Changping District Center for Disease Control and Prevention, Beijing, 102206, China.
Curr Med Sci. 2020 Apr;40(2):372-379. doi: 10.1007/s11596-020-2169-1. Epub 2020 Apr 26.
Pseudomonas aeruginosa (P. aeruginosa) is a major opportunistic pathogen in hospital-acquired infections. Thus, early diagnosis is the best strategy for fighting against these infections. In this report, we incorporated multiple cross displacement amplification (MCDA) combined with the malachite green (MG) for rapid, sensitive, specific and visual detection of P. aeruginosa by targeting the oprl gene. The MCDA-MG assay was conducted at 67°C for only 40 min during the amplification stage, and then products were directly detected by using colorimetric indicators (MG), eliminating the use of an electrophoresis instrument or amplicon analysis equipment. The entire process, including specimen processing (35 min), amplification (40 min) and detection (5 min), can be finished within 80 min. All 30 non-P. aeruginosa strains tested negative, indicating the high specificity of the MCDA primers. The analytical sensitivity of the MCDA-MG assay was 100 fg of genomic templates per reaction in pure culture, which was in complete accordance with MCDA by gel electrophoresis and real-time turbidity. The assay was also successfully applied to detecting P. aeruginosa in stool samples. Therefore, the rapidity, simplicity, and nearly equipment-free platform of the MCDA-MG technique make it possible for clinical diagnosis, and more.
铜绿假单胞菌(P. aeruginosa)是医院获得性感染的主要机会性病原体。因此,早期诊断是对抗这些感染的最佳策略。在本报告中,我们结合多重交叉置换扩增(MCDA)和孔雀绿(MG),针对 oprl 基因,快速、灵敏、特异、可视化检测铜绿假单胞菌。MCDA-MG 检测在扩增阶段仅在 67°C 下进行 40 分钟,然后直接使用比色指示剂(MG)进行产物检测,无需使用电泳仪或扩增子分析设备。整个过程,包括样本处理(35 分钟)、扩增(40 分钟)和检测(5 分钟),可在 80 分钟内完成。所有 30 株非铜绿假单胞菌检测均为阴性,表明 MCDA 引物具有高特异性。MCDA-MG 检测的分析灵敏度为每反应 100 fg 基因组模板,与凝胶电泳和实时浊度测定的 MCDA 完全一致。该检测还成功应用于粪便样本中铜绿假单胞菌的检测。因此,MCDA-MG 技术的快速、简单和几乎无需设备的平台使其有可能用于临床诊断等。