Articles

Development and evaluation of a Quadruplex Taq Man real-time PCR assay for simultaneous detection of clinical isolates of Enterococcus faecalis, Enterococcus faecium and their vanA and vanB genotypes

Abstract

Background and Objectives: We developed and evaluated the utility of a quadruplex Taqman real-time PCR assay that allows simultaneous identification of vancomycin-resistant genotypes and clinically relevant enterococci.
Materials and Methods: The specificity of the assay was tested using reference strains of vancomycin-resistant and susceptible enterococci. In total, 193 clinical isolates were identified and subsequently genotyped using a Quadruplex Taqman real-time PCR assay and melting curve analysis. Representative Quadruplex Taqman real-time PCR amplification curve were obtained for Enterococcus faecium, Enterococcus faecalis, vanA-containing E. faecium, vanB-containing E. faecalis.
Results: Phenotypic and genotypic analysis of the isolates gave same results for 82 enterococcal isolates, while in 5 isolates, they were inconsistent. We had three mixed strains, which were detected by the TaqMan real-time PCR assay and could not be identified correctly using phenotypic methods.
Conclusion: Vancomycin resistant enterococci (VRE) genotyping and identification of clinically relevant enterococci were rapidly and correctly performed using TaqMan real-time multiplex real-time PCR assay.

Teixeira L, Carvalho M, Facklan R. Enterococcus In: Murray P, Baron E, Landry M, Jorgensen. Manual of Clinical Microbiology 2007; 9th ed. Washington, DC: ASM Press. 430-442.

Castillo-Rojas G, Mazari-Hiríart M, Ponce de León S, Amieva-Fernández RI, Agis-Juárez RA, Huebner J, et al. Comparison of Enterococcus faecium and Enterococcus faecalis strains isolated from water and clinical samples: antimicrobial susceptibility and genetic relationships. PLoS One 2013; 8: e59491.

Arias CA, Contreras GA, Murray BE. Management of multidrug-resistant enterococcal infections. Clin Microbiol Infect 2010; 16: 555-562.

Werner G, Coque TM, Hammerum AM, Hope R,Hryniewicz W, Johnson A, et al. Emergence and spread of vancomycin resistance among enterococci in Europe. Euro Surveill 2008; 20: 13 (47).

Freitas AR, Novais C, Tedim AP, Francia MV, Baquero F, Peixe L, Coque TM. Microevolutionary events involving narrow host plasmids influences local fixation of vancomycin-resistance in Enterococcus populations. PLoS One 2013; 8: e60589.

Reagan R., Converse JF, Noble RT, Haugland RA, Schiff KC, Weisberg SB. Correlation between Quantitative PCR and culture-based methods for measuring Enterococcus spp. over various temporal scales at three california marine beaches. Appl Environ Microbiol 2012; 78: 1237-1242.

Santo Domingo JW, Siefring SC, Haugland RA. Real- time PCR method to detect Enterococcus faecalis in water. Biotechnol Lett 2003; 25: 261-265.

Barken KB, Haagensen JA, Tolker-Nielsen T.Advances in nucleic acid-based diagnostics of bacterial infections. Clin Chim Acta 2007; 384: 1-11.

Danbin K, Picard FJF, Martineau F, Menard C, Roy RH, Ouellette M, et al. Development of a PCR assay for rapid detection of enterococci. J Clin Microbiol 1999; 37: 3497-3503.

Fang H, Ohlsson AK, Jiang GX, Ullberg M. Screening for vancomycin-resistant enterococci: an efficient and economical laboratory-developed test. Eur J Clin Microbiol Infect Dis 2012; 31: 261-265.

Satterfield BA, Stewart AF, Lew CS, Pickett DO, Cohen MN, Moore EA, et al. A quadruplex real-time PCR assay for rapid detection and differentiation of the Clostridium botulinum toxin genes A, B, E and F. J Med Microbiol 2010; 59: 55-64.

Tonooka Y, Fujishima M. Comparison and critical evaluation of PCR-mediated methods to walk along the sequence of genomic DNA. Appl Microbiol Biotechnol 2009; 85: 37-43.

Leal NC, Almeida AM. Diagnosis of plague and identification of virulence markers in Yersinia pestis by multiplex-PCR. Rev Inst Med Trop Sao Paulo 1999;41: 339-342.

Tomaso H, Reisinger EC, Al Dahouk S, Frangoulidis D, Rakin A, Landt O, et al. Rapid detection of Yersinia pestis with multiplex real-time PCR assays using fluorescent hybridisation probes. FEMS Immunol Med Microbiol 2003; 38:117-126.

Tsukano H, Itoh K, Suzuki S, Watanabe H. Detection and identification of Yersinia pestis by polymerase chain reaction (PCR) using multiplex primers. Microbiol Immunol 1996; 40: 773-775.

Van den Braak N, Ott A, van Belkum A, Kluytmans JA, Koeleman JG, Spanjaard L et al. Prevalence and determinants of fecal colonization with vancomycin- resistant Enterococcus in hospitalized patients in the Netherlands. Infect Control Hosp Epidemiol 2000; 21:520-524.

