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Journal of Clinical Microbiology, July 2000, p. 2525-2529, Vol. 38, No. 7
ID Biomedical Corp., Bothell, Washington
98011,1 and Mizuho USA Inc., San Diego,
California 921212
Received 23 November 1999/Returned for modification 31 January
2000/Accepted 5 April 2000
A Cycling Probe Technology (CPT) assay with a lateral-flow device
(strip) was developed for the detection of the mecA gene from methicillin-resistant Staphylococcus aureus (MRSA)
cultures. The assay uses a mecA probe (DNA-RNA-DNA) labeled
with fluorescein at the 5' terminus and biotin at the 3' terminus. The
CPT reaction occurs at a constant temperature, which allows the probe
to anneal to the target DNA. RNase H cuts the RNA portion of the probe, allowing the cleaved fragments to dissociate from the target DNA, making the target available for further cycling. The strip detection step uses a nitrocellulose membrane with streptavidin and
immunoglobulin G antibody impregnated on the surface. In the absence of
the mecA gene, the uncut probe is bound to an
antifluorescein-gold conjugate and is then captured by the streptavidin
to form a test line. In the presence of the mecA gene, the
probe is cut and no test line is formed on the strip. A screen of 324 S. aureus clinical isolates by the CPT-strip assay showed a
99.4% sensitivity and a 100% specificity compared to the results of
PCR for the detection of the mecA gene. Specificity testing
showed that the CPT-strip assay did not exhibit any cross-reactivity
with a panel of mecA-negative non-S. aureus
isolates. The CPT-strip assay is simple and does not require
sophisticated equipment. Furthermore, the assay takes 1.5 h
starting from a primary culture to the time to detection of the
mecA gene in S. aureus isolates.
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Rapid Solid-Phase Immunoassay for Detection of
Methicillin-Resistant Staphylococcus aureus Using Cycling
Probe Technology
*
Corresponding author. Present address: Saskatchewan
Research Council, Genetics Branch, 15 Innovation Blvd., Saskatoon,
Canada S7N 2X8. Phone: (306) 933-5448. Fax: (306) 933-5505. E-mail:
bekkaoui{at}src.sk.ca.
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