Clinical Chemistry and Laboratory Medicine

Issue: Sep 2008

Volume 46, Number 9

Preliminary validation of real-time PCR assays for the identification of Yersinia pestis

Herbert Tomaso, 1

1Bundeswehr Institute of Microbiology, Munich, Germany

Daniela Jacob, 2

2Robert Koch-Institut, Zentrum für Biologische Sicherheit, Hochpathogene mikrobielle Erreger, Berlin, Germany

Meike Eickhoff, 3

3QIAGEN Hamburg GmbH, Hamburg, Germany

Holger C. Scholz, 4

4Bundeswehr Institute of Microbiology, Munich, Germany

Sascha Al Dahouk, 5

5Department of Internal Medicine III, RWTH Aachen University, Aachen, Germany

Mireille M. Kattar, 6

6Molecular Infectious Diseases Diagnostics, Department of Pathology and Laboratory Medicine, American University of Beirut, Beirut, Lebanon

Udo Reischl, 7

7Institute of Medical Microbiology and Hygiene, University of Regensburg, Regensburg, Germany

Helga Plicka, 8

8BMLV/RD-ARWT, ABCUT, Mödling, Austria

Jaran Strand Olsen, 9

9Norwegian Defense Research Establishment, Division for Protection, Kjeller, Norway

Simo Nikkari, 10

10Center for Biothreat Preparedness, and BC-Defense and Environmental Health Unit, Center for Military Medicine, Helsinki, Finland

Pirjo Matero, 11

11Center for Biothreat Preparedness, and BC-Defense and Environmental Health Unit, Center for Military Medicine, Helsinki, Finland

Christian Beuret, 12

12Biology Spiez Laboratory, Federal Department of Defense, Civil Protection and Sports, Federal Office for Civil Protection, Spiez, Switzerland

Andrea Ciammaruconi, 13

13Health Corps, Italian Army, Histology and Molecular Biology Section, Army Medical and Veterinary Research Center, Roma, Italy

Florigio Lista, 14

14Health Corps, Italian Army, Histology and Molecular Biology Section, Army Medical and Veterinary Research Center, Roma, Italy

Jean-Luc Gala, 15

15Center for Applied Molecular Technologies, Defense Laboratories Department, Belgian Armed Forces, Brussels, Belgium

Hermann Broll, 16

16Bundesinstitut für Risikobewertung, Berlin, Germany

Bernd Appel, 17

17Bundesinstitut für Risikobewertung, Berlin, Germany

Ricela E. Sellek Cano, 18

18Unidad Biológica-NBQ, Fábrica Nacional “La Marañosa”, Spain

Maria del Carmen Ybarra de Villavicencio, 19

19Unidad Biológica-NBQ, Fábrica Nacional “La Marañosa”, Spain

Martien Broekhuijsen, 20

20TNO Defense, Security and Safety, Rijswijk, The Netherlands

Alexander Indra, 21

21AGES – Institut für medizinische Mikrobiologie und Hygiene, Wien, Austria

Roger Petersen, 22

22TIB MOLBIOL Syntheselabor GmbH, Berlin, Germany

Heinrich Neubauer, 23

23Friedrich Loeffler Institut, Jena, Germany

Corresponding author: Dr. Herbert Tomaso, Bundeswehr Institute of Microbiology, Neuherbergstrasse 11, 80937 Munich, Germany Phone: +49-89-3168-3933, Fax: +49-89-3168-3292,
Citation Information. Clinical Chemistry and Laboratory Medicine. Volume 46, Issue 9, Pages 1239–1244, ISSN (Online) 1437-4331, ISSN (Print) 1434-6621, DOI: 10.1515/CCLM.2008.251, Available online: 21/07/2008, September 2008
Publication History: Received: 12/3/2008; accepted: 12/5/2008; published online: 21/07/2008

Abstract

Background: Yersinia pestis (Y. pestis) is a zoonotic bacterium mainly circulating among rodents and their fleas. Transmission to humans can cause bubonic, pneumonic or septicemic plague with a high case-fatality rate. Therefore, rapid and reliable diagnostic tools are crucial. The objective of this study was to assess the inter-laboratory reproducibility of in-house developed real-time PCR assays for the identification of Y. pestis.

Methods: A total of four samples of quantified Y. pestis DNA and two blank samples were sent blinded to 14 laboratories. To standardize the procedures, oligonucleotides were provided and the same instrument platform and a commercial mastermix were used. The participants were requested to report their results including cycle threshold and melting temperature values.

Results: All participating laboratories were able to perform the real-time PCR assays according to the protocols provided and identified the samples containing Y. pestis DNA correctly. Significant differences between the reference laboratory and participating laboratories were observed in cycle threshold values and melting temperatures. This, however, did not adversely affect the interpretation of results.

Conclusions: Our real-time PCR system proved to be highly reproducible and has the potential of complementing the diagnostic tools for rapid identification of Y. pestis isolates. Further steps of validation are needed to determine diagnostic accuracy and predictive values with clinical samples.

Clin Chem Lab Med 2008;46:1239–44.

Keywords Yersinia pestis, real-time PCR

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