Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/9948
Title: Direct identification of slowly growing Mycobacterium species by analysis of the intergenic 16S-23S rDNA spacer region (ISR) using a GelCompar II database containing sequence based optimization for restriction fragment site polymorphisms (RFLPs) for 12 enzymes.
Authors: Gürtler, Volker;Harford, Cate;Bywater, Judy;Mayall, Barrie C
Affiliation: Department of Microbiology, Austin Health, Studley Road, Heidelberg, Victoria 3084, Australia. Volker.Gurtler@austin.org.au
Issue Date: 24-Jun-2005
Citation: Journal of Microbiological Methods 2005; 64(2): 185-99
Abstract: To obtain Mycobacterium species identification directly from clinical specimens and cultures, the 16S-23S rDNA spacer (ISR) was amplified using previously published primers that detect all Mycobacterium species. The restriction enzyme that could potentially produce the most restriction fragment length polymorphisms (RFLPs) was determined from all available ISR DNA sequences in GenBank to produce a novel data set of RFLPs for 31 slowly growing Mycobacterium species. Subsequently a GelCompar II database was constructed from RFLPs for 10 enzymes that have been used in the literature to differentiate slowly growing Mycobacterium species. The combination of Sau96I and HaeIII were the best choice of enzymes for differentiating clinically relevant slowly growing Mycobacterium species. A total of 392 specimens were studied by PCR with 195 negative and 197 positive specimens. The ISR-PCR product was digested with HaeIII (previously reported) and Sau96I (new to this study) to obtain a Mycobacterium species identification based on the ISR-RFLPs. The species identification obtained by ISR-RFLP was confirmed by DNA sequencing (isolate numbers are shown in parentheses) for M. avium (3), M. intracellulare (4), M. avium complex (1), M. gordonae (2) and M. tuberculosis (1). The total number of specimens (99) identified were from culture (67), Bactectrade mark 12B culture bottles (11), EDTA blood (3), directly from smear positive specimens (13), tissue (4) and urine (1). Direct species identification was obtained from all 13/13 smear positive specimens. The total number of specimens (99) were identified as M. tuberculosis (41), M. avium (7), M. avium complex (11), M. intracellulare MIN-A (20), M. flavescens (2), M. fortuitum (10), M. gordonae (4), M. shimoidei (1), M. ulcerans (1) and M. chelonae (2). This method reduces the time taken for Mycobacterium species identification from 8-10 weeks for culture and biochemical identification; to 4-6 weeks for culture and ISR-RFLP; to 2 days for smear-positive specimens by ISR-RFLP. The precise 2 day identification obtained may provide significant advantages in clinical management.
Internal ID Number: 15979743
URI: http://ahro.austin.org.au/austinjspui/handle/1/9948
DOI: 10.1016/j.mimet.2005.04.034
URL: http://www.ncbi.nlm.nih.gov/pubmed/15979743
Type: Journal Article
Subjects: Bacterial Typing Techniques.methods
Base Sequence
DNA, Bacterial.genetics
DNA, Ribosomal Spacer.genetics
Deoxyribonucleases, Type II Site-Specific
Humans
Molecular Sequence Data
Mycobacterium.classification.genetics.growth & development.isolation & purification
Mycobacterium Infections.diagnosis.microbiology
Polymerase Chain Reaction
Polymorphism, Restriction Fragment Length
RNA, Bacterial.genetics
RNA, Ribosomal, 16S.genetics
RNA, Ribosomal, 23S.genetics
Species Specificity
Appears in Collections:Journal articles

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