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Streptococcus pneumoniae detection in blood

a streptococcus pneumoniae and probe technology, applied in the field of primers and probes for the detection of streptococcus pneumoniae, can solve the problems of invasiveness and inability to perform routinely, affecting the diagnosis of pneumococcal pneumonia, and difficult to establish definitive diagnosis, so as to reduce the chance of false positive results

Inactive Publication Date: 2018-07-26
UNIV LIBRE DE BRUXELIES
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The advantage of this patent is that it uses RNA specific to dividing bacteria as its starting material, which reduces the likelihood of getting false positive results.

Problems solved by technology

Amongst the diagnostic methods of pneumococcal pneumonia, bronchoalveolar lavage (BAL) or transthoracic needle aspiration are considered to be reliable, but they are invasive and cannot be performed routinely.
Diagnosis of pneumococcal pneumonia is hindered by the lack of a highly sensitive and specific ‘gold standard’ method.
Culture of sputum and nasopharyngeal secretions is controversial due to respiratory tract carriage of pneumococci.
The limitations of culture based, conventional S. pneumoniae diagnostic tests make definitive diagnosis difficult to establish.
Serologic assays for both antibody and antigen detection suffer from a lack of specificity and sensitivity, for example the recently introduced urine antigen test, Binax NOW®, while shown to be sensitive and specific for adults by some studies, is unable to distinguish between carriage and disease in children.
n addition, the misidentification of pneumococcus-like viridans Streptococci (P-LVS) as S. pneumoniae presents additional opportunities for misdiagnosis especially when attempted with non-sterile site specimens such as sputum.
The appearance of these pneumococcus-like organisms has complicated identification and diagnosis even further, especially when non-sterile site respiratory specimens are used for making determinations.
One of the major drawbacks of the methods described in the prior art is that they target the S. pneumoniae DNA.
This drawback is due to the fact that S. pneumonia usually establishes an obligate asymptomatic association within the human nasopharyngeal cavity.
This asymptomatic association leads to false positives when the pneumonia is caused by an organism different than S. pneumonia.

Method used

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  • Streptococcus pneumoniae detection in blood

Examples

Experimental program
Comparison scheme
Effect test

example 1

[0096]Blood Contamination Using a S. pneumoniae Culture in Stationary Phase and Contaminated Blood Using a S. pneumoniae Culture in Exponential Phase

[0097]S. pneumonia serotype 1 (code 070799) was cultured in exponential and in stationary phase. Culture technique of S. pneumonia is known for the person skilled in the art. From each culture, 10−1, 10−2, 10′13, 10−4, 10−5 and 10−6 dilutions were prepared in Todd Hewitt Broth medium.

[0098]Whole blood samples were collected from voluntary humans into collection tubes containing EDTAK2 anticoagulant. Aliquots were generated from the collected samples such as each aliquot contained 2 ml of blood. The aliquots were then contaminated by the different dilutions of S. pneumonia cultured in exponential and in stationary phase. The contaminated samples were then frozen at −80° C.

example 2

Total RNA Extraction and Purification

[0099]Contaminated blood samples were defrosted by placing them in a mixture of ice and water for a period of 90 minutes. Afterwards, an equal volume of heated acidic phenol was added to each sample. The mixture of the sample and the acidic phenol was then mixed about 5 min at 65° C. The mixture was then centrifuges 20 min at 14.000 g at 4° C. 500 μl of the supernatant were then collected. RNA was purified from the obtained supernatant using the RNeasy midi kit of Qiagen according to the manufacturer's instructions. The purity of the isolated RNA was then monitored using spectrophotometric measurements.

example 3

[0100]cDNA Production

[0101]10 μl of the purified DNA are mixed with 1 μl of the random primers. Secondary structures are then denaturated in a thermocycler for 5 min at 70° C. Afterwards, 14 μl of mastermix is added and retro transcription is performed for 10 min at 25° C. followed by a cycle of 60 min at 50° C. The Go script reverse Transcriptase® of Promega was used for retro-transcription of the purified RNA.

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Abstract

A set of primers is for amplifying and detecting a S. pneumoniae ribonucleic acid in a sample. The set of primers can be included in a kit, which also includes a nucleic acid probe that includes a fluorophore and a dark quencher or acceptor dye.

Description

INCORPORATION BY REFERENCE TO ANY PRIORITY APPLICATIONS[0001]Any and all priority claims identified in the application data sheet, or any correction thereto, are hereby incorporated by reference under 37 C.F.R. 1.57 for example, this application is a divisional of and claims priority to U.S. application Ser. No. 14 / 356,465, filed May 6, 2014 which is the U.S. National Phase of International Application No. PCT / EP2011 / 070127 filed Nov. 15, 2011, designating the U.S. and published as WO 2013 / 071954 on May 23, 2013, each of which is incorporated herein by reference in its entirety.BACKGROUND OF THE INVENTIONReference to Sequence Listing[0002]This application incorporates by reference the sequence listing submitted as ASCII text filed via EFS-Web on Aug. 27, 2014 in application Ser. No. 14 / 356,465. The Sequence Listing was provided as a file entitled “SEQLIST_BAP41001_REV_082614,” created on Aug. 26, 2014, and approximately 4 kilobytes in size.Field of the Invention[0003]The present inv...

Claims

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Application Information

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IPC IPC(8): C12Q1/689C12Q1/6816C12Q1/6806
CPCC12Q2600/112C12Q1/6816C12Q1/6806C12Q2600/16C12Q1/689C12Q2527/125
Inventor DREZE, PIERRE-ALEXANDRESMEESTERS, PIERREDEMAZY, LENAVAN MELDEREN, LAURENCE
Owner UNIV LIBRE DE BRUXELIES