology. Andrology. Obstetrics
Human protozoal diseases
Humans
Infectious diseases
Medical sciences
Mice
Nucleic Acid Hybridization
Parasitic diseases
PCR
Polymerase Chain Reaction - methods
Pregnancy
Pregnancy. Fetus. Placenta
prenatal diagnosis
Prenatal Diagnosis - methods
Protozoal diseases
Spectrometry, Fluorescence
Toxoplasma - genetics
Toxoplasma - immunology
Toxoplasmosis
Toxoplasmosis, Congenital - diagnosis
Ultrasonography, Prenatal
title Prenatal diagnosis of congenital toxoplasmosis by duplex real-time PCR using fluorescence resonance energy transfer hybridization probes
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