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Bacteriology

Interlaboratory Evaluation of Different Extraction and Real-Time PCR Methods for Detection of Coxiella burnetii DNA in Serum

Jeroen J. H. C. Tilburg, Willem J. G. Melchers, Annika M. Pettersson, John W. A. Rossen, Mirjam H. A. Hermans, Erik J. van Hannen, Marrigje H. Nabuurs-Franssen, Maaike C. de Vries, Alphons M. Horrevorts, Corné H. W. Klaassen
Jeroen J. H. C. Tilburg
1Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, Netherlands
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Willem J. G. Melchers
2Department of Medical Microbiology, Radboud University Nijmegen Medical Center, Nijmegen, Netherlands
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Annika M. Pettersson
3Department of Medical Microbiology and Infection Control, VU University Medical Center, Amsterdam, Netherlands
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John W. A. Rossen
4Laboratory of Medical Microbiology and Immunology, St. Elisabeth Hospital, Tilburg, Netherlands
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Mirjam H. A. Hermans
5Molecular Diagnostics, Jeroen Bosch Hospital, 's-Hertogenbosch, Netherlands
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Erik J. van Hannen
6Laboratory of Medical Microbiology and Immunology, St. Antonius Hospital, Nieuwegein, Netherlands
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Marrigje H. Nabuurs-Franssen
1Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, Netherlands
2Department of Medical Microbiology, Radboud University Nijmegen Medical Center, Nijmegen, Netherlands
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Maaike C. de Vries
7Laboratory for Infectious Diseases and Perinatal Screening, National Institute for Public Health and the Environment, Bilthoven, Netherlands
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Alphons M. Horrevorts
1Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, Netherlands
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Corné H. W. Klaassen
1Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, Netherlands
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  • For correspondence: c.klaassen@cwz.nl
DOI: 10.1128/JCM.01006-10
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    FIG. 1.

    Location of amplicon with PCR primers and probes from each laboratory (A to G) on the IS1111a insertion element.

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  • TABLE 1.

    Overview of equipment and protocols used by the participating laboratories

    LaboratoryDNA extraction platformDNA isolation kitPCR platformPCR reagentsReaction vol (μl)Cycling parameterse
    AManualHigh Pure viral nucleic acid kita LightCycler 480a LightCycler 480 Probe Mastera 2095°C, 1 s; 60°C, 12 s (50×)
    BNucliSens EasyMagb NucliSens magnetic extraction reagentsb ABI Prism 7500c In-house master mix2595°C, 15 s; 60°C, 1 min (45×)
    CMagNA Pure Compact systema MagNA Pure Compact nucleic acid isolation kit Ia ABI Prism 7500ABI Universal Master mixc 2550°C, 2 min; 95°C, 15 s; 60°C, 1 min (45×)
    DMagNA Pure Compact systemMagNA Pure Compact nucleic Acid isolation kit IABI Prism 7500ABI Universal Master mix2550°C, 2 min; 95°C, 15 s; 60°C, 1 min (45×)
    MagNA Pure LC Systema MagNA Pure LC total nucleic acid isolation kita
    EManualQIAamp DNA mini kitd ABI Prism 7500ABI Universal Master mix3050°C, 2 min; 95°C, 15 s; 60°C, 1 min (45×)
    FMagNA Pure Compact systemMagNA Pure Compact nucleic acid isolation kit ILightCycler 480LightCycler 480 Probe Master5095°C, 15 s; 60°C, 1 min (45×)
    MagNA Pure LC systemMagNA Pure LC total nucleic acid isolation kit
    GManualQIAamp DNA mini kitLightCycler 480LightCycler FastStart DNA Master HybProbea 2095°C, 10 s; 60°C, 20 s; 72°C, 15 s (45×)
    • ↵ a Roche Diagnostics, Almere, Netherlands.

    • ↵ b bioMerieux, Boxtel, Netherlands.

    • ↵ c Applied Biosystems, Nieuwekerk a/d IJssel, Netherlands.

    • ↵ d Qiagen, Venlo, Netherlands.

    • ↵ e Excluding any initial denaturation or final extension and/or cooling step.

  • TABLE 2.

    Nucleotide sequences of amplification primers and detection probes used in this study.

    Laboratory(ies)FormataPrimer or probeConcn (μM)Sequence (5′ → 3′)LocationbAmplicon size (bp)Reference
    ATMQKF30.5GTGGTGCCAAGCGATTTTAT7216-723578This study
    QKR30.5GTTTCATCCGCGGTGTTAAT7293-7274
    QKP30.2FAM-TTTAGCGAGCGAAGCGGTGG-TAMRA7253-7272
    BTMQFw0.9TGATGGAAGCGTGTGGAGG6910-692887This study
    QRv0.9CGTGCTGCGGACTGATCAAC6996-6977
    QProbe0.2VIC-GCGAACCATTGGTATCGGACGTTT-TAMRA6951-6974
    C, DTM4560.5AAAACGGATAAAAAGAGTCTGTGGTT7635-766070 13
    4570.5CCACACAAGCGCGATTCAT7704-7686
    Coxbur0.15FAM-AAAGCACTCATTGAGCGCCGCG-TAMRA7661-7683
    E, FTMIS FW0.5AAAGTGATCTACACGAGACGGGTTA6834-685875This study
    IS REV0.5CACGCAGCCCACCTTAAGAC6908-6889
    PIS0.2FAM-CGTGCTCAGTATGTATC-MGB6861-6877
    GHPCbISF-20.5GGACGAAGCGATTGGTGATTAC7331-7352202This study
    CbISR-20.5ACTCGAATGTTGTCGAGGG7532-7514
    CbIS1111aFL0.2GCGTGGGTGACATTCATCAATTTCATCG-Flu7453-7480
    CbIS1111aCT6350.2CFRed635-CCCGGCAGTTGTCGGCGTTTA-PO4 7483-7503
    • ↵ a TM, TaqMan/hydrolysis probe; HP, hybridization probe.