Clinical and Laboratory Standards Institute.Performance Standards for Antimicrobial Susceptibility Testing; Twenty – First Informational Supplement. M100-S21. Wayne, PA; 2011.

Honarmand H, Falah Ghavidel M, Nikokar I, Rahbar Taromsari M. Evaluation of a PCR assay to detect nterococcus faecalis in blood and determine glycopeptides resistance genes: van and van B. Iran J Med Sci 2012; 37: 194-199.

Palladino S, Kay ID, Costa AM, Lambert EJ, Flexman JP. Real-time PCR for the rapid detection of vanA and vanB genes. Diagn Microbiol Infect Dis 2003; 45: 81-84.

El-Sharif A, Afifi S, El-Dahshan R, Rafeh N, Eissa S. Characterization of Mycobacterium tuberculosis isolated from cancer patients with suspected tuberculosis infection in Egypt: identification, prevalence, risk factors and resistance pattern. Clin Microbiol Infect 2012; 18: E438-45.

Farivar TN, Johari P, Moien AA, Shahri MH, Naderi M, Oskouie H. Assessment of prevalence of non- tuberculous mycobacteria in archival acid-fast bacilli positive smear slides by TaqMan real-time PCR assay. N Am J Med Sci 2012; 4: 231-234.

Farivar TN, Pahlevan A, Johari P, Safdarian F, Mehr MA, Najafipour R, et al. Assessment of Helicobacter pylori prevalence by scorpion real-time PCR in chronic tonsillitis patients. J Glob Infect Dis 2012; 4: 38-42.

Najafipour R, Farivar TN, Pahlevan AA, Johari P, Safdarian F, Asefzadeh M. Agreement rate of rapid urease test, conventional PCR, and scorpion real-time PCR in detecting Helicobacter pylori from tonsillar samples of patients with chronic tonsillitis. J Glob Infect Dis 2012; 4: 106-109.

Xuan L, Huang F, Fan Z, Zhou H, Zhang X, Yu G, et al. Effects of intensified conditioning on Epstein- Barr virus and cytomegalovirus infections in allogeneic hematopoietic stem cell transplantation for hematological malignancies. J Hematol Oncol 2012;2;5:46.

Farivar TN, Nezam MK, Johari P. Genotyping of hepatitis C virus isolated from hepatitis patients in Southeast of Iran by Taqman Realtime PCR. J Pak Med Assoc 2011; 61: 586-588.

Sakitani K, Hirata Y, Hayakawa Y, Serizawa T, Nakata W, Takahashi R, Kinoshita H. Role of interleukin-32 in Helicobacter pylori-induced gastric inflammation. Infect Immun 2012; 80: 3795-3803.

Farivar TN, Johari P. Lack of association between Chlamydia trachomatis infection and cervical cancer--Taq Man realtime PCR assay findings. Asian Pac J Cancer Prev 2012; 13: 3701-3704.

Elvitigala DA, Whang I, Premachandra HK, Umasuthan N, Oh MJ, Jung SJ et al. Caspase 3 from rock bream (Oplegnathus fasciatus): genomic characterization and transcriptional profiling upon bacterial and viral inductions. Fish Shellfish Immunol 2012; 33: 99-110.

Tripathi A, Shukla SK, Singh A, Prasad KN. A new approach of real time polymerase chain reaction in detection of vancomycin-resistant enterococci and its comparison with other methods. Indian J Med Microbiol 2013; 31: 47-52.

Kim TS, Kwon HL, Song SH, Song KH, Kim HB, Park KU, et al. Real-time PCR surveillance of vanA for vancomycin-resistant Enterococcus faecium. Mol Med Rep 2012; 6: 488-492.

Cantarelli V, Cavalcante B, Pilger DA, Souza F, Dias CG, Brodt T, et al. Rapid detection of Van genes in rectal swabs by real time PCR in Southern Brazil. Rev Soc Bras Med Trop 2011; 44: 631-632.

Lata P, Ram S, Agrawal M, Shanker R. Real time PCR for the rapid detection of vanA gene in surface waters and aquatic macrophyte by molecular beacon probe. Environ Sci Technol 2009; 43: 3343-3348.

Ryu H, Henson M, Elk M, Toledo-Hernandez C, Griffith J, Blackwood D, et al. Development of quantitative PCR assays targeting the 16S rRNA genes of Enterococcus spp. and their application to the identification of enterococcus species in environmental samples. Appl Environ Microbiol 79: 196-204.

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IssueVol 6 No 5 (2014) QRcode
SectionArticles
Keywords
Enterococci Multiplex TaqMan real-time PCR Vancomycin

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How to Cite
1.
Naserpour-Farivar T, Najafipour R, Johari P, Aslanimehr M, Peymani A, Jahani Hashemi H, Mirzaui B. Development and evaluation of a Quadruplex Taq Man real-time PCR assay for simultaneous detection of clinical isolates of Enterococcus faecalis, Enterococcus faecium and their vanA and vanB genotypes. Iran J Microbiol. 1;6(5):335-340.