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Journal of Clinical Microbiology, February 2005, p. 948-958, Vol. 43, No. 2
0095-1137/05/$08.00+0 doi:10.1128/JCM.43.2.948-950.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Duplex PCR To Differentiate between Mycoplasma synoviae and Mycoplasma gallisepticum on the Basis of Conserved Species-Specific Sequences of Their Hemagglutinin Genes
B. Ben Abdelmoumen Mardassi,*
R. Ben Mohamed,
I. Gueriri,
S. Boughattas, and
B. Mlik
Laboratoire des Mycoplasmes, Institut Pasteur de Tunis, Tunis, Tunisia
Received 5 February 2004/
Returned for modification 2 April 2004/
Accepted 8 October 2004

ABSTRACT
We developed a duplex PCR assay targeting the hemagglutinin
multigene families, vlhA and pMGA, of
Mycoplasma synoviae and
Mycoplasma gallisepticum, respectively. The assay proved to
be specific and sensitive enough to justify its use for the
simultaneous detection of the two major avian mycoplasma species
from field isolates.

TEXT
Mycoplasma gallisepticum and
M. synoviae are considered important
in commercial poultry industries.
M. gallisepticum causes chronic
respiratory disease in chickens and sinusitis in turkeys (
17),
and
M. synoviae is commonly involved in respiratory tract infection,
synovitis in chickens, and poor growth (
12). The antigenic relatedness
(
1,
2,
7,
11) of these organisms make them difficult to identify
with conventional serological tests (
5,
6). Attempts to differentiate
between these two major avian mycoplasmas by using molecular
methods, such as PCR tests, were mainly based on the 16S rRNA
gene (
4,
10,
13). However, it often requires additional steps,
such as restriction fragment length analysis (
9) or hybridization
with species-specific probes (
3,
10). In addition, these analyses
resulted in concomitant amplification of unrelated bacterial
DNA, making this approach useless for the testing of clinical
material.
We show here that PCR amplification targeting species-specific structural genes provides an efficient tool for the simultaneous detection and differentiation of M. gallisepticum and M. synoviae.
The Mycoplasma species and walled bacteria used in the present study are listed in Table 1. All of the mycoplasma strains were propagated in Frey's medium (8). Unrelated bacterial species were cultured in brain heart infusion broth (Difco Laboratories, Detroit, Mich.). Forty tracheal swabs were immediately processed for culture and used as clinical mycoplasma samples to test the applicability of the duplex PCR assay.
The template DNA of
M. synoviae and
M. gallisepticum was prepared
from 200 µl of culture, to which an equal volume of nonionic
detergent mix solution (0.45% Nonidet P-40, 0.45% Tween 20,
and 100 µg of proteinase K/ml) was added. The sample was
incubated at 56°C for 1 h, boiled for 10 min, and then centrifuged
at 14,000
x g for 5 min. Then, 10 µl of the resulting
supernatant was directly used for PCR.
All of the primers used in the present study are listed in Table 2. They targeted pMGA1.2 gene encoding a hemagglutinin protein (pMGA) from M. gallisepticum (14) and M. synoviae2/12 DNA fragment (accession no. M. synoviaeU66314) (3) of the M. synoviae hemagglutinin vlhA gene (15, 16). To confirm the specificity of the amplification reaction, a nested PCR was performed by using inner primers (Tab.2). Additional avian Mycoplasma spp. and other common bacteria (Table 1) were tested to determine the specificity of the duplex PCR assay.
The amplification reaction was performed in a total volume of
50 µl containing 5 µl of 10
x PCR buffer (Amersham
Biosciences), 250 µM concentrations of each deoxynucleoside
triphosphate (Pharmacia), 50 pmol of each external or internal
primers, 2.25 mM MgCl
2, 2 U of
Taq DNA polymerase (Amersham
Biosciences), and 10 µl of DNA template. The mixture was
subjected to 30 cycles of amplification consisting of 94°C
for 1 min, 53°C for 2 min, and 72°C for 1 min in a thermal
cycler (Perkin-Elmer GeneAmp PCR system 9700). Then, 7 µl
of the amplified product was subjected to the second amplification
round with the inner primers under the conditions of amplification