    • ↵ b Location in positions 6684 to 7778 of the whole genome sequence of C. burnetii RSA493 (GenBank accession number AE016828), encoding the transposase gene of the C. burnetii-specific IS1111a insertion element.

  • TABLE 3.

    Number of positive PCRs using a 3-fold serial dilution series of Nine Mile DNA tested with four replicates

    Dilution (fold)Approximate copy no. per DNA sample (5 μl)No. of positive PCRs in laboratory:
    ABCDEFG
    92504444444
    27834444444
    81284424341
    2439.32132221
    7293.13100010
    2,1871.01010011
    6,5610.340100100
    19,6830.110000000
    59,0490.040000000
  • TABLE 4.

    Efficiency of DNA extraction methods and sensitivity of real-time PCR assays (tested in quadruplicate)

    SampleDNA extraction method (laboratory)No. of positive results out of 4 PCRs in laboratory: Total % positive
    ABCDEFG
    Aa High Pure viral nucleic acid kit (A)343433071
    QIAamp DNA mini kit (E)444444189
    QIAamp DNA mini kit (G)444444086
    NucliSens EasyMag (B)334343071
    MagNA Pure Compact (C)444444189
    MagNA Pure Compact (D)434444082
    MagNA Pure Compact (F)344444082
    MagNA Pure LC system (D)434433075
    MagNA Pure LC system (F)434444082
        Total % positive9289979794926
    Bb High Pure viral nucleic acid kit (A)212310032
    QIAamp DNA mini kit (E)213434061
    QIAamp DNA mini kit (G)123442057
    NucliSens EasyMag (B)112021025
    MagNA Pure Compact (C)314424064
    MagNA Pure Compact (D)104323150
    MagNA Pure Compact (F)212443057
    MagNA Pure LC system (D)011241032
    MagNA Pure LC system (F)102402032
        Total % positive3622647861563
    • ↵ a Clinical positive sample with a relatively high DNA load.

    • ↵ b Clinical positive sample with a relatively low DNA load.

  • TABLE 5.

    Numbers of IS1111a insertion elements with exact matches to the primer and probe sequences in the genomes of five different C. burnetii isolates

    Laboratory(ies)No. of elements in strain (IS1111a copy no.):
    RSA493 (20)Dugway (12)RSA331 (47)CbuG Q212 (28)CbuK Q154 (48)
    A201243b 2848
    B2012472848
    C, D2012472840e
    E, F200a 472846f
    G201246c 0d 8g
    • ↵ a This involves a single nucleotide mismatch at the 5′ end of the forward primer.

    • ↵ b This involves various mismatches in both forward and reverse primers in 4 of the 47 copies of the IS1111a insertion element.

    • ↵ c This involves six mismatches in the reverse primer in 1 of the 47 copies of the IS1111a insertion element.

    • ↵ d This involves a single nucleotide mismatch at a central position of the 28-base CbIS1111aFL probe.

    • ↵ e This involves a single nucleotide mismatch at the second position of the forward primer in 8 of the 48 copies of the IS1111a insertion element.

    • ↵ f This involves a single nucleotide mismatch and a double nucleotide mismatch in the reverse primer, both in 1 of the 48 copies of the IS1111a insertion element.

    • ↵ g This involves a single nucleotide mismatch at the 5′ end of the reverse primer in 29 of the 48 copies of the IS1111a insertion element and various mismatches in the reverse primers in another 10 of the 48 copies of the IS1111a insertion element.

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Interlaboratory Evaluation of Different Extraction and Real-Time PCR Methods for Detection of Coxiella burnetii DNA in Serum
Jeroen J. H. C. Tilburg, Willem J. G. Melchers, Annika M. Pettersson, John W. A. Rossen, Mirjam H. A. Hermans, Erik J. van Hannen, Marrigje H. Nabuurs-Franssen, Maaike C. de Vries, Alphons M. Horrevorts, Corné H. W. Klaassen
Journal of Clinical Microbiology Oct 2010, 48 (11) 3923-3927; DOI: 10.1128/JCM.01006-10

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Interlaboratory Evaluation of Different Extraction and Real-Time PCR Methods for Detection of Coxiella burnetii DNA in Serum
Jeroen J. H. C. Tilburg, Willem J. G. Melchers, Annika M. Pettersson, John W. A. Rossen, Mirjam H. A. Hermans, Erik J. van Hannen, Marrigje H. Nabuurs-Franssen, Maaike C. de Vries, Alphons M. Horrevorts, Corné H. W. Klaassen
Journal of Clinical Microbiology Oct 2010, 48 (11) 3923-3927; DOI: 10.1128/JCM.01006-10
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KEYWORDS

bacteriological techniques
Coxiella burnetii
DNA, Bacterial
polymerase chain reaction
Q fever
serum

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