Abstract

BackgroundBacterial DNA contamination in PCR reagents has been a long standing problem that hampers the adoption of broad-range PCR in clinical and applied microbiology, particularly in detection of low abundance bacteria. Although several DNA decontamination protocols have been reported, they all suffer from compromised PCR efficiency or detection limits. To date, no satisfactory solution has been found.Methodology/Principal FindingsWe herein describe a method that solves this long standing problem by employing a broad-range primer extension-PCR (PE-PCR) strategy that obviates the need for DNA decontamination. In this method, we first devise a fusion probe having a 3′-end complementary to the template bacterial sequence and a 5′-end non-bacterial tag sequence. We then hybridize the probes to template DNA, carry out primer extension and remove the excess probes using an optimized enzyme mix of Klenow DNA polymerase and exonuclease I. This strategy allows the templates to be distinguished from the PCR reagent contaminants and selectively amplified by PCR. To prove the concept, we spiked the PCR reagents with Staphylococcus aureus genomic DNA and applied PE-PCR to amplify template bacterial DNA. The spiking DNA neither interfered with template DNA amplification nor caused false positive of the reaction. Broad-range PE-PCR amplification of the 16S rRNA gene was also validated and minute quantities of template DNA (10–100 fg) were detectable without false positives. When adapting to real-time and high-resolution melting (HRM) analytical platforms, the unique melting profiles for the PE-PCR product can be used as the molecular fingerprints to further identify individual bacterial species.Conclusions/SignificanceBroad-range PE-PCR is simple, efficient, and completely obviates the need to decontaminate PCR reagents. When coupling with real-time and HRM analyses, it offers a new avenue for bacterial species identification with a limited source of bacterial DNA, making it suitable for use in clinical and applied microbiology laboratories.

Highlights

  • Detection of bacterial DNA holds great promise as a rapid diagnostic tool for early detection of bacterial infections, such as in sepsis [1,2]

  • The contaminating DNA usually include more than one strain or species that cannot be identified as Thermus aquaticus or Escherichia coli but bear close homology to the species of Pseudomonas fluorescens, Pseudomonas aeruginosa, Alcaligenes faecalis, or Azotobacter vinelandii [18]

  • We first examined 4 commercially available low-DNA or HotStart Taq DNA polymerases to see whether they are suitable for broad-range amplification of bacterial DNA using the universal primer set p201–p1370 [29]

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Summary

Introduction

Detection of bacterial DNA holds great promise as a rapid diagnostic tool for early detection of bacterial infections, such as in sepsis [1,2]. Numerous studies have demonstrated that, among nucleic acid-based methods [3,4,5,6,7], broad-range PCR of the conserved bacterial DNA sequences is selective enough to differentiate bacterial from viral and other infections [8,9,10], pointing to the great potential of broad-range PCR in clinical diagnostics of bacterial infection. Contamination and sensitivity issues have long frustrated efforts to realize the potential of broad-range bacterial DNA amplification in clinical microbiology [14,15]. Bacterial DNA contamination in PCR reagents has been a long standing problem that hampers the adoption of broad-range PCR in clinical and applied microbiology, in detection of low abundance bacteria.

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