described above except that the annealing temperature was 60°C.
As shown in Fig. 1, both outer and internal primers yielded the expected products from all M. gallisepticum and M. synoviae reference strains. No amplicons were observed with DNA from other avian mycoplasma species (Fig. 1a and b, lanes 6 to 10 and lanes 5 to 9, respectively) and unrelated bacteria (data not shown). Inner primers were also used in a nested PCR, and this confirmed the specificity of the amplicons generated by outer primers (data not shown). Optimization experiments showed that, in the duplex PCR, the optimal MgCl2 concentration is 2.25 mM.
To assess the applicability and the robustness of the assay
on clinical samples, 40 tracheal swabs were subjected to culture
and duplex PCR. Of the 40 cultures, 32 were positive. The duplex
PCR showed amplification only when the DNA was processed from
a 24-h culture (enrichment step). A total of 26 samples turned
out to be PCR positive; among these, 7 could be assigned to
M. gallisepticum (Fig.
2, lanes 2, 5, 9, 13, 14, 21, and 25),
whereas the other 19 corresponded to
M. synoviae (Fig.
2, lanes
3, 4, 6, 10 to 12, 15 to 20, 22 to 24, and 26 to 29). The remaining
six samples that were culture positive but PCR negative were
identified as
M. meleagridis by slot blot assay with a digoxigenin-labeled
M. meleagridis DNA probe (data not shown). All PCR-positive
clinical samples were confirmed by the nested PCR and a capture
enzyme-linked immunosorbent assay ELISA (
2). With regard to
sensitivity, the duplex PCR allowed detection of 90 and 250
CFU of
M. synoviae and
M. gallisepticum, respectively (data
not shown).
The primary objective of the present study was to develop a
robust PCR for the simultaneous detection and differentiation
of
M. synoviae and
M. gallisepticum. This aim was made possible
by targeting conserved species-specific sequences that belong
to multigene families (
3,
14). With this duplex PCR, detection
and differentiation of both mycoplasmas could be achieved in
a single reaction, which greatly improves the rapid detection
of these pathogens. The robustness of the test is further demonstrated
by the fact that no amplification occurred with other mollicutes
and unrelated bacteria commonly found in clinical samples.
The enrichment step, which consists of the incubation of specimens for 24 h prior to detergent treatment, is crucial. Indeed, the sensitivity of the duplex PCR was raised to 100% compared to culture. This is certainly due to an increase of the DNA starting material and the reduction of PCR inhibitors present in the original sample. It is also tempting to speculate that increased sensitivity of the test would have benefited from the multicopy nature of the targeted genes, thereby enhancing the intrinsic sensitivity of the test. In this respect, primers that result in small amplicons would also increase the sensitivity. This has been recently confirmed in our laboratory as enhanced sensitivity was achieved when the primer pairs pMGAF1i-pMGAR1i and MS1.2F1i-MS1.2R2i (500- and 450-bp products, respectively) were used directly with mycoplasma DNA in a single duplex PCR (data not shown).
Overall, these results strongly support the use of this duplex PCR assay as an efficient alternative to culture and serological identification, which are labor-intensive, extremely time-consuming, and often provide confusing results.

ACKNOWLEDGMENTS
This study was supported by a grant for Developmental Scientific
Research from Institut Pasteur de Tunis and the SERST (Secrétariat
d'Etat à la Recherche Scientifique et à la Technologie),
which is an organization of the Government of Tunisia.

FOOTNOTES
* Corresponding author. Mailing address: Institut Pasteur de Tunis, Laboratoire des Mycoplasmes, 13 Place Pasteur-B.P. 74, 1002 Tunis-Belvédère, Tunis, Tunisia. Phone: (216) 71-790-921, ext. 342. Fax: (216) 71-791-833. E-mail:
boutheina.mardassi{at}pasteur.rns.tn.


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Journal of Clinical Microbiology, February 2005, p. 948-958, Vol. 43, No. 2
0095-1137/05/$08.00+0 doi:10.1128/JCM.43.2.948-950.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.