Beser Jessica, Hagblom Per, Fernandez Victor
Department of Parasitology, Mycology and Environmental Microbiology, Swedish Institute for Infectious Disease Control, SE-17182 Solna, Sweden.
J Clin Microbiol. 2007 Mar;45(3):881-6. doi: 10.1128/JCM.02245-06. Epub 2007 Jan 3.
Pneumocystis jirovecii is the causative agent of Pneumocystis pneumonia (PCP) in immunocompromised persons. Knowledge of the transmission and epidemiology of PCP is still incipient, and investigations on these subjects are based exclusively on applications of molecular typing techniques. The polymorphic internal transcribed spacers ITS1 and ITS2 in the ribosomal DNA operon, which in the P. jirovecii genome exist as single-copy DNA, are commonly used as target loci for isolate typing. In the course of genotyping P. jirovecii in respiratory specimens from PCP patients by amplification and cloning of a large number of ITS sequences, we found mixed infections (two or more types) in 50% of the samples. In a majority of the specimens with mixed infections, we detected many ITS haplotypes (combinations of ITS1 and ITS2 types) that appeared to be products of recombination between globally common ITS haplotypes present in the same sample. Here we present results of a series of experiments showing that essentially all ITS recombinants are chimeras formed during the genotyping process. Under standard conditions, as many as 37% of the amplified sequences could be hybrid DNA artifacts. We show that by modifying PCR amplification conditions, ITS chimera formation could be largely abolished and the erroneous establishment of artifactual haplotypes avoided. The accurate assessment of genetic diversity is fundamental for a better understanding of the epidemiology and biology of P. jirovecii infections.
耶氏肺孢子菌是免疫功能低下者患肺孢子菌肺炎(PCP)的病原体。关于PCP传播和流行病学的知识仍处于起步阶段,对这些主题的研究完全基于分子分型技术的应用。核糖体DNA操纵子中的多态性内部转录间隔区ITS1和ITS2在耶氏肺孢子菌基因组中以单拷贝DNA形式存在,通常用作分离株分型的靶位点。在通过大量ITS序列的扩增和克隆对PCP患者呼吸道标本中的耶氏肺孢子菌进行基因分型的过程中,我们发现50%的样本存在混合感染(两种或更多类型)。在大多数混合感染的标本中,我们检测到许多ITS单倍型(ITS1和ITS2类型的组合),它们似乎是同一样本中全球常见ITS单倍型之间重组的产物。在此,我们展示了一系列实验的结果,表明基本上所有的ITS重组体都是基因分型过程中形成的嵌合体。在标准条件下,多达37%的扩增序列可能是杂交DNA假象。我们表明,通过修改PCR扩增条件,ITS嵌合体的形成可以在很大程度上被消除,并且可以避免错误地建立人为单倍型。准确评估遗传多样性对于更好地理解耶氏肺孢子菌感染的流行病学和生物学至关重要。