Primers and kits for colony multiplex PCR for the detection of class a, b, c, and d beta-lactamase genes and methods of using thereof

a technology of colony multiplex and primers, applied in the field of primer pairs for detection of lactamase genes, can solve the problems of time-consuming process, inability to detect esbl and carbapenemase production, and limitations of previous developed methods for bla gene detection, and achieves rapid and accurate molecular effects

Inactive Publication Date: 2014-11-27
MYONGJI UNIV IND & ACAD COOPERATION FOUND
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

This patent describes a new molecular diagnostic method for quickly and accurately detecting resistance genes in bacteria, which are important for monitoring outbreaks and minimizing antibiotic resistance. The method uses 54 primer pairs that are designed to detect all clinically-important bla genes with perfect specificity and sensitivity. This method is faster and more accurate than traditional culture-based methods and can help with infection control and therapeutic options in hospitals and community settings. The method can detect all bla genes and can also identify new unreported genes, making it a useful tool for clinical diagnosis.

Problems solved by technology

Determination of susceptibility or resistance using classical culture-based phenotypic tests is the general method used in clinical microbiological laboratories, but this procedure is time consuming and can easily not detect ESBL and carbapenemase production by Enterobacteriaceae owing to variable levels of enzyme expression and the poor specificity of some antibiotic combinations9,10.
However, previous developed methods for bla gene detection are restricted to the identification of several bla genes and the molecular diagnostic method for detecting all clinically-important bla genes is not available11-17.
Because these methods can detect only partial types of bla genes, they cannot replace for the susceptibility test.

Method used

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  • Primers and kits for colony multiplex PCR for the detection of class a, b, c, and d beta-lactamase genes and methods of using thereof
  • Primers and kits for colony multiplex PCR for the detection of class a, b, c, and d beta-lactamase genes and methods of using thereof
  • Primers and kits for colony multiplex PCR for the detection of class a, b, c, and d beta-lactamase genes and methods of using thereof

Examples

Experimental program
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Effect test

example 1

Primer Design for Detecting all Clinically-Important β-Lactamase (Bla) Genes

[0097]Our strategy for the bla gene typing is the primer design using gene type-specific regions. We divided previously-reported bla genes into 54 types, which are comprised of 13 in class A, 16 in class B, 10 in class C, and 15 in class D (Table 1).

TABLE 1MultiplexTypeβ-Lactamase (s)Amplicon sizeSequenceClassPCR tubenameGene typetargeted(bp)NumberAA1A1-1GES typeGES-1* to GES-22748Seq. No. 1Seq. No. 2A1-2TEM typeTEM-1* to TEM-209626Seq. No. 3Seq. No. 4A1-3NMCNMC-A*; IMI-1 to513Seq. No. 5(IMI)IMI-3Seq. No. 6typeA1-4KPC typeKPC-1* to KPC-10438Seq. No. 7Seq. No. 8A1-5SHV typeSHV-1* to SHV-173341Seq. No. 9Seq. No. 10A1-6VEB typeVEB-1* to VEB-8257Seq. No. 11Seq. No. 12A1-7PER typePER-1* to PER-7152Seq. No. 13Seq. No. 14A1-8SME typeSME-1* to SME-3110Seq. No. 15Seq. No. 16A2A2-1CTX-M-9CTX-M-9*, 13, 14,689Seq. No. 17type16 to 19, 21, 24, 27,Seq. No. 1838, 45 to 51, 65, 67,81, 83 to 87, 90, 98,99, 102, 104 to 106,110...

example 2

The Bla Detection Method (LARGE-SCALEblaFinder) Using a Single Colony

[0103]To avoid time consuming steps such as genomic DNA extraction, we introduced the simple LARGE-SCALEblaFinder using a single colony (FIG. 1). A single colony from an overnight culture was picked using 10 μl pipette tip and was suspended in the special solution containing 0.1% Triton X-100. The heated colony suspension followed by a centrifugation step was used as a template for the multiplex PCR. A single colony always yielded enough genomic DNA for the LARGE-SCALEblaFinder when the heated colony supernatants from control and clinical (test) strains (Escherichia coli, Enterobacter cloacae, Citrobacter freundii, Providencia rettgeri, Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter baumannii, Enterobacter aerogenes, and Serratia marcescens) were used as templates. Through precise optimization processes of colony multiplex PCRs, a DNA Taq polymerase, an annealing temperature, and concentrations of com...

example 3

Evaluation and Optimization of the LARGE-SCALEblaFinder Using Control Strains Previously Reported to Harbor Bla Gene(s)

[0104]In order to verify the ability of this method, PCR assays were performed on previously-reported bacterial strains, which have been reported to have bla gene(s) on chromosome or plasmid (FIGS. 2a to 2h). First, all primer pairs were validated as simplex PCRs before being employed in a multiplex PCR. Expectedly, only one amplification product of each bla gene with the expected size was detected in 54 simplex PCRs for detecting 54 bla gene types (FIGS. 2a to 2h). Besides the size of PCR product, direct sequencing of 54 PCR products confirmed the exact detection of 54 bla genes (FIGS. 2a to 2h). Notably, although there was not any optimization process, the multiplex PCR experiments with several templates (five-eight; e.g., five in C1 and eight in A1, Table 1) obtained from 54 positive control strains showed that 54 bla type-specific PCR products were exactly detec...

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Abstract

The present invention provides kits and primers for colony multiplex PCR for the detection of class A, B, C, and D β-lactamase genes. The rapid detection of bla genes by using the kits and primers according to the present invention allows appropriate prescribing of antibiotics, which can reduce patient mortality and minimize antibiotic resistance. The present invention provides kits and primers for a rapid and accurate molecular method to overcome (a) to detect all clinically-important bla genes and (b) to explain phenotypic tests' results well by using 54 primer pairs, which are designed through novel and elaborate optimization processes. With perfect specificity and sensitivity in 172 control strains and 403 clinical strains, the present invention provides prompt and clinical application to the identification of all bla genes in bacterial pathogens.

Description

CROSS-REFERENCE TO RELATED APPLICATION AND CLAIM OF PRIORITY[0001]This application claims the benefit of U.S. Provisional Patent Application No. 61 / 825,768, filed May 21, 2013, the disclosures of which are incorporated herein in their entirety by reference.BACKGROUND[0002]1. Technical Field[0003]The present invention relates to a primer pairs for detection of β-lactamase genes. The present invention is also directed to kits for the detection of β-lactamase gene.[0004]2. Description of the Related Art[0005]The emergence and spread of multiple antibiotic resistances among pathogenic bacteria is a global health crisis1. β-Lactam antibiotics are one of the most successful drugs for the treatment of bacterial infections and represent approximately 65% of the total world market for antibiotics2. Therefore, resistance to β-lactam antibiotics by the acquisition of genes that encode β-lactamases is one of the most serious problems in Gram-negative pathogenic bacteria, such as the members of ...

Claims

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Application Information

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IPC IPC(8): C12Q1/68
CPCC12Q1/689C12Q2600/112C12Q2600/16
InventorLEE, SANG HEELEE, JUNG HUN
OwnerMYONGJI UNIV IND & ACAD COOPERATION FOUND