Tran S D, Rudney J D
Department of Oral Science, School of Dentistry, University of Minnesota, Minneapolis 55455, USA.
J Clin Microbiol. 1996 Nov;34(11):2674-8. doi: 10.1128/jcm.34.11.2674-2678.1996.
Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis are strongly associated with periodontitis. However, little is known about their distribution in periodontally healthy individuals, because culturing techniques are not sufficiently sensitive. A modified multiplex PCR was developed to address that question. Our method uses two species-specific forward primers in combination with a single reverse primer. These primers target variable and conserved regions of the 16S rRNA gene. Sensitivity was determined by testing serial dilutions of A. actinomycetemcomitans and P. gingivalis cells. Primer specificity was tested against (i) six A. actinomycetemcomitans strains and four P. gingivalis strains, (ii) seven different species of oral bacteria, and (iii) supra- and subgingival plaque from 20 subjects. The multiplex PCR had a lower limit of detection of 2 A. actinomycetemcomitans and 30 P. gingivalis cells. Species-specific amplicons were obtained for all A. actinomycetemcomitans and P. gingivalis strains tested and did not occur with seven other bacterial species unless A. actinomycetemcomitans and P. gingivalis were added. Neither target species was detected in supragingival plaque; A. actinomycetemcomitans was detected in one subgingival specimen, and P. gingivalis was detected in another. When plaque samples were spiked with 10 A. actinomycetemcomitans cells and 100 P. gingivalis cells, species-specific amplicons were detected. These findings show our multiplex PCR to be highly sensitive and specific while allowing simultaneous detection of A. actinomycetemcomitans and P. gingivalis. This assay has potential applications in epidemiological studies, diagnosis, treatment planning, and monitoring of periodontal pathogens.
伴放线放线杆菌和牙龈卟啉单胞菌与牙周炎密切相关。然而,由于培养技术不够灵敏,它们在牙周健康个体中的分布情况鲜为人知。为解决这一问题,我们开发了一种改良的多重聚合酶链反应(PCR)方法。我们的方法使用两种物种特异性正向引物与一种反向引物相结合。这些引物靶向16S rRNA基因的可变区和保守区。通过检测伴放线放线杆菌和牙龈卟啉单胞菌细胞的系列稀释液来确定灵敏度。针对(i)6株伴放线放线杆菌菌株和4株牙龈卟啉单胞菌菌株、(ii)7种不同的口腔细菌以及(iii)20名受试者的龈上和龈下菌斑测试引物特异性。多重PCR的检测下限为2个伴放线放线杆菌细胞和30个牙龈卟啉单胞菌细胞。对所有测试的伴放线放线杆菌和牙龈卟啉单胞菌菌株均获得了物种特异性扩增子,除非添加伴放线放线杆菌和牙龈卟啉单胞菌,否则7种其他细菌物种均未出现这种情况。在龈上菌斑中均未检测到目标物种;在一个龈下标本中检测到了伴放线放线杆菌,在另一个标本中检测到了牙龈卟啉单胞菌。当菌斑样本中加入10个伴放线放线杆菌细胞和100个牙龈卟啉单胞菌细胞时,检测到了物种特异性扩增子。这些结果表明,我们的多重PCR具有高度的灵敏性和特异性,同时能够同时检测伴放线放线杆菌和牙龈卟啉单胞菌。该检测方法在牙周病原体的流行病学研究、诊断、治疗计划制定和监测方面具有潜在应用价值。
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