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Journal of Clinical Microbiology, 09 1996, 2125-2128, Vol 34, No. 9
BA Forbes and KE Hicks
Interfering substances have been reported to inhibit PCR assays for the
direct detection of Mycobacterium tuberculosis in clinical specimens. Using
an internal control, we determined that 52% of respiratory specimens
interfered with our PCR assay. On the basis of these findings, we tried to
circumvent the problem by simply diluting prepared sediments. With sediment
from a routinely processed sputum known to be inhibitory to PCR, one
aliquot was prepared in a routine manner for PCR. Remaining sediment was
diluted in phosphate-buffered saline, Middlebrook 7H10 broth, or BACTEC 12B
broth; an internal control was added to all reaction mixtures and controls.
Internal control was detected only in the sample diluted with BACTEC 12B
medium. Components of the BACTEC 12B medium including PANTA reagent
(polymyxin B, amphotericin B, nalidixic acid, trimethoprim, and
azlocillin), reconstituting fluid, 0.2% glycerol, 0.05% Tween 80, and 0.05%
bovine serum albumin (BSA) were tested in a similar manner. Only 0.05% BSA
resulted in amplification of the internal control DNA. Varying
concentrations of BSA were added to 11 aliquots of a respiratory sediment
known to be inhibitory to the PCR. Internal control was detected in all
reaction mixtures containing 0.00038 to 0.1% BSA. To determine the ability
of BSA to override inhibition, respiratory specimens were run in
triplicate: undiluted, diluted 1:2 with BACTEC 12B medium, or diluted with
0.026% BSA. For 21 of 22 inhibitory specimens, BSA was able to override the
presence of interfering substances. These data suggest that the presence of
BSA in a PCR assay is critical for the direct detection of M. tuberculosis
in respiratory specimens.
Copyright © 1996 by the American Society for Microbiology. All rights reserved.
Substances interfering with direct detection of Mycobacterium tuberculosis in clinical specimens by PCR: effects of bovine serum albumin
Department of Clinical Pathology, SUNY Health Science Center 13210, USA.
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