Optimization of standard in-house 24-locus variable-number tandem-repeat typing for Mycobacterium tuberculosis and its direct application to clinical material

Autor: Dick van Soolingen, Adri G. M. van der Zanden, Jakko van Ingen, Anita C. Schürch, Arnout Mulder, Onno W. Akkerman, Jessica L. de Beer, Tjip S. van der Werf
Přispěvatelé: Microbes in Health and Disease (MHD)
Rok vydání: 2014
Předmět:
Zdroj: Journal of Clinical Microbiology, 52, 1338-42
Journal of Clinical Microbiology, 52, 5, pp. 1338-42
Journal of Clinical Microbiology, 52(5), 1338-1342. AMER SOC MICROBIOLOGY
ISSN: 0095-1137
Popis: Variable-number tandem-repeat (VNTR) typing with a panel of 24 loci is the current gold standard in the molecular typing of Mycobacterium tuberculosis complex isolates. However, because of technical problems, a part of the loci often cannot be amplified by multiplex PCRs. Therefore, a considerable number of single-locus PCRs have to be performed for the loci with missing results, which impairs the laboratory work flow. Therefore, the original in-house method described by Supply et al. in 2006 was reevaluated. We modified seven primers and the PCR master mixture and obtained a strongly optimized in-house 24-locus VNTR typing method. The percentage of instantly complete 24-locus VNTR patterns detected in the routine flow of typing activities increased to 84.7% from the 72.3% obtained with the typing conducted with the commercially available Genoscreen MIRU-VNTR typing kit. The analytical sensitivity of the optimized in-house method was assessed by serial dilutions of M. tuberculosis in bronchoalveolar lavage fluid. A 1:10 dilution of the different strains tested was the lowest dilution for the detection of a complete 24-locus VNTR pattern. The optimized in-house 24-locus VNTR typing method will reduce the turnaround time of typing significantly and also the financial burden of these activities.
Databáze: OpenAIRE