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Journal of Clinical Microbiology, December 2005, p. 6086-6090, Vol. 43, No. 12
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.12.6086-6090.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

Use of Ramification Amplification Assay for Detection of Escherichia coli O157:H7 and Other E. coli Shiga Toxin-Producing Strains

Fan Li,1 Chunyan Zhao,1 Wandi Zhang,2 Shenghui Cui,3 Jianghong Meng,3 Josephine Wu,2 and David Y. Zhang2*

Department of Pathogenobiology, School of Basic Medical Sciences, Jilin University, Changchun, China,1 Department of Pathology, Mount Sinai School of Medicine, New York, New York,2 Department of Nutrition and Food Science, University of Maryland, College Park, Maryland3

Received 10 February 2005/ Returned for modification 28 April 2005/ Accepted 17 August 2005

Escherichia coli O157:H7 and other Shiga toxin-producing E. coli (STEC) strains are important human pathogens that are mainly transmitted through the food chain. These pathogens have a low infectious dose and may cause life-threatening illnesses. However, detection of this microorganism in contaminated food or a patient's stool specimens presents a diagnostic challenge because of the low copy number in the sample. Often, a more sensitive nucleic acid amplification method, such as PCR, is required for rapid detection of this microorganism. Ramification amplification (RAM) is a recently introduced isothermal DNA amplification technique that utilizes a circular probe for target detection and achieves exponential amplification through the mechanism of primer extension, strand displacement, and ramification. In this study, we synthesized a circular probe specific for the Shiga toxin 2 gene (stx2). Our results showed that as few as 10 copies of stx2 could be detected, indicating that the RAM assay was as sensitive as conventional PCR. We further tested 33 isolates of E coli O157:H7, STEC, Shigella dysenteriae, and nonpathogenic E. coli by RAM assay. Results showed that all 27 STEC isolates containing the stx2 gene were identified by RAM assay, while S. dysenteriae and nonpathogenic E. coli isolates were undetected. The RAM results were 100% in concordance with those of PCR. Because of its simplicity and isothermal amplification, the RAM assay could be a useful method for detecting STEC in food and human specimens.


* Corresponding author. Mailing address: Molecular Pathology Laboratory, Mount Sinai School of Medicine, Box 1122, One Gustave Levy Place, Box 1122, New York, NY 10029. Phone: (212) 659-8173. Fax: (212) 427-2082. E-mail: David.Zhang{at}mssm.edu.


Journal of Clinical Microbiology, December 2005, p. 6086-6090, Vol. 43, No. 12
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.12.6086-6090.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.




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