Dual priming oligonucleotides for broad-range amplification of the bacterial 16S rRNA gene directly from human clinical specimens

J Clin Microbiol. 2012 Apr;50(4):1289-94. doi: 10.1128/JCM.06269-11. Epub 2012 Jan 25.

Abstract

Broad-range amplification and sequencing of the bacterial 16S rRNA gene directly from clinical specimens are offered as a diagnostic service in many laboratories. One major pitfall is primer cross-reactivity with human DNA which will result in mixed chromatograms. Mixed chromatograms will complicate subsequent sequence analysis and impede identification. In SYBR green real-time PCR assays, it can also affect crossing threshold values and consequently the status of a specimen as positive or negative. We evaluated two conventional primer pairs in common use and a new primer pair based on the dual priming oligonucleotide (DPO) principle. Cross-reactivity was observed when both conventional primer pairs were used, resulting in interpretation difficulties. No cross-reactivity was observed using the DPOs even in specimens with a high ratio of human to bacterial DNA. In addition to reducing cross-reactivity, the DPO principle also offers a high degree of flexibility in the design of primers and should be considered for any PCR assay intended for detection and identification of pathogens directly from human clinical specimens.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacteria / genetics*
  • Bacterial Infections / diagnosis*
  • Bacterial Infections / microbiology
  • Base Sequence
  • DNA Primers / genetics*
  • Humans
  • Molecular Diagnostic Techniques
  • Polymerase Chain Reaction / methods*
  • Polymerase Chain Reaction / standards
  • RNA, Ribosomal, 16S / genetics*
  • Reference Standards
  • Sensitivity and Specificity
  • Signal-To-Noise Ratio

Substances

  • DNA Primers
  • RNA, Ribosomal, 16S