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Journal of Clinical Microbiology, June 2002, p. 2224-2227, Vol. 40, No. 6
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.6.2224-2227.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.

Real-Time PCR Coupled with Automated DNA Extraction and Detection of Galactomannan Antigen in Serum by Enzyme-Linked Immunosorbent Assay for Diagnosis of Invasive Aspergillosis

Catherine Costa,1 Jean-Marc Costa,1,2 Christophe Desterke,1 Françoise Botterel,1 Catherine Cordonnier,3 and Stéphane Bretagne1*

Laboratoire de Parasitologie-Mycologie and UMR BIPAR 956,1 Service d'Hématologie Clinique, Hôpital H. Mondor-APHP, 94010 Créteil,3 Laboratoire de Biologie Moléculaire, Hôpital Américain de Paris, Neuilly, France2

Received 27 November 2001/ Returned for modification 5 February 2002/ Accepted 29 March 2002

To improve the diagnosis of invasive aspergillosis (IA), we developed a LightCycler PCR assay targeted to Aspergillus fumigatus and A. flavus mitochondrial DNA. To avoid contamination, fully automated nucleic acid extraction with the MagNA Pure LC apparatus was used. The linearity of the results was achieved over a 6-log range of input A. fumigatus DNA, from 0.3 ng to 3 fg/10 µl of water. We retrospectively compared the LightCycler PCR and an enzyme-linked immunosorbent assay for the detection of galactomannan (GM) in serum from 14 patients with IA. The GM assay was more frequently positive (57 of 109; 52%) than the PCR assay (49 of 109; 45%). The LightCycler PCR assay, combined with automated DNA extraction, could be used in association with the GM assay to improve the reliability of IA diagnosis.


* Corresponding author. Mailing address: Laboratoire de Parasitologie-Mycologie, Hôpital Henri Mondor, 51 ave. du Maréchal DeLattre de Tassigny, 94010 Créteil Cedex, France. Phone: 33 1 49 81 36 41. Fax: 331 49 81 36 01. E-mail: bretagne{at}univ-paris12.fr.


Journal of Clinical Microbiology, June 2002, p. 2224-2227, Vol. 40, No. 6
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.6.2224-2227.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.




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