title: Multiplex real-time PCR targeting the RNase P RNA gene for detection and identification of Candida species in blood.
abstract: We have developed a single-tube multiplex real-time PCR method for the detection of the eight most common Candida species causing septicemia: Candida albicans, C. dubliniensis, C. famata, C. glabrata, C. guilliermondii, C. krusei, C. parapsilosis, and C. tropicalis. The method developed targets the RNase P RNA gene RPR1. Sequences of this gene were determined for seven of the Candida species and showed surprisingly large sequence variation. C. glabrata was found to have a gene that was five times longer gene than those of the other species, and the nucleotide sequence similarity between C. krusei and C. albicans was as low as 55%. The multiplex PCR contained three probes that enabled the specific detection of C. albicans, C. glabrata, and C. krusei and a fourth probe that allowed the general detection of the remaining species. The method was able to detect 1 to 10 genome copies when the detection limit was tested repeatedly for the four species C. albicans, C. glabrata, C. krusei, and C. guilliermondii. No significant difference in the detection limit was seen when the multiplex format was compared with single-species PCR, i.e., two primers and one probe. The method detected eight clinically relevant Candida species and did not react with other tested non-Candida species or human DNA. The assay was applied to 20 blood samples from nine patients and showed a sensitivity similar to that of culture.
authors.affiliation: Department of Clinical Microbiology, Uppsala University Hospital, SE-751 85 Uppsala, Sweden.
authors.forename: Asa
authors.initials: A
authors.lastname: Innings
authors.forename: Måns
authors.initials: M
authors.lastname: Ullberg
authors.forename: Anders
authors.initials: A
authors.lastname: Johansson
authors.forename: Carl Johan
authors.initials: CJ
authors.lastname: Rubin
authors.forename: Niklas
authors.initials: N
authors.lastname: Noreus
authors.forename: Magnus
authors.initials: M
authors.lastname: Isaksson
authors.forename: Björn
authors.initials: B
authors.lastname: Herrmann
mesh_terms: D001483:Base Sequence; D001769:Blood / Q000382:microbiology*; D002175:Candida / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification*; D002177:Candidiasis / Q000382:microbiology*; D003470:Culture Media; D016469:Fungemia / Q000382:microbiology*; D005800:Genes, Fungal; D006801:Humans; D008969:Molecular Sequence Data; D016133:Polymerase Chain Reaction / Q000379:methods; D012331:RNA, Fungal / Q000032:analysis / Q000235:genetics; D015203:Reproducibility of Results; D043262:Ribonuclease P / Q000737:chemistry / Q000235:genetics* / Q000378:metabolism; D012680:Sensitivity and Specificity; D013045:Species Specificity
chemical_list: D003470:Culture Media; D012331:RNA, Fungal; D043262:Ribonuclease P