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Target-Specific Assay for Rapid and Quantitative Detection of Mycobacterium chimaera DNA.


ABSTRACT: Mycobacterium chimaera is an opportunistic environmental mycobacterium belonging to the Mycobacterium avium-M. intracellulare complex. Although most commonly associated with pulmonary disease, there has been growing awareness of invasive M. chimaera infections following cardiac surgery. Investigations suggest worldwide spread of a specific M. chimaera clone, associated with contaminated hospital heater-cooler units used during the surgery. Given the global dissemination of this clone, its potential to cause invasive disease, and the laboriousness of current culture-based diagnostic methods, there is a pressing need to develop rapid and accurate diagnostic assays specific for M. chimaera Here, we assessed 354 mycobacterial genome sequences and confirmed that M. chimaera is a phylogenetically coherent group. In silico comparisons indicated six DNA regions present only in M. chimaera We targeted one of these regions and developed a TaqMan quantitative PCR (qPCR) assay for M. chimaera with a detection limit of 100 CFU/ml in whole blood spiked with bacteria. In vitro screening against DNA extracted from 40 other mycobacterial species and 22 bacterial species from 21 diverse genera confirmed the in silico-predicted specificity for M. chimaera Screening 33 water samples from heater-cooler units with this assay highlighted the increased sensitivity of PCR compared to culture, with 15 of 23 culture-negative samples positive by M. chimaera qPCR. We have thus developed a robust molecular assay that can be readily and rapidly deployed to screen clinical and environmental specimens for M. chimaera.

SUBMITTER: Zozaya-Valdes E 

PROVIDER: S-EPMC5442541 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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<i>Mycobacterium chimaera</i> is an opportunistic environmental mycobacterium belonging to the <i>Mycobacterium avium</i>-<i>M. intracellulare</i> complex. Although most commonly associated with pulmonary disease, there has been growing awareness of invasive <i>M. chimaera</i> infections following cardiac surgery. Investigations suggest worldwide spread of a specific <i>M. chimaera</i> clone, associated with contaminated hospital heater-cooler units used during the surgery. Given the global diss  ...[more]

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