101. Multiplex PCR for Detection of Botulinum Neurotoxin-Producing Clostridia in Clinical, Food, and Environmental Samples▿
- Author
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Ute Messelhäusser, Dario De Medici, Miia Lindström, Elisabetta Delibato, Lucia Fenicia, Clare F Aldus, Michael W. Peck, Hannu Korkeala, Fabrizio Anniballi, and G. M. Wyatt
- Subjects
DNA, Bacterial ,Botulinum Toxins ,Neurotoxins ,medicine.disease_cause ,Applied Microbiology and Biotechnology ,Polymerase Chain Reaction ,Sensitivity and Specificity ,Microbiology ,Clostridia ,03 medical and health sciences ,Mice ,Clostridium ,Multiplex polymerase chain reaction ,medicine ,Methods ,Clostridium botulinum ,Environmental Microbiology ,Food microbiology ,Animals ,Humans ,Botulism ,Clostridium butyricum ,030304 developmental biology ,DNA Primers ,0303 health sciences ,Ecology ,biology ,Base Sequence ,030306 microbiology ,biology.organism_classification ,medicine.disease ,Molecular biology ,3. Good health ,Genes, Bacterial ,Clostridium baratii ,Food Microbiology ,Biological Assay ,Food Science ,Biotechnology - Abstract
Botulinum neurotoxin (BoNT), the most toxic substance known, is produced by the spore-forming bacterium Clostridium botulinum and, in rare cases, also by some strains of Clostridium butyricum and Clostridium baratii . The standard procedure for definitive detection of BoNT-producing clostridia is a culture method combined with neurotoxin detection using a standard mouse bioassay (SMB). The SMB is highly sensitive and specific, but it is expensive and time-consuming and there are ethical concerns due to use of laboratory animals. PCR provides a rapid alternative for initial screening for BoNT-producing clostridia. In this study, a previously described multiplex PCR assay was modified to detect all type A, B, E, and F neurotoxin genes in isolated strains and in clinical, food, environmental samples. This assay includes an internal amplification control. The effectiveness of the multiplex PCR method for detecting clostridia possessing type A, B, E, and F neurotoxin genes was evaluated by direct comparison with the SMB. This method showed 100% inclusivity and 100% exclusivity when 182 BoNT-producing clostridia and 21 other bacterial strains were used. The relative accuracy of the multiplex PCR and SMB was evaluated using 532 clinical, food, and environmental samples and was estimated to be 99.2%. The multiplex PCR was also used to investigate 110 freshly collected food and environmental samples, and 4 of the 110 samples (3.6%) were positive for BoNT-encoding genes.
- Published
- 2009