A simple assay format was developed for the direct detection ofC. trachomatisrRNA utilizing ligation of recombinant MDV-1 probe RNA fragments hybridized to 23S rRNA after capture and release from a solid support. Assay background (equivalent to 104targets) was suppressed by blocking sequences in the 5′ MDV reporter probe fragment complementary to the 3′ fragment by prehybridization of a DNA oligonucleotide. A pair of reporter fragments bearing a deletion within the region, obtained by a hydrid–selection–amplification protocol, yielded a low level of assay background which was reduced to <2% with a blocker directed against the remaining pairing sequence. This probe set showed a sensitivity of 103molecules of 23S rRNA (>95% responding) and could detect a single elementary body (EB) ofChlamydia trachomatisor 1–10 EB added to a clinical matrix of pooled negative human cervical swab samples. The time of first appearance of amplification products by real-time fluorescence detection showed a linear response to log increases in the target level over a 105-fold range, permitting the determination of target level within an order of magnitude. The assay showed 109-fold discrimination overChlamydia pneumonae(TWAR) rRNA. High levels of culturedC. albicans,E. coli,S. aureus, orN. gonorrhoeaehad no detectable effect on assay background or the ability to detect a single elementary body.
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