Application of Nuclear Magnetic Resonance to Detect Toxigenic Clostridium difficilefrom Stool Specimens

Autor: Yang, Paul, Hash, Sara, Park, Katherine, Wong, Charlene, Doraisamy, Loganathan, Petterson, Jonas, Petti, Cathy A., Ward, Pamela M., Lee, Seung Heon, Menon, Suresh, She, Rosemary C.
Zdroj: The Journal of Molecular Diagnostics; March 2017, Vol. 19 Issue: 2 p230-235, 6p
Abstrakt: We evaluated the performance of an early prototype core molecular mirroring nuclear magnetic resonance detection platform (Mentor-100) to detect toxigenic Clostridium difficilefrom stool. This technology uses customized nanoparticles bound to target specific oligonucleotide probes that form binaries in the presence of nucleic acid from the target microorganism. Liquid patient stool specimens were seeded with C. difficileor other Clostridiumspecies to determine the analytical sensitivity and specificity. Samples underwent nucleic acid extraction and target amplification with probes conjugated with iron nanoparticles. Signal from nuclear magnetic resonance spin–spin relaxation time was measured to detect the presence or absence of toxigenic C. difficile. The limit of detection was <180 colony forming units per reaction of toxigenic C. difficile. No cross-reactivity was observed with nontoxigenic C. difficile, Clostridium sordellii, Clostridium perfringens, Bacillus subtilis, or Paenibacillus polymyxaat 108colony forming units/mL. Correlation studies using frozen stool samples yielded a sensitivity of 88.4% (61 of 69) and a specificity of 87.0% (40 of 46) as compared with a commercial PCR assay for C. difficile. The area under the curve in the receiver operating characteristic curve analysis was 0.922. The prototype molecular mirroring platform showed promising performance for pathogen detection from clinical specimens. The platform design has the potential to offer a novel, low-cost alternative to currently available nucleic acid–based tests.
Databáze: Supplemental Index