Proposal of a quantitative PCR-based protocol for an optimal Pseudomonas aeruginosa detection in patients with cystic fibrosis.

Florence Le Gall 1 Rozenn Le Berre 1, 2 Sylvain Rosec 3 Jeanne Hardy 1 Stéphanie Gouriou 1 Sylvie Boisramé-Gastrin 1 Sophie Vallet 1 Gilles Rault 4 Christopher Payan 1 Geneviève Héry-Arnaud 1, *
* Auteur correspondant
1 LUBEM - Laboratoire Universitaire de Biodiversité et Ecologie Microbienne
2 DMIP - Brest - Département de Médecine Interne et Pneumologie [Brest]
3 CIC - Brest - Centre d'Investigation Clinique
4 CRCM - Centre de Ressources et de Compétences de la Mucoviscidose
Abstract : BACKGROUND: The lung of patients with cystic fibrosis (CF) is particularly sensitive to Pseudomonas aeruginosa. This bacterium plays an important role in the poor outcome of CF patients. During the disease progress, first acquisition of P. aeruginosa is the key-step in the management of CF patients. Quantitative PCR (qPCR) offers an opportunity to detect earlier the first acquisition of P. aeruginosa by CF patients. Given the lack of a validated protocol, our goal was to find an optimal molecular protocol for detection of P. aeruginosa in CF patients. METHODS: We compared two formerly described qPCR formats in early detection of P. aeruginosa in CF sputum samples: a qPCR targeting oprL gene, and a multiplex PCR targeting gyrB and ecfX genes. RESULTS: Tested in vitro on a large panel of P. aeruginosa isolates and others gram-negative bacilli, oprL qPCR exhibited a better sensitivity (threshold of 10 CFU/mL versus 730 CFU/mL), whereas the gyrB/ecfX qPCR exhibited a better specificity (90% versus 73%). These results were validated ex vivo on 46 CF sputum samples positive for P. aeruginosa in culture. Ex vivo assays revealed that qPCR detected 100 times more bacterial cells than culture-based method did. CONCLUSION: Based on these results, we proposed a reference molecular protocol combining the two qPCRs, which offers a sensitivity of 100% with a threshold of 10 CFU/mL and a specificity of 100%. This combined qPCR-based protocol can be adapted and used for other future prospective studies.
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BMC Microbiology, BioMed Central, 2013, 13, pp.143. 〈10.1186/1471-2180-13-143〉
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http://hal.univ-brest.fr/hal-00935251
Contributeur : Ghislaine Calvez <>
Soumis le : jeudi 23 janvier 2014 - 11:53:49
Dernière modification le : mercredi 10 janvier 2018 - 14:42:39

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Florence Le Gall, Rozenn Le Berre, Sylvain Rosec, Jeanne Hardy, Stéphanie Gouriou, et al.. Proposal of a quantitative PCR-based protocol for an optimal Pseudomonas aeruginosa detection in patients with cystic fibrosis.. BMC Microbiology, BioMed Central, 2013, 13, pp.143. 〈10.1186/1471-2180-13-143〉. 〈hal-00935251〉

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