Abstract
To develop multiplex PCRs (mPCRs) that allows simultaneous diagnosis of the infectious agents Chlamydia trachomatis, Toxoplasma gondii, HSV 1/2, and Cytomegalovirus (CMV). The study included patients with clinical suspicion of these agents, and clinical samples were blood, cerebrospinal fluid, urine, vaginal swabs, and amniotic fluid. After the extraction of DNA, this was used as a template in amplification by PCR of selected genes. The following conditions were tested: primer concentration, MgCl2 concentration, and annealing temperature. Three mPCRs were developed: multiplex I (CMV, HSV 1/2), multiplex II (CMV, HSV 1/2, T. gondii), and multiplex III (C. trachomatis, T. gondii, HSV 1/2, and CMV). The primer pairs used were shown to be specific for each infectious agent, and the specificity of mPCR assays was 100 %. Both the reactions of the monoplex PCR and mPCR produced a detection limit of 2 × 10−5 to 6 × 10−7 ng/μl of different DNAs. Upon conclusion, amplified products of expected size were obtained in 3 different reactions, and all the infectious agents were detected simultaneously in each mPCR. The concordant results of the study suggest that mPCR can be a powerful tool to improve the diagnostics of infectious diseases.
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Markoulatos, P., Georgopoulou, A., Siafakas, N., Plakokefalos, E., Tzanakaki, G., & Kourea-Kremastinou, J. (2001). Laboratory diagnosis of common herpesvirus infections of the central nervous system by a multiplex PCR assay. Journal of Clinical Microbiology, 39, 4426–4432.
Kubota, N., Wada, K., Ito, Y., Shimoyama, Y., Nakamura, S., Nishiyama, Y., et al. (2008). One-step multiplex real-time PCR assay to analyse the latency patterns of Epstein-Barr virus infection. Journal of Virological Methods, 147, 26–36.
Caballero, O. L., Menezes, C. L. P., Costa, M. C. S. L., Fernandes, S. C., Anacleto, T. M., de Manoel Oliveira, R., et al. (1997). Highly sensitive single step PCR protocol for diagnosis and monitoring of human cytomegalovirus infection in renal transplant recipients. Journal of Clinical Microbiology, 35, 3192–3197.
Ogawa, H., Suzutani, T., Baba, Y., Koyano, S., Nozawa, N., Ishibashi, K., et al. (2007). Etiology of severe sensorineural hearing loss in children: Independent impact of congenital cytomegalovirus infection and GJB2 mutations. Journal of Infectious Diseases, 195, 782–788.
Lima, H. E., Oliveira, M. B., Valente, B. G., Afonso, D. A. F., Darocha, W. D., Souza, M. C. M., et al. (2007). Genotyping of Chlamydia trachomatis from endocervical specimens in Brazil. Sexually Transmitted Diseases, 34, 709–717.
Joseph, P., Calderon, M. M., Gilman, R. H., Quispe, M. L., Cok, J., Ticona, E., et al. (2002). Optimization and evaluation of a PCR assay for detecting toxoplasmic encephalitis in patients with AIDS. Journal of Clinical Microbiology, 40, 4499–4503.
Speers, D. J. (2006). Clinical applications of molecular biology for infectious diseases. Clinical Biochemical Review, 27, 39–51.
Switaj, K., Master, A., Skrzypczak, M., & Zaborowski, P. (2005). Recent trends in molecular diagnostics for Toxoplasma gondii infections. Clinical Microbiology & Infection, 11, 170–176.
Barken, K. B., Haagensen, J. A. J., & Tolker-Nielsen, T. (2007). Advances in nucleic acid-based diagnostics of bacterial infections. Clinica Chimica Acta, 384, 1–11.
Ratcliff, R. M., Chang, G., Kok, T., & Sloots, T. P. (2007). Molecular diagnosis of medical viruses. Current Issues in Molecular Biology, 9, 87–102.
Elnifro, E. M., Cooper, R. J., Klapper, P. E., Yeo, A. C., & Tullo, A. B. (2000). Multiplex polymerase chain reaction for diagnosis of viral and chlamydial keratoconjunctivitis. Investigative Ophthalmology and Visual Science, 41, 1818–1822.
Elnifro, E. M., Ashshi, A. M., Cooper, R. J., & Kapper, P. E. (2000). Multiplex PCR: optimization and application in diagnostic virology. Clinical Microbiology Reviews, 13, 559–570.
Sambrook, J., Fritisch, E. F., & Maniatis, T. (1989). Molecular cloning: A laboratory manual (p. 626). New York: Cold Spring Harbor Laboratory, Cold Spring Harbor.
Nishiwaki, M., Yamamoto, T., Tone, S., Murai, T., Ohkawara, T., Matsunami, T., et al. (2008). Genotyping of human papillomaviruses by a novel one-step typing method with multiplex PCR and clinical applications. Journal of Clinical Microbiology, 46, 1161–1168.
Sanguinetti, C. J., Dias Neto, E., & Simpson, A. J. (1994). Rapid silver staining and recovery of PCR products separated on polyacrylamide gels. Biotechniques, 17(5), 914–921.
Sanger, F., & Coulson, A. R. (1975). A rapid method for de termining sequences in DNA by primed synthesis with DNA polymerase. Journal of Molecular Biology, 94, 441–448.
McIver, C. J., Jacques, C. F. H., Chow, S. S. W., Munro, S. C., Scott, G. M., Roberts, J. A., et al. (2005). Development of multiplex PCRs for detection of common viral pathogens and agents of congenital infections. Journal of Clinical Microbiology, 43, 5102–5110.
Tanaka, T., Kogawa, K., Sasa, H., Nonoyama, S., Furuya, K., & Sato, K. (2009). Rapid and simultaneous detection of 6 types of human herpes virus (herpes simplex virus, varicella-zoster virus, Epstein-Barr virus, cytomegalovirus human herpes virus 6A/B, and human herpes virus 7) by multiplex PCR assay. Biomedical Research, 30, 279–285.
Schaade, L., Kockelkorn, P., Ritter, K., & Kleines, M. (2000). Detection of cytomegalovirus DNA in human specimens by LightCycler PCR. Journal of Clinical Microbiology, 38, 4006–4009.
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This study was supported by Grants from the Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG).
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Zauli, D.A.G., de Menezes, C.L.P. & de Oliveira, C.L. Development and Padronization of Three Multiplex PCRs for the Diagnosis of Chlamydia trachomatis, Toxoplasma gondii, Herpes Simplex Viruses 1 and 2, and Cytomegalovirus. Mol Biotechnol 54, 1004–1009 (2013). https://doi.org/10.1007/s12033-013-9652-x
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DOI: https://doi.org/10.1007/s12033-013-9652-x