Abstract
We developed a loop-mediated isothermal amplification (LAMP) method to detect Chlamydophila pneumoniae infection. This assay exclusively amplified C. pneumoniae sequences and no cross-reactivity was observed for other Chlamydia species. The detection limit for this assay was found to be ten elementary bodies in 25 min, as observed in a real-time turbidimeter and electrophoretic analysis. The specificity of the LAMP reaction was confirmed by restriction endonuclease analysis, as well as direct sequencing of the amplified product. Among nasopharyngeal swab specimens from 120 patients with acute respiratory tract infections and 40 healthy individuals, the LAMP results showed 100% agreement with the results of real-time polymerase chain reaction (PCR) assays.
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References
Kuo CC, Jackson LA, Campbell LA, Grayston JT (1995) Chlamydia pneumoniae (TWAR). Clin Microbiol Rev 8:451–461
Hammerschlag MR (2000) Chlamydia pneumoniae and the lung. Eur Respir J 16:1001–1007. doi:10.1183/09031936.00.16510010
Arnold FW, Summersgill JT, Lajoie AS, Peyrani P, Marrie TJ, Rossi P, Blasi F, Fernandez P, File TM Jr, Rello J, Menendez R, Marzoratti L, Luna CM, Ramirez JA; Community-Acquired Pneumonia Organization (CAPO) Investigators (2007) A worldwide perspective of atypical pathogens in community-acquired pneumonia. Am J Respir Crit Care Med 175:1086–1093. doi:10.1164/rccm.200603-350OC
Miyashita N, Fukano H, Mouri K, Fukuda M, Yoshida K, Kobashi Y, Niki Y, Oka M (2005) Community-acquired pneumonia in Japan: a prospective ambulatory and hospitalized patient study. J Med Microbiol 54:395–400. doi:10.1099/jmm.0.45920-0
Dowell SF, Peeling RW, Boman J, Carlone GM, Fields BS, Guarner J, Hammerschlag MR, Jackson LA, Kuo CC, Maass M, Messmer TO, Talkington DF, Tondella ML, Zaki SR; C. pneumoniae Workshop Participants (2001) Standardizing Chlamydia pneumoniae assays: recommendations from the Centers for Disease Control and Prevention (USA) and the Laboratory Centre for Disease Control (Canada). Clin Infect Dis 33:492–503. doi:10.1086/322632
Apfalter P, Barousch W, Nehr M, Makristathis A, Willinger B, Rotter M, Hirschl AM (2003) Comparison of a new quantitative ompA-based real-time PCR TaqMan assay for detection of Chlamydia pneumoniae DNA in respiratory specimens with four conventional PCR assays. J Clin Microbiol 41:592–600. doi:10.1128/JCM.41.2.592-600.2003
Miyashita N, Obase Y, Fukuda M, Shouji H, Yoshida K, Ouchi K, Oka M (2007) Evaluation of the diagnostic usefulness of real-time PCR for detection of Chlamydophila pneumoniae in acute respiratory infections. J Infect Chemother 13:183–187. doi:10.1007/s10156-007-0509-8
Notomi T, Okayama H, Masubuchi H, Yonekawa T, Watanabe K, Amino N, Hase T (2000) Loop-mediated isothermal amplification of DNA. Nucleic Acids Res 28:E63. doi:10.1093/nar/28.12.e63
Iwamoto T, Sonobe T, Hayashi K (2003) Loop-mediated isothermal amplification for direct detection of Mycobacterium tuberculosis complex, M. avium, and M. intracellulare in sputum samples. J Clin Microbiol 41:2616–2622. doi:10.1128/JCM.41.6.2616-2622.2003
Hong TCT, Mai QL, Cuong DV, Parida M, Minekawa H, Notomi T, Hasebe F, Morita K (2004) Development and evaluation of a novel loop-mediated isothermal amplification method for rapid detection of severe acute respiratory syndrome coronavirus. J Clin Microbiol 42:1956–1961. doi:10.1128/JCM.42.5.1956-1961.2004
Saito R, Misawa Y, Moriya K, Koike K, Ubukata K, Okamura N (2005) Development and evaluation of a loop-mediated isothermal amplification assay for rapid detection of Mycoplasma pneumoniae. J Med Microbiol 54:1037–1041. doi:10.1099/jmm.0.46071-0
Seki M, Yamashita Y, Torigoe H, Tsuda H, Sato S, Maeno M (2005) Loop-mediated isothermal amplification method targeting the lytA gene for detection of Streptococcus pneumoniae. J Clin Microbiol 43:1581–1586. doi:10.1128/JCM.43.4.1581-1586.2005
Committee for the JRS Guidelines in Management of Respiratory Infections (2007) JRS Guidelines for the Management of Community-Acquired Pneumonia in Adults. In: Matsushima T, Kohno S, Saito A, Nakata K, Yamaguchi K et al (eds) The Japanese Respiratory Society (Tokyo), pp 1–86 (in Japanese)
Ishida T, Miyashita N, Nakahama C (2007) Clinical differentiation of atypical pneumonia using Japanese guidelines. Respirology 12:104–110. doi:10.1111/j.1440-1843.2006.00927.x
Miyashita N, Fukano H, Yoshida K, Niki Y, Matsushima T (2004) Is it possible to distinguish between atypical pneumonia and bacterial pneumonia?: evaluation of the guidelines for community-acquired pneumonia in Japan. Respir Med 98:952–960. doi:10.1016/j.rmed.2004.03.011
Miyashita N, Matsumoto A (1992) Establishment of a particle-counting method for purified elementary bodies of chlamydiae and evaluation of sensitivities of the IDEIA Chlamydia kit and DNA probe by using the purified elementary bodies. J Clin Microbiol 30:2911–2916
Mori Y, Kitao M, Tomita N, Notomi T (2004) Real-time turbidimetry of LAMP reaction for quantifying template DNA. J Biochem Biophys Methods 59:145–157. doi:10.1016/j.jbbm.2003.12.005
Acknowledgments
The authors wish to thank Masako Endou and Asami Okazaki, Department of Pediatrics, Kawasaki Medical School, Japan, for their technical assistance. This work was supported by the MEXT KAKENHI (19591190) and Project Research Grants from Kawasaki Medical School (13–401, 14–402, 15–405A, 16–405M, 17–402M, 18–401, 19–402M, and 20–4030).
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Kawai, Y., Miyashita, N., Kishi, F. et al. Development and evaluation of a loop-mediated isothermal amplification method for the rapid detection of Chlamydophila pneumoniae . Eur J Clin Microbiol Infect Dis 28, 801–805 (2009). https://doi.org/10.1007/s10096-009-0710-z
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DOI: https://doi.org/10.1007/s10096-009-0710-z