Scholz Holger Christian, Pfeffer Martin, Witte Angela, Neubauer Heinrich, Al Dahouk Sascha, Wernery Ulrich, Tomaso Herbert
Bundeswehr Institute of Microbiology, Neuherbergstrasse 11, D-80937 Munich, Germany.
Institute of Microbiology and Genetics, University of Vienna, Dr Bohr-Gasse 9, A-1030 Vienna, Austria.
J Med Microbiol. 2008 Jan;57(Pt 1):64-71. doi: 10.1099/jmm.0.47507-0.
Ochrobactrum anthropi, Ochrobactrum intermedium and Brucella spp. are phenotypically and genetically closely related pathogens that may cause disease with similar clinical presentation. Consequently, difficulties in their identification and differentiation have been reported. In this study, a sensitive recA gene-based multi-primer single-target PCR (MP-ST-PCR) was developed that allowed the specific detection and differentiation of these clinically relevant pathogens. The specificity of the assay was evaluated using a representative panel of 50 O. anthropi and 16 O. intermedium strains and the type strains of all Brucella spp. Detection limits for purified DNA from O. anthropi, O. intermedium and Brucella melitensis were 100, 10 and 100 fg, respectively. Brucella DNA was also successfully detected in various clinical specimens from a human patient with culture-proven brucellosis and from a Brucella-infected sheep and its aborted fetuses. The sensitivity of the MP-ST-PCR was comparable to that of an evaluated in-house Brucella real-time PCR assay. The developed assay closes a diagnostic gap and provides a simple but robust tool for the sensitive detection and correct identification of O. anthropi, O. intermedium and Brucella spp.
嗜人苍白杆菌、中间苍白杆菌和布鲁氏菌属是在表型和基因上密切相关的病原体,它们可能引发具有相似临床表现的疾病。因此,已有报道称它们在鉴定和区分方面存在困难。在本研究中,开发了一种基于recA基因的灵敏多引物单靶点PCR(MP-ST-PCR)方法,可对这些临床相关病原体进行特异性检测和区分。使用50株嗜人苍白杆菌和16株中间苍白杆菌的代表性菌株以及所有布鲁氏菌属的模式菌株对该检测方法的特异性进行了评估。嗜人苍白杆菌、中间苍白杆菌和羊种布鲁氏菌纯化DNA的检测限分别为100、10和100 fg。在一名经培养证实患有布鲁氏菌病的人类患者以及一只感染布鲁氏菌的绵羊及其流产胎儿的各种临床标本中也成功检测到了布鲁氏菌DNA。MP-ST-PCR的灵敏度与评估的内部布鲁氏菌实时PCR检测方法相当。所开发的检测方法填补了诊断空白,为嗜人苍白杆菌、中间苍白杆菌和布鲁氏菌属的灵敏检测和正确鉴定提供了一种简单而可靠的工具。