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Journal of Clinical Microbiology, February 2004, p. 778-783, Vol. 42, No. 2
0095-1137/04/$08.00+0 DOI: 10.1128/JCM.42.2.778-783.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
PCR Assays for Identification of Coccidioides posadasii Based on the Nucleotide Sequence of the Antigen 2/Proline-Rich Antigen
Ralf Bialek,1* Jan Kern,1 Tanja Herrmann,1 Rolando Tijerina,2 Luis Ceceñas,3 Udo Reischl,4 and Gloria M. González2
Institute for Tropical Medicine, University Hospital Tübingen,1
Institute of Medical Microbiology, University of Regensburg, Germany,4
Departamento de Microbiología,2
Departamento de Patología, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México3
Received 25 July 2003/
Returned for modification 23 October 2003/
Accepted 8 November 2003
A conventional nested PCR and a real-time LightCycler PCR assay for detection of Coccidioides posadasii DNA were designed and tested in 120 clinical strains. These had been isolated from 114 patients within 10 years in Monterrey, Nuevo Leon, Mexico, known to be endemic for coccidioidomycosis. The gene encoding the specific antigen 2/proline-rich antigen (Ag2/PRA) was used as a target. All strains were correctly identified, whereas DNA from related members of the family Onygenaceae remained negative. Melting curve analysis by LightCycler and sequencing of the 526-bp product of the first PCR demonstrated either 100% identity to the GenBank sequence of the Silveira strain, now known to be C. posadasii (accession number AF013256), or a single silent mutation at position 1228. Length determination of two microsatellite-containing loci (GAC and 621) identified all 120 isolates as C. posadasii. Specific DNA was amplified by conventional nested PCR from three microscopically spherule-positive paraffin-embedded tissue samples, whereas 20 human tissue samples positive for other dimorphic fungi remained negative. Additionally, the safety of each step of a modified commercially available DNA extraction procedure was evaluated by using 10 strains. At least three steps of the protocol were demonstrated to sufficiently kill arthroconidia. This safe procedure is applicable to cultures and to clinical specimens.
* Corresponding author. Mailing address: Institut für Tropenmedizin, Universitätsklinikum Tübingen, Keplerstrasse 15, 72074 Tübingen, Germany. Phone: 49 7071 298 2367. Fax: 49 7071 29 5267. E-mail:
ralf.bialek{at}med.uni-tuebingen.de.
Journal of Clinical Microbiology, February 2004, p. 778-783, Vol. 42, No. 2
0095-1137/04/$08.00+0 DOI: 10.1128/JCM.42.2.778-783.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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