Yamada Akiteru, Umeki Kazumi, Saeki Yuji, Hashikura Yuuki, Nomura Hajime, Yamamoto Ikuo, Umekita Kunihiko, Takajo Ichiro, Koshimoto Chihiro, Okayama Akihiko
Department of Rheumatology, Infectious Diseases and Laboratory Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Frontier Science Research Center, University of Miyazaki, Miyazaki, Japan.
J Microbiol Methods. 2018 Dec;155:42-48. doi: 10.1016/j.mimet.2018.11.005. Epub 2018 Nov 10.
Although isolation and identification of bacteria in a clinical specimen constitute essential steps for the diagnosis of bacterial infection, positive results of the bacterial culture are not always attained, despite observing the bacteria by Gram staining. As bacteria phagocytosed by the leukocytes are considered as the causative agents of infectious diseases, this study aims to introduce a new approach for the collection of only bacteria phagocytosed by the neutrophils in an animal model using laser capture microdissection (LCM) followed by the DNA identification using polymerase chain reaction (PCR). We inoculated representative bacteria (Escherichia coli and Staphylococcus aureus) into the abdominal cavities of specific pathogen-free C57BL/6 J mice. After 6 h inoculation, we collected the fluid samples from the peritoneal cavities of mice and demonstrated peritonitis by the increase of neutrophils. Then, we smeared the neutrophils on the membrane slides and collected single-cell phagocytosing bacteria by LCM. The supernatant of the cell lysate was supplied for the PCR reaction to amplify the 16S rRNA gene, and we validated the DNA sequences specific for the inoculated bacteria. In addition, PCR using specific primers for E. coli and S. aureus identified each species of bacteria. Hence, this study suggests that the combination of LCM and PCR could be a novel approach to determine bacteria in infectious diseases. Nevertheless, further investigation is warranted to test various additional bacterial taxa to demonstrate the general applicability of this method to clinical samples.
虽然在临床标本中分离和鉴定细菌是诊断细菌感染的必要步骤,但尽管通过革兰氏染色观察到了细菌,细菌培养的阳性结果却并非总能获得。由于被白细胞吞噬的细菌被认为是传染病的病原体,本研究旨在引入一种新方法,在动物模型中使用激光捕获显微切割技术(LCM)仅收集被中性粒细胞吞噬的细菌,随后使用聚合酶链反应(PCR)进行DNA鉴定。我们将代表性细菌(大肠杆菌和金黄色葡萄球菌)接种到无特定病原体的C57BL/6 J小鼠的腹腔中。接种6小时后,我们从小鼠腹腔收集液体样本,并通过中性粒细胞增多证明存在腹膜炎。然后,我们将中性粒细胞涂抹在载玻片上,通过LCM收集吞噬细菌的单细胞。细胞裂解物的上清液用于PCR反应以扩增16S rRNA基因,并且我们验证了针对接种细菌的DNA序列。此外,使用针对大肠杆菌和金黄色葡萄球菌的特异性引物进行PCR鉴定了每种细菌。因此,本研究表明LCM和PCR的组合可能是确定传染病中细菌的一种新方法。然而,有必要进行进一步研究以测试各种其他细菌类群,以证明该方法对临床样本的普遍适用性。