Abstract
There is a need in the clinical microbiological laboratory for rapid and reliable methods for the universal identification of fungal pathogens. Two different regions of the rDNA gene complex, the highly polymorphic ITS1 and ITS2, were amplified using primers targeting conserved regions of the 18S, 5.8S and 28S genes. After melting-point analysis of the amplified products, the Tm of the two PCR-products were plotted into a spot diagram where all the 14 tested, clinically relevant yeasts separated with good resolution. Real-time amplification of two separate genes, melting-point analysis and two-dimensional plotting of Tm data can be used as a broad-range method for the identification of clinical isolates of pathogenic yeast such as Candida and Cryptococcus spp.
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Gharizadeh B, Norberg E, Loeffler J, Jalal S, Tollemar J, Einsele H, Klingspor L, Nyren P (2004) Identification of medically important fungi by the Pyrosequencing technology. Mycoses 47:29–33
Leaw SN, Hsien CC, Hsiao FS, Barton R, Bouchara J-P, Tsung CC (2006) Identification of medically important yeast species by sequence analysis of the internal transcribed spacer regions. J Clin Microbiol 44:693–699
Trama JP, Mordechai E, Adelson ME (2005) Detection and identification of Candida species associated with Candida vaginitis by real-time PCR and pyrosequencing. Mol Cell Probes 19:145–152
Lau A, Chen S, Sorell T, Carter D, Malik R, Martin P, Halliday C (2007) Development and clinical application of a panfungal PCR assay to detect and identify fungal DNA in tissue specimens. J Clin Microbiol 45:380–385
Linton CJ, Borman AM, Cheung G, Holmes AD, Szekely A, Palmer MD, Bridge PD, Campbell CK, Johnson EM (2007) Molecular identification of unusual pathogenic yeast isolates by large ribosomal subunit gene sequencing: 2 years of experience at the United Kingdom Mycology Reference Laboratory. J Clin Microbiol 45:1152–1158
Selvarangan R, Limaye AP, Cookson BT (2002) Rapid identification and differentiation of Candida albicans and Candida dublinensis by capillary-based amplification and fluorescent probe hybridization. J Clin Microbiol 40:4308–4312
Innings Å, Ullberg M, Johansson A, Rubin CJ, Noreus N, Isaksson M, Herrmann B (2007) Multiplex real-time PCR targeting the RNase P RNA gene for detection and identification of Candida species in blood. J Clin Microbiol 45:874–880
Hendolin P, Paulin L, Koukkila-Kähkölä P, Anttila V, Malmberg H, Richardsson M, Ylikoski J (2002) Panfungal PCR and multiplex liquid hybridization for detection of fungi in tissue specimens. J Clin Microbiol 38:4186–4192
Luo G, Mitchell TG (2002) Rapid identification of pathogenic fungi directly from cultures using multiplex PCR. J Clin Microbiol 40:2860–2865
Klingspor L, Jalal S (2006) Molecular detection and identification of Candida and Aspergillus spp. from clinical samples using real-time PCR. Clin Microbiol Infect 12:745–753
Loeffler J, Henke N, Hebart H, Schmidt D, Hagmeyer L, Schumacher U, Einsele H (2000) Quantification of fungal DNA by using fluorescence resonance energy transfer and the light cycler system. J Clin Microbiol 38:586–590
Maaroufi Y, De Bruyne J-M, Duchateau V, Georgala A, Crokaert F (2004) Early detection and identification of commonly encountered Candida species from simulated blood cultures by using a real-time PCR-based assay. J Molecul Diagnost 6:108–114
Maaroufi Y, Heymans C, De Bruyne J-M, Duchateau V, Rodriguez-Villalobos H, Aoun M, Crokaert F (2003) Rapid detection of Candida albicans in clinical blood samples by using a TaqMan-based PCR assay. J Clin Microbiol 41:3293–3298
Van Burik J, Myerson D, Schreckhise R, Bowden R (1998) Panfungal PCR assay for detection of fungal infection in human blood specimens. J Clin Microbiol 36:1169–1175
Schabereiter-Gurtner C, Selitsch B, Rotter ML, Hirschl AM, Willinger B (2007) Development of novel real-time PCR assays for detection and differentiation of eleven medically important Aspergillus and Candida species in clinical specimens. J Clin Microbiol 45:906–914
Hsu MC, Chen KW, Lo H J, Liao MH, Lin YH, Li SY (2003) Species identification of medically important fungi by use of real-time LightCycler PCR. J Clin Microbiol 52:1071–1076
Huang A, Li JW, Shen ZQ, Wang XW, Jin M (2006) High-throughput identification of clinical pathogenic fungi by hybridization to an oligonucleotide microarray. J Clin Microbiol 44:3299–3305
Mirhendi H, Makimura K, Khoramizadeh M, Yamaguchi H (2006) A one-enzyme PCR-RFLP assay for identification of six medically important Candida species. Jpn J Med Mycol 47:225–229
Chen S, Halliday C, Meyer W (2002) A review of nucleic acid-based diagnostic tests for systemic mycoses with an emphasis on polymerase chain reaction-based assays. Med Mycol 40:333–357
Fell JW, Boekhout T, Fonseca A, Scorzetti G, Statzell-Tallman A (2000) Biodiversity and systematics of basidiomycetous yeasts as determined by large-subunit rDNA D1/D2 domain sequence analysis. Int J Syst Evol Microbiol 50:1351–1371
Casey GD, Dobson ADW (2004) Potential of using real-time PCR-based detection of spoilage yeast in fruit juice: a preliminary study. Int J Food Microbiol 91:327–335
White TJ, Bruns T, Lee S, Taylor JW (1990) Amplification and direct sequencing of fungal ribosomal RNA genes for phylogenetics. In: Innis MA, Gelfland DH, Sninsky J, White TJ. PCR protocols: a guide to methods and applications. Academic Press, New York, pp 315–322
Søgaard M, Stender H, Schønheyder H (2004) Direct identification of major blood culture pathogens, including Pseudomonas aeruginosa and Escherichia coli, by a panel of fluorescence in situ hybridization assays using peptide nucleic acid probes. J Clin Microbiol 43:1947–1949
Skow Á, Mangold KA, Tajuddin M, Huntington A, Fritz B, Thomson RB Jr, Kaul KL (2005) Species-level identification of staphylococcal isolates by real-time PCR and melt curve analysis. J Clin Microbiol 43:2876–2880
Acknowledgements
Thanks to N. Kondori, University of Gothenburg, for sending some of the clinical yeast strains used in this study. Thanks also to E. Chryssanthou, Karolinska University Hospital, Stockholm, for the Candida dubliniensis and Candida lusitaniae strains. Thanks to E. Jakobson at the Swedish Institute for Infectious Disease Control Solna, for the work with all the isolates. Also, thanks to all colleagues at the microbiology laboratory at Capio Diagnostik AB in Skövde, for all help and support.
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Bergman, A., Fernandez, V., Holmström, K.O. et al. Rapid identification of pathogenic yeast isolates by real-time PCR and two-dimensional melting-point analysis. Eur J Clin Microbiol Infect Dis 26, 813–818 (2007). https://doi.org/10.1007/s10096-007-0369-2
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DOI: https://doi.org/10.1007/s10096-007-0369-